Peyronie's disease (Penile Curvature) is known as a problem that causes changes in the collagen composition of the tunica albuginea of the corpus cavernosum
and resulting shortening and curvature.
Peyronie's disease. The disease is characterized by penile pain, penile curvature and erectile dysfunction that cause sexual problems.
Erectional problems can be seen in 20-40% of men with this disease.
In addition, there is curvature in 50-100%, palpable penile plaques in 78-100%, painful erection in 20-70%
and weakened erectile capacity in 40%.
Peyronie's disease also negatively affects the quality of life and causes psychological problems, which are evident in 77%
.
The course of the disease may vary and may progress over time
The problem may be completely eliminated. Although the disease is generally seen in men between the ages of 40 and 70, it is also possible to see it in men under the age of 40. In recent studies, the prevalence of the disease is estimated to cover 7% of men.
In the initial stage of the disease, there is inflammation accompanied by painful erection. While there may be spontaneous recovery during this period, there is also the possibility that the problem will continue and increase.
This period lasts between 2-10 months. In the second stage of the disease, it is the period in which collagen and fibrous tissue is formed, characterized by palpable plaque formation in the penis. This characteristic
plaque causes erectile dysfunction and curvature in the erect penis.
Although the mechanism of formation of the disease is not yet fully known, especially after challenging and
repetitive sexual intercourse experiences. It is known that exposure of the penis to trauma and subsequent wound healing problems cause plaque to develop in the penis. At the same time, it is estimated that the disease may develop as a result of diabetes, gout and urinary tract interventions. Again, in recent studies, smoking also increases the risk of this disease.
Peyronie's disease; penis curvature, palpable Penile plaque may manifest itself with one or more of the complaints of pain during erection and erectile dysfunction. In most patients, plaque or hard scar tissue is noticed during manual examination. However, 38-62% of patients may not be aware that they have plaques. Penile plaque is the main cause of pain and curvature of the penis, and the penis usually curves towards the plate side. Depending on their location on the penis, the plaques sometimes cause serious curvature and prevent sexual intercourse. The main complaint of almost all men with Peyronie's disease is shrinkage and shortening of the penis.
Although many studies have been carried out on the treatment of Peyronie's disease from past to present, there is still no clarity. and there is no cure with any satisfactory medication. However
especially in the initial stages of Peyronie's disease (within the first 3 months), serious success can be achieved with some drug applications
Other treatments
strong>
ESWT
Radiotherapy
Surgical Treatment
Surgical treatment of Peyronie's disease with or without correction of penile deformity
If erectile dysfunction is accompanied by penile prosthesis placement. If the curvature of the penis has not benefited from medication
and other treatment methods, surgical treatment is the only option.
In summary; In the treatment of Peyronie's disease, first of all, it is necessary to decide at what stage the disease is, to follow the course of the disease, to check whether there is plaque, whether there is a serious curvature, whether there is painful sexual intercourse, whether there is erectile dysfunction. It would be appropriate to plan the treatment option by your relevant urologist
according to this.
Read: 0
