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: Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com Dr Landon Trost https://malefertilityandpeyroniesclinic.com/about/ To access references that were mentioned by Dr Trost in this episode please go to https://malefertilityandpeyroniesclinic.com/about/ and scroll to the bottom of the page. Listen & Subscribe 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. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app. 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: [email protected] Websites: https://rshealth.com.au/  All genders https://makehardeasy.com.au https://melissahadleybarrett.com Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/   YouTube: https://www.youtube.com/@melissahadleybarrett TikTok: @melissahadleybarrett   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/  TEDX https://www.youtube.com/watch?v=IjHj1YTmLoA