What is it?

Sickness of Peyronie is a curve in the penis.

Many men have a curved poverty of the penis. Until there is no pain or problem with the sexual performances, with a lightly curved penis it would not be necessary to employ the men and they do not need to see a doctor.

Still, some men of developing a heavier curve in the penis that interferes with the sexual function or causes pain. This happens sometimes after the penis is an injured, be during the report or from a vehicle to motor or of industrial accident. The greatest part of the cases, still, are the result of a not much known process well-known as Peyronie sickness.

In shape of woven Peyronie sickness, the inflammation and scars long the auction of the penis. Nobody is sure motive therefore this problem is verified, but it can be provoked at repeated light traumas during the sexual intercourse. It is possible to feel the inflammation and cicatricial cloth, like an unusual painful clot or area of firmness. In many men, the cicatricial cloth does so that the penis of bending or getting shorter, because it hampers that the penis of expanding normally. The men with Peyronie often have difficulty to reach a firm erection, but it is not clear if this is verified beforehand or it is caused by the cicatricial cloth.

Sickness of Peyronie can be verified up to 1 % of the population. The greatest part of the men with the problem are of age included between 45 and 60. It is carried the sickness out in families and seems commoner in the white men. In 30 % of the men, it is associated Peyronie with the formation from cicatricial cloth in other parts of the body, included the palms of the hands (contracture of Dupuytren), the plants of the feet (fibromatosi arch support) and eardrums (timpanosclerosi).

Sometimes, a curvature of the penis weighs it is seen in the birth boys or a little later. This is not a Peyronie sickness. The greatest part of these cases itself thinks that they should be caused by an anomalous development in the motherly lap, and there can be associated with other anomalies of the penis, like a called condition ipospadia, in which the opening of the penis is not on the point.

Symptoms

About the half of the men with Peyronie sickness will be a first pain notice during the report. The symptoms can appear suddenly, or it can develop slowly on the time. Often the penis will feel itself a company or grumoso on the painful site. Other men with Peyronie he will notice a painless curve of the penis that can be verified suddenly or get worse on the time. The penis can curve highly, far down or laterally. Heavy alterations of the shape of the penis it can prevent to the man from having sexual intercourses. The men usually look for help of their doctors because of relations difficulty rather than the same curvature.

If the penis has been injured by a sudden trauma, the greatest part the men will be able to remember the event. Often there will be a sensation or sound of a “snap”, followed by loss of erection and the appearance of a livid one. Part of the penis will remain painful for certain time, but the area will usually heal on the time., they can still form cicatricial cloth and cause a new curvature. This problem is different from Peyronie, and rarely he is translated in difficulty with erections or shortening of the penis.

Diagnosis

The doctor will ask you for about the symptoms and will examine your penis, trying of competition, the areas company from cicatricial cloth (plates) during a physical examination. Usually, this is all that that serves to diagnose the problem. If the doctor needs more information, he or she can organise a radiography in search of football deposits in the cicatricial cloth, or ask of leading in the photographies of your erect penis of determining better the entity of the damage. Besides, the men who are taking in consideration the surgery can be asked by it of submitting to the special test of the sexual function to determine the best method to repair the problem.

Estimated duration

A curve of the penis that is present up to by the birth or it is caused by scars of a mishap he will not go away unless it is corrected by a surgical intervention.

For how much time is the sickness of hard Peyronie difficult to plan. In further a third of the men, it is a gradual improvement on 12 of 18 months without any specific treatment. In others, the scar is permanent or it gets worse on the time.

Prevention

It you is not any way to forestall the Peyronie sickness., it is still some evidences that there suggest which men of middle age who devote themselves to vigorous sexual intercourses or the frequent majority are more probability of developing Peyronie.

Treatment

The greatest part of the men with the curvature of the penis, independently the cause, is not necessary any treatment. The men with Peyronie sickness, that to try pain or difficulties during the relations sometimes are offered medical cares. The options include the next ones:

• Medicines for oral road as the vitamin E, it drives – aminobenzoico (a vitamin of the group B) and the colchicina (sold like a generic one)
• Cortisone injections or other medicines like the verapamil in the cicatricial cloth
• Ultrasounds or radiotherapy
• The greatest part of this treatment have not heavy collateral effects., nobody of this treatment still has been clearly demonstrated of improving the problem. Corrective surgical intervention sometimes is offered to the men with more annoying or disfigured symptoms. Usually, this type of surgery is in delay of at least one year after the symptoms are stable why a third in the half of the men with Peyronie sickness to improve alone without any treatment.

In a typical procedure, the set on fire part or sfregiato of cloth it is removed from the penis and substituted with a graft drawn from another part of the body, often the scrotum or the forearm. This intervention often works well, even if light curvature of the penis can remain. Besides, the sexual function or a shortening of the penis, it cannot improve after the intervention. For this reason, the surgeons sometimes the installation of a prosthesis of the penis, at the same time that the cicatricial cloth has been removed. In some men, a prosthesis alone is sufficient to straighten the curvature and to improve the sexual function. The men who are taking in consideration the surgery it should be sure of discussing all the options with their doctors.

When to call a professional

You call your doctor if:

• There is noticed the new curvature of your penis.
• The pain is verified during the report.
• Difficulty develops with erections.
• A firm or painful clot is noticed on your penis.

Prognosis

A third in the half of the men with Peyronie sickness to improve without treatment. Other men have light symptoms (like the light curvature decrease erections), which it can be tolerated and which do not interfere with the sexual activity, so they decide not to have to treat. Only a men minority at the end will ask for a surgical intervention.