PEYRONIE'S DISEASE AND DIAGNOSIS
SYMPTOMS AND TREATMENTS [EBOOK]
What is Peyronie's Disease?
Every man should always be aware of the anatomy of his penis. The habit of visiting a urologist regularly, from puberty onwards, is extremely important to ensure a healthy and quality sex life. But the reality is that most don’t have this habit and they get worried when they notice something is wrong.
One problem that is usually noticeable to the naked eye is penile curvature. When it is stable, it does not compromise the erection or hinder sexual intercourse, just observe it and take some precautions so that it does not get worse. But when the penis becomes increasingly crooked, until it reaches a point that hampers or completely prevents sex, it is necessary to seek medical help.
One of the most common causes of crooked penis is Peyronie's Disease, also known as Acquired Curvature.
It is a penile curvature caused at a certain stage of a man’s life, usually as a result of trauma or microtraumas that occur during intercourse. In more serious cases, for example, the penis can form an “L” due to its tortuosity.
The disease is characterized by a scar on the tunica albuginea, the tissue that covers the erection mechanism of the penis, and usually manifests itself through fibrosis. Over time, this scar makes the penile tissue less elastic, which results in a deformity that is only noticeable during erection. When left untreated, this curvature evolves over time, making sexual intercourse very difficult or even impossible, in addition to causing pain during erection. The following image illustrates this situation and the details of penile anatomy:
The good news is that this problem is treatable. Find out everything you need to know about Peyronie, including prevention and treatment, by following the contents of this page.
How did the term Peyronie come about?
Diagnosed and described for the first time in 1743, the disease was named after the first doctor who diagnosed it, François Gigot de La Peyronie, who had famous patients, such as the King of France Louis XV.
Types of penile curvature
In addition to Peyronie’s Disease, there is another factor that can make the penis crooked, this one of genetic origin. Known as Congenital Curvature or Curved Penis of the Young, the elasticity of the penile tissue, in this case, is already formed with a difference between them since birth. Tortuosity, however, will only be noticed during puberty, with penile development, a greater frequency of erections and the beginning of sex life.
This can be a perfectly normal characteristic and without risks of bringing future complications. In some cases, there is no need for treatment. Simple monitoring and care during sex is essential for a man to continue with a peaceful and happy life.
However, the evaluation of a urologist is very important to provide the necessary guidelines or define whether some type of treatment will be needed so that the Curved Penis of the Young does not evolve into Peyronie's Disease.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
What are the causes of Peyronie's Disease?
Studies show that Peyronie’s disease comes from a variety of causes. Many of them can be perceived with a self-assessment, while others will only be diagnosed with a urological exam. Here are some factors that cause Peyronie’s Disease.
Advancing age and erection problems
In most cases Peyronie’s disease is linked to an erection problem, which can be associated with advancing age, hormonal imbalance or other conditions that interfere with blood flow within the penis.
It turns out that the poor quality of the erection predisposes the occurrence of traumas and microtraumas during sexual intercourse, causing the formation of fibrosis and deformities.
Due to this fibrosis, formed by a plaque or nodule, the membrane of the penis becomes less elastic, increasing its curvature, often also followed by a thinning or decrease in size.
Studies also show that Peyronie’s disease can occur in patients who have a predisposition or heredity in the formation of scars, the plaque responsible for making the penis curved.
Traumas, fractures and penile fibrosis
The incidence of trauma and fissures in the penis predisposes the formation of penile fibrosis. This usually happens during the sex act, especially when the man is in a position that does not allow him to control the situation. Attention to movements and the use of artificial lubrication are essential for everything to go well at the right time, even when there is no problem keeping the penis erect.
When accompanied by a Congenital Penile Curvature, however, care must be doubled. Observe if the penis frequently escapes and see a urologist if this happens. This is a very common situation in men with a pronounced curvature, but the heat of the moment makes this symptom go unnoticed.
Fissures caused by trauma or penile fracture tend to initiate or worsen penile curvature even further, and may even exacerbate an initially simpler problem for Peyronie's Disease.
