Penile Traction Therapy for Peyronie’s Disease: What You Need to Know
Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating men with Peyronie’s disease. He offers injectable treatments including Xiaflex, Verapamil, and interferon as well as surgical treatment options including penile plication, plaque excision, and a penile implant.
Penile Traction Therapy: Benefits for Men with Peyronie’s Disease
Penile traction therapy refers to mechanical stretching of the penis. To help with the task, numerous devices designed to stretch the penis and keep it stretched for prolonged periods of time have been produced.
Penile traction devices are sold without a prescription.
What is Penile Traction used for?
Penile traction therapy is used for a number of reasons.
Penile traction therapy has been shown to increase penile length but 0.5-1.5 cm on average. Because penile shortening is a significant problem for men with Peyronie’s disease, penile traction therapy can potentially prevent penile shortening or reverse it to some extent in some men.
Penile traction has also shown to help with straightening penile curvature caused by Peyronie’s disease. It is typically used in combination with penile plaque injection therapy.
Is there a Rational Reason for Using Penile Traction Therapy?
It is well known that many biological pprocessescan occur in response to cell stretching. Mechanoreceptors on the wall of many cells can get activated and can lead to physiological processes. In the case of Peyronie’s disease, there is evidence that activation of mechanoreceptors can lead to scar re-organization.
How Effective Is Penile Traction for Treatment of Men with Peyronie’s Disease
Multiple studies have shown a small benefit in gaining of penile length with the use of penile traction devices. It is important to note that success of treatment depends on duration and frequency of use. Typically use of penile traction for 4-6 hours a day for at least 6 months is required to achieve a benefit.
Studies also show benefit when it comes to penile curvature.
How to Use Penile Traction?
Studies show that penile traction is only beneficial with dedicated use. Men who benefit from penile traction use it 4-8 hours a day for 6 months before they see improvements.
When to Use Penile Traction?
I advise that penile traction therapy is initiated early as soon as signs and symptoms of Peyronie’s disease are identified and diagnosed. The goal of penile traction therapy is three-fold:
- Prevent worsening of symptoms, in particular ,prevent penile shortening that affects many men with Peyronie’s disease.
- Reverse penile shortening that has occurred
- Prevent and reverse penile curvature
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