51-year-old Man with Lateral and Dorsal 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: 51-year-old Man Treated at New York Urology Specialists
JG is a 51-year-old man. The patient presents for the second opinion for penile curvature. He reports a history of penile trauma during sex and sensation of something snapping in the penis more than one year ago. The patient reports that he started noticing curvature in his penis about 18 months ago; he also has noticed a shortening of the penis but no functional difficulty with penetration. The patient reports no prior treatment. Patient reports worsening of the curvature in the past 6 months.
He reports difficulty with obtaining and maintaining erections for the past 3 years. The patient also reports decreased erection hardness. The patient has been using Cialis for the past 2 years with good benefits and no side effects. Shim score of 21. Erection hardness score of 3.
Physical exam revealed a palpable penile plaque in mid-penis.
Follow-up Appointment – 1 month
The patient was evaluated. Blood work revealed low testosterone, confirmed with a second early-morning testosterone level.
Penile Doppler ultrasound revealed compensated vascular insufficiency and no evidence of veno-occlusive insufficiency. Injection of Trimix resulted in >90% erection that lasted 40 minutes.
Measurements were performed with the penis fully erect (>90% erection): 75-degree dorsal curvature (up) and 15-degree rotation to the left with curvature at midshaft, 5cm below the corona. Moderate hourglass (waist) appearance was noted to be present.
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 a penile implant were discussed. Relative risks and benefits of each treatment approach were discussed.
The patient chose to start Xiaflex therapy. He is a good candidate for Xiaflex given that (1) there is a palpable scar (plaque) into which Xiaflex can be injected, and (2) his curvature is greater than 30 degrees. Insurance reauthorization was obtained based on these facts.
Follow-up Appointment – 3 months
The patient started using a penile traction device but stopped using it after 2 months. He reports no change in curvature. He wants to start Xiaflex injections.
Two injections of Xiaflex were administered 5 days apart. The patient was advised not to engage in sexual activity for a month. The patient was advised to use a penile traction device.
Follow-up Appointment – 5 months
The patient had pain after Xiaflex but noticed improved curvature, “almost straightened out” after Xiaflex. He is satisfied with the results of Xiaflex and does not want to proceed with additional Xiaflex treatment.
Follow-up Appointment – 1 year and 2 months later
The patient presents with complaints that his curvature has recurred over the past few months. He wants to get additional Xiaflex injections as it has worked well for him.
Two additional cycles of Xiaflex were administered. On follow-up, the patient reports noticeable improvement in curvature. Measurements in the erect state revealed a residual curvature of 40 degrees.
He is satisfied with the results of his treatment. He does not want to get additional treatment at this time.
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: 53-year-old man with 45-degree dorsal curvature and pain
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
Cost of Treatment and Insurances
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 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 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.
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What went wellAppointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions
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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
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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
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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 Viagra and Cialis 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.