Professional Curved Penis Treatment

Peyronie’s disease (PD) is a disease that causes penile curvature from a scar tissue(plaque) that has formed within a layer of the penis. 

Most men do not have perfectly straight erections, and not all curved penis are caused by Peyronie’s disease. Some men can be born with penile curvature and this is called ‘congenital curvature’ or even ‘penile chordee’.

What is Peyronie’s Disease?

In the case of Peyronie’s disease, there will be an identifiable plaque within the tunica albuginea layer, causing painful erections, or during flaccid state in severe cases. In cases of chronic Peyronie’s disease, erectile dysfunction (ED) may also develop subsequently.  Treatment of PD can be either surgical, or non-surgical. Extracorporeal shockwave therapy is a type of non-surgical Curved Penis Treatment that can be done at a clinic level that will cause the plaque to be more friable, and reduce the symptoms caused by PD. 

What are the risk factors for Peyronie’s disease?

Peyronie’s disease appears to be influenced by genetics and age. Some people have a hereditary predisposition to the illness since it is genetic and runs in families. As people get older, tissue changes lead to easier injury and delayed healing. As a result, they are at a higher risk of developing this disease. Peyronie’s disease is also more likely to occur among those who have Dupuytren’s contracture (hand thickening that causes the fingers to draw inward). We recommend patients to get Curved Penis Treatment as soon as possible.

Frequently Asked Questions

Does Peyronie’s disease affect sexual intimacy or relationships?

Erections and sexual intercourse can be difficult or impossible for Peyronie's disease patients in some situations.Patients may feel concerned or anxious about satisfying their partner, causing an emotional impact towards the relationship.

 

We urge couples to come in for consultations together so that they can voice their worries and needs and so that we can make better recommendations and modifications to help them sustain intimacy in their sexual relationship.

Can Peyronie’s disease leads to erectile dysfunction?

It's probable that some men with Peyronie's disease will develop erectile dysfunction since the plaques can make getting an erection or keeping a strong erection difficult.

 

Men with Peyronie's disease are frequently distressed about their condition, which can lead to psychological concerns and 'performance anxiety,' both of which can influence their erections.

 

Both illnesses, fortunately, are treatable. Consult a doctor to determine the best course of action for your circumstance.

Will Peyronie’s disease require surgical treatment eventually?

Usually, the abnormal penile curvature is generally not severe and most men do not require surgery.

 

Surgery is only indicated in extreme situations whereby the condition has cause distress or unwanted complications to the patient. Some of the methods involved are Tunica Albuginea Plication and plaque incision and grafting.

 

Surgery may only be performed once the Peyronie's disease has stabilised and the aberrant curvature has reached its peak and is not progressing further. This indicates that the disease is in its chronic phase.

Are there any complications if Peyronie’s disease is left untreated?

Other difficulties may emerge in addition to the concern or stress that the disease may bring you — and possibly your partner. It's tough to have sexual intercourse when you can't get or hold an erection. If you are unable to have intercourse, you may be unable to conceive a child. To help you deal with these difficult situations, seek help from your healthcare team, which may include your doctor and a psychological counsellor.

Can young people get Peyronie’s disease?

Peyronie's disease is most common in individuals in their forties and fifties, but it can also affect people as young as 20. According to research, 8 to 10% of those with Peyronie's disease are under the age of 40. Symptoms of Peyronie's disease in young people include uncomfortable or painful erections. Acute disease frequently demands medical intervention.

 

However, it is recommended to make some lifestyle changes that may reduce the risk of developing ED related to Peyronie’s disease such as stop smoking and illicit drug use, reduce alcohol consumption, and get regular exercise.

Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Injection

The frequency of injection depends on type of Testosterone. Short acting testosterone could be administered weekly to bi-weekly while long acting testosterone could be administered three monthly.

 

Pro: 

• Infrequent dosing 

• Easy to discontinue 

• Cost efficient 

 

Con: 

• Pain at site of injection 

• T levels may fluctuate 

• Frequent office visits
(
If self administered, proper disposal is required)

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Gel

Frequency of application - to be applied on a daily basis

 

Pro: 

• Easy to apply 

• Easy to discontinue 

• Generic brands available 

 

Con: 

• Risk of exposure to others (possible of absorption by others via touch) 

• Possible skin irritation 

• T levels may need to be measured frequently to ensure adequate absorption

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Pellet

Frequency of application - Every 3-6 months

 

Pro: 

• Quick Onset

• Infrequent dosing 

• No transference 

 

Con: 

• Cannot easily adjust dosage 

• Risk of fibrosis at injection site 

• Requires physician and surgically approved site

Treatment

Surgery

Circumcision

Principle of therapy:
Circumcision is a procedure that removes the foreskin from the human penis. In the most common form of the operation, the foreskin is extended with forceps, then a circumcision device may be placed, after which the foreskin is excised.

Duration of Surgery:
45 minutes to 1 hour

Pre-procedure preparation: Advisable to come with a family member/friend. Prior topical anaesthesia will be given to be applied over penile shaft and base to reduce pain during surgery and nerve block injection.

Post-procedure care:
Minimal bleeding is normal post circumcision. Compression bandage and bed rest may be advised during first day post procedure. Wound would be bandaged for at least 3 days. Wound inspection would be done on day 3 after surgery, after which bandage would be removed and further follow up usually not required unless further complications should happen. Wound should be kept dry at all times after surgery. Make sure to dry/ blow dry with hair dryer after shower. Sutures used are usually absorbable suture – no need for removal.

Treatment

Men's Health

Extracorporeal Shockwave Therapy (ESWT)

Principle of therapy:
Using mechanical shockwave to soften plaque in peyrone’s disease and make it more friable, reducing pain from curvature.

Duration of therapy:
16-17minutes per session.

Frequency of therapy: Recommended frequency of therapy would be 2-3 times per week, however flexible.

Pre-procedure preparation:
None.

Side effects:
Mild tingling sensation during procedure. Zero downtime post procedure.

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