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:

Listen & Subscribe

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Connect With Us

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

Websites:

https://rshealth.com.au/ All genders

https://makehardeasy.com.au

https://melissahadleybarrett.com

Instagram:

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Linkedin:

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TEDX

https://www.youtube.com/watch?v=IjHj1YTmLoA

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190: Overcoming Hemochromatosis and Erectile Dysfunction

190: Overcoming Hemochromatosis and Erectile Dysfunction

In this episode of The Penis Project podcast, Melissa Hadley Barrett interviews Scott, an avid listener of the podcast and founder of the Facebook group Let's Talk All Things Men's Health. Scott shares his personal journey battling hereditary hemochromatosis, a genetic condition that leads to excessive iron accumulation in the body, and how it resulted in severe erectile dysfunction (ED) and other health complications.  Scott discusses his diagnosis journey, his search for treatment, and how his dedication to finding answers eventually led him to renowned urologist Dr. Amy Pearlman. Together, they worked on a treatment plan that included injection therapy and ultimately a penile implant to address both Peyronie’s disease and erectile dysfunction.  Key Discussion Points:  Hemochromatosis: What it is, how it’s diagnosed, and its impact on various organs including joints and the reproductive system.  The Journey to Diagnosis: Scott’s experience with multiple blood tests, working with a haematologist, and undergoing over 65 phlebotomies to reduce iron levels.  Challenges with ED & Peyronie's Disease: The emotional and physical toll of dealing with ED and Peyronie’s disease, as well as the psychological effects on both the patient and their partner.  Finding the Right Doctor: How Scott found Dr. Amy Pearlman through social media and her practical, compassionate approach to patient education.  The Decision for a Penile Implant: Scott’s experience with various treatments and the eventual choice to proceed with a penile implant to correct both Peyronie’s disease and erectile dysfunction.  Surgery and Recovery: What to expect from the implant surgery, recovery process, and post-operative care.  Life After Surgery: The emotional relief of restoring intimacy, how the implant works, and Scott’s advocacy through the Boston Scientific Patient Champions Program.  Important Links & Resources:  Let's Talk All Things Men's Health (Facebook Group) – A support group founded by Scott to provide a safe space for men to discuss and share their experiences with various men’s health issues.  Dr. Amy Pearlman – Renowned Urologist specializing in men’s health and sexual wellness. https://www.primeinstitute.us/ , Instagram: @amypearlmanmd   https://www.bostonscientific.com/en-US/patients-caregivers/edcure-interstitial.html     Take Control of Your Health:  If you're struggling with erectile dysfunction, premature ejaculation, Peyronie’s disease, prostate or bladder cancer or other men’s health issues, book a consultation with our expert team at Restorative Health Clinic via rshealth.com.au or makehardeasy.com.au.  Don't Miss An Episode:  Follow and subscribe to The Penis Project Podcast to stay updated on the latest discussions, expert advice, and real-life stories. Together, let’s break the stigma around penile health.  If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light.  Connect with Us:   Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

25 Mars 44min

189: Frank’s Journey: Prostate Cancer, Data, and Milestones

189: Frank’s Journey: Prostate Cancer, Data, and Milestones

In this episode of The Penis Project Podcast, we sit down with Frank, a 74-year-old prostate cancer survivor who has meticulously tracked his recovery through data and milestones. Frank’s journey is a testament to the power of knowledge, proactive health management, and the importance of open conversations about men’s health.  Frank shares his experience from diagnosis to post-op recovery, including:  ✅ His prostate cancer diagnosis at age 72  ✅ The decision-making process between surgery and radiation  ✅ The importance of pre-op preparation, including pelvic floor exercises  ✅ His post-surgery recovery and continence journey  ✅ Erectile function rehabilitation using medication, self-stimulation, and vacuum pumps  ✅ Tracking nocturnal erections with a FirmTech Ring  ✅ His return to a fulfilling sex life and overall health improvements  Frank’s story is both informative and inspiring, shedding light on the importance of proactive healthcare, honest conversations with partners, and the role of tracking progress in recovery.  🎧 Tune in now to hear Frank’s journey and insights!  Episode Highlights:  🩺 Diagnosis & Treatment Decisions – Frank shares how his rising PSA levels led to a prostate cancer diagnosis and why he opted for surgery over radiation.  💪 Pre & Post-Surgery Rehab – The role of pelvic floor exercises, continence recovery, and adjusting to life post-prostatectomy.  📊 Tracking Progress with Data – Frank’s detailed logging of continence, erectile function, and the use of tools like the FirmTech Ring for nocturnal erection monitoring.  🔥 Erectile Recovery & Sexual Health – Frank discusses the importance of self-stimulation, medication, and devices in regaining erectile function and intimacy with his partner.  🩷 The Emotional Side of Recovery – How prostate cancer led to deeper conversations about intimacy and a renewed focus on overall health and well-being.  If you found this episode helpful, don’t forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light.  Connect with Us:   Websites:  https://rshealth.com.au/  All genders  https://makehardeasy.com.au   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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

