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Peyronie's Disease Treatment Options. What is the best treatment after 40?

Article by <em>Adult Health Care Center</em>Article by Adult Health Care Center

© Lucas Botin (2023-05-12)
Peyronie's Disease Treatment Options. What is the best treatment after 40?  For individuals that suffer from penile curvature, there are several different Peyronie's disease treatment options that might be helpful for the condition.

What is the best treatment for Peyronie's disease after 40?

What is the best treatment for Peyronie's disease? To answer this question, we need to review all Peyronie's disease treatment options and find their pros and cons. Here are some of the options that you might consider discussing with your health care provider if you happen to suffer from this disease. They include both surgical procedures and non surgical treatment for Peyronie's disease.

Let's now review these treatment options in detail:


Vitamins for Peyronie's Disease Treatment
Vitamins for Peyronie's Disease Treatment
There is not a lot of research into how vitamins can help you if you suffer from Peyronie's disease. A good rule of thumb is to ensure you eat a very healthy diet. This will include plenty of fruits, vegetables, lean meats, fish, nuts, seeds, whole grains, and dairy foods.

This will give you the nutrition that you need to maintain a healthy body and it will probably help your Peyronie's disorder.

Vitamin E

There is one vitamin that that is said to be quite successful in treating this condition and that is vitamin E. Some researchers indicate that those that have a vitamin E deficiency often have Peyronie's disease. There is no definitive link to this but there's a correlation between a lack of vitamin E and those that suffer from penile curvature. According to many researches and studies this is one of the best vitamins for Peyronie's disease.
Vitamin E is known to help prevent scar tissue and it has properties that help with a blood dilation so this keeps the blood vessels in good health. Vitamin E is also a very anti-inflammatory.
It is not been explored to a great degree as a treatment for Peyronie's disorder but there was a report in a 1993 that was given at the US National Institute of Health conference which said that around at 99% of individuals that took vitamin E had an improvement in pain but around 70% of more than 100 men that took part in the study didn't have any changes in symptoms after they used vitamin E.

The results of this study were determined to be unreliable but it still said that vitamin E might be beneficial for those that suffer from Peyronie's disease.

Vitamin E Studies

A new study was conducted in January 2013 and 70 men that suffer from Peyronie's disease were put into two treatment groups. Those in the first group were given vitamin E and other substances to help treat Peyronie's disorder. One substance they were given is called Verapamil and this is used to dissolve plaque buildup.

They were also given some drugs to treat inflamation as well as pain. Those in group 2 are given the drugs but they were not given any of vitamin E. They took part in this program for around six months. They went through a pain evaluation, ultrasound of the penis, and an IIEF or International Index of Erectile Function Study.
The reduction of plaque build-up in group one was 50.2% and in the 2nd group, it was reduced by 35.8%. In group one 96.6% of the men had an improvement in their penis curvature while just 48.4% of those in group 2 had improved penis curvature. In group 1 IIEF scores improved by a great margin. In group 2 there was an increase in the plaque size.
The researchers indicated after this study that vitamin D can be helpful to treat Peyronie's disease and helped stop the progression of the disease. The researchers indicate that using vitamin E along with other approaches can help to treat this condition. There are other treatment options such as electrical shock wave therapy, penile extenders, vacuum pumps, injection therapy, and surgery options that might be more beneficial than simply using vitamin E.

Peyronie's treatment exercises

Exercises for Peyronie's Disease Treatment
Exercises for Peyronie's Disease Treatment
A proper exercise regime can be beneficial in helping those that suffered from Peyronie's disease. Any exercise that you conduct is going to help you stay healthy and can benefit you in reducing pain or other issues with the condition.
There are several treatment exercises that you can do to the penis that can help reduce pain and other issues that you suffer from are indicated below.
It's important to speak to your healthcare provider before you do these Peyronie's treatment exercises because you don't know which ones may be beneficial or if they will help you with your individual condition.

Penis Stretching Exercise Number One

You need to grasp your penis behind the head of the penis. You then pull it straight out from your body and hold the stretch for 15 seconds and then return it to a relaxed position. You then need to do this in various directions such as down, up, to the left, and to the right. You need to hold each of these positions for 15 seconds.

Once these Peyronie's treatment exercises have been done you need to massage your penis until you get an erection. You need to grab the bass of the penis with the forefinger and the thumb and form a circle like the okay sign. You need to apply pressure and milk the penis with the hand from the base of it to the glands and then repeat this 10 times.

Penis Stretching Exercise Number Two

You need to apply lubricating oil to the penis and massage this until you have a semi-erection. You need to grasp the penis at the base with the forefinger and thumb to form the okay sign. Apply a bit of moderate pressure to the penis with the fingers. Slide two fingers down the shaft of the penis and keep enough pressure until the head of the penis swells with blood.

