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Peyronie's Disease

 

International Andrology Treatment Protocol

Our Peyronie’s disease treatment procedure is based on the latest medical research, medical guidelines and our extensive clinical experience and with our treatment options, you may be able to avoid surgery.

In the past (and still the treatment plan that most doctors follow), newly diagnosed patients with acute phase of Peyronie’s, were limited to conservative treatment options with minimum or no effect on the Peyronie’s plaque and curvature. Patients only option was to wait until the disease progressed to the chronic phase (around 12 months from onset) and then consider surgical correction.

Since the introduction of Xiapex 2 years ago and based on the latest research, we have revised our treatment plans, introducing a first stage and second stage of treatment as outlined below.

First line of treatment

Irrespective of whether a patient is in the acute or chronic phase of the disease, we now recommend the following procedure as a first step in a treatment plan:

  • Oral intake of Pentoxifylline 400mg tablets twice a day +

  • Cialis 5mg daily for patients with some degree of erectile dysfunction +

  • A course of Xiapex injections +

  • Mechanical modelling

Patients that suffer from very severe erectile dysfunction, complete plaque calcification and have ventral curvatures (downward facing) are not appropriate candidates for Xiapex injections and if they have progressed to the acute phase, then the traditional (wait until the chronic phase) method applies to them. If they are in the chronic phase then they may need to consider a surgical option.

Second line of treatment

If you are diagnosed as to be not receptive to Xiapex injections or there is residual curvature still present following the first stage of treatment AND the disease has stabilised and is in the chronic phase, then surgical correction will need to be considered. The degree of surgical correction will be decided together with your doctor but in general the following patient specific criteria will need be taken into account:

  • Severity and complexity of curvature;

  • Whether there is presence of destabilising hour-glass deformity or hinge;

  • Whether a patient has experienced significant length loss due to Peyronie’s and the degree of irritation caused by this

  • Whether you suffer from erectile dysfunction and how severe your diagnosis is

In general, our surgeon’s can perform any type of surgical correction for Peyronie’s disease and during your consultation they will help you decide which is the most appropriate technique for your specific case. Further information regarding the different techniques can be found in the following sections:

I am suffering from a what I suspect is Peyronies disease, what should I do next?

If you believe you are suffering from Peyronies and it causes you significant concern we advise you to see a specialist urologist/andrologist.


Our doctors have vast experience treating Peyronies and our clinic is an international referral centre for patients suffering from this condition. We would be happy to review your case and treat you in our clinic.

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LEARN MORE ABOUT PEYRONIE’S DISEASE

Peyronie’s, also know as Induratio Penis Plastica, is a disease that leads to the formation of scar tissue plaque on a man’s penis. It affects around 9% of male population and can appear at any age, although the prevalence is higher in men older than 35 years of age. Continue Reading....
We understand that a diagnosis of Peyronie’s is stressful for men. One thing that should always be remembered is that irrespective of the stage and severity of the disease there is always a treatment option as long as patients seek help from specialised doctors. Continue Reading....
Peyronies disease is a progressive disease that develops in two distinct phases. From the onset and for about 12 months, Peyronie’s disease is in the so called Acute Phase, during which the size and morphology of the plaque continue to develop. Continue Reading....
There are various treatment options that have been developed for Peyronie’s disease – these fall under four broad categories for more information, please refer to the dedicated webpages of each treatment option. Continue Reading....
Our Peyronie’s disease treatment procedure is based on the latest medical research, medical guidelines and our extensive clinical experience and with our treatment options, you may be able to avoid surgery. Continue Reading....
Unfortunately, at this time, no conservative treatment has been comprehensively developed and tested that is as effective in dissolving plaque as the the natural healing mechanism is. Continue Reading....
Many patients when they first get diagnosed with Peyronie’s disease try some kind of penile stretching or modelling (during an erection, trying to straighten the penis). Continue Reading....
Based on current scientific evidence, Xiapex is the only non-surgical treatment that has been proved to have a significant impact on the peyronie’s plaque and on average leads to a 35% reduction in penile curvature – however, the results vary significantly from patient to patient with some experiencing even greater improvements. Continue Reading....
The first step for a successful treatment is to select the operating technique that is best suited to your situation. At International Andrology, our expertise in Peyronie’s surgical correction allows us to offer a range of surgical options and we advise our patients as to the treatment that will ensure the best possible result. Continue Reading....
In general, we do not believe there are best techniques but rather the best surgeons. All the techniques we employ have been significantly developed by our surgeons leading to high success rates and patient satisfaction, irrespective of the technique employed. Continue Reading....
The first and most common surgical procedure developed for penis curvature correction is the plication technique. Continue Reading....
Plication surgery involves operating on the healthy, longer side of the penis to make it shorter, while grafting techniques is based on the exact opposite principle; the surgeon operates on the Peyronie’s penile plaque(s) so as to restore lost elasticity (created by plaque) on the affected side of the penis. During an erection, both sides will stretch to the same size, hence eliminating the curvature. Continue Reading....
Around 30% of patients suffering from Peyronie’s disease will also suffer from severe erectile dysfunction. Continue Reading....
Unfortunately, most insurance companies do not cover sexual dysfunction or male fertility consultations and most of our patients are self-paying. If your insurance company covers the cost of treatment or diagnostic tests, then we would be glad to assist you with the refund claim or claim directly from your insurance company on your behalf. Continue Reading....

LEARN MORE ABOUT PEYRONIE'S DISEASE

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