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Dr. Lander’s Regenerative Urology practice differs from most other practices which
focus on prescribing oral or injectable agents for Erectile Dysfunction. Some practices
promote insertion of penile prosthesis devices which destroy the vasculature of the
penis and replace it with hydraulic devices. Instead, Dr. Lander’s focus is concentrated
on regenerating the delicate but damaged penile vasculature associated with ED. Dr.
Lander, as a pioneer in clinical stem cell research, has been using shock wave
technology SWT (to try to stimulate natural resident stem cells into forming new blood
vessels) in combination with supplemental penile administration of new stem cells which
are autologous (from your own body).

Some of the investigational protocols involve not just stem cells but also combinations
of stem cells and various regenerative therapies that provide signaling for healing and
new blood vessel formation. These include both Exosomes (small vesicles that contain
micro RNA healing signals from stem cells) as well as platelet rich plasma PRP which
contains natural growth factors.

Early in 2019, Dr. Lander published the largest peer reviews series in the world on the
use of fat derived stem cells from your own body combined with shock wave technology
to improve human erectile dysfunction ED (Lander and Berman, J Stem Res Ther 2018,
8:9. (Click Here to View Publication) Over two thirds of the patients had a favorable
response using the research protocol.

Dr. Lander has had the privilege of teaching regenerative medicine all over the world
and this results in a cross pollination of medical knowledge. Some of the techniques
used at Lander Regenerative Urology have come from as far away as Dubai.

Our Different Approach Methods

Platelet Rich Plasma (PRP)
Contains additional enriching growth factors (signaling molecules) which are obtained
from a person’s own blood that is processed with a centrifuge. It can be highly
concentrated using a special centrifuge device for certain conditions.

Shock Wave Technology SWT
Provides painless deep tissue energy that creates a controlled micro-trauma that
signals local stem cells to repair microvasculature with new healthy blood vessels.

Stromal Vascular Fraction – autologous stem cells from adipose tissue (fat)

Peyronies Disease Treatment

Peyronies Disease is an abnormal scarring of the tunica albuginea (fibrous structure of the two penile cylinders). It is associated with an acute phase which is highly inflammatory and a chronic phase where scars turn into tough “plaques” in the penis which can deviate erections and interfere with normal blood flow resulting in ED. Once Peyronies is in the chronic phase. It is more difficult to repair the problem.

Adult stem cells from fat have been used for a variety of medical treatments to repair and regenerate acute and chronically damaged tissues. When properly deployed into damaged human tissues, these cells have the potential to repair targets by forming cells of mesenchymal origin, such as cartilage, bone, fat, muscle and blood vessels or in many cases coming into proximity with damaged tissue and providing healing signals to influence repair.

Dr. Lander has been using stem cell therapy in combination with shock wave (provides deep tissue energy that weakensthe Peyronies Plaque). Many cases also receive Platelet Rich Plasma which contains additional enriching growth factors (signaling molecules) obtained from a person’s own blood that is processed with a centrifuge. Generally earlier interventions (within 6 months of onset) seem to be most effective but some chronic cases of Peyronies are
also eligible for treatment. In 2016, Dr. Lander published a pilot study that was used to evaluate safety and subjective outcomes in a small series of Peyronies disease patients using a combination of autologous stromal vascular fraction (SVF) stem cells and penile shock wave treatments. (Click Here to View Publication). The majority of patients had an excellent response and there were no side effects to the treatments.

Dr. Lander is the Co-Medical Director of California Stem Cell Treatment Center® and the Cell surgical Network which is an international research collaboration dedicated to the investigational use of adult mesenchymal stem cells found in fat tissue. The goal of the project is to use regenerative cells from one’s own body to provide relief for patients suffering from certain degenerative diseases (including Peyronies Disease) that have been resistant to common modalities of treatment.

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