Peyronie’s Disease

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What is Peyronie’s disease?

Also known as Induratio Penis Plasticam Peyronie’s disease causes in males penis accumulation of scar tissue plaque. Only around 9% of male population is suffering from this disease, and it can appear at any age. Regardless, males around and above the age of 35 seem to have a predilection to develop this affection.

Generally, men suffering from Peyronie’s disease will notice a lump in their penis or that the penis is curved when erect. Additionally, men will also notice penile pain, a premature instalment of erectile dysfunction, loss of erect penis length and girth. In many individuals the disease is asymptomatic. However, the most common symptoms are below:

  • Swollen penis;
  • Phallic curvature. Oftentimes, the curvature can reach a 90 degree angle.
  • Penile pain;
  • Loss of length and girth in erect penis;
  • Instalment of erectile dysfunction.

However, take note that the symptoms above depend entirely on the scar tissue plaque location and severity. On the other hand the symptoms vary from patient to patient, some with very large plaque accumulations have little to no symptoms, while some with small areas affected experience severe symptoms.

Sadly, 1 in 2 men suffering from Peyronie’s Disease complains about severe depressions and anxiety, having an enormous impact on their lives.

Even if the symptoms of this unfortunate disease are severe, it is treatable, surgery or traditional medicine has the capacity to help. Fortunately, the interventions that have the capacity to correct these issues seem to help patients regain their confidence and a healthy and satisfying sexual life. However, it is necessary to find appropriate medical help and competent doctors, able to help you in your issue.

I think that I have Peyronie’s Disease, what next?

As soon as you start noticing any type of anomalies in your penis, it is a good idea to visit an urologist. They will be able to diagnose the severity of the disease. The examination technique used will be in-person physical examination and penile ultrasound tests.

How is Peyronie’s disease diagnosed?

Specialists have a true understanding that being diagnosed or checked for Peyronie’s Disease is a stressful process and this why many try to make it considerably less stressful. Patients should always remember that regardless of the severity of the plaques accumulated in the penile tissue, there will always be a specialist willing to apply one of the most efficient treatments available out there. But patients should always make sure that the seek help from true professionals.

The diagnosis process is a fairly simple and non-invasive one. The examination will be a physical in-person one, and a penis ultrasound test, during which the scar tissue plaque formations will be examined. If the doctor comes to a conclusion that you are suffering from Peyronie’s Disease, they will design a treatment plan specifically tailored to your needs.

Should I be concerned regarding Peyronie’s disease progress?

Peyronie’s Disease is a progressive affection and it develops in two separate stages. From the commencement and to the point of 12 months, the disease is in the acute phase, during which the structure and morphology of the scar tissue plaque continues to take shape and grow furthermore.

In many cases, the symptoms remain unnoticeable, but unfortunately, the vast majority of males suffering from this issue experience it on a severe level, the pain and discomfort being excruciating. In few cases, somewhere around 13% of the patients, the plaque dissolves by itself. In the acute phase of the disease, there are available some interventions which may alleviate the symptoms of the disease, and even slow down its progress. After a year from the onset of the disease, doctors can apply all treatment methods, including surgery. Worth noticing is the fact that many patients won’t experience any significant pain, but treatment will still be necessary.

What treatment options do I have, if I am diagnosed with Peyronie’s Disease?

Peyronie’s disease has many treatment options, mainly divided into four large categories.

  • Conservative treatment options – consist of a series of vitamins, oral supplements and pills and topical treatments. Unfortunately, conservative treatments are not improving the patient’s state significantly, many avoiding them specifically because of this reason. However, they can reduce the curvature angle and the pain experienced by the patient; they have a slight potential to slow down the evolution of the disease.
  • Mechanical modelling – this procedure involves using a vacuum erection device as well as penile stretching and straightening exercises. The main goal of this type of treatment is to reduce the penile curvature angle. On its own, this intervention is rare to help treating the disease, but combined with penile curvature surgical correction or Xiapex injections, it seems to have its benefits.
  • Xiapex Injection therapy – is the latest form of treatment for Peyronie’s disease. Before introducing it, the go-to intervention was surgical correction. However, these injections seem to be incredibly efficient in removing penile plaque. Many specialists recommend this therapy as the first line of defence against this disease, obviously, based on a specialist’s diagnosis.
  • Surgical correction – before introducing Xiapex Injection therapy, surgical correction was the single efficient form of therapy in this disease. In many patients, it still remain the only successful intervention to correct penile curvature caused by Peyronie’s disease. The surgery should always be performed after the acute phase of the disease passes, and the chronic phase is installing in the patient.

At centre for surgery, the specialists will oftentimes combine some of the above treatment techniques, so the treatment plan fits exactly the necessities of each patient individually. Variables which doctors usually take into account are the severity of the disease and the stage of the disease in which the patient finds themselves in.

Patients should always remember that the disease is always treatable with the right approach, and they will soon regain the joy of life and a healthy and satisfying sexual life. Regardless of how unsettling this disease might be, the expertise of a skilled surgeon will help all patients get treatment for the disease and relieve discomfort caused by it.

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