Peyronies Disease – Diagnosis, Symptoms and Causes

Peyronies disease is a non – malignant condition that makes curved, painful erections due to fibrous scar tissue that grows on the penis. Penises come in various shapes and sizes, and a curved erection isn’t always a reason for worry. However, Peyronie’s disease causes a substantial curve or pain in some men.

This may make it tough to get or keep an erection or stop you from engaging in sexual activity (erectile dysfunction). Peyronie’s disease causes anxiety and stress in many men. Also, another frequent complaint is penile shortening.

Peyronie’s disease is a chronic infection that rarely subsides by itself. The condition among most males with Peyronie’s disease will either stay the same or become worse. However, early diagnosis and treatment shortly after the ailment arises may prevent it from worsening or even improving symptoms.

Additionally, treatments can help relieve disturbing symptoms like pain, curvature, and penile shortening, no matter if you’ve had the ailment for a long time.

Although it is most common in middle-aged males, it can also affect young and older men. As a man grows older, it becomes much more prevalent, and however, it is not a normal part of the ageing process.

Peyronies Disease Causes

A mild penis injury most commonly causes Peyronie’s disease. Violent sex (like bending the penis while penetration or force from a partner’s pelvic bone) is the most common cause of this type of injury. But it can also be impacted by sports or other mishaps. Scar tissue could develop in the cells after an injury to the tunica albuginea (fibrosis). The plaque of Peyronie’s disease is made up of this scar tissue and is due to a defect in the body’s wound-healing process.

Peyronie’s Disease Stages

Peyronie’s disease has two stages. The acute phase and the chronic phase. The bent/curved penis could end up causing sex issues during both stages. You could also have ED.

Acute Phase: The acute phase typically lasts 5 to 7 months but could last approximately 18 months in rare instances. Plaques develop in the penis at this time, the bending/curving of the penis worsens, and you may experience pain inside penis as your penis hardens.

Chronic Phase: The plaque stops developing, and the penis does not bend any further during the chronic phase. Suppose there was an erection pain during the acute phase. It should have subsided by now.

Symptoms of Peyronies Disease

The Peyronie disease symptoms and signs can arise spontaneously or develop over time. The following are some common signs and symptoms:

• Scar tissue: The scar tissue connected with Peyronie’s disease, known as plaque but distinct from plaque that forms in blood vessels, could be experienced as flat nodules or a group of hard tissue beneath the penis’ epidermis. The penis has a significant bend to it, and your penis may bend to one edge or curve either upward or downward.
• Problems with erection: Peyronie’s disease can make getting or keeping an erection (erectile dysfunction) difficult. On the other hand, men frequently report erectile dysfunction before the onset of Peyronie’s disease symptoms.
• Penis shortening: Peyronie’s disease can cause your penis to become shorter.
• Pain: With or without an erection, you may experience penile pain.
• Another type of penile deformity: The erect penis of some male with Peyronie’s disease may narrow, have protrusions, or have an hourglass-like look, with a rigid, narrow band all around the shaft.

Peyronie’s disease can cause penile curvature and shortening, worsening over time. On the other hand, the condition usually stabilizes after three to twelve months.

Pain while erections usually go away after a year or two, but scar tissue, penis shortening, and curvature are common side effects. The curvature and pain of Peyronie disease symptoms can enhance in some men with no treatment.

What Difficulties Would You Face by Having Peyronies Disease?

• Inability to engage in sexual activity
• Having trouble getting or keeping an erection (erectile dysfunction)
• Anxiety or stress regarding your sexual abilities or penis’ appearance
• It affects your relationship
• Fathering a child is hard or impossible since intercourse is hard or impossible.
• Penis length is shorter.
• Penile discomfort

Risk Factors

Peyronie’s disease is not a result of minor injuries to the penis. However, several factors can contribute to low wound repair and scar tissue formation, which may play a part in the development of Peyronie’s disease. These are some of them:

• Heredity: You have a higher risk of developing Peyronie’s disease if a family member has it.
• Disorders of the connective tissue: Peyronie’s disease appears to be more prevalent in men that have some connective tissue abnormalities.
• Age: Peyronie’s disease can affect men of every age, but it becomes more common as they get older, especially among men in their 50s and 60s. Curvature in young males is more generally because of congenital penile curvature rather than Peyronie’s disease.

Various Treatment of Peyronies Disease

Diagnosis of Peyronies Disease

Peyronie’s disease could be caused by various factors, such as specific health issues, smoking, and certain forms of prostate surgery.

A physical examination can often diagnose the presence of scar tissue in the penis and Peyronie’s disease. Other conditions that cause symptoms typically are uncommon and must be ruled out.

The following tests can diagnose Peyronie’s disease and determine the exact cause of the condition:

Examination of the body: When your penis isn’t erect, your doctor would then feel (palpate) it to determine the location and volume of scar tissue. They may also take your penis size into account. If the condition worsens, this initial measurement can help to ascertain if the penis has shrunk. Your doctor may also request that you bring in photographs of your erect penis that you took at home.  This can reveal the curvature degree, the scar tissue position, and other information that can aid in determining the best possible treatment.

Other tests: When your penis is erect, your doctor may order an ultrasound or other tests to investigate it. Before the assessment, you’ll probably get an injection directly into your penis to make it erect.

The most common test for penis anomalies is ultrasound. Ultrasound tests utilize to create images of soft tissues. These tests can reveal the existence of scar tissue, unusual blood flow to the genitals, and other issues.

Peyronies Treatment

Peyronies treatment options for Peyronie’s disease rely on how long you are experiencing symptoms.

• Acute Phase: Penile pain, modifications in curvature or length, or a deformity are all symptoms of penile pain. The acute phase occurs early and can last anywhere from two to four weeks, even a year or prolonged.
• Chronic phase: You have no penile hurt or adjustments in curvature, size, or disfigurement, and your signs are steady. The chronic phase of the disease takes place around three to twelve months after the onset of symptoms.

Treatments for the acute phase of the disease include:

• Recommended: Penile traction therapy, like Andropeyronie® and Andropenis. when used in the early stages of the disease, inhibits length loss and reduces curvature.
• Optional: In this stage, medical and injection therapeutic approaches are optional, with some being more productive than others.
• Not Recommend: Surgery is not advisable until the disease has stabilized to prevent the necessity of repeat surgery.

There are several potential therapies for the chronic stage of the illness. 

They can be used individually or in combination:

• Watchful Waiting
• Treatments with injections
• Surgery for traction therapy

Doctors don’t recommend oral medications in the chronic phase of the disease because they have not been effective at this phase. Human studies haven’t shown that shock wave treatment, stem cells, or platelet-rich plasma are efficacious.

The discomfort that most men experience due to Peyronie’s disease fades by itself as the penile inflammation settles. This procedure could take anywhere from 6 to 18 months.

Bottom Line

As soon as you experience Peyronie disease symptoms, it is vital that you immediately seek medical guidance and understand your treatment options. Moreover, it isn’t wise to consume any medication without a doctor’s recommendation.

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