Peyronie’s disease (PD) is an acquired form of a penile curvature. It is a quite common disease, which affects up to 10% of men. PD goes along with the formation of a lump on the penis (plaque), the development of indentations and a penile curvature. Dr Kuehhas has specialized in the treatment of PD.
Two types of penile curvature
It is necessary to distinguish between a congenital curvature of the penis, which is present at birth, and an acquired penile curvature (Peyronie’s disease).
Peyronie’s disease affects approximately 10% of men, although in some studies, the numbers even go up to 25%. The degree of curvature can vary in each individual case, which is why there is a variety of different symptoms.
Symptoms of Peyronie’s disease
The typical symptomatic complex includes:
- Pain on the penis shaft
- Palpable lumps
- Occurrence of penile curvature
- Deformities in the form of indentations, in extreme cases “hourglass deformities”
- Gradual penis shortening
- Erectile dysfunction at a later stage
Peyronie’s disease affects about 10% of all men. In isolated studies even a frequency of up to 25% is cited.
Causes for Peyronie’s disease
Peyronie’s disease is caused by repetitive micro trauma (small injuries) within the tunica albuginea and the growth of excessive plaque during the healing process. The erectile tissue can no longer expand properly, causing the penis to curve abnormally. Furthermore, this can lead to deformities (e.g. indentations) along the penis shaft.
– Schematic diagram of plaque formation –
The course of Peyronie’s disease
Peyronie’s disease develops in two stages: the acute stage and the chronic stage. They are defined as follows:
The two stages of the Peyronie's disease
| Acute stage | Chronic stage |
|---|---|
| Penile curvature occurs gradually or suddenly. | Degree of penile curvature does not change |
| Indentation along the penis shaft appears | No sensations of pain |
| Approximately 40% of men experience pain in their penis, both in flaccid and erect state | No further deterioration of the optical appearance |
| Degree of penile curvature may vary | Starts 3-24 months after the onset of the disease |
In addition to the loss of penile function, the onset of induratio penis plastica also has a negative impact on the patient’s mental well-being. This can lead to depression and reduced self-esteem. For many men, the loss of the ability to actively participate in sexual intercourse is a distressing experience.
Treatment Methods for Induratio Penis Plastica
There are effective treatment options available for acquired penile curvature. However, it is important to consult a physician who specializes in this condition to ensure an accurate diagnosis and appropriate treatment.
To determine the specific type of penile curvature, a detailed medical history is essential: It is necessary to determine when the curvature was first noticed.
A thorough physical examination must also be conducted to palpate any plaques associated with induratio penis plastica. Additionally, an artificial erection is induced using a special syringe so that the doctor can better assess the degree of curvature. An ultrasound examination helps confirm the clinical picture.
Depending on the stage of the disease, different treatment options are available:
- Conservative therapy: medication or physical therapy
- Surgical treatment methods: Nesbit penile curvature correction, incision and grafting technique, STAGE technique, etc.
Dr. Kuehhas can explain in more detail which treatment option is the best solution for your individual case during a comprehensive consultation. Contact us today if you are affected by the condition described, and regain your quality of life and zest for life through the appropriate treatment!
Frequently Asked Questions
I am suffering from Peyronie’s disease, what now?
During an in-depth consultation, Dr. Kuehhas will be able to determine which treatment option works best for you.
Contact us now if you experience the symptoms of Peyronie’s disease and get back the quality of your life by choosing the proper treatment!
Dr Franklin Kuehhas is a medical specialist in the field of urology and andrology. He received his specialization training at the University College London. He also underwent his training at the prestigious University Hospital in Heidelberg (Germany) and at the University Hospital of Vienna (Austria). Dr Kuehhas focuses on the treatment of congenital and acquired penile curvatures (Peyronie’s disease). His research activities have resulted in many publications and improvements of surgical techniques such as the STAGE technique for congenital penile curvature treatment.