Understanding Peyronie’s Disease: Your Questions Answered

In the world of urology, Peyronie’s Disease (PD) is a condition that can affect men’s sexual health. It’s marked by the development of fibrous scar tissue inside the penis, leading to curvature, pain, and sometimes even emotional distress during erections. As an expert urologist, I’ve seen many men dealing with PD, and I’m here to shed light on what it means for you.

Simply put, Peyronie’s Disease is when your trusty old friend—your penis—doesn’t quite stand as straight as it used to. Instead, it might have a noticeable curve or even a dent when erect. This condition is not a result of anything you did or didn’t do; it’s a medical matter, just like any other.

Now, the exact cause of Peyronie’s Disease isn’t always crystal clear, but it’s often linked to small injuries or traumas during sexual activity. Sometimes, genetics and certain medical conditions can play a role. In essence, it’s like your body’s way of saying, “Oops, a little hiccup here.” You didn’t cause it—it just happened.

Curved Penis Syndrome is a term used to describe the primary symptom of Peyronie’s Disease—a curved or bent penis during an erection. It’s essential to remember that this is not a separate condition but rather a way to explain what’s going on. There’s no need to be embarrassed; it’s something we can work on together.

Yes, it can! Penile traction therapy involves using a device to gently stretch the penis over time. It’s like a workout for your manhood. This method can help reduce curvature and improve overall penile health. It’s worth discussing with me or another urologist to see if it’s a fit for your unique situation.

Peyronie’s Disease can lead to a curved penis, but it’s not always downward. The direction and severity of the curve can differ from person to person. If you’re worried about the direction of your curve, let’s chat, and we can figure out the best approach together.

Verapamil is a medication that’s sometimes used to treat Peyronie’s Disease. It was used more commonly before Xiaflex was available. It theoretically works by breaking down the fibrous tissue causing the curvature. However, its effectiveness varies and given the newer treatments that are available, it is not a commonly used medication

Cialis, or Tadalafil, is mainly used to treat erectile dysfunction (ED) and is not typically a primary treatment for Peyronie’s Disease. While it may have some secondary benefits for sexual function, it doesn’t directly address the underlying cause—the fibrous scar tissue.

The ideal treatment for Peyronie’s Disease depends on factors like the severity of your condition and your overall health. Treatment options may include medication injections (Xiaflex), penile traction therapy, or, in more severe cases, surgery. The best way to find out what’s right for you is to consult with a urologist who specializes in Peyronie’s Disease.

Xiaflex is an FDA-approved medication for Peyronie’s Disease. It helps break down the collagen in the fibrous plaque, reducing curvature. Studies have shown that Xiaflex can be effective for some men, but its success can vary. I’ll evaluate your situation and recommend it if it seems like a good fit.