Peyronie's Disease Treatment in Iran

Peyronie’s disease is a condition that causes the development of fibrous plaques (scar tissue) within the penis, leading to curvature, pain, and sometimes erectile dysfunction. It’s important to understand that while all men with Peyronie’s disease have penile curvature, not all penile curvature is due to Peyronie’s disease. Penile curvature can have other causes, including congenital issues or injuries. This page focuses specifically on Peyronie’s disease.

Peyronie’s disease treatment is one of the services offered by Iran Medtour, provided by experienced specialists. We can assist with arrangements for accommodation, translation, a companion nurse, and even city tours in Tehran, all at an affordable price. However, this page focuses on providing information about the condition itself, not specific treatment packages.

Stages of Peyronie's Disease

An acute (active) phase and a chronic (stable) phase.The acute phase is characterized by inflammation, pain during erections, and potential curvature progression, typically lasting from 3 to 18 months. The chronic phase follows, where the curvature stabilizes, pain subsides (though it can persist with erections), and the plaque becomes less active

What is Peyronie's Disease?

As mentioned, Peyronie’s disease is characterized by the formation of plaques, or scar tissue, beneath the skin of the penis. These plaques can cause the penis to bend or curve, particularly during erections. The plaques themselves can often be felt through the skin and may be painful, especially during erections.

What Causes Peyronie's Disease?

The exact cause of Peyronie’s disease isn’t fully understood, but it’s believed to be related to minor trauma to the penis, often during sexual intercourse. This trauma may not be something you consciously notice. The body’s healing process after this trauma may be abnormal, leading to the formation of the plaques. It’s important to note that Peyronie’s disease is not caused by cancer or infection.

Who is at Risk for Peyronie's Disease?

While Peyronie’s disease can occur at any age, it’s more common in men over 40. Certain factors might increase the risk, including:

  • Age: As mentioned, it’s more common in older men.
  • Connective tissue disorders: Men with conditions like Dupuytren’s contracture (affecting the hands) may have a higher risk.
  • Injury to the penis: While the exact cause is often unknown, past injury may play a role.

Symptoms of Peyronie's Disease

The most common symptoms include:

  • Penile curvature: The penis may bend upwards, downwards, or to the side.
  • Painful erections: Pain may occur during erections or even without an erection.
  • Lumps or plaques: Hard lumps or plaques can be felt in the penis.
  • Shortening of the penis: In some cases, the penis may appear shorter.
  • Difficulty with intercourse: The curvature can make intercourse difficult or painful for either partner.

Diagnosis of Peyronie's Disease

A doctor can usually diagnose Peyronie’s disease with a physical exam. They will feel for plaques and assess the degree of curvature. They will also ask about your medical history and symptoms. In some cases, additional tests may be done:

  • Physical examination: This may involve inducing an erection (with an injection) to better visualize the curvature.
  • Ultrasound: This can help visualize the plaques and assess blood flow in the penis.

Treatment of Peyronie's Disease

Treatment for Peyronie’s disease depends on the severity of the symptoms. Options include:

1- Observation

If the curvature is mild and not causing significant problems, the doctor may recommend simply monitoring the condition. In some cases, it may improve on its own.

2- Medication

Certain medications may be used to reduce pain or inflammation. However, medication is not effective in reversing the curvature itself.

3- Injections

Injecting medication directly into the plaque may help reduce pain and curvature in some men.

4- Traction Therapy

Penile traction therapy involves stretching the penis with a mechanical device that you put on daily. You stretch your penis for a set amount of time to improve the length, curve and any other physical changes.

Depending on the specific device, traction therapy may need to be worn for as little as 30 minutes. Or it may need to be worn for as much as 3 to 8 hours a day. How well the treatment works also may depend on the specific device used.

Traction therapy is recommended in the early phase of Peyronie disease. It’s the only treatment shown to improve penis length. Traction therapy also may be used in the chronic phase of the disease, combined with other treatments or after surgery for a better outcome.

Penile Traction Therapy

With penile traction therapy, you wear a penile traction device for a set amount of time each day. The device may stretch the penis straight out, or it may stretch the penis in the direction that’s opposite of the curve.

5- Surgery

Surgery is generally considered only for severe cases where the curvature significantly interferes with sexual intercourse and has been stable for at least 12 months. Surgery can correct the curvature, but it also carries risks, including the possibility of worsening ED.

Common types of surgery for Peyronie Disease

Suturing the unaffected side. Various procedures can be used to straighten the penis by restricting the longer side without scar tissue. These techniques are called suturing or plicating. They’re often used only for curves that are less severe.

Many plication techniques may be used. Most often, they have similar success rates. But the success of the surgery also depends on the surgeon’s experience and preference.

Incision or excision and grafting. With this type of surgery, the surgeon makes one or more cuts in the scar tissue. This lets the sheath stretch out and the penis straighten. The surgeon might remove some of the scar tissue.