12 Mars 36min

188: "Squeeze the Day” - The Squeezy App Makes it easy : Pelvic Floor Health with Chris Robson

188: "Squeeze the Day” - The Squeezy App Makes it easy : Pelvic Floor Health with Chris Robson

In this enlightening episode of The Penis Project Podcast, Melissa Hadley Barrett chats with Chris Robson, co-founder of the revolutionary app, Squeezy. Designed to improve pelvic floor health for men and women alike, Squeezy helps users build a habit of effective pelvic floor exercises through tailored plans and regular reminders.  Chris shares the story behind Squeezy’s creation, its impact on users globally, and its role as the UK’s top-paid medical app. Together, they discuss the importance of pelvic floor exercises for overall health, bladder control, and even sexual function. Learn why consistent practice can make a big difference—and how Squeezy ensures you stay on track.  Key Topics Discussed:  What is Squeezy, and how does it work?  The origin story: addressing bladder and bowel issues with technology.  How Squeezy helps users stick to their pelvic floor exercise routines.  Tailoring Squeezy for individual lifestyles and physiotherapy plans.  Addressing specific conditions: post-prostate surgery, erectile dysfunction, and long COVID.  Why pelvic floor exercises are a lifelong commitment.  Resources Mentioned:  Squeezy App: Available for a one-time payment of $2.99 in the UK and other markets. Download it from the App Store or Google Play.  Notable Quotes:  "It’s like having your own personal reminder—your 'nagger'—on your shoulder all day, helping you stay consistent." – Melissa Hadley Barrett  "A little bit goes a long way. Even just a few exercises a week can make a huge difference." – Chris Robson  "The stronger your pelvic floor, the better your orgasms and erections. It's a win-win!" – Melissa Hadley Barrett  Connect with Us:  Don’t forget to subscribe to The Penis Project Podcast and leave a review! Share this episode with someone who could benefit from stronger pelvic floor health!  Find out more here: https://squeezyapp.com/     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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

25 Feb 12min

187: Let’s Talk About Painful Sex: Vulvas and Vaginas

187: Let’s Talk About Painful Sex: Vulvas and Vaginas

This episode gets real as Melissa and Kate talk to Shannon who opens up about her personal experience with painful sex and vulvodynia and vaginismus. She shares how these challenges have shaped her live, relationships, and self-esteem, while also tackling the pressures society places on sexuality. It’s a candid, heartfelt conversation that’s all about breaking the stigma and encouraging empathy.  What We Talked About:  Real-Life Struggles: Shannon shares her journey with vulvodynia and vaginismus, including the physical pain and emotional impact.  Society’s Unrealistic Expectations: They chat about how society often sets women up with impossible expectations around sex and why it’s okay to redefine intimacy on your terms.  Getting Help: Shannon talks about her treatment journey, including using prescribed creams, considering therapy, and learning about her anatomy to take charge of her recovery.  Redefining Intimacy: A look at how sex is about so much more than just penetration and why communication and trust are key in relationships.  Let’s Get Empathetic: Melissa and Kate highlight why talking about these issues openly is so important for reducing stigma and creating a more supportive world.  Big Takeaways:  Pain During Sex Isn’t Normal: If you’re struggling, speak up and seek help.  Support is Everything: Having a supportive partner, friends, and medical team can make a huge difference.  Sex is Personal: Don’t let anyone tell you what intimacy should look like—it’s about what works for you and your partner.  You’re Not Alone: So many people deal with these issues. Let’s talk about them and support each other.  Join the Conversation:  Got a story to share? Or just want to chat about this episode? Hit us up on admin@melissahadleybarrett.com We’d love to hear from you!  Resources We Mentioned:  Counselling and therapy for sexual trauma.  Pelvic floor physio options.  Online support groups and forums for those with vulvodynia or vaginismus.  Don’t Miss Out:  Want more honest chats about stuff people don’t talk about enough? Hit that subscribe button and stay tuned for more episodes that keep it real! And don’t forget to leave us review.     Connect with Us:  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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

