Peyronie's Disease
Peyronie's Disease is a condition that can significantly impact a man's sexual health and quality of life. Understanding what Peyronie's Disease is, along with its causes and potential treatments, is crucial for managing this condition effectively. Let's explore the complexities of Peyronie's Disease and equip you with the knowledge needed to address it confidently and improve your overall well-being.What is Peyronie’s Disease?
Peyronie's disease is a connective tissue disorder involving the growth of scar tissue in the soft tissue of the penis causing pain, abnormal curvature, erectile dysfunction, indentation, and/or loss of girth and shortening.
It is estimated to affect 5–20% of men. The condition becomes more common with age but can affect men of all ages.
What are the symptoms of Peyronie’s Disease?
- Deformity of penis- curvature may occur in any direction, indentation of the sides of the penis
- Decreased erection- softening of erection, difficulty maintaining erection
- Decreased penile length and girth- the curvature decreases ability of the penis to stretch
- Distress- secondary to the sexual abilities and appearance of penis after the disease develops
What Causes Peyronie’s Disease?
The underlying cause of Peyronie's disease is unknown. Although, it is likely due to a buildup of plaque inside the penis due to repeated mild sexual trauma or injury during sexual intercourse or physical activity.
Risk Factors Associated with Peyronie’s Disease:
- Diabetes Mellitus
- Dupuytren’s Contracture
- Penile Trauma
- Prostate Cancer Treatment
- Excessive smoking or alcohol consumption
- Genetic Predisposition
How is Peyronie’s Disease Diagnosed?
Getting diagnosed with Peyronie’s Disease is the first step toward reclaiming your sexual wellness. From medical history reviews to specialized tests, understanding the diagnostic process can alleviate uncertainty and guide you toward tailored treatment plans.
- Discussion with Urologist: overall health assessment, past medical history, and physical exam will be performed
- Other Tests: penile ultrasound
What Are the Treatment Options for Peyronie’s Disease?
- Treatment Options
- Observation
- Not all patient’s with this disease need treatment
- Traction Device
- An instrument that mobilizes the penis back to a straighter configuration
- Xiaflex (Clostridium Histolyticum)
- Injection of medication that breaks down the plaque/scar and decreases curvature
- Surgical correction
- Excision of the plaque entirely to restore straightness of penis
- Observation
- Counseling
- Talking to a therapist can help manage stress or anxiety related to Peyronie’s Disease.
When Should I See a Doctor About Peyronie’s Disease?
Communicating with your doctor can lead to timely interventions and improvements in both your sexual and overall health; therefore, it’s appropriate to visit your urologist at the early onset of any Peyronie’s Disease symptoms.
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