When experiencing difficulty in sexual intercourse or pain during the act, consulting a urologist for a face-to-face evaluation is more than necessary for further guidance to be given.
Diabetes and Peyronie's Disease
Men with diabetes should be extra careful with Peyronie’s Disease. This is because the increase in blood glucose causes damage to the functioning of blood vessels, which favors the appearance of fibrosis without trauma to the penis; makes healing difficult; besides being the main cause of erectile dysfunction. All these factors together are linked to the causes of Peyronie’s.
A quality erection is directly related to the flow of blood inside the penis, so it is important to control the disease so that the blood vessels and nerves that give sensitivity in the genital area are healthy.
Prostate Surgery and Peyronie
Treatment for prostate cancer may involve surgery, radiation therapy, brachytherapy or hormone therapy, depending on each case. These treatments, however, can have harmful consequences for human health.
Some of them are directly related to the causes of Peyronie’s Disease, such as erectile dysfunction and the appearance of fibrosis in the penis, which can also cause its shortening. That is why it is important to treat the consequences caused by prostate cancer, such as the loss of rigidity, size and caliber of the penis, as they contribute to the emergence of penile deformities and progressive worsening of Peyronie’s.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
How to identify Peyronie's symptoms?
If your penis used to be straight but it’s getting crooked, it’s a sign that something isn’t right with the health of your genital. Even stronger are the indications that the problem is Peyronie’s Disease.
Peyronie’s Disease is curable, but it can be alleviated or even avoided when diagnosed early. And to understand what is happening to your penis it is important to know the symptoms. When you notice any of these signs, seek medical help to increase the chances of effective treatment.
Lumps on the penis
The presence of lumps on the penis can indicate the formation of penile fibrosis, also known as scar tissue.
Superficial plaques can be felt by palpation and usually form on the top of the penis, but can also occur on the bottom or sides. Pay attention to their appearance, it is often possible to identify them through self-examination, when palpating the penis in a flaccid state.
On the other hand, situations such as deeper fibrosis can form a kind of lump inside the penis. They are usually only identified after a detailed examination of the corpora cavernosa, the internal structures of the penis responsible for erection.
Pain in the penis during erection
Feeling pain in the penis during erection is not normal. If this happens frequently, it could be an indication of a more serious situation. There are great possibilities that you are in the inflammatory phase of Peyronie’s Disease and an appointment with a urologist can identify the problem to bring the necessary guidance.
Onset of erectile dysfunction
Erection difficulty is not just an indicator of Peyronie’s Disease, it can also be the cause of it. When the penis is not rigid enough at the time of penetration, it can suffer trauma or microtraumas that, over time, turn into a nodule and evolve into Acquired Penile Curvature.
If the patient already has Peyronie’s Disease, the erection may also be impaired and the curvature will further worsen.
If the patient already has Peyronie's Disease, the erection may also be impaired and the curvature will worsen even more.
Penis shrinking, thinning, or cinching
Whether using your hand or measuring the distance from the navel, it is possible to notice when there is an alarming change in the anatomy of the limb, such as a reduction in size, thickness or thinning. Penile fibrosis is directly associated with reduced tissue elasticity and, consequently, with these symptoms.
If this happens, it is essential to leave the shame aside and seek medical help. The sooner the problem is diagnosed, the greater the chance of resuming a healthy and satisfying sex life.
Sharp penile curvature
If the curvature evolves and makes sex impossible, either because of erection problems, when the penis bends during penetration, escapes easily or limits to short back and forth movements, it is time to seek a specialist.
If it causes pain in you or your partner, this is also an indication that penile health is not going well.
Usually the curvature causes problems when it is above 30 degrees.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
How to identify Peyronie's phases?
Penile curvature can only be noticed during erection because that is when the tissues are fully stretched. This plays an important role in the shape of the penis. The desirable situation is that they have the same elasticity.
