Among the male sexual problems, Peyronie’s disease is a significant one. The development of fibrous scar tissue inside the penis that results in curved and painful erections leads to this condition. There are different causes behind the development of this tissue and this condition has various symptoms. Here we will discuss the diagnosis and treatment of Peyronie’s disease
Diagnosis of Peyronie’s Disease
The sexologists in Kolkata often suggest the patient go for a physical exam in order to identify the presence of scar tissue in the penis and diagnose Peyronie’s disease. When your penis isn’t erect, the doctor will feel your penis to identify the location and amount of scar tissue. There is also the measurement of the length of your penis to examine whether it has shortened. There are also some other tests including ultrasound to examine your penis when it’s erect. In ultrasound tests, the doctor uses sound waves to produce images of soft tissues. The presence of scar tissue, blood flow to the penis and any other abnormalities are clearly visible in these tests.
Treatment of Peyronie’s Disease
In some cases, where the condition isn’t much severe, your sexologist might recommend a wait-and-see (watchful waiting) approach. There may be recommendations by your doctor for medication or surgery if the symptoms are severe or worsen over time.
For the treatment of scar disease, there are a number of oral medications available. When taken for a long period of time, Pentoxifylline, a type of oral medicine, reduces the amount of scar tissue. The doctor injects drugs in the penis in some cases to decrease the curvature and pain. There may be multiple injections over several months.
Some other medicines are:
For Peyronie’s disease, the only FDA-approved medication is collagenase clostridium histolyticum (Xiaflex). The buildup of collagen breaks down and this helps in reducing the penile curvature.
This drug helps to interrupt the production of collagen. It is a protein that plays a major role in the formation of Peyronie’s disease scar tissue. It also reduces the pain associated with the disease.
There is a disruption in the production of fibrous tissue on the use of this, which is a type of protein. This also helps in breaking down the fibrous tissue.
If the curvature of your penis is severe and prevents you from having sex, the best sexologist doctor in Kolkata may suggest surgery. There are different types of surgical methods. Some of them are:
Suturing (plicating) the unaffected side. The surgeon can suture (plicate) the longer side of the penis (the side without scar tissue) using a variety of procedures. The penis gets straight as a result of this.
Incision or excision and grafting. The surgeon makes one or more cuts in the scar tissue with this type of surgery. It allows the sheath to stretch out and the penis to straighten.
Penile implants. The surgeon may insert penile implants to replace the spongy tissue that fills with blood during an erection.