Peyronie's disease is where plaques (segments of flat scar tissue) form under the skin of the penis. These plaques can cause the penis to bend or become indented during erections. The plaques can often be felt through the skin and can be painful, use Natural Treatments for Peyronie's Disease relief a painful disorder.
The main roles of the penis are to carry urine and sperm out of the body. There are 3 tubes inside the penis. One is called the urethra. It is hollow and carries urine from the bladder through the penis to the outside. The other 2 tubes are called the corpora cavernosa. These are soft, spongy tubes that fill with blood to make the penis stiff during an erection. The 3 tubes are wrapped together by a very tough fibrous sheath called the tunica albuginea. During sex, the stiffness of the penis makes it hard enough to push into a woman's vagina. Then the urethra acts as a channel to carry semen into the vagina.
Peyronie’s disease plaques mostly (70% of the time) form on the top (or dorsal side) of the penis. The plaques make the tunica albuginea less flexible and may cause the penis to bend upwards when it stiffens. When plaques form on the bottom or side of the penis, the bend will be downward or sideways. Some men have more than one plaque, which may cause complex curves.
Sometimes plaques form that go all the way around the penis. These plaques most often do not cause curving but may cause the shaft of the penis to narrow like the neck of a bottle. This is sometimes called “bottle-necking” or “waisting”. In bad cases, the plaque may collect calcium and become very hard, almost like a bone. Men may also notice their penis has shrunk or gotten shorter.
Other signs that you may have Peyronie's disease are:
- bent/curved penis
- lumps in the penis
- painful erections
- soft erections
- having trouble with sex because of a bent/curved penis
Peyronie's disease is likely caused by minor injury to the penis. (See penile trauma.) This type of damage is most often caused by vigorous sex (such as bending the penis during penetration or pressure from a partner's pubic bone), though it can also be caused by sports or other accidents. Injury to the tunica albuginea may result in scar tissue forming in the cells (fibrosis). This scar tissue then forms the plaque of Peyronie's disease. Peyronie's disease is the result of a problem in the way the body heals wounds.
Your health care provider may be able to tell if you have Peyronie's disease with only a physical exam. The hard plaques can most often be felt whether the penis is stiff or not. To check how the penis curves, your health care provider may inject a drug into your penis to make it stiff and may take pictures to study. In some cases, dynamic ultrasound, which uses sound waves to get a picture of what is in your body, is used to see where the plaque is, check for calcium buildup and show how the blood flows in your penis.
In a very few cases (about 13 out of 100), Peyronie's disease goes away without being treated. Most health care experts Alternative Treatment for Peyronie's Disease the disease without surgery for the first 12 months after the disease is first noticed. Men with small plaques, not much curving of the penis, no pain and no problems with sex may not need to be treated. If you need to be treated, there are many choices.
A light pressure dressing is often left on the penis for 24 to 48 hours after surgery to help with the healing process. During surgery, a tube (catheter) will have been placed through the end of the penis into the bladder and this may still be in place when you wake up. The tube is often removed in the recovery room if leaving that day or at discharge the following morning. You may be given antibiotics to take for a few days to lower the risk of infection and help keep swelling down, as well as pain meds. You should not have sex for at least 6 weeks after surgery.
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