Peyronies disease what to do | UroChannel

some diseases that only cause subtle changes in the body can have such an enormous impact on quality of life peyronis disease also known as bent penis or curved penis is one of them if you are not afraid of knives surgery will be the solution for you but if you are looking for an unbloody solution oh boy my name is stefan buntrock i'm a urologist and in this video i'm going to talk about treatment options in peyronie's disease if you haven't watched my video about piranhas disease please make sure you do so it will be much

easier to follow along with the therapeutic options outlined here in my practice i see a lot of patients with peyronie's most of them in the late the stable phase of the disease they are looking for advice because they usually have been offered surgery for the problem which they don't want by the way and now they ask whether there are possibilities to avoid an operation and whether something non-surgically can be done generally speaking in perilous disease not very much is known and a whole lot still has to be discovered when going through the guidelines there is

an abundance of different treatments that have been tried that are recommended that are not recommended and that might be recommended in the future so this only shows one thing if there isn't one remedy but a whole bunch of them effective treatment is difficult otherwise it would simply state apply this antman three times a day for two weeks and you'll be fine but it is not as easy as that just to give a short summary piranha's disease consists of an early inflammatory phase which lasts for roughly 18 months give or take during this time the penis

will bend at erections sometimes reaching angles of 90 degrees and more it will shorten and many men will experience erectile dysfunction the inflammatory phase is then followed by a late stable phase where the detrimental effects of the disease stop and come to an end calcification of the hardened areas of the tunica of virginia will form with time often introducing the late stage when it comes to surgery there are two things one has to bear in mind first don't undergo any operation in the inflammatory phase as long as the penis is still gaining curvature there's a

big chance that it will continue to bend after it has been surgically straightened out second when the curvature reaches angles that make intercourse impossible non-surgical strategy become very limited so the most logical way to approach peyronie's disease would be to diagnose it early stop the inflammation and preserve as much penile integrity as possible this is a problem because too many men choose to ignore the early signs or are too embarrassed to look for medical help painful erections in the beginning are quite common sometimes however they are absent and a sudden onset of increasing penal bending

at erections is observed at this point i advise to use a multimodal therapy plan there are some medication that might be able to stop the inflammation among them there is tadalafil originally designed for erectile dysfunction however its specific mode of action also goes along with anti-inflammatory features that could ameliorate the inflammation going on at the chulinica alberginia antioxidants also act anti-inflammatory there are some options personally i favor citrulline and l-arginine i also recommend a penile traction device to prevent penis shrinking and to modify the scar tissue that is forming where the inflammation takes place traction

can safely be used and has remodeling features by stretching out the scar tissue and making it more flexible gentle massaging the scar and careful bending the penis to the opposite direction also contributes to the efficacy of the traction device alternatively a vacuum constriction device could be used but the outcomes of a traction device that can be worn over several hours seem to be better let's talk a bit about shockwave therapy eswt today in 2021 according to my experience along with the recommendation of the guidelines eswt has no place in calcified plugs i have tried almost

every strategy imaginable to crush those calcification i have cranked up my machine to crazy energy levels applied up to 20 sessions but failed nearly every time there are scientific reports saying that it is possible in a certain number of cases but i am not able to confirm that however it might be possible that eswt has its place in non-calcified plaques additionally i think it could stop the inflammation at an early stage i'm still working on this and i'll give you an update in 2022 when it comes to pain shock waves are definitely the thing to

do they not only reduce pain but it will reliably go away after four to six treatment sessions this could be of importance for you guys who are living outside of germany i've never treated a patient here for erectile pain due to peyronie's german men tend to accept pain as the salt and life and rarely want eswt just for feeling less pain so you see we are pretty tough out here thanks for watching please leave your comments down below and be a tough guy hit the subscribe button even if it might be a little painful bye

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