Peyronies Disease & Penis Disorders
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Although the exact cause of Peyronie’s disease is not known, current scientific research indicates that an exaggerated healing process in the body occurs after trauma to the penis, which may happen during intercourse. It is important to note that the vast majority of patients will not recall a specific traumatic intercourse event and that the “trauma” may not be very different from what is normally experienced.
In Peyronie’s disease, this exaggerated response leads to tunical (the lining of the penis) plaque formation. As a result of this plaque (not the same as blood vessel or heart plaques), the penis tends to be deformed or curved when erect. The plaque may also affect the quality of erections, so a person suffering from Peyronie’s disease may experience both poor erections and a deformed or curved penis.
Pain in the plaque area is not always a symptom of Peyronie’s disease, but it certainly can be an additional burden for many men. When pain is observed, it is usually in the first 12 to 18 months, when the pathology is thought to be in its active phase (when the plaque may be going through changes that can affect the shape of the penis). In some cases, the degree of curvature is such that intercourse may be impossible due to discomfort for the patient or his partner.
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Yes, this disease can resolve itself spontaneously, but not if it has been present for over a year. I suggest an early consultation with a urologist to see if there are any treatments available for you, and also oral medicines that may prevent worsening of the condition or perhaps reversing the curvature.
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The cause of Peyronie's disease (in which the penis is bent when erect) and its development are not well understood. Because of that, doctors treat it empirically, which just means they keep trying things until something works. The goal of therapy is to restore and maintain the ability to have intercourse -- which may mean some degree of curvature remains. Sometimes, the only thing I need to do is educate a man about the condition -- most guys have never heard about Peyronie's. But if the situation is causing a problem for the man or his partner, there are a number of treatments to explore.
This isn't a condition that can be "fixed" by a pill or oral medication (studies of a variety of oral treatments, including vitamin E, have been inconclusive). Current treatments involve anti-inflammatory medication to halt the progression, and Viagra like medication to increase blood flow to the penis. Another treatment is directed at small, hard patches on the penis called plaques, which cause the penis to bend when it gets erect. A doctor can inject compounds directly into the plaque to soften it or break it down. One way to deliver a plaque-busting drug is iontophoresis, which uses a painless electrical charge to move the medicine through the skin and into the plaque. If all else fails, there are 3 surgical procedures for Peyronie's disease. Each has pluses and minuses, though they all entail some risk, as does any surgery.
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Peyronie's disease is a condition in which scar tissue forms inside the penis. That can make the penis bend, making sexual intercourse difficult, painful, embarrassing, or all three. The emotions this may create can interfere with sex. Erectile dysfunction (ED), the inability to achieve and maintain an erection, can happen when you have Peyronie's disease. Unfortunately, this side effect, and the emotional toll it can have on you, can also put a strain on your relationship with your significant other. But there are treatments for Peyronie's that may also help put the spark back in your sex life. Talk to your doctor.
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A crooked penis or Peyronie's disease is caused by scarring of the penis that makes it bend during an erection.
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There is no consensus on the cause(s) of Peyronie's disease in medicine. It is thought to be multifactorial, and the leading hypothesis is that there is micro-injury to the erectile bodies of the penis with subsequent healing, fibrosis and inflammation associated with the attempt to heal. Recurrent micro-injuries lead to a cycle of repeated tissue healing/injury that can lead to scarring, venous leak causing ED and ultimately penile curvature.
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An erect penis is normally ruler-straight, but it's not uncommon for an erection to have some degree of bend, or twist. If the bend is extreme, causes pain, or makes intercourse impossible, then the condition is called Peyronie's disease, after François Gigot de la Peyronie, the French surgeon who first described the disease in 1743.
With Peyronie's, the penis typically curves sharply upward when erect, giving it a hook-like appearance, though curves in other directions are also seen. The immediate cause of the curvature is the development of small, hard, patches on the penis called plaques. These plaques don't expand the same way that the rest of the penis does. When the penis is limp, you don't notice. But when the penis "inflates" during an erection, the stiff plaques force the penis to bend. The plaques themselves are not harmful or contagious in any way. But the penile bending they produce can cause a good deal of consternation, for both a man and his partner.
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There are no truly worthwhile ways to prevent Peyronie’s disease (PD), with the exception of those rare cases that result from rough sex or downward bending of the erect penis. Many men hesitate to seek timely treatment for PD because they feel ashamed of their condition. Others feel inadequate or guilty toward their partner and wonder if there were steps they could have taken to avoid PD. Patients should always remember that if they notice changes in the penile anatomy or sensation, they should seek professional help immediately.
