Peyronie’s Disease Malaysia - Causing Bent / Curved Penis

Peyronie’s disease is a non cancerous condition resulting from fibrous scar tissue that causes a bend in the penis, making erections painful.This disorder causes an irregular curve in the penis, which is produced by patches of hardened scar tissue that grow underneath the penile skin’s surface. Scarring reduces the flexibility of the penis, which can lead to pain and difficulty with erections and sexual intercourse

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What causes Peyronie’s disease?

We don’t know exactly what causes Peyronie’s disease, but many doctors believe the scarring is caused by abnormal wound healing. According to studies, the condition can occur as a result of trauma to the penis. This can happen if your erect penis is injured by rough, vigorous sex, a hard knock in the crotch during contact sports, or a cruel prank. It’s possible that you aren’t even aware of the injury.

When a wound heals, your body normally breaks down the scar tissue and shrinks it over time. However, this process is not always flawless, and an excessive quantity of scar tissue forms instead. Your body attempts to break down and restructure this scar tissue over time in order to lessen its size.

The resulting plaques are hard and inflexible, causing the penis to lose its elasticity and bend in the area where the scarring is present. The curvature can be significant enough to make penetration difficult, whether vaginal, oral, or anal.

Development of Peyronie’s disease

Peyronie’s disease progresses in two stages

1. Active phase:
The Active Phase lasts between one to two years. During this time, the aberrant wound healing process continues to occur, and the penis continues to bend slowly. Peyronie’s disease produces pain and discomfort in the penis during this stage.

2. Chronic phase:
When the pain subsides and the curvature of the penis does not worsen any further, the illness is said to have stabilised.

What are the risk factors for Peyronie’s disease?

Peyronie’s disease appears to be influenced by genetics and age. Some people have a hereditary predisposition to the illness since it is genetic and runs in families.

As people get older, tissue changes lead to easier injury and delayed healing. As a result, they are at a higher risk of developing this disease.

Peyronie’s disease is also more likely to occur among those who have Dupuytren’s contracture (hand thickening that causes the fingers to draw inward). We recommend patients to get Curved Penis Treatment as soon as possible.

Curved Penis Treatment

Those affected with the disease especially in the active phase may opt for nonsurgical treatment modalities. Types of Curved Penis Treatment include

Extracorporeal Shockwave Therapy (ESWT)

Low intensity shockwave treatment is used to break up the abnormal scar tissue in the penis. When these waves are directed into the plaque, they can cause the plaque to break down mechanically. The targeted shock waves also aid in the promotion of blood flow to the plaque-affected area, which supports the formation of specific blood cells called macrophages, which lyse or "digest" the plaque. During the acute or even the stable phase of Peyronie's disease, ESWT is the most effective treatment for the pain associated with the disease. Typically, 4-6 sessions are needed to effectively control this condition. When ESWT is used to rectify the bend in the penis, several doctors have noticed an improvement in the curvature of the penis.

Platelet Rich Plasma Therapy (PRP) / P-Shot

A sample of your blood is spun down in specialised tubes in a centrifuge to produce PRP, a specific golden extract rich in growth factors. Platelet rich plasma, a concentrated blood extract, is then injected into the scar or painful area. The injections aid in lowering the inflammation and promoting tissue repair. PRP is already used by athletes to speed up the recovery from sports related injuries. PRP is also currently being utilised to treat erectile dysfunction and other male sexual health issues. Research indicated that PRP can reduce plaque size by 50%, enhance penis curvature by 50%, and lessen the pain by 80%

Surgical Method

Surgery is indicated only in extreme situations.When the Peyronie's disease has stabilised and the abnormal curvature has reached its peak and is not progressing further may surgery be performed, indicating that the disease is in its chronic phase. To balance out the curvature, Tunica Albuginea Plication is done which involves stitching tissue on the opposite side of the affected area. Plaque incision and grafting is a treatment that involves cutting off the abnormal plaques and filling them with tissue from another place of your body. This is only done in more severe cases

Other Cause of Bent Penis

FRENULUM BREVE

FAQs

Does Peyronie's disease affect sexual intimacy or relationships?

Erections and sexual intercourse can be difficult or impossible for Peyronie’s disease patients in some situations.Patients may feel concerned or anxious about satisfying their partner, causing an emotional impact towards the relationship.

We urge couples to come in for consultations together so that they can voice their worries and needs and so that we can make better recommendations and modifications to help them sustain intimacy in their sexual relationship.

Can Peyronie's disease leads to erectile dysfunction?

It’s probable that some men with Peyronie’s disease will develop erectile dysfunction since the plaques can make getting an erection or keeping a strong erection difficult.

Men with Peyronie’s disease are frequently distressed about their condition, which can lead to psychological concerns and ‘performance anxiety,’ both of which can influence their erections.

Both illnesses, fortunately, are treatable. Consult a doctor to determine the best course of action for your circumstance.

Will Peyronie's disease require surgical treatment eventually?

Usually, the abnormal penile curvature is generally not severe and most men do not require surgery.

Surgery is only indicated in extreme situations whereby the condition has cause distress or unwanted complications to the patient. Some of the methods involved are Tunica Albuginea Plication and plaque incision and grafting.

Surgery may only be performed once the Peyronie’s disease has stabilised and the aberrant curvature has reached its peak and is not progressing further. This indicates that the disease is in its chronic phase.

Are there any complications if Peyronie's disease is left untreated?

Peyronie’s disease is most common in individuals in their forties and fifties, but it can also affect people as young as 20. According to research, 8 to 10% of those with Peyronie’s disease are under the age of 40.

Symptoms of Peyronie’s disease in young people include uncomfortable or painful erections. Acute disease frequently demands medical intervention.

However, it is recommended to make some lifestyle changes that may reduce the risk of developing ED related to Peyronie’s disease such as stop smoking and illicit drug use, reduce alcohol consumption, and get regular exercise

Can young people get Peyronie's disease?