Peyronie's disease is characterized by a curvature of the penis of a man, which appears against the background of the growth of fibrous tissue, which thickens the penis and makes the erection process painful.
The disease affects about 1% of men aged 40 to 60 years. Peyronie's disease was first mentioned in 1561, later Francois de la Peyronie described the symptoms of the disease. What is the cause of Peyronie's disease and how it is treated, read in our article.
Main causes of Peyronie's disease
Until now, the exact cause of the development of Peyronie's disease has not been identified. At the moment, it is believed that microtraumas of the albuginea lead to the development of hematomas, against which fibrous changes develop in the tissue of the cavernous bodies.
In the mechanism of development, the main role is played by plaques, which are located in the albuginea of the cavernous bodies. Benign seals appear on the side of the wall of the penis, urethra and on the sides of the penis.
It has been established that most of these microtraumas that lead to the development of Peyronie's disease occur during sexual intercourse. In rare cases, Peyronie's disease is congenital.
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Peyronie's disease can accompany a man from birth due to hypoplasia of the albuginea or a short urethral canal. With this type of disease, there are no plaques, and the presence of strands from the connective tissue leads to a curvature of the penis. With minor curvature, this is not considered a pathology and does not require treatment.
Clinical manifestations of Peyronie's disease. First symptoms
The main clinical manifestations of Peyronie's disease are the presence of painful sensations during erection, curvature of the penis, decreased rigidity and the presence of plaque in the tissue of the cavernous bodies of the penis, which can be palpated.
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When the disease appears, the first phase of active manifestations lasts up to a year and a half. But, if during this time the plaque has not disappeared on its own, they resort to conservative treatment.
Naturally, the earlier a disease is detected, the easier and more effective its treatment. Surgical treatment is indicated in the presence of acute pain due to a significant curvature of the penis, as well as in the ineffectiveness of conservative therapy.
At an appointment with an andrologist or urologist, a specialist can determine the location of the plaque, as well as the degree of curvature of the penis, using palpation. The degree of curvature can be assessed from photographs taken by the patient during erection. In the initial stages, ultrasound can detect the smallest plaques and the onset of the development of Peyronie's disease.
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Methods of treatment of curvature of the penis in men
Therapy for Peyronie's disease can be conservative and surgical.
Conservative methods include the introduction of drugs with anti-inflammatory action and drugs that prevent the formation of fibrous tissue into the genital organ.
Effective physiotherapeutic procedures, helium therapy – neon laser and radiotherapy. Inside, the use of drugs such as colchicine, potaba, tamoxifen, sodium aminobenzoate, vitamins A and E.
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Surgical treatment is more effective due to the rapid removal of fibrous nodes, after which the penis immediately has a straight shape. The detailed technique of surgical intervention is determined individually for each patient and for each degree penis curvature.
When the penis is bent more than 45 degrees, the albuginea is dissected, and suturing is performed on the opposite side of the curvature.
If the curvature of the penis does not reach 45 degrees, then with sufficient length, the defect is corrected by applying folds on the opposite side. All tissues are sutured with non-absorbable sutures. At the same time, the penis loses a little in length, but complications after the operation are extremely minimal.
In the course of Peyronie's disease with erectile dysfunction, a solution to the problem is offered by penile prosthesis or penile implantation.
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In order to prevent the development of Peyronie's disease, it is advisable to be reasonable in the choice of positions in sex, and, if possible, not to have sexual intercourse while intoxicated.
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