In some cases, the tortuosity is mild and stable, which does not prevent the man from having sexual relations, nor does it cause any kind of embarrassment. But when the curvature starts to get worse, there is an indication of Peyronie's Disease.
In these situations it is important to seek help as soon as possible to make the necessary treatment and prevent the curvature from getting worse, bringing sexual and psychological problems.
Care for a crooked penis from a young age
If when you get the penis erect you realize that it is crooked, there is no reason to despair. The tortuosity happens due to the difference in the elasticity of the penile tissues, which can vary in each case.
Often everything is as expected and nothing causes discomfort. However, some young people who notice a bent penis tend to be embarrassed and, therefore, do not seek help or advice, either from a doctor or a family member. Therefore, I always reinforce the importance of visiting a urologist at this stage. A professional evaluation helps to clarify the first questions about the penis and provide guidance for a healthy and safe sex life.
There are cases where a man can have a perfectly normal life. The only indication is to redouble care at the time of sexual intercourse to avoid trauma resulting from the curvature. This is where the importance of keeping the penis always lubricated with specific products comes in, avoiding sudden movements and being careful when choosing positions, opting for those in which the man can better control the movement. All these precautions are recommended to prevent the penis from suffering impacts or exaggerated effort, in addition to ensuring that the tortuosity does not worsen.
On the other hand, in some cases the bent penis becomes an obstacle to the man’s sex life and also to his partner. This can be a sign of Peyronie’s Disease, resulting from some trauma that has caused the appearance of fibrosis in the penis and, consequently, an increase in penile curvature.
The problem has two stages. When carrying out a complete evaluation at the urologist, it is necessary to identify which stage the disease is in to define the best treatment.
Inflammatory phase of the disease
The inflammatory phase of Peyronie’s Disease is characterized by progressive penile curvature, which may be associated with pain during erections or sexual intercourse. The appearance of plaques or nodules under the skin of the penis, whether palpable or not, is also a common symptom at this time.
Despite the pain and discomfort caused, the disease is not yet at an advanced stage and can be treated with anti-inflammatories and analgesics. These medications help to stabilize the condition. When the curvature stops increasing, it is a sign that the patient has moved on to the second stage of the disease, that of healing.
The degree of curvature after the inflammatory phase will help the doctor determine whether it is acceptable or whether surgery will be required to correct it.
Clinical treatment with medication, along with general specialist guidelines and case follow-up, can prevent the disease from getting worse. Early diagnosis is important so that treatment can be started at this stage, increasing the chances of cure without the need for a surgical procedure.
Fibrosis or scarring stage
In the fibrosis phase, also known as scarring, the plaque is present and the penile deformity is already defined and stable. For this reason, clinical treatments with drugs are no longer efficient or necessary.
Most of the time the scar tissue is found in the distal region of the penis, causing it to bend upwards, downwards or sideways. If the stabilized curvature is greater than 30 degrees and prevents or interferes with sexual intercourse, surgery is the recommended procedure to reverse the case, combined with a reconstruction of the size of the penis.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
When to treat a Peyronie's bent penis?
Peyronie’s Disease directly affects a man’s sex life. This is because it has implications for the anatomy of the penis, its size and functionality. It is common for men in these conditions to feel pain and have low self-esteem, since, in addition to physical symptoms, there are also psychological symptoms involving the disease.
That’s why it’s important to seek a specialist doctor as soon as possible, to take care of sexual health as a whole.
Self-diagnosis considerations
Be careful when diagnosing yourself, because it is not possible to know the real situation of the health of the penis without first doing specific tests for this. Peyronie’s disease can be linked to other problems and a urologist with experience in the area will be able to indicate the ideal treatment.
When you experience any symptoms that indicate Peyronie’s Disease, such as the presence of nodules or lump on the penis, their decrease and thinning, pain during erection, erectile dysfunction or increased curvature, it is indicated that you seek medical help. Self-examination is welcome and necessary, but it does not replace face-to-face consultation.
Reasons to visit a urologist
Peyronie’s disease can be alleviated or even avoided if there is adequate medical follow-up.
