PEYRONIE’S DISEASE TREATMENT

Unfortunately no,  it’s currently only available at Morganstern Medical in Atlanta at this time. The devices used to stimulate healing are expensive, the protocols associated with care are patient specific and we patent protected the combined processes so patients could rely on getting their best treatment and not a “cookie cutter” style treatment option. We know treatments must be patient specific.  Our goal is to make our technology available everywhere by 2027 while protecting patients from getting pieces of the puzzle instead of the right treatment that works for them.

I’ve had repeated treatments of Xiaflex®. Will ExoSurge™ work for me?

We usually have good news and bad news for patients who already had one or more Xiaflex® injections.

The good news?

Yes – we can still use our technology to treat your Peyronie’s disease successfully.

The bad news? 

It usually takes 25%-35% longer to resolve a case that already started with Xiaflex® injections.

Why is that?

The active ingredient in Xiaflex® is collagenase, a powerful enzyme that’s akin to an acid but is safe for human tissue.  It doesn’t “dissolve” the plaque but can soften it enough to relax the curve. Peyronie’s Disease is a progressive disease. Softening and relaxing does not remove the plaque and the disease is left to continue.

When plaque has only been “melted”, those treated areas become more dense than they were before such treatments.

The higher the density of the plaque – The longer it takes to break it up.

This collagenase can be effective on certain types of plaque.  The biggest problem we see with this treatment is that it is used in conditions it was never meant for.  Calcified plaque should not receive this treatment and can in essence make the disease worse.

We are by no means saying that this treatment is not a good treatment. What we are saying is that it must be used at the right time, by the right professional on the right patient. We may use collagenase however it is patient specific, not our only treatment option.

I already tried shockwave therapy.

We are so sorry to hear you tried and failed with shockwave therapy. We’ve been using urologic grade shockwave therapy for over a decade – much longer than all the new-age brands saying shockwave will fix any problem you experience. We believe professional grade shockwave therapy will soon be the source for a number of non-invasive healthcare solutions.

I have a bunch of questions and need to get them answered before I consider scheduling a visit to your clinic

We understand completely as many of our patients come from out of state and we appreciate that your time is valuable. We encourage you to contact one of our patient support team members who can answer your questions about what we do and how we can help arrange your schedule to come and check it out.

Please know that until we perform our comprehensive diagnostics to evaluate your case.  Everything we discuss is based on the information given not specific medical data.  We can provide you with information about what we do but not specifically about what you can expect for treatment. We cannot make treatment decisions on the phone.  We accept the fact that doesn’t work for some men – especially those who’ve already tried and failed with other treatments. We’re working diligently to make our technology available everywhere by 2027. Hopefully, we’ll be able to help everyone soon.

Does insurance cover the cost of ExoSurge™ Peyronie’s treatments?

Insurance typically covers most of the testing and office visits involved with creating your Peyronie’s solution plan. Since our regenerative technology is presently considered experimental, the treatments are almost always cash pay. The average out of pocket expense for complete Peyronie’s restoration by our patients is about $16,000. There are also travel and hotel expenses involved in most cases. Improvement is verifiable as we progress through repeat vascular studies, plaque palpation and visual progress. If we administer any Xiaflex®injections after we’ve broken up most of the plaque, those treatments are often covered by insurance.

That’s too expensive. I can’t afford it.

The two most heartbreaking aspects of what we do is:

1. Hearing stories of what patients have already been through trying to fix their Peyronie’s.
2. Knowing how many guys can’t afford the travel to Atlanta and/or the cost our treatments.

Please know we have a dedicated team focused upon the building blocks that will someday lead to our breakthrough being available everywhere and (hopefully) completely covered by traditional health insurance. We still have work to do.  Our next step in the process is to complete double blind research studies as our retrospective report shows enough improvements to prove effective. See our White Paper for information on this report.

How does this really work?  Here are some of our latest findings during our 45 years of treating men.

Our most important insight relates to the thirteen healing variables that must be optimized in order to consistently heal every Peyronie’s case. A few guys get lucky; half or three quarters of those variables already exist in their physiology. Those men have an easier pathway. For the rest – depending upon the levels of deficiency plus the size, density and location of plaque throughout the penis: the solution can be frustrating.  We’ve recognized that when we get these imbalances taken care of during their treatment, they leave much healthier than when they initially presented with Peyronie’s Disease.

Another fascinating insight occurred through observation sometime after our 500th patient. We noticed that while a Doppler ultrasound might show almost all the penile plaque was removed – some men saw little improvement in their erect curvature until the very end. It was then that we realized that such penile plaque isn’t formed as a block or clump as commonly indicated in medical photos – but more like a “spider web” with strands reaching out wider than first understood.

