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Peyronie’s Disease Treatment UK

Peyronies disease treatment (UK) is one of the specialised services offered by our experts doctors at Elite Aesthetics, which covers areas including in Kent, Essex & London, and the surrounding towns. Peyronie’s disease is an illness that affects the penis and typically results in painful erections, lumps in the penis, and a bend in the erection. This ailment is also known as peyronie’s syndrome.

It is neither a malignant (cancerous) disorder, nor is it one that threatens a pe”rson’s life, despite the fact that it can progress over time.

What are the factors that lead to Peyronie’s disease?

The reason behind this is not completely understood. Even though the majority of men who have Peyronie’s disease cannot remember having any kind of injury to their penis, one possible explanation is that it is an uncommon reaction to the injury. However, during penetrative sexual activity, the penis is subjected to varied degrees of stress and strain, and these relatively minor injuries may result in some men getting the condition.

Who develops Peyronie’s disease?

Approximately one guy in one hundred is diagnosed with the condition, and the number could even be higher. Although it is more common among elderly men, anyone of any age can be afflicted by it. The reason why some men get Peyronie’s disease while others do not is known, it seems to be a matter of chance.

What symptoms does the condition cause?

The symptoms of Peyronie’s disease might vary from patient to patient, but the majority of the time, the first thing a man notices is either painful erections or a bend in the erection, or both. Sometimes they find lumps in the shaft of the penis, even though these lumps might not be immediately noticeable at first. The symptoms may appear all of a sudden or develop gradually.

The symptoms will typically develop worse over the course of a few months, but eventually they will stop getting worse. The progression of the disease typically slows or stops between the ages of 6 and 18 months, however this might vary greatly from case to case. The disease may continue to worsen without stopping in a select few sad individuals, however this is an extremely unusual occurrence.

The erections will no longer be uncomfortable if the disease is halted in its progression. It’s possible that the lumps in your penis will get more noticeable and firmer, while the bend in your erection will cease getting worse. There are occasions when the bent really becomes better, however sadly this occurs very infrequently.

What is the cause of the bend?

The corpora cavernosa, sometimes referred to more colloquially as the erectile tissue, make up the majority of the penis. These large bundles of blood channels, also known as sinusoids, are what give the penis its name. These are found all the way along the length of the penis and have the appearance of an extremely fine honeycomb on the inside. When the penis is relaxed and flaccid, the vas deferens are empty. Large amounts of blood flow into the erectile tissue of a man when he gets an erection. This fills the blood channels, which results in an increase in penile size and provides the penis its stiffness.

The fibrous lumps that are characteristic of Peyronie’s disease obstruct a portion of the erectile tissue, which stops the affected area from growing. The remainder of the penis is free to enlarge, which results in the erection becoming curved, with the lump located at the highest point of the curve.

Because the lumps are most frequently found on the upper surface of the penis, the bend is typically in a direction that is upwards, toward the stomach. However, the bend may also be in a direction that is sideways or downwards.

Does Peyronie’s illness induce impotence?

Impotence can be defined as the absence of rigid erections or the inability to keep a hard erection going for an extended period of time. It is possible that men who suffer from Peyronie’s disease are more prone to have erections that are more flexible, but the connection between the two is not entirely conclusive. Peyronie’s disease and impotence are both illnesses that are more frequent in older men; therefore, any impotence that is connected with Peyronie’s disease may simply be a natural part of the ageing process. Impotence can also be caused by psychological factors, which is especially likely if the erection is uncomfortable, or if sexual activity is difficult or impossible due of the bend in the penile canal. However, there are instances in which the level of fibrosis in the penis is so high that blood cannot pass through the fibrotic region and reach the tip of the penis. In situations like these, the base of the penis might be hard, but the tip might be loose.

How is Peyronies disease treated?

At Elite Aesthetics, we use the latest pioneering techniques to treat Peyronie’s disease called the P Shot. The treatment involves taking some of your blood and extracting and concentrating the plasma using our FDA approved centrifuge. The doctor will then numb the area being treated before injecting the concentrated growth serum back in to the affected areas.

Below are more details on Peyronie’s.

How exactly does the penis function?

Your penis serves two purposes, one of which is to transport urine, and the other is to transport sperm. There are three tubes inside of it: the urethra, which carries urine from the bladder through the penis, and two tubes called the corpora cavernosa, which fill with blood to make the penis erect. The urethra is the tube that carries urine from the bladder through the penis. The tough tunica albuginea sheath, also known as the albuginea tunica, encases all three components together. If you are having sexual activity, the blood that is flowing to your penis will cause it to become straight, stiff, and hard, which will allow it to penetrate. After an orgasm, the sperm will leave the body through the urethra. Ejaculation is the term used to describe this process.

The size and shape of the penis are changed by Peyronie’s disease, but urination and ejaculating are unaffected by the condition.

How does Peyronie’s disease progress through its stages?

There are two stages of Peyronie’s disease: the acute stage and the chronic stage.

The acute stage is characterised by a duration of between six and twelve months. During this time period, the scar will form underneath the skin of your penis, which may result in a curvature or other change in the shape of your penis. It’s possible that you’ll feel pain either when your penis is upright or when it’s relaxed.

The scar has stopped growing at this point, so the curvature in the penis does not get any worse. This phase is known as the chronic phase. In most cases, the pain will have subsided by this point; however, it is possible for it to persist, particularly in the case of erections. It is also possible to develop erectile dysfunction (ED), which refers to problems getting or keeping the penis hard.

What sets Peyronie’s disease apart from penile curvature and vice versa?

One form of penile curvature that can affect adults is called Peyronie’s disease. Penile curvature that is present at birth is known as congenital curvature or chordee, and it can be present in some men from birth. It is not due to the formation of scar tissue, nor does the condition worsen with the passage of time. It’s possible that it won’t become obvious until after a man has gone through puberty and started having more consistent erections.

Who is likely to get Peyronie’s disease? What are the potential dangers involved?

Your chances of developing Peyronie’s disease may be increased by a number of factors, including the following:

Age. Peyronie’s disease is more likely to happen as you get older. It affects somewhere between 10 and 15 percent of men in their middle years.

