Disease is characterized by a layer such hard patch in penis body and occurred afterwards on frequently back side of it. Penis is curved towards the side of plate when penis is hardened and erected. This case disrupts penile function during sexual intercourse and sometimes it leads to serious problems up to erectile dysfunction. Other frequently seen symptoms of disease are penis pain, painful erection and shortening of penis size. Penis in erection state is generally characterized by upward curvature -even rarely sides or downward-. Patients describe this as curvature or bending form.
What are symptoms of Peyronie's disease?
Hard plate tissue reduces elasticity of penis and causes penis to curve upwardly following erection of penis. Even if this plate causing curving and bending of penis is frequently characterized in upper side of penis, this can be seen lower side or lateral sides of penis. In this case, this causes penis to bend downwardly or laterally. A plate surrounding penis perimeter occurs even in some patients. When penis is hardened, plate causes penis body to take an appearance as strangulation. (hourglass or swan neck appearance). Most of the patients complain about their penis shortness and smallness. Painful erections and difficulty with sexual intercourse namely, emergence of impotence, are one of the important causes forcing men to visit the doctors. All these physical disorders disrupt life quality of a Peyronie's patients. Complaint of erectile dysfunction, namely, impotence, may be in question in approximately 20-40 % of men with diseases.
How often is this Peyronie's disease seen?
It has been reported that this is seen in 1-4 (3.7 %) of 100 males between 40 and 70 years of age. Moreover, patients with younger age having severe Peyronie's patient have been reported as well. Incidence in males between 50 and 70 years of age rises to 7 %.
What is the reason for Peyronie's disease?
Conclusive reasons of this disease have not been defined yet. Many experts believe that the factor initiating Peyronie's disease is recurrent light penis traumas made during sexual intercourses. - rupture of Tunica albugineada- The studies suggest that bond tissue disorders relating to rehabilitation and gene activation cause Peyronie's disease. It has been suggested that long term use of some drugs such as propanolol, metotrexat and Vitamin E deficiency, diabetes, gout disease, long term smoking and surgical interventions performed to urinary ducts trigger this disease.
How Peyronie's disease is diagnosed?
Physical examination conducted by urologist and story in diagnosis of Peyronie's diseases is sufficient. While obtaining story, emergence time and form of disease (chronic or acute), progress mode of disease, drugs and habits used are evaluated. It is investigated in sexual story whether the patient has any difficulty in ensuring erection. Plate examination is conducted over penis during physical examination and dimensions of plate are evaluated.
How is course of Peyronie's disease?
Peyronie's disease can be considered as a kind of wound healing disorder continuing for a specific time. In reality, this disease can be classified in two phases:
Acute inflammation phase: This continues between approximately 6 months and 18 months and the patients reports that it has still pain complaint. There is plate in penis and a slight curvature.
Second period or chronic phase: Period in which disease is settled now, penis has distinctive curvature, erectile dysfunction problem is experienced and dimension of plate does not change.
How Peyronie's disease is treated?
It is of high importance to become aware of the fact that in which period the disease is inside in treatment selection. Because symptoms may automatically vanish in 13 % of the patients and disease progress in unstable period in 50 % of the patients. Alongside drug treatment, surgical treatments and penile prothesis can be applied.