Men with Peyronies disease generally seek medical attention for pain or bending of the penis during erection, which results from inflammation and scarring in a particular part of the male anatomy known as the tunica albuginea. Francois de la Peyronie, surgeon to Louis XIV of France, first described treatment for this disorder in 1743. This condition is most commonly acquired at about age 55. A man can be born with curvature of the penis, though this is not Peyronies disease.
Severity varies - only a minority of the men afflicted with this problem are unable to engage sexually. Through an effect on the erection mechanism it can reduce rigidity hardness, but it rarely causes impotence. It is somewhat uncommon, affecting somewhere between one and three men in a hundred. In addition to producing curvature, Peyronies disease may change the shape of the erection in other ways: indentation, diameter reduction, or loss of length.
Peyronies disease can have a strong psychological impact. A noticeable lump, or plaque within the penis is commonly detected. Contrary to prevalent anxieties, it is noncancerous, and unrelated to cholesterol – containing arterial plaque Some cases are mild, healing without treatment within a year of onset. Most cases produce at least some degree of persistant curvature.
Peyronies disease can run in families, though most cases do not appear to be hereditary.
This condition is not associated with serious internal disorders. 10 –20% of men develop scarring of either the hands Dupuytren’s contractures or of the feet.
The goal of therapy is to maintain sexual function. In some cases, education about the disease and reassurance is all that is required. Rarely, when long-term deformity prevents intercourse, surgery is recommended.
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