To begin with, it is important that the man understands the need to carry out periodic consultations with the urologist since his adolescence. This habit contributes to a good orientation about the beginning of sexual life, as it helps in the identification of hormonal imbalances and possible erection problems, one of the biggest causes of Peyronie’s Disease.
For cultural reasons, however, this usually does not happen. It is common for the patient to come to a urologist’s office with serious complaints, and the diagnosis is often Peyronie’s Disease. And since there was no professional advice on how to treat the initial stage of the disease, some wrong habits and attitudes contribute to aggravating the case, causing greater physical discomfort and also affecting the patient’s psychological and self-esteem.
When diagnosed early, control of Peyronie's disease can be done with the use of medication and monitoring the results for an average period of 6 months.
During this process, the man will have specific guidelines to prevent the disease from getting worse. If there is a need for surgery to correct the penile curvature, he will already be prepared to perform the procedure and the doctor will have all the details of the disease for an assertive treatment.
The importance of a specialist diagnosis
When diagnosed with Peyronie’s Disease, the ideal is to seek treatment from a urologist, a medical specialty dedicated to the study, care, diagnosis and prognosis of male sexual health, specifically with regard to sexual organ function, anatomical, biological and psychological issues.
The first step in the search for treatment is to perform a Doppler ultrasound examination of the corpora cavernosa. It is an exam that will measure the functionality of the penis with an induced erection and high definition color ultrasound. This ultrasound will provide images of the inside of the penis so that the specialist can check for fibrosis, if they are superficial or deep, if there is any related erection problem, as well as measure the vascularization of the penis, that is, how blood circulation is going inside it.
With this result in hand, it will be possible to identify the stage of Peyronie’s Disease to define whether the treatment will start with the use of medication, or if the most appropriate thing is to go straight to surgery.
The exam also provides the exact degree of curvature and identifies the region that will need to be expanded to correct it, as well as whether there are other associated factors, such as erectile dysfunction, penile decrease in size and thinning.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
What are the consequences of Peyronie's Disease?
The internal anatomy of the penis must be clear of any lumps or fissures so that blood can flow normally. In Peyronie’s Disease, the man has fibrosis in the tunica albuginea or inside the cavernous body that brings some consequences with it, both in the anatomy and in the functionality of the penis. That’s why it’s important to treat Peyronie’s Disease as soon as possible, as these aspects are directly related to a man’s sexual satisfaction and self-esteem.
Sharp penile curvature
The position where the fibrosis is inside the penis will directly impact its anatomy. This is because it causes a difference in the elasticity of the penile tissues, which can cause or accentuate the curvature to the sides, down or up, towards the navel. If this fibrosis is not treated, the penis will continue to bend to a point that completely prevents penetration.
Penis shrinking, thinning, or cinching
In the same way that fibrosis interferes with the curvature of the penis, it also causes its shrinking, thinning and even cinching. For this reason, it is important to treat not only fibrosis, but also any impact on the anatomy of the penis. In these cases, it is possible to make relaxation incisions to expand the tissues to allow the recovery of lost measurements.
Difficulty getting and maintaining an erection
With fibrosis interfering with blood circulation, it is quite possible that a man with Peyronie’s Disease also has difficulties in maintaining an erection, or even having one. This should be evaluated before performing the surgery to treat fibrosis, because if there is erectile dysfunction linked to the disease, it will be necessary to place a penile prosthesis so that the man can regain his sex life. This is also intended to prevent the penis from developing new fibrosis and curving again in the future.
Pain or discomfort in partner
The consequences of Peyronie’s Disease also extend to the patient’s sexual partner. With a bent penis, penetration becomes a less comfortable act for both of you. The accentuated curvature causes the back and forth movement to cause pain or discomfort in the other person, since the penis is not in its natural anatomy, suitable for sex.
Restricted positions and short moves
When Peyronie’s Disease does not completely prevent sexual relations, it can greatly restrict the possibilities of positions and movements performed. The man will have to constantly worry about finding a way in which the fit is possible, as well as taking extra care not to cause further penile trauma, which could further aggravate the curvature.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
Peyronie's treatment: Medicines, Injections or Surgery?
