Experienced Peyronie’s Disease Specialists in NYC.
Specialists in Treatment of Penile Curvature, Pain in the Penis, Penis Shortening and Narrowing, and Erection Problems.
Dr. Alex Shteynshlyuger is a Board Certified Urologist at New York Urology Specialists who is experienced in caring for men with Peyronie’s disease using non-invasive non-surgical as well as surgical treatment methods including Penile prosthesis and plaque excision with grafting. He is among the few first urologists in New York City who has been approved to participate in XIAFLEX REMS program and can administer Xiaflex for treatment of Peyronie’s disease to eligible men.
Peyronie’s Disease: What You Need to Know.
Peyronie’s disease is a significant medical problem that affects men. It can cause curvature of the penis, pain in the penis, shortening of the penis, narrowing of the penis and erectile dysfunction (difficulty obtaining or maintaining erections, loss of erection hardness).
Penile curvature is usually up or to the side but may also point down or be ‘corkscrew’.
Peyronie’s disease may also cause a palpable ‘nodule’ or hard mass in the penis often called “peyronie’s plaque“. Peyronie’s disease can cause a narrowing of the penile shaft with a constricting band or waist, which is often called “hourglass appearance”.
The severity of Peyronie’s usually corresponds to the angle of curvature with >30 degrees curvature more likely to cause typical Peyronie’s symptoms.
What are the Most Common Symptoms of Peyronie’s Disease
Any of the symptoms below may be an indication of Peyronie’s disease. While many patients may have more than one symptom, some may only show one of the symptoms below and not others.
- Curved, crooked or bent Penis
- Pain in the penis with or without curvature
- Shrinkage or narrowing of penis
- Palpable lump or mass in the penis
- Softness of the penis
What are the Treatment Options for Peyronie’s Disease Offered at New York Urology Specialists?
- Xiaflex (Collagenase clostridium) injections
- Verapamil injections.
- Interferon injections
- Penile Traction therapy
- Plaque excision / incision with grafting
- Penile prosthesis placement with plaque excision/grafting
- Penile Plication.
What to Expect: Your First Visit to New York Urology Specialists for Treatment of Peyronie’s disease
You can expect to have a thorough examination. We will obtain your past medical history. Treatment approach will be discussed based on your particular circumstances. Penile Doppler ultrasound of the penis will be scheduled to evaluate the extent of the plaque as well as vascular function.
What You Need to Know About Xiaflex Treatment for Peyronie’s Disease
- Learn more about Xiaflex treatment at New York Urology Specialists
- Patient Selection Criteria for Xiaflex Treatment at New York Urology Specialists
- Xiaflex Treatment Schedule
- Xiaflex Cost and Insurance Coverage
Peyronie’s Disease Classification: Acute and Stable Phase
Peyronie’s disease has traditionally been classified into two stages: active phase and stable phase. The relevance of this classification is that surgical treatment is not advisable during “active phase” of the disease.
The first phase is called acute or active stage and refers to the first 12-18 months after appearance of symptoms or curvature. During this phase the disease process is evolving. In some men with active phase disease, the disease occasionally can go away spontaneously (this happens in 10-15% of men – but may be an illusion in some cases); however more commonly disease progresses and gets worse. Thus early evaluation and initiation of treatment is advisable to limit disease severity. Appropriate treatment options during active phase of Peyronie’s disease include penile traction therapy, and injection therapy.
The second stage of the disease is called chronic or stable phase. This usually refers to disease that has stabilized after the initial 12-18 months after appearance of symptoms or with at least 6 months of no change in symptoms. It is unlikely that symptoms improve spontaneously in men with stable disease however the curvature and symptoms may get worse.
While the diagnosis of Peyronie’s disease can be made from history – based on the presence of curvature and/or pain in the penis, it is important to establish an objective diagnosis with objective measurement of the curvature and measurement of the plaque size to track the progress of disease and success of treatment.
Penile ultrasound with a Doppler study after injection of medications to produce an artificial erection is performed by urologists specializing in Peyronie’s disease.
If I Have Bent Penis, Do I Have Peyronie’s Disease?
There are a number of causes that lead to penile curvature, Peyronie’s disease is one of the most common causes but you may also have curved penis caused by one of the other causes of penile curvature which include:
- Congenital chordee
- Frenulum breve
- Penile malformation
- Skin tethering
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board certified urologist with expertise in evaluation and treatment of Peyronie’s disease using modern effective and proven treatment methods. He is highly recommended by top primary care physicians in New York area.
If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice.
Why Choose New York Urology Specialists for Treatment of Peyronie’s Disease:
1. Experience – we have treated hundreds of men with symptoms of Peyronie’s disease. There are very few board certified urologists who specialize in treatment of Peyronie’s disease.
2. Effective Treatment – We use latest medical discoveries to optimize care of patients with Peyronie’s disease. We comply and surpass the recommendations of the American Urological Association for Treatment of Peyronie’s disease.
3. Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
Dr. Alex Shteynshlyuger is a board certified urologist in NYC who specializes in treating men with Peyronie’s disease.
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