58-year-old Man with Penile Shortening and 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: 58-year-old Man Treated at New York Urology Specialists
RF is a 58-year-old man with penile shortening and narrowing after prostate cancer treatment. He was diagnosed with prostate cancer and underwent robotic radical prostatectomy two years ago. He reports that after the surgery his erections have recovered to some extent and he is using tadalafil daily and sildenafil before sex. His erections are not as good as prior to surgery but he is able to achieve erections that are sufficient for penetration and having sex most o the time. He complains of significant shortening of the penis and narrowing of the penis shaft. He reports no prior treatment.
Physical exam revealed fibrotic scar tissue dorsally from midshaft extending to the base of the penis.
Blood work revealed borderline low-normal testosterone, normal cholesterol levels. His blood pressure was slightly elevated.
Follow-up Appointment – 1 month
Penile Doppler ultrasound revealed vascular insufficiency and evidence of veno-occlusive insufficiency. The patient reported that his erections are less firm at home compared with high-dose Trimix (70% hardness).
Penile measurements were performed with the penis maximally erect (70% erection): 30-degree dorsal curvature (pointing up) toward the midshaft of the penis. Hourglass appearance was noted circumferentially.
The patient was advised of the following treatment options for Peyronies disease available to him: observation, penile traction therapy, injections with Xiaflex (off-label), verapamil, or interferon. Surgical treatment options including penile plication and penile implant were discussed. Relative risks and benefits of each treatment approach were discussed.
The patient was advised to initiate penile traction as it can help restore some of the penile length, and may improve penile curvature. Given that only a 70% erection could be achieved in the office, there is a fairly high chance that the degree of curvature measured to be 30 degrees underestimates the true curvature if a full erection (>90%) were achieved.
Given the presence of both Peyronie’s disease and severe ED, he was advised that penile implant with possible plaque excision and grafting may be the optimal choice to address both problems long-term. Often, penile modeling intra-operatively and insertion of a penile implant is sufficient to address penile curvature and hourglass appearance; other times a patient may require plaque excision and graft insertion.
Follow-up Appointment – 3 months
The patient has been using a penile traction device with some improvement in erect penile length. He wanted to proceed with scheduling a penile implant surgery. He was advised to get a medical evaluation from his primary care doctor and a cardiologist. Expectations and recovery after penile implant were discussed. He was advised to continue using penile traction until surgery.
Follow-up Appointment – 6 months
The patient underwent a penile implant 1 month ago. His curvature with the implant fully inflated was greater than 60-degrees with severe hourglass appearance which did not resolve with penile modeling. He underwent penile plaque excision and grafting at the time of penile implant. He has not engaged in sexual activity. He has been doing penile implant ‘cycling’, inflating and deflating the implant over the past week. Because he underwent graft insertion, he was advised to wait longer before resuming sexual activity. He was advised that he can resume sexual activity in 1 month (2 months after the procedure).
Follow-up Appointment – 9 months
The patient is 4 months after penile implant surgery. He reports that he is very satisfied with the results. He has been engaging in sexual activity. His erection quality is better than it was prior to his prostate cancer surgery. His curvature and narrowing have been addressed with less than 15 to 20-degree residual curvature. His wife reports that fixing the problem has brought them closer.
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: 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 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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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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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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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.
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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.
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Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
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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
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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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
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by juanito creque on Apr 11, 2018
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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.
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 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.