About Peyronie’s Disease

Peyronie’s disease is a condition where fibrous tissue commonly referred to as plaque develops beneath the skin of the penis, resulting in curvature, painful erections, or erectile difficulties. The condition impacts the tunica albuginea, a firm layer of tissue around the erectile chambers. As scar tissue accumulates, it reduces the flexibility needed for a straight erection. Some cases may be mild, while others lead to significant discomfort or sexual dysfunction. Though often identified in men aged 40 and above, younger individuals can also be affected. Onset can be slow and progressive or occur rapidly after injury.

Signs & Symptoms of Peyronie’s Disease

Signs and symptoms vary in severity and presentation, often including:

• Bent or Curved Penis: The erection may angle upward, sideways, or downward
• Penile Pain: Especially during erections, though sometimes in the flaccid state
• Detectable Plaque: A firm lump under the skin may be felt on the shaft
• Difficulty with Erection: Pain, curvature, or deformity can interfere with normal erection
• Shortening of the Penis: A decrease in visible length is often noted
• Anxiety or Avoidance: Emotional stress or reluctance towards sexual activity

Early recognition is important. Without proper care, symptoms may worsen and result in long-term sexual health concerns.

What Causes Peyronie’s Disease

While pinpointing a single cause may be difficult, several risk factors have been linked to the disease:

• Trauma During Sex: Injury from forceful bending or repeated friction may trigger plaque formation
• Hereditary Links: Genetic conditions involving connective tissue may play a role
• Connective Tissue Conditions: Conditions like Dupuytren’s contracture can overlap with Peyronie’s
• Advancing Age: Age-related changes in tissue healing and collagen deposition can contribute
• Pelvic Surgery History: Scarring after prostate or bladder surgery may initiate fibrosis

In many instances, Peyronie’s arises without a clear triggering event, especially in genetically predisposed individuals.

Peyronie’s Disease Risk Factors

Men with the following risk factors may be more prone to Peyronie’s disease:

• Age Above 40: Most cases are diagnosed between ages 40–70
• Family History: Men with relatives diagnosed with fibrotic diseases are at increased risk
• Pre-Existing Erectile Dysfunction: Difficulty maintaining erection may coexist or worsen
• Urologic Surgery: Procedures involving pelvic organs may increase susceptibility
• Health Conditions: Diabetes, hypertension, and autoimmune disorders are frequently linked

Being proactive with urological health can help detect and manage the disease early.

Associated Complications of Peyronie’s Disease

If not managed properly, Peyronie’s can have significant physical and psychological consequences:

• Sexual Interference: Deformity may hinder penetration or reduce satisfaction
• Emotional Struggles: Stress, body image concerns, or relationship anxiety may arise
• Relationship Friction: Partners may experience reduced intimacy and emotional distance
• Reduced Confidence: Altered penile shape or function may affect self-esteem
• Lasting Deformities: Advanced cases may lead to permanent bending or indentations

Early diagnosis and intervention can prevent these complications in most men.

Eeyronie’s Disease : Diagnostic Process at MASSH PROLIFE

At MASSH PROLIFE, we follow a detailed, sensitive, and discreet evaluation protocol:

• Clinical History: Understanding the patient’s sexual health, pain severity, and timeline
• Physical Examination: Identifying hardened tissue beneath the penile shaft
• Induced Erection Exam: Helps assess degree and direction of curvature under medical supervision
• Penile Ultrasound Imaging: Evaluates blood supply and plaque location precisely
• Erection Photography: Occasionally, patients may document erections at home to assist with assessment

This multi-step evaluation helps determine severity and choose the most suitable course of treatment.

Eeyronie’s Disease Treatment at MASSH PROLIFE

Management depends on the phase and severity of Peyronie’s disease. Our treatment options include:

• Observation Phase: Mild cases with minimal symptoms may be monitored without immediate intervention
• Medication (Oral Therapy): Supplements or anti-inflammatory agents may provide symptom relief in early stages
• Penile Extenders: Mechanical traction devices can gradually straighten curvature with consistent use
• Intra-Plaque Injections: Drugs like collagenase can be injected to reduce plaque and soften curvature
• Low-Intensity Shockwave Therapy: Used to reduce pain and stabilize curvature non-surgically
• Surgical Intervention: For advanced deformity, options include plaque incision with grafting or penile implants

Treatment aims to relieve pain, improve function, and restore sexual confidence.