When the patient is diagnosed with Peyronie’s Disease, one of the great fears is the need for a surgical procedure on the penis to correct the problem.
The part that many don’t like is that surgery may be necessary.
There are clinical and surgical treatments, which vary according to the stage of the disease. To define the most appropriate at any given moment, it is important to consider a careful evaluation by a specialized urologist, who has experience and keeps up to date on the subject.
Clinical treatments for Peyronie's Disease
Clinical treatment for Peyronie’s Disease can be through oral medications, gels, ointments or injectables. They increase blood circulation in the penis and stabilize the evolution of tortuosity.
Regardless of the medical approach, these are the options most recommended by the ISSM (International Society for Sexual Medicine). However, due to other factors that go beyond curvature, such as erectile dysfunction and penile size loss, the simple use of medicine can only bring palliative results, which do not fully cure the disease.
It is worth remembering that clinical treatments are generally indicated for the inflammatory phase of the disease, when fibrotic plaques and penile deformities caused by them have not yet stabilized. The drugs are intended to help these deformities not reach more critical levels, both in terms of curvature, as well as the decrease and thinning of the penis.
After stabilization of the penile curvature, a new evaluation will be carried out to find out if the disease has caused any damage to the functionality of the patient’s penis. At this point, according to several scientific studies in the area, the use of medicines has not shown significant improvements.
The result of this complete examination, already in the fibrosis healing stage, will indicate the need, or not, of surgery.
Remembering that the diagnosis must be obtained through the induced erection, through medication, in order to evaluate not only the penile curvature but also the ability to have and maintain an erection.
Surgical treatments to straighten the penis
When Peyronie’s Disease reaches the second stage, also known as scarring, medical treatment will probably no longer be effective.
The other situation is when the first phase leaves deformities that hinder the patient’s sexual life. Among the consequences that Peyronie’s Disease can cause, in addition to the accentuated curvature, are a decrease in the penis, narrowing and erectile dysfunction problems. And all of this can be resolved in a single surgical procedure. The surgery can be performed under local anesthesia and the patient is discharged from the hospital on the same day.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
Peyronie's Disease Healing: With or Without Penile Prosthesis?
Treating Peyronie’s Disease is important for a man to be able to restore his sex life. A bent penis can cause discomfort and pain during penetration, which increases the possibility of cracking the penis during the back and forth movement and of fibrosis appearing that aggravate the problem.
Just as important as correcting the curvature is solving the lack of firmness in the penis that possibly started the whole situation. As already mentioned, penile fibrosis, increased curvature of the penis and erectile dysfunction are directly related. And to correct these problems, the placement of the prosthesis can play a very important role. It aims to provide a complement of axial rigidity after correction of the curvature, preventing new traumas and cracks from happening.
Due to lack of information or even prejudice, many men are resistant to having a penile implant, but this is what can allow the full functioning of the penis and the return of an active sex life without health concerns. The prosthesis is usually implanted in the same surgical procedure to treat Peyronie’s Disease, so it is not something that brings more discomfort or demands more time from the patient. It is also important to note that there are different types of prosthesis. They can be malleable, articulable or inflatable and the appropriate model must be chosen together with the urologist after a detailed face-to-face assessment and discussion of the patient’s preferences.
Knowing the different penile implants, as well as how they work, is important if you ever need this treatment. In addition to patient preference, other factors are evaluated, such as medical condition, lifestyle and costs.
The malleable penile prosthesis, also known as semi-rigid prosthesis, offers good rigidity and malleability of the penis. Composed of two rods – metallic filaments surrounded by silicone – they facilitate the disguise of everyday erection by making the penis malleable and allowing it to be gently accommodated down or to the sides. Before sex, just put it in the straight position and you are ready to start intercourse. This implant model has the benefit of not having liquids and, consequently, not having problems with leaks, as can happen in inflatable models, and therefore the need for replacement is very rare.
