Peyronie's Disease is caused by scar tissue, called plaque, which is formed along the penile corpora cavernosa. This plate is not visible, and depending on the seriousness of the situation, the plate can cause the penis to bend, making it difficult to have sex and occasionally painful . Usually follows minor injuries of the penis.
WHAT IS THE FREQUENCY OF THE DISEASE?
According to the American National Institute of Health Peyronie's disease occurs in 1% of men.
WHO SUFFERS FROM THE DISEASE?
Although the disease occurs mainly in middle-aged men, young and elderly men can be afflicted.
WHAT ARE THE SYMPTOMS OF THE DISEASE?
Symptoms may develop slowly or appear from one day to another. When the penis is soft, it can not be considered that there is a big problem. But in severe cases, the hardened plaque (which is benign) causes pain and causes the penis to bend during erection. In most cases, the pain decreases over time, but the bending can remain . Occasionally, milder forms of the disease will automatically disappear without causing significant pain or permanent bending. Overall, Peyronie's disease, it will be resolved by itself between 5% -19% of cases.
Some men with Peyronie's disease develop scar tissue and other body parts, such as the hand or foot.
HOW IS THE DIAGNOSIS MADE?
First of all, your doctor will talk to you and ask you for any conditions such as injuries that may have occurred before symptoms appear. Your doctor can feel the stiffness of the tissue caused by the disease during the clinical examination, although sometimes it is necessary to examine the penis erect. In some cases, where the examining doctor does not confirm the Peyronie's disease, or in cases where the situation is evolving rapidly, your doctor may perform a biopsy. A biopsy involves removing tissue from the affected area for examination in a laboratory.
WHAT IS THE TREATMENT?
During the initial stage of the disease where there is pain, and the size of the plate and the degree of bending varies, surgical correction is contraindicated. At this stage it is proposed to use pharmaceutical or endoplague treatment with a variety of substances, but with little results. The urologist will individualize for you the appropriate treatment.
At the stage where the plate has stabilized surgery is appropriate.
The two most common surgical procedures used to treat Peyronie's disease are:
- Removal of the plate followed by the placement of a tissue adhesive.
- Removing or altering of the web from the opposite side of the penis from the plate, which counteracts bending.
Unfortunately, surgery does not always guarantee the normal operation of the penis. The first method may include partial loss of erectile function. The second method, known as the Nesbit procedure, causes a shortening of the penis in erection.
- Another surgery for Peyronie's disease is the prosthesis implantation. This treatment is only for men with Peyronie's disease and significant erectile dysfunction.