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Peyronie’s Disease
The disease was named after Francois Gigot de la Peyronie, who was the founder of the Paris Academy of Surgery, and in 1743 described three patients with clearly visible scar tissue, the cause of which was a curvature of the penis that points upward during an erection. .
Peyronie’s disease or fibroplastic penis seal. Inelastic plaques form in the tunica albuginea of the corpora cavernosa, which secondary lead to painful erections and curvature of the erect penis.
Risk factors for developing Peyronie’s disease
It occurs in men aged 40-60 years, rarely in older or younger men. Most men who have had this disease are white, but there have been a few cases in blacks and rarely in Easterners.
The prevalence of the disease according to statistics is from 0,3 to 1%.
Peyronie’s disease symptoms
Peyronie’s disease is an infiltrate that occurs as a result of chronic microtrauma. Nowadays, more scientists classify Peyronie’s disease as a group of collagenoses, since its development, manifestations and treatment are similar to other diseases from the group of collagenoses.
Main symptoms of Peyronie’s disease
- The presence of a plaque (the size ranges from a few mm to the length of the entire penis),
- painful erections (disappear when the process stabilizes),
- curvature of the penis (dorsal curvature, ventral curvature and lateral curvature – depends on where the plaque is located).
The active phase of Peyronie’s disease lasts from 6 to 18 months, after which spontaneous regression of symptoms is possible. But, most patients continue to be bothered by symptoms, and there is a need for therapeutic or surgical treatment. The disease does not degenerate into malignancy, and treatment is needed for patients who have erection problems and need correction of penile deformity.
Peyronie’s disease treatment
Conservative treatment and surgical treatment.
Conservative therapy for Peyronie’s disease – various pharmaceutical and natural preparations that dissolve the collagen fibers that make up the plaque.
Physiotherapy – ultrasound method, phonophoresis, laser-magnetic therapy, etc. are used.
Surgical treatment of Peyronie’s disease
Indications for surgery:
- at least six months from the onset of the disease;
- there is no effect from conservative therapy;
- 3-month period of symptom stabilization;
- curvature of the penis, which prevents sexual intercourse.
The essence is to eliminate the curvature, in combination with or without removing the actual affected tissue (plaque). There is practically no relapse of the disease and no need for repeated surgical treatment.
At the Prima Medica Medical Center you can consult with an experienced urologist.