Peyronie’s Disease: Causes, Symptoms, and Treatment Options

Erectile Dysfunction (ED) is a medical condition that can stem from another medical condition. One such condition is called Peyronieโ€™s Disease. What precisely is Peyronieโ€™s Disease? What causes it, and how is Peyronieโ€™s Disease connected to ED? Read on and learn everything you need to know about Peyronieโ€™s Disease. 

What is Peyronieโ€™s disease? 

Peyronieโ€™s Disease is a medical condition resulting in abnormal lumps forming inside the erectile tissues of the penis. If left untreated, these lumps or plaques can grow and cause deformities to an erect penis. The erect penis will have a pronounced curve or bend, making it difficult to achieve erection and prevent sexual intercourse. According to the Better Health Channel of the Victorian Government, Peyronieโ€™s Disease affects around 3% of men aged 30 to 80 years. 

Peyronieโ€™s Disease usually affects the upper side of the penis. However, it can sometimes affect the lower side of the penis. There were also instances when the disease affects both sides of the penis.  

When Peyronieโ€™s Disease affects the upper side of the penis, the affected penis will have an upward bend. When the plaque caused by Peyronieโ€™s Disease develops on the underside of the penis, the affected penis will have a downward curve. When plaque grows throughout the length of the penis, the affected penis will become shorter and appear distorted. 

Symptoms of Peyronieโ€™s Disease 

Peyronieโ€™s Disease can be mild, moderate, or severe. It can appear without warning and develop slowly over weeks or months. 

  • Scar tissueย โ€“ Peyronieโ€™s Disease causes scar tissue in the penis. This scar tissue is also called plaque, not to be confused with the plaque found in blood vessels and on the teeth. These scars feel like flat lumps or bands of hard tissue under the skin of the penis. The skin over the plaque may feel tender under the touch.ย 
  • Bent penisย โ€“ Peyronieโ€™s Disease makes the penis look bent or curved. This is a pronounced bent that is different from some normal penises that have a natural curve on them.ย 
  • Erection issuesย โ€“ Peyronieโ€™s Disease might prevent you from achieving and maintaining an erection.ย 
  • Painย โ€“ Peyronieโ€™s Disease can cause pain in the penis. This pain can be felt whether or not there is an erection.ย ย ย 
  • Shortening of the penisย โ€“ Peyronieโ€™s Disease can make the penis shorter during erections.ย 
  • Changes in how the penis looksย โ€“ Although a bent or curve in the penis is the most visible physical symptom of Peyronieโ€™s Disease, the disease can cause other physical changes to the penis. Peyronieโ€™s Disease can make an erect penis look narrow or sunken. In some cases, an afflicted penis can have the appearance of an hourglass, with a tight narrow band around the shaft.ย 

Note that these are merely common symptoms of the disease. If you suspect that you have Peyronieโ€™s Disease, consult a licensed doctor to understand your symptoms. 

Peyronieโ€™s Disease Diagnosis 

Your doctor may be able to diagnose Peyronieโ€™s Disease with a simple physical examination. The distinctive plaque resulting from the disease can be felt even when the penis is not erect. If you are unable to achieve erection because of Peyronieโ€™s Disease, your doctor can inject a drug into your penis to achieve erection. An erect penis will help your doctor better assess how your penis curves. There are also instances when a medical professional might use a dynamic ultrasound during diagnosis. A dynamic ultrasound will help your doctor check for the location of plaques, check for calcium build-up, and assess blood flow through your penis. 

Causes and risk factors of Peyronieโ€™s Disease 

Most of the time, the precise cause of Peyronieโ€™s Disease is unknown. However, medical professionals have identified some common causes of Peyronieโ€™s Disease. Letโ€™s look at some common Peyronieโ€™s Disease causes and risk factors. 

Causes 

  • Injury to the penisย โ€“ The most common cause of Peyronieโ€™s Disease is an injury to the penis. The injury can be because of damage while engaging in sports or because of an accident. Some reported injuries while engaging in vigorous sex.ย 
  • Autoimmune issueย โ€“ Peyronieโ€™s Disease can be a result of an autoimmune issue. This happens when your immune system cannot distinguish between normal cells and foreign and harmful cells. As a result, your immune system attacks your cells, resulting in a scar on your penis.ย 

