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PD, Peyronie's disease,
curved penis, penile induration
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- Peyronie's Disease
(PD) is the result of scar tissue forming inside the penis,
causing it to curve or bend when erect or hard. The internal
structure of the penis is divided into 3 compartments, and
an erection occurs when 2 of these compartments, known as
Copra cavernosa (erectile tissue), fill with blood.
- After an injury, a scar (hard thick
fibrous material) forms in the lining that covers the
erectile tissue, restricting the expansion of the penis
during an erection. This scar acts like tape around a
balloon, as it causes the erect penis to bend down, or point
off to the side.
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- Could feel a hard lump or plaque
under the skin
- A lump may either occur suddenly
after trauma, or take months to develop.
- Pain is a common symptom that
happens when the penis is erect.
- Swelling can occur above the scar.
- Penis may be narrowed or bent.
- Multiple curves are possible.
- Base of the penis could be rigid or
hard.
- Penis is not flexible.
- Impotence or loss of
sexual desire can occur.
- Depression
- Marital
problems
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- Trauma during sexual intercourse --
accidental bending or hitting the penis may cause internal
bleeding and scar formation.
- Surgery -- especially around the
genitals (penis, prostate, testicles) and pelvic surgery
(area of the body between the two hips)
- Genetics (abnormality of genes) --
there may be an association with another disease known as
Dupuytren's contraction (scarred and curved 4th finger)
linked to a protein known as HLA-B27
antigen.
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The
patient's general doctor will consult with an
urologist.
- History:
- Symptoms
- Trauma
- Surgery
- Illnesses
- Medications and allergies
- Habits, especially sexual.
- A medical exam reveals a curve or
scar.
- The size and shape of the penis is
documented.
- There may be contractions of 4th
finger.
- Test:
- Picture of the penis may be
taken.
- Urologist may inject a substance
in the penis called Prostaglandin E1, and then use a
machine called a Doppler (uses sound) to see the internal
structure of the penile cavities.
- Calcium deposits
can be seen in old
scars.
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- Repeated trauma
- Urological or pelvic surgery
- Vigorous sex especially when female
is on top and bending backwards
- Dupuytren's
contraction
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- Normally, scars or plaques slowly
resolve on their own without treatment.
- Those with no symptoms are watched
closely.
- Many medications, such as Vitamin E
cream and Potaba have been tried, but most produce limited
or no benefits.
- Injection of Verapamil (blood
pressure medicine), steroids, and other medications into the
scar has been known to help.
- Cholchicine and Tamoxifen
(anti-cancer drugs) have been tried.
- Surgery is reserved for severe
cases, because it is an extremely complex procedure. Because
of this, it is usually held as a last resort.
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Contact your
physician and avoid further
trauma.
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- Hypospadias -- a condition present
at birth
- Cancer of the penis
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