PEYRONIE’S DISEASE TREATMENT OPTIONS

Prescribed Medication

Peyronie’s disease treatment options include oral medication or topical treatments applied externally to relieve the pain. Your doctor or urologist may prescribe these, but none of these treatments will stop the progression of the disease. However there is evidence that in 10% of cases where patients are suffering minor Peyronie’s disease, their condition may go away naturally or they may be left with minor penis curvature.

Peyronie's disease treatment options.

Penile Pump Peyronie’s Disease

This will involve a series of penis stretching exercises and the use of a vacuum pump to strengthen the penis and reduce the bend.  You will need to use the vacuum pump twice a day for 10-minutes each time. Mechanical modelling is used in conjunction with Xiapex Injection therapy, will break down the plaque in the penis.

Xiapex Injections

Xiapex injection was the first non-surgical therapy used for Peyronie’s disease before Focused shockwave therapy became the gold standard of treatment.  Xiapex injections can only be administered into the penile plaque by a trained physician over 4 treatment cycles, that’s eight injections in all at an average cost of  £600 per injection. You may need a local anaesthetic before having the injections.

Xiapex for Peyronie's disease.

Shockwave Therapy Peyronie’s Disease

This is now the gold standard of Peyronies disease treatment options. A technology pioneered to break up kidney and gallstones, now breaks ups and clears plaque in the penis. It is non-invasive, is a low pain treatment and many men have completely straight penises after just a few weeks. A beneficial side effect is the ‘Viagra effect’; where it increases natural sexual function. Contact us for details.

Peyronie’s Disease Surgery

Surgery is the most extreme and life-changing of the Peyronie’s disease treatment options. Prior to Focused shockwave therapy it was the only option for many men.

Penile Implants – Peyronie’s Disease

Penile implants have been used to treat severe cases of Peyronie’s disease that lead to a curved penis and painful erections. It is commonly used when patients experience both Peyronie’s Disease and Erectile Dysfunction. The implant is inserted within the penis and is operated by a mechanical pump that is used to create an erection. Normal, natural and spontaneous erections can no longer be achieved and penis sensitivity and penile length is reduced depending on what prothesis is used.

Surgical Graft – Peyronie’s Disease

This surgery has been the procedure for men with complex or severe penile curvature and can only be performed at the stable, chronic stage of Peyronie’s Disease, normally after a period of 18-months. It entails cutting out most of the fibrous plaque and replacing it with an animal or synthetic graft patch to fill the gap. The nerves at the top of the penis or Urethra are dissected prior to the main operation and replaced when surgery is complete. Grafting procedures are normally carried out where there is severe curvature and the starting penile length is too short, to undertake penile plication. This surgery carries a risk of post-operative erectile dysfunction and a loss of sensitivity in the penis. Post op patients are required to undertake penile stretching and take medication.

Surgery – Penile Plication

This is the last of the Peyronie’s disease treatment options covered on this page. Penile Plication surgery is normally undertaken with patients who don’t also suffer erectile dysfunction and experience a moderate curvature of less than 60 degrees. This procedure can only be performed in the stable chronic phase of Peyronies disease, normally 18-months after of the onset of the condition. It involves shortening the long side of the penis (as experienced when erect) to match the side where the fibrous plaque is located. A patient will experience a 1 cm loss in overall penile length for every 15 degrees curvature. This can result in a shortening of the penis length by as much as 5 cm. In addition to accepting loss in penile length, many patients complain that sutures and knots in the penis are uncomfortable.

Peyronie's disease surgery penile plication.

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