What Are The Options For Peyronie’s Disease surgery?
If you have been diagnosed with Peyronie’s Disease, you may be looking into treatments.
Surgery, although intimidating, is proven to rectify Peyronie’s Disease and can improve quality of life astronomically.
But which Peyronie’s Disease surgery is right for you?
What treatments are available for Peyronie’s Disease?
There is a range of treatments given to men diagnosed with Peyronie’s Disease once they enter the chronic phase, which has varying levels of effectiveness.
Some men will be offered non-surgical treatments, while others will progress straight to Peyronie’s Disease surgery.
Non-surgical treatment for Peyronie’s Disease
These treatments include a range of oral and injectable medications, such as:
- Vitamin E tablets.
- Para-aminobenzoate(Potaba®) tablets.
- Injection treatments including dimethyl sulfoxide, steroids, collagenase, and calcium channel blockers, are injected directly into the plaques.
Cambridge University Hospital has published FAQs on non-surgical treatment, which sadly outline that non-surgical treatments lack scientifically proven effectiveness. This means that patients will more than likely be considering surgical alternatives.
Peyronie’s Disease surgery
On the NHS, Peyronie’s Disease surgery includes the Nesbit procedure.
The Nesbit procedure
The Nesbit procedure removes the curvature of the penis, giving patients a straight penis once more.
This is made possible by removing a wedge on the long side of the curved penis, which matches the length of the short and long sides of the curve. This allows them to match up and become straight again.
Benefits of the procedure include:
- A straightening of the penis.
- Availability on the NHS.
It is important to note that some men find this Peyronie’s Disease treatment unacceptable because of the loss of penile length.
If men present with a curvature of 40°or more, the Nesbit procedure can result in an overall loss of 1-2 inches, something that some men are not happy to undergo.
As such, some private, specialist urology clinics have advanced techniques that preserve penile length, while treating the disease- offering patients much more palatable choices of Peyronie’s Disease surgery.
These include Plaque Incision and Grafting, and the Stage Technique.
Plaque Incision and Grafting
As the name suggests, this procedure involves removing the plaque, but unlike the Nesbit procedure, incisions are carried out on the shorter side of the penis.
Once the plaque is removed, a graft is then applied to the gap, which acts as a matrix, or scaffold, for the formation of new collagen and tissue.
Benefits of the procedure include:
- The penis is straightened.
- Penile length is protected.
- Can be used in most cases of curvature.
The Stage Technique
The Stage Technique is minimally invasive and aims to correct Peyronie’s Disease while achieving the best results and maintaining penile length.
Put simply, the procedure involves using geometric principles to find the point of maximum curvature and removing tissue measuring 3 x 1mm from this area.
This is repeated in the area of maximum curvature, before being closed up with dissolvable sutures.
This differs from other procedures as it vastly reduces the amount of curvature removed, and as such can preserve length better.
Benefits of the procedure include:
- Retaining more sensation.
- Protecting or increasing penile length and girth- as less is removed.
- Losing less penile strength.
- Experiencing less reoccurrence.
- Improving straightening rates.
Private healthcare offers more options for Peyronie’s Disease surgery
If you are looking for Peyronie’s Disease surgery, it is important to look at both NHS and private healthcare to ensure you are considering all options available to you.
Especially if private healthcare can offer you Peyronie’s Disease surgery that among other benefits, protects or increases the length of your penis post-surgery.
Surely that alone makes private healthcare worthy of further consideration?