How is Peyronie’s Disease Treated?

Note from moderator...

This appears to be an ad for a penile traction device but it might serve as an intro to a useful discussion. I've deleted the references to a specific product and added a few annotations here and there.

--PeterDisAbelard

How is Peyronie’s Disease Treated?

SURGERY - XIAFLEX - <Penile Traction Device>

In a very few number of cases (about 13 out of 100), Peyronie's disease goes away without being treated. Many health care experts suggest treating the disease without surgery for the first 12 months after the disease is first noticed.
Men with small plaques, not much curving of the penis, no pain, and no problems with sex may not need to be treated. If you need to be treated, there are 3 choices.

1 Surgery for Peyronie's Disease : There are 3 basic ways to fix Peyronie's disease with surgery, but Surgery is not without risks and can include shortening of the penis (scar retraction) and a chance that the distortion will return. COST: <Big number deleted.>
-making the side of the penis opposite the plaque shorter
-making the side of the penis that curves longer
-placing a prosthetic device inside the penis

2 Penile Injections ( XIAFLEX® ) COST: 2 vials <Middlin' big number deleted.>
Injecting a drug right into the plaque brings higher doses of the drug to the problem than when a drug is taken by mouth. ( ?! Xiaflex is never taken by mouth.) Plaque injection is often used for men with acute phase disease who aren't sure they want to have surgery. The skin is often numbed before the shot to reduce pain. (He mentions pain to skeeze you out about this option because he is selling someone else.)
Injection of CCG (Collagenase clostridium histolyticum?) into collagen-containing structures such as the corpora cavernosa of the penis may result in damage to those structures and possible injury such as corporal rupture. Treatment of Peyronie's disease with intralesional therapy: Injection of collagenase is contraindicated in the treatment of Peyronie’s plaques that involve the penile urethra due to potential risk to this structure and in patients with a history of hypersensitivity to collagenase used in any other therapeutic application or application method. Injection of collagenase into collagen-containing structures such as the corpora cavernosa of the penis may result in damage to those structures and possible injury such as corporal rupture (penile fracture). (All true enough but more skeezing.)


3 <Penile Traction Device> COST: <Relatively small number deleted.>
Treatment of Peyronie's disease with penile traction therapy (<Penile Traction Device>). Penile traction therapy (PTT) is used to avoid penis shortening after prostate surgery, which can be used as penile rehab. it would be an effective and safe method Without expensive risky surgery or injections.(Probably true. Odd wording, though, and cut-and-paste problems.) <Some company>, a urology laboratory which has been investigating medical, non-invasive treatments to Peyronie’s disease, micropenis, post radical prostatectomy penile rehab and erectile dysfunction for 20 years. (Not a sentence. No verb.) <Penile Traction Device> is a simple, effective and non-invasive treatment of the correction of penile curvature. <Penile Traction Device> reduces the curvature of the penis + 50%. <Penile Traction Device> increases the length of the penis and also the girth.(Dubious numbers but there have been studies that found penile traction helpful.)

Post Edited By Moderator (PeterDisAbelard.) : 5/29/2018 7:48:14 AM (GMT-6)

PDA, yeah definitely an ad (spam) but with useful info now that you have edited it. I saw it first on my mobile device and was going to zap it but you took a much wiser approach.

Jim

For those of you who are interested because you've been getting a bit bendy, the threshold for treatment with injections (Xiaflex) is a bend of 30 degrees. I think urologists award extra points if the bend makes your erection painful. You may find your urologist reluctant to try the more invasive treatment options until your problem gets pretty bad.

The third option -- the penis stretcher -- has a lower bar to clear, and despite the absurd claims you see sometimes for such devices in advertisements, they can be somewhat helpful if you are willing to put up with the bother the devices entail. Here are a few recent studies:

Acute phase Peyronie's disease management with traction device: a nonrandomized prospective controlled trial with ultrasound correlation. Journal of Sexual Medicine, 2014

Penile Traction Therapy and Vacuum Erection Devices in Peyronie's Disease. Sexual Medicine Reviews, April 2018

Unfortunately, I have developed this without any treatment. Strange. I read about it as a side-effect a couple of years ago. The only thing I have done is biopsies. I did have surgery for 4 hernias last year, but the Peyronie's started before that. Sex used to be painful, but now it is not at all painful. Hopefully it will work itself out.

MK,

It is a demilitarized advertisement. I removed the payload. I edited out references to the specific product and company, and added a few comments about parts that were more spin than fact, but I left the posting in place since it seemed like something the guys might want to talk about