Peyronie’s disease is a condition characterized by the development of fibrous scar tissue, known as plaques, within the tunica albuginea of the penis. This scar tissue can lead to penile curvature, shortening, pain during erections, and other deformities, potentially impacting sexual function. Penile traction therapy offers a non-surgical approach to address these symptoms, aiming to reduce curvature and restore penile length.
What is Penile Traction Therapy?
Penile traction therapy (PTT) involves applying gentle, continuous mechanical tension to the penis using a specialized device. Its primary goal is to stretch the tunica albuginea, the tissue sheath surrounding the erectile chambers, which is affected by fibrous plaques in Peyronie’s disease. This sustained tension aims to remodel the scar tissue and encourage the formation of new, more organized collagen fibers.
The underlying mechanism is mechanotransduction, a biological process where mechanical stimuli are converted into cellular biochemical responses. This mechanical force induces cellular remodeling within the Peyronie’s plaques. This process can lead to increased activity of enzymes like collagenase and metalloproteinases, which break down and reorganize collagen, contributing to plaque softening and tissue extension.
Using Penile Traction Devices
Penile traction therapy requires consistent use of a specialized traction device. These devices typically consist of a plastic ring at the base of the penis, a strap or loop around the head, and a system of rods or springs that apply tension. Some newer devices may use an inflatable balloon instead of metal rods to exert force.
Usage protocols recommend wearing the device for several hours daily, often ranging from 30 minutes to 9 hours, depending on the specific device and individual needs. Some studies suggest 2 to 8 hours per day for several months, while newer devices may require shorter durations, such as 30 to 90 minutes daily. Consistency is important for achieving desired results, and patients are advised to gradually increase the tension or length of the extender rods over time.
Expected Results and Benefits
Penile traction therapy shows potential for individuals with Peyronie’s disease, with studies indicating improvements in penile curvature and length. Research has shown average reductions in penile curvature ranging from 11.7 to 20 degrees, with some patients experiencing improvements of 20 degrees or more. This reduction in curvature can significantly improve the ability to engage in sexual activity.
The therapy may also lead to an increase in penile length, particularly in cases where the disease has caused shortening. Reported length gains vary, with some studies indicating an average increase of 0.8 cm to 1.6 cm, and in some instances, up to 2.5 cm. These length improvements are typically observed over several months of consistent use. Additionally, PTT has shown potential to improve erectile function, particularly in men who experienced erectile dysfunction alongside Peyronie’s disease.
Important Considerations for Treatment
When considering penile traction therapy, it is important to understand who is a suitable candidate and potential side effects. PTT is often recommended for patients in the stable phase of Peyronie’s disease, meaning the penile curvature and pain have stopped progressing. It can also be beneficial for patients post-surgery to maintain or regain length.
While generally well-tolerated, some individuals may experience minor side effects. These can include temporary discomfort, mild pain, penile numbness, or slight skin discoloration. These adverse events are typically temporary and resolve once the device is removed or usage is adjusted. Consulting with a healthcare professional, such as a urologist or sexual medicine specialist, before starting PTT is advised to ensure it is appropriate and to receive personalized guidance.