When you get near the head you need to grasp the base with the forefinger and the thumb of your opposite hand and slide down towards the glans area. You need to continue the motion using both of your hands. You should do 100 repetitions of these Peyronie's treatment exercises in the beginning and then work up to two hundred repetitions. You need to stop the exercise if you feel like you need to ejaculate.

Penis Stretch Number Three

You need to use your hand and grasp the flaccid penis at the head and apply enough pressure that you can hold it to allow blood flow. You need to pull it outward and stretch far as you can. You need to hold this stretch for around three to five minutes.

After you do this you need to rest for about 1 minute and then repeat this Peyronie's treatment exercise. The next time you do it you need to pull it down, up, to the left, and to the right, then repeat the entire process.

Peyronie's Disease Surgery

Surgery for Peyronie's Disease Treatment
Surgery for Peyronie's Disease Treatment
Surgery is usually the last option when it comes to Peyronie's disease but it can be beneficial in some cases. Here are some of the surgical options that are commonly performed for this disease.

Tunica Albuginea Plication

There is a thin layer of tissue which envelops a portion of the penis called the corpora cavernosa and we refer to this area as tunica albuginea.
The cavernous area is spongy tissue and this area fills with blood when the male has an erection.
The plaque will form inside of the tunica albuginea area. The surgeon will straighten the penis by taking portions of the tunica albuginea and folding this on the opposite side of the penis curvature. In some cases, the portions will be removed. The area is then stitched and this keeps the penis straight.

Grafting and Plaque Incision

If the condition is quite severe then this Peyronie's disease surgery is sometimes performed. To make the penis straight again a surgeon will cut into the plaque deposits and then fill this space with a graft of skin tissue. The graft may come from another human being or an animal.


The implant is essentially a penile prosthesis. if a male suffers from erectile dysfunction as well as Peyronie's disorder they may decide to have a penile prosthesis or implant inserted. This procedure will remove the corpora cavernosa area and put implant cylinders in this area which straightens out the penis.
A pump and a reservoir of fluid may also be placed in the scrotum area which is used to inflate the penile implant. Whenever a man wants an erection they simply activate the pump and this will re-release some fluid from the reservoir area to the cylinders. When the man doesn't want the erection anymore the fluid flows back into the reservoir area.

Complications and side effects of Peyronie's disease surgery

The type of Peyronie's disease surgery that is done will all depend upon the anatomy of the man and the type of disease that they have. There could be a loss of penile sensitivity or some shortening of the penis after the procedures are performed. Complications can include penile pain as well as erectile dysfunction in some cases.

Penile Injections

Injections for Peyronie's Disease Treatment
Injections for Peyronie's Disease Treatment
In some cases, medication can be injected into the penis which can help treat the penis curvature. This medication will be injected into the plaque area. Two substances that are often used are interferon and Verapamil. This helps stop the development of collagen in the penis as this protein is what makes up the plaque. They can also help to make the plaque smaller.
There is an indication however from reports that these two injection therapies are not as beneficial as some other non surgical treatments for Peyronie's disease.
The FDA or the US Food and Drug Administration approved an injectable medication for Peyronie's disease in December 2013 which is called Xiaflex. This drug gained approval to treat Peyronie's illness. This medication is given in a treatment course that lasts for four cycles by your healthcare provider. It has shown some promise in treating penis curvature.

Another option that is sometimes used is hyaluronic acid. It was found that it helps to reduce inflammation in the penile area. Men that went to a study in 2016 as reported in the Journal of Sexual Medicine, said that those that received this acid injection once a week over a period of 10 weeks had plaque size that decreased in around half of the men that took part in the study.

The penile curvature was also reduced by around 10 degrees in many of the individuals. The men also indicated they had improved sexual satisfaction and a better erection.

Penile Traction Device

Device for Peyronie's Disease Treatment
Device for Peyronie's Disease Treatment
Traction devices are now often used to treat penis curvature. These devices are referred to as a penis extender because they are used to stretch the penis to gain more length in the penis over time.

This penile traction device for Peyronie's disease needs to be worn around 6 to 9 hours each day and they can help to straighten in the penis. The device will work very effectively if it is worn for an extended time period.
It can be somewhat cumbersome to wear but it is often considered to be the best option to treat Peyronie's disease.
Penile traction device for Peyronie's disease is clinically proven to be beneficial for most individuals. Lots of clinical trials have been done to confirm the effectiveness of traction devices to treat penis curvature.

Summary: find the best treatment for Peyronie's disease after 40

These are some of the most known and reliable Peyronie's disease treatment options. What is the best treatment for Peyronie's disease? This is a complicated issue that needs to be addressed by a healthcare provider. In addition to the surgery, there are also options for non surgical treatment for Peyronie's disease and some may work better than others for your individual issue.

However, it should be noted that penile traction device received numerous approvals in the latest clinical studies and is now recommended as the best treatment option for Peyronie's disease by most healthcare experts.

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