{"id":3173,"date":"2020-04-27T19:05:37","date_gmt":"2020-04-27T19:05:37","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/peyronies\/?page_id=3173"},"modified":"2020-05-26T00:29:17","modified_gmt":"2020-05-26T00:29:17","slug":"53-year-old-45-degree-curve","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/peyronies\/real-stories\/53-year-old-45-degree-curve\/","title":{"rendered":"53-year-old with 45-degree Dorsal Curvature – Real Stories"},"content":{"rendered":"

53-year-old Man with 45-degree Dorsal Penile Curvature Treated at New York  Urology Specialists<\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please contact us<\/a> or call\/text: <\/strong>1-646-663-4050<\/span><\/a>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  <\/strong><\/span><\/p>\n

We offer affordable prices<\/a> with or without insurance.<\/strong><\/span> <\/strong><\/span><\/p>\n

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Real Stories. Real Patients.<\/u><\/h2>\n

Please note:<\/strong>  <\/u>Names and age have been changed to protect patient privacy.<\/u>  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.<\/p>\n

Only your doctor can advise you on a course of treatment that is appropriate for your needs.<\/strong><\/p>\n

Peyronies Treatment: 53-year-old Man Treated at New York Urology Specialists<\/h2>\n

TE is a 53-year-old man<\/strong> with complaints of penile curvature for the past 6 months<\/strong>.  He recalls possible injury during sex<\/strong><\/a> 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<\/em><\/strong>.  He reports good erections.  No prior treatment for Peyronie’s disease<\/a><\/strong>.   <\/p>\n

He has experienced slight difficulty maintaining erections over the past 4-5 years and occasionally uses sildenafil.<\/p>\n

Physical exam<\/strong> revealed a palpable plaque 2 cm long<\/a> dorsally in midshaft of the penis.<\/p>\n

Peyronie’s Disease Questionnaire (PDQ)<\/a><\/strong> score = 8.  SHIM score of 19.  Erection Hardness score of 4. <\/p>\n

\"\"Follow-up Appointment – 1 month<\/h2>\n

The patient was evaluated. Blood work revealed normal testosterone<\/strong>, normal lipid profile. His blood pressure is normal while taking antihypertensive medications. <\/p>\n

Penile Doppler ultrasound<\/a><\/strong> revealed normal vascular function with no evidence of vascular insufficiency<\/strong> and no evidence of veno-occlusive insufficiency.  Injection of Trimix<\/strong> resulted in >90% erection.  <\/p>\n

Measurements were performed with the penis fully erect<\/a><\/strong> (>90% erection): 25-degree dorsal curvature (up) at the mid-to-distal shaft,<\/strong> 3 cm below the corona.  Mild hourglass (waist) appearance<\/a><\/strong> was noted to be present in the same area.<\/p>\n

The patient was advised of the following treatment options for Peyronies disease<\/a><\/strong> available to him:  observation, penile traction therapy<\/a>, injections with Xiaflex<\/a><\/strong>, verapamil<\/a><\/strong>, or interferon<\/a><\/strong>.  Surgical treatment options including penile plication<\/a><\/strong>, plaque excision, and a penile implant<\/a> <\/strong>were discussed.  Relative risks and benefits of each treatment approach were discussed. <\/p>\n

Because the curvature is of new-onset and less than 30-degrees, he does not satisfy insurance criteria for Xiaflex treatment<\/a><\/strong>.  He was advised to start penile traction therapy<\/strong>.  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.<\/p>\n

The patient chose to start treatment with interferon<\/a> <\/strong>and penile traction therapy<\/a><\/strong>.<\/p>\n

Follow-up Appointment – 2 month<\/h2>\n

At the follow-up visit 1 month later<\/strong>, 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.<\/p>\n

Follow-up Appointment – 4 months<\/h2>\n

The patient is using a penile traction device<\/strong>. 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<\/strong>.<\/p>\n

Follow-up Appointment – 6 months<\/h2>\n

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.<\/b><\/p>\n

Follow-up Appointment – 7 months<\/h2>\n

Penile ultrasound and artificial erection were performed again.  Measurements were performed with the penis fully erect<\/a><\/strong> (>90% erection): 55-degree dorsal curvature (up) at the mid-to-distal shaft and a 25-degree left lateral component were noted,<\/strong> 3 cm below the corona.  Previously, the patient had a curvature of 25-degrees.  Moderate hourglass (waist) appearance<\/a><\/strong> was noted dorsally and on the left.<\/p>\n

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<\/a> because he has a dorsal curvature of greater than 30 degrees.<\/p>\n

Follow-up Appointment – 10 months<\/h2>\n

The patient had received 2 cycles of Xiaflex<\/a> <\/strong>(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.<\/p>\n

Follow-up Appointment – 1 year<\/h2>\n

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.<\/strong><\/p>\n

Follow-up Appointment – 1 year and 2 months<\/h2>\n

Measurements were performed with the penis fully erect<\/a><\/strong> (>85% erection): 45-degree dorsal curvature (up) at the mid-to-distal shaft and a 25-degree left lateral component.<\/strong><\/p>\n

After Xiaflex treatment, dorsal curvature has improved from 55-degrees to 45-degrees<\/strong>.  His left lateral curvature has not changed significantly<\/strong>.  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.<\/p>\n

Follow-up Appointment – 1.5 years<\/h2>\n

The patient reports no changes in penile curvature.  He wants to proceed with penile plication. <\/p>\n

Follow-up Appointment – 3 months later<\/h2>\n

The patient underwent penile plication<\/a><\/strong> 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<\/strong>.  He was advised that he can resume sexual activity in 3 weeks.<\/p>\n

Follow-up Appointment – 5 months later<\/h2>\n

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.<\/p>\n

Where to Get Peyronie’s Treatment in NYC?<\/h2>\n

At New York Urology Specialists, we offer treatment for men with Peyronie’s disease.<\/strong> <\/p>\n

Call\/text today: 1-646-663-4050<\/span><\/a><\/span><\/strong> or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

We treat sexual and erection problems<\/a><\/strong> and Peyronie’s disease.  We offer comprehensive STD testing<\/a><\/strong> for infections.  We treat penile problems in men<\/a><\/strong>, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy<\/strong>, vasectomy reversal, cosmetic circumcision<\/strong><\/a>, circumcision revision<\/a><\/strong>, penile frenuloplasty. We offer confidential<\/strong> appointments.<\/p>\n

Our appointment costs<\/a> are affordable with or without insurance<\/strong>.  Low-cost<\/strong> Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.  We offer free insurance verification<\/strong>.<\/p>\n

Read Real Stories of Men who Underwent Treatment for Peyronie’s Disease at New York Urology Specialists.<\/a><\/h2>\n

Read RealStories<\/strong>: Penile pain in a 51-year old adult male with curvature to the left and up<\/a><\/strong> treated with Xiaflex and penile traction.<\/p>\n

Read RealStories<\/strong>: 63-year-old man with Peyronies and ED treated with Xiaflex<\/a>.<\/strong><\/p>\n

Read RealStories<\/strong>: 47-year-old man with penile shortening, narrowing and curvature<\/a> treated with Xiaflex and plaque excision<\/strong><\/p>\n

Cost of Treatment and Insurance<\/h2>\n

At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

We accept many health insurance plans.<\/strong>  We would be happy to verify your eligibility and benefits<\/strong> and to provide you with detailed information on your health plan’s coverage.  Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n

Why Choose New York Urology Specialists for Treatment of Peyronie’s Disease?<\/h2>\n