What is Peyronie’s disease?
Peyronie’s disease is a connective cell disorder involving the growth of fibrous plaques within the soft tissue of the penis. The plaque starts as a localized inflammation and develops into a hardened scar. This plaque has no relationship towards the plaque that can develop in the arteries.
Peyronie’s disorder is one of the most typical causes of sexual pain in men, affecting an estimated 1- 4% in men. The characteristic sign is a visible curvature or an hourglass shape of your penis when erect. Physical damage to the penis causes plaque and scar tissue to build up—usually on the top of the pennis, resulting in an upward curve.
What causes Peyronie’s syndrome?
The main cause of Peyronie’s Condition is not well understood, some researchers believe Peyronie’s problems develops following a trauma that causes bleeding within the penis. This kind of trauma may explain acute cases of Peyronie’s disease, however, does not clarify why most cases develop slowly, or what causes the disease after no apparent traumatic event.
Several reasons might be involved, such as:
- Genetics: sometimes the disease tends to run in certain family members (inherited or genetic predisposition), however this is not frequent.
- Injury: Peyronie’s disease is more common after injury to the penis, for example penile fracture or forceful bending of the erect penis. It also happens a lot more frequently in men that give injections into the penis intended for the treatment of erectile dysfunction (impotence).
- Circulatory problems: more men with Peyronie’s disease appear to be affected by high blood pressure (hypertension) and hardening of the arterial blood vessels(atherosclerosis), so these types of conditions may possibly be involved in its development.
- Diabetic issues: this really is more common in men with Peyronie’s disease. As a result having diabetes might also be involved in its development.
Signs and Symptoms?
Peyronie’s diseases happens anytime from the teenage years onwards, but most commonly in males aged 40 to 60 years. It affects around 1 in a 100 (0.4 to 1. Percent) of the middle-aged men population, however, some professionals suggest up to 4 per cent of men aged over the age of 40 may suffer from it.
The disease reasons very varying degrees of deformity and inconvenience.
Several men are barely troubled by it, while some find sexual intercourse physically not possible. Many men won’t need treatment, however, all should look for fast professional medical advice.
The signs and symptoms are:
- A lump within the shaft of the penis: this may slowly grow around several months and usually will take 12 to 18 months to reach its complete extent.
- Pain in the shaft of the penis: two-thirds of men along with Peyronie’s disease will experience pain in the penis. In most cases, it’ll gradually settle decrease and go away without cure in the couple of months.
- Abnormal angulation of the erect penis (‘bent’ penis): within 12 to 18 months the plaque or lump is developing, the deformity of the erect penis can change – 30 to 40 percent become worse, 10 to 20 percent get better and 50 percent stay the same.
Some males may develop various degrees of erection dysfunction (impotence) because of Peyronie’s disease. This could change from a complete lack of ability to attain and/or maintain an erection adequate for satisfactory sexual experience to a slight reduction in penile rigidity.
Some men report a tendency for the penis to buckle round the lump during intercourse. The actual frequency of this issue has been reported as between 4 and 80 per cent, though experience suggests the true rate is towards the lower end of this range.
What can you do?
- If you believe that you might have Peyronie’s disease, it is best to look for medical advice. The doctor may wish to listen to how the problem has developed and how it has effects on you, and to examine you.
- If your problem has been current for a long period, isn’t changing, and it is not really causing you many problems, the doctor may suggest no treatment and just ask you to come back if your condition begins to get worse.
- If your issue has been existing for a long time and it is causing you sexual issues (such as erectile dysfunction, trouble with penetration, or pain during intercourse for either partner), they might refer you to a urologist. You might need surgical treatment to correct the deformity.
- If the problem has recently developed, especially if the lump is continuing to develop or is painful, the doctor might consider offering drug treatment themselves or even send you to a urologist, genitourinary physician, or other expert with regard to advice.
Although Peyronie’s disease isn’t that uncommon, men don’t often ask about it so some GPs might be not familiar with treatments. It’s reasonable to ask for recommendations or to send yourself to some GUM clinic, if you’re unsatisfied with the explanation as well as advice you’ve received.
There’s nothing that you can do to avoid the development of Peyronie’s disease once it has shown up. However, to avoid penile trauma might prevent it. Men who’re injected into the penis to treat erection dysfunction might reduce their risk of developing Peyronie’s disease by very careful injection technique and by varying the site of injections. This guidance is usually given when sufferers are first taught to use injections.