Abnormalities in the penile physiology can lead to painful erection and sex by hindering libido. A person suffering from Peyronie’s Disease faces similar problems. It is a rare condition that develops in the soft tissue of a patient’s penile shaft.
Peyronie’s Disease: What is it?
The penile shaft is made of soft tissue which gets hardened due to an increase in the blood flow. It has three tubes. The urethra carries urine and helps our body to excrete bodily fluids accumulating in the urinary bladder. The two other hollow tubes are corpora cavernosa. These tubes are connected with the soft tissues in the penile physiology. They are responsible for the blood flow causing stiffness of this spongy tissue system resulting in a full erection. The formation of scar and fibrous tissue in this section causes abnormal and irregular inflation. It results in the formation of a curvature in the penile shaft, painful erection, and reduced libido due to painful intercourse. Peyronie’s Disease can also lead to anxiety and sex life-related stress thus hampering the confidence of a man.
What are the symptoms?
- Presence of scar tissue
The doctors will find out flat lumps or hard tissue bands under the penile skin when palpated.
- Development of significant curvature
The penile shaft bending too much on one side with pain during erection might signify the presence of Peyronie’s Disease.
- Problem in erection
Getting and maintaining erections due to pain and abnormal stiffening of the penile shaft can signify the occurrence of this disease.
The penile shaft shortens when Peyronie’s Disease is diagnosed.
- Pain during erection and intercourse
Painful erections and intercourse hampering libido can also conclude Peyronie’s Disease.
Diagnosis of Peyronie’s Disease
The doctor will perform a simple physical exam where he will palpate the penile shaft to find lumps or hard tissue bands under the penile skin. If the situation is not mitigated, the doctor will prescribe a comprehensive test to check the penile physiology of the patient better. In this case, an ultrasound test will be suggested. The sound waves and precise imaging techniques will find out the presence of abnormal tissues with the exact location. An ultrasound is prescribed to check blood flow, presence of fibrous tissues, and other abnormalities, if any.
Treatment of Peyronie’s Disease
Most of the health experts suggest waiting to watch the disease develop, considering the condition of the patient. In most cases, the waiting time is 12 months with regular monitoring of the symptoms. In fact, men having small plaques, mild curves, no pain during erection or sex, and other manageable symptoms are not treated.
The oral drug therapy is not supported by proper data regarding the effectiveness of various medications. Vitamin E supplements are often prescribed. Tamoxifen is an anti-estrogen drug can be prescribed to treat desmoids tumors but there are no proper results to back up the process.
Colchicine and carnitine can be prescribed as anti-swelling medications. They work on mild lumps but still lack in the data-backed results.
The doctors can also suggest penile injections of verapamil, interferon, and collagenase to cure the scar tissues and alleviate the symptoms.