Friday, 23 December 2016

ASK THE DOCTOR - What is Peyronie’s disease?

I am a practicing doctor. I wish to know, what is Peyronie’s disease? What are the various options for treating this disease? Kindly explain in detail.
- Dr Mahadevan

Peyronie’s disease (also known as fibrous cavernositis or plastic induration of the penis), first described by French doctor Francois de la Peyronie in 1743, is characterised by the formation of a plaque or hardened scar tissue (fibrosis) beneath the skin of the penis that causes pain, curvature, and distortion, usually during erection. The treatment choices for patients with Peyronie’s disease are very limited. The objective of treatment is mainly to maintain normal sexual function and relieve pain. Invariably, surgery is the only effectual treatment, and as Peyronie’s disease may simply resolve by itself, doctors often suggest waiting for one or two years before going for this option. The non-surgical treatment should be implemented within six months of the onset of the symptoms and before the plaque has calcified. Para-aminobenzoate tablets (B complex substance) and Vitamin E capsules can be taken for few months. A calcium channel blocker such as verapamil, an enzyme (collagenase) that breaks down connective tissue, and steroids such as cortisonecan be injected into the plaque or delivered by ‘iontophoresis’. Iontophoresis is a painless method of delivering medication to localised tissue using an electrical current.


Peyronie Disease Treatment in India

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