Exercises for Peyronie’s Disease

Most of us understand how an erection works. You need an intact nervous system and blood vessels to increase the blood flow to the corpora cavernosa. 

But what if your corpora cavernosa is defective? What if you have a structural problem within your penis? The result could be a curved penis, and this is more common than we think.

Peyronie’s disease can affect sexual intercourse. It can make you feel insecure about yourself. It can also affect the length of your erect penis. Naturally, you would like to solve it yourself and maybe try something before asking your doctor.

That’s why we’re covering the topic and considering non surgical treatment options for Peyronie’s disease. More specifically, exercises that really work to correct the problem. Can you solve the problem on your own?

What is Peyronies disease?

The majority of men have a slight curve or inclination of the penis. However, Peyronie’s disease is a connective tissue disorder resulting in an abnormal curvature of the penis. 

The problem often causes issues during intercourse. More commonly, penile pain, erectile dysfunction, and sometimes a penile fracture

It is basically caused by the formation of scar tissue in the penis. It sometimes resolves on its own, but we can’t count on that. Most men have persistent symptoms and neglecting the problem will make it worse.

Peyronie’s disease is not the most common ailment. However, it is not rare either. According to statistics, it affects up to 3.2% of males in the United States. As we grow older, the incidence increases. It reaches 6.5% in males over 70 years old, and every country has different statistics. Thus, if you have a bent penis, it is worthwhile to ask a urologist about it (1).

Can exercises help?

Peyronie’s disease treatment depends on the severity and the patient. In some cases, penile injections can help by controlling inflammation and preventing scar formation. But, in other cases, your doctor may recommend surgery to remove the scar plaques in the penis. In mild cases, you might not need aggressive treatment. However, it is not a condition you should ignore.

According to studies, early diagnosis and treatment of Peyronie’s disease have a better prognosis. In other words, if you catch the problem in an early stage, finding a solution will be easier. 

Depending on each Peyronie’s disease case, your doctor may also recommend penile stretches and exercises. The rationale behind the recommendation is that gentle stretching will ultimately break some scar plaques after a while. As they break and dissolve, the penile curvature can correct itself.

There is research around this fact. Authors point out that penis stretching and straightening devices recover penile length and shape during an erection in Peyronie’s disease. In other words, yes. There are exercises to correct Peyronie’s disease, and they work (2).

But can you do that on your own? You need professional advice because the answer depends on the severity of your condition. After evaluating your case, the urologist may recommend one of the options described below.

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Exercises to try for Peyronie’s disease

It is essential to understand something before listing the exercises for Peyronie’s disease. This condition has an acute phase and a chronic phase. 

The acute phase is the initial stage when the penis starts to adopt a curve. The extent of this phase is variable, but it lasts up to seven months in most cases. After that, the patient enters a chronic phase in which the curvature becomes more solid and stabilizes.

Most exercises are recommended in the initial phase (acute phase). Others could be combined with other treatment techniques. 

You will see that some exercises for Peyronie’s disease require a special device, but not all of them do. You could even try some of them at home, but only after receiving proper instruction. Let’s go through each technique one by one:

Penile traction therapy

The study mentioned above was based on penile traction therapy. It involves using a device every day on your penis for a period of time. After a few weeks, you can start seeing changes in the penile curve.

Penile traction devices feature two rods connected to a support ring. The rods will be placed on the penile shaft, and the ring will be on the base of the penis. There’s also a second ring to be fixed on the glans. Both rings can be adjusted.

Research is still somewhat limited, but so far, it has no safety problems and provides improvements in penile curve and size. It is mainly recommended when Peyronie’s disease is starting, not in chronic cases. It can be recommended after surgery, too. In such cases, it will be helpful to retain penile length (3).

Vacuum erection devices

These devices are commonly used to facilitate erections in case of erectile dysfunction. They are also known as penis pumps and can be useful in Peyronie’s disease, too. 

The device consists of a vacuum tube where you’re supposed to insert your penis. After turning it on, it will create suction and stretch the penis.

If you opt for this exercise, you use this device twice a day for several weeks to get the best results. According to studies, after 12 weeks of 10 minutes twice a day, you can see some improvements in the penile curvature. 

Other symptoms may also improve, including a painful erection and pain during intercourse. As the penile curvature changes, penile length may also increase (4).

Penile modeling techniques

Even if you don’t have a device, it is possible to change the curvature of the penis. This is done through penile modeling techniques, and a urologist usually performs them. 

