Sexual Health

Peyronie’s disease is described by a plaque, or hard lump, that forms on the penis. The plaque develops on the upper or lower side of the penis in layers containing erectile tissue. It starts as a local inflammation and can develop into a hardened scar. In some cases, the plaque develops on both top and bottom, leading to indentation and shortening of the penis. At times, pain, bending, and emotional distress prohibit sexual intercourse.
Peyronie’s disease habitually takes place in a mild form that heals with no treatment in 6 to 15 months. But in severe cases, the hardened plaque lessens flexibility, causing pain and forcing the penis to bend or arc during erection. Men with Peyronie’s disease frequently seek medical attention owing to painful erections and trouble with intercourse.
Course: researchers think the plaque of Peyronie’s disease develops following trauma (hitting or bending) that causes localized bleeding inside the penis. If the penis is unusually bumped or bent, an area where the septum attaches to the elastic fibers may stretch beyond a limit, injuring the lining of the erectile chamber and, for example, rupturing small blood vessels. As a result of aging, diminished elasticity near the point of attachment of the septum might increase the chances of injury.
Treatment: for the reason that the plaque of Peyronie’s disease habitually shrinks or disappears with no treatment, medical experts suggest waiting 1 to 2 years or longer previous to attempting to correct it surgically. For the duration of that wait, patients often are willing to undergo treatments that have unproven effectiveness.
Peyronie’s disease has been treated with some success by surgery. The two most widespread surgical methods are: removal or expansion of the plaque followed by placement of a patch of skin or artificial material, and removal or pinching of tissue from the side of the penis opposite the plaque, which cancels out the bending effect. The first method can involve partial loss of erectile function, mainly rigidity. The second method, known as the Nesbit procedure, causes a reduction of the erect penis.
Some men decide to be given an implanted device that enlarges rigidity of the penis. In some cases, an implant alone will make straight the penis effectively. In other cases, implantation is united with a technique of incisions and grafting or plication (pinching or folding the skin) if the implant alone does not make straight the penis.
The majority of doctors have a preference to perform surgery only on the small number of men with curvature so harsh that it stops sexual intercourse for the reason that complications can take place, and because many of the phenomena associated with Peyronie’s disease (for example, shortening of the penis) are not corrected by surgery.

Tags: Men's Issues //