Treating Penile Curvature and Peyronie's Disease
Dr. Sobel is now performing the "Single Relaxing Incision for Correction of Peyronie's Disease based on Geometrical Principles" after having been trained by Dr. Paulo H. Egydio in Sao Paulo, Brazil.
Surgery for Peyronie’s disease or congenital curvature is an option for men who have severe pain, a severely curved penis, or sexual dysfunction related to these diseases. Surgical options include incising and lengthening the shortened side of the penis or in less severe cases, shortening the unaffected side of the penis.
In some cases, a penile prosthesis may be used to maintain an erection during intercourse as well as to straighten the curvature. These prostheses are used in patients with Peyronie’s Disease who are also impotent.
Vitamin E. Treatments
Taking vitamin E orally may improve the Peyronie's disease, yet the effectiveness of vitamin E therapy has yet to be proved in controlled studies. Similar research exists on potassium aminobenzoate (Potaba), a vitamin B-complex.
Absorption through the skin is an important new method of drug delivery. In patients with Peyronie’s disease, transdermal (through the skin or iontophoretic) administration of the steroid Dexamethasone with the calcium channel blocker Verapamil has shown promising results in cases of mild to moderate (not severe) curvature of Peyronie's Disease.
Steroids such as Dexamethasone have been among the first drugs injected into penile plaque (and elsewhere in the body) to reduce fibrous tissue and pain. The use of Verapamil (a calcium channel blocker) is based on its ability to interfere with scar formation related to tissue calcium levels.