Peyronie Peyronie's disease, more common among middle-aged men, is between 30 and 60 years old. It is accompanied by severe pain during an erection, which causes a lot of problems in the relationship when sexual intercourse .

Symptoms of Peyronie's disease

  • Pain in erection in the penis ( the excited member increases more than usual and strongly strains).
  • Curvature of the penis( sideways, to the stomach or to the side of the scrotum).
  • Presence under the skin of member of solid sites.
  • Poor erection. Weak increase and solidification of the excited member.
  • Apparent shortening of the penis due to its curvature.

There are two forms of the disease

  • Peyronie Acute form - accompanied by increased blood supply in the area of ​​the plaque. Surgical intervention with this form is contraindicated.
  • Chronic form - on the contrary, is accompanied by a decrease in blood supply in the area of ​​the plaque and the formation of a scar.
The disease is periodically replaced by remission and new exacerbations.
By the size of the compaction and the strength of the curvature of the disease are divided into 3 categories:
  1. Seal up to 2 cm and curvature up to 30 degrees.
  2. Seal up to 4 cm and curvature up to 60 degrees.
  3. Seal from 4 cm and curvature from 60 degrees.
The seal can be on the basis of a penis, in the trunk region, or at the very head of the penis.

Causes of the disease

First of all, the reasons include various injuries of the penis. These include bruises, fractures, and even micro-traumas obtained during an aggressive sexual intercourse.
Causes of Peyronie Also, such diseases as atherosclerosis, diabetes mellitus, gout, vitamin E deficiency, calcium metabolism in the body, intracavernous injections, increased serotonin may be the cause.
The same applies to connective tissue diseases:
  • Dupuytren's contracture( wrinkling of the tendon on the palms or sole) curvature of the flexor joints of the fingers;
  • tympanosclerosis( hearing loss due to growth of scar tissue in the inner ear);
  • Paget's disease( bone structure disease of the skeleton).

Diagnosis of the disease

First of all, the patient fills out a questionnaire about the quality of sexual life. Then, an analysis of the patient's medical history and life is performed( what was earlier sick, what were the injuries, etc.).Next, the penis is examined in a state of artificial erection, which is achieved with a vacuum erector. At the same time, the size of the compaction, its location and the degree of curvature of the penis are evaluated.
Also carried out such studies as:
  • Cavernosography is the introduction of a radiocontrast member in the sponge which will be visible on X-rays and the X-ray itself. This allows you to know the actual size and place of compaction( plaque).
  • Ultrasound( ultrasound) - allows to assess the state of the vessels of the penis, as well as blood circulation in the penis and in the compaction sites. Thus, the acute form of the disease is well revealed.
  • Magnetic resonance imaging( MRI) - allows you to view member tissues layer by layer, which also helps to identify the location and size of the compaction( plaque) and the intensity of blood flow in the affected area.

Treatment of Peyronie's disease

Peyronie The main method of treatment is surgery. The compaction( plaque) is removed, and on the opposite side of the trunk duplicates( folds) of the member membranes are created, due to which the penis is leveled.
Surgical treatment is prescribed in cases:
  • The presence of severe deformation of the penis, which is observed from six months.
  • No effect from conservative treatment.
  • Impossibility of sexual intercourse or severe soreness in those.
  • Deterioration of the condition, especially after conservative treatment.
In the early stages and during acute forms of the disease, medical treatment is used. As a rule, they prescribe anti-inflammatory drugs, vitamins E, immunomodulators, preparations that prevent the formation of collagen, cytostatics( to reduce cell division), drugs that reduce fibrinogen( part of scar tissue), as well as anti-fibroblasts( cells that produce scar tissue).
Also carried out:
  • Local therapy, introducing in the compaction sites drugs reducing its formation.
  • Physiotherapy - electrophoresis, contact laser magnetic flux.
  • Remote lithotripsy( DLT) - segregation of the compaction( plaque) by means of a shock wave generator whose energy affects the boundaries of the seals.

Complications and consequences

As complications of the disease can be identified factors such as impotence, infertility, shortening penis size, severe pain with erection, as well as depression.

Prevention of Peyronie's disease

First of all, this is certainly a healthy lifestyle. That is, the refusal of smoking and alcohol, proper nutrition, sport, walking in nature. It is also always necessary to monitor normal blood pressure and in no case to allow injuries to the penis and even minor bruises, which may be bad for a hiccup in the future. And, of course, when you first suspect you go to the doctor.