Genetics. You are at a greater risk of contracting the disease if a member of your immediate family (such as your brother or father, for example) also has it.

Connective tissue disorders. Those who suffer from a disorder of the connective tissue are at a greater risk. Scleroderma, plantar fasciitis, and Dupuytren’s disease are a few examples of the conditions that fall under this category.

Dysfunction of the erection (ED) Peyronie’s disease is four to five times more likely to develop in men who have diabetes-associated erectile dysfunction (ED) (impotence/difficulty getting and keeping an erection). ED refers to impotence and difficulty getting and maintaining an erection. Peyronie’s disease can occasionally be the root cause of erectile dysfunction in men.

Prostate cancer. Men who have previously undergone treatment for prostate cancer, specifically surgery, have an increased risk.

Autoimmune disorders. If you have an autoimmune disorder like lupus, you’re more likely to get Peyronie’s disease.

How common is the condition known as Peyronie’s disease?

Peyronie’s disease affects an estimated up to 10% of men between the ages of 40 and 70, according to estimates provided by various experts. It has been witnessed in other ages, albeit on a much more infrequent basis. There is a theory that the actual number may be higher because some men choose not to discuss the disease with their healthcare provider, and other men may not be bothered enough to seek medical care because they do not believe they have a problem with it. If you are concerned about your sexual health, you should make an appointment with a healthcare provider as soon as possible to discuss your symptoms.

Does Peyronie’s disease hurt?

Peyronie’s disease does sometimes cause excruciating pain. The acute (early) phase of the disease is the time when this occurs most frequently. Nevertheless, even in the chronic phase, one may continue to experience pain with erections. The degree to which it affects each individual varies considerably.

Is it true that Peyronie’s disease causes a shortened penis?

Yes. Peyronie’s disease can cause your penis to become shorter. Peyronie’s disease treatments may involve an attempt to restore length in the urethra.

Does Peyronie’s disease cause erectile dysfunction (ED)?

Peyronie’s disease can cause erectile dysfunction by interfering with the normal blood-trapping valves that are essential for achieving and maintaining an erection. This can make it difficult to get an erection or keep one going.

Is Peyronie’s disease contagious?

No. Peyronie’s disease is not contagious and is not brought on by any other condition.

If I have Peyronie’s disease, will I be unable to have sexual relations?

You are able to have sexual activity, but it may be uncomfortable or challenging for either you or your partner. When the curve is more pronounced, it is more challenging to engage in sexual activity.

What are the factors that lead to Peyronie’s disease?

It is not always possible to determine what causes Peyronie’s disease. Some researchers are of the opinion that the scar develops as a result of an injury or abnormal bending of the erect penis, which typically takes place during sexual activity. On the other hand, eighty percent of men can’t pinpoint a particular event as the cause of the changes in their penis. These alterations are probably the result of minor injuries that go unrecognised as a result of regular sexual contact. In comparison to men who do not develop this condition, those who do have Peyronie’s disease run a greater risk of having an excessive amount of scar tissue form in response to these relatively minor injuries.

You have a greater chance of contracting the disease if a member of your immediate family already suffers from it. Peyronie’s disease does not develop in every man who sustains an injury; therefore, the condition is most likely caused by either genetics or the environment. If you have certain connective tissue disorders, you also have a higher risk of developing this condition.

Peyronie’s disease has also been associated with a number of different health problems. It is unknown whether they are the cause of Peyronie’s disease or whether they occur concurrently with it:

  • High blood sugar
  • Pelvic trauma
  • Challenges with the healing of wounds
  • Smoking tobacco products

What signs and symptoms are associated with Peyronie’s disease? What indications are there?

Curvature in the penis is the primary indication that Peyronie’s disease is present. Scar tissue, also known as a plaque, can sometimes be felt under the skin of the penis. Because of the following signs, it’s possible that you’ll be able to tell that the plaque is beginning to form:

  • Your penis is curved or bent inward
  • Your shaft has become indented or hourglass-shaped, and there has been a loss of girth
  • Your penis has a number of lumps in it
  • Erections are painful
  • The erections are not very strong
  • Because of the bend, sexual activity can be challenging
  • Your penis is much more diminutive

It is possible for the symptoms of Peyronie’s disease to develop gradually or appear seemingly out of nowhere. Ibuprofen and other pain relievers can be used if necessary in cases where the discomfort caused by Peyronie’s disease is too severe to be managed with rest and relaxation alone. In the vast majority of cases, the pain will lessen over time; however, the bend in the penis that is associated with the scar can continue to be a problem. If the curve is severe enough, for example if it is greater than 30 degrees, it may become problematic for sexual activity.

A man who suffers from Peyronie’s disease might also observe an impact on his mental health as a result of the condition. Problems with one’s body image, anxiety, and even depression have been linked to changes in the penis. It is possible for it to put stress on a relationship as well as other aspects of life.

Your sexual health should be given the same priority as the rest of your overall health. Have a discussion about your worries with the healthcare provider who is treating you. Bringing your partner with you to the visit is one way to increase the likelihood that their concerns, as well as yours, will be addressed.

Can Peyronie’s disease may be made worse by certain foods; conversely, it may be helped by others?

No. There is currently no evidence to support the hypothesis that the food or drink a person consumes can influence Peyronie’s disease.

How long does Peyronie’s disease last?

Peyronie’s disease is almost always a condition that cannot be cured. Peyronie’s disease in its purest form rarely improves on its own, but symptoms can occasionally shift in response to additional trauma even years after a diagnosis has been made. Alterations in the penis can almost always be improved with the help of one of several treatments.

Can Peyronie’s disease cause cancer?

No. Peyronie’s disease does not progress into cancer and does not cause cancer to develop.

Is it possible for Peyronie’s disease to lead to infertility?

No. Plaque that develops just under the surface of the penis’s skin is what gives rise to Peyronie’s disease. Although it causes the penis to become curved, it does not interfere with fertility. Additionally, it does not result in any difficulties when urinating or ejaculating.

Is it possible for Peyronie’s disease to lead to blood in the urine?

No. There is no correlation between having Peyronie’s disease and having blood in your urine.

