Peyronie’s disease (PD) is a common issue that occurs in many men causing a condition that men describe as a bent penis or curved penis.
Experts believe Peyronie’s disease is caused by an abnormal healing process when an injury occurs in a man’s penis. This abnormal healing creates plaque or swelling of the tough covering the erectile portion of the penis. Usually, the disease starts with swelling, and plaque occurs over time.
Approximately three and a half percent to nine percent of men have Peyronie’s disease, depending on age.
Some men experience pain with erections, which causes problems with having sex and can result in stress and anxiety.
Peyronie’s Disease Symptoms
Common symptoms of PD, which are visible during an erection, include:
- a curve or bend in the penis;
- narrowing of the penis (also referred to as “hour-glassing”);
- erectile difficulties or dysfunction;
- painful erections or pain during sex.
Phases of Peyronie’s
Experts distinguish two key phases of PD currently diagnosed:
During the active phase, the scar tissue is actively forming and disease will continue to progress. There is worsening penile pain and progression of bending and scar tissue. This phase typically lasts 12-18 months. The goal of treatment is to limit any worsening of your curvature or scarring, increase blood flow into the penis, and treat penile pain.
During the chronic phase, the scar tissue has stabilized. There has not been any change in the plaque or curvature for at least 6 months. There may be discomfort with intercourse related to the curvature or underlying erectile dysfunction. The goal of treatment is to correct the curvature and fix any underlying erectile dysfunction.
Peyronie’s Disease Treatment
There are surgical and non-surgical treatments for PD to improve the quality of life for men with this condition.
PRP injections are a common Peyronie’s disease medical treatment. A doctor injects your penis with lidocaine to numb it before we inject medications.
After the injection, a doctor will wrap your penis in a pressure bandage to prevent swelling and bruising. You can remove the bandage three hours after your procedure.
Expect some bruising following the injection appointment. Also, note you shouldn’t engage in sexual activity for 24 hours after your injection.
In our clinic, we also treat the PD with the help of LISWT ShockWave therapy intended to break the plaques, soften the scars, and improve the blood flow to the penis. You can read about shock waves in detail here.
Surgery is suggested only to patients with chronic phases of the disease. Typically, providers suggest surgical procedures if medical treatments haven’t given you the results you want. The surgery may suppose:
During penile plication, a doctor places stitches directly into your penile tissue to correct the bend in the penis.
Surgeons remove the plaque and replace it with a graft of synthetic or biological material during this procedure.
Implants are ideal for those patients because both PD and ED are corrected at the same time.
To determine the phase of your Peyronie’s Disease and choose the right treatment, it’s required to undergo the clinical evaluation. Before the in-person appointment with a doctor, you can apply for a free medical consultation online. Just fill out this contact form and we’ll reply to you as soon as possible.