Phases of Peyronie’s Disease: When Are Shots, Surgery Viable Options? [PODCAST]

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RELATED: Peyronie's Disease FAQs

Phases of Peyronie's Disease

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Thanks for tuning in to the Armor Men’s Health Hour Podcast today, where we bring you the latest and greatest in urology care and the best urology humor out there.

In this segment, Dr. Mistry and Donna Lee talk about Peyronie's disease. This condition causes a bend to develop in the penis either suddenly or over time and can become quite painful and severe. Fortunately, there are many treatments for Peyronie's disease that address it's various causes and effects. There are different interventions depending on the degree of penile curvature and the severity of symptoms. Today, Dr. Mistry and Donna Lee describe the two phases of Peyronie's progression and explain what kinds of interventions are appropriate to each. While surgical interventions can be very effective, they're not recommended until the penile curvature has stabilized during the chronic phase, which can take some time. In the acute phase of Peyronie's disease, there is often pain associated with the development of plaques. This is an important time to ensure that erections during intercourse remain rigid to prevent any microtrauma, which can worsen (and/or cause) the effects of Peyronie's. For this reason, a daily dose of Tadalafil or Cialis are often used to improve erection rigidity. The other treatment offered for acute Peyronie's include shots of medications like Xiaflex and Verapamil, which can be very helpful in slowing disease progression. Only once these options have failed and the patient has entered the chronic phase of disease should surgery be considered. No matter your situation, getting an evaluation and proper measurement of your curvature by a urologist is essential in identifying the right treatment.

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