Is penile traction therapy (PTT) as good as surgery for Peyronie’s disease and making the penis longer? Or is it just not as effective as people say? People have long debated whether fixing penile curvature and lengthening the penis can avoid surgery. We'll look closely at how well PTT works, its risks, and if it's cheaper than surgery. This will help you make a smart choice about how to lengthen your penis and fix erectile dysfunction.
Post Contents
Key Takeaways
- Penile traction therapy has shown promising results in increasing penile length and correcting curvature.
- Studies have reported significant penile length improvements with consistent use of PTT devices.
- Surgical options, while often effective, come with higher risks and longer recovery periods.
- PTT offers a non-surgical alternative with potential for reduced costs and complications.
- Understanding the differences between PTT and surgery is crucial for patients with Peyronie's disease seeking the best treatment option.
One study on PTT showed men with Peyronie’s disease saw their penis length increase by 4.1 mm1. Their penile curvature also reduced by 14 degrees. Another study found using a penile traction device daily for 6 hours increased penis length by 0.8 cm1. More research showed using PTT for 4-6 hours a day significantly increased penis length. After three months, flaccid length went from 8.8 cm to 10.5 cm and stretched length from 11.5 cm to 13.2 cm1. These results support PTT as a good alternative to surgery1.
However, surgeries like penile plication and prosthetic implants have been the go-to for severe cases. They work, but they bring bigger risks and longer healing times. Studies show that after prosthetic implant surgery, the average erect penis might be 0.7 cm shorter a year later2. Also, another study revealed no big change in penis length before and after surgery, even though 72% of patients felt their penis was shorter2.
So, knowing the differences between PTT and surgery is key for men looking for the best Peyronie's disease treatment and wanting a longer penis. Choosing PTT can mean fewer risks and costs, while surgery offers proven results. Smart decisions will lead to the best results for you.
Introduction to Penile Traction Therapy (PTT)
Penile Traction Therapy (PTT) offers a non-surgical way to help with Peyronie’s disease and improve penile length. It uses devices to gently stretch the penis. This can lead to a longer penis and help straighten it.
What is Penile Traction Therapy?
PTT uses special devices like SizeGenetics and Andro-Penis for controlled stretching. Its goal is to restore penile length and correct bends in the penis. This non-surgical method is ideal for those wanting to avoid surgery.
Historical Context and Development
Mechanical traction has been around for a long time in different medical fields. It helps cells turn mechanical stress into chemical changes that support tissue growth. For Peyronie’s disease, traction helps with penile growth and fixing its shape.
Between 3.2% and 8.9% of men might have PD3,often underreported. Studies show an increase in length from 0.8 to 4.6 cm and a 13° to 50% decrease in curvature with PTT3. These results highlight the effectiveness of PTT devices.
How PTT Works
PTT devices apply a steady force that leads to cell growth and organized collagen in the penis. Studies have found that using these devices for 2 to 9 months, for 3 to 5.5 hours a day, greatly improves penile shape in PD patients3.
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Initial studies saw an average growth of 4.1 cm and a 14° curvature improvement after 3-6 months4. Adding treatments like verapamil to PTT can also boost results, fixing the curve and increasing length4.
With the FastSize Penile Extender, Andro-Penis, and SizeGenetics available, PTT has made significant strides. These devices offer a non-surgical solution for lengthening the penis and managing PD. This places PTT at the forefront of modern penile therapy.
The Surgical Options for Penile Conditions
When thinking about penile surgery, knowing the types and how well they work is key. Surgery for penile issues, like Peyronie's disease (PD), can be simple or complex. It's important to know the possible results and risks of PD surgery before deciding.
Types of Penile Surgery
There are mainly two types of penile surgery: plication and grafting. Plication sews the shorter side of the penis, quickly fixing curvature without adding tissue. On the other hand, grafting adds tissue to the shorter area, fixing more severe curves and shapes. Each method has different recovery times and results, depending on the surgery needed.
Effectiveness and Risks
About 8% to 10% of men show signs of PD, with a small number seeing improvement in the first year. Surgery can help, but weighing the benefits against the risks is important. Things like erectile dysfunction or losing penis length after surgery can greatly affect life5. Also, diabetics have a higher risk of infections after getting a penile prosthesis6. So, picking the right surgery is crucial for each person's health needs.
Recovery and Aftercare
Resting and not having sex are vital for recovery after penile surgery. Some men may find their penis shorter after surgery, impacting their mental and sexual wellness. Around 1,500 men with PD and erectile dysfunction face special recovery challenges6. Following doctor's advice carefully, especially for diabetics, helps avoid infections6. Good aftercare, like check-ups and maybe physical therapy, improves results and lowers risks of issues.
Penile Traction vs Surgery: The Main Differences
When comparing PD treatments, we see big differences between penile traction and surgery. Penile traction therapy (PTT) is a gentle, safe way to straighten the penis over time. It uses steady force to lengthen the penis and decrease its curve. This method is preferred by those hesitant about surgery. For example, Scroppo et al. found a -14 degree curvature improvement with PTT, used for four hours a day for three months7. Moncada et al. also saw a -31.2 degree change using the Penimaster PRO, for three to eight hours daily for three months7.
