203: Peyronie’s Disease, Restorex & New Frontiers: A Conversation with Dr Landon Trost

203: Peyronie’s Disease, Restorex & New Frontiers: A Conversation with Dr Landon Trost

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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We love hearing from real people, navigating penile health. If you’d like to share your journey or ask a question, get in touch.

Email: admin@rshealth.com.au

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Avsnitt(206)

38. Meet ‘’PROST! Ross’’. Exercise 4 Prostate Cancer and his member(s)

38. Meet ‘’PROST! Ross’’. Exercise 4 Prostate Cancer and his member(s)

Episode 38 will be all about Prost Ross and his Member(s).  Ross had his Open Prostatectomy in 2013. It has already been 8 years since then.  We invited Ross to share with us his story on how and why he decided to continue to become a part of PROST and other support groups even though it has already been quite long after his diagnosis. For Ross, it was simple - it has become a part of his life.    Here’s what Ross can share to everyone who are still not sure whether to join a support group or not:    “Going into a support can ameliorate those feelings and fears; camaraderie in support groups is fabulous.”    Have a listen to Ross and his amazing journey from a patient to an advocate, together with his member(s). ;)  IF you're residing in Australia: Health line: 1800220099 - To talk to a Prostate Cancer specialist nurse  https://www.prostate.org.au/ ----- Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

15 Juni 202136min

37. Cyberknife® Precise Robotic Radiosurgery for Prostate Cancer with “Peter Podias”

37. Cyberknife® Precise Robotic Radiosurgery for Prostate Cancer with “Peter Podias”

Episode 37 will be about Cyberknife.    To start, Cyberknife® is defined as per below:    CyberKnife® System uses state-of-the-art robotic technology combined with real-time image guidance to deliver precisely-targeted radiation to cancerous and non-cancerous lesions almost anywhere in the body. Real-time tumour tracking enables the delivery of high doses of radiation with sub-millimetre accuracy, sparing surrounding healthy tissue and organs without the need for invasive immobilisation devices.   To know more about this technology, we have invited Peter Podias - the Director of Operations of 5D Clinics, the only private Cyberknife® clinic in Australia.    Peter will discuss how Cyberknife® works, what it does, what diseases it can help, the process, how much it costs, what are its short term and long term effects, and a lot more questions you might also want to know the answers to.   If you’re the one who's been looking for a few different options, this episode is surely for you.    This is also for you if you’re a sci-fi movie fan because as Melissa says, Cyberknife® is like something that came out from the movies.    It’s actually for everyone too who would love to know how much Science has evolved in terms of radiation therapy.    Have a listen at the link below. And don’t forget to share this episode with anyone who you feel can benefit from it. Thank you. ;)    Just for a bit of fun, see if you can say: "Peter Podias who is on the phenomenal Penis Project Podcast!” 3 times ------ Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

8 Juni 202146min

36. Meet ‘’David Sandoe’’ - Talking Penile Prosthesis x2 & PCFA Support Groups

36. Meet ‘’David Sandoe’’ - Talking Penile Prosthesis x2 & PCFA Support Groups

Episode 36 is the story of a man who has had not one but two penile prostheses!  Meet David.  In one of our recent episodes, Episode 29, we spoke to Dr. Sofield about Penile Prosthesis.  Perhaps, you’ve been one of those curious bees who would like to know the experience - pros and cons - of having a penile prosthesis.  And this is it!  Listen to David who willingly shared his experience and proudly declared that he is on his 2nd prosthesis (his first one had worn out - he likes to say)!  All your questions about this procedure - from costs to how you use it -  will be answered in this episode.  And one good thing to note - it all depends on the individual. ;)   Also, heed how David really advocates for early testing - as this is a paramount step for prostate cancer diagnosis.   Enjoy!  ----- ----------------------------   The Penis Project Podcast is the place to come to find out everything you’ve always wanted to know about men’s health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

1 Juni 202145min

35. Meet ‘’Pulse - Duo Adam’’. Designer of Penile Vibrators for men

35. Meet ‘’Pulse - Duo Adam’’. Designer of Penile Vibrators for men

For this episode, we will talk to Adam Lewis.    Adam is the inventor of the Pulse vibrators for men and couples. If you haven’t heard about this innovative product and are curious to know more about it before (or after) listening to this podcast, have a read about it here >>   Today, he will tell us the  entertaining story of how he came about designing the Pulse Duo (as young as 5 years old!) and how he changed his career from Venture Capitalist to sex toy designer, the history, and how many people are being helped by this awesome product.    Pulse is actually the world’s first ‘guybrator’ and it didn’t stop there. Be amazed on how many more products were created to give men their own ways to have pleasure. Adam was even able to create a product for couples who are in long distance relationships!   In it to have a listen NOW? Just click the PLAY button below.   ----------------------------   The Penis Project Podcast is the place to come to find out everything you’ve always wanted to know about men’s health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

25 Maj 202145min

34. 26 years Married to a Gay Man. Meet ‘’Samantha’’.

34. 26 years Married to a Gay Man. Meet ‘’Samantha’’.

