Wednesday, 8 February 2017

ASK THE DOCTOR - Fibrous Cavernositis

Kindly explain about the condition ‘Fibrous Cavernositis’ of penis. I have not been able to find any information about this condition anywhere. Kindly give treatment options for the same.
- Dr N Kulkarni



‘Fibrous Cavernositis’ (also known as plastic induration of the penis or Peyronie's disease), is characterized 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 ‘Fibrous Cavernositis’ 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 Fibrous Cavernositis 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 cortisone can be injected into the plaque or delivered by ‘iontophoresis’. Iontophoresis is a painless method of delivering medication to localised tissue using an electrical current.

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