Peyronie's Disease: Is Mild Membrane Injury a Risk Factor? - Urology

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Is a mild injury to the tunica albuginea likely to lead to Peyronie's disease? Previously, I experienced curvature during erection, but not when flaccid.
Now, I notice curvature even when not erect.
I have consulted a clinic, and the degree of curvature is as shown in the images.
Thank you for your response.

ah k, 10~19 year old female. Ask Date: 2019/05/04

Dr. Cai Zhuorong reply Urology


1.
Not applicable.
2.
Not counted.

Reply Date: 2019/05/04

More Info


Peyronie's Disease (PD) is a condition characterized by the development of fibrous scar tissue, known as plaque, inside the penis, which can lead to curvature, pain, and difficulties with sexual function. The exact cause of Peyronie's Disease is not fully understood, but it is believed to be related to trauma or injury to the penis, which can lead to inflammation and the formation of scar tissue.
Regarding your question about mild membrane injury as a risk factor for developing Peyronie's Disease, it is important to note that while trauma is a recognized contributor, not all injuries lead to the condition. Mild injuries, such as those that may occur during sexual activity or sports, can potentially initiate the process, especially if they result in repeated microtrauma or if the healing process is abnormal. However, many men experience minor injuries without developing Peyronie's Disease.
The curvature you are experiencing, especially if it has progressed to the point where it is noticeable even when the penis is not erect, may indicate a more significant development of plaque. The severity of the curvature can vary widely among individuals, and it is often assessed during a physical examination by a healthcare provider. The degree of curvature can impact sexual function and may necessitate treatment, depending on how it affects your quality of life.

Treatment options for Peyronie's Disease vary based on the severity of the condition and the symptoms experienced. In mild cases, observation may be recommended, as some men experience spontaneous improvement over time. For more severe cases, treatment options may include:
1. Medications: Oral medications, injections directly into the plaque, or topical treatments may help reduce pain and curvature. However, their effectiveness can vary.

2. Vacuum Devices: These devices can help improve blood flow and may assist in straightening the penis over time.

3. Surgery: In cases where the curvature is severe and affects sexual function, surgical options may be considered. Procedures can involve removing the plaque, grafting tissue, or shortening the opposite side of the penis to correct the curvature.

4. Penile Traction Therapy: This non-invasive method involves using a traction device to gradually stretch the penis, which may help reduce curvature.

5. Shockwave Therapy: Some studies suggest that low-intensity shockwave therapy may help improve symptoms, although more research is needed to establish its efficacy.

It's crucial to consult with a urologist who specializes in Peyronie's Disease for an accurate diagnosis and to discuss the best treatment options tailored to your specific situation. They can assess the degree of curvature and any associated symptoms, providing a comprehensive approach to managing your condition.

In summary, while mild membrane injury can be a risk factor for Peyronie's Disease, it is not the sole cause, and many factors contribute to its development. If you are experiencing significant curvature and discomfort, seeking professional medical advice is essential to determine the most appropriate course of action.

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