Peyronie’s FAQ, Often Called Penile Curvature or “Bent Spike” Syndrome

Dr. Reed

What is the latest and greatest on Peyronies?  Hershal

Dear Hershal,

3% of men have a noticable bend on erection, and if it doesn’t bother you or there is not discomfort for your partner (dyspareunia), you might very well live with it.  Curves that go upwards are generally well tolerated in the normal male above position as  this helps the penis to slip under the female pubic bone.

Vitamin E has been declassified as helpful by the AUA this year.  Xiaflex is cosly and requires many office visits, complications such as bleeding and penile fracture can occur (infreqeuntly), and the results generally speaking are improvement of about 17% from 52% curvarture, so in most instances not completely completely curvative.

Thanks for visiting our web site on Peyronie’s disease and penile curvature http://penisdoctor.com/peyronies-correction/

Perhaps you can relate to the befores and afters posted in the gallery.

We are doing several Peyronie’s patients every year. One memorable patient from Ohio was done with a length gain of 1 /4 immediately on the table. When the patient arrived in the recovery room and said to me, “how did I do”, I drew the curtains around his bed and pulled back his sheets and blanket and said, “look”. An approving smile came across his face.

With post operative use of a vacuum erection device, he’ll even do better than that over the course of the next 6 months.

Correcting penile curvature is one of the mainstays of our practice and the enjoyment we derive is making two people happy. We see patients from all over the world who seek remedy because of functional or cosmetic disabilities.

My knowledge is updated yearly by attending the AUA meetings. At any lecture dealing with Peyronie’s you’ll find me sitting very attentively in the audience.

While our surgical success rate is better than 95%, we do recommend a trial of conservative therapy for at least 6 months as this may often produce a sufficient enough resolution to make you a happy man. But have you had this without success?

FAQ’s about Peyronie’s.

Peyronie’s usually occurs after a bruising incident, cloud be female above trauma or rolling over an erection while you are sleeping.  There is a congenital variety, but I belive this is less frequently’ see.  If you don’t remember having it, and then you suddenly notice a profound curve, think trauma, remembered or not.  There are medications to help get you over the acute phase and these may work, sparing your surgery.  Traction which is not surgical also can work,  Surgery should not be performed until you have been stable, no further progression in deformity for 6 months.  The 2 standard approaches are plication, placing inverted sutures in the longer side which may reduce your penile length by and 1/8 to a 1/4″, or if more pronounced… insertion a graft.  A new injectable medication called  Xiaflex by Auxilium is quite costly and result more measured by improvement that perfect restoration to a straight penis. Xiaflex is clostridium histologic or a type of collagenase.  Occasionally patients will have complications of a penile fracture or severe bleeding.  Read the brochure

Thanks for visiting our web site on Peyronie’s disease and penile curvature http://penisdoctor.com/peyronies-correction/

Perhaps you can relate to the befores and afters posted in the gallery.

With post operative use of a vacuum erection device, he’ll even do better than that over the course of the next 6 months.

Correcting penile curvature is one of the mainstays of our practice and the enjoyment we derive is making two people happy. We see patients from all over the world who seek remedy because of functional or cosmetic disabilities.

My knowledge is updated yearly by attending the AUA meetings. At any lecture dealing with Peyronie�s you’ll find me sitting very attentively in the audience.

FAQ’s about Peyronie’s.  Peyronie’s usually occurs after a bruising incident, could be female above trauma or rolling over an erection while you are sleeping.  There is a congenital variety, but I belive this is less recently see.  If you don’t remember having it, and then you suddenly notice a profound curve, think trauma, remembered or not.  There are medications to help get you over the acute phase and these may work, sparing your surgery.  Treatment which is not surgical also can work,  Surgery should not be performed until you have been stable, no further progression in deformity for 6 months.  The 2 standard approaches are plication, pacing inverted sutures in the longer side which may reduce your penile length by and 1/8 to a 1/4″, or if more pronounced… insertion a graft.  A new injectable medication called  Xiaflex (collagenase clostridium histolyticum) made by Auxilium initially for treating flexor contracture of the hand tendons is quite costly and results or ore measured improvement that perfect restoration,  When used for Peyronie’s, here are some instructions for the the doctor.   Xiaflex is clostridium hystoliticum or a type of collagenase.  Occasionally

For use with Peyronie’s Disease (2.2)

  • XIAFLEX should be administered by a healthcare provider experienced in the treatment of male urological diseases.
  • Reconstitute XIAFLEX lyophilized powder with only the supplied diluent prior to use.
  • A treatment cycle consists of two XIAFLEX injection procedures and a penile modeling procedure.
  • Induce a penile erection. A single intracavernosal injection of 10 or 20 micrograms of alprostadil may be used for this purpose.
  • With the penis in the erect state, identify and mark the target area in the Peyronie�s plaque to be injected.
  • The penis should be in a flaccid state before injecting XIAFLEX.
  • Inject 0.58 mg XIAFLEX into the target plaque of a flaccid penis once on each of two days, 1 to 3 days apart, according to the injection procedure.
  • Perform a penile modeling procedure 1 to 3 days after the second injection of each treatment cycle.
  • For each plaque causing the curvature deformity, up to four treatment cycles may be administered. Each treatment cycle may be repeated at approximately six-week intervals. If the curvature deformity is less than 15 degrees after the first, second or third treatment cycle, or if further treatment is not clinically indicated, then subsequent treatment cycles should not be administered

Patients may have complications of a penile fracture or severe bleeding.  Read the brochure

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