Surgical management of Peyronie's disease. Diagnosis and management of Peyronie disease. Peyronie's disease: Diagnosis and medical management. Difficulty fathering a child, because intercourse is difficult or impossible.Stress on your relationship with your sexual partner.Anxiety or stress about sexual abilities or the appearance of your penis.Difficulty achieving or maintaining an erection (erectile dysfunction).ComplicationsĬomplications of Peyronie's disease might include: Other factors - including certain health conditions, smoking and some types of prostate surgery - might be linked to Peyronie's disease. A small amount of curvature in younger men is normal and not concerning. Curvature in younger men is less often due to Peyronie's disease and is more commonly called congenital penile curvature. Peyronie's disease can occur in men of any age, but the prevalence of the condition increases with age, especially for men in their 50s and 60s. For example, a number of men who have Peyronie's disease also have a cordlike thickening across the palm that causes the fingers to pull inward (Dupuytren's contracture). Men who have certain connective tissue disorders appear to have an increased risk of developing Peyronie's disease. If a family member has Peyronie's disease, you have an increased risk of the condition. However, various factors can contribute to poor wound healing and scar tissue buildup that might play a role in Peyronie's disease. Minor injury to the penis doesn't always lead to Peyronie's disease. Researchers are investigating whether Peyronie's disease might be linked to an inherited trait or certain health conditions. In some men, Peyronie's disease comes on gradually and doesn't seem to be related to an injury. In Peyronie's disease, when the penis becomes erect, the region with the scar tissue doesn't stretch, and the penis bends or becomes disfigured and possibly painful. As the chambers fill with blood, the penis expands, straightens and stiffens into an erection. When you become sexually aroused, blood flow to these chambers increases. Each of the corpora cavernosa is encased in a sheath of elastic tissue called the tunica albuginea (TOO-nih-kuh al-BYOO-JIN-e-uh), which stretches during an erection. This can lead to a nodule you can feel or development of curvature.Įach side of the penis contains a spongelike tube (corpus cavernosum) that contains many tiny blood vessels. However, most often, no specific trauma to the penis is recalled.ĭuring the healing process after injury to the penis, scar tissue forms in a disorganized manner. For example, the penis might be damaged during sex, athletic activity or as the result of an accident. It's thought Peyronie's disease generally results from repeated injury to the penis. The cause of Peyronie's disease isn't completely understood, but a number of factors appear to be involved. This sudden influx of blood causes an erection by expanding, straightening and stiffening the penis. During sexual arousal, nerve impulses increase blood flow to both of these cylinders. The penis contains two cylindrical, spongelike structures (corpora cavernosa). If you've had the condition for some time, you may wish to see a doctor if the pain, curvature, length or other deformities bother you or your partner. Early treatment gives you the best chance to improve the condition - or prevent it from getting worse. See your doctor as soon as possible after you notice signs or symptoms of Peyronie's disease. In some men, both the curvature and pain associated with Peyronie's disease improve without treatment. Pain during erections usually improves within one to two years, but the scar tissue, penile shortening and curvature often remain. At some point, however, the condition typically stabilizes after three to 12 months or so. The curvature and penile shortening associated with Peyronie's disease might gradually worsen. In some men with Peyronie's disease, the erect penis might have narrowing, indentations or even an hourglass-like appearance, with a tight, narrow band around the shaft. You might have penile pain, with or without an erection. Your penis might become shorter as a result of Peyronie's disease. But, often men report erectile dysfunction before the beginning of Peyronie's disease symptoms. Peyronie's disease might cause problems getting or maintaining an erection (erectile dysfunction). Your penis might curve upward or downward or bend to one side. The scar tissue associated with Peyronie's disease - called plaque but different from plaque that can build up in blood vessels - can be felt under the skin of the penis as flat lumps or a band of hard tissue. The most common signs and symptoms include: Peyronie's disease signs and symptoms might appear suddenly or develop gradually.
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