Peyronie’s Disease of the penis is caused by scar tissue, called plaque, that forms inside the penis. It can result in a bent, rather than straight, erect penis.
Depending on the symptoms, you may opt for observation, medical or surgical treatments.
What Causes Peyronie’s Disease?
A number of authors believe that Peyronie’s disease results, in part, from trauma. More than 75 percent of patients with Peyronie’s disease are between 45 and 65 years of age, when elasticity of the collagen of the penis has diminished. Many patients recall an episode of penile trauma, such as an invasive procedure, blunt trauma or injury during intercourse, at the site of subsequent plaque formation.
What Are the Symptoms of Peyronie’s Disease?
Symptoms may develop slowly or appear overnight. When the penis is soft, you can’t see a problem. But in severe cases, the hardened plaque hampers flexibility, causing pain and forcing the penis to bend or arc when erect.
In most cases, the pain eases over time, but the bend in the penis can worsen.
Up to 47 percent of patients with Peyronie’s disease also have another condition associated with loss of elasticity, such as Dupuytren’s contracture or Ledderhose’s disease (fibrosis of the palmar and plantar fascias, respectively).
What is the treatment for Peyronie’s Disease
Despite numerous treatment options, there is no generally accepted, standard nonsurgical treatment for Peyronie’s disease. Moreover, the success of treatment may be difficult to assess because 20 to 50 percent of patients with Peyronie’s disease experience spontaneous resolution. This potential for improvement probably warrants delay of surgical correction for at least six to 12 months after diagnosis unless the plaque is calcified or the patient is completely incapable of sexual activity.
I have had excellent outcomes with the S-Wave Therapy and the P-Shot, using PRP throughout the penis, with additional PRP in the affected area. Three treatments are usually necessary. Low-intensity shockwave therapy, in a series of 6, combined with PRP works best.