Can Peyronie’s disease kill you?

No. The symptoms of Peyronie’s disease include a change in the size and shape of the penis, but the disease itself is not fatal and does not impact any other parts of the body.

Peyronie’s disease has been linked to urinary issues; is this true?

No. Peyronie’s disease does not cause urinary problems as one of its symptoms. Be sure to let your healthcare provider know about any symptoms you’re experiencing if you’re having issues with your urinary system.

Is there a genetic component to Peyronie’s disease?

The experts believe that it is likely that some cases of Peyronie’s disease are caused by a genetic component. If a member of your immediate family already suffers from the illness, you may also contract it.

How exactly does one go about diagnosing Peyronie’s disease?

Your healthcare provider will inquire about anything that may have occurred in the time leading up to the onset of the symptoms, such as an injury. Even though it is sometimes necessary to perform the examination with your penis in an upright position, they will feel the thickened tissue that has been caused by the disease. In the event that it is necessary, an injection will be used to temporarily erect your penis in order to complete the examination.

It’s possible that your healthcare provider will suggest getting an ultrasound. The ultrasound will demonstrate how the blood flows in your penis, as well as check for calcium buildup and show where the plaque is located. With the help of this test, your doctor will be able to determine which of the available treatment options would be most appropriate for you.

In order to diagnose Peyronie’s disease, what kinds of questions might my healthcare provider ask?

  • How long have you been aware that your penis has a curve to it?
  • Have you lost any length, and if so, by what percentage?
  • Is it hard to have sexual encounters?
  • In what direction does your penis bend, and approximately how many degrees does it do so?
  • Are you experiencing any pain right now or while you’re having sex?
  • Does your partner have pain during sex?
  • How hard are your erections when they’re working? Do you suffer from erectile dysfunction, also known as ED?
  • Peyronie’s disease or Dupuytren’s contracture: does anyone in your family suffer from either of these conditions?
  • What kinds of medications do you typically take?
  • Do you suffer from any other diseases or medical conditions, such as diabetes or an autoimmune disorder, for example?

THE MANAGEMENT AS WELL AS THE TREATMENT OF PERONIE

Management and treatment of Peyronie’s disease

How is the condition known as Peyronie’s disease treated?

It’s possible that you won’t need any treatment at all if you have very little penis curvature, no pain, and no issues with having sexual relations. There are cases of Peyronie’s disease that resolve themselves without medical intervention. Have a discussion with your primary care physician about the treatment options that are appropriate for you.

Is it possible to find a treatment for Peyronie’s disease?

There is currently no treatment other than the P Shot for treatment. There are always ways that these changes can be improved. There is a wide variety of treatment options available, such as stretch therapy (traction), medication, and even surgical procedures.

What treatment options exist for Peyronie’s disease that do not involve medication or surgical intervention?

In traction therapy, also known as stretch therapy, a device is used to stretch out the penis and, in some cases, even bend it in the opposite direction of its natural curvature. This encourages the scar tissue to be recycled into more normal tissue and has the potential to improve curvature, restore length lost due to Peyronie’s disease, and even improve the intensity of erections.

In order to see any results from using the device, it must be worn continuously for at least a few months. The device is worn by a good number of men while they sleep. This treatment has not been associated with any adverse effects that have persisted over time. There is a possibility that men will need to pay for the device on their own, but in most cases, insurance companies will reimburse them. The Restorex® device is the only traction device that has been given FDA approval.

Peyronie’s disease is treated by a large number of medical professionals with the help of vacuum erection devices. Traction therapy, on the other hand, has been shown to show better improvements in curvature because it causes more stretch on the scar tissue.

What kinds of medications are useful for treating Peyronie’s disease?

There are medications that are administered via injection into the penis as well as medications that are taken orally. When compared to the injections, the effectiveness of the oral medications is relatively low. It is possible to improve the curvature of the penis and break down scar tissue with injections that are given directly into the scar tissue. In the acute phase of the disease, or in men who are unsure whether or not they want surgery, medication may be used. It is unusual for a medication to cause the penis to become straight.

There is no over-the-counter medication that can treat Peyronie’s disease and promise a hundred percent success rate. Medications taken by mouth that could be of assistance include:

Medications to treat pain. Ibuprofen and other medications like it might be able to alleviate the pain and bring down the inflammation.

Tadalafil (Cialis®). The use of tadalafil on a daily basis improves blood flow in the penis and may stop the scarring from becoming more severe.

Pentoxifylline. Pentoxifylline is another blood circulation booster, but it can also cause stomach upset.

L-arginine. L-arginine is an amino acid that has been shown to increase circulation.

Colchicine. Colchicine is a medication that helps reduce swelling.

Potassium amino-benzoate (Potaba). It is possible that this vitamin B-complex will help reduce plaque size, but this will not necessarily affect the penis curve.

Injections:

Injections of collagenase (brand name: Xiaflex®). Men who have penises that are curved at an angle of more than 30 degrees but less than 90 degrees are recommended to take this medication. Scar tissue is broken down, which helps improve the curvature. This is currently the most efficient injection that can be administered, and it consists of a series of two injections per week for a total of eight weeks.

intravenous injections of interferon The protein known as interferon plays a role in reducing inflammation and scarring. In theory, it does this by producing an enzyme that slows down the rate at which scar tissue builds up.

Injections of verapamil are given. This medication can be taken orally to treat high blood pressure, but it has also been shown to be effective in the treatment of penile pain and curvature when injected directly into Peyronie’s plaque.

I’ve been diagnosed with Peyronie’s disease; should I seek treatment from a specialist?

Urologists are medical professionals who focus on the sexual health and urinary health of male patients. Urologists who have received additional training or who have experience in the fields of genital reconstruction, sexual medicine, or andrology are typically considered to be Peyronie’s disease specialists.

If I have Peyronie’s disease, is surgery an option to treat it?

Peyronie’s disease, which causes a mild curvature of the penis, does not typically require treatment in most cases. Men in the chronic phase of the condition who want the results to be the quickest possible or who want their penis to be straight may be better served by undergoing surgery to correct the issue. Only men who have Peyronie’s disease, which makes it difficult for them to have sex, are candidates for surgery. It is possible that medical professionals will ask you to delay treatment until the scar and curvature have stopped getting worse and you have experienced no pain for approximately six to twelve months. Only when the condition has progressed to the chronic stage should surgery be performed.

