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Elizabeth,
Does PRF replace PRP now? I use PRP for erectile dysfunction in my practice. Do you know if using PRF can be used in place of PRP? There’s nothing in the literature around this?Thank you,
Bruce Sloane MD
Leonard,
What dose do you suggest using PT 141 and where is best place to obtain. Appreciate your expertise!
Hello-Urologist here. Severe Peyronie’s is very difficult to treat as opposed to mild Peyronie’s which is much more amenable to conservative therapies such as PRP and stretching devices. Dr. Seeds had once posted something about using peptides on the International Peptide Society website using TB-4. From my perspective, severe Peyronie’s likely needs surgical correction by a urologist experienced with this type of surgery. If the patient is having pain, LISWT (ie Gainswave) can reduce the pain but will not correct the curvature.
Hope that helps.
Bruce Sloane MD
With a negative prostate biopsy I do put this patient on testosterone replacement therapy and monitor the PSA. If the PSA remains stable or only mildly increases I continue testosterone placement therapy. If it increases significantly I consider repeat biopsy or observation off TRT. Hope that helps
I just saw your post-Urologist here. In addition to the wise recommendations already given, the obvious thing to do is closely monitor his PSA. PSA 18, 13 is a significant elevation and a concern for prostate cancer. Even though he is 85 yo, if he is healthy with a reasonable life expectancy prostate cancer is a concern. I don’t have enough peptide smarts at this point to know what the potential effects on undiagnosed prostate cancer could be.
Urologist here: Remember the basics-work up his hematuria as he is at increased risk of secondary malignancy having had XRT.
