Dr. Paul Edward Perito MD: Why Impotence Shortens the Penis

Dr. Paul Edward Perito MD

Dr. Paul Edward Perito MD

Genetics are a significant determining factor of penis size, but there are instances when a man’s penis grows shorter during his life. Radiation treatments for cancer, for instance, as well as Peyronie’s Disease can both negatively impact penile size. But research has also shown that impotence has a direct correlation with a decrease in penis size, and Dr. Paul Edward Perito MD, a Miami urologist, explains why.

Founder of Perito Urology, Dr. Paul Edward Perito MD has performed thousands of surgeries to treat erectile dysfunction. This research shows the importance of treating erectile dysfunction, Dr. Paul Edward Perito MD says. Over time impotence can have a negative effect on a man’s penis, with a loss of elasticity being partly to blame, explains Dr. Paul Edward Perito MD.

According to Dr. Paul Edward Perito MD, an erection stretches the tunica albuginea—the fibrous tissue that covers erectile bodies of the penis. When a man goes too long without an erection, Dr. Paul Edward Perito MD explains, that fibrous tissue is believed to lose elasticity.  The tunica albuginea has a direct correlation to achieving erection and to penis size and shape.

A metanalysis of several papers on the topic reveal that any man suffering from impotence could lose .5 to 5 cm’s every year and a half they manifest the disease.  Dr. Perito explains that nocturnal erections, erections occurring 6 to 10 times a night act to exercise the penis and keep it healthy.  The old saying “If you do not use it, you will lose it”, certainly applies here.  For men suffering from erectile dysfunction, Dr. Paul Edward Perito MD and others in his field are able to surgically implant an inflatable device that will restore patients to normal function in a matter of weeks. An added benefit to this surgery, Dr. Paul Edward Perito MD explains, is that patients will stretch the tunica albuginea and result in retention of penis size.

Lifestyle factors like smoking often play a role in both erectile dysfunction and penis size, Dr. Paul Edward Perito MD says. According to Dr. Paul Edward Perito MD, experts believe smoking can damage the blood vessels of the penis, just as it damages other blood vessels. But for Dr. Paul Edward Perito MD and his staff, it is of greater concern that smoking has been directly connected to erectile dysfunction. As Dr. Paul Edward Perito MD points out, men who smoke more than a pack of cigarettes per day are 50% more likely to suffer erectile dysfunction than non-smoking men. As always, patients should live a healthy lifestyle and refrain from behavior that might be detrimental to health, Dr. Paul Edward Perito MD concludes.

Contact Dr. Paul Edward Perito MD at Perito Urology by visiting the practice online at www.peritourology.com

The information contained in this article is provided by Dr. Paul Edward Perito MD for educational purposes only. It is not intended to treat or diagnose any condition.

Dr. Paul E. Perito says Men in Early Stages of Peyronie’s Disease May Find Relief Via Nonsurgical Treatment

Dr. Paul E. Perito

Dr. Paul E. Perito

Dr. Paul E. Perito, the namesake of Perito Urology – the world’s busiest erectile dysfunction clinic, offers surgical correction for Peyronie’s disease. He notes that before a patient is a candidate for an invasive procedure, they should consider nonsurgical therapy.

According to Dr. Paul E. Perito, men in the early phases of Peyronie’s disease (less than one year), or those in which the progression of the deformity progresses in an unstable manner may be prime candidates for nonsurgical treatment methods. As well, says Dr. Paul E. Perito, are those with inflammation severe enough to cause painful erections. The FDA has no currently approved nonsurgical treatments for Peyronie’s disease, as there is insufficient research on the subject. However, reports Dr. Paul E. Perito, a qualified physician can offer men suffering from Peyronie’s a variety of non-FDA approved treatments.

There have been studies suggesting oral therapy utilizing L-arginine and pentoxifylline have been shown to produce an anti-scarring effect in lab rats, reports Dr. Paul E. Perito. Rodents with intentionally induced penile scarring were given a combination of these agents and either Cialis, Levitra or Viagra in drinking water. It was determined that rats drinking this compound presented less scar tissue than those given plain drinking water. According to Dr. Paul E. Perito, once scar tissue was well established, the introduction of these compounds produced negligible results. The researchers concluded that oral treatments were more effective during the acute phase of the disease, while scar tissue is still forming.

