FAQs: Peyronie’s Disease
Welcome to HTX Urology, your trusted source for information on urological health directly from our specialists in Greater Houston Heights, Memorial City, Galleria, Webster, and Clear Lake, Texas. Join us for the next few minutes for valuable insights into a condition that, while not commonly discussed, impacts the lives of many men: Peyronie’s disease (PD). This condition, characterized by the development of scar tissue in the penis, often leads to a visible curvature and sometimes painful erections, approximately one out of ten men suffer from PD.
Our goal is to demystify Peyronie’s disease, exploring its causes, symptoms, diagnosis methods, and the treatment options available. Whether you are seeking information for yourself or a loved one, our FAQ aims to provide clarity and guidance on this complex condition.
What Is Peyronie’s Disease?
Peyronie’s Disease is a condition where scar tissue, known as plaque, forms inside the penis, leading to a curved and often painful erection. This plaque develops in the tunica albuginea, the layer of connective tissue covering the corpora cavernosa of the penis. As a result, it can affect both the urinary function and sexual performance.
What Causes Peyronie’s Disease?
The primary cause is often related to trauma or injury to the penis that leads to internal bleeding. Such trauma can occur through vigorous sexual activity, sports injuries, or accidents. Additionally, genetic factors like low testosterone levels may contribute to the development of the condition.
What Are the Symptoms of Peyronie’s Disease?
Symptoms include a noticeable curvature or bend in the penis during erection, painful erections, thickening of the penis, lumps in the penis, erectile dysfunction, and difficulty with penile penetration. In severe cases, the plaque might harden due to calcium accumulation.
How Is Peyronie’s Disease Diagnosed?
Diagnosis typically involves a physical examination. In some cases, to better assess the curvature and distortion, an erection may be induced during the exam. Additional diagnostic tools might include Penile Doppler Ultrasound imaging to detect plaque calcification and possibly plan for a future procedure or surgery to correct PD.
What Are the Non-Surgical Treatments for Peyronie’s Disease?
Stretching Devices – Worn to reduce the bend by stretching the penis.
Vacuum Devices – Create a vacuum to stretch the shaft and reduce deformity.
Medications – Oral or topical medications to reduce curvature and tissue thickening. Injected medications (collagenase clostridium histolyticum) directly target the plaque to alleviate pain and curvature.
What Are the Surgical Treatments for Peyronie’s Disease?
Surgery is considered when the condition is stable, and the patient has been pain-free for at least six months. Options include:
Shock Wave Therapy – Uses sound waves to break down plaque, most helpful in situations of penile pain as it will not remove the plaque..
Nesbitt Tuck Procedure – Removes tissue from the opposite side of the plaque to straighten the penis, which may result in shortening.
Plication – Folds the normal tissue on itself to counteract the curvature without removing tissue.
Are There Risks Associated with Surgical Treatment?
Yes, surgical treatments carry risks such as potential shortening of the penis, the possibility of the curvature returning, and the sensation of knots or stitches under the skin. These factors should be carefully considered before proceeding with surgery.
Can Peyronie’s Disease be Cured?
While there is no guaranteed “cure,” many treatments effectively reduce symptoms and improve quality of life. Surgical options offer a more definitive resolution for the physical curvature, but they come with their own set of risks and considerations.
Should I seek treatment if my symptoms are mild?
If your Peyronie’s symptoms are mild and do not significantly impact your sexual activity or quality of life, you may choose to monitor the condition without immediate treatment. However, consulting with a healthcare professional is advisable to understand your condition better and make informed decisions about your health.
Contact Us for More Information
For more detailed information or to discuss your specific situation, we invite you to schedule a consultation. The importance of seeking treatment for Peyronie’s Disease with experienced urologists cannot be overstated, as the condition varies significantly in its severity and impact from one individual to another. To learn more about treatment options for Peyronie’s disease in Webster and Houston — contact HTX Urology today. Specifically, Dr. Chris Kannady specializes in advanced PD treatment options in the greater Houston area.