Peyronie’s Disease, also known as induratio penis plastica or chronic inflammation of the tunica albuginea (thick sheath tissue which capsulates the corpora cavernosa), is a connective tissue disorder which involves the growth of fibrous plaque within a penis’s soft tissue. This plaque, or forming of scar tissue, generally forms onside the length of the penis in the corpora cavernosa region. This plaque is underneath the skin so does not appear as visible, and depending on just how severe the condition is, this plaque can often cause the penis to bend with an abnormal curvature anywhere from a minor to major degree, thus making sexual intercourse difficult to perform and can on occasion also tend to be quite painful. But fear not, the condition is now treatable with a peyronies disease device.
So Exactly What is Peyronies Disease?
This is a question that many men who have experienced some penis problems often ask.
Are you feeling pain in penis or having painful erections? Have you noticed a penis curvature (bent penis or curved penis) or a penis shrinkage? Have you recently had a penis injury? Can you feel a lump inside your penis?
If you’ve answered yes to any of the above questions, then it’s quite natural for you to be trying to find out what is Peyronie’s disease as you might have it and just didn’t know the scientific or technical name for it.
The term Peyronie’s disease (PD) can seem somewhat misleading, as it is, it sounds as if it were something you can catch sexually, but it can be stated with assurance that this is not a sexually transmitted disease (STD), as you cannot catch it, nor can you “pass it on” to anyone else by sexual, physical, nor any other activity or method of contact.
The term Disease is simply defined as any abnormal conditions that affect your body in some way other than how your body naturally performs. In short, a disease is a medical condition associated with specific symptoms and signs, which in this case applies to the Peyronie’s disease.
Peyronie’s Disease Definition
Though there is no fully apparent definition to answer “what is Peyronie’s disease” and few of the definitions located are described in “simple English.” Despite this, here is our absolute best attempt to explain the condition in “layman’s terms”.
The exact cause of peyronies disease is not fully known or understood, nor why some men develop it while others do not.
Peyronies is considered to be caused by some kind of trauma or injury to the penis, in which the trauma can result in various penis problems, including significant damage to the penile tissues. Whenever your body tissue is damaged, the body activates a healing process. Simply put, it can be also be labeled as a wound healing disorder. For some reasons unknown, the tissues in the penis under this pretense do not heal as they should which leaves a scar inside.
When you have this disorder, the healing process overcompensates and your body works harder than it should to correct itself, which in turn causes an excess of scar tissue to form within the layer (tunica albuginea) that surrounds the spongy erectile tissue (corpus cavernosum). This causes too much collagen to build up and form fibrous plaque (hard lump) in the penis.
The illustrations below provide a much more detailed view of where and how the plaque forms in the penis, while these peyronie’s penis photos show what real penises with this disease look like.
What causes Peyronies Disease?
It is uncertain what exactly can be the cause of a curve in the penis. A fairly large quantity of researchers tend to believe that this plaque associated with resulting in a curved penis can sometimes develop shortly after a major trauma such as a major hitting or bending that causes localized bleeding on the inside of the penis. This injury and/or trauma to the body may not even show any signs so can be completely unnoticeable. Other cases, which develop over time, may even be genetically linked or inherited (passed on from parents to children through genes). This type of disorder could be caused by a combination of both factors, genes and trauma together.
Alongside this, several medications list peyronie as a possible side effect of taking the medicine. Of course, the chance of developing a curve in the penis from any of these drugs will be extremely low and there isn’t any real proof that a bent dick is related to taking these drugs… but the possibility remains nonetheless.
Who gets Peyronie’s Disease?
According to the National Institute of Health, there was one particular study which concluded that it can occur in about 1% of men. Although this disease generally occurs in middle-aged men, men of any age can still suffer from it. In some cases, men who are related tend to develop the disease, suggesting that it may possibly even be linked genetically.
What are the Symptoms of Peyronie Disease?
In severe cases, these cord-like lesions – hardened plaque (which is benign, or noncancerous) also limits the tissue’s flexibility, thus causing pain and also forcing the penis to bend or curve during erections. For most of these cases, it is common that the pain diminishes over time, but the bend in the penis generally will continue to remain as a problem. On occasion, milder forms of this disease will resolve itself on it’s own spontaneously and may even do so without causing any significant pain or permanent bending. Curved dicks are pretty much deemed permanent, as the penis generally will only resolve on its own between 5%-19% of the time. The symptoms can begin showing gradually over time at a really slow pace, or they can appear very swiftly and as fast as overnight. Unless the penis is stimulated and fully erect, the problem may not show any signs of existing at all if the penis is still flaccid aka soft aka limp.
- Scar tissue. This fibrious plaque can generally felt underneath the penis skin in the form of flattened lumps or a band of tissue harder then normal.
- An extreme bend in the penis. Your penis might be curved in any direction, whether it be upward, downward, left, or right. It’s been seem sometimes where an erect penis may even have narrowing in the shaft giving it a monstrous appearance resembling an hour glass or balloon being constricted towards the center.
- Erection problems. Peyronie’s disease can also prevent the ability to achieve and/or maintain an erection, also known as erectile dysfunction due to the constriction and prevention of proper blood flow to all parts of the penis.
- Shortening of the penis. Consequently, not treating PD can also cause penis shrinkage. If blood is not able to properly fill all of the vessels during erections those section will eventually cease to exist, thus causing your penis to shorten.
- Pain. This pain can exist whether you have an erection or not.
Approximately 30% of men with this condition develop fibrosis in other elastic tissues of the body, such as limbs; for example hands and feet. This even includes such conditions as Dupuytren’s contracture of the hand.
How can Peyronie’s Disease be Diagnosed?
