Peyronie’s Disease can be a very painful condition which affects the male penis. This condition occurs when scar tissue inside the penis causes it to curve during an erection. Men can experience a significant bend in their erect penises. This disease can be a result of either sexual and/or repeated trauma to the penis. It has also been linked to vascular disease.
Men can experience severe stress and anxiety due to Peyronie’s Disease as the discomfort they have during erections can be uncomfortable. The pain and discomfort can prevent men from engaging in intercourse, thus increasing the stress they feel.
Peyronie’s Disease can return to a former or less developed state in some men and may in time go away on its own, although this is not common. However, most patients will not be so lucky to have the condition go away on its own. This condition has two phases. The first stage can last between three and six months. This acute phase is followed by a chronic phase, which can last up to a year. The disease can stabilise during the chronic stage, thus not increasing in seriousness.
Symptoms of peyronie’s disease can progress slowly or appear suddenly. Patients may feel scar tissue formed under the skin of the penis, the so-called plaque. Men will also find a bend in the erect penis or tightness in the shaft. Some men may notice an hourglass shape in their erect penis. Men may also experience erection problems, shortening of the penis, and pain with or without an erection.
We have been able to treat Peyronie’s Disease with varying success rates. Treatments vary between male patients and for the most part, surgery is not required to treat the disease. We may prescribe a treatment involving Vitamin E, Potaba, colchicine, or Verapamil, although the evidence for these treatments is limited.
Surgery also usually recommended in certain cases in which men are unable to have intercourse. This typically happens when the penis is bent at a 30- to 45-degree angle. The Nesbit procedure is one surgery that doctors use to treat Peyronie’s Disease. The procedure involves shortening the penis on the opposite side of the bend.
There is hope that a new drug known as Xiaflex is available for Peyronie’s Diseases suffers in the United Kingdom, although success rates are variable.