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Peyronie’s disease is a disorder that results in a noticeable curvature in your penis. This problem occurs due to plaque formation (flat scar tissue) under the penile skin. This plaque formation can cause the penis to bend during erections. You may also feel the plaque beneath the skin, and it is usually a painful spot in most cases.
Peyronie’s disease is treatable through several techniques. Your doctor at Euromed Clinic Dubai will analyze various factors to recommend the most appropriate treatment.
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What are the Causes of Peyronie’s Disease?
The penis has three tubes that run through its length. One of those tubes is the urethra, and the other two are corpora cavernosa. The urethra provides the urine and semen a passage to the outside of the body. And the corpora cavernosa consists of spongy tissues that fill with blood to induce stiffness to the penis during an erection. A tough fibrous sheath called tunica albuginea keeps all three tubes tightly wrapped together.
Peyronie’s disease or disorder usually develops due to scar formation on tunica albuginea after an injury. This injury may occur due to vigorous sex that causes the penis to bend. Sport-related injuries and accidents can also cause damage and subsequent scar tissue formation. This scar tissue then transforms into the plaque of Peyronie’s disorder.
What are the symptoms of Peyronie’s disease?
The most distinguishing symptom of Peyronie’s disease is a noticeable penile curvature. This curvature is on the side of the plaque formation. Sometimes, the plaque develops all the way around the penis, and it may cause the penis to narrow instead of bend. It may also cause your penis to shorten.
Prominent symptoms associated with Peyronie’s disease are:
- Bend or curvature in the penis, leading to trouble having sex
- Noticeable lumps in the penis
- Fewer firm erections (erectile dysfunction)
- Painful erections
What are the Stages of Peyronie’s Disease?
Peyronie’s disease progresses through two stages: acute phase and chronic phase. Both these stages are characterized by the bend or curvature in the penis, causing problems when having sex. Peyronie’s disease may also cause erectile dysfunction.
Acute phase: This phase of Peyronie’s disease may last five to seven months. In rare cases, it may last up to 18 months. This phase is characterized by the progression of plaque formation in the penis, causing penile curvature to worsen. You may also feel pain during erections.
Chronic phase: Further plaque formation and bending of the penis stops during this phase. The pain associated with the acute phase also subsides at this stage.
How is Peyronie’s Disease Diagnosed?
In most cases, all you have to go for is a physical exam to determine if you have Peyronie’s disease. The doctor will check the penile surface to trace hard plaques beneath the skin during this test. Sometimes, they may inject a drug into your penis to make it stiff and then take pictures to analyze the amount of curvature. And in some cases, dynamic ultrasound may be used to get a picture of the plaque, calcium buildup, and blood flow in your penis.
Peyronie’s Disease Treatment Options
We at Euromed Clinic in Dubai use multiple techniques to treat Peyronie’s disease. Our doctors thoroughly analyze the patient’s condition to determine the most appropriate treatment solution. Here is a quick overview of the techniques we use at our clinic to treat Peyronie’s disease.
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Oral and Topical Medications
Both oral and topical medications have proven beneficial in treating Peyronie’s disease. The most well-known oral medicine for PD is Pentoxifylline, a xanthine derivative. This medicine comes with anti-inflammatory and anti-fibrogenic properties. The doctors usually prescribe this medication for several months to get the desired results.
Topical applications have also been found helpful in treating Peyronie’s disease. The most common topical solution used in this regard is verapamil gel. A daily application of this gel for several months has been found to help reduce the plaque size, lessen pain, decrease curvature, and improve the quality of erections.
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Treatment with Xiapex Injection
Xiapex or Collagenase injections are a non-surgical way to help reduce the plaque of Peyronie’s disorder. The Xiapex solution, when injected into the plaque, results in enzymatic disruption of plaque tissues. This plaque disruption leads to an overall reduction in penile curvature, decreased pain during erections, and improved erection quality. As per the latest studies, these injections may promote a reduction in penile curvature of up to 35%.
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Mechanical Modeling
Mechanical modeling holds a placebo effect when treating Peyronie’s disease. This technique works well when combined with Xiapex injections. The most significant advantage of mechanical modeling is that it prevents penile retraction and loss of length. Additionally, it accelerates the reversal of the curvature and increases blood flow in the penis.
Protocols used in mechanical modeling include:
- Using penile vacuum pump for 10 minutes twice a day
- Performing penile stretching exercises or using a penile stretching device
- Performing self-modeling of the penis
Peyronie’s Disease FAQs
Can massage help Peyronie's disease?
No, massage doesn't usually help Peyronie's disease. Massaging supposedly treats the plaque using a lubricant or oil. But the fact of the matter is this oil fails to get absorbed deep enough to reach the plaque tissue. Xiapex injections have proved a more viable solution for Peyronie's disease than massaging.
Can you treat Peyronie's disease at home?
Yes, you may perform stretching exercises and use traction devices at home to treat Peyronie's disease. However, it is best to consult with a doctor to discuss the proper treatment protocols.
Schedule a Consultation
Do you want to get your Peyronie’s disease treated? If yes, you can contact Euromed Clinic Dubai, where you will meet board-certified practitioners. You can discuss all your concerns during the pre-treatment consultation, which you can schedule right now using the form below.
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