Surgery, on the other hand, fixes the problem quickly but has more risks. After surgery, a good number of patients need more procedures. Specifically, 10.3% of surgical patients needed another operation within a year, unlike only 4.6% treated with collagenase clostridium histolyticum (CCH)8. Also, those who had surgery usually went back for more after just 1.7 months. This is much sooner than the 7.7 months for CCH patients8.
Choosing between surgery and non-surgical solutions like PTT matters a lot. Surgery requires strict care after the operation. But, with PTT, success depends on using the device daily and sticking with it. For instance, PTT users, with devices like RestoreX, saw a -11.7 degree change in curvature. They also gained +1.5 cm in length by using it 30 to 90 minutes daily for three months7.
| Aspect | Penile Traction Therapy | Surgery |
|---|---|---|
| Approach | Noninvasive PD correction, gradual process | Invasive, immediate correction |
| Risk Profile | Low, fewer complications | Higher, significant complications |
| Effectiveness | Significant improvements in curvature (-14 to -31.2 degrees) | Immediate results but with higher risks |
| Aftercare Requirements | Daily use (4-9 hours) over several months7 | Intensive post-surgical care |
| Subsequent Procedures | Lower (4.6% within 12 months)8 | Higher (10.3% within 12 months)8 |
Ultimately, the choice between PTT and surgery boils down to personal factors and willingness to follow through with treatment. Knowing the differences and benefits of penile traction therapy versus surgery is essential. This information helps in making an educated decision on treating Peyronie's disease.
Effectiveness of Penile Traction and Surgery
The success of Penile Traction Therapy (PTT) and surgery for penile issues is clear from many studies and reviews. Each has its own benefits and some downsides. We'll look into these more closely.
Clinical Studies and Results
A study found that using a specific PTT device, men saw an average growth of 1.6 cm in six months. The control group only saw a 0.3 cm increase9. Also, 77% of those using PTT had less penile curvature9. Surgery, like plaque incision, shows success rates up to 100% for treating curvature10. Especially, it helps those with complex issues, like a dorsal bend10.
Patient Satisfaction and Outcomes
How happy patients are is key after PTT or surgery. Over half who used the RestoreX for six months were pleased with their length. This compares to a mere 11% in the control group9. Also, 87% would use it again, showing strong support for PTT9. Surgery can bring good results but might have risks, like erectile dysfunction or shorter length11. Still, many see improvement in PD curvature, which they find satisfactory10.
The table below shows findings on PTT success, surgery results, and patient happiness:
| Treatment Method | Success Rate | Patient Satisfaction (%) | Curvature Improvement |
|---|---|---|---|
| RestoreX Traction Device | 77%9 | 87% | 1.6 cm increase9 |
| Surgery (Plaque Incision and Grafting) | 87.5% to 100%10 | Variable | Significant |
| Control Group | Variable | 11% | 0.3 cm increase9 |
Surgical options often have higher success rates. However, PTT is a top choice due to its less invasive nature and good results. Knowing about both treatments helps make the best choice for your needs.
Cost-Effectiveness of Penile Traction and Surgery
Looking at the cost of PD treatments, we need to think about now and later. The price tag for using something called the RestoreX device, a type of penile traction therapy (PTT), is about $883 for each patient over ten years. This is way cheaper compared to surgery, which can hit $11,419. And there's a treatment called collagenase Clostridium histolyticum (CCH) costing a staggering $33,628 in that time12. The lower cost of devices like RestoreX highlights the savings of avoiding surgery, making PTT a popular choice.
The price at the start is only part of the story. When you look at the costs for PD treatments, keep in mind how well they work and the quality of life it brings. Surgery might work 96% of the time, but if it causes problems like erectile dysfunction, it might not be worth it. An alternative, RXPTT, might only work 48% of the time but it’s preferred in nearly half of cost-benefit analyses at $100,000 per quality life year12. That's important for patients watching their budget and treatment outcome.
Non-surgical methods stand out more when we dig into the finances. Studies show that PTT keeps its value, especially when you consider patient happiness and a less invasive approach. With Peyronie's Disease affecting up to 9% of men, it's key to have affordable and gentle treatments13. PTT not only saves money but also aims to keep quality high without losing on what matters – length and function for those dealing with PD.
Source Links
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547530/
- https://cdn.amegroups.cn/journals/amepc/files/journals/3/articles/1459/public/1459-PB5-R1.pdf
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444402/
- https://tau.amegroups.org/article/view/9817/11179
- https://www.mayoclinic.org/medical-professionals/urology/news/mayo-clinics-approach-to-peyronies-disease-nonsurgical-interventions/mac-20480520
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086569/
- https://auanews.net/issues/articles/2021/april-2021/penile-traction-therapy-for-peyronies-disease
- https://www.nature.com/articles/s41443-021-00522-8
- https://www.urologytimes.com/view/penile-traction-therapy-improves-post-prostatectomy-penile-length-erectile-function
- https://www.mdpi.com/2039-7283/13/5/112
- https://pubmed.ncbi.nlm.nih.gov/31351851/
- https://academic.oup.com/jsm/article/16/9/1421/6966804
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968897/
