Peyronie’s Disease

Description

Common condition that affects many men and is characterised by the formation of scar tissue in the erectile part of the penis, causing a deformity in the penis, commonly curvature.

Signs

• Bent or deformed penis
• Palpable lump on the shaft of the penis
• Pain during an erection or intercourse
• Erectile dysfunction

History and physical examination, including evaluating the penis in the erect state is important to determine the degree of curvature.

Treatment Options

• Reassurance
• Penile traction therapy to prevent curvature and penile shortening. 
• Medications such as PDE5-inhibitors are important.
• Sometimes injection therapy can help improve deformity.
• Reconstructive surgery is reserved for severe curvature, which is affecting sexual functioning and can range from suture plication, surgical correction, or a penile prosthesis.