Age:
With changes in hormone levels and the elasticity of penile tissue, a man’s sexual performance inevitably decreases as he ages. Peyronie’s disease is also on the rise, affecting men over the age of 55 at a higher rate than their younger counterparts. A man’s risk is increased if he smokes, drinks alcohol, takes some medications, has had prostate surgery, or has other health problems.
The Worst Peyronie’s Disease Options:
A Wait-and-see Approach:
Peyronie’s disease can clear up on its own in some cases, but it is always important to seek care – at the very least, pain relief in the short term. A doctor may decide to wait before doing anything else if there aren’t any obvious symptoms or discomfort.
Vacuum Devices:
These devices use mechanical traction to stretch and bend the penis back into its original form. It necessitates the use of an at-home, inflatable vacuum cylinder on a regular basis for several months. Although they can help men with minor penis curvature, they can’t help men with moderate to extreme penis curvature or men who suffer from erectile dysfunction.
Prescription Drugs and Surgeries For Peyronie’s Disease:
The medication focuses on removing plaque in order to reduce overall pain and discomfort, thereby improving men’s health. Collagenase is the only FDA-approved medicine for Peyronie’s disease, and it is injected into the scar tissue to help break it down. It is very expensive. Although clinical trials show that these injections will help minimize the curve, this Peyronie’s treatment can have serious side effects.
One of the most popular prescription medicines for treating Peyronie’s is Verapimil, which is typically prescribed for treating high blood pressure and chest pain. Within the body, Verapimil works by relaxing the blood vessels throughout the body to improve the overall flow of blood. Unfortunately, as with many other such prescription medicines, it can have adverse side effects for some users including hypotension, increased liver enzyme production, and a host of nuisance conditions like frequent constipation, dizziness, headaches, indigestion, nausea, rashes, edema, and even swollen gums.
Efficacy of Verapamil: Plaque size reduction was 33.3%, ED Cure <50%
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796342/
Another popular prescription option is Xiaflex. Originally designed to treat Dupuytren’s Contracture, this medicine works by dissolving some of the plaque deposits that can build up in the extremities. Although this medicine has been proven to be effective at reducing the symptoms in some patients, many of the side effects are enough to give some men pause when considering it as a treatment for Peyronie’s. Some of the known side effects include corporal rupture, tendon and ligament damage, nerve damage, and it can even elevate the risk of excessive bleeding.
Urology Times: https://www.urologytimes.com/view/peyronies-treatments-costs-outcomes-compared
Surgery:
Surgery is recommended only in long-term Peyronie’s disease cases in which the curvature of the penis is acute and has been unresponsive to non-invasive treatments. The most common surgeries include a penile implant to help sustain an erection and straighten the penis, grafting to cover openings in the tunica albuginea once scar tissue is removed, and plication in which a surgeon pinches or removes a piece of tunica albuginea on the opposite side of the plaque to help straighten the penis. These surgeries have risks including shortening, numbness, or you could lose your erectile function entirely.
