Peyronie’s disease is a condition that results from fibrous scar tissue that forms in the penis and causes curved, painful erections.
This may prevent you from having sex or may make it difficult to get an erection (erectile dysfunction).
Peyronie’s disease is the result of repeated injury to the penis. For example, the penis can be damaged during sexual intercourse, athletic activity, or as a result of an accident.
When these types of injuries heal, they leave a fibrous tissue in the shaft of the penis that makes it impossible for it to stretch thoroughly, giving rise to curvature.
Peyronie’s disease does not go away on its own, and in most cases, it usually worsens without proper treatment.
The treatment consists of eliminating or making the fibrous plaque more elastic so that the curvature decreases or disappears and the patient can return to an everyday sexual life.
The most effective minimally invasive procedures are Shockwave therapy and collagenase enzyme infiltration.
This therapy consists of low-intensity extracorporeal shock waves applied directly to the area where the fibrotic plaque is located, increasing the area’s vascularity and stimulating the plaque’s degradation, causing curvature.
The best results are obtained by giving two weekly sessions for three weeks, with an interval of 3 weeks without treatment, and repeating another two weekly sessions for three weeks.
Outpatient Procedure.
It is done in 30 minutes.
Does not cause pain.
Immediate recovery.
Does not cause any pain.
All men, without exception, are candidates for the procedure.
Clostridium histolyticum collagenase is an enzyme which breaks down the collagen deposits that form in the scar tissue of the penis, softening and reducing the curvature of the penis.
It is performed on an outpatient basis.
No pain or scar
It is placed once a month until the patient recovers his natural shape or can have non-painful sexual activity
Immediate recovery to work
In expert hands, there are no risks in its placement
These are reserved exclusively when minimally invasive therapies fail to allow the patient to correct the curvature and have a whole sexual life sufficiently.
It is the most commonly performed surgical treatment to correct curvature.
This technique consists of placing reins or sutures on the opposite side of the curvature, exerting traction, and correcting the curvature.
This technique has the side effect of shortening the penis, but nowadays, it is usually performed in conjunction with a section of the penile suspensory ligament, which counteracts the shortening.
Erectile function is not affected by this technique.
This surgical technique consists of removing the fibrotic plaque responsible for the curvature and replacing it with an elastic biological patch that counteracts it. It is indicated in severe cases with curvatures more significant than 70° and excellent
erectile function.
Unlike the Nesbit plastic, it does not generate shortening. Still, it does increase the risk of venous leak, which translates into erectile dysfunction.
© 2024. Copyright. Dr. Uriel Ayala.