There are three different surgical procedures that might be able to treat your Peyronie’s disease. These surgical procedures:

Reduce the length of the penis on the side that faces away from the plaque. Either using small internal “tuck” stitches or cutting out small pieces of tissue on the outside of the curve and then sewing the remaining tissue closed is how this surgery is performed. This makes the penis straight and reduces the curvature on the outside of the curve to match the curvature on the inside of the curve. Men who have good erections and have not lost a significant amount of length as a result of their Peyronie’s disease are good candidates for this method.

Lengthen the portion of the penis that is located on the inside of the curve. This type of surgery might be the best option if the curve is extremely severe, the shaft has shrunk significantly, or the length of the bone has significantly decreased. During the procedure, the scar tissue (plaque) is cut by the surgeon, and some of the scar tissue may also be removed. After that, a patch is applied to the bare spot that was left behind (graft). There are a few distinct kinds of grafts, but the ones made from processed human or animal tissue are by far the most common. There are times when grafts can be obtained from another part of the patient’s own body. Men who have excellent erections and severe curvature but have lost a significant amount of length or who have narrowing of the shaft that interferes with function may find that this approach is beneficial.

It is possible to replace the penis with a prosthetic device. If a man has a very poor erection but still wants to have sex, this is the approach that will be most successful. During this procedure, the penis is realigned over a device known as a penile prosthesis, which is an inflatable device (or penile implant). A man can exert control over his erection by squeezing a pump that is concealed within the scrotum between the testicles. This is made possible by the implant. After the pump has been squeezed until the penis is firm, it is possible to deflate it once sexual activity has been completed. It is common practise to carry out this procedure on male patients suffering from erectile dysfunction who do not have Peyronie’s disease.

Your healthcare provider will need to perform an ultrasound examination of your penis prior to operating on you. This will determine whether or not there is erectile dysfunction as well as check the blood flow to the penis (ED). During the ultrasound, a medicine is injected into your body to temporarily induce an erection so that the doctor can determine which surgical procedure would be best for you.

Are there any negative aftereffects or potential complications associated with surgery?

Every surgical procedure comes with the possibility of some side effects, albeit a remote one. The “tuck” or shortening surgery can make the penis shorter, cause temporary changes in sensation, or occasionally lead to a knot or lump that can be felt under the skin. All of these side effects are temporary. The scar removal procedure (also known as scar lengthening) requires a longer period of recovery time. The risks are the same, with the exception of an increased possibility of deteriorated erections, which may necessitate the use of pills or a penile implant. Because of this, the surgery is only made available to men who have good erections in the first place. Additionally, there is a possibility of infection of the implant (less than 2% of the time), device malfunction (15% chance at 10 years after surgery), loss of length, and other complications following penile prosthesis surgery.

In addition to the vasectomy, what other procedures can help treat Peyronie’s disease?

Shockwave therapy is something that is recommended by some medical professionals. At this point, narrowly focused electroshock waves of relatively low intensity are applied to the plaque. The objective is to lessen your pain, which can also be achieved with medications that are available without a prescription.

No evidence has been found to support the hypothesis that shockwave therapy can help improve penile curvature. This treatment could be very pricey, and most health insurance plans do not cover it.

Prevention

What should I do to avoid getting Peyronie’s disease?

When men get older, their erections may become less rigid (firm) or it may become more difficult for them to keep their erections firm. Erections that are not as rigid are more susceptible to injury because repeated thrusting during sexual activity can cause the penis to bend, which in turn can cause pain. You and your partner can prevent this kind of injury by following a few simple safety precautions, which include the following:

If you have erectile dysfunction and sexual intercourse is either difficult or impossible for you, your healthcare provider may prescribe oral medications (such as Viagra®, Levitra®, or Cialis®) to treat your condition. As soon as you notice that your erections are becoming less forceful, the first thing you should do to protect your penile tissue from injury is to start using one of these agents.

Whenever you engage in sexual activity, you need to make sure that you use enough lubrication. If there is not sufficient lubrication provided by nature, then you should make use of a lubricant that can be purchased over the counter.

In the event that the man’s penis becomes dislodged during sexual activity, either he or his partner should use their hand to gently guide it back into place.

When engaging in sexual activity with the partner on top, care should be taken to avoid increasing the risk of the penis bending because this position increases the likelihood of it happening.

During sexual intercourse, the thrusting movements made by the man should generally be straight in and out. This is true regardless of the position they are in. It is important for him to steer clear of movements that could potentially flex or twist the penis.

Even in the absence of sexual activity, Peyronie’s disease affects a significant number of men. If you have Peyronie’s disease because it is inherited from your parents or because you have a condition such as an autoimmune disorder, there is no way that you could have avoided developing the condition.

OUTLOOK / PROGNOSIS

If I have Peyronie’s disease, what should I anticipate in terms of my sexual health?

Peyronie’s disease can cause a number of symptoms, including a painful erection, a curved or bent penis, and possibly even difficulty having sexual relations. It is essential to keep in mind that these symptoms might not remain permanent and that Peyronie’s disease does not affect the rest of the body in any negative way. It does not cause cancer. It does not have any impact on fertility. There are therapies available.

It doesn’t matter if you’ve just been given a diagnosis of Peyronie’s disease or if you’ve been living with it for a very long time; you must accept the fact that you will need to be patient. It can be very frustrating to wait for the treatments to start helping you manage your symptoms. When you have a severe case of the disease, you won’t be able to have sexual activity, which is another source of frustration on top of the pain. Discuss your symptoms and concerns with the healthcare provider who is treating you.

Is there a treatment for Peyronie’s disease?

The symptoms of Peyronie’s disease can be alleviated to some degree by using one of the many treatments that are currently available. Unfortunately, there is no treatment that can make the claim that it will cure Peyronie’s disease in every single case.

LIVING WITH

How can I ensure that I take proper care of myself?

