Peyronie’s disease is a penile disorder in which scar tissue or plaque forms in the lining of the penis, making it less flexible. This can cause the penis to bend or curve when erected (penile curvature), which can be painful and make intercourse difficult or even impossible. In severe cases, this pain, bending, and associated emotional distress can cause impotence. Peyronie's disease occurs in about 1% of men and is most common in middle-age.
During the first 12 months, you may experience:
Erectile dysfunction is common in patients with Peyronie’s disease.
Peyronie’s disease typically forms from trauma occurring during sexual intercourse, athletic activities, or other types of accidents. The injury may be minor, but it can lead to inflammation and a penile scar or lump.
A urologist will check your medical and surgical history and examine your penis for hardened tissue. A curve assessment may be necessary to measure the degree of penile curvature with an erect penis. To do this, a substance that relaxes the blood vessels is injected into the penis, causing an erection.
Dynamic ultrasound may also be needed to examine the location of the plaque and blood flow to the penis and check for calcium build-up.
From the diagnosis, two phases of the disease can be distinguished:
In its mild form, Peyronie's disease can improve without surgery in 6 to 18 months, with the shrinking and disappearance of the scar tissue. During this waiting time, there are a few options that might improve symptoms. They include:
After 12 to 18 months, if the condition is still affecting the patient’s quality of life or in more serious cases, your urologist may recommend surgery. The types of surgeries include:
Dr Colin Teo is the Founding Head of Khoo Teck Puat Hospital’s Urology Department, with years of experience in minimally invasive keyhole surgery, operating with precision surgical techniques. Many fellows have trained under his mentorship. He did a Fellowship in EndoLaparoscopy and Andrology at St James’ Hospital in Leeds, UK and was sponsored for a Senior Healthcare Medical Development Program (HMDP) in Advanced Laparoscopic and Robotic Surgery at University of Southern California (USC) Keck Hospital in Los Angeles, USA. Dr Teo is also the President of the Society for Men’s Health.
Seek recommendations on suitable treatment options for Peyronie’s Disease with Colin Teo Urology. Contact us to book an appointment today.