is Peyronie's disease?
disease is when a fibrous plaque develops within the shaft of the
penis. This plaque will feel like a small hard lump underneath the
erect, the penis bends and looks angular. In some men the bending
is so marked that it makes sexual intercourse impossible.
exact cause of Peyronie's disease is unknown. It's not a sign
of an underlying serious condition and it's not a sexually transmitted
infection. It's currently thought that some men may have a genetic
disposition to the condition.
man can develop Peyronie's disease. The average age is 50 for
it to develop but it can happen in men as young as 18. About 80,000
men in the UK have the condition.
How to tell if you have it
The three main symptoms of Peyronie's disease are:
* a hard lump (fibrous plaque) within the shaft of the penis
* pain with erections
* bending of the penis when erect
fibrous plaque causes pain, which can in turn lead to impotence.
The penis may bend to the left or to the right, although in most
cases it bends upwards. You may not notice the bend immediately
as it tends to develop over one to three months. It will usually
only be noticeable once the penis is erect.
What to do if you think you have it
As soon as you feel any pain or abnormal lumps in your penis,
go to your doctor. If Peyronie's disease is diagnosed, ask about
the treatment options available. If your doctor can't answer your
questions, ask for a referral to a consultant with a special interest
in male sexual health problems or to a special clinic.
the disease will clear up by itself but this may take several
Remember: Peyronie's disease is not linked to infections or
cancer. The main aim is to treat the condition and correct the
deformity - which may take a while.
Not all men with Peyronie's disease require treatment, but
the following may help:
* In its early stages a tablet called Tamoxifen has been shown
to prevent the formation of the fibrous plaque. This tablet is
also used in the treatment of breast cancer, but the two conditions
are not related.
* Vitamin E is sometimes effective in easing the pain and deformity
of the disease.
* Verapamil, often used in the treatment of high blood pressure,
has been shown to decrease the size of the plaque and decrease
the pain when injected directly into the plaque.
* Extracorporeal shock wave therapy, or ESWT, a new treatment,
is being used in some hospitals. This is a new treatment and although
initial results have been promising, the long-term outcome is
yet to be determined.
* Surgery is only considered if you've had Peyronie's disease
for a year or more and it hasn't progressed for at least three
months. There are two types of operation. The Nesbitt procedure
removes tissue opposite to the curve to straighten the penis.
The other procedure involves putting a graft or part of a vein
within the fibrous plaque to lengthen the area. In some cases
the surgical insertion of a penile prosthesis (implant) is recommended.
will also help as well if you talk to your partner. Support and
understanding removes a lot of the worry and pressure.