In the case of the inflatable penile prosthesis, the biggest advantage is the possibility of inflating and resuming the flaccidity of the penis when it is most convenient. This makes many men consider it the more discreet option, however, its functioning requires more attention. With it, the man produces an erection by manipulating a pump, which is lodged in the scrotum and has saline solution inside. When activated, the liquid travels through the cylinders implanted in the penis, which activate the hydraulic system and inflate them. After the sexual act, just activate the pump again and press the penis down for a few seconds so that the liquid returns to the reservoir and the limb returns to resting position. This model also has a variation with two or three volumes, which presents greater fluid exchange in the system and greater flaccidity when deflating the prosthesis.
Finally, there are many doctors who treat Peyronie's Disease only with clinical methods, which can be the basis of anti-inflammatories, painkillers and other drugs to increase blood circulation in the penis. But it is worth remembering that this is a palliative method, useful in the initial stage of the disease and in milder cases of erectile dysfunction.
When drug treatment does not meet the patient’s expectations, prosthesis placement combined with surgery and penile reconstruction is generally considered.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
How to treat Peyronie's Disease with the Egydio Technique?
The treatment of Peyronie’s Disease does not consist only of straightening the penis. This is because the fibrosis and scars that form on the tunic can have more consequences besides tortuosity. The objective of the method of geometrically calculated incisions is to expand the tissues that have been damaged by the disease to the limit of the nerves and urethra. Also, in some cases, Peyronie’s disease can thin the penis. The incisions can widen the sharpened point to respect a good relationship between size and caliber.
This size and caliber relationship must be respected so that the penis has good rigidity and penetrative capacity.
All these situations can be corrected in a single surgery, performed based on the concepts of tissue expansion.
Published by Paulo Egydio, M.D., Urologist, the geometric principles applied to penile surgeries, cited in the urological environment as the Egydio Technique, aims to correct curvatures and recover the size and diameter of the penis, up to the maximum limit of the nerves, vessels and urethra. This method is usually directly proportional to the patient’s objective, as it is rare for men to deal well with a shrinking penis, and recovering it is as important as treating the disease.
Used since 1998, the objective of this method generally meets the objectives of the patients, as the traditional techniques propose a different concept, that of equalizing the tissues based on the reduction of the penis.
Dr. Paulo Egydio has been improving this surgical strategy for over 20 years and, as a result, this procedure was chosen by 75% of the audience, made up of physicians from 100 different countries in the AUA19, as the most suitable procedure for a patient who has Severe Peyronie’s Disease associated with Erectile Dysfunction.
In other words, and recapitulating the origin of Peyronie’s Disease: for a man to have a completely straight erection, the tissues of the penis must have the same elasticity, throughout its extension. In this way, traditional procedures use a plication on the longer side of the penis to straighten it and restore penile functionality. The surgical strategy practiced by Dr. Paulo Egydio aims to lengthen the penis through multiple cuts in the tunic. This tissue expansion is limited by the nerves and the urethra, which is the limit possible.
Understand the concept of the technique in the following image:
The surgical method through multiple incisions consists of expanding the tissues of the penis to recover size and caliber. There are several surgical methods capable of offering a straight and functional penis, it is extremely necessary that you talk to a specialist to define the most suitable treatment for your case.
Currently, Dr. Paulo uses the method of tissue expansion through multiple incisions in the tissues, without the use of a graft, in order to leave the penis functional, straight and with its measures recovered, at the limit of the nerves and the urethra.
The main cases of Peyronie's disease
Penis deformities caused by Peyronie’s Disease can be up, down, sideways. Sometimes they also occur on more than one plane, causing penile reduction and thinning. For this reason, it is essential to carry out a detailed evaluation of the penis before determining the treatment. A functional examination, with artificially induced erection, will provide specific information to help the health professional take a good treatment approach for your case.
Cases of unsuccessful surgeries without penile reconstruction
Peyronie’s disease is usually associated with a decrease in the size of the penis.
