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peyronie’s disease exercise

Penile Modeling for Peyronies Disease

Penile Modeling Procedure

This section outlines the in-office penile modeling procedure, which in conjunction with Xiaflex helps relieve the curvature deformity and straighten the penile shaft. At a follow-up visit 1 to 3 days after the second injection of each treatment cycle, perform a penile modeling procedure (as described below) on the flaccid penis to stretch and elongate the treated plaque.

This section also outlines instructions to give to patients on how to perform daily, at home penile modeling activities for 5 to 6 weeks following each treatment cycle.

NOTE: Prior to administering Xiaflex and as part of every treatment- related visit, use the Patient Counseling tool, What You Need to Know About Xiaflex Treatment for Peyronie’s Disease to discuss important information with each patient.

In-Office Penile Modeling Procedure

  1. Administer suitable local anesthetic, if desired.
  2. Wearing gloves, grasp the plaque or indurated portion of the flaccid penis about 1 cm proximal and distal to the injection site. Avoid direct pressure on the injection site.
  3. Using the target plaque as a fulcrum point, use both hands to apply firm, steady pressure to elongate and stretch the plaque. The goal is to gradually create bending opposite to the patient’s penile curvature, with stretching to the point of moderate resistance.
  4. Hold pressure for 30 seconds, then release.
  5. After a 30 second rest period, repeat the modeling attempts at 30 seconds for each attempt.

At-Home Penile Modeling Activities

There are 2 types of at-home modeling activities. One is a gentle stretching activity; the other is a gentile straightening activity. Discuss with patients the best time to perform these activities. Patients will do these approximately 6 weeks after each treatment cycle.

Patients should perform the penis-stretching activity daily, three times per day, with a non-erect penis.

For the stretching activity, instruct the patient to:

  1. Grasp the tip of the penis with the fingers of one hand and hold the base of the penis with the fingers of the other.
  2. Gently pull the penis away from the body to its full length.
  3. Hold the stretch for 30 seconds.
  4. Let go and allow the penis to return to normal, unstretched length.

Patients should perform the penis straightening activity no more than once per day only if a spontaneous erection occurs. If the patient does not have a spontaneous erection, he should not attempt the penis straightening.

For the straightening activity, instruct the patient to:

  1. Gently attempt to bend the shaft of the erect penis in the opposite direction of the curve, but not so forcefully as to produce significant pain or discomfort.
  2. Hold the penis in this more straightened position for 30 seconds, then let it go.
  3. Perform this no more than once per day, if a spontaneous erection unrelated to sexual activity occurs.

Peyronie’s disease is a condition in which scar tissue causes the penis to curve. For some people, the disease can be painful and make it difficult to achieve an erection.

Not everyone with Peyronie’s disease needs treatment. In fact, the condition clears up on its own in about 20 percent of cases, according to Johns Hopkins School of Medicine.

For those with persistent symptoms, a number of treatments are available to help. Your doctor may recommend injections of certain medications into the penis or surgery to remove some plaque in more severe cases.

You may also give your condition a helping hand with certain stretches. Here’s how exercises can help Peyronie’s disease.

Can exercise help Peyronie’s disease?

Yes, certain types of exercise can help Peyronie’s disease. According to Massachusetts General Hospital, gentle stretching of the sheath can correct the curvature by breaking down some of the scar tissue.

Recent research has also shown that exercises with special devices can be effective at straightening and stretching the penis back into its normal shape and length during erection.

Here are some exercise techniques and devices sometimes used for Peyronie’s disease:

Penile traction therapy

Penile traction therapy (PTT) involves wearing a device on your penis for a certain amount of time each day to help straighten it or reverse a curve.

These devices typically consist of two parallel stabilizing rods that run alongside the shaft of the penis, connected to a plastic support ring at the base of the penis and a distal ring below the head of the penis. The rods can be extended with a spring to stretch the penis.

While research on PTT for Peyronie’s disease is limited so far, a 2019 study found that it could provide modest improvements in lengthening the penis and correcting the curve during the acute phase, as well as assist in retaining penis length for people undergoing surgery for the condition.

Vacuum erection devices

A vacuum erection device (VED) is a vacuum tube that fits over the penis like a sheath and stretches and pulls it with suction. It’s sometimes called a “penis pump.”

VEDs have a dubious history of being marketed as tools that can make the penis larger, but they may have a legitimate medical role in helping people with Peyronie’s disease.

2010 studyTrusted Source on 31 people with Peyronie’s disease found that most participants who used a VED for 10 minutes twice a day experienced improvements in penile length, curvature, and pain after 12 weeks.

However, three of the participants had their curvature worsen during that time, so it’s important to talk with a doctor about the potential risks and benefits before using a VED.

Penile modeling

Penile modeling involves manually bending the erect penis in the opposite direction of the curvature caused by Peyronie’s disease. It can be performed by a urologist at their office or by yourself at home. Typically, penile modeling is done in conjunction with collagenase injections.

Another treatment for severe Peyronie’s disease combines penile modeling with the insertion of an inflatable prosthesis in the penis through surgery.

2020 studyTrusted Source on 92 people with Peyronie’s disease found that this method led to a significant reduction in curvature for more than 85 percent of participants after 3 months, while nearly 95 percent of all participants saw results after 6 months.

You may experience some pain, bruising, or swelling from penile modeling. There’s also a risk of penile fracture and other injuries, so connect with your healthcare provider before trying penile modeling.

Massage 

Massaging the penis with a lubricant, like cocoa butter, is sometimes mentioned in studies as a potential treatment for Peyronie’s disease, but research is extremely limited.

Some urologists, such as Alex Shteynshlyuger, MD, director of urology at New York Urology Specialists, say that massage is unlikely to improve the condition.

“Massage will not help Peyronie’s disease in any form,” he said, adding that creams can’t be absorbed deep into the penis where the scar tissue from Peyronie’s disease is found. “That’s why we use injections to treat it.”

Trying to adjust your penis through massage can also lead to injury, so check with your doctor before trying it.

Takeaway

Peyronie’s disease is a curvature of the penis caused by a buildup of scar tissue. For some people, the condition clears up on its own, but treatment may be required for others.

In addition to injections and surgery, some exercises may be able to help stretch and straighten the penis. Research shows that PTT and VEDs can be effective at treating Peyronie’s disease. Penile modeling with an inflatable prosthesis may also help correct a curved penis.

Some exercises for Peyronie’s disease may cause harm, so check with your doctor before trying them.

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