11 Feb 22min

186: Exploring the Science of Sexual Desire and Fantasies with Dr. Justin Lehmiller

186: Exploring the Science of Sexual Desire and Fantasies with Dr. Justin Lehmiller

In this episode of The Penis Project Podcast, we’re thrilled to welcome Dr. Justin Lehmiller, a renowned research fellow at the Kinsey Institute at Indiana University and one of the leading voices in the field of human sexuality. Dr. Lehmiller, author of Tell Me What You Want: The Science of Sexual Desire and How It Can Help You Improve Your Sex Life and The Psychology of Human Sexuality, shares groundbreaking insights into the fascinating world of sexual fantasies and desire.  Dr. Lehmiller discusses key findings from his research, including the results of the largest-ever survey of sexual fantasies in the United States, which reveals what Americans are fantasizing about and how these desires reflect societal shifts in attitudes toward sex and intimacy.  Topics Covered in This Episode:  Future Directions in Sexuality Research: Dr. Lehmiller highlights underexplored areas in the field and shares his vision for advancing the study of human sexuality.  Consensual Non-Monogamy: We dive into his research on CNM relationships and discuss the cultural and structural changes needed to support diverse relationship styles.  Cultural and Demographic Variations: Learn how factors like age, sexual orientation, and cultural norms shape the nature and prevalence of sexual fantasies.  Research Inspiration: Dr. Lehmiller shares what sparked his passion for studying human sexuality and how his role at the Kinsey Institute has influenced his work.  Sexual Fantasy Trends: Discover the societal and psychological insights behind the most common sexual fantasies, and how open communication about desires can strengthen relationships.  As the host of the Sex and Psychology blog and podcast, and a guest expert featured on platforms like Netflix’s Sex, Explained, Dr. Lehmiller brings a wealth of knowledge, humor, and empathy to this thought-provoking conversation.  Tune in to uncover the science behind sexual desire and learn how to navigate your fantasies with greater confidence and understanding.  Links and Resources Mentioned in the Episode: Dr. Justin Lehmiller’s Blog and Podcast: Sex and Psychology   Connect with Us:  Don’t forget to subscribe to The Penis Project Podcast and leave a review! Share this episode with someone who could benefit from fantasy, doesn’t everyone?  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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

28 Jan 40min

185: From Fizzle to Sizzle: Rekindling Passion and Navigating Mismatched Desires in Long-Term Relationships

185: From Fizzle to Sizzle: Rekindling Passion and Navigating Mismatched Desires in Long-Term Relationships

In this episode, we are thrilled to welcome Dr. Nazanin licensed clinical psychologist specializing in addictions, eating disorders, sexual health, and mental wellness. She is also the host of the renowned Sexology podcast, which boasts over 400 episodes exploring various facets of intimacy and relationships.  Together, we delve into one of the most common challenges faced in long-term relationships: reigniting passion and navigating mismatched desires. We discuss how to move from “roommates” to romantic partners, explore reasons behind dwindling attraction, and offer actionable advice for reconnecting with your partner on an intimate level.  Key Topics Covered:  Defining Sexless Relationships: What constitutes a sexless marriage, and why it might not always mean what you think.  Causes of Diminished Desire: Life stressors, parenting, unresolved relational issues, and how these factors impact intimacy.  Shame and Guilt Around Desire: Addressing guilt, especially in the context of illness or changing life stages and rediscovering the joy of pleasure.  Rekindling Connection: Tips for reigniting the spark, such as reflecting on past intimacy, introducing novelty, and creating space for open conversations about desires and fantasies.  Practical Tools and Strategies:  The Sexy Happy Hour technique: A light-hearted way to explore fantasies, give feedback, and reignite passion.  Incorporating romance: Holding hands, going on dates, and reminiscing about exciting moments from the early days of your relationship.  Using games or prompts to foster communication and curiosity about intimacy.  Memorable Quotes:  “Predictability leads us to lose attraction. Introducing novelty and curiosity can reignite that spark.”  “When we’re turned into roommates instead of romantic partners, it’s time to intentionally prioritize connection and intimacy.”  Actionable Takeaways:  Start small: Plan a romantic date or set aside time for a Sexy Happy Hour.  Reflect on your core erotic emotions: What experiences excite and connect you?  Open the conversation: Talk about desires and fantasies in a non-judgmental and curious way.  Resources Mentioned:  Sexology Podcast   Relationship and intimacy games for couples  Subscribe & Review:  If you enjoyed this episode, don’t forget to subscribe and leave a review! Your feedback helps us bring you more insightful and inspiring content.    This episode is packed with practical advice and inspiration for anyone looking to reignite intimacy and connection in their relationships. Tune in now to discover how to turn the fizzle back into sizzle!    https://sexologypodcast.com/,   IG: @sexologypodcast  https://oasis2care.com/    Program page “Bedroom Fizzle to Sizzle”  https://sexologypodcast.com/enroll/  ----------  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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

