eSA6n2oOX19a2kMsg9xDKSlbP2ZH08/7zydY3WTcc6vtwSzRVG7brQ== When to see a Urologist: HOW TO TREAT CURVATURE OF THE PENIS OR PEYRONIE'S DISEASE?

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Saturday, December 4, 2021

HOW TO TREAT CURVATURE OF THE PENIS OR PEYRONIE'S DISEASE?


This article mostly comprises a few words from a urologist regarding Peyronie's disease, also known as penile curvature. Please read this article all the way through since it describes the most recent treatment choices for Peyronie's disease out of new research.

This disorder is a condition of inflammation and it creates penile curvature as well as a few more penile defects and even erection problems in case of more serious problems. This abnormality was originally recorded in medical literature some three hundred years ago and it is believed it afflicts one to thirteen percent of the male population. This percentage could be higher however many individuals do not report and avoid to go see a doctor for treatment due to feeling awkward and humiliated and thus remain unnoticed. 

The penile curvature may be to the left or right side and it may be upwards or downwards or there may be a defect of penile shape that resembles an hourglass. There may be some discomfort during penile arousal at the beginning of the disorder and it happens in critical stages. This problem is caused due to micro bruises of the tough fibrous layer of connective penile tissues also known as the tunica albuginea, which sometimes occur at the time of intercourse. These bruises heal up after a few days yet, in certain cases, it forms plaques instead of normal healing, especially in men who are highly susceptible to responses of inflammation. This occurs more frequently in those men who have a hereditary background of Dupuytren's cramps of hands and fingers. (Note: This article is copyrighted property of chhanno.blogspot.com). 

A sketch of long baloons similizing Penile Curvature

During the period of severe pain, it is often suggested to take Motrin or Ibuprofen, which are non-steroidal anti-inflammatory medicines, or get help from over-the-counter medications. Alternatively, according to some research statistics “extra-corporeal shockwave lithotripsy” may be quite helpful to overcome the pain and discomfort of the penis during that period. Extra-corporeal shock wave lithotripsy is a non-surgical approach for treating kidney and ureter stones. High-energy shock waves are sent through the body to smash stones into bits as tiny as grains of sand. Because of their tiny size, these fragments can travel through the body with urine. In any case, despite all these measures, penile curvature cannot be prevented to form however these are quite helpful for the patient to get rid of the discomfort that happens during that period. It takes nearly 6 months to one year for the discomfort and pain to subside and after that, a penile curve is what is left to remain. Now, this stage is termed as stable and all therapy of penile curvature is centered there.


Penile curvature can be treated through medicines as well as surgery. Medicinal therapy mainly includes an infusion of a variety of certain specific medicines below the skin and into the plaque formed in the penis. Three very commonly used medicines for such infusions include Verapamil, Interferon Alpha 2b, and Collagenase. Nearly all such medicines have after-effects which may comprise edema, discomfort, and bleeding from where the infusion is made. There is a wide range of such after-effects based on each medicine used for the purpose. One more thing to keep in mind is that a very rare trauma situation may arise during treatment through penile infusions and it is known as corpus cavernosal fracture or rupture. It is a traumatic situation and the patient has to go to the trauma center for immediate surgical treatment if it ever occurs. The statistics regarding infusions into the penis reveal a possible reduction in curvature up to nearly seventeen degrees following the infusions. The degree of curvature is calculated by assuming that it is 0° when there is no curve at all or if the penis is quite straight. Surgical alternatives are also available if the bending of the penis is quite high. One is the “plication” of the penis. Plications are surgical procedures in which tiny surgical sutures are placed on the outer side of the curve where there is a plaque in the penis, to straighten it. A few more procedures are also used to correct curvature of the penis, for instance, excision procedures as well as grafting operations that include removal of the tissues of the plaque using a scalpel and grafting corrective tissues to straighten the curvature.  (@ chhanno blogspot com 04122021). 

Another treatment for penile curvature introduced recently is known as traction therapy and it was quite interesting and encouraging. It was introduced in a research report released in 2020. This research report was about a survey in which patients with penile curvature participated. They were categorized into three different groups to get this therapy. They were asked to use a specific gadget for thirty, sixty, and ninety minutes daily consistently over 12 weeks. This gadget is known as “RestoreX”. After three months of this therapy progress in the position of their penile curvature as well as the penile size and erection were measured. It was observed that the condition of penile curvature of patients who used the RestoreX gadget for just thirty minutes daily improved from 18% to 22% while their penile size enhanced from 2.0 cm to 2.3 cm. Overall, the majority of the participants were not too much concerned about the use of this gadget. However, it caused slight pain and occasional redness while in use but generally, the participants appeared to have no difficulties utilizing it. Thus it is an exciting alternative for individuals with penile curvature and in case you have this illness you can give this therapy a chance. 


OK Thank you. God bless you. Take care everywhere and always. 

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Picture of a Resterex Device used for penile traction in peyronie's disease


Traction therapy using a gadget called "Restorex"

 


 

A Picture of a Resterex Device used for penile traction in peyronie's disease

 


 

 

 

 

 

 

 

 

 Updated on 14-02-2023.

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