Peyronie’s disease can complicate a man’s lifestyle for a plethora of reasons. Briefly, Peyronie’s disease can cause pain with intercourse (even to the point of abstention), erectile dysfunction, and depression. If that isn’t convincing enough that Peyronie’s disease can complicate things, then think about this: left untreated, Peyronie’s disease can cause permanent angulation of the penis that may worsen or cause more pain.

 

Here’s how it happens

Simple: Peyronie’s disease usually comes from the development of scar tissue inside the penis resulting in an abnormal curvature.

The cause

The exact cause is unknown. However, what we do know is that there is a plaque or scar formation in the penile shaft and that is most likely the cause of the curvature. Researchers have come up with a few theories including vitamin E deficiency, beta-blocking medication, genetic causes, trauma to the penis, and elevations in serotonin.

There is no cure for Peyronie’s disease, however with the proper medical attention, your urologist might suggest a few treatments to reduce the symptoms. Some options include oral medication, vitamin and mineral supplements, drugs (like Xiaflex) injected into the penis to reduce the curvature, or surgery. At times, you may even be prescribed a penile traction device to gradually pull the penis straight.

Surgery is not the first choice of action your urologist will recommend, however, if it is the best course of action, due to a severe penis deformity, then the surgery will basically go something like this: the unaffected side of the penis will be shortened so that the curves straightens out. One such surgical procedure is called the Nesbit plication. In this procedure the doctor will remove or cinch the excess tissue on the longer side to create a straighter, shorter penis.

Peyronie’s disease is more frequently seen in men who have diabetes, prostate cancer, or high blood pressure (hypertension). Most men who suffer from Peyronie’s disease have reported to have depression. It’s important to seek counselling with a specialist in sexual issues. Sex therapists can help manage depression, anxiety and issues with intimacy, which can relieve the emotional burden off an already strenuous situation. Talking with a therapist about how you feel is always helpful and engaging your partner in the process is a great way to begin learning how to manage the situation.

If you’ve been diagnosed with Peyronie’s disease, here are some questions you can ask your urologist to help get you the information you need:

  1. What kind of treatments do you think are best suited for my case? And, why?
  2. What would happen if I don’t treat my Peyronie’s disease?
  3. Should we take the “wait & see” approach?
  4. How will this disease affect my sex life?
  5. What can I expect from the treatment in terms of length, curvature, penile sensation, and penile function?
  6. What is the success rate with this treatment? And, what are the risks involved?

The most important part of treating any condition is to be your own medical advocate. Make that call, book that appointment, research the issue, and get the information. A good patient is an informed patient. If you think you might be suffering from Peyronie’s disease, call or email today for a consultation.

Dr. Steinberg

 



The images and/or videos are not presented as a guarantee of result. The results may vary. Patients gave their consent for the publication of images and/or videos.

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