Risks factors 

  • Ageย โ€“ As you age, your likelihood of getting Peyronieโ€™s Disease increases. It affects between 10 to 15% of men between the ages of 40 and 70. However, according to theย Royal Australian College of General Practitioners, Peyronieโ€™s Disease is most common in men between the ages of 55 and 60.ย ย ย 
  • Family historyย โ€“ If a member of your family, like your father or your brother, has Peyronieโ€™s Disease, you have a higher risk of the condition.ย 
  • Connective tissue diseasesย โ€“ Men who have medical conditions affecting connective tissues are more prone to getting Peyronieโ€™s Disease.ย 
  • Collagen abnormalitiesย โ€“ Having a collagen abnormality means higher chances of getting Peyronieโ€™s Disease, especially if the medical condition affects the growth of fibrous connective tissue proteins.ย 
  • Surgeriesย โ€“ You have a higher risk of Peyronieโ€™s Disease if you had surgery on your penis. For example, prostate cancer may require surgical treatment and the scar resulting from the said treatment might cause Peyronieโ€™s Disease.ย 

Peyronieโ€™s Disease and Erectile Dysfunction Link 

How are Peyronieโ€™s Disease and erectile dysfunction connected? To better understand the connection between the two, letโ€™s learn more about erections. 

The penis has erectile tissues called corporal bodies. These corporal bodies look like two rods or tubes running the length of your penis. These corporal bodies have countless blood vessels within them. They are also covered in elastic tissue that stretches during erection.   

As you get sexually aroused, blood flows through these tubes, causing the penis to be erect. When you have Peyronieโ€™s Disease, the part of your penis with the scar or plaque doesnโ€™t stretch. Instead of expanding and stiffening to an erection, the penis bends or curves.   

Complications   

If you have Peyronieโ€™s Disease, you might experience complications, including: 

  • Inability to have sexย โ€“ The bent or curve caused by Peyronieโ€™s Disease can make sexual intercourse challenging or even impossible.ย 
  • Erectile dysfunctionย โ€“ Peyronieโ€™s Disease can result in trouble achieving and maintaining an erection.ย 
  • Stressย โ€“ Having Peyronieโ€™s Disease can result in a great deal of stress.ย Stressย can result from a strained relationship with your romantic partner or from feeling down because of ED.ย 
  • Inability to conceiveย โ€“ Peyronieโ€™s Disease might prevent you and your partner from being able to conceive because of erection issues.ย 
  • Shorter penile lengthย โ€“ Peyronieโ€™s Disease can result in a shorter penis.ย ย ย 

Peyronieโ€™s Disease Treatment 

There are several Peyronieโ€™s Disease treatment options available, depending on the severity of your ailment. There are also instances when Peyronieโ€™s Disease goes away without the need for any treatment. If a patientโ€™s Peyronieโ€™s results in small plaques, no pain, and no curvature of the penis, a treatment may not be needed. 

  • Oral drugsย โ€“ Drug therapy can help men suffering from Peyronieโ€™s Disease. However, there are still doubts about oral drug therapies because of the need for more studies showing that oral drugs have convincing benefits. An example of oral drug for Peyronieโ€™s include vitamin E. Vitamin E might make plaques smaller and help arrest the curvature of the penis.ย 
  • Penile injectionsย โ€“ Penile injections are recommended for when Peyronieโ€™s is still in the early stages and surgery is not yet needed. One drug used in penile injections is Interferon. Interferon might help control scarring by slowing down the rate of scarring build-up.ย ย ย 
  • Traction therapyย โ€“ Traction therapy is a type ofย Peyronieโ€™s Disease treatmentย involving the use of a device that keeps the penis in a cradle. The goal of traction therapy is to prevent curvature and length loss.ย 
  • Surgeryย โ€“ Surgery is reserved for cases when the curve caused by Peyronieโ€™s is severe. It is also an option if the patient is unable to engage in sexual intercourse because of the effects of Peyronieโ€™s. For less severe cases, a doctor might use a surgical technique called suturing. Suturing helps straighten the penis by restricting the longer side of the penis without scar tissue.ย ย ย 

There is a surgical option to insert an inflatable pump into the penis. Aside from helping with Peyronieโ€™s, it will also be beneficial to men suffering from ED because it helps straighten the penis and make it stiff enough to allow for sexual intercourse.  

  • Peyronieโ€™s Disease exercisesย – Some small studies suggest that a patient with Peyronieโ€™s should stretch the penis daily for at least six months. Thisย Peyronieโ€™s Disease home treatmentย can help restore a penis to its natural length and curve.ย 

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Peyronie's Disease: Causes, Symptoms, and Treatment Options

Peyronieโ€™s Disease is a medical condition that can be uncomfortable and painful. It can lead to erectile dysfunction, which can strain a relationship and prevent conception for couples wanting to have children. However, it is also treatable. Depending on the severity of the condition, a patient can choose between oral drugs and penile injections. Surgery is also available for severe cases. There are also physical exercises to help minimise the effects of Peyronieโ€™s.  

If you experience erectile dysfunction due to Peyronieโ€™s disease, consult a trusted doctor. Your doctor can examine you and recommend the best treatment option to help you get rid of ED and get your health back on track. Book a FREE consultation today. 

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