Peyronie’s Disease is a condition that affects the penis. During an erection, the penis of those with Peyronie’s Disease becomes curved; so much so that in extreme cases, it can make intercourse difficult if not impossible for the man. If you or someone you care about has been diagnosed with Peyronie’s Disease or believe you might have this condition, see your urologist immediately. Here is more about Peyronie’s Disease, including what you can expect for treatment.
Symptoms of Peyronie’s Disease
The most common symptom that can indicate Peyronie’s disease is the curvature of the penis. The curve can be shallow and slight, or quite severe. In the most extreme cases, intercourse can become painful or even impossible for the man. Peyronie’s Disease can also interfere with the man’s ability to maintain and keep an erection and can impact the intimacy of a relationship.
Causes of Peyronie’s Disease
While the cause of the Peyronie’s Disease is not completely understood, a number of factors do play into the development of the disease, the most common of which is repeated trauma to the penis that can occur during sex, sports or from an accident. During the healing process, scar tissue can form in the penis, sometimes causing a nodule that forms in the bend of the penis when erect. If the cause in fact is scar tissue, that can be diagnosed with a simple physical exam and is easily felt under the skin.
As many cases of Peyronie’s Disease heal themselves, your urologist may adopt a “wait and see” stance with regard to your personal case. If however this is not the case, your urologist can offer a variety of treatments, each with proven success. Depending upon the extent of the condition, initial treatments may consist of injections like Collagenase, the sole FDA-approved medicine to treat Peyronie’s Disease, which breaks down the collagen buildup that often causes the bend. Verapamil is a high blood-pressure medication that has shown promise in disrupting collagen production and can prevent the curve from worsening. Interferon is a protein that breaks down fibrous tissue and has shown promise in clinical trials. These injectable medications may be used in conjunction with oral medication.
As with many conditions, surgery is the last resort for treating Peyronie’s Disease. Most urologists will recommend waiting for surgery until the curve has stopped increasing and maintained a constant for at least six months. There are three surgical procedures that can correct Peyronie’s Disease – plicating, excision/incision, and a prosthetic implant. During plicating, the urologist will suture the unaffected side of the penis, resulting in a straighter penis. This surgery is used mostly for minor curvatures and may result in cases of erectile dysfunction. During excision or incision surgery, the urologist will make one or more cuts into the scar tissue, allowing the sheath to stretch and hopefully straighten; occasionally the surgeon will take the time to cut out as much of the scar tissue as possible with the resulting hole then being covered with a graft. Lastly, the urologist may decide to insert a penile implant to replace the spongy tissue that fills with blood to produce an erection. The implant itself can be semi-rigid and be bent down for normal activities and up when the time comes for sexual activity.
Treatment for Peyronie’s Disease in Nashville
Many couples dealing with Peyronie’s Disease report the strain on their relationship, especially if they can’t find other ways to satisfy intimacy. Fortunately residents in the Nashville area are located near one of the top urologists in the world. Dr. L. Dean Knoll has performed more than 7,000 successful surgeries here and abroad to correct male issues. An internationally recognized leader in urology and its surgical methods, Dr. Knoll has had a hand in developing many of the treatments that are used to treat Peyronie’s Disease and other urological conditions. If you or your partner has Peyronie’s Disease or any other urological condition and it is affecting your health or the health of your relationship, call Dr. Knoll at (615) 250-9290, or request an appointment online today.