Exercises for Peyronie’s Disease
Can Exercises Help Peyronie’s Disease?
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.
It has been estimated that 6% to 10% of men between ages 40 and 70 have Peyronie’s disease.
PD can often self-correct or be treated with injections that dissolve scar tissue from the penis. Surgical removal of the scar tissue or correction with penile implant surgery may also be used.
Home remedies include starting supplements that may reduce the scar tissue, stretching exercises, penile massage, and traction devices. Early diagnosis of Peyronie’s disease is imperative for the most effective treatment.
This article will discuss the efficacy of penis exercises for PD treatment and the specifics of each.
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Can Exercises Help a Curved Penis?
Some exercises have been found to help with Peyronie’s disease. Research shows that penile stretching in the form of penile traction therapy (PTT) helps with penile lengthening and corrects curvature in the acute phase of PD. A gentle stretching exercise of the sheath may help break down scar tissue and ease curvature issues as well.
There are two phases of PD: the acute phase and the chronic phase. The acute phase is when plaque forms and curvature begins. This usually lasts five to seven months, but can also last as long as 18 months in rare cases. The chronic phase usually follows and is marked by a stabilization of plaque formation and curvature. Your treatment will depend on which phase your Peyronie’s disease is in.
It is absolutely vital that you do the exercises correctly to avoid further damage to the penis. Talk to your doctor or urologist to ensure you are using devices and performing exercises the right way at home.
Here are some exercise techniques and devices sometimes used for Peyronie’s disease:
Penile Modeling
Penile modeling is an option for treating a severe case of Peyronie’s disease. It’s possible in conjunction with collagenase injections. It can also take place after the surgical implantation of an inflatable penile prosthesis (IPP).
. Penile Modeling Following IPP Implantation
IPP implantation involves a surgical procedure in which a prosthetic device is inserted inside the penis. This course of action is recommended for people in the chronic stages of PD who have ED as well.
This surgical intervention can correct penile curvature and sexual dysfunction. While it is possible for prosthetic implantation alone to resolve curvature issues, most people will need additional straightening procedures during the operation, such as penile modeling.
Once the IPP is implanted, the doctor will bend the penis in the opposite direction of the curvature. This maneuver can be repeated until they remedy the curvature.
. Collagenase Injections and Penile Modeling
One office-based procedure for penile modeling is collagenase injection. Urologists will administer these injections directly into the plaque if it is palpable on exam. Studies have shown that this can help alleviate PD when used together with penile modeling in a doctor’s office and at home.
However, there is a chance that complications may occur. Urethral injury is possible during penile modeling. There are ways to avoid this complication, so penile modeling is overall a safe and effective way to treat PD.
Bruising and pain in the penis are common with penile modeling.
Stretching Exercises
. Milking
Milking, also known as jelqing, is a penis stretching exercise in which the penis is massaged to create micro-tears. Once the healing process of these micro-tears begins, the idea is that the penis can appear longer and thicker.
Research is lacking in whether it’s unsafe or effective. Generally, it is recommended to err on the side of caution and skip this technique until there is more conclusive research.
Massage
Massage could be a way to treat Peyronie’s disease. However, research that supports this as an effective method to treat PD is inconclusive.
Massaging the penis incorrectly can also lead to further damage and worsening of Peyronie’s disease. Talk to your doctor before attempting any massages as a form of treatment for Peyronie’s disease.
Penile Traction Therapy (PTT)
Penile traction therapy (PTT) is an exercise that requires wearing a device on the penis. It is intended for daily use for a designated period of time. The idea behind PTT is that it can help straighten the penis or reduce curvature.
It should be noted that there is limited data available on the efficacy of PTT in treating Peyronie’s disease. It’s unclear whether it helps straighten the penis and reverses curvature. However, a growing body of research points to it as a possible treatment for achieving these goals.
One study showed that penile traction therapy was likely helpful in lengthening the penis. However, this only applies to the acute phase. PTT’s role in the chronic phase of PD remains unclear. It should also be noted that this study looked at PTT when it’s administered before penile prosthesis insertion and after surgical correction of PD.
Vacuum Erection Devices
A vacuum erection device (VED) is another potential treatment option for Peyronie’s disease. Like PTT, it has limited data on its effectiveness, but there is growing evidence that supports it as a viable option.
A VED, also known as a penis pump, is a device in which the penis is placed in a vacuum tube. The VED then will stretch and pull the penis using suction. The device is used for men with erectile dysfunction and can also be used as a treatment for PD.
As far as the research goes, a 2020 study showed that a vacuum erection device can help reduce penis curvature associated with Peyronie’s disease. The study had 53 participants, and 23 of those men did not use a VED.
All 20 of the participants who used VED traction therapy showed a significant improvement in curvature. While the study is small, its findings show that VEDs may be a promising treatment option.
Sources:
. https://www.verywellhealth.com/peyronies-disease-exercises
. https://www.healthline.com/health/peyronies-disease/peyronies-disease-exercises