Peyronies Disease: Causes, Treatment, FAQ
Peyronie’s disease won’t initially sound like a cause for concern, but it can cause some pain.
In this article:
- What Is Peyronie’s Disease?
- How Is Peyronie’s Disease Treated?
- Why Choose the P-Shot for Peyronie’s Disease?
- What Are the Symptoms of Peyronie’s Disease?
- Is Peyronie’s Disease Common?
- What Causes Peyronie’s Disease?
Peyronie’s Disease: What It Is and How to Treat It
What Is Peyronie’s Disease?
Peyronie’s disease is a condition wherein plaques or segments of fibrous scar tissue develop under the skin of the penis resulting in curved erections which can be painful.
How Is Peyronie’s Disease Treated?
Peyronie’s disease can be treated by healthcare professionals in several ways, including P-shot, potassium amino-benzoate, tamoxifen, verapamil injection, collagenase injection, or surgery. The P-shot is a non-surgical treatment with positive results and minimal side effects.
Why Choose the P-Shot for Peyronie’s Disease?
A P-shot is also known as Platelet Rich Plasma (PRP) injection. PRP is an autologous treatment, which means it sources from a patient’s own blood to stimulate cellular repair and regeneration.
Platelets are blood components that make wounds clot and eventually heal. P-shots also stimulate collagen production and may help in the repair of scar tissues.
Studies show that PRP injections are safe for Peyronie’s disease patients and even a number of other urologic conditions.
P-shots are usually done in 1-hour sessions at a clinic. Since the injections come from your own body, there are minimal side effects besides some swelling or minor bruising.
What Are the Symptoms of Peyronie’s Disease?
Peyronie’s disease usually affects the top side of the penis. This makes the penis less flexible and more prone to bend upwards.
In some cases where the scar tissue forms on the underside of the penis, it bends downwards or to the side.
Sometimes the scar tissue may form around the penis, causing a narrow bottleneck. In worst-case scenarios, the fibrous scar tissue may calcify, become as hard as bone, and result in a smaller or shorter appearance.
Other symptoms of Peyronie’s disease include:
- Lumps under the penis skin
- Painful erections
- Soft erections
- Trouble with sexual intercourse because of the penile bending
The curvature on the penis caused by Peyronie’s disease may go in one of two ways—it may stabilize, or even go away on its own. But most of the time it does worsen.
Peyronie’s disease may also cause anxiety, embarrassment, and depression in patients. This leads to many cases of Peyronie’s disease going unreported.
Is Peyronie’s Disease Common?
Peyronie’s disease may be rather uncommon and manifests in 6 in 100 men in their 40s-70s. Though, it may happen to men in their 30s as well.
While trauma to the penis may lead to Peyronie’s disease, not all men end up with it. Men who have underlying tissue disorders like tympanosclerosis and/or Dupuytren’s contractures, health issues like high blood sugar, or have a relative with Peyronie’s disease may have a higher chance of developing it.
What is Tympanosclerosis? This involves scarring and calcifying of the eardrum, typically after an injury, surgery, or middle ear infections.
What are Dupuytren’s Contractures? A slow-developing hand deformity. It is due to the excessive thickening of the tissue under the palm, causing fingers to contract inward.
What Causes Peyronie’s Disease?
Peyronie’s disease is often a result of injuries to the penis. This may be due to damage during sexual activity, sports, or an accident.
As the injury heals, scars form. But scar tissue heals in a scattered manner, leading to nodules that lead to the penis curving.
As the penis hardens and expands, it becomes engorged with blood. But with Peyronie’s disease, the scar tissue doesn’t allow the surrounding skin to stretch accordingly, leading to bending and pain.
There are two stages of Peyronie’s Disease:
- Acute Phase – Lasting for 6-18 months, this is when the plaque or scar tissue forms. Bending in the penis worsens, and pain begins to manifest during erections.
- Chronic Phase – This is when plaque growth stops, and bending doesn’t worsen any further. Erection pain from the acute phase may also have waned.
Peyronie’s disease may be a significant cause for stress in several men, who would rather leave it untreated. Talking to your health care provider or urologist may be able to ease this anxiety, after discussing causes and treatment options.