Peyronie's Disease

Background

  • Penis is deviated during an erection.
  • The deviation is caused by a plaque (scar tissue) in the shaft of the penis
  • There may be a history of trauma but most often there is no obvious cause.
  • The penis appears normal when it is flaccid but a plaque can usually be felt on the shaft of the penis during physical exam.
  • Most get worse.

Management

  • All patients need a referral to a urologist.
  • Many patients are placed on medication during a period of observation
    • Vitamin E, Ca++ channel blockers and Potaba
  • Surgery is indicated only if the disease is interfering with sexual function.
  • Surgery is simple and can be done as an outpatient.

    • Content by Dr Íomhar O' Sullivan 05/07/2004. Reviewed by Dr ÍOS 26/05/2006. Last review Dr IOS 26/07/14.