Peyronie's Disease is also called IPP (induration penis plastica) and describes a situation (not really a disease) where your penis may hurt during erection and starts to bend to a certain direction.
Research has no idea why this happens and the options for treatment are also limited.
Please note the website of this German urologist who treats IPP conservatively.
http://www.porst-hamburg.de/spezielle-andrologie/induratio-penis-plastica.html
Translated by google:
https://translate.google.com/translate?sl=de&tl=en&js=y&prev=_t&hl=de&ie=UTF-8&u=http%3A%2F%2Fwww.porst-hamburg.de%2Fspezielle-andrologie%2Finduratio-penis-plastica.html&edit-text=&act=url&act=url
On request I can provide contact data to other urologists who treat this issue conservatively with an identical approach at a lower cost.
Dr. Porsts website is very comprehensive and I can agree to most of what he says there.
I especially like his theory that one of the major causes of IPP (which also often involves pain during erection) is what he calls a "latent penis fracture". If the fascia of the penis tear, they need time to heal. So I find his approach a bit counter-intuitive to make erections extra-hard with PDE-5 inhibitors and L-Arginine instead of letting the fascia heal in a relaxed state with the use of antiandrogens to avoid erections. However, I must agree that his approach is more "marketable" to the average male and also seems to work.
Why Peyronie's surgery is a bad idea
As you can see in the link above, there are doctors who can treat IPP it conservatively with great success. While the straightening after surgery may be more instantaneously than a conservative approach, the surgery has a low patient satisfaction rate. No wonder if you look at how it works:
The most commonly used "Nesbit" or "Plication" technique works by actually shortening the healthy side of the penis to make it straight. The patient ends up with a shorter penis, often without consenting to this explicitly prior to surgery.
There are other techniques that claim to be length-preserving, but they come with a high risk of erectile dysfunction and the material used to extend the tunica albuginea in the short part has many drawbacks like shrinking after the operation or not properly researched immunological reactions.
Success rates of these operations depend greatly on the surgeon's experience, so don't go with the first one just because he has his practice next door.
Research has no idea why this happens and the options for treatment are also limited.
Please note the website of this German urologist who treats IPP conservatively.
http://www.porst-hamburg.de/spezielle-andrologie/induratio-penis-plastica.html
Translated by google:
https://translate.google.com/translate?sl=de&tl=en&js=y&prev=_t&hl=de&ie=UTF-8&u=http%3A%2F%2Fwww.porst-hamburg.de%2Fspezielle-andrologie%2Finduratio-penis-plastica.html&edit-text=&act=url&act=url
On request I can provide contact data to other urologists who treat this issue conservatively with an identical approach at a lower cost.
Dr. Porsts website is very comprehensive and I can agree to most of what he says there.
I especially like his theory that one of the major causes of IPP (which also often involves pain during erection) is what he calls a "latent penis fracture". If the fascia of the penis tear, they need time to heal. So I find his approach a bit counter-intuitive to make erections extra-hard with PDE-5 inhibitors and L-Arginine instead of letting the fascia heal in a relaxed state with the use of antiandrogens to avoid erections. However, I must agree that his approach is more "marketable" to the average male and also seems to work.
Why Peyronie's surgery is a bad idea
As you can see in the link above, there are doctors who can treat IPP it conservatively with great success. While the straightening after surgery may be more instantaneously than a conservative approach, the surgery has a low patient satisfaction rate. No wonder if you look at how it works:
The most commonly used "Nesbit" or "Plication" technique works by actually shortening the healthy side of the penis to make it straight. The patient ends up with a shorter penis, often without consenting to this explicitly prior to surgery.
There are other techniques that claim to be length-preserving, but they come with a high risk of erectile dysfunction and the material used to extend the tunica albuginea in the short part has many drawbacks like shrinking after the operation or not properly researched immunological reactions.
Success rates of these operations depend greatly on the surgeon's experience, so don't go with the first one just because he has his practice next door.
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