Worried about curvature of the penis and pain during erection? It is possible that you have Peyronie's disease, which is treated in Moscow at the "K+31" multidisciplinary clinic. We guarantee complete confidentiality. Information about this delicate issue will never get to outsiders.
What is Peyronie's disease?
Plastic induration of the penis (known as Peyronie's syndrome or Van Buren's syndrome) is an overgrowth of connective tissue in the membrane of the cavernous bodies. The pathological process leads to contracture of the fascia and flexion of the penis during arousal. The etiology of this disease is not yet clear. The likely cause is infectious or non-infectious inflammation.
Predisposing factors:
- microtrauma during sexual intercourse (for example, with a lack of lubrication);
- vascular disease (vein thrombosis, atherosclerosis);
- hypovitaminosis A and E;
- history of catheterization or douching;
- diseases with metabolic disorders (diabetes, gouty arthritis);
- an autoimmune process that destroys protein tissue;
- scleroderma;
- myopathy.
Please note: The prevalence of the disease can be as high as 10%. Most of the patients are between 50 and 60 years of age. In 16% of cases, pathology is detected by chance during an examination by a urologist or andrologist.
Peyronie's disease is detected only in adult men who are sexually active. The diagnosis is based on the history and comprehensive clinical examination.
Main symptoms:
- anatomical deformity;
- pain during erection;
- erectile dysfunction.
A scarring change in the connective tissue membrane (penile fibromatosis) causes a curvature of the penis during an erection. Deviation is accompanied by pain and interferes with sexual intercourse. In some cases, fibrotic changes can progress and spread inside the cavernous bodies, preventing their distal sections from filling with blood.
In the development of penile fibrosis, 2 clear clinical phases can be distinguished.
The acute stage is characterized by inflammation and pain. Its duration is approximately six months. At this stage, a knot of dense elastic consistency is formed. Patients often take it for a tumor, and it is for this reason that they go to the doctor.
In the chronic phase of Peyronie's syndrome, fibrotic changes first progress and then stabilize. The duration of this stage is from 7 months. up to a year and a half. The plaques thicken, calcium salts are deposited in them, and the pain may disappear.
Further, in 13% of cases, spontaneous remission occurs, but in most patients, the deformation leads to a decrease in the length of the penis and erectile dysfunction.
Diagnosis, treatment and prevention of Peyronie's disease
First of all, the specialist collects a detailed history. The doctor needs to know how long the problems started.
