Xiaflex – Patient Selection Criteria
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We offer affordable prices with or without insurance.
At New York Urology Specialists our goal is to match the right patient with the right treatment.
While Xiaflex has been shown to be an effective treatment for Peyronie’s disease not everyone is an ideal candidate for Xiaflex. The goal is to maximize the chances of success, in particular given the cost of Xiaflex, as well as to minimize the risks of treatment given the known side effects of treatment with Xiaflex.
Based on the published studies current criteria for Xiaflex administration at New York Urology Specialists are listed below.
Xiaflex as a Treatment Option: Criteria Used at New York Urology Specialists
#1. Symptomatic disease that is causing 1 or more of the following: penile pain, difficulty with intercourse, curvature, relationship difficulties as a result of the curvature.
#2. Good Erectile Function: A straight penis is not very useful if it’s not sufficiently hard for sex. A good erection is an important criterion for the use of Xiaflex.
Men with erectile dysfunction that is responsive to medical treatment with oral medications such as Viagra or Cialis or Levitra, intraurethral medications such as Muse, or that can be effectively treated penile injections with vasoactive medications such as Trimix are also good candidates for Xiaflex.
Patients with severe erectile dysfunction for whom medications do not work will not be well served with Xiaflex with some exceptions. Men with severe ED are better served with penile prosthesis along with excision of the Peyronie’s plaque when necessary.
#3. Plaque Location. The curvature must be up or to the side (dorsal curvature). Peyronie’s plaque cannot involve the urethra or be very close to the urethra which occurs in 10-20% of men. This is due to the risk of injury to the urethra with the potential for significant complications if Xiaflex is injected into the urethral wall. Treatment of ventral plaque is possible but will not be covered by health insurance.
#4. Curvature. The curvature must be at least 30°. Currently, most insurances use criteria based on the fact that most men with curvature less than 30 degrees are minimally symptomatic.
#5. Peyronie’s plaque. Peyronie’s plaque must be palpable and should be visualizable on penile ultrasound. Most symptomatic plaques are large enough to be palpable. This is a necessary condition in order to administer the medication.
#6. Plaque Calcifications. Ideal candidates for Xiaflex administration are men with non-calcified or minimally-calcified Peyronie’s plaque. The mechanism of action of Xiaflex is to break the connections between abnormally healed proteins. Calcifications create a solid structure that is thought to have a poorer response to a medication such as Xiaflex. Based on the mechanism of action of Xiaflex, we believe that the success of Xiaflex decreases as the degree of calcification of the plaque increases.
#7. Medical Requirements. Patients cannot take blood-thinners, have an active infection, or be immuno-compromised when getting Xiaflex.
#8. Patients must understand that the treatment cycle can take 6 months to complete. The patient must understand that most men do not experience complete resolution of curvature. Typically Xiaflex leads to improvement of curvature. Many men may experience no significant benefit from treatment with Xiaflex.
The patient selection criteria are used by insurance companies to determine whether to cover the cost of Xiaflex treatment. Deviation from these guidelines may result in non-coverage of Xiaflex by health plans.
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile surgeries including penile implants, correction of Peyronie’s disease, circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Where to Get Peyronie’s Treatment in NYC?
At New York Urology Specialists, we offer treatment for men with Peyronie’s disease.
Call/text today: 1-646-663-4050 or make an appointment online.
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 Insurance
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 been 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 a 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
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
Find out our office hours or directions to our office.
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 medications do not work.
- Premature Ejaculation
- Frequent urination
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4050.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance.
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