What is Peyronie’s Disease?
Peyronie’s disease happens when scar tissue (plaque) forms in the penis, leading to pain, curvature, and sometimes indentations. It affects about 10% of men and can cause issues like:
- Penile shortening
- Painful erections
- Erectile dysfunction
What causes it?
The exact cause isn’t clear, but it’s often linked to injuries that don’t heal properly. These injuries can lead to scar tissue forming in the tunica albuginea (a layer that helps the penis stay firm during an erection). Over time, the scar may harden, causing bending or other deformities.
Common symptoms
- Painful erections
- A curved or bent penis
- Hard or lumpy areas along the shaft
- Erectile dysfunction
Doctors diagnose Peyronie’s through a physical exam. Sometimes, they inject medication to create an erection for a closer look at the plaque and curvature.
Treatment Options for Peyronie’s Disease
1. Non-Surgical Treatments
Best for mild cases, these include:
- Medications and Therapies: Oral drugs and localized injections aim to reduce plaque and improve curvature.
- Xiapex Therapy: This injectable enzyme breaks down plaque. Gentle stretching exercises are combined with therapy to improve results.
2. Surgical Treatments
Used for more severe cases or when non-surgical options don’t work.
- Tunical Lengthening: Plaque is cut, and a graft is placed to straighten the penis.
- Penile Prosthesis: If erectile dysfunction is severe, a penile implant may be placed. In some cases, the plaque is also removed.
- Tunical Shortening: Rarely used, as it can further shorten the penis.
The choice of surgery depends on how severe the curvature is and whether erectile dysfunction is present.
Recovery and Aftercare
After surgery:
- Physical Therapy: Exercises and vacuum devices may help with recovery.
- Implants: If needed, a prosthesis can restore rigidity for sexual activity.
Solution
Peyronie’s disease can often be managed with treatments tailored to your needs. Contact us today to discuss options!