Episode 34 will let you into the world of a woman who was married to a gay man for 26 years. And hopefully, this episode will remind each one of us the importance of communication and how things are sometimes like a two-edged sword when the truth does not come out.    We recognise that there are different kinds of marriages and this one that you will hear today is a look into one of those.    Meet Samantha.    Samantha was married for 26 years to a gay man, who was not able to open up to her about his sexuality.   What happened to them for those 26 years and thereafter? What lessons did Samantha learn? What advice can she share? Hear it all from Samantha.    Click the button below to have a listen NOW.   ----------------------------   The Penis Project Podcast is the place to come to find out everything you’ve always wanted to know about men’s health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

18 Maj 202139min

33. Meet ‘Mish’ - ”My penis stopped being mesmerising”. Prostate Cancer in South Africa

33. Meet ‘Mish’ - ”My penis stopped being mesmerising”. Prostate Cancer in South Africa

For this episode, meet the ‘recovery man ‘ Mish. Mish is one of our avid weekly listeners, all the way from South Africa! And we’re so excited to share his story with you.    Mish was diagnosed with prostate cancer in 2019. Unfortunately, after his surgery, his penis stopped being mesmerising. He felt like he didn’t have the information that he needed to start the rehabilitation process but he had the knowledge that if he stopped using his penis, he might lose it. So he decided to look for resources on the internet. That’s where he found Victoria Cullen (A Touchy Subject) and then our Dr. Jo and finally, The Penis Project.    Listen as he shares his very candid story which includes;  penis pills, using a Vacurect, getting intimate once again with his wife, and a lot more stories we’re sure you can relate to.    Mish really took charge of his health and we hope that this would inspire you, too.    Have a listen when you click the PLAY button below.  ------ This week includes a special code to use on A Touchy Subject’s Pleasure Masterclass TOUCHY50 ------ Here are the links to the resources mentioned by Mish as well as his blog link:  A Touchy Subject Website - please check the resources page The Recovering Man website - Mish’s website ------ The Penis Project Podcast is the place to come to find out everything you’ve always wanted to know about men’s health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

11 Maj 202144min

32. Facing the Tiger. Meet “’Professor Suzanne Chambers”, Psychologist & Author

32. Facing the Tiger. Meet “’Professor Suzanne Chambers”, Psychologist & Author

Professor Suzanne Chambers is a nurse, onco-psychologist, author, and so much more.  ------   For this episode, we talk with Suzanne Chambers, the author of the amazing, must-read ‘’Facing the Tiger’.    Suzanne talks about how and why she wrote her book, the strength of mindfulness and why it’s not a policy for everyone, Masculinity in Chronic Disease Inventory (MCDI), individuality, and a lot more topics geared to helping patients with their journey.    We particularly love her thoughts on seeking a second opinion and why you should feel confident in doing so.    Have a listen and enjoy the conversation with the woman who started the advocacy for cancer patient support. She’ll share some tips to use (which you may know but might have forgotten) when anxiety creeps in.    This episode also reminds us of the motto that ‘everyone is different and unique’.    Keen to have a listen? Just click the PLAY button.    Enjoy!    Links: Masculinity in Chronic Disease Inventory MCDI - Masculinity in Chronic Disease Inventory    Order the book ‘Facing the Tiger’ here:  Shop at rshealth.com.au Royalties of the book are used for research.    ------- The Penis Project Podcast is the place to come to find out everything you've always wanted to know about men's health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/ https://www.theyogavine.com.au    Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

4 Maj 202146min

31. “Andy” – Black holes, a love story, heartbreak and calibrating.

31. “Andy” – Black holes, a love story, heartbreak and calibrating.

For this episode, we will take you down memory lane, with Andy.    Andy will be talking about the love of his life, the pain he has had  to endure and still feels to this day, the pain of panic, and the rush of bikes. So for the blokes who know the sweet taste of adrenaline when riding bikes, you will enjoy this!    Be ready to listen, to be sad, to laugh, to be jealous (because he could just have the best job in the world!) and get some life lessons. Because yes, no matter how good your continence is, you still have to continue doing your pelvic floor exercises… or else, get ready to be dripp-y.    Have a listen and we hope the lessons from Andy’s journey will give inspiration, joy, and the empowerment to live and embrace life - every minute of it.    Andy wouldn’t change it for quids!    Enjoy!    ------- The Penis Project Podcast is the place to come to find out everything you've always wanted to know about men's health but were too embarrassed to ask. The Penis Project is sponsored by PROST! Exercise for Prostate Cancer.inc and the Yoga Vine. PROST is a not for profit organization in Western Australia is a not for profit organisation that provides professionally guided exercise training and support to men during Prostate Cancer treatment, to optimise preparation and recovery. The Yoga Vine is a Perth based studio operating for the past 8 years on St Georges terrace in the heart of the CBD, offering daily classes as well as a suite of Professional education and personal development programs for students, Yoga Teachers and the broader community. They are based in Perth CBD and provide a full range of corporate Yoga, mindfulness and wellness packages, seminars and workshops designed to keep your workplace productive, positive and healthy. Thanks for listening. Please subscribe for further episodes either where you listen to your podcasts or on the website www.thepenisproject.org and we would love your feedback. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/ https://www.theyogavine.com.au   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://player.whooshkaa.com/shows/the-sota-process https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

27 Apr 202157min

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