Peyronies Disease in Penis

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Peyronie’s disease is a significant curvature of the penis when it is erect, which can lead to pain and interfere with intercourse. First discovered in the 1700s, the condition is extremely common but rarely mentioned due to self-consciousness among sufferers and other factors. A minimal bend in the erect penis is normal; however, a severe curve can make intercourse impossible and lead to frustration and embarrassment. The physical pain that often accompanies Peyronie’s disease can also impact a man’s quality of life.

Professor Moore offers treatment options for Peyronie’s disease at the Australian Centre for Cosmetic and Penile Surgery. At your initial consultation, he will discuss all aspects of the disease and the appropriate surgical operation for your condition. We are unable to include accurate costs until Professor Moore has performed an examination and the two of you decide on the proper treatment option for you. Our goal is to ensure you have a thorough understanding of your condition and the choices available for addressing it.

Why does Peyronie’s Disease Occur?

Peyronie’s disease is a result of scar tissue or plaque build-up inside the penis. Some men can feel the hardening on the outside of the penis, which may appear as a lump. Others might see a constriction on one side that produces an hourglass shape or a shortening of the penis. Other men do not have any noticeable signs other than the curvature during an erection. Physical pain may also be present both during flaccidity and erection.

The scar tissue develops in the tissue known as the tunica albuginea. During an erection, this protective sheath of tissue stretches typically to accommodate the increased size of the penis. When significant scar tissue is present, it prevents that tunica albuginea from stretching correctly, which leads to a curvature of the penis and pain in many cases. In addition to the disfigurement, the bend in the penis can prevent a man from having intercourse.

Possible Causes of Peyronie’s Disease

In some cases, Peyronie’s disease can be linked to a penile injury or repeated injury while the penis is erect, which might occur during intercourse, sports activity or an accident. Inflammation of the tunica can lead to the formation of scar tissue, which may evolve into the condition. However, many men diagnosed with this condition cannot recall experiencing any injury. Other risk factors for the disease might include:

  • Genetics – Peyronie’s disease appears to run in families to some extent
  • Connective Tissue Disorders – men with conditions like Dupuytren’s contracture are more likely to be diagnosed with Peyronie’s disease as well
  • Prostate Cancer Treatment – both prostatectomy and radiation may increase the risk for Peyronie’s disease
  • Other Health Factors – smoking, high blood sugar, high cholesterol and previous trauma to the pelvic region could all impact your likelihood of a diagnosis of Peyronie’s disease
  • Medication – some types of medication may lead to an onset of the disease

This condition is often broken down into two distinct phases. The first, known as the acute phase, is characterised by increasing curvature and pain. The second or chronic phase refers to the point where the curvature remains stable, and the pain often subsides. Even the chronic phase can prohibit sexual relations so that men may seek treatment at either phase of the disease.

Physical and Psychological Impact

In addition to the uncomfortable physical symptoms of Peyronie’s disease, the condition can also produce a severe psychological impact on the sufferer. Embarrassment over the disfigurement, coupled with an inability to have intercourse, may cause substantial strain in personal relationships that can lead to loss of self-esteem and confidence. Men that deal with conditions like these can face additional challenges with anxiety or depression. These symptoms are often even more debilitating than the physical signs of Peyronie’s disease, prompting many men to seek treatment.

Treatment Options

When Peyronie’s disease does not improve on its own, becomes more severe, or does not respond to nonsurgical treatment, surgery may be recommended. Professor Moore offers different surgical options so that he can address the needs of all his patients individually:

Plication

This procedure addresses the opposite side of the penis from where the scar tissue is located, shortening the side to create symmetry and eliminate the bend during erections. The procedure involves removing small areas of the tunica or creating pleats using stitches in the penile lining. This is often the preferred method for patients with minimal curvature and who won’t worry about some shortening of the penis after the procedure.

Grafting

Excision of the scar tissue is also an option for some patients. During this surgery, Professor Moore may create a graft to close the open area and improve the aesthetic results. Grafts are usually crafted from autologous tissue taken from the leg or behind the ear. This procedure tends to be linked to more complications and is reserved for men with severe curvature who do not want the length of the penis to change significantly after surgery.

Penile Implants

Also used to treat impotence, penile implants can be an effective way to help men regain their ability to enjoy sex after Peyronie’s disease while effectively treating the condition. Professor Moore uses two different types of implants: inflatable and flexible rod. The rod design produces more permanent firmness, while the inflatable model offers greater control and a more natural erection. An implant is a preferred choice for men that are experiencing erectile dysfunction and Peyronie’s disease at the same time.

Depending on the type of surgery you undergo, it may be performed as a day procedure or require an overnight in the hospital. Men are usually back to work within a few days, although they may be advised to avoid strenuous exercise and intercourse for many weeks to give the penis ample time to heal completed. The results of these treatments are usually both satisfying and long-lasting.

If you are suffering from Peyronie’s disease, help is available. Schedule your private consultation with Professor Moore today by contacting the Australian Centre for Cosmetic and Penile Surgery on 0414 251 234.

Prof Colin Moore