Peyronie's Disease

Physical Problems in Males

Peyronie’s disease

François Gigot de
La Peyronie
(1678-1747),
a French royal physician at the court of Louis XV,
provided the first scientific description of the disease
that now bears his name.

Peyronie’s disease (lat. induratio penis plastica or IPP) is an abnormal curvature of the penis that may develop in adults. The curvature results from the formation of fibrous, ineleastic scar tissue (plaque), usually on top of the two upper erectile bodies inside the penis (the corpora cavernosa). In consequence, the penis is no longer elastic enough for a normal erection, but bends upwards and/or sideways. The erection, such as it is, may also be painful. In some cases, the plaque also develops on the underside of the penis, in which case it will bend downward.The degree of the curvature may, over time, vary from slight to very great. Depending on the progression of the disease, sexual intercourse may become difficult or impossible. The condition may appear rather quickly as a result of some injury to the penis, but most often it develops slowly in men of middle age. However, there have also been cases in very young and very old men. About 0,1 % of all men over 40 seem to be affected.

From the left: 1. Cross-section through a normal penis. 2. Cross-section through a penis with Peyronie’s disease. 3. Side view of a curvature caused by the disease.

Treatment
In the early stages, some medication may prove helpful. However, in the long run, and in severe cases, the only effective treatment is surgery. Still, before surgery is undertaken, it is advisable to wait for a year or two since the condition may, after a while, resolve itself without treatment. Also, as long as sexual intercourse remains possible and the curvature of the penis is not too great, it may be wise to simply adjust to it and thus avoid surgery.

[Course 3] [Description] [How to use it] [Introduction] [Problems in Females] [Problems in Males] [Phimosis] [Gynecomastia] [Hypospadia] [Peyronie's Disease] [Priapism] [Varicocele] [Hydrocele] [Spermatocele] [Testicular Torsion] [Undescended Testes] [Self-examination] [Intersexuality] [Additional Reading] [Examination]