The first step of diagnosing whether or not you have this issue will usually be confirmed by your doctor questioning you about any circumstances, such as injury, that may have possibly occurred prior to your symptoms appearing. More likely than not, the doctor can feel the hardened tissue caused by the disease during an exam, although sometimes your penis may need to be stimulated first as it could be necessary to do the exam with the penis erect to see the full extent of the problem. In some cases where the doctor’s exam does not confirm Peyronie’s disease, or in cases where the condition develops at a very rapid rate, your doctor may perform a biopsy. A biopsy is a specific form of surgery which involves removing the tissue from the affected area to be examined in a lab.
Can Peyronie’s Disease be Treated? Is there a cure for Peyronies Disease?
Certainly there is a cure. There are only a few real answers to how to straighten your dick, but since some people’s condition improve without treatment, doctors often suggest waiting several years before taking any extreme measures in trying to correct it. Mild cases of the condition rarely require treatment. Also, the pain associated with the disease occurs only with an erection and is usually mild. If intercourse is satisfactory then no treatment may be needed. Personally, we don’t really believe you should have to wait several years to find out that you need correction in which will take even more months or years. It’s much simpler to just use a Peyronies Disease Correction Device.
It is important to remember that no peyronie’s treatment can guarantee full recovery or significant improvements. Some treatments work well for some patients while not so much for others. There are too many factors in which can depict the results, such as: how severe your penis problems are, your age, commitment to the chosen treatment, etc. etc.
The first step in normalizing your body back to normal is, however to see your doctor (if you have not done so already), and to get a formal diagnosis for your penis problems, i.e. to confirm whether or not you even have PD to begin with, and not just Congenital Curvature or any other medical condition. Your doctor will most likely be the most experienced person to advise you about the different peyronie’s treatment options available to you. We recommend preparing yourself before visiting your Doctor, as good preparation will help you to ask the right questions and to better understand the answers and explanations you get.
What Treatments are Available?
Possible treatments for P.D. include surgery, therapy, and now even a completely natural stretching device. Some men even take part in as many as four of these treatments, each of which is two injections of the drug directly into the problem area. There’s also surgery to straighten the penis, but side effects may occur which include pain, bruising, and even swelling.
Below are some examples of treatments:
Supplements and Medication
Though I don’t recommend it, there are said oral treatments but in my opinion they are nonsense and I have never found any proof that they work.
Collagenase clostridium histolyticum also known more commonly as Xiaflex, is believed to work by breaking down the scar tissue that causes the curvature. Precisely why it is used to treat the Dupuytren’s contracture. Sidenote, this was the first drug that FDA has ever approved for treating Peyronie’s disease.
Vitamin E has also been a subject of study for quite some time, and though much success was found many years ago, that is not currently proving to be true. There have been some substantial results in slowing down the progression of the condition by combining Vitamin E with colchicine however.
The basic mechanisms of inflammation have been the target of larger more recent clinical trials. These agents include potassium para-aminobenzoate (Potaba), pentoxifylline (acting through TGFβ1 inhibition), and Coenzyme Q10.
Interferon-alpha-2b when used in the early stages of the disease has been reported in publications which are somewhat current, but proved to be less effective in cases of treatment where calcification of the plaque had already sat in.
The two most common surgeries used to treat Peyronie’s disease are:
- Removal of the plaque followed by placement of a tissue patch.
- Removal or altering the tissue from the side of the penis opposite the plaque, which counters the disease’s bending effect.
Unfortunately, the surgeries do not guarantee normal penis function. The first method can involve partial loss of erectile function, especially rigidity. The second method, known as the Nesbit procedure, named after an American urologist named Reed M. Nesbit at the University of Michigan, causes a shortening of the erect penis.
Another type of surgery for Peyronie’s disease is penile prosthesis implantation. This treatment is reserved for men who have both Peyronie’s disease and significant erectile dysfunction (inability to obtain or maintain an erection suitable for intercourse).
Most types of surgery produce positive results. But because complications can occur, and because many of the complications associated with PD (for example, shortening of the penis) cannot be corrected, most doctors prefer to perform surgery only on the small number of men with curvature so severe that it prevents sexual intercourse.
Some studies have shown that vitamin E improves the condition. Similar studies have been done on para-aminobenzoate, a substance related to B-complex vitamins, but the results have been inconclusive. Both of these substances theoretically decrease or inhibit the scar tissue (plaque) formation.
Other approaches to treating the disease that have yet to be confirmed as effective include the injection of chemical agents directly into the plaque or radiation therapy. However, because radiation therapy can only relieve pain associated directly in association with PD and that the pain frequently disappears without treatment, it is seldom performed.
Since the severity of the condition varies from person to person, talk to your doctor about what treatment strategy is right for you.
In the majority of men with penile pain occurs due to the condition, the discomfort usually does not last very long and will generally resolve on its own as the penile injury heals and matures over time. Sadly, this self-correcting healing process may often take anywhere from 6 to 18 months. In certain instances, the calcium channel blockers Calan or Isoptin may be effective in decreasing the pain related, when injected directly into the penile scar or plaque.
The Peyronies Disease Device is a type of sleeve that you wear which is designed to put tension on your penis while pulling it straight at a gradual pace that you control. People everywhere swear by it and it is an amazing revolution helping thousands of people regain their sexual confidence and reduce erectile dysfunction. You can order one from here if you wish for the correction of straightening your bent penis.
What Is the Outlook for Peyronie’s Disease?
Though PD could simply be a self-limiting condition. Overall, the pain usually subsides over time, the plaque formation ceases, and the erection’s deformity begins to stabilize. Most men with PD are still completely capable of having sexual intercourse and sharing mutual enjoyment with their spouse or partner.
For more information, see: Peyronies Disease (Wikipedia entry)