Injection therapy, reports Dr. Paul E. Perito, also shows promise. Verapamil, as an intralesional injection, has offered marked improvement of Peyronie’s disease deformity in between 30 and 60% of patients. In similar studies, Verapamil injections showed favorable results when compared to a saline solution placebo. Additionally, reports Dr. Paul E. Perito, some physicians recommend a topical Verapamil gel, but he notes that this form of administration is unproven and expensive. According to Dr. Paul E. Perito, an injection of collagenase directly into scar tissue has also shown potential. Collagenase is akin to a chemical knife and works within the scar to break down collagen production, which will hopefully reduce the severity of the visible penile defect, says Dr. Perito.

Dr. Paul E. Perito notes that recent studies sponsored by the American Urological Association show that primary care physicians, as well as urologists, largely rely on vitamin E as a first step into the nonsurgical treatment of Peyronie’s Disease. There have been numerous placebo controlled studies that suggest vitamin E is ineffective, and therefore Dr. Paul E. Perito maintains that physician education about PD is important so that more effective treatments can be offered in the future.

It appears that the best option for the nonsurgical treatment of Peyronie’s disease may include a combination of therapies. According to Dr. Paul E. Perito, vacuum and stretching devices are available and, when used in harmony with administered drug therapies, may offer visible results as to the correction of penile curvature. External traction remains the most attractive noninvasive therapy and has been proven effective in other areas of medicine as well, including orthopedics and orthodontia, concludes Dr. Paul E. Perito.

The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition. Dr. Paul E. Perito and Perito Urology may be contacted by calling 305.444.2920

Dr. Paul Perito’s Minimally Invasive Technique Heralded as Revolutionary

Dr. Paul Perito

Dr. Paul Perito

Fort Meyers urology specialist, Dr. Meir Daller, MD, says that his learning experience with Dr. Paul Perito cut his surgery time in half.

“A few months ago I spent a Friday afternoon with Dr. Paul Perito in Coral Gables Hospital. That was an incredible experience for me as an urologist. On that Friday, Dr. Paul Perito had 18 procedures. I scrubbed in on three of them. His operative time was about 8 minutes.

“Dr. Paul Perito is an excellent surgeon with an excellent staff. Coming back from Coral Gables, I immediately scheduled two penile prosthesis implants. I have now gone from using the scrotal approach to the infrapubic approach. My surgical time went down from 45 min. to 20 min. Keep in mind that I don’t have surgical staff that Dr. Paul Perito does.

“Overall, I truly believe that a quick operation is a better operation and that less dissection is a better surgery. This helps with patient recovery as well as decreased complications. The experience with Dr. Paul Perito, on that Friday afternoon, was a very positive experience for me.”

About the Surgery

Over the last 10 years, Dr. Paul Perito has found a marked success using his signature Perito Minimally Invasive Infrapubic Approach. This method is different in many aspects to traditional penile implant surgery. Dr. Paul Perito does not employ a scrotal incision; he uses minimal dilation of the erectile bodies; uses an artificial erection at the opening of surgery to evaluate previously unidentified pathologies; and generally performs under local anesthesia. In his method, Dr. Paul Perito uses an incision that is 1 ½ cm long and will be covered by the natural regrowth of hair in the pubic region. This not only helps to expedite recovery time but also ensures that evidence of surgery is concealed.

Dr. Paul Perito has successfully trained hundreds of urologists in his approach and currently offers a two-day training workshop at Coral Gables Hospital, where he is Director of Urology. Patients undergoing the minimally invasive infrapubic approach have achieved results that, post operatively, often surpassed the current clinical literature available regarding the traditional surgery methods.

For more information on Dr. Paul Perito or Perito Urology, please visit www.peritourology.com

Dr. Paul Perito is a 1988 graduate of the University Of Maryland School Of Medicine. His practice, Perito Urology, is considered one of the foremost Erectile Dysfunction treatments centers in the world. Since 2005, Dr. Paul Perito has successfully performed more than 3,000 penile implants, establishing him as a leader in the field. He has streamlined the procedure, making it not only more efficient, but safer, by the development and actualization of a minimally invasive approach. Aside from contributing extensively to medical publication libraries, Dr. Paul Perito heads the training center at Perito Urology where his technique is taught to an audience of surgeons from across the globe.

The information contained in this article is provided by Dr. Paul Perito for educational purposes only. It is not intended to treat or diagnose any condition.