Peyronie’s disease is not a common illness in men. About 1% of them experiencing the same in life (according to National Institutes of Health). Nonetheless, it may be physically and psychologically troubling for men who have it. Being a deformity of the penis, Peyronie’s disease can interfere with the sexual life of men and depending upon the extent of damage, the penis may even bend to a certain extent and hinder intercourse.
There can be an invisible plaque formation on the penis which can be painful. Treatments are available for this disease but experts may suggest to wait for sometime before correcting the condition. A mild Peyronie’s disease can go without treatment as far as the intercourse remains satisfactory. For others, the following treatment measures may suffice:
Options For Peyronie’s Disease Treatment
Peyronie’s disease may find a potential resolution through a drug (Xiaflex which is used to treat Dupuytren’s contracture) although it is yet to receive a confirmatory nod from all sides and authorities. This drug has been successful in two clinical trials used as injection. The aim of the drug was to decrease the curvature of the penis.
One of trials showed a decline in the average curvature (when treated with Xiaflex) of the order of 20% which is considered encouraging. Another trial revealed a reduction of more than 20%. The treatment procedure may involve getting (up to) eight injections distributed over many months. Side effects may appear as pain, hematomas and swelling. Several oral/injected treatments are used for treating the disease although there is not sufficient evidential support.
Surgery: Tissue Patch
Surgery is a treatment option for severe cases. But there are side effects including shortening of penis and the possibility of erectile dysfunction. A commonly implemented surgery in treating Peyronie’s disease is the tissue patch. In this case, first the plaque is removed and then a tissue patch is placed. Side effect may appear as (partial) loss of erectile function (rigidity).
Surgery: Tissue Alteration
In this case, tissue from the penis (opposite to plaque) is adjusted (or removed) to take care of the bending effect. But this causes shortening of the erect penis.
Penile Prosthesis Implantation
This is also a surgical treatment for Peyronie’s disease but restricted to men having considerable erectile dysfunction (failure in getting/maintaining erection for intercourse). A surgery can give encouraging results although the chances of having complications cannot be ruled out.
Since many complications associated with Peyronei’s disease are not correctable, you must assess all the elements before undergoing a surgical procedure. Largely, the choice relies upon the location and severity/extent of the lump, the level of deformity and the preferences of the operator.
Based upon certain studies, it has been found that vitamin E enhances Peyronie’s disease. Another possible element which may help is para-aminobenzoate (related to B-complex vitamins). However, both of them theoretically decrease the scar tissue (plaque) formation.
Radiation therapy may help in controlling or relieving pain arising out of Peyronei’s disease. Another pain reliever can be the calcium channel blockers which are injected directly into the scar or plaque.
Pain can, however, resolve on its own in most cases of Peyronie’s disease even without administering any treatment.
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