In this episode of The Penis Project podcast, Melissa sits down with world-leading urologist Dr Landon Trost to unpack Peyronie’s disease, traction therapy, and what’s next in men’s sexual health. Dr Trost shares his journey from training under Professor Wayne Hellstrom to leading research and innovation in Peyronie’s management, fertility, and penile rehabilitation. Together they explore the Restorex device, emerging treatments, and the vital role of early intervention.

Episode Overview:

What Peyronie’s disease is and how common it really is
How to tell the difference between a natural curve and a problem curve
The new classification system for penile curvature
The psychological impact of Peyronie’s, including anxiety and dysmorphic disorder
Restorex traction therapy – why it works when others don’t
The importance of early treatment vs “waiting until stable”
What options exist when surgery is (or isn’t) the right answer
Partner perspectives and how relationships are affected
Emerging therapies, from nutraceuticals to genetic testing
Where treatment might head over the next decade

Key Takeaways:

Peyronie’s is often under-diagnosed and misunderstood.
Not all curves are Peyronie’s – some are congenital or age-related and not necessarily a problem.
Restorex is unique in its ability to generate therapeutic force and counter-bend effectively.
Early intervention with traction, PDE5 inhibitors (like sildenafil), and anti-inflammatories may prevent progression.
Surgery is effective but comes with risks and regret can be high – conservative options should be maximised first.
The psychological toll is often greater than the physical curve – reassurance, partner involvement, and counselling are vital.
Future treatments may include new collagenase drugs, natural compounds, and even gene-based therapies.

Expert Insight from Melissa Hadley Barrett:

At Restorative Health Clinic, we see many men early in their Peyronie’s journey. This conversation reinforced the importance of not dismissing early symptoms. Doing “something” – whether traction, PDE5 therapy, or anti-inflammatories – can help men feel in control, protect their erections, and preserve penile length. Just as you wouldn’t ignore a broken bone, Peyronie’s deserves timely care.

Resources & Links:

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