is Peyronie's disease?
Named after a French surgeon, François de
la Peyronie, who first described Peyronie's disease in 1743, this is a disorder
of the penis, in which fibrosis (hardened cells) forms under the skin on one
side of the penis.
It begins as a localised inflammation and can develop
into a hardened scar. This feels like a firm nodule when the penis is flaccid,
but causes the penis to bend at a sharp angle when the penis is erect. A plaque
on the top of the shaft causes the penis to bend upward; a plaque on the underside
causes it to bend downward. In some cases, the plaque develops on both top and
bottom, leading to shortening of the penis.
Erections can be difficult and sexual intercourse
painful and the consequent emotional stress can be significant.
causes Peyronie's disease?
The cause is unknown, although it may be caused
- An injury that causes bleeding inside the penis.
- An immune system problem.
- An abnormality in the man's collagen (a tissue-building
- It may be hereditary.
About 30% of men with Peyronie's disease will develop
fibrosis in other elastic tissues of the body, such as on the hand or foot.
Peyronie's disease is most common in men aged 40
to 60. However, men of all ages may develop it although it is very rare in younger
are the symptoms of Peyronie's disease?
- The penis becomes curved when erect.
- Loss of erection may be experienced.
- The patient will probably experience some sort
of pain in the penis, especially during erection.
- Penetration during sexual intercourse may prove
difficult or even impossible.
medical treatment always necessary for Peyronie's disease?
No. Occasionally the problem goes away on its own,
but this is rare. Therefore if you have this problem, you ought to seek medical
advice. The longer you leave it, the more anxious and self-conscious you may
is the treatment for Peyronie's disease?
Since the cause of the disease and its development
are not well understood, doctors treat the disease by prescribing and using
treatments that seem to help.
There are a number of treatments your doctor may
suggest for this disease. These may include topical applications or oral medication.
Unfortunately, there is currently no one method which is known to have superior
results over another.
If the curvature is severe, and no other treatment
has worked, the patient may require surgery. The two most common surgical methods
involve removing the plaque and replacing it with a graft of normal tissue or
artificial material, or removing or pinching tissue from the side of the penis
opposite the plaque, which cancels out the bending effect. Surgical correction
is usually quite successful in restoring sexual function, although there are
potential problems with both options. Alternatively, a penile implant can increase
rigidity of the penis and, in some cases, straighten the penis.
It is very important that the psychological aspects
of this disease are treated as well. A person with Peyronie's disease may suffer
anxiety or even depression because of this condition. It may affect their relationships,
and be a cause of great embarrassment to them.
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