Treatment Schedule: Xiaflex (collagenase) for Peyronie’s Disease
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.
Xiaflex is an FDA-approved Biological Medication for the Treatment of Peyronie’s Disease.
Based on randomized controlled studies, Xiaflex is indicated for men with Peyronie’s disease typically classified as moderate to severe Peyronie’s disease. Read more about patient selection for Xiaflex administration in men with Peyronie’s disease.
Initial Evaluation of Men with Peyronie’s Disease
Initial evaluation of men with Peyronie’s disease typically requires 1-2 visits to determine the extent of the disease and what treatment options are appropriate for each individual man. A Peyronie’s specific questionnaire will be filled out and can be downloaded from our Forms section of the website.
Costs and Insurance Coverage
For those men who are good candidates for Xiaflex and who wish to undergo treatment with Xiaflex, we will work with insurance companies as well as charitable organizations to determine insurance coverage and out-of-pocket costs through the Xiaflex Experience service.
Discounts may be available to self-pay patients. Insurance coverage may be available for international patients through their insurance policies.
What to Expect During a Doctor’s Visit?
The doctor will typically measure the penile curvature after injecting the penis with Trimix or prostaglandin to induce an erection. Men with curvature greater than 30 degrees are candidates for Xiaflex. Penile ultrasound may be performed to document plaque.
Treatment Schedule: Xiaflex for Peyronie’s disease
Initial 1-3 Appointments:
A comprehensive history will be obtained and a physical exam will be performed. An artificial erection will be induced to evaluate the extent of Peyronie’s disease and to measure the curvature as well as to evaluate the Peyronie’s plaque. If the patient is a good candidate for Xiaflex and chooses to proceed with Xiaflex treatment, informed consent will be obtained; the risks and benefits of Xiaflex will be discussed. Xiaflex is usually available within 1-2 days for self-pay patients. Insurance authorization typically takes 2-3 weeks.
Week 1
Xiaflex Cycle 1:
- Day 1 Cycle 1: One Injection of Xiaflex 0.58 mg into the plaque that causes curvature (Injection #1)
- Day 2-4 Cycle 1: One Injection of Xiaflex 0.58 mg into the plaque that causes curvature (Injection #2)
- Day 6-8 Cycle 1: Penile remodeling by the urologist – the patient will be taught how to perform it at home
- Weeks 2-7: The patient does penile remodeling by himself three times daily at home. No office visits necessary unless questions or problems arise.
- If the curvature becomes <15 degrees, no further treatment with Xiaflex is needed.
Xiaflex Cycle 2:
Week 8: Start of Xiaflex Cycle #2: same as cycle 1 above.
If at any point, penile curvature becomes <15 degrees, Xiaflex treatment will be stopped as it is considered a successful response; most men with a curvature of fewer than 15 degrees are minimally symptomatic.
Xiaflex Cycle 3:
Week 15
Xiaflex Cycle 3: same as cycle 1 above.
If at any point, penile curvature becomes <15 degrees, Xiaflex treatment will be stopped as it is considered a successful response; most men with a curvature of fewer than 15 degrees are minimally symptomatic.
Xiaflex Cycle 4:
Week 22
Xiaflex Cycle 4: same as cycle 1 above.
If at any point, penile curvature becomes <15 degrees, Xiaflex treatment will be stopped as it is considered a successful response; most men with a curvature of fewer than 15 degrees are minimally symptomatic.
What to Expect:
In studies of men with Peyronie’s disease treated with Xiaflex, 60% of men experienced improvement. Please read more about the expectations and success rates of Xiaflex in the treatment of Peyronie’s disease.
If no improvement after the 4th cycle, further cycles are currently not considered to be beneficial, except for men who have multiple plaques. Treatment of other plaques may be attempted.
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: 53-year-old man with 45-degree dorsal curvature and pain
Read RealStories: Penile pain in a 51-year old adult male with curvature to the left and up treated with Xiaflex and penile traction.
Read RealStories: 32-year-old man with penile curvature and pain treated with verapamil
Read RealStories: 58-year-old man with penile shortening and narrowing after prostate cancer treatment treated with a penile implant and grafting.
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.
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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