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Peyronie’s Disease

Peyronie’s Disease is thought to affect 1 to 9% of men. Men aged 50-60 are most at risk, although the disease occurs in younger and older men or in men with diabetes.

N.B. The lumps in Peyronie’s Disease are benign and not linked to cancer of the penis. Nor is it caused by sexually transmitted infections, such as gonorrhoea.

  • It is the result of damage to the penis due to internal bleeding, due to stretching of penile blood vessels. There is some evidence that the elasticity of the penile tissues is reduced in older men and that minor damage may occur (without any obvious outward signs) during sexual intercourse. It could also be caused by simply by turning over in bed while asleep with a nocturnal erection in a few cases.
  • In mild cases, the plaque does not advance beyond an initial inflammatory stage, but in severe cases tough fibrous tissue develops and calcium deposits may even build up.
  • You can’t prevent the disease, except perhaps by avoiding sexual acts, which might damage or over-stretch the penis.
  • If you notice lumps in your penis, you should go straight to your doctor.

You will need to have a physical examination and an ultrasound.

Surgery is the only treatment known to be effective. However, if intercourse is possible without pain, Peyronie’s Disease may be managed without surgery. Drugs have been used to reduce the plaque in the initial stages along with injections to the plaque. Recently, shock wave therapy has been used.

Surgery

The surgery is dependent on the patient plaque length and the area affected.

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