Peyronie’s disease, named after the surgeon of the French King Louis XV, develops as a result of a scar or plaque that occurs in the area of the albuginea of the cavernous bodies of the penis. Manifested by curvature of the penis, pain during erection and often erectile dysfunction (30-40%). The angle of curvature can even reach 90 degrees, which is the mechanical reason for the rectilinear movement of the penis into the vagina.
The reasons for the development of this disease are not fully established. Compaction of the albuginea increases the outflow of blood from the cavernous bodies through the veins. As a result – a violation of the veno-occlusive mechanism, resulting in erectile dysfunction.
It is assumed that one of the causes of this disease may be repeated trauma during intercourse, for example, at the moment when the woman is on top and the penis slips out of the vagina. The autoimmune nature of the disease is not excluded. Peyronie’s disease can also be a manifestation of systemic diseases, for example, combined with Dupuytren’s contracture of the hand.
A conservative approach is used to treat the initial stages of Peyronie’s disease. Vitamins, steroids, hormones, enzymes, verapamil, ultrasound, shock wave therapy are used. This treatment leads to stabilization of the process, reduction of pain and softening of the seal, but does not lead to a decrease in the curvature.
To correct the curvature of the penis, a special operation is performed. There may be several operational approaches.
- Correction of curvature by shortening the longer side of the corpus cavernosum. It is also used for congenital curvature.
- Excision of the plaque with replacement with an artificial material or a flap from the tissues of the body (vein, membranes, skin, etc.).
- In case of simultaneous violation of erectile function – implantation of a prosthesis of the penis.
If you have any questions about the treatment of Peyronie’s disease, in particular, surgical methods, you can ask by contacting Professor Nikolai Ivanovich Boyko directly by phone 067 509 07 87 or mail email@example.com