The objective is to bend the penis in the opposite direction of the abnormal curvature. Patients are instructed on how to do it depending on the particularities of their condition. Only then, and following instructions, they can do it at home. 

According to a very recent study, an impressive number of patients had good results after three months. If they continued with the treatment for six months, 95% of them saw a reduction in the penis curvature (5).

Penile modeling (PM) has two main variables:

PM after inflatable penile prosthesis implantation

Penile implants are prosthetic devices introduced in the penis through surgery. It solves erectile dysfunction (ED) when nothing else works out. 

Plus, it is also a treatment of Peyronie’s disease with ED. It corrects the curve of the penis while solving erectile issues. However, sometimes a penis implant is not enough to correct the problem. 

In such cases, penile modeling may correct the situation further. The doctor uses a maneuver bending the penis opposite to the curvature. You would probably require several sessions repeating the maneuver until the penis is straight (6).

PM after collagenase injections (collagenase clostridium histolyticum)

We can also combine penile modeling techniques with penile collagenase injections. Xiaflex injections contain an enzyme that breaks and dissolves the Peyronie’s plaque. 

Along with the appropriate bending movements, it could potentially improve Peyronie’s disease. You need to take the follow-up visits seriously with your urologist, though. This method may lead to urethral injury.

Penile massages

In very mild cases, a penile massage could also be helpful. These massages are performed with a lubricant to stretch the penis manually. 

If this techniques interests you, be sure to talk to your doctor before following any advice. Otherwise, you could harm yourself and cause lesions down there. Plus, we don’t know how effective it will be. 

Conclusion

In this article, we have covered the topic of Peyronie’s disease exercises and raised an initial question: Can you solve the problem on your own?

The answer depends on the phase of your condition, which can be acute or chronic. It also depends on the severity of the curvature and your treatment options. Surgical treatment is reserved for the most severe cases, and it sometimes involves placing a penile prosthesis. 

But if the penile deformity is not severe, your doctor could recommend a vacuum erection device or penile traction therapy. Be prepared to use special devices in these cases and follow your urologist’s instructions.

Penile modeling is another technique to recover the shape of your penis. However, your doctor should always guide you on this one. Otherwise, you could harm yourself. 

As for penile massages, there is not enough evidence for this technique. It is unlikely to work out but talk to your doctor to avoid causing an injury if you still want to try it.

If you follow instructions, not only you will recover your penis length and confidence. You may also prevent further damage, pain during intercourse, and maybe a penile fracture.

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Sources

  1. Ostrowski, K. A., Gannon, J. R., & Walsh, T. J. (2016). A review of the epidemiology and treatment of Peyronie’s disease. Research and reports in urology, 8, 61. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857830/
  2. Valenzuela, R., Ziegelmann, M., Tokar, S., & Hillelsohn, J. (2019). The use of penile traction therapy in the management of Peyronie’s disease: current evidence and future prospects. Therapeutic advances in urology, 11, 1756287219838139. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444402/
  3. Avant, R. A., Ziegelmann, M., Nehra, A., Alom, M., Kohler, T., & Trost, L. (2019). Penile traction therapy and vacuum erection devices in Peyronie’s disease. Sexual medicine reviews, 7(2), 338-348. https://pubmed.ncbi.nlm.nih.gov/29631979/
  4. Raheem, A. A., Garaffa, G., Raheem, T. A., Dixon, M., Kayes, A., Christopher, N., & Ralph, D. (2010). The role of vacuum pump therapy to mechanically straighten the penis in Peyronie’s disease. BJU international, 106(8), 1178. https://pubmed.ncbi.nlm.nih.gov/20438558/
  5. Moncada, I., Krishnappa, P., Ascencios, J., Lopez, I., & Martinez-Salamanca, J. I. (2020). Home modeling after penile prosthesis implantation in the management of residual curvature in Peyronie’s disease. International Journal of Impotence Research, 1-4. https://pubmed.ncbi.nlm.nih.gov/32641777/
  6. Lyons, M. D., Carson III, C. C., & Coward, R. M. (2015). Special considerations for placement of an inflatable penile prosthesis for the patient with Peyronie’s disease: techniques and patient preference. Medical Devices (Auckland, NZ), 8, 331. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4524455/
  7. El-Khatib FM, Xu P, Huynh LM, Osman MM, Jiang P, Yafi FA (2019). Manual modeling for the correction of residual curvature in Peyronie’s disease. J Vis Surg. 2019;5:66-66.

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