There are rare penile cancers known as fibrosarcomas that can present with a thickened scar-like mass in the shaft of the penis. They tend to not involve the tunica jacket of the penis, but rather occur within the vascular tissue of the penis. Physical examination by aRead more →
The acute phase of Peyronie’s disease is variable from patient to patient and may not include any pain. In addition, the onset of a painless palpable plaque may be the first indication of Peyronie’s disease with subsequent or even immediate onset of deformity. Some patients will presentRead more →
When I get an erection, on the left side of my penis there are 2 very visible band or lumps that are palpable, less than 3 cm, that appear to be in the erectile tissue, that span across the left side of the shaft which become bigger and harder when I get an erection and smaller as I am flaccid though still being visible. Sometimes they ache especially when I get an erection and touch them but the pain subsides when flaccid. They are sometimes very hard almost like they are calcified when erect. My physician said this was scar tissue and could be removed with surgery. I have no bend. Is it possible to see the plaques that are present in Peyronie’s disease? Could this be Peyronie’s disease?
Dr. Levine answers: This is an unusual presentation, but it does sound that your situation is consistent with Peyronie’s disease. Peyronie’s disease results in scarring of the jacket tissue of the penis known as the tunica albuginea. The scars which are also known as plaques are palpableRead more →
At this time, there are no recognized foods or beverages that may trigger Peyronie’s disease or that can improve the condition. Although several drugs have historically been suggested to cause Peyronie’s disease, including beta blockers, such as propranolol or possibly Dilantin, a treatment for seizure disorder, noneRead more →
I’m 56 and was diagnosed with PD 9 years ago. I am diabetic, and was also diagnosed with Dupuytren’s contracture. In the last few years, my erections have really shