Peyronie’s Disease

This disease gets the name from the French physician François Gigot de la Peyronie who described the disorder in 1743. Peyronie’s disease is also known as Induratio penis plastica or Chronic Inflammation of the Tunica Albuginea. It’s a development of fibrous scar tissue which causes the penis to curve or bent to the side, upwards or downwards. At the same time, a man can be suffering from Peyronie’s disease, but does not develop penile curvature, only scar tissue or plaques develop.

Along with the physical consequences (disfiguration, curvature and decline in girth and/or length) it may also cause erectile dysfunctions such as difficulties to have or maintain an erection, and psychological problems like anxiety, stress, depression, loss of libido, etc.

Nowadays, many solutions such as extenders for penis curvature correction, corrective surgery, laser and drug treatments can be found, but each of them has to be chosen according to the medical situation.

Peyronie’s Development

The condition can develop fast in just a short time or gradually over time. The signs are usually: deformed penis (penis is bent to the side, downwards or sharply upwards or has an hourglass figure), pain (during erection, orgasm or flaccid state in the first 6-18 months), scar tissue which can be felt under the skin (flat lumps of hard tissue), erectile dysfunction, shortening of penis, etc. It can be diagnosed by an urologist or a general practitioner.

The cause of this disease resulting in a curved penis is still not completely understood, but it is believed a minor trauma or injury during sex, sport or other activities causes development of inflammation and damage of tissue. If this heals properly, it has no consequence; otherwise, scar tissue remains or can get worse. The section with scar tissue is no longer flexible which causes bending or disfiguration of penis in erect state.

Genetics and age also play a role in the occurrence of the condition. There is evidence of increased incidence in genetically related males. The chances of injuries increase with age, but the ability of tissue to heal is diminishing. The disease affects up to 10% of the male population, the Caucasian males over the age of 40 being the most inclined.

Peyronie’s Treatments

Surgical procedures are generally highly recommended in cases of severe curvature which causes pain or incapacity to have a normal sexual intercourse. In extreme curvatures the patient is unable to have normal sexual relations which prevents procreation. This justifies penile curvature corrective surgery.

Medication can also be used to destroy the plaque responsible for the curvature. Among them we can find vitamin E, interferon, verapamil and collagenase.

Penis extenders are also a good alternative to surgery as several peyronie studies have demonstrated. Indeed, the fear of surgery and significant risks involved make penis extenders one of the best methods in cases of less severe curvature, especially, because the absence of side effects with this kind of treatment, but also because they do not produce penis shortening.

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