58-year-old Man with Penile Shortening and Curvature Treated at New York Urology Specialists
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Real Stories. Real Patients.
Please note: Names and age have been changed to protect patient privacy. 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.
Only your doctor can advise you on a course of treatment that is appropriate for your needs.
Peyronies Treatment: 58-year-old Man Treated at New York Urology Specialists
RF is a 58-year-old man with penile shortening and narrowing after prostate cancer treatment. He was diagnosed with prostate cancer and underwent robotic radical prostatectomy two years ago. He reports that after the surgery his erections have recovered to some extent and he is using tadalafil daily and sildenafil before sex. His erections are not as good as prior to surgery but he is able to achieve erections that are sufficient for penetration and having sex most o the time. He complains of significant shortening of the penis and narrowing of the penis shaft. He reports no prior treatment.
Physical exam revealed fibrotic scar tissue dorsally from midshaft extending to the base of the penis.
Blood work revealed borderline low-normal testosterone, normal cholesterol levels. His blood pressure was slightly elevated.
Follow-up Appointment – 1 month
Penile Doppler ultrasound revealed vascular insufficiency and evidence of veno-occlusive insufficiency. The patient reported that his erections are less firm at home compared with high-dose Trimix (70% hardness).
Penile measurements were performed with the penis maximally erect (70% erection): 30-degree dorsal curvature (pointing up) toward the midshaft of the penis. Hourglass appearance was noted circumferentially.
The patient was advised of the following treatment options for Peyronies disease available to him: observation, penile traction therapy, injections with Xiaflex (off-label), verapamil, or interferon. Surgical treatment options including penile plication and penile implant were discussed. Relative risks and benefits of each treatment approach were discussed.
The patient was advised to initiate penile traction as it can help restore some of the penile length, and may improve penile curvature. Given that only a 70% erection could be achieved in the office, there is a fairly high chance that the degree of curvature measured to be 30 degrees underestimates the true curvature if a full erection (>90%) were achieved.
Given the presence of both Peyronie’s disease and severe ED, he was advised that penile implant with possible plaque excision and grafting may be the optimal choice to address both problems long-term. Often, penile modeling intra-operatively and insertion of a penile implant is sufficient to address penile curvature and hourglass appearance; other times a patient may require plaque excision and graft insertion.
Follow-up Appointment – 3 months
The patient has been using a penile traction device with some improvement in erect penile length. He wanted to proceed with scheduling a penile implant surgery. He was advised to get a medical evaluation from his primary care doctor and a cardiologist. Expectations and recovery after penile implant were discussed. He was advised to continue using penile traction until surgery.
Follow-up Appointment – 6 months
The patient underwent a penile implant 1 month ago. His curvature with the implant fully inflated was greater than 60-degrees with severe hourglass appearance which did not resolve with penile modeling. He underwent penile plaque excision and grafting at the time of penile implant. He has not engaged in sexual activity. He has been doing penile implant ‘cycling’, inflating and deflating the implant over the past week. Because he underwent graft insertion, he was advised to wait longer before resuming sexual activity. He was advised that he can resume sexual activity in 1 month (2 months after the procedure).
Follow-up Appointment – 9 months
The patient is 4 months after penile implant surgery. He reports that he is very satisfied with the results. He has been engaging in sexual activity. His erection quality is better than it was prior to his prostate cancer surgery. His curvature and narrowing have been addressed with less than 15 to 20-degree residual curvature. His wife reports that fixing the problem has brought them closer.
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.
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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