- The first thing that’s noticed is painful erections.
- Then over a few months the penis gets curved or bent: this can be bent upwards (the most common form of Peyronie’s), or bent downwards, or bent to the side.
- After about a year the curving or bending of the penis will stop and stay the same. At this point the pain usually goes away.
- Occasionally the curved penis goes back to normal without any treatment.
- Usually the penis looks normal when soft, and the curve or bend is only visible in an erection.
Peyronie’s disease images
Peronie’s disease: penis bent upwards
Peyronie (Own work), via Wikimedia Commons By Peyronie (Own work), via Wikimedia Commons
Peyronie’s disease – penis bent sideways
Kentkalell, CC BY-SA 4.0, via Wikimedia Commons By Kentkalell (Own work), CC BY-SA 4.0, via Wikimedia Commons
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by and large the cause is thought to be some damage to the penis, either during sex or masturbation. For some people this heals up normally, but in other people there is a genetic sensitivity to scar weave form. This scar tissue gathers up on one side of your penis, making it curved. Peyronie ‘s disease is seen more frequently in people who :
How is Peyronie’s disease diagnosed?
The distinctive symptoms of painful erections and a arch or flex penis are normally adequate for the doctor to make the diagnosis. The doctor of the church will normally want to measure the bend or distortion of the penis whilst it is erect. This can be assessed by either of two methods :
- Photographs you have taken at home.
- More accurately, by use of a vacuum pump or injection into the shaft, in the surgery, to stimulate an erection.
Your doctor of the church may ask you to complete a short questionnaire to assess how much the condition is impacting on your biography. In most cases it is not necessary to do any early tests but, occasionally, you may be asked to undergo a type of scan called a duplex sonography which shows up the blood circulation of the penis .
You may decide that you do not want any treatment if :
- You have a mild version of the disease which does not cause much pain.
- You are not sexually active.
- You have few or no difficulties with sexual intercourse.
As you can imagine there a lots of treatments offered on-line for a deflect penis and Peyronie ‘s disease but most of them do n’t work ! Speak with your sophisticate before spending money on something on-line .
- A traction device: this is worn for about two hours a day and gradually straightens out the curved penis. It has been shown to help, in studies. A specialist doctor will provide you with one: don’t buy one online!
- A vacuum device: this is similar to the traction device and is worn at home. It gradually straightens out the penis.
- Shock wave therapy: this uses sound waves produced by a large machine. It is done in hospital or in a clinic.
unfortunately most tablets promised to work for Peyronie ‘s disease have been found in studies to not do anything. Vitamin E was one of them : avoid it.
Medicines injected into the scar tissue
A specialist doctor of the church can inject your penis, equitable where the bend is, with medicine that can relax or dissolve the scratch tissue .
- An example is verapamil, which can dampen down the scar tissue and can help it flatten out.
- Interferon alfa-2b has been shown to work well when injected into the curved bit of the penis.
- Another treatment is something called collagenase: it dissolves the scar tissue. This comes under the tradename Xiaflex®, so you might come across it online. It’s not a new treatment: the first study of it was in 1993, but it was authorised for treatment in 2013 in the USA.
Surgical treatments for Peyronie’s disease
- There are a number of surgical procedures for Peyronie’s. They generally work well but involve an anaesthetic and long recovery time. A surgeon will be able to advise you on whether surgery will work for you.
What is the outlook for Peyronie’s disease?
- With many treatments being properly tested now for Peyronie’s disease/bent penis there is a lot that can be done.
- If you have a curved or bent penis, don’t be embarrassed: it’s a common problem. See your doctor.