Penile Plication for Treatment of Penis Curvature Caused by Peyronie’s Disease
We offer affordable prices with or without insurance.
Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating men with Peyronie’s disease. He performs penile plication as well as other surgeries for treatment of Peyronie’s disease.
What is Penile Plication?
Penile plication is a surgical procedure used to correct penile curvature. Penile plication applies counter-tension with permanent sutures on the side opposite of where the curvature occurs to mechanically straighten the penis.
Penile plication can be used to correct both ventral curvature (penis points and curves down) and dorsal curvature of the penis (penis curves up).
Penile Plication for Treatment of Penile Curvature (Bent or Curved Penis)
Penile plication is a well-established surgical procedure for the treatment of penile curvature. There are a number of different surgical approaches to penile plication with names such as “Nesbit plication” and “16-dot technique” among others. At New York Urology Specialists, we perform both Nesbit plication and 16-dot plication techniques depending on the patient’s situation.
What Type of Anesthesia is Used for Penile Plication?
Depending on the severity of the problem and patient characteristics, local or general anesthesia can be used for penile plication. We often are able to perform plication in the office under local anesthesia. The procedure usually takes 1 to 1.5 hours to perform.
How Effective is Penile Plication for Treatment of Curvature Associated with Peyronie’s Disease of the Penis?
Plication is a very effective treatment option for correcting curvature caused by Peyronie’s disease in particular for a penile curvature of fewer than 60 degrees. Some men with curvature greater than 60 degrees may also be candidates for penile plication. Penile plication results in the functionally straight penis (residual curvature of fewer than 20 degrees) in 80-90% of patients. Patient satisfaction ranges from 75-90%.
Many men with stable Peyronie’s disease who do not improve with injection therapy, are good candidates for penile plication.
Penile plication is not usually a good choice for a man with erectile dysfunction caused by Peyronie’s disease if medications such as Cialis, Viagra, and Stendra do not allow him to achieve an adequate erection.
When Is Penile Plication Performed?
Penile plication is a good surgical treatment option for many patients with a penile curvature of 30-70° who have good erections and do not have significant narrowing of the penis (“hourglass” appearance). Men with minor narrowing of the penis (minor ‘hourglass’ appearance) may still be candidates for penile plication. It is important for men to understand the risks and benefits of penile plication as well as other treatment options for penile curvature.
Recovery after penile plication is fairly short.
Who is NOT a Good Candidate for Penile Plication (Nesbit or 16-dot procedure)?
Men with erection problems for whom medications such as Viagra or Cialis do not work well and who are unwilling to use penile injections (Trimix) or if Trimix does not work either are not good candidates for penile plication.
While penile plication will fix the curvature, a straight penis without an erection is of limited use. In men with ED, penile implant surgery often in conjunction with penile plication or penile plaque excision and grafting is necessary to fix both CURVATURE and ERECTILE DYSFUNCTION.
Men with severe narrowing of the penis are also not good candidates for penile plication as it does not treat narrowing. Depending on the quality of erection, plaque incision/excision with grafting or penile prosthesis is advised.
What To Expect From Penile Plication
Penile plication procedure aims to straighten the penis to what we call a “functionally” straight penis. It is nearly impossible to make the penis completely straight as gravity can contribute to mild penile curvature and deviation. In addition, it is not always advantageous to try to make the penis perfectly straight as that may require additional surgical maneuvers that may not necessarily justify the risk of complications. Some men may experience loss of penile length of 0.5-1.5 cm, depending on the severity of the curvature. Some men report feeling the permanent sutures that are used for surgical fixation.
Typically, we consider a functionally straight penis and a good result if the curvature of less than 20% is achieved.
What are the Advantages of Penile Plication?
Penile plication is a minimally invasive surgical procedure with the least amount of complications among surgical treatment options for penile curvature including curvature caused by Peyronie’s disease and congenital penile curvature.
Penile plication is associated with the least risk of postoperative difficulty with erections and changes in sensation compared to penile plaque excision with grafting.
