Peyronie’s disease is a distressing condition in which scar tissue builds up in your penis, narrowing it and causing an abnormal curve. This can create a curve so severe it interferes with your ability to get an erection, or it can cause deformed erections. At Advanced Urological Care PC in Upper East Side, Manhattan, J Francois Eid, MD, offers expert treatments, including collagenase injections (Xiaflex), the correction of penile angulation, and penile implant with modeling of scar tissue. If you’re in New York City and are concerned about Peyronie’s disease, call Advanced Urological Care PC, or request a consultation online today. Alternatively, you can consult with Dr. Eid via phone or video from the comfort of your home anywhere in the world.
Peyronie’s disease occurs when scar tissue develops in your penis and causes an abnormal curve or shortening of an erect penis. Acquired penile curvature is benign but can cause pain and interfere with your ability to get an erection or have sex. The scar tissue, also called plaques, usually form on the top or the side of the penis.
Peyronie’s disease is more common in men aged between 50-70. Although around 3% of men over the age of 40 have scar tissue in their penises that’s classified as Peyronie’s disease, there isn’t enough plaque to cause symptoms.
In most cases, the curve caused by Peyronie’s disease is subtle, but it can interfere with your sex life. Sometimes the condition can eventually cause pain, tenderness, narrowing, and other deformities that contribute to erectile dysfunction.
The precise cause of Peyronie’s disease hasn’t been identified. However, Dr. Eid finds that many of his patients who have Peyronie’s disease also have high cholesterol or diabetes. This leads him to believe that obstructions in the small arteries that feed the penile tissue or in the penile tissue itself contribute to the condition. Additionally, diabetes can interfere with the way your body heals, which could lead to inflammation and scar tissue development.
Dr. Eid also finds that Peyronie’s disease is also common in patients who have had a radical prostatectomy or radiation therapy for prostate cancer. The penile tissue or blood vessels may be damaged during cancer treatment.
Direct trauma to the erect penis during rough intercourse can damage your penile tissues and contribute to the development of scar tissue.
Dr. Eid begins treatment with a thorough exam. He may be able to identify Peyronie’s disease with a manual exam. However, he may also use an injectable medicine to stiffen your penis to see the full extent of the scar tissue and penile deformity. Dr. Eid may also use a dynamic ultrasound to assess blood flow and the size of the scar plaques in your penile tissue.
Once Dr. Eid has completed his assessment, he creates a customized treatment plan. Peyronie’s disease can self-correct, and he might recommend waiting and watching as the plaque may disappear on its own.
However, if your condition doesn’t resolve or has been present for 18 months or more, Dr. Eid may suggest injecting the plaque with collagenase (XIAFLEX) or surgery to straighten your erection and relieve other uncomfortable symptoms.
Dr. Eid is also an internationally leading expert in penile implants. He can provide an implant that minimizes loss of penile length while restoring your erection and sexual function if needed.
Call Advanced Urological Care PC or request an appointment today for expert treatment for Peyronie’s disease.