- Men with Peyronies disease generally seek medical attention for pain or
bending of the penis during erection, which results from inflammation and
scarring in a particular part of the male anatomy known as the tunica
albuginea.
- Francois de la Peyronie, surgeon to Louis XIV of France,
first described treatment for this disorder in 1743.
- This condition is most commonly acquired at about age 55. A man can be
born with curvature of the penis, though this is not Peyronies disease.
- Severity varies - only a minority of the men afflicted with this problem
are unable to engage sexually. Through an effect on the erection mechanism
it can reduce rigidity (hardness), but it rarely causes
impotence.
- It is somewhat uncommon, affecting somewhere between one and three men
in a hundred.
- In addition to producing curvature, Peyronies disease may change the shape
of the erection in other ways: indentation, diameter reduction, or loss
of length.
- Peyronies disease can have a strong psychological impact.
- Some cases are mild, healing without treatment within a year of onset.
Most cases produce at least some degree of persistant curvature.
- A noticeable lump, or plaque
within the penis is commonly detected. Contrary to prevalent anxieties,
it is noncancerous, and unrelated to cholesterol – containing arterial plaque
- Peyronies disease can run in families, though most cases do not appear
to be hereditary.
- This condition is not associated with serious internal disorders. 10 –20%
of men develop scarring of either the hands (Dupuytren’s contractures) or
of the feet.
- The goal of therapy is to maintain sexual function. In some cases, education
about the disease and reassurance is all that is required. Rarely, when
long-term deformity prevents intercourse, surgery is recommended.
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