We began altering treatments to account for this insight earlier in our care process. Although the rate of plaque dissemination didn’t change – the speed at which we improved visible erect curvature more quickly improved in far more cases.  Although we get improvements with the curve all throughout treatment, unfortunately we still find that the curve finally releases in the last section of treatments.

So, how does this really work?  Individually, specifically for each patient.  That is the key.  There is no one treatment fits all.  There is no quick flip of the switch either.  Each patient will need to do “their homework” during their treatment time with us. Each patient has a responsibility in their health care and we want to educate you on what we are doing for you along the way.  Every patient gets an education and helps to direct their pathway along with us.  We believe this gives us your personal experience along with our years of experience toward your healing.

Finally, we’ve discovered that Peyronie’s plaque usually started forming in the penises we treat LONG before the patient started noticing symptoms. That’s a new insight. We’re working on tests that will help us date the plaque to help garner ideas on how we can reduce the number of cases in the future.

At present it would appear to be totally normal behavior, but excessive pre-teen masturbation, incidental organ injury during life and sports (usually only recalled as the pain to the testicles), and even grinding the erect organ intently against a partner as a young adult are likely causes for the beginning of penile plaque build. We’ve even postulated that the reason the testicles are so sensitive to any form of aggressive touch is because the penis is so easy to injure: perhaps that was nature’s way of keeping us healthier.

Can I speak to other patients who’ve been treated and healed by ExoSurge™?

We will be happy to connect you directly with patients who have volunteered to speak with others. We’re hoping to create an exclusive Morganstern patient forum group where completed patients can help and mentor those undergoing treatment. It’s not easy – most just want to get on with their life after putting this issue in their rearview mirror. Many don’t even want to talk about it later.

Both the public and urologic community will be able to witness our achievements following publication of our results after our blind studies are presented once we finalize preparations for FDA approval.

No offense, but my urologist is one of the best in the world and he’s adamant there’s no such non-surgical Peyronie’s cure in existence. I think you guys are full of it.

We take no offense to such comments whatsoever. We understand better than most the number of worthless and questionable treatments for Peyronie’s disease in existence as we often must overcome their damage, both physical and mental.  We welcome you and your favorite urologist to review our White Paper to see our results. We sincerely wish you nothing but success in your journey improving your Peyronie’s disease diagnosis.

I like what I hear, but have a few more questions.

We have a trained case consultant available to answer more detailed and particular questions. A phone call is preferred, but he can also answer more basic queries via email. However, until we’ve run comprehensive diagnostics and developed the exact algorithm associated with healing your exact case – we can only speculate about what your particular pathway entails.

I already had a Doppler ultrasound at my urologist. Your staff said they can’t use it and I need another, why is that?

There’s nothing unique about our Doppler technology that analyzes penile blood flow rates, etc. However, other urologists fail to capture all the readings we know are essential. Without all that data? We would be flying blind like some others just treating and injecting without a quantifiable plan. We don’t do that on any patient, we’ve realized the long term benefit of being thorough.

We’re sorry for this inconvenience, but to ensure your success, it simply can’t be helped.

I want to get started: how do I do that?

If you live relatively close to Atlanta you can schedule your initial visit by calling our office. However, most of our Peyronie’s patients come from across the US and even from around the globe. We need those coming from out of state to plan on being with us for at least three days in order for us to gather your case history, perform all testing, and develop a viable solution plan for your case. Most out-of-state patients subsequently return for treatments a few days out of each month until they’re healed. If you’re coming from outside the US, we like to expand visit windows into weeks versus days for the sake of travel cost, with you returning every 3 to 6 months until your Peyronie’s is completely cleared up.

I heard Shockwave Therapy breaks up Peyronie’s plaque and I’m going to see someone near me to get that done.

We’ve been using urologic grade LISW longer than any other urology practice in the USA. It’s an absolutely amazing technology for aspects of penile tissue healing, but the breaking up of plaque within the penis simply isn’t one of those outcomes- YET. It hyper-vascularizes tissue and triggers the cells to help heal treated areas. That’s ideally suited for some aspects of healing select cases within chronic erectile dysfunction. Also, most physicians performing such treatments are using acoustic wave, which is nowhere near as powerful as shockwave. We wish it removed plaque: would make our cases much easier to treat but as of today, this is not the case.

We continue to investigate any and all new possible treatment.  We also encourage patients to let us know when they hear of something new so that we can medically investigate.  Dr. Morganstern is an innovator and in as much, he is open to hearing of new options. All of our providers are investigators and continue reviewing research to look toward improving our success which translates into patient success.

Attempting to heal Peyronie’s without using a detailed Penile Doppler as a yardstick is like trying to hit a bullseye with a blindfold on. Such approaches are ridiculous and wishful thinking at best.

