Urologic Trauma, Reconstruction and Prosthetics
Peyronie's Disease Surgery
Fewer than 200,000 men are diagnosed with Peyronie's disease every year. But for those who are, it can be extremely awkward, painful and disruptive.
While the exact causes behind Peyronie’s disease are not yet known, the signs and potential symptoms are obvious:
- A prominently curved penis
- A penis showing signs of shortening
- Painful erections
- Painful intercourse for the partner
- An inability to have sexual intercourse at all (whether because it’s too painful or due to Peyronie’s-induced erectile dysfunction).
Fortunately, the problem doesn’t have to be permanent and Jay Simhan, MD, is a recognized expert for treating this condition.
Why It Happened
Peyronie’s disease can make an appearance without much warning. And without proper treatment, the problem of penile curvature can last years – or longer.
Peyronie’s disease appears to develop due to scar tissue (called ‘plaque’) forming inside the penis. Since this is typically on only one side of the penis, it results in a shortened shaft also on the affected side, which causes the signature curve.
The worse the scar tissue, the more prominent that curve will be. Nonsurgical treatments are likely to fail and there are no oral medications (such as Potaba, Vitamin E, Colchicine, Tamoxifen, and/or Pentoxifylline to name just a few) that have been shown to improve Peyronie’s.
How exactly did you get to this point? That is still largely unknown. Some studies show the plaque begins to build up after some kind of trauma to the penis (most often during sex). Often the patient doesn't know right away that the trauma occurred.
Other studies indicate that it’s a genetic condition in some way, shape or form. Also, people with conditions such as Dupuytren’s contracture may manifest Peyronie’s. The association has to do with an abnormality in collagen buildup in the penis itself.
The Solution and the Solver
Peyronie’s disease surgery is often a minimally invasive, minor surgical procedure. Dr. Simhan will examine your specific situation and speak further with you about details specific to your form of curvature, risks and rewards involved. Surgery for this condition is generally an outpatient procedure. Patients are not awake at the time of the surgey, and most leave the same day.
Surgery for this condition falls under two umbrellas – plication surgery or grafting surgery. Dr. Simhan has performed both types of repairs numerous times. He often performs plication surgeries in patients that have “less severe” curvatures than those undergoing grafting surgery.
As a reconstructive surgeon, Dr. Simhan’s goal is to match the surgery with the patient based on their likes/dislikes as well as goals. A substantial majority of men who choose surgery for Peyronie’s are satisfied with the results and are pleased with their decision to move forward with the procedure.
No need to let Peyronie's disease interfere with your sexual performance, your pleasure or your partner's.
Frequently Asked Questions
Peyronie’s disease is a condition caused by fibrous scar tissue developing under the skin of the penis. The scar tissue causes the penis to painfully curve when erect. Peyronie’s disease can also cause lumps, an hourglass appearance, or a shortening of the penis.
The most common way to fix Peyronie’s disease is with penile traction therapy to prevent loss of length and minimize curvature. Medical and injection treatments may also be recommended, depending on the severity of the case. Surgery is only recommended in the case of extreme deformation.
Peyronie’s disease doesn’t usually go away on its own, and if left untreated, it can lead to a continual worsening of symptoms, including curvature and shortening of the penis. This can cause pain and discomfort with erections and lead to erectile dysfunction.
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