A brand new Treatment for a Painful Penis Curvature

The penis consists of three tubes: the hollow urethra in which carries urine as well as also semen, as well as also two soft, spongy tubes called the corpora cavernosa in which fill with blood to stiffen the penis in an erection. All three are encased in a tough, fibrous sheath called the tunica albuginea in which, when plaque forms, makes the sheath less flexible. Depending on the location of the plaque (in 70 percent of cases, This specific forms on the top side of the penis), This specific can cause the penis to bend up, down or to the side when This specific stiffens. Sometimes plaque forms around the penis, creating a narrow band like the neck of a bottle.

Heredity as well as also certain connective tissue disorders like Dupuytren’s contractures increase the risk of developing Peyronie’s. Elevated blood sugar, smoking as well as also pelvic trauma also increase the risk. The disease can develop gradually or come on suddenly. This specific occurs in two phases: acute as well as also chronic. The acute phase, which often causes painful erections, lasts for six to 18 months, during which plaque forms as well as also deformity of the erect penis worsens. within the chronic phase, the pain ends, the plaque stops growing as well as also the deformity stabilizes.

Mr. Cummings’s doctor told him This specific was not bad in which he came for treatment early, before the plaque became calcified as well as also harder to treat. As he described This specific, the many injections of verapamil put holes within the plaque, “changing This specific through Cheddar to Swiss” as well as also doing the penis more flexible. He also spent hours a day stretching his penis having a traction device called Andropenis, an F.D.A.-approved penile extender.

This specific as well as also similar devices can help lengthen a penis shortened by Peyronie’s as well as also foster straighter remodeling as the plaque will be replaced with healthy collagen.

“Xiaflex will be not a miracle drug,” Dr. Mills said. “The trial in which led to F.D.A. approval saw a 35 percent improvement in curvature, although we’re seeing about a 50 percent decrease. I tell patients ‘You’re never going to get back the penis you had, yet you can get a functional penis,’ which will be what most men want.” Only rarely does the problem correct itself without treatment.

Severe cases in which don’t respond adequately to injections may be treated surgically, an option usually reserved for men with disabling deformities in which make sexual activity difficult. Surgery will be not done until the plaque as well as also curvature have stabilized. Options include shortening the side of the penis opposite the curve or extending the curved side by filling in having a graft, a more challenging approach.

Some men with Peyronie’s disease who also have erectile dysfunction may be fitted with an inflatable pump or malleable silicone rods in which straighten the penis as well as also make This specific stiff enough for penetration.