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