53-year-old Man with 45-degree 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: 53-year-old Man Treated at New York Urology Specialists
TE is a 53-year-old man with complaints of penile curvature for the past 6 months. He recalls possible injury during sex shortly before noticing the curvature. Currently, he has no pain with erections. He reports no significant change in curvature of the past 3 months. He has no functional limitations with intercourse. He is also bothered by the appearance. He reports good erections. No prior treatment for Peyronie’s disease.
He has experienced slight difficulty maintaining erections over the past 4-5 years and occasionally uses sildenafil.
Physical exam revealed a palpable plaque 2 cm long dorsally in midshaft of the penis.
Peyronie’s Disease Questionnaire (PDQ) score = 8. SHIM score of 19. Erection Hardness score of 4.
Follow-up Appointment – 1 month
The patient was evaluated. Blood work revealed normal testosterone, normal lipid profile. His blood pressure is normal while taking antihypertensive medications.
Penile Doppler ultrasound revealed normal vascular function with no evidence of vascular insufficiency and no evidence of veno-occlusive insufficiency. Injection of Trimix resulted in >90% erection.
Measurements were performed with the penis fully erect (>90% erection): 25-degree dorsal curvature (up) at the mid-to-distal shaft, 3 cm below the corona. Mild hourglass (waist) appearance was noted to be present in the same area.
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, and a penile implant were discussed. Relative risks and benefits of each treatment approach were discussed.
Because the curvature is of new-onset and less than 30-degrees, he does not satisfy insurance criteria for Xiaflex treatment. He was advised to start penile traction therapy. He was given the option of starting penile injections with verapamil or interferon in an effort to decrease the chance of disease progression. Given that the problem is mild and present for less than a year, surgical options are not advisable.
The patient chose to start treatment with interferon and penile traction therapy.
Follow-up Appointment – 2 month
At the follow-up visit 1 month later, TE reported that he is using penile traction therapy but has some difficulty maintaining the device in place. He had mild side effects to interferon the evening after injection but felt better the next day.
Follow-up Appointment – 4 months
The patient is using a penile traction device. He received 6 injections of interferon into the penile plaque. He has not noticed any change in his curvature. He was advised to continue using penile traction.
Follow-up Appointment – 6 months
The patient reports that he noticed a worsening of penile curvature and hourglass appearance. He also has difficulty with intercourse due to penile curvature He is using penile traction.
Follow-up Appointment – 7 months
Penile ultrasound and artificial erection were performed again. Measurements were performed with the penis fully erect (>90% erection): 55-degree dorsal curvature (up) at the mid-to-distal shaft and a 25-degree left lateral component were noted, 3 cm below the corona. Previously, the patient had a curvature of 25-degrees. Moderate hourglass (waist) appearance was noted dorsally and on the left.
Treatment options were discussed again. Given that patient has Peyronie’s disease progression but good erections, surgical treatment is not advisable at this time. The patient decided to proceed with Xiaflex treatment. He is a candidate for Xiaflex because he has a dorsal curvature of greater than 30 degrees.
Follow-up Appointment – 10 months
The patient had received 2 cycles of Xiaflex (4 injections). He experienced some swelling and black-and-blue around the penis that typically went away within 1-2 weeks after injections. He is continuing penile traction therapy.
Follow-up Appointment – 1 year
The patient had received 2 cycles of Xiaflex (4 injections), last injection about a month ago. He feels that there is an improvement in the curvature but he still experiences difficulty during intercourse and very unhappy about the appearance of the penis.
Follow-up Appointment – 1 year and 2 months
Measurements were performed with the penis fully erect (>85% erection): 45-degree dorsal curvature (up) at the mid-to-distal shaft and a 25-degree left lateral component.
After Xiaflex treatment, dorsal curvature has improved from 55-degrees to 45-degrees. His left lateral curvature has not changed significantly. The patient wanted to know about other options as he is still significantly bothered by the curvature. Surgical treatment options were discussed with the patient. Given that he has good erections with the use of sildenafil, he chose to have penile plication which offers good success rates without the risks of worsening ED that is associated with plaque excision. He was advised to wait a few months before proceeding with surgical treatment to make sure there is no further change in penile curvature.
Follow-up Appointment – 1.5 years
The patient reports no changes in penile curvature. He wants to proceed with penile plication.
Follow-up Appointment – 3 months later
The patient underwent penile plication under local anesthesia over a month ago. The incision healed well; he reports mild discomfort in the area of incision that has been getting better over the past few weeks. He reports nearly straight penis appearance. He was advised that he can resume sexual activity in 3 weeks.
Follow-up Appointment – 5 months later
3 months after penile plication. The patient has no pain, no other complaints. He is very pleased with the results. While the penis is not completely straight, there is a 90% improvement. He has no difficulty with intercourse or penetration.
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: Penile pain in a 51-year old adult male with curvature to the left and up treated with Xiaflex and penile traction.
Read RealStories: 63-year-old man with Peyronies and ED treated with Xiaflex.
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.
by Larry Keshiinover on Dec 14, 2023
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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
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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!!!
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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.
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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 well
Appointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsby via HealthGrades.com on Aug 09, 2019
Dr. Shteynshlyuger is professional, knowledgeable, and experienced. I had a positive experience with him.
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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.
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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 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.
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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
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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.
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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
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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.
