Peyronie's Disease - Treatment

How was your case of Peyronie's disease treated, and was it effective?

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How is Peyronie's disease treated?

There is no treatment that will cure Peyronie's disease. However, there are several types of treatments that are designed to reduce the symptoms of the disease. Oral therapy with vitamin E, colchicine, PABA, tamoxifen, and other medications have been tried with limited success in some patients. Usually those in the acute phase of the disease responded best.

Injection therapy using combinations of drugs mentioned above and adding prostaglandin E1 or other drugs such as betamethasone alone or with hyaluronidase have also been used with varying degree of success. Verapamil  (Calan, Verelan, Verelan PM, Isoptin, Isoptin SR, Covera-HS [a medication usually used for high blod pressure treatment]) appears to disrupt the production of a protein involved in the formation of Peyronie's disease.

Another method is iontophoresis (also termed electromotive administration or EMDA) where verapamil and other drugs are applied to the penile skin and pushed through the skin with a low electrical current.

Shockwave therapy (done with a lithotripter device like those used to break up kidney stones) has been used on plaque or scaring that is calcified. Other mechanical devices, including vacuum-based machines and low-dose radiotherapy have been tried. Although some successes are seen with these methods, best results are in acute phase patients. There are ongoing studies with different drugs (interferon, collagenase clostridium histolyticum [Xiaflex], collagenase) and surgical techniques.

Surgical therapy is done on some patients. These surgical patients usually have to meet criteria that may vary from surgeon to surgeon. In general, surgical therapy is done when other methods have failed or the patient is in the chronic stage of the disease and erectile dysfunction is part of the patient's symptoms. Surgical therapy may involve incision or cutting the scarred tissue, scar tissue removal, scar tissue removal with auto-grafting or artificial graft material. In addition, implanted devices that allow the patient to sustain an erection are also utilized in some individuals.

Return to Peyronie's Disease (Curvature of the Penis)

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