11 Dec 202442min

184: Prostate cancer and testosterone levels – a lived experience.

184: Prostate cancer and testosterone levels – a lived experience.

In this episode, Melissa and Shane dive deep into health topics encountered by Shane, including  personal experiences with prostate cancer, low testosterone, and hormone replacement therapy. They cover:  Health Management and Responsibility  The significance of individual responsibility in monitoring and managing personal health.  Exploring the role of hormone levels in cell regeneration and cancer development, with Melissa sharing a study on how low testosterone might increase the risk of high-grade prostate cancer.    Testosterone Replacement Therapy  Benefits and challenges of testosterone replacement therapy for mood, energy, and overall well-being.  Shane shares his journey with prostate cancer, from diagnosis to treatment, and how low testosterone influenced his health management.  A discussion on therapy options, dosage adjustments, and the importance of regular monitoring for optimal health outcomes.    Practical Health Tools  Shane and Melissa discuss the W-912 massage pen for nerve stimulation, used to improve recovery post-surgery and general nerve health. [Link included below] *note this is Shane’s experience and not a professional endorsement by Melissa  Tune in to hear Shane’s unique insights on his hormone health, his journey through cancer recovery, and taking charge of personal health through informed decisions and proactive measures.    Further reading:   ----------  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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

26 Nov 202417min

183: A gay man’s journey through prostate cancer.

183: A gay man’s journey through prostate cancer.

In this episode, Melissa welcomes Richard, a 71-year-old gay man, who shares his journey through prostate cancer diagnosis, treatment, and recovery, offering an honest look into the physical, emotional, and relational changes that come with it from the perspective of a gay man.    Key topics include:  Prostate Cancer Diagnosis and Treatment  Richard’s decision to opt for robotic prostate surgery over radiotherapy and the recovery process that followed.  Reflections on his initial fears, including concerns about anesthesia, biopsy discomfort, and his catheter experience during recovery.  Sexual Rehabilitation and Erectile Health  Richard discusses using a penis pump and pelvic floor exercises to prevent penis atrophy post-surgery, offering insights into the challenges and humor he’s found in the process.  Melissa provides recommendations on pump use, hair trimming for comfort, and ways to maintain sexual health as part of recovery.  Intimacy and Relationship Adjustments  Changes in Richard's intimate life with his partner, how they’ve adapted their relationship post-surgery, and exploring different forms of intimacy as they age.  Open discussions on same-sex relationships and how prostate cancer impacts sexual health and partnership dynamics.  Personal Reflections and Family Relationships  Richard shares his late-in-life coming out journey, the importance of family connections, and maintaining positive relationships with loved ones, including his ex-wife and daughters.  A heartfelt discussion on cherishing relationships and the importance of support systems through health challenges.  Next Steps and Health Management  Richard’s ongoing regimen: daily use of the penis pump, pelvic floor exercises, upcoming PSA test follow-up, and transitioning from incontinence underwear as his continence improves.  Listen to Richard’s candid account of resilience, adaptation, and love as he navigates life post-prostate cancer. ----------  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/   TEDX  https://www.youtube.com/watch?v=IjHj1YTmLoA

12 Nov 202435min

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