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.
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.
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 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.
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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
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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.