Penile Curvature Caused By Peyronie’s Disease: What You Need To Know – A Guide To Patients And Urologists.
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Important Considerations In Measuring Penile Curvature.
Quality of erection can affect the measurement of penis curvature. Other factors are also important in determining a treatment plan in addition to penile curvature.
How to Measure Penis Curvature when the Penis is Curved?
Penis curvature is often measured in men with bent penis caused by Peyronie’s disease or congenital penile curvature to determine the severity of the problem and to establish a baseline.
There are a few ways to measure penile curvature.
One option is to use a picture taken by the patient and estimate penile curvature from the picture. Patient-taken pictures are useful for the initial evaluation of penile curvature. It allows a urologist to see the severity of curvature and possibly associated abnormalities such as hourglass appearance (penile “waist” or narrowing in the middle of the penis).
Android and iPhone Apps have been created in an effort to help measure penile curvature from the picture.
Measurement of curvature from an image may give an accurate measurement for some patients but not always. The measurement may be wrong if the erection is not fully hard. Two-dimensional images may not accurately represent the three-dimensional complexity of the curvature; the hourglass appearance may be unappreciated or under-appreciated on the image. In addition, depending on the way the picture is taken, the lateral curvature component may be under-appreciated.
It is important to realize that pictures may not accurately represent a complex three-dimensional nature of the curvature and often the associated abnormalities such as hourglass deformity or narrowing of the penile shaft as well as a loss of penile hardness may not be appreciated easily from a picture. This is especially true in complex, multidimensional penile curvature.
A picture taken from the top may not allow a full appreciation of the dorsal curvature and ventral curvature but is useful in the evaluation of lateral curvature. On the other hand, a picture taken at a 90-degree angle from the side is useful for the evaluation of dorsal and ventral curvature (penis pointing up or down).
A more traditional and useful way to evaluate penile curvature is by inducing an artificial erection in the office with medications such as prostaglandin or Trimix. This is what we do at New York Urology Specialists.
Where to Get Peyronie’s Treatment in NYC?
At New York Urology Specialists, we offer treatment for men with Peyronie’s disease.
Call/text today: 1-646-663-4050 or make an appointment online.
We treat sexual and erection problems and Peyronie’s disease. We offer comprehensive STD testing for infections. We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients. We offer free insurance verification.
How Precise Is Measurement Of Penile Curvature?
Because the penis is a little bit floppy, it is not easy to get an exact measurement of penile curvature. As a matter of fact, the same person measuring penis 2 or 3 times he is likely to get different results that vary by 5-10°, depending on where exactly the goniometer (the device used to measure angles) is positioned. In other words, the measurement process introduces 5-10 degree variability in the measurement of the curvature.
Underestimation of Penile Curvature is Common.
There are a number of reasons why the measurement of penile curvature may underestimate the true severity of curvature are caused by Peyronie’s disease.
In patients with Peyronie’s disease, there is typically no noticeable curvature when the penis is not erect. When the penis gets erect the curvature starts to become noticeable. Unless the curvature is measured when the penis is fully erect, the curvature will be underestimated sometimes by a significant amount. Many men experience Peyronie’s associated ED leading to decreased erection hardness.
A severe 90° curvature may appear as only a minor 20-30° curvature if the penis is only 50% erect. For this reason, it is very important to get an adequate erection that is at least 85-90% hard to fully evaluate the severity of penile curvature. In addition, secondary and three-dimensional curvature appearance may not be well appreciated if the erection is not full.
In fact, it is not uncommon that patients with severe erectile dysfunction are unable to get an adequate erection with an injection of Trimix in the office. When these patients undergo treatment for erectile dysfunction with a penile prosthesis, often Peyronie’s disease is first recognized intraoperatively during the insertion of the penile implant once the implant is inflated during surgery and curvature is noted.
Key Points: Measurement of Penile Curvature
- A full erection is necessary for accurate measurement
- Less than full erection leads to an underestimation of the severity of penile curvature
- 5-10° inter-measurement variation is expected
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile surgeries including penile implants, correction of Peyronie’s disease, circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Read Real Stories of Men who Underwent Treatment for Peyronie’s Disease at New York Urology Specialists.
Read RealStories: Peyronie’s disease in a 46-year-old man with ventral curvature treated with penile plication
Read RealStories: 67-year-old man with dorsal curvature and ED after the use of Trimix injections.
Read RealStories: 58-year-old man with penile shortening and narrowing after prostate cancer treatment treated with a penile implant and grafting.
Read RealStories: 63-year-old man with Peyronies and ED treated with Xiaflex.
Read RealStories: 75-year-old man with penile narrowing and curvature treated with interferon
Read RealStories: 47-year-old man with penile shortening, narrowing and curvature treated with Xiaflex and plaque excision
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for Treatment of Peyronie’s Disease?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of Peyronie’s disease, including penile curvature, narrowing of the penis, shortening of the penis, pain in the penis, and ED.
- We are one of the few practices in the region to offer a full range of options for treatment of Peyronie’s disease, sexual and erection problems in men.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully using medical therapy (Xiaflex, Verapamil injections, Interferon), shockwave therapy for penile pain, penile plication, plaque excision and grafting, and penile implant surgery.
- 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.
- We offer diagnostic testing in our office, which avoids hospital costs.
- We are conveniently located within a 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What does Peyronie’s Penile Curvature Look Like?
You can find before and after treatment images in our image gallery.
Scheduling Appointments for Peyronie’s Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of sexual problems in men including Peyronie’s disease and erectile dysfunction. He is one of the few urologists who offers a full range of treatment options for Peyronie’s disease and ED. He has successfully treated thousands of men with sexual problems.
When it comes to the treatment of Peyronie’s disease – New York Urology Specialists are a step ahead. Better Science Means Better Care. Dr. Alex Shteynshlyuger is a specialist in treating erection and penis problems using the latest scientific and medical breakthroughs.
Find out our office hours or directions to our office.
Peyronies Disease and ED Are Treatable in Nearly Every Man
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of Peyronie’s disease and erectile dysfunction. We understand the challenges that Peyronie’s disease and ED create for our patients, their relationships, and their self-esteem. We help you find a treatment for Peyronie’s disease that fits your needs, lifestyle, and your preferences.
Urologists are doctors specializing in the treatment of men with sexual problems including Peyronie’s disease and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED. We offer medical and surgical treatment for Peyronie’s disease and erectile dysfunction.
We Treat Some of the Most Complex Peyronie’s Problems and Men’s Health Problems Including:
- Hourglass narrowing of the penis
- Shortening of the penis and loss of penile length
- Penis curvature with worsening erections
- Peyronies disease in men with diabetes and weak erections in men with diabetes.
- Peyronie’s disease and erectile dysfunction in men with prostate cancer after radical prostatectomy
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom medications do not work.
- Premature Ejaculation
- Frequent urination
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
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