A piece of tissue called a graft often is sewn into place to cover the holes in the tunica albuginea. The graft might be tissue from your own body, human or animal tissue.

Most often, this procedure is used to treat a serious curvature or other change, such as dents in the penis.

Penile implants. Surgery is done to place a device into the spongy tissue that fills with blood during an erection. You might receive implants that you can bend down most of the time and bend upward for sex. These are called semirigid implants.

More often, another type of implant is inflated with a pump implanted in the scrotum. Penile implants might be considered if you have both Peyronie disease and erectile dysfunction.

When the implants are put in place, the surgeon might do other procedures to improve the curve in the penis if needed.

The type of surgery used depends on your condition. Your health care team likely will take into account where in the penis your scar tissue is, how serious your symptoms are and other factors. If you are not circumcised, your health care professional might recommend a circumcision during surgery.

Depending on the type of surgery you have, you might be able to go home from the hospital the same day. Or you might need to stay overnight. Your surgeon lets you know how long you should wait before you go back to work. Most often, you take a few days off. After surgery for Peyronie disease, you’ll need to wait 4 to 8 weeks before any sexual activity.

Before you get surgery for Peyronie disease, ask your surgeon about the risks. These may include:

  • Loss of feeling in the penis.
  • Erectile dysfunction.
  • More shortening of the penis.
  • Infection.
  • Rarely, the return of a curve in the penis after surgery.

Plication of the penis

During plication of the penis, an artificial erection is created from either injection of a saltwater solution or selected medications. The outer skin of the penis is pulled back. The penis is straightened, and the excess tissue on what had been the outer side of the curve is cinched together by placing a series of stitches or “tucks.” The final penile length will depend on the length of the shorter side — the side with the scarring from Peyronie disease.

Graft repair of the penis

During a graft repair procedure, your surgeon makes one or more cuts in the scar tissue, also called plaque, of the penis. This allows the sheath to stretch out and the penis to straighten. A patch made of human or animal tissue or a synthetic material is placed to cover the area where scar tissue was removed.

 

Other Treatments

A technique known as iontophoresis uses an electric current to deliver verapamil along with a steroid through the skin. Research has shown mixed results on improvement in curving of the penis and erectile function.

Researchers continue to explore other treatments for Peyronie disease. Evidence is limited on how well they work and what their side effects might be. Examples include use of intense sound waves to break up scar tissue, stem cells, platelet-rich plasma and radiation therapy. Currently, these therapies are considered experimental.

Important Considerations:

  • It’s crucial to have realistic expectations about treatment. While treatment can often improve the condition, it may not completely “cure” it.
  • Peyronie’s disease can have a significant psychological impact. It’s important to address any anxiety, depression, or relationship issues that may arise.
  • Discuss all treatment options, including the risks and benefits, with your doctor to make an informed decision.

Disclaimer

This information is for informational purposes only and does not constitute medical advice. Consult with us or a qualified healthcare professional for diagnosis and treatment of any medical condition.

If you would like the best surgeons in Iran’s first-class hospitals to perform your surgery, and at the same time be comfortable and stress-free during your treatment and stay in Iran at a reasonable cost, like your home, get in touch with iranMedtour consultants

Surgery is generally considered only for severe cases where the curvature significantly interferes with sexual intercourse and has been stable for at least 12 months. Surgery can correct the curvature, but it also carries risks, including the possibility of worsening ED.

FAQ

What is the difference between Peyronie's disease and penile curvature?

While all men with Peyronie’s disease have penile curvature, not all penile curvature is due to Peyronie’s disease.

Penile curvature can have other causes, including congenital issues or injuries.

Peyronie’s disease is specifically caused by the formation of plaques, or scar tissue, beneath the skin of the penile.

Can Peyronie's disease affect my mental health?

Yes, Peyronie’s disease can have a significant psychological impact. It can lead to anxiety, depression, body image issues, and relationship difficulties. If you’re experiencing emotional distress related to your condition, it’s essential to seek support from a healthcare professional or therapist.

What can I expect long-term with Peyronie's disease?

The course of Peyronie’s disease varies. In some men, the condition stabilizes or even improves without treatment. In others, the curvature may worsen over time. It’s essential to work closely with your doctor to develop a management plan that’s right for you.

Are there any alternative therapies for Peyronie's disease?

Some men explore alternative therapies like vitamin E, but there’s limited scientific evidence to support their effectiveness. Always discuss any alternative therapies with your doctor before trying them.

No, Peyronie’s disease itself is not cancerous. However, any changes or abnormalities in the penis should be evaluated by a healthcare professional to rule out any underlying medical conditions.

Can I prevent Peyronie's disease?

t’s not always possible to prevent Peyronie’s disease, as the exact cause is often unknown. However, some measures may help reduce the risk:

  • Be cautious during sexual activity to avoid injury to the penis.
  • Manage underlying health conditions like diabetes and high blood pressure.
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