Penile Plication for Treatment of Penis Curvature Caused by 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.
Dr. Alex Shteynshlyuger is a board-certified urologist in NYC who specializes in treating men with Peyronie’s disease. He performs penile plication as well as other surgeries for treatment of Peyronie’s disease.
What is Penile Plication?
Penile plication is a surgical procedure used to correct penile curvature. Penile plication applies counter-tension with permanent sutures on the side opposite of where the curvature occurs to mechanically straighten the penis.
Penile plication can be used to correct both ventral curvature (penis points and curves down) and dorsal curvature of the penis (penis curves up).
Penile Plication for Treatment of Penile Curvature (Bent or Curved Penis)
Penile plication is a well-established surgical procedure for the treatment of penile curvature. There are a number of different surgical approaches to penile plication with names such as “Nesbit plication” and “16-dot technique” among others. At New York Urology Specialists, we perform both Nesbit plication and 16-dot plication techniques depending on the patient’s situation.
What Type of Anesthesia is Used for Penile Plication?
Depending on the severity of the problem and patient characteristics, local or general anesthesia can be used for penile plication. We often are able to perform plication in the office under local anesthesia. The procedure usually takes 1 to 1.5 hours to perform.
How Effective is Penile Plication for Treatment of Curvature Associated with Peyronie’s Disease of the Penis?
Plication is a very effective treatment option for correcting curvature caused by Peyronie’s disease in particular for a penile curvature of fewer than 60 degrees. Some men with curvature greater than 60 degrees may also be candidates for penile plication. Penile plication results in the functionally straight penis (residual curvature of fewer than 20 degrees) in 80-90% of patients. Patient satisfaction ranges from 75-90%.
Many men with stable Peyronie’s disease who do not improve with injection therapy, are good candidates for penile plication.
Penile plication does not help men with penile pain or penile narrowing caused by Peyronie’s disease. Penile plication only treats curvature but not other symptoms of Peyronie’s disease.
Penile plication is not usually a good choice for a man with erectile dysfunction caused by Peyronie’s disease if medications such as Cialis, Viagra, and Stendra do not allow him to achieve an adequate erection.
When Is Penile Plication Performed?
Penile plication is a good surgical treatment option for many patients with a penile curvature of 30-70° who have good erections and do not have significant narrowing of the penis (“hourglass” appearance). Men with minor narrowing of the penis (minor ‘hourglass’ appearance) may still be candidates for penile plication. It is important for men to understand the risks and benefits of penile plication as well as other treatment options for penile curvature.
Recovery after penile plication is fairly short.
Who is NOT a Good Candidate for Penile Plication (Nesbit or 16-dot procedure)?
Men with erection problems for whom medications such as Viagra or Cialis do not work well and who are unwilling to use penile injections (Trimix) or if Trimix does not work either are not good candidates for penile plication.
While penile plication will fix the curvature, a straight penis without an erection is of limited use. In men with ED, penile implant surgery often in conjunction with penile plication or penile plaque excision and grafting is necessary to fix both CURVATURE and ERECTILE DYSFUNCTION.
Men with severe narrowing of the penis are also not good candidates for penile plication as it does not treat narrowing. Depending on the quality of erection, plaque incision/excision with grafting or penile prosthesis is advised.
What To Expect From Penile Plication
Penile plication procedure aims to straighten the penis to what we call a “functionally” straight penis. It is nearly impossible to make the penis completely straight as gravity can contribute to mild penile curvature and deviation. In addition, it is not always advantageous to try to make the penis perfectly straight as that may require additional surgical maneuvers that may not necessarily justify the risk of complications. Some men may experience loss of penile length of 0.5-1.5 cm, depending on the severity of the curvature. Some men report feeling the permanent sutures that are used for surgical fixation.
Typically, we consider a functionally straight penis and a good result if the curvature of less than 20% is achieved.
What are the Advantages of Penile Plication?
Penile plication is a minimally invasive surgical procedure with the least amount of complications among surgical treatment options for penile curvature including curvature caused by Peyronie’s disease and congenital penile curvature.
Penile plication is associated with the least risk of postoperative difficulty with erections and changes in sensation compared to penile plaque excision with grafting.
Penile plication can be performed in the office under local anesthesia. Most patients are able to go back to work within a few days.
Is it Possible for Curvature to Recur after Penile Plication?
While the intent of penile plication is to permanently fix and correct penile curvature, in about 10-15% of patients curvature may worsen over time after penile plication. Typically, recurrence results in partial worsening of curvature. In other words, if 60° curvature was corrected to 10°, over time the curvature may worsen in some men to 20-30°.
Other reasons why curvature may recur after correction of penile curvature with plication.
- Sometimes, the disease process progresses after surgery leading to worsening penile curvature.
- Loosening of the suture used for penile plication could also lead to a partial worsening of penile curvature after plication over time.
- In rare circumstances, suture failure may occur which can lead to a complete reversal of penile plication.
Insurance Coverage for Penile Plication Surgery
Most insurances including Medicare, UnitedHealthcare, Anthem BCBS, Empire BCBS, AETNA, CIGNA, and Oxford among others cover the cost of penile plication surgery.
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: Peyronie’s disease in a 46-year-old man with ventral curvature treated with penile plication
Read RealStories: 67-year-old man with dorsal curvature and ED after the use of Trimix injections.
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.
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.
Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of sexual problems in men including Peyronie’s disease and erectile dysfunction. He is one of the few urologists who offers a full range of treatment options for Peyronie’s disease and ED. He has successfully treated thousands of men with sexual problems.
When it comes to the treatment of Peyronie’s disease – New York Urology Specialists are a step ahead. Better Science Means Better Care. Dr. Alex Shteynshlyuger is a specialist in treating erection and penis problems using the latest scientific and medical breakthroughs.
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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