Therefore, if the professional corrects the size of the tissues without the geometric principle, based on the smaller side to correct the curvature, it may result in a smaller penis. It is common to hear reports of patients who lost size and caliber of the penis after Peyronie’s surgery.
To avoid this type of situation, it is important to ask the health professional which surgical method he will use to correct the deformity and what are the consequences that this procedure will bring in relation to the measurements of the penis.
Doubts? Submit your question to Dr. Paulo and receive specific guidance about your condition, in a simple and discreet way.
Peyronie's Surgery: how do the pre and post op work?
Not every man who has a bent penis needs treatment. If the patient is diagnosed with Peyronie’s Disease, treatment does not necessarily need to be surgical. Surgical treatment is usually indicated for patients whose curvature makes sexual intercourse difficult and/or impossible.
As every surgical process generates preparation doubts and fears about hospitalizations and anesthesia, it is important to know the preparations for the procedure, how it is done and the care that must be taken in the postoperative period.
Before surgery
Surgical planning is extremely important to define a good treatment approach. And to treat Peyronie’s Disease, also known as Acquired Penile Curvature, it is no different.
Upon diagnosis, the patient is referred for a Doppler ultrasound examination of the corpora cavernosa, which evaluates the functionality of the penis with an induced erection and also checks the condition of fibrosis, blood circulation within the penis and the degree of curvature.
If erectile dysfunction associated with Peyronie’s disease is identified, the placement of a penile implant may be indicated to resolve the situation, in the same procedure. Of course, this option will only be considered for patients who have already tried the use of drugs to stimulate erection, but without satisfactory results.
All this study is necessary for the doctor to have a detailed overview of how the penile curvature is and to program the surgery step by step. After that, just set the date and wait.
The procedure does not require large preparations. As with all surgery, blood tests, urine tests and cardiological evaluation will be necessary to avoid any mishap.
It is important that glucose levels are controlled to avoid the difficulty of healing and the risk of infection. The doctor also advises the patient on cleaning the pubic region with antibacterial soap, which must be done for two days before surgery. In addition, an eight-hour fast from both solid and liquid foods is required.
With that done, just get a good night’s sleep and relax, as everything will be under control.
The day of the surgery
With the medical planning up to date and due care, it’s time to align the penis, make micro relaxing incisions with the aim of recovering its size and caliber, up to the maximum limit of the nerves and urethra.
The procedure to correct Peyronie’s curvature is not long. The surgery lasts between 2 and 3 hours, it is done only with sedation and local anesthesia. Usually the patient is admitted to the hospital in the morning and, it is possible that in the early afternoon, he is already released to go home.
The shaving of pubic hair is done in the operating room, by the doctor and his team. Therefore, there is no need to worry about this, as they will take the utmost care so that there is no risk of infection.
After surgery
Post surgery for Peyronie’s Disease is also not complicated. Return to the doctor takes place on the same day as the surgery, in the afternoon. In this appointment, the doctor will evaluate the result of the surgery and will give the latest guidelines for healing to take place in the best possible way.
The penis will be bandaged and it will not need to be removed for the first five days. After this period, the band must be changed daily for another five days. As the change is very simple, it is not necessary for the patient to return to the doctor for this. You can do it yourself in just a few minutes.
There are three stages for the patient to return to their normal life: between 7 and 10 days it is possible to return to work (if it does not require physical effort), after 30 days it is possible to resume physical activities and from 45 to 60 days you can resume sex life after medical evaluation.
* This estimate may vary from case to case, according to the recovery of each patient’s body.
The recovery process is even more simplified as the surgical stitches are absorbable, preventing the patient from having any discomfort in the future or during sexual intercourse. In about two months, they will all have fallen naturally.
PEYRONIE'S EBOOK
Knowledge is the first step in carrying out a treatment, and there is nothing better than learning from an expert on the subject: Dr. Paul Egydio. The Peyronie’s Disease Guide is available for download and can also be consulted topic by topic below.
