47-year-old Man with Ventral Penile Curvature Treated at New York Urology Specialists
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Real Stories. Real Patients.
Please note: Names and age have been changed to protect patient privacy. Treatment success varies. Not every patient experiences benefit from treatment. Please talk to your doctor. This is for informational/educational purposes and is not intended to replace a patient-doctor relationship.
Only your doctor can advise you on a course of treatment that is appropriate for your needs.
Peyronies Treatment: 47-year-old Man Treated at New York Urology Specialists
RE is a 47-year-old man with complaints of penile curvature causing pain with erection and intercourse, as well as a loss of penis length. The patient reports that pain is severe enough that he sometimes loses erections because of pain; he rates pain as 7 out of 10. He reports that he experienced penile trauma 3 years ago during sex; he had pain for about a day at that time. A year later he noticed penile curvature. The patient has not tried any treatment so far.
He reports no difficulty obtaining and can maintain erections except when he experiences too much pain in the area of curvature. He rates erections as being “excellent”.
The patient was evaluated. Blood work revealed normal testosterone, normal cholesterol levels. His blood pressure was within a normal range.
Physical exam revealed a palpable dorsal penile plaque.
Follow-up Appointment – 2 months
Penile Doppler ultrasound revealed no vascular insufficiency and no evidence of veno-occlusive insufficiency. A plaque was visualized.
Measurements were performed with the penis fully erect (>90% erection): 60-degree dorsal curvature (pointing up).
The patient was advised of the following treatment options for Peyronies disease available to him: observation, penile traction therapy, injections with Xiaflex, verapamil, or interferon. Surgical treatment options including penile plication, plaque excision with grafting, and penile implant were discussed. Relative risks and benefits of each treatment approach were discussed.
The patient chose to start Xiaflex. He was advised to start penile traction therapy for at least 6 months.
Follow-up Appointment – 6 months
The patient received 3 cycles of Xiaflex (6 injections). He noticed some improvement in curvature and wants to continue. He is continuing penile traction therapy.
Follow-up Appointment – 8 months
The patient had received 4 cycles of Xiaflex (8 injections), last injection about a month ago. He feels that there is an improvement in the curvature but he still experiences pain with erections during sex and unhappy about the appearance of the penis. He also complains of penile shortening which has not reversed significantly with treatment.
Measurements were performed with the penis fully erect (>90% erection): 50-degree dorsal curvature (an improvement from 60 degrees prior to treatment with Xiaflex).
Treatment options were again discussed with the patient. He did not want to try another non-surgical therapy as the success rates are not as good as with surgery. He decided to proceed with penile plaque excision with grafting. He is a good candidate for the procedure given the severity of his condition and good erection quality.
Follow-up Appointment – 11 months
The patient underwent plaque excision with grafting 3 weeks ago. He was able to go home the same day. He reports having some pain for about a week in particular at night with erections when he required to take pain medications. He has no pain now but complains of some numbness towards the tip of the penis that he notices over the past week. Swelling is still present but much improved.
He was informed that numbness is a known side effect of penile plaque excision, in particular when the plaque is dorsal. He was informed about it prior to surgery. Usually, the problem resolves but can take 6-9 months.
He was advised to wait another month prior to engaging in sexual activity.
Follow-up Appointment – 1.2 years
The patient is 3 months after plaque excision with grafting. He reports that he still has some numbness but it has improved by 50-60% since surgery. Swelling went away. He reports excellent erections. He no longer has pain with erections and during sex that he had prior to surgery. His curvature is dramatically improved with a slight residual curvature of fewer than 15-20 degrees. He is satisfied with the results of surgery. He was reassured that it is common and normal to feel permanent sutures after penile plication.
Follow-up Appointment – 2 years
The patient reports strong erections. No difficulty with penetration. No loss of penile length as a result of surgery. The numbness went away about 6 months ago and he has a normal sensation. He is very pleased with the outcome of treatment.
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.
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: Penile pain in a 51-year old adult male with curvature to the left and up treated with Xiaflex and penile traction.
Read RealStories: 75-year-old man with penile narrowing and curvature treated with interferon
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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