Peyronie’s Disease

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Peyronie’s Disease Treatment in Metro Atlanta

Peyronie’s disease, also known as penile curvature, is a condition characterized by the development of fibrous scar tissue (plaques) within the penis. These plaques cause the penis to bend or curve during an erection, leading to discomfort, pain, and difficulties with sexual intercourse. The exact cause of Peyronie’s disease is not fully understood, but it is thought to involve a combination of genetic factors, trauma to the penis, and abnormal healing processes.

Risk Factors

Certain factors can increase the risk of developing Peyronie’s disease. These include:

  • Age: The condition is most common in middle-aged and older men, typically between the ages of 40 and 60.
  • Family history: Having a family history of Peyronie’s disease may increase the risk.
  • Trauma or injury to the penis: Previous injury to the penis, such as during sexual activity or accidents, may contribute to the development of scar tissue.
  • Connective tissue disorders: Conditions that affect connective tissues, such as Dupuytren’s contracture, may increase the risk.
  • Certain health conditions: Peyronie’s disease has been associated with conditions like diabetes, high blood pressure, and low testosterone levels.

Symptoms

Symptoms of Peyronie’s disease can vary in severity and may develop gradually or suddenly. The primary symptom is penile curvature, which can range from mild to severe. Additional symptoms may include:

  • Pain or discomfort during an erection
  • Erectile dysfunction (difficulty achieving or maintaining an erection)
  • Penile deformity (hourglass shape, indentation, or narrowing)
  • Shortening of the penis
  • Psychological distress or anxiety related to sexual performance or body image.

Prevention

Unfortunately, there are no guaranteed prevention strategies for Peyronie’s disease since the underlying causes are not fully understood. However, there are a few general measures that might be helpful:

  • Avoiding penile trauma: Be cautious during sexual activity or any situation that may result in injury to the penis.
  • Managing existing health conditions: Properly managing conditions like diabetes or high blood pressure may help reduce the risk of developing Peyronie’s disease.

Treatment

Treatment options for Peyronie’s disease vary depending on the severity of symptoms and the impact on sexual function. Here are some commonly used approaches:

  • Observation: If the symptoms are mild and do not significantly affect sexual function, a “watchful waiting” approach may be recommended.
  • Medications: Certain medications, such as collagenase clostridium histolyticum (Xiaflex), may be prescribed to help break down the scar tissue and improve curvature.
  • Extracorporeal shockwave therapy (ESWT): This non-invasive treatment involves delivering shock waves to the affected area, which may help break down the plaques.
  • Penile traction devices: These devices apply gentle stretching forces to the penis to reduce curvature over time.
  • Surgery: In severe cases or when other treatments are ineffective, surgical intervention may be considered. Surgical options include plaque incision/excision, grafting procedures, or penile implants.

It is important to consult with a healthcare professional, such as a urologist, to discuss the best treatment approach based on individual circumstances and preferences. They can provide a comprehensive evaluation and guide you through the available options. Call our office to schedule an appointment at (678) 321-7227.

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