What causes the
curve?
Peyronie’s occurs due to a plaque that builds up in your
penis, says Dr. Carson. It typically starts out as a localized inflammation,
which then progresses to hardened scar tissue that reduces flexibility and
causes your penis to bend during erection. “Peyronie’s disease can often result
from an injury during sex,” Dr. Carson says. But realistically, anything that
causes vascular trauma or injury to the penis, such as athletic activity or an
accident, can receive the blame,
How does it affect
your package?
Once the scar tissue begins to harden into a plaque, the
tissue tethers the shaft into a curved position, because that section is no
longer as elastic as the rest of the penis. “The curve can be anything from
minimal up to almost 90 degrees,” says Dr. Carson. “The [penises] that usually
need treatment have 30 degrees or more of curvature.”
Can it screw up your
sex life?
You bet. Things start getting painful when your penis
becomes erect, making sex more difficult for you and your partner, says Dr.
Carson. But the pain associated with an erection usually only lasts for the
first 4 to 6 months. So most men can continue sex, but it’s just not as
pleasurable
What are the current
treatment options?
Unfortunately, there are no approved oral medications that
actually work, Dr. Carson says. Patients are usually put on Potaba, a drug that
reached the market before the FDA required proof of effectiveness. “When oral
treatments don’t work, which they usually don’t, docs recommend Interferon,
another injected treatment,” says Dr. Carson. But again, Interferon can’t
guarantee a cure.
Case in point: One study, published in the journal European
Urology, found that after treating 25 Peyronie’s partients with injections for
five weeks, researchers saw a 28 percent decrease in the size of the plaque.
Yet when the same researchers conducted the study 2 years later on a group of
30 men, no decrease in plaque size was reported.
If the docs exhaust every other option (and the case is
extreme enough), surgery is a last resort. “There are three basic operations
that we do: Two are based on just straightening the penis, and the third is a
penile implant,” says Dr. Carson. But again, he pegs surgery at a 75 percent
success rate, and each option may lead to erectile dysfunction and shortening
of the penis
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