Penis Peyronie's Disease

What patients typically report?

  • I thought I was the only one with the problem.
  • I was ashamed to go to the doctor.
  • I thought it would go away on its own.
  • I was afraid that I have cancer.
  • The doctor told me that the comorbidities are responsible.
  • The doctor told me: “Take the pills for 6 months and it will go away”.
  • The doctor told me that surgery is dangerous for my erections.
  • The doctor told me that after surgery the penis size will remain half.
  • The doctor told me that only one surgical technique is capable of solving my problem.
  • The doctor told me: “You will never be the same”.

What is true:

  • Although it is not a common condition, you are certainly not the only one with the problem. However, living with the bend magnifies the negative effects on psychology, and valuable therapeutic time is lost.
  • The longer you prolong the problem, the more the fear of failure increases, and it deprives you of a sex life.
  • In our specialized clinic, the referring doctors for the problem have vast experience in the matter.
  • Heart/vascular disease, diabetes mellitus, or surgery (e.g., on the prostate) are conditions that promote Peyronie’s disease and worsen the treatment outcome.
  • There are treatments that either prevent the progression of the problem or reverse the changes and restore a normal sex life.
  • Erection drugs (phosphodiesterase inhibitors) help when used correctly, that is, in daily use. All other oral preparations are ineffective and should not be used.
  • Penis extenders and vacuum pumps have a place in the treatment. Be careful with the choice though (there are specially made ones, exclusively for the condition).
  • Shockwaves, when done with the two machines licensed in the European Union (Dornier Aries and Medispec ED 1000), help erectile function. The rest of the machines on the market (despite extremely cheap purchase costs) do not have the approval of the authorities.
  • There are many surgical techniques. The specialized surgeon must know them all and choose the right one for the specific patient. It should be noted that it is better to decide the technique to be applied during the operation. Usually, a combination of at least two techniques is done for an optimal result.
  • In experienced hands, surgery is effective and safe. The reduction in penile length rarely exceeds 1cm. There is a risk of erectile dysfunction, mainly associated with plaque removal techniques.
  • Penile prostheses in properly informed patients have a place and excellent results as a final solution.
  • The main difference after surgery, apart from the mentioned slight reduction in length, is the circumcision that is usually applied at the time of all operations for the condition.
  • In the presence of erectile dysfunction, the appropriate solution is to restore the curve with the simultaneous placement of a penile prosthesis.

Are there any secrets?

  • The “experience” factor in dealing with the condition is the most important in diagnosis and treatment.
  • A correct and detailed sexual history guides the correct diagnosis and treatment strategy.
  • Misdiagnosis is easy to make, as diagnostic tests are dynamic (the result is determined by the experience of the doctor and the capabilities of the sonographer).
  • A strategy that solves one person’s problem may be completely ineffective for another.
  • No surgical technique can be applied to all patients. The selection and combination of the appropriate ones for the specific patient is essential.
  • Research advances and offers new treatment options every day.
  • It is not enough just to restore functional erections, but it is necessary to secure them in the future.

What unique does our specialized clinic offer?

  • International recognition, both at the research and clinical levels, with patients from all over the world. We established a method for assessing the stage of the disease based on ultrasound imaging.
  • Pioneering development studies of methods to treat the condition and presenting internationally a new surgical technique (using tunica albuginea grafts).
  • Experience as the referral clinic for the condition for the last 25 years.
  • Teaching urologists globally through courses, webinars, and conferences for 20 years.
  • Organizing the founding conference of the European Society for Sexual Medicine in 1995 in Porto Karras, Halkidiki.
  • Personalized treatments tailored to each patient’s history/problem.
  • In-depth knowledge of all techniques enables optimal treatment selection and combination.
  • Offering all internationally available treatments using the latest data and technology.
  • Using approved and proven machines through clinical studies, not low-cost imitations of unknown effectiveness.