What Is And How Is Peyronie’s Disease Treated

Everyone has heard of erectile dysfunction or premature ejaculation, the most common sexual dysfunctions , but few people are familiar with it when it comes to Peyronie’s disease, another much less known sexual dysfunction, but what can affect up to 12% of men.

Broadly speaking, and as the Mayo Clinic points out , it is “a non-cancerous condition that results from fibrous scar tissue that forms on the penis and causes curved and painful erections .” Although the curvature of the penis itself does not have to be a cause for concern, when it is accompanied by other symptoms, such as pain, it should be consulted with a specialist to rule out that it is an early phase of Peyronie’s disease.

Is it possible to fracture the penis?
Also known as EPY or plastic induration of the penis, Peyronie’s disease is a connective tissue disorder that affects the tunica albuginea, which is the layer that surrounds the corpora cavernosa of the penis. This disorder causes fibrous plaque to build up under the skin of the penis, which can be felt or felt in the form of lumps or hard tissue. These plaques give rise to the following symptoms:

• Lumps or hard areas on palpation.

• A significant curvature of the penis , either up, down or to the side. When this curvature is pronounced it is very difficult to continue with intercourse, as it can also cause dyspareunia (pain during sexual intercourse) in both women and men.

• Pain in the penis, with or without an erection , but especially during erections.

• Erection problems. Either to achieve or maintain an erection.

• Shortening of the penis.

• Other deformities of the penis , such as narrowing or clefts.

Some symptoms, such as curvature and shortening of the penis, can usually get progressively worse, but there comes a time when they stabilize. The pain usually improves after a year or two. In any case, sexual health is compromised.

Why is it produced?
Circumcision of Christ.
Is it advisable to be circumcised?
Although it is quite common, since 3% and 12% of men between 40 and 60 years of age suffer from it, EPY is of unknown origin. However, there are some known risk factors that make it more likely, such as:

•The Heritage. If a family member has the disease, they are at higher risk of developing it.

• Suffering from connective tissue disorders, such as, for example, Dupuytren’s contracture, a thickening in the form of a cord across the palm of the hand, diffuse Collagenosis or Articular Cartilage Fibrosis.

• Take antihypertensive drugs such as Propranolol and Metoprolol.

• Be over 55 years old.

•Smoke.

• Having had some types of prostate surgery.

• A recent hypothesis believes that it could be produced by small micro traumas during sexual intercourse, with masturbation and with any other type of trauma that the organ could receive.

How is Peyronie’s disease treated?
Although it is usually progressive, there is a small percentage of patients in whom PYD resolves on its own. In the rest of the cases, if you seek help quickly, in the early stages, you can also solve the inflammatory problem and greatly improve the symptoms. In treatment it is different if the patient is in the acute phase (pain, curvature …, which can last only a few weeks) or chronic, when there is less pain and the symptoms are more stable.

In the acute phase, the most recommended treatments, which can be combined with each other, are usually:

• Penile traction therapy, which consists of stretching the penis with a mechanical device to minimize the loss of length and curvature.

• Injectable treatments, such as verapamil, collagenase, and interferon, designed to reduce curvature.

• Oral medications. At this time, there are no oral medications that effectively treat penile curvature, but potassium para-aminobenzoate, which is used to treat Dupuytren’s contracture, may reduce the size of the plaque, although it has no effect on penile curvature. penis. If the patient is in pain, they can take non-steroidal anti-inflammatory drugs (NSAIDs).

• Other newer ones, such as shock wave therapy , Platelet Rich Plasma or stem cells.

In the chronic phase, although the previous treatments can be used -except oral- , surgery is the best option , especially if the deformation of the penis is severe. In case of undergoing surgery there are also several options, such as

• Suture (plication) the unaffected side. It is intended to straighten the penis.

• Incision or excision and graft. The scar tissue is cut to straighten the penis, and the scar tissue is removed.

• Penile implants , which allow to recover the erection