Medication and Surgery Options for Peyronie’s Disease Treatment

Peyronie’s disease refers to the disorder, where scar tissues i.e. plaque formed inside the penis of a man i.e. the organ used for sex and urination. The buildup of plaque takes place within the tissues of an elastic and thick membrane referred as tunica albuginea. Bottom or top of one’s penis is the common area associated with the buildup of plaque and it results in bending or curving of the penis and in turn, causes painful erections.

When Treatment Becomes Essential

Curves and bends make sexual intercourse difficult, painful or in some cases impossible. Moreover, Peyronie’s disease starts with swelling or inflammation, which later on, results in hard scars. In this situation, you have to consult with an expert andrologist and reconstructive urologist to get proper treatment based on your present condition.

Treatment Options Available to Cure the Problem

Observation Only Method

Your consulted andrologist and reconstructive urologist will recommend for the observation only method if-
• Penis curvature is not severe
• You have erections with mild or without any pain
• You have proper erectile function

Medication

Experts associated with peyronie’s disease treatment – infertility treatment recommend you various oral medications to treat your infertility condition. However, the most common medicine to cure the peyronie’s disease is Pentoxifylline, an oral medicine, which you have to take many months to reduce the formed scar tissues across the penile area. In some cases, doctors may inject the drug directly into the patient’s penis to reduce pain and curvature related to the disease.

Surgery Treatment

Doctors involved in peyronie’s disease treatment – infertility treatment recommend for surgery when your penis deformity reaches to the severe level. However, surgery type depends on individual condition, as the doctor considers the location of the plaque buildup, severity of one’s symptoms and related factors.

Suturing or Plication of Unaffected Penis Side

Surgeons opt for different procedures to plicate or suture the long side of one’s penis i.e. the side, which does not possess scar tissues. In this way, surgery makes the penis straight even though the procedure remains confined to relatively less curvature and leads to penile shortening largely.

Excision/Incision and Grafting Method

With the combination of excision/incision and grafting surgery, andrologist and reconstructive urologist create cuts in the penis’ scar tissue to allow the sheath in stretching out and straightening of your penis. Even your surgeon may remove a few of the scar tissues. Later one, doctors sew a graft i.e. a piece of tissue taken from any other part of your body to cover holes present in tunica albuginea.

Penile Implantation

Third and the last surgical method related to peyronie’s disease treatment – infertility treatment is penile implantation, where doctors insert penile implants surgically to replace spongy and scar tissues filling with blood while your erection. Implants are of semi-rigid i.e. able to bent down and up manually to involve in sexual intercourse. Alternatively, your doctor may inflate the penile implant by using a pump in your scrotum.

Reasons to Make Surgery as Effective Hypospadias Treatments

Effective Hypospadias Treatments refers to congenital condition i.e. a birth defect, where the urethra opening remains on the underside of one’s penis instead of staying at the tip. Urethra implies a tube, from where urine drains from the bladder and exits the body. The problem is common among male child and does not create any difficulty in caring for the infant. Surgery performed by a good urologist in Delhi often restores the regular appearance of the infant/child penis. With proper treatment, a majority of males have experienced their normal urination as well as reproduction.

Symptoms of Effective Hypospadias Treatments

If your baby boy experiences either of the following symptoms, you should immediately consult with your doctor and a reputed urologist in Delhi or in any other area.

    • Urethra opening at any location other than the penis tip
    • Chordee i.e. downward curve of the infant’s penis
    • Penis’ hooded appearance due to covering of penis’ only top half with foreskin
    • Abnormal spraying at the time of urination

Treatment to Cure Effective Hypospadias Treatments

Surgery to Treat Effective Hypospadias Treatments in Boys

In most of the cases, hypospadias stay in minor form and hence, do not require any surgery. However, treatment in this case often involves surgery to reposition the opening of one’s urethra and if required, straightening of the penis shaft. Urologist in Delhi or in any other Indian city does the surgery of patients after 1-year age.

Moreover, experts associated with hypospadias treatments and epispadias have come up with many latest and improved surgical methods to allow surgeons to perform the operation at the earliest possible age. In this way, surgery prevents most of the emotional and mental problems, which boys with hypospadias problem may often develop.

Main Objective of the Surgery

The main objective of hypospadias surgery is to correct the penis curvature and to place the urethra opening in its right place. Babies suffering from hypospadias do not require any

circumcision. Instead, extra skin from their foreskin helps surgeons to increase the urethra’s length or rebuild it.

Surgical Procedure

Surgery associated with hypospadias treatments and epispadias takes place when the baby boy remains under general anesthesia. Baby in this case requires multiple surgeries in case the urologist has to straighten the penis before fixing the position of the urethra. After surgery, you may take the baby back to home on the same day. However, once the surgery completes, baby requires a small catheter tube to pass urine. Catheter will remain in its place from 3to4 days to up to 2 weeks. In addition, your doctor will prescribe certain antibiotics to avoid or reduce the risk related to any infection and pain drugs to deal with any type of discomfort.

Surgery Outcomes

Surgery related to hypospadias treatments and epispadias has proved to be successful largely. Many times, the penis appears normal post surgery and boys have their normal urination and
normal reproduction in the later years. In some cases, fistula i.e. a small hole develops beneath the penis, a new urinary channel forms and leads to urine leakage. Moreover, boys rarely experience any problem related to scarring or healing of wounds. However, if your baby boy experiences either of the mentioned problems, doctors perform another surgery for its repair.

Dr. Gautam Banga