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Peyronie's Disease

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  3. Peyronie's Disease

Overview of Peyronie's Disease

Slight bending of the penis is normal but if you have more noticeable bending with pain, then it may lead to penis-associated disease. 

Be Cautious! You should know some basic information about having a curved penis.

Peyronie’s disease is a ‘penis’ (male organ for peeing and sex) associated disease in which plaque (scar tissue) forms inside the penis organ. The thick membrane (tunica) inside the penis keeps it straight and erect. When plaque is formed inside the penis, it pushes the surrounding tissues inside the thick membrane and causes the penis to bend. Bend or curved penis have found difficulty during sex or may make sex impossible.

Occurrence

Peyronie’s disease is not commonly known but its prevalence is about 3-7% in all males. Public awareness is much needed in this regard.

It’s NOT sexually transmitted, NOT contagious, and NOT cancerous.

It’s more likely to be diagnosed in men aged 40 to 70 years. The chances of having a curved penis increase with age however, it’s very rare in teenage males.

Signs and Symptoms of Peyronie's Disease

  • Thick or hard lumps on either one or both sides of the penis
  • Painful sex
  • Bend or curve in the penis
  • Misshapen penis (shortening)
  • Erectile dysfunction (difficult to erect)

Types of Peyronie's Disease

The bending of the penis occurs in two phases: -

  1. Acute Phase

  • Duration: 18 months
  • Plaque starts to form inside the penis
  • Swelling of penis
  • Painful penis while erection

      2. Chronic Phase

  • Duration: begins after 12-18 months
  • Plaque formed inside the penis
  • Pain may lessen in the penis
  • Erectile dysfunction may develop

Causes of Peyronie's Disease

The exact cause is not known yet. However, it’s commonly caused by;

  • Autoimmune disorder
  • Penis injury
  • Vitamin E deficiency 
  • High level of serotonin (hormone) 
Happniness

Risk Factors of Peyronie's Disease

Males with certain risk factors are more prone to develop curved penis, that include;

  • Strong sexual or non-sexual activities (may cause injuries to the penis)
  • Autoimmune disorders
  • Diabetes
  • Prostate cancer surgery
  • Dupuytren’s contracture (connective tissue disorder of hands)
  • Old age
  • Peyronie’s disease run in family 

What Complications do patients face from Peyronie’s disease?

As a curved penis is painful and the patient finds difficulty in sex or is sometimes unable to do sexual intercourse, it eventually leads to severe stress and anxiety for the patient. 

Don’t take the stress. If you feel any discomfort while erecting, you should speak to a doctor without hesitating.

Happniness

Prevention

  • Your doctor can prescribe some oral medications.
  • During sexual activities, enough lubricants should be used. 
  • Careful positions should opt during sexual activity. 
Happniness

Diagnosis

A medical doctor (sexologist) will first ask your medical and family history followed by a physical examination to check the lumps in the penis. If there is anything concerning, your doctor will refer you to a radiologist. The radiologist will perform an ultrasound to locate the presence of scar tissue inside the penis (if there is any). After a proper diagnosis, the doctor will recommend your treatment based on the results.

Treatment of Peyronie's Disease | When to Consult a Doctor

At times Peyronie’s disease doesn’t require treatment as it recovers on its own with time. If the curved penis continues for more than 12 months, then treatment is needed. Treatment involves medication, non-surgical techniques, and surgery (in severe cases). 

  1. Medications

Doctors recommend medicines in mild cases i.e. 30o curved penis. Medicines are injected into the penis that causes the plaque breakdown. Interferon injections are also helpful in the breakdown of fibrous tissue.

How much medical therapy is useful?

Medical therapy is not recommended for longer use, except for anti-inflammatory agents (to treat swelling or pain). Nevertheless, it depends on the severity of the defected penis. In severe cases, medicines are of no use.

  1. Nonsurgical Options

Some non-surgical treatments are recommended after medication if the condition does not get better. 

  • Iontophoresis: weak electric current is used to deliver medicine through the skin.

  • Shock wave therapy: break the scar tissues inside the penis

  • Vacuum devices: also known as ‘traction therapy’ for penis stretching to reduce bending.

Are penile exercises useful?

Yes! Penile exercises are useful along with the medication. They include;

  • Stretch the penis for about 30 seconds, three times a day.

  • Straighten the penis for about 30 seconds once a day while doing spontaneous erection.

Some lifestyle changes may also reduce the risk of Peyronie’s disease which includes; no use of smoking, alcohol, and illegal drugs.

3.   Surgery

Surgery is the last option in severe conditions. Surgery involves; the removal of excess tissue (shortening of the penis) and the replacement of plaque with tissue (grafting).

Does any Natural Remedy work for a curved penis? 

Yes! Some Vitamins are found to be very effective for a curved penis.

Vitamin E oral intake helps in erectile function. You can take vitamin E from food i.e. green leafy vegetables, nuts, sunflower seeds, and vegetable oils. The use of Vitamin D and B9 (folic acid) has also been reported in improving sexual function.

According to a study published in ‘Nature’, co-enzyme Q10 supplements can reduce penis curvature. Coenzyme Q10 is present in foods like organic meat, fatty fish, leafy vegetables (spinach, broccoli), oranges, strawberries, and legumes. 

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