Our expert says:
The plaque of Peyronie's disease is visible and palpable whether the penis is flaccid or erect. Some specialists would prefer examination during erection to determine the severity of the curvature. They can induce erection by injecting medicine into the base if the penis. Ultrasound examination may be needed (usually done by the doctor himself) to evaluate blood flow through the penis.
Discuss with your doctor if a photo you take yourself at home during erection will be enough to avoid an examination in the erect state if this will be too uncomfortable for you.
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