I’ve heard using PRP and the Priapus Shot® can heal Peyronie’s. Do you offer that as well?

While shockwave therapy by itself is a waste of time and money when trying to heal Peyronie’s, platelet rich plasma (PRP) injections and/or the Priapus Shot® are completely worthless.

These injections are known to be of value to professional athletes and others in helping heal injuries by stimulating faster healing. However, they are proven to cause zero healing effect in the penis beyond a brief sensation surge.

Our founding physician, Steven L. Morganstern, M.D. invested almost four years attempting to heal Peyronie’s disease through varied applications from a wide variety of cell and platelet rich plasma (PRP) injections. The results did not show measurable improvement.

Are PRP shots effective in treating Peyronie’s?

No. The reason PRP shots are ineffective for the penis was proven from years of research shared by Dr. Tom Lue and were shared during a keynote address at the 2016 American Urology Association convention in San Diego.

Dr. Lue is considered the nation’s foremost university researcher in urology and invested over two years trying to improve treatments for penile healing technologies.

He is also considered the nation’s foremost Peyronie’s researcher. Dr. Lue is a university professor, Vice Chair of Urology, and serves as Medical Director of Knuppe Molecular Urology Laboratory at University of California, San Francisco. He has remained actively involved in basic and clinical research in erectile dysfunction, priapism, and Peyronie’s disease as well as urinary incontinence for over 30 years.

Dr. Lue invested over two years in trying to make every known variety of cell harvest and injection work in healing Peyronie’s.

He ended up discovering it didn’t work because of the unique, powerful rates of blood flow in the penis (second only to the human heart in force). He detected that 98% of all injected regenerative cells were completely gone from the penis within twenty-four hours and 99% were gone in forty-eight hours.

Thus, they never have a chance to perform like they do in a knee or a shoulder. Worse still? He discovered those cells migrate to the closest tumor and cause it to grow at an alarming rate.

It was after this discovery that almost every urologist in the country quit performing PRP injections for anything more than a guy wanting a brief jump in his size and sensation. Unfortunately, many primary care physicians still offer this cash pay service which is ineffective.

Does the combination of shockwave therapy and PRP injections to fix Peyronie’s work?

No, this has proven to be an ineffective treatment protocol. Shockwave therapy by itself doesn’t break up plaque or heal Peyronie’s. PRP injections are proven to be of no value.

Putting the two together is simply going from bad – to worse.

Its only measurable outcome is having spent your money even faster on something that doesn’t improve your condition.

Are ExoSurge™ results immediate?

In terms of breaking up the penile plaque that’s at the root of your Peyronie’s disease we usually start seeing improvement after just a few treatments – depending upon your base blood flow and macronutrient levels when we start.

In terms of a reduction in the unsightly curvature that occurs with an erection, those results take much longer depending on your case. Why’s that? One of the biggest reasons is that the plaque often forms in a shape similar to a cobweb, attaching itself to a variety of points within the penile shaft. We have to first treat the large plaque areas to get them to begin to loosen and reabsorb before we can identify the leftover straggler elements that will keep creating unsightliness during an erection.

How long will it take you to heal my Peyronie’s disease?

Until we test and create the complete algorithm associated with your particular Peyronie’s case, there’s no way to accurately estimate how long it will take to heal your disease. From the 1,000+ cases we’ve already healed, the time required for success varied between three months to three years, with nine months being most common.

Again, it depends upon the size, density, and location of plaque in your penis and the degree of vascular insufficiency within your penis and main arterial flow plus other factors. If you’re in great health? That usually helps. If your plaque formation is relatively recent? That’s usually easier. However, we can now heal almost any case.

Are there Peyronie’s disease cases that ExoSurge™ can’t heal?

Morganstern Medical encountered select cases beyond our threshold, including some men with advanced Parkinson disease and severe Type 2 diabetes with an uncontrollable A1c.

Ideally, diabetic patients will have an A1c at or below 7 – but we’ve succeeded in cases where an A1c was over 10 when other variables were good. The patient’s dedication to improving his health is always a key factor in success.

Also, our technology has proven ineffective with patients suffering from neurological damage which can include damage as a result of radical surgery or select injuries.

In our patients with pulmonary fibrosis we are able to aid with maintaining current function or improving function enough to preform successfully.  With this disease, however, we have found the treatments needed to get ahead of the deterioration is more than most patients are willing to complete.  We do feel like it is possible however our patients with this disease have decided to accept an improvement level that keeps them functioning with a maintenance style treatment regimen.

We have our testing down to such a science that we can usually identify a case or circumstance with a questionable level of success. Our patients dictate their own level of success in these cases. We review options and make a plan based on that patient’s needs. Just because this treatment isn’t right doesn’t mean we won’t help patients find the treatment best for them. The most important item in this scenario is being honest with expectations.