Peyronie’s disease is curvature of the penis with an erection. The condition is named for a French surgeon who first wrote about it in the mid 1700’s. Peyronie’s disease is caused by injury to the lining of the corporal bodies in the penis; the injuries occur from penetration during sexual intercourse. The tears that occur in the lining result in scar tissue (a plaque). This scar tissue does not stretch during erection causing curvature.
Men with Peyronie’s disease complain of loss of length of the penis, pain with erection, and their spouse often complains of pain during sex. Frequently, the curve is so severe penetration is not possible.
About 10% of men in the USA have Peyronie’s disease; each day in his clinic Dr. Christine sees 4 or 5 new patients with Peyronie’s. These pictures are of real patients.
The unfortunate truth about Peyronie’s disease is that most urologists have very little training on how to treat these patients. They will often prescribe vitamin E (which does absolutely nothing), and will tell the patient there is not much to do.
That is completely inaccurate. However, you must be treated by a specialist in this common, but complex, condition.
Treatment is either by the use of Xiaflex or surgery. Xiaflex is a medication that is injected into the plaque and breaks it down; some men are good candidates for treatment with Xiaflex but not all. Only an experienced sexual medicine urologist can properly evaluate men with Peyronie’s disease, and a proper evaluation is critical to successful outcomes.
In men who are not good candidates for Xiaflex treatment surgery is very, very effective. This is another example of surgery that demands the skill of a highly experienced surgeon; if these procedures are performed by a urologist who does not completely focus on men’s sexual health the outcome will likely be poor. Experience counts.
A patient of Dr. Christine’s before and at the end of curvature correction surgery; the result is excellent
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