Peyronie's Disease

What is Peyronie's Disease?

Peyronie’s disease causes curved erections due to fibrous scar tissue (plaque) forming beneath the penile skin. This curvature can make sexual intercourse difficult and cause significant emotional distress. Dr Maharajh offers comprehensive assessment and evidence-based treatment options to effectively manage this condition.

The condition develops in two phases:

Acute phase (6-18 months): Pain during erections and progressive curvature changes

Chronic phase: Stabilised curvature with persistent plaque

Peyronie’s affects 3-9% of men, most commonly between ages 40-70. Likely causes include repeated minor trauma during sexual or physical activity, with increased risk in men with:

• Genetic predisposition

• Connective tissue disorders

• Diabetes

• History of prostate surgery

Symptoms & Diagnosis

Primary symptoms include:
• Penile curvature during erection (upward, downward, or sideways)
• Penile pain, particularly during acute phase
• Palpable lumps or hard tissue bands
• Erectile dysfunction
• Penile shortening or hourglass indentation

Diagnosis involves:
• Medical history and physical examination
• Photographs of erect penis to document curvature
• Ultrasound imaging to assess blood flow and scar tissue location Early consultation is important, as treatments are often more effective during the acute phase.

Treatment Options

Conservative Management

Observation may be appropriate for mild curvature (<30 degrees) that doesn’t interfere with sexual activity.

Medical Treatments
Oral medications: Pentoxifylline to reduce plaque formation

Intralesional injections: Collagenase or verapamil directly into plaque
• Multiple sessions typically required
• Most effective during acute phase

Surgical Options For stable disease with significant curvature affecting sexual function:
Plication procedures: Shorten the longer side to straighten penis
Grafting procedures: Remove/incise plaque and place graft
Penile prosthesis: For severe cases with erectile dysfunction

Living with Peyonie's Disease

The psychological impact includes anxiety, depression, and relationship difficulties. Partners are welcome at consultations to improve treatment outcomes.

Helpful lifestyle modifications:
• Avoid positions causing further trauma
• Use adequate lubrication
• Maintain cardiovascular health through exercise and diet

Why Choose Dr Maharajh

Dr Maharajh provides expert, compassionate care with:
• Extensive experience treating Peyronie’s disease
• Full range of tailored treatment options
• Discreet, professional environment
• Priority on patient comfort and confidentiality
FAQs

Quick Answers to Common Questions

Whilst 10-15% of cases may improve spontaneously, most men experience stable or worsening symptoms without treatment. Early consultation allows for monitoring and timely intervention if needed, potentially preventing progression and preserving sexual function.

No, Peyronie's disease is not cancerous and doesn't increase penile cancer risk. The plaques are benign scar tissue, not tumours. However, any unusual lumps should be evaluated by a urologist to ensure accurate diagnosis.

Surgery is considered when:
• Disease stable for 6-12 months
• Curvature significantly impairs intercourse
• Conservative treatments haven't helped

Dr Maharajh will assess your situation and discuss expected outcomes and potential risks.

Many men maintain satisfying sexual relationships. Mild curvature often doesn't prevent intercourse, whilst moderate to severe cases may require treatment. Open communication with your partner and exploring different positions helps. Treatment options are available to restore sexual function when needed.

Prevention measures include:
• Seeking early treatment during acute phase
• Avoiding positions causing penile bending
• Gentle stretching exercises or traction therapy
• Managing diabetes and avoiding smoking
• Regular specialist follow-up for monitoring

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