Subjective: The patient presents today with complaints consistent with Peyronie's disease.  He reports penile curvature, palpable plaque, and pain with erection, impacting sexual function.  Onset of symptoms was approximately [timeframe] ago.  He denies any history of penile trauma or other known contributing factors.  The patient expresses concern regarding the deformity and its impact on his quality of life.  He is seeking evaluation and treatment options for Peyronie's disease management.

Objective: Physical examination reveals a palpable, firm plaque on the [location] aspect of the penis.  Penile curvature is evident upon erection, estimated at approximately [degrees] deviation.  No other abnormalities noted.  Assessment: Peyronie's disease.  Differential diagnoses considered include penile fracture, congenital curvature, and other connective tissue disorders.  Plan: Discussed treatment options for Peyronie's disease including conservative management, pharmacotherapy (e.g., Xiaflex injections, pentoxifylline), and surgical intervention (e.g., plication, grafting, penile prosthesis).  Patient education provided on Peyronie's disease pathophysiology, prognosis, and potential complications of treatment.  Scheduled follow-up appointment in [timeframe] to reassess symptoms, discuss treatment preferences, and determine the appropriate course of action.  ICD-10 code N48.6 assigned.  CPT codes for evaluation and management documented based on time and complexity of visit.