United Knowledge, Expert Care

Peyronie’s Disease Treatments

The experts at LUA offer a specialist private treatment for Peyronie’s disease in the UK. Peyronie’s disease affects around 10% of all men and tends to increase in likelihood with age. With this in mind, it is important that men understand the signs and symptoms of Peyronie’s disease so that treatment can be sought as early as possible.

The most common symptoms of Peyronie’s disease are as follows:

  • Buildup of scar tissue (plaque) on the penis
  • This can be overnight or over a long period of time
  • Reduced penis flexibility
  • A bend or arc in the penis during erection
  • Pain during erection and/or sexual intercourse
  • Erectile dysfunction

Private treatment for Peyronie’s disease can differ between specific patients just as symptoms can also manifest themselves differently between individuals. It is important that any man who thinks they may be experiencing symptoms of Peyronie’s disease visit a medical professional to rule out the disease or to get a diagnosis.

Private Treatment for Peyronie’s Disease

There are a number of medical therapies that have been advocated for the private treatment for Peyronie’s disease. The problem is, because we do not understand the natural history and the cause of the disease, there is an extensive array of medical treatments available. However, it is believed that most cases of Peyronie's Disease result from either sexual and or repetitive trauma to the penis but equally may also be related to vascular disease.

Some of the medical treatments that have been used in treatment of Peyronie's Disease include Vitamin E, Potaba, colchicine or Verapamil.  These treatments have been used with variable success.  In most instances, Peyronie's Disease does not require any surgical treatment.  The only indication for surgical treatment is the inability to penetrate and have intercourse, or difficulty with intercourse.  Usually, this occurs if a bend is 45 degrees or greater, although it can occur with lesser bends such as those where it bends to the side.

More recently, a novel drug called Xiaflex, which is a collagenase has undergone trials and appears to be promising for the treatment of Peyronie's disease, although it is currently unlicensed in the UK.

What Causes Peyronie’s Disease?

Peyronie's disease is caused by scarring of the tunica albuginea or membrane that surrounds the muscle of the penis. There are multiple theories, although the exact cause of the disease remains unknown. Despite there not being a full consensus on how or why Peyronie’s disease develops, urology specialists have come a long way in creating private treatments for Peyronie’s disease which make a difference in the lives of those a diagnosis.

Peyronie’s disease tends to be characterised by a penile bend, lump and pain on erection. There are characteristically two phases of the disease; An acute phase lasting about 3-6 months and then a chronic phase lasting up to about a year during which the disease usually stabilises.

Acute Phase

The acute phase of Peyronie’s disease is when most of the noticeable changes occur in the form of symptoms. This is when most men will seek medical attention from their local GP or dedicated urologist. If Peyronie’s disease is diagnosed, this is when a treatment plan will then be created and recommended.

The symptoms which do begin to appear tend to appear in the following order:

  • Penis pain or discomfort
  • Penis inflammation
  • A loss of girth or narrowing of the shape of the penis
  • A noticeable bend in the penis during erection

If private treatment for Peyronie’s disease is undergone during these earlier stages of the disease, outcomes are generally more positive – this is especially important when considering that only a minority of Peyronie’s disease patients recover without treatment.

Chronic Phase

The chronic phase of Peyronie’s disease can last a lifetime after the symptoms of the acute phase are left unchecked. Despite the critical period where private treatment for Peyronie’s disease would have prevented more issues, patients with the disease in the chronic phase can still seek treatment. The vast majority of men find that their quality of life increases significantly after having private treatment for Peyronie’s disease carried out even in the chronic phase.

Once this stage is reached at about the 12 to 18-month mark, the pain felt in the acute phase tends to subside. The curvature of the penis also tends to stop getting worse, however, its misshapen form is very unlikely to improve at all without specialist attention. Erectile dysfunction issues may or may not correct themselves once the chronic stage is reached, however, this does not mean treatment should not be sought out.

It is important to emphasise that even if you know that you are in the chronic phase of Peyronie’s disease, it is definitely not too late to have private Peyronie’s disease treatment and/or surgery. There are always ways in which expert urologists can improve the condition of patients and their quality of life.

Surgical Treatments for Peyronie’s Disease

Many surgical techniques have been advocated for the treatment of Peyronie's Disease.  Some of these involve shortening the penis on the opposite side to the bend, the so-called Nesbit's procedure, or plication procedures. Grafting of the scarred area is also possible but it is important to note that the plaque is usually incised, and a graft placed over the area.

When patients have surgery for Peyronie's Disease the penis is degloved through a circumferential incision around the head of the penis. An artificial erection is induced with saline. At the time of surgery, a catheter is inserted into the urethra to ensure that patients are able to void after surgery and furthermore there is no damage to the urethra during such surgery. The catheter is usually removed the following day unless the urethra is mobilised to correct the bend.

Patients are then asked to abstain from sexual intercourse for approximately six weeks after surgery so that the reconstruction has time to heal.  After surgery, it is Mr Minhas' policy to commence drugs such as Cialis or Viagra to try and stimulate and stretch the penis post-operatively.  In some cases, a vacuum erection device may be used to stretch the penis to try and reduce the risk of penile shortening.

LUA’s Renowned Peyronie’s Disease Surgeon

LUA’s leading expert in private treatment for Peyronie’s disease, Mr Suks Minhas, specialises in these surgical treatments and has performed a large number of both grafting and plication (including Nesbit's procedure) operations for Peyronie's Disease.

Mr Suks Minhas has also published extensively in this area and is a recognised expert and specialist in this field. Having won a number of prestigious awards in the field of male urology, Mr Suks Minhas is one of the leading Peyronie’s disease specialists in the United Kingdom.

Penile Implants for Peyronie’s Disease

In some cases, patients who have pre-existing erectile dysfunction and have had medical treatments in the past to correct this, and who also suffer from Peyronie's Disease, may require a penile implant.

Penile implants or prosthesis are the treatment of choice, in so far that they not only straighten the penis, but they also deal with the erectile dysfunction. However, patients who are candidates for penile implants in Peyronie's Disease need extensive counselling before such surgery.

Contact LUA for More Information

If you, or a man you know, is experiencing symptoms of Peyronie’s disease, it is important that you get in touch with a well-established urology clinic that specialises in private treatments for Peyronie’s disease.

Give the LUA clinic a call today at 020 7224 5089, send our team an email at info@lua.co.uk, or use our secure online contact form if you have a GP referral.

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