Penile plication can be performed in the office under local anesthesia. Most patients are able to go back to work within a few days.
Is it Possible for Curvature to Recur after Penile Plication?
While the intent of penile plication is to permanently fix and correct penile curvature, in about 10-15% of patients curvature may worsen over time after penile plication. Typically, recurrence results in partial worsening of curvature. In other words, if 60° curvature was corrected to 10°, over time the curvature may worsen in some men to 20-30°.
Other reasons why curvature may recur after correction of penile curvature with plication.
- Sometimes, the disease process progresses after surgery leading to worsening penile curvature.
- Loosening of the suture used for penile plication could also lead to a partial worsening of penile curvature after plication over time.
- In rare circumstances, suture failure may occur which can lead to a complete reversal of penile plication.
Insurance Coverage for Penile Plication Surgery
Most insurances including Medicare, UnitedHealthcare, Anthem BCBS, Empire BCBS, AETNA, CIGNA, and Oxford among others cover the cost of penile plication surgery.
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.
Where to Get Peyronie’s Treatment in NYC?
At New York Urology Specialists, we offer treatment for men with Peyronie’s disease.
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.
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: 53-year-old man with 45-degree dorsal curvature and pain
Read RealStories: Penile pain in a 51-year old adult male with curvature to the left and up treated with Xiaflex and penile traction.
Read RealStories: 32-year-old man with penile curvature and pain treated with verapamil
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
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.
by Winston - via Healthgrades.com on Feb 14, 2021
Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.
by via HealthGrades.com on Jan 29, 2021
Dr. Shteynshlyuger helped to solve my problem with ED
by A. Pereira via Vitals.com on Jan 21, 2021
Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S
by Luis via Google.com on Jan 11, 2021
THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU
by via HealthGrades.com on Jan 04, 2021
Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.
by Elson via Google.com on Nov 25, 2020
This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!
by Javier - Via Google.com on Oct 11, 2020
I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.
by Grant via Google.com on Aug 20, 2020
To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I'd refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.
by via HealthGrades.com on Apr 12, 2020
excellent doctor and all very friendly staff
by Christopher via Google.com on Mar 11, 2020
The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.
by Jose A La Luz on Jan 24, 2020
by via HealthGrades.com on Aug 14, 2019
Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!
What went wellAppointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions
by via HealthGrades.com on Aug 09, 2019
Dr. Shteynshlyuger is professional, knowledgeable, and experienced. I had a positive experience with him.
by Robert Clarke on Aug 04, 2019
Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Allan B. on Jul 09, 2019
Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!
by Charles Thompson on Jul 06, 2019
I am a 54 year-old male who is extremely happy with my care at New York Urology Specialists. I came to see Dr. Alex out of near desperation after consulting with three other urologists. Literally over one night, I began experiencing severe penile pain and burning. None of the other urologists were able to help diagnose what my problem was and seemingly didn't take my problem very seriously. In fact, one of them specifically told me at it had nothing to do with my prostate. After 6 weeks of suffering, I saw Dr. Alex. He examined me and gave me some tests and lab work. He very quickly ascertained that my problem was due to an enlarged prostate. He proscribed medicine to deal with my pain in the short-term and keep my prostate size in check over the long-term. My problem quickly disappeared. Today, 5 years later, I feel great. Dr, Alex listens to you as a patient, takes your opinion and health concerns seriously and knows his field inside-and-out so that you can get proper treatment for your problem. I can't thank him enough for diagnosing and solving my malady - you sometimes can't appreciate a problem until you have it. Getting rid of it and getting back to normal is so important - I am so glad that I saw Dr. Alex for my problem.
by HealthGrades.com on Jun 18, 2019
Professional staff as well as the Doctor
by DAM BEN STANTON on Sep 24, 2018
From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.
by Wyts on Sep 15, 2018
Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by JD on Jan 15, 2018
Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
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
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern, effective, and proven treatment methods. We offer inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.
He is highly recommended by top primary care physicians in the 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. Please feel free to contact us with any questions.
We offer affordable prices with or without insurance.