Peyronie's Disease

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Peyronie's Disease (Curved Erection) Treatment in Los Angeles

Peyronie’s disease is more common than you may realize, affecting about 10% of adult men. Being common, however, doesn’t offer much comfort when you have bent or painful elections and a condition that affects your sex life. When this happens, many patients experience a significant dip in overall quality of life. Fortunately, multiple treatment options are available with high rates of success. With the right specialist, you can find an optimal curved erection treatment tailored to your needs. Kiarash Michel, MD, and his expert team at Comprehensive Urology are situated in the Beverly Grove neighborhood of Los Angeles. They understand the problem a curved erection can present and why most men don’t like to talk about it. They offer a variety of therapies that effectively eliminate the problem and restore your sex life. All provided in a discrete and professional atmosphere focused on your comfort. To learn more about your treatment options, call the office or book an appointment online today.

Comprehensive Urology

Urologists located in Beverly Grove, Los Angeles, CA

Peyronie's Disease Q & A

What is Peyronie’s disease?

Peyronie’s disease occurs when scar tissue or plaque develops under the skin of your penis. The scar causes a curve in your penis that’s most noticeable when you have an erection. For some patients, it might never pose a problem. However, for others, it can not only become noticeable but painful.

During an erection, the scar tissue prevents that area of your penis from enlarging as it should. As a result, your erection bends around the scar tissue, which creates the curve. In some cases, scar tissue goes around your penis, causing an hourglass shape when you have an erection. To get the best outcomes, it is best to be diagnosed and treated early in the disease process.

What causes Peyronie’s disease?

Inflammation is generally responsible for the scarring in your penis. The inflammation most often develops due to damage that occurs during vigorous sex or sports. However, the inflammation can also result from an underlying health condition. If there is an underlying condition, it will be important to treat this along with the scarring. Otherwise, you may be at risk for the scarring to appear again after your treatment.

What symptoms develop due to Peyronie’s disease?

In addition to the visible curve, most men experience pain, especially when they have an erection and during intercourse. For some, this might be a slight discomfort. However, it can also be painful to the point where sex itself becomes unfeasible. You may also develop hard lumps due to the scar tissue. For many men, Peyronie’s disease causes erectile dysfunction. With the right treatment, you can restore both the functional and cosmetic aspects of your penis.

What are the two stages of Peyronie’s disease?

Peyronie’s disease goes through two stages. The early or acute stage can last from 6-18 months. During this time, scar tissue continues to develop, the curvature gets worse, and you probably feel pain during an erection. Receiving treatment during this stage is ideal and often produces the best outcomes.

During the chronic phase, the scar stops growing, and the penis won’t bend more than it already does. Your pain should diminish by the time you reach this stage. You can still receive treatment during the second phase though and see significant improvements.

How do urologists treat Peyronie’s disease?

If your scarring and penile curvature are minimal, and it doesn’t stop you from having sex, you may not need treatment. However, if your situation causes psychological or physical stress, it might be time to seek treatment.

When you do need medical care, the Comprehensive Urology team offers a range of treatments. We work with you to find the best solution to your unique situation. Typical treatments include:

Medications

Your provider may recommend medication such as Xiaflex® to reduce scarring and inflammation. These can be especially helpful during the first stage of Peyronie’s disease.

Shock wave therapy

This treatment uses low-intensity shock waves to break up and reduce scar tissue as well as improve blood flow. As a result, your pain improves, and the curvature decreases. It also can benefit patients dealing with erectile dysfunction or premature ejaculation.

Surgery

After you reach the second stage, patients are commonly treated with surgery. However, Dr. Michel and his team of experts at Comprehensive Urology have a multi-modal approach for treating Peyronie’s disease in this second stage. As such, they are often able to effectively treat patients and avoid surgery altogether. For the few patients that will require surgery, you may have one of the following:

  • The scar tissue is either removed surgically
  • Or the penis along the opposite side to the curvature is tucked to straighten the penis

If a patient has erectile dysfunction along with Peyronie’s disease, then consideration to placing a penile implant is given. In every case, we choose the solution that has the highest chance of helping you reach your goals.