Peyronie’s disease is a condition defined by the development of fibrous scar tissue inside the penis, causing curved, and sometimes painful erections. Named after the French surgeon François Gigot de la Peyronie, who first described the disease in 1743, this condition can significantly impact a man’s sexual function and quality of life.
Just remember, while many men have a natural curvature to their penis, an abnormal bend is not typical.
What is Peyronie’s Disease?
Peyronie’s disease occurs when scar tissue, also known as plaques, forms along the shaft of the penis. These plaques can develop on the top, bottom, or sides of the penis, leading to curvature, pain, and sometimes erectile dysfunction. The curvature and associated symptoms can range from mild to severe, and the disease can develop gradually or appear suddenly.
What causes Peyronie’s Disease?
The exact cause of Peyronie’s disease is not fully understood, but several factors are believed to contribute to its development:
- Trauma or Injury
One common theory is results from repeated trauma or injury to the penis, often during sexual activity or physical activity. This trauma can lead to inflammation and scar tissue formation. - Genetics
There is evidence to suggest a genetic predisposition to Peyronie’s disease. Men with a family history of the condition or other connective tissue disorders, such as Dupuytren’s contracture, are at higher risk. - Age
It can be more common in middle-aged and older men, although it can occur at any age. The likelihood of developing the condition increases with age, possibly due to a decrease in elastic tissue and a slower healing process. - Other health conditions
Certain health conditions, such as diabetes, high blood pressure, and erectile dysfunction, have been associated with a higher risk of developing Peyronie’s disease. - Surgeries
Major abdominal surgeries, such as those involving the bladder, prostate, or gastrointestinal tract, often require extensive manipulation and can lead to significant postoperative inflammation. Surgeries in the abdominal and pelvic regions can impact the vascular and nervous systems connected to the penis. Compromised blood flow and nerve function can contribute to erectile dysfunction, a known risk factor for Peyronie’s disease.
What can be done to treat it?
Treatment for Peyronie’s disease varies depending on the severity of the condition and the symptoms experienced by the patient. Often it can be left alone if it causes no adverse effects to the man. Some common treatments may consist of oral medications to reduce inflammation and slow the progression of scar tissue.
Penile traction therapy involves using a device to stretch the penis, which can reduce curvature and improve length and for severe cases of Peyronie’s disease that do not respond to other treatments, surgery may be recommended. Surgical options include plaque incision or excision with grafting, penile plication (shortening the unaffected side of the penis), and penile implants.
Managing underlying health conditions, such as diabetes and high blood pressure, can help improve symptoms.
If you have it, you are not alone…
Accurate statistics on the prevalence of Peyronie’s disease in Australia are limited, as the condition is often underreported. However,
“Global estimates suggest that Peyronie’s disease affects approximately 1-10% of men.”
Based on these estimates, it is reasonable to infer that a similar percentage of Australian men may be affected by the condition.
A 2016 study published in the International Journal of Impotence Research estimated that the prevalence of Peyronie’s disease in the general male population ranges from 3-9%. This prevalence increases with age, particularly in men over 50.
In Australia, with a male population of around 12.5 million (as of 2023), this would suggest that between 375,000 and 1,125,000 men could be living with Peyronie’s disease.
Peyronie’s disease is a challenging condition that can significantly impact a man’s life. While the exact cause remains unclear, understanding the potential risk factors and available treatments can help manage the disease effectively.
Next steps
If you suspect you have Peyronie’s disease, please book an appointment by calling Kendall on 0449 191 389 or emailing admin@myinteghealth.com.au today.