{"id":3192,"date":"2020-04-27T19:30:01","date_gmt":"2020-04-27T19:30:01","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/peyronies\/?page_id=3192"},"modified":"2020-05-26T00:28:41","modified_gmt":"2020-05-26T00:28:41","slug":"32-year-old-curvature-pain","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/peyronies\/real-stories\/32-year-old-curvature-pain\/","title":{"rendered":"32-year-old with Curvature and Shortening – Real Stories"},"content":{"rendered":"

32-year-old Man with Penile Pain and 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><\/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: 32-year-old Man Treated at New York Urology Specialists<\/h2>\n

\"\"JM is a 32-year-old man with complaints of pain in the penis<\/strong> that started 3-4 months ago.  He noticed a new slight curvature<\/strong> in the penis over the past month.  Recently he noticed a lump<\/strong> in the penis. He reports no prior history of penile trauma.  He reports no prior treatment.  He reports no difficulty with getting and keeping erections.<\/p>\n

The patient was evaluated. Blood work revealed normal testosterone<\/strong>, normal cholesterol levels. His blood pressure was within a normal range.   <\/p>\n

Physical exam revealed a palpable dorsal penile plaque in the mid-to-distal shaft about 1.5 cm long.  Images were reviewed which revealed a slight curvature.<\/strong><\/p>\n

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

Penile Doppler ultrasound<\/a><\/strong> revealed no vascular insufficiency<\/strong> and no evidence of veno-occlusive insufficiency.  The plaque appeared to be non-calcified and readily evident on ultrasound.<\/p>\n

Measurements were performed with the penis fully erect<\/a><\/strong> (>90% erection): 20-degree dorsal curvature (pointing up) in the midshaft of the penis<\/strong>.  <\/p>\n

Given the recent onset of the problem and slight curvature, he was advised that the following treatment options for Peyronies disease<\/a><\/strong> are 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> and<\/strong> plaque excision with grafting <\/a><\/strong>were discussed but given the recent onset of the problem surgical treatment is not advisable at this time.  Xiaflex is typically used for more severe disease (curvature >30-degrees).<\/p>\n

He was advised to start penile traction therapy<\/a> <\/strong>for at least 6 months with the aim to prevent worsening of the problem<\/strong> and to improve existing curvature<\/strong>.  He was advised tadalafil daily which has been shown to be helpful wit penile pain. Shockwave therapy for penile pain was also discussed as an option. Early initiation of penile injection therapy was given to the patient as an option.<\/p>\n

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

The patient started using a penile traction device.  He decided to proceed with the early initiation of a series of 6 verapamil injections<\/a> with the goal of improving penile curvature and preventing worsening of the problem.   <\/strong><\/p>\n

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

The patient completed treatment course with verapamil. He is still using penile traction therapy and Cialis daily<\/a><\/strong>.  He reports improvement in penile pain<\/a><\/strong> with minimal pain with erections, pain score of 1-2 down from 5-6.  He reports no significant change in curvature but no worsening of his symptoms.  He was advised to continue tadalafil (Cialis) daily and penile traction.  Physical exam revealed a slight decrease in plaque size.<\/p>\n

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

The patient is still doing penile traction and using tadalafil.  The patient reports no pain in the penis. He feels that the curvature has improved<\/strong>.<\/p>\n

Follow-up Appointment – 9 months<\/h2>\n

The patient reports no significant changes<\/strong> since the last visit. No new symptoms and no worsening of penile curvature. He has a slight curve which does not bother him and does not interfere with sex.  The option of stopping tadalafil and penile traction was discussed with the patient. He was advised to come back and consider additional therapy if symptoms recur or worsen.<\/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>: 53-year-old man with 45-degree dorsal curvature and pain<\/a><\/strong><\/p>\n

Read RealStories<\/strong>: 58-year-old man with penile shortening and narrowing<\/a><\/strong> after prostate cancer treatment treated with a penile implant and grafting.<\/p>\n

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