More than seventy-five percent of men who have Peyronie’s disease say that the condition has caused them to suffer from feelings of anxiety and depression. Depression can be treated in a variety of ways. A licenced sexual therapist is the only type of professional who is adequately prepared to assist you in resolving these issues. In addition, you have the option of consulting a psychiatrist for medication and a general therapist for psychotherapy (therapy).

Peyronie’s disease has the potential to disrupt your connection with your significant other. Be open. Be honest. Talk to your partner about the things that are bothering you, and if it’s necessary, go to therapy together. Bring your partner with you to the appointment as much as possible so that the healthcare provider can address any concerns either of you may have regarding this condition.

How does my relationship get affected by having Peyronie’s disease?

Because it is possible for both partners to be affected, Peyronie’s disease is often referred to as a “couple’s disease.” Both the man who has Peyronie’s disease and his partner may experience pain as a result of curvature in the penis. It is imperative that you involve your partner in the conversation that you have with your healthcare provider in order for them to have a full understanding of how the condition is affecting both partners.

What are some of the other potential side effects of having Peyronie’s disease?

Peyronie’s disease not only leads to alterations in the penis’s physical appearance, but it can also have an impact on a person’s mental health. Concerns about one’s body image, as well as feelings of anxiety and even depression, have been linked to changes in the appearance of the penis. This has the potential to impact many facets of your life, including the relationships you have, the work you do, and others.

When should I make an appointment with my primary care physician to discuss Peyronie’s disease?

If you notice a curve in your penis, especially one that gets worse over time, you should consult a healthcare provider as soon as possible. Keep an eye out for the following symptoms, which could indicate that you have plaque accumulating under the skin of your penis:

  • Your penis is much more diminutive.
  • Your penis is curved or bent inward.
  • Your penis has a number of lumps in it.
  • Erections are painful.
  • The erections are not very strong.
  • Because of the bend, sexual activity can be challenging.
  • The penis appears to have lost some of its girth, have an indentation, or have the shape of an hourglass.

If you are experiencing any of the following symptoms in addition to those listed above, you should contact your healthcare provider as soon as possible:

  • Having difficulty urinating.
  • Bleeding from the outside in.
  • Unrelenting discomfort in the penile region
  • In regards to Peyronie’s disease, what sorts of inquiries should I make to my healthcare provider?
  • What ought I to do in the event that the bend gets worse?
  • Do you think this will go away on its own or will you need treatment for it?
  • What is the recommended frequency of my follow-up visits?
  • Which treatments do you recommend for this condition?
  • What are your thoughts on whether or not I should get surgery?
  • What kind of surgical procedure do you recommend for this condition?
  • How can I broach the subject of this illness with my significant other?

Your sexual health is very important, and it plays a role in determining the quality of your life. Discussing genital health with a partner or medical professional can be challenging and embarrassing, especially when it comes to questions about the form and dimensions of the genitalia. Having those conversations, however, is necessary if you want to see any improvement in your Peyronie’s disease. It is estimated that up to 10% of men suffer from this condition; therefore, you are not alone in having it. Never be afraid to provide your urologist or any other healthcare provider with detailed information regarding your symptoms. Be specific. Discuss the things that worry and scare you. Pay attention to what your healthcare provider has to say. Find the next step that will help you manage your Peyronie’s disease the most effectively.

peyronie's disease does it get worse

Peyronie's disease rarely goes away on its own. In most men with Peyronie's disease, the condition will remain as is or worsen. Early treatment soon after developing the condition may keep it from getting worse or even improve symptoms

how is peyronie's disease treated

P Shot is a treatment that has a good success rate for peyronie's disease

how long does it take to cure peyronie's disease

The curvature and penile shortening associated with Peyronie's disease might gradually worsen. At some point, however, the condition typically stabilizes after three to 12 months or so. Pain during erections usually improves within one to two years, but the scar tissue, penile shortening and curvature often remain

peyronie's disease treatment without surgery

The Priapus Shot is a treatment that has been successful in treating Peyronie's Disease without the need for surgery, with recovery from the treatment within 1 day.

what happens if you don't treat peyronie's disease

For most men Peyronies' stabilises after around 6-12 months and doesn't get any worse. About 20% will get a flare-up at some point leading to more pain and a more pronounced bend. About 10% of men find that things improve without any treatment at all.

peyronie's disease treatment with castor oil

Please seek a professional doctor and do not try home remedies.

treatment peyronie's disease vs normal curvature

Peyronie's disease causes the penis to become curved when it's erect. The condition mostly affects men over 40, although it can happen at any age.

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What Our Clients Say...

4.97/5 from 1229 reviews

Dr. Shirin is a fully-trained and highly-experienced aesthetic physician, who works diligently to ensure a 5 star quality service, and brings an honest and ethical approach to every one of our clients. With over 20 years of experience in the medical field, including several years as a GP and a sub-speciality in anaesthetics, Dr. Shirin is fascinated by the harmony between medicine and aesthetics, and with her expertise, Elite Aesthetics is able to offer effective, doctor-led treatments to vastly improve the lives of our clients.

To find out more about how we’ve put a smile on customers faces in the past, read our testimonials below for first-hand accounts of a variety of our treatments. You can also find out more about what we think at Elite on our blog, as well as reading more about what the press says about us. Our delighted clients hail from areas including Dartford, Gravesend, Bromley, Maidstone, Sevenoaks, and West Malling – as well as from further afield.

Had a consultation with Elite yesterday, I must say I was a bit nervous, but Charlotte was so friendly and helpful.
I was given lots of advice and was given products that were within my budget.
I was able to pick the products up with an hour, all the safety restrictions where in place and worked very well.
I was very excited to use my new skin care products.
And I was not disappointed, they were amazing and my skin felt amazing too.
I was 100% satisfied with the service I received from the moment I called Elite, every member of staff was friendly and professional.
I am looking forward to attending the clinic to have some treatments very soon.
Thank you ladies for all your help and for making me feel at ease and confident with the viviscal professional products I purchased.

