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How Effective is Peyronie’s Surgery? (FAQ)

Penis surgery can be an effective treatment for Peyronie’s disease, however, it may not be the only treatment, or even the best treatment for the condition.

Men with Peyronie’s disease have a curved penis. The curve is caused by scar tissue, also known as “plaque,” that forms below the surface of the penis. The buildup of this penile plaque, usually at the top or base of the penis, causes the penis to become curved. The curve can cause painful erections, and interfere with your ability to have normal intercourse.

Up until recently, surgical intervention was practically the only effective treatment available for reversing the curve of Peyronie’s disease. There are several surgical procedures used to correct the bent penis typical of men with Peyronie’s.

Effective surgical procedures for Peyronie’s disease range from removing the scar tissue, to penile implants. The type of Peyronie’s surgery will depend on your condition. Your doctor will consider the location of scar tissue, the severity of your symptoms and other factors before recommending a surgical procedure for Peyronie’s. Surgery can correct the curved penis of Peyronie’s disease, but like all surgical procedures, it is not without its risks.

In addition to the risks associated with invasive penis surgery, penis surgery may not be the best option to treat Peyronie’s disease because of the down time due to a long, and often painful post-surgery recovery period.

Signs, Symptoms and Complications of Peyronie’s Disease

Signs, Symptoms and Complications of Peyronie’s DiseaseYou may notice other signs and symptoms of Peyronie’s Disease before you see an actual curve to your penis. These may include:

  • Lumps that feel hard to the touch on the side of the penis
  • Painful erections, and/or painful intercourse
  • A shortening or narrowing of your penis

One of the most common complications of Peyronie’s is erectile dysfunction or ED. ED in men with Peyronie’s can be caused by the physical damage to the penis making it difficult or impossible to obtain a normal erection. The ED that often accompanies Peyronie’s could also be due to the emotional factors, and the stress and embarrassment caused by the condition. Or, it could be a combination of both factors.

Is there a Surgery Free Treatment for Peyronie’s?

Traditionally the most effective treatment for men with Peyronie’s Disease was surgery. Surgery for Peyronie’s is a complex procedure requiring straightening of the penis via removal of the plaque, and the use of implants. Some men develop further complications after surgery, and the surgery is not always effective.

Doctors have been seeking non-surgical treatments for men with Peyronie’s. These have included medications, and other procedures, such as ultrasounds, to dissolve the scar tissue. All of these procedures have met with varying degrees of success.

The FDA recently approved a new drug called Xiaflex for the treatment of Peyronie’s.

The drug is designed to dissolve scar tissue, and it has shown some promise.  However, it does not seem to be able to completely dissolve all of plaque. So, in many cases Xiaflex does not completely cure the condition, and of course, like any prescription drug, it has its share of unwanted side-effects.

ESWT and Peyronie’s Disease

For those who are seeking an alternative to surgical treatment for Peyronie’s there are some remarkable drug-free, surgery free protocols now available. One of these involves what is known as extracorporeal shockwave therapy, or ESWT.

ESWT and peyronie's diseaseESWT in and of itself is not new. It has been used in other areas for decades such as for the treatment of kidney stones, and for orthopedic injures and conditions. More recently, effective ESWT protocols have been developed for the treatment of ED, and now those protocols have been modified to provide a specific, and effective shockwave protocol for men with Peyronie’s disease.

In clinical trials, shockwave therapy has been shown to be an effective alternative treatment to typical surgical interventions for patients with Peyronie’s, such as penile grafts, implants, or suturing techniques, which are far more painful and invasive.

A 2016 study published in the Journal of Sexual Medicine, entitled, Extracorporeal shock wave therapy (ESWT) as a treatment for Peyronie’s disease, concluded, “all patients were able to have intercourse after the treatment” and that “ESWT is effective and safe [for Peyronie’s Disease]. It improves sexual health. It has a positive effect on reducing pain during erection and improves sexual function and the mental state of patients.”

If you are suffering the pain and embarrassment of Peyronie’s disease, and thought your only treatment options were surgery, or less than ideal prescription drugs, think again!

Contact our offices today to learn more about the latest in non-surgical options for men with Peyronie’s Disease.