Peyronie’s disease is a disorder in which there is curvature of the penis, and against the backdrop of the variations is long-lasting and painful erections. This condition is formed because of constantly progressive fibrotic changes of the tunica of the penis. Statistics show that the risk group are men aged 30 to 65 years, 1-2 % of men face with this disease for life.
Causes a curvature of a member in men.
It is believed that the most common cause of development of this syndrome becomes a genetic predisposition, however, penile trauma, even minor ones, also have an influence on the rate of development and severity of this disease.
Even without a hereditary predisposition Peyronie’s disease can occur:
- after fracture of the penis, violations of the healing process which lead to the formation of plaques and fibrous change;
- during the development of abnormal changes in the anatomy of the penis over time, they lead to violations of erection, severe pain while sexual intercourse, and severe curvature of the penis, which can even hamper sexual relations. Most often it is at this stage a patient goes to the doctor – before you develop a serious violation of sexual life, with the help of a doctor for the treatment of penile curvature apply only one.
Strong congenital penile curvature develops relatively uncommon – 3-4% of men, but a small deviation from the norm is in all men suffering from this disease. It is not considered a pathology, but still men go to a specialist because of emotional and psychological discomfort during sexual intercourse.
If the resulting plaques are themselves in the course of the year, it is considered a mild form of the disease. In that case, when this happens, the doctor should plan the treatment of penile curvature.
The symptoms of Peyronie’s disease (pain, erectile dysfunction) can in varying degrees of severity together with about one and a half years, but after this period, the effectiveness of conservative treatment decreases. Then it makes sense to perform the surgical treatment that has the best results.
It is important to know that in congenital Peyronie’s disease cause of the pathological process are not plaque in blood vessels that arise on the site of their trauma and shortening of the urethra and congenital hypoplasia of the tunica albuginea in the cavernous bodies of the penis develops an excessive amount of connective tissue.
There is also the Peyronie’s syndrome – a condition similar clinical manifestations symptoms of Peyronie’s disease, but occurring on the background of lesions of the arteries of the penis, or disorders of blood clotting (thrombosis).
The main symptoms of Peyronie’s disease:
The vast majority of men in the development of the disease or Peyronie’s syndrome (regardless of the cause) complain about:
- painful and prolonged erection, which did not disappear independently;
- reduced sensitivity of the penis;
- curvature of the penis, noticeable even to a person who is not a doctor;
- seal, palpable in the penile tissues.
When acquired form of Peyronie’s disease it is possible to distinguish several phases of the disease, depending on which can be used in a variety of methods of treatment of this disease.
- In the first phase (active progressive changes) all symptoms of the disease may disappear when you assign an effective conservative treatment and that is why it is so important early detection of disease and early treatment.
- In the second phase (sclerotic changes), the patient generated a significant curvature of the penis, requiring the use and implementation of restorative surgery – it helps to cure the disease completely.
Diagnosis of Peyronie’s disease.
To establish the diagnosis of Peyronie’s disease need to consult andrologist or urologist – the doctor is able to conduct a survey and examination of the patient, during which is determined the presence of plaque and its location, the true cause of the disease, the degree of penile curvature.
To confirm the diagnosis the patient is prescribed ultrasound examination of the external genitalia and penis this informative method of diagnosis even in the early stages of Peyronie’s disease.
A comprehensive examination is necessary if you suspect the development of Peyronie’s syndrome, the cause of which are disorders of blood circulation in the vessels of the penis arising on the background of internal diseases (atherosclerosis, vasculitis, and diseases of the blood and blood-forming organs)
Treatment of Peyronie’s disease.
At the initial stage of the disease prescribe conservative treatment directly in the cavernous body of the penis introduced drugs that inhibit excessive proliferation of altered connective tissue. To complement the clinical effect of prescribed physiotherapy, radiotherapy, treatment using a helium-neon laser. To improve the use of vitamins A and E. your Doctor may also prescribe drugs that prevent the growth of connective tissue in the penis, but because of the high risk of development of side effects of therapy should be carried out under constant control.
At the stage of pronounced changes for the treatment of Peyronie’s disease is assigned to surgical treatment, tactics of which is selected by the doctor depending on the severity of changes and patient’s wishes. Severe defects may be holding a penile prosthesis and fallometrii.
With the development of Peyronie syndrome treatment success will largely depend on how effectively the therapy of the underlying disease. To prevent possible complications (priapism, necrotic changes in the tissues of the penis) the doctor should warn the patient that the means used EN masse for the treatment of erectile dysfunction (medications for Viagra, Levitra, Cialis), they are contraindicated.
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