AZ

Elite is an outstanding professional clinic with high standard treatments. All the staff members are friendly and offer you honest opinions when it comes to products and treatments. This is a welcoming clinic that I can 100% recommend. Treatments are spoken through and explained in detail, also aftercare. Confidential pictures are taken to review progress which is great. I have been going nearly a year now and am happy with all the treatments I’ve had, wouldn't go anywhere else. (Dermal Fillers Bromley)

HV

Charlotte was great and gave some good advice for my skin! Thank you and will definitely recommend your services now I know where you are :)

RE

A great discovery in the neighbourhood ! There is no need to go up to London for a beauty treatment of any kind. You'll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more. I love the results of the Thread Lift I had.

CS

Great service as always, skin is glowing very happy

AH

Very happy with the result of my recent visit. For sure will continue with Elite in future

AE

I have been very happy with the care and attention you have received from Dr Shirin.. I would definitely recommend Elite to my family and friends.

RM

Dr Shirins professional approach fills you with confidence. The clinic is modern and efficiently run. They certainly do their utmost to help and advise their clients. I am 100% satisfied that I made the right decision in choosing Elite Aesthetics !

SJ

thank you again for my follow up appointment to make sure i was ok and there was no life changing affects from the mess I had done else where how a midwife and beautician can inject and leave customers the way they did is unreal the mess my lips where in and the amount of lumps left was so bad and although there still not perfect Dr shirin managed to massage a lot of the lumps out so not only has she done my previous practitioners job with that but she also cares about the wellbeing of her customers I just wish I had got to Dr shirin to start with con not thank her enough

AFW

Great clinic, lovely, clean and modern. Charlotte was excellent, knowledgeable about the treatment whilst also friendly. The facial itself was very enjoyable and my skin looks and feels tighter and smoother. If highly recommend.

JR

I am 100% satisfied with my results.

SJ

friendly and professional

DL

Thank you so much! The results of my dermal fillers are amazing. At first, I was apprehensive but following my one to one consultation with you all my fears were addressed. I felt in safe hands and I am over the moon with the results I have had so far.

GP

I was so impressed with my first visit to your clinic. Not only is it very tastefully done out but also spotlessly clean. It has a great feel to it. Dr.Shirin herself is just wonderful. I have a feeling she is about to change my life forever. I’m looking forward to my next appointment.

LJ

The clinic was above & beyond what I expected. Dr Shirin is amazing, I felt totally at ease with her, she gave a thorough explanation of everything we spoke about, very professional & knowledgeable. I highly recommend this clinic..

ND

The consultant was well informed about the treatment, she was very easy to talk to .. she listened to my concerns and was able to answer my questions and she made me feel very comfortable. The environment was clean and fresh. My journey was a little long but the connections for the trains and buses were great. It was much appreciated to be given a lift back to the station and I thought that was very thoughtful. Overall it was five star treatment and I would recommend Elite Aesthetic to everyone.

GH

Inspite the discomfort of the fillers I am so pleased of the results

PJ

This was my third appointment with Shirin and as always it was first rate , professional and friendly. I can thoroughly recommend Elite Aesthetics and will continue to visit.

NB

Charlotte is absolutely fantastic at what she does. The Hydrafacials are amazing and I look forward to getting them done. I could not recommend the clinic enough and I cannot wait to try other treatments.

DM

Vary happy off for second visit to week checkup was very impressed with the outcome after looking at my photos from before and after Thanks so much

RS

Excellent services and treatments...

PA

This facial felt lovely, and my skin felt amazing afterwards. Thank you Charlotte!

LM

the appointment was for a consultation - I received excellent advice and even talked out of a treatment I was considering! Can not recommend Dr Shirin and her clinic enough

AH

Amazing beautiful clinic! shirin was amazing made me feel so at ease and such a lovely lady. Can't wait to go back

GT

Always a good experience and excellent results.

MR

I really couldn’t be happier with my result and the fantastic profession service you provide!! Happy is a understatement.

Tracie-S

Started my first treatment and given professional advice, felt I was in safe hands with the experts!

EP

Friendly professional & informative

EV

Great service and friendly staff

NU

The thought of the procedure was worst then the actual thing.Some discomfort but was over very Qwickly, was made to feel very relaxed. Everything done in a very professional manner, thank you

MW

I have been seeing Dr Shirin for about two years now. She is amazing and has transformed the way I look. People ask how it is possible that i look younger now than I did three years ago. I used to be very depressed and self conscience but now Dr Shirin has helped me rebuild my confidence in the way I look and feel and I would never go to another clinic. Thank you Elite Aesthetics ????

DR

Dr. Shirin, is very professional and clearly explains the treatment to you. I felt very relaxed and informed about my treatments. So glad I found Elite and don’t have to travel into London any more.

Z. M

They offered a lovely gift for me due to an error on the machine.

EP

Charlotte was really professional and friendly. The salon is clean and welcoming. As a competition winner I was treated the same as a paying client, with no pushy hard sell. I was informed about each process and my questions answered. After the HydraFacial my skin feels and looks wonderful. I would happily return and highly recommend the treatment, the salon and Charlotte. Thank you .

JB

Consistently professional, knowledgeable and helpful - and of course the results are fabulous. Couldn’t recommend Elite more.

CarrieW

Very friendly..... and comfortable environment... very clean and fresh room Charlotte is very friendly and caring and makes you feel very comfortable.

GH

Excellent service, prompt, professional, discreet and efficient service

SS

Very Informative, Safe Experience. I felt completely in the know about what was going to happen and Dr Shirin ensured I was comfortable throughout the whole process. Will definitely be putting all of my treatments through Dr Shirin.

DD

i had my 2nd micro-medical skin needling treatment yesterday and have to say i'm blown away by the results already! i'll be honest when Charlotte said it would be a good treatment for my enlarged pores i was a bit dubious ( having tried derma rollers before with no results and a lot of pain!) i'm so glad i listened! its slightly uncomfortable but manageable and well worth it!! thank you Charlotte - cant wait for my third treatment!

AH

I have had the plex done on my eyes and I am so pleased with the amazing results! I had all 3 treatments now and feel 10 years younger!! I would like to say a massive thank-you to Dr Shirin . She made my visit to the clinic comfortable..She is a true professional and a lovely lady!! I am now on the ZO skin treatment can't wait for the results!!

CD

I have just had one Hydrafacial treatment from the clinic but, have booked a 12 month package as I am already happy with the treatment. I have purchased recommended products from the clinic and have been using them as discussed with the clinician, although pricier than my normal products I am so far happy with the results on my face. I am about to have a few procedures with Dr Shirin so I don't know what the results are as yet, but I am feeling confident after Dr Shirins consultation.

MT

I had my consultation with Dr Shirin this week she has recommended having Hydrafacial treatments to improve the texture and thinning of my skin, I have booked these on her recommendation. She has also suggested further procedures to give some fullness to my face and improve deep lines. I was very happy with the consultation and was comfortable with Dr Shirin.

MT

Very easy and quick service

ChristinaH

Always professional and helpful

MargaretR

Very friendly, knowledgeable and professional. Immaculate clinic.

KeithL

Dr Shirin is a genuinely kind, direct and very informative person. She knows how to make you feel totally relax and at ease. Her approach and her treatment has definitely increased my confidence in her work and in myself and has improved my lifestyle. It’s great to know that someone of her expertise is easily accessible to everyone.

AnielleR

I think I actually skipped out of the clinic ! So happy with my results no bruising- minimal swelling and so natural and subtle ! So relived to have my face in the hands of someone I can trust- who is in it for genuine amazing results rather than the hard sell! Dr Shirin your amazing !!

Beatrice

Absolutely love everything about Dr Shirin, Charlotte and Elite Aesthetics - I have no reason (or desire) to go anywhere else!

GailM

I had Anti Wrinkle and cheek fillers, I need a little more in the cheeks but would only use maybe 1/4 of the product, I was kindly advised to wait until my next treatment rather than waste money or look over done. Excellent advice, she truly cares about you, rather than making money. My look is very natural, I don’t looked over done and I have many comments about how well I look

LizaS

Very happy with my treatment. Dr Shirin, her staff and the Elite Clinic are extremely professional in all aspects including the aftercare service. I wouldn’t go anywhere else now and highly recommend them.

KatieJ

Had the tear trough treatment yesterday and am absolutely thrilled with first day results and looking forward to the next few weeks as it settles in. I had a very deep hollow under one eye that is no longer there at all! I am a bit of a wimp with needles but Dr Shirin is so calm and professional and explains everything as she goes along, that it was a completely comfortable experience for me. I have only recently discovered Elite and am so glad I have - a lovely clinic manned by a fantastic team - thank you!

Shirley

Friendly, very competent, knowledgeable, and extremely helpful. Addressed my situation and needs very quickly. Appointment booked.

DavidM

Every time I visit the clinic it is a pleasure you are made to feel comfortable love my visits

JoanC

Great service very professional. Am really pleased with the results!

Mrs Higgs

Very friendly and professional. A relaxing environment with time for explanation and discussion. Very caring, treatment went smoothly. Highly recommended.

DavidM

I have always been treated excellently by true professionals with their 'state of the art' skin care. The results are truly incredible. I would wholeheartedly recommend Elite to everyone.

SueB

As always lovely experience at Elite If you want a professional service in a lovely clean environment then I recommend you give Elite a try. Having done vast research before having any treatments I chose Elite and have not looked back.

MaryT

Every time I visit Elite I have a wonderful experience. They are so friendly and welcoming and make you immediately feel comfortable. What sets them apart is that they go that extra mile - absolute dream team, also Charlotte is a magician! Cannot wait for my next treatment.

DebbieM

I have have had 3 treatments and each time I have had fantastic service. Dr Shirin Lakhani is lovely and very professional I have recommended you to all my friends.

SandraN

I’m not a confident person so I was nervous about my consultation but I didn’t need to be, Dr Shirin was honest and very informative. I didn’t feel rushed at all and she made sure we had covered all areas of concern. Very professional clinic, I will be returning for treatment

VerityS

Very professional everything was explained about the procedure very well. Had a very excellent experience.

ChloeB

Thoroughly enjoyed my experience at elite aesthetics. Initially I was was nervous but all the staff were really polite and kind and I was soon at ease. Dr shirin explained the whole procedure throughly making sure I understood and was most professional. I fully recommend having treatment at elite aesthetics.

JoleenW

Dr Shirin is very passionate about helping you achieve your goal and supports you every step of the way. Refreshing to spend time talking to a Dr that listens. Great service and team are lovely. Thank you.

GeorginaM

I was very impressed with a professionalism and a patient care right from the beginning when I walked in to the clinic. I had a LED facial treatment and it was absolutely great. I will definitely be back soon!

BlankaH

Such a fantastic clinic. Professional, discreet, welcoming and reassuring. Always feel my best interests are at the heart of their advice and treatment plan options.

RachaelF

Just wanted to say I am really pleased with the outcome of my treatment and especially with my lips. There was no adverse swelling at all. I never thought I would like my lips done but will definitely do it again. I will come to you again (all the way from Norwich) as I like the results. Thanks again

Ms BC, Norwich

I was recommended to Shirin by a friend. We spoke in great depth about which treatment would be best suited for me. I decided that cheek filler would give me the result I required and I couldn’t be happier – fantastic! My cheeks are fuller and it has made a difference to my appearance without being over the top. I have recommended Shirin to my friends. I will be back…Thank you once again.

Ms KH, Dartford, Kent

I felt completely safe in professional hands and I look amazing too. Great before and after care. Definitely having more!

Mrs JH, Gravesend, Kent

I have had two cosmetic procedures from Dr Shirin Lakhani, both I couldn’t be happier with! My lips have always been thin, so I spoke to Shirin in great depth about having lip filler. She put me at ease, with every question answered with great medical knowledge. Once I had my lips done, I was over the moon with the results! Wish I had found Shirin years ago! A few weeks later, I had anti-wrinkle injections, and again, very happy with top results!!! I would be more than happy to recommend Shirin to my family and friends. Top lady!

Mrs AP, Greenhithe, Kent

Dear Shirin, just wanted to let you know how happy I am with my anti-wrinkle injection treatment. From start to finish, it was very professional and I have a wrinkle free forehead. I have seen 3 other therapists in the past but you are definitely the best, so thank you so much.

Ms MC, Greenhithe, Kent

Very professional. I have always suffered with acne and acne scarring, tired and lack luster skin. Since I had Vampire therapy nearly a year ago, I have NOT had bad skin once! My skin is much plumper with less visible pores and a nice fresh sheen. What really surprised me was that I managed to get over my fear of needles – perhaps this was because it wasn’t made to feel like a hospital scenario. The vampire therapy session was a real treat – I’m so very glad I did it!

Ms DS - Dartford

I‘ve used Elite Aesthetics for over three years now and I couldn’t be happier with the results of my treatments. Dr Shirin has been nothing but honest and professional in her advice – even so far as guiding me away from treatments she doesn’t think I need. My skin has gone from tired, listless, and frankly ageing to fresh and glowing. I whole heartedly recommend Elite, and do so every time I’m asked “what do you use on your skin?”

Ms CW, Gravesend

Effective and well-priced service. I would definitely visit Shirin and the team again.

Mr RH, London

This is undoubtedly the very best aesthetic clinic I have ever been to! I have been having fillers and treatments for years and wish I had met Dr Shirin years ago, her expertise, guidance and advice is second to none. I am 37years and have now been going to Elite Aesthetics for nearly two years my treatments with Dr Shirin are so naturally done no-one ever believes me when I say I have lots of aesthetic treatments most people think I’m late 20’s and this is all down to the techniques and expertise of Dr Shirin Lakhani! I would never put my face or body in the hands of another aesthetic doctor she is the best I’ve ever met and am so grateful to her for the confidence I have regained.

Ms NI, London

I am very pleased with my plexr results from Dr Shirin, the little hook on the area just under my eyebrows has gone along with my pigmentation marks, my eyes are much tighter and all without surgery. Looking forward to my tear trough filler.

Ms BDO, Guernsey

Dr Shirin made me feel very relaxed and comfortable during my procedure and the outcome was amazing. It was only some cheek and a small amount of lip filler but I felt and looked 10 years younger. You will not find a more professional or capable doctor than Dr Shirin Lakhani.

Ms MR, Kent

So so pleased with my second microneedling treatment with Charlotte.
I felt very comfortable and relaxed considering I was nervous about having microneedling done to treat my large pores, pigmentation and uneven skin tone.
Charlotte told me step by step what she was doing and answered all of my questions.
Looking forward to my next one. Thank you my skin feels smoother already! Xx

Ms Maskell, Dartford

A great discovery in the neighbourhood! There is no need to go up to London for a beauty treatment of any kind. You’ll find a whole range of different treatments suiting all age groups and concerns. Welcoming, reassuring, friendly, professional, high tech. I shall be back for more!

J. Garza

Absolutely amazing! I’ve had a few treatments there now and each time they have been amazing. So friendly and welcoming. Can’t wait to start my next lot. See you soon ladies xx

Ms E Johns - Greenhithe

Dr. Lakhani is, without doubt, the kindest and most caring physician you could ever ask for.
She is knowledgable and would never try to push any unnecessary added extras like so many aesthetic practitioners today.
I feel completely confident when recommending her to friends and family and no one has ever been disappointed.
She is the ultimate professional. I am always thrilled with results.

S Canava, Longfield

Dr. Lakhani is, without doubt, the kindest and most caring physician you could ever ask for.
She is knowledgable and would never try to push any unnecessary added extras like so many aesthetic practitioners today.
I feel completely confident when recommending her to friends and family and no one has ever been disappointed.
She is the ultimate professional. I am always thrilled with results.

StevenR

I’ve just had my first Hydra Facial at Elite Aesthetics and amazed at the results. A few friends have commented on my skin and said I looked
refreshed. I can see a difference in my pores and my skin is just glowing. Thanks to Charlotte for recommending this treatment for me!
Charlotte explained the treatment and benefits which I saw immediately after the treatment, especially an improvement in fine lines and smoother, softer skin.
I’ve already booked in for my next treatment.

WilliamL

What I love about Dr. Shirin is she really listens to you and gives you the best advice to suit your needs and budget. Her emphasis on natural enhancement and improvements means I only want to go to her for any aesthetic treatments. I trust her. Thank you again Shirin! X

EmilyA

Great clinic, lovely, clean and modern. Charlotte was excellent, knowledgeable about the treatment whilst also friendly. The facial itself was very enjoyable and my skin looks and feels tighter and smoother. I highly recommend the Hydrafacial Treatment.

SamantaL

Dr Shirin’s professional approach fills you with confidence. The clinic is modern and efficiently run. They certainly do their utmost to help and advise their clients. I am 100% satisfied that I made the right decision in choosing Elite Aesthetics!

AnnaC
  • Accreditations
  • accreditations

We have extensive knowledge and experience in the medical and aesthetics industries, but we know that above all, the results matter! All of our treatments are vigorously tested in-house before we offer them to our clients to ensure they are safe, effective and will give you, our wonderful clients, the results you want. Your happiness, well-being and satisfaction are at the very core of everything we do here at Elite Aesthetics, and as a result we will never over-treat or carry out a procedure that Dr. Shirin, deems inappropriate or unsafe. Ethical treatment guides our practice, and we aim to become an industry leader in this respect. This means you can always feel confident that you are in safe hands when you choose Elite Aesthetics.

Our practice is led by our founder, Dr. Shirin Lakhani, who is an advocate for greater regulation in the aesthetics industry. Dr. Shirin and Elite Aesthetics believe greater regulation is vital to the development of aesthetics industry as a whole, and as such, our clinic’s philosophy is based on providing doctor-led care to the highest, medically approved standards. We adhere to stringent ethical and medical principles ensuring all the procedures we offer are safe and effective. Dr. Shirin is also fully registered with the GMC (reference number 4634863), and Elite Aesthetics is Save Face accredited, an endorsement recognised by the UK Government, The Department of Health, NHS England and the CQC (Care Quality Commission).

Elite Aesthetics has been awarded Thread Lift Certification by MINT Threads.

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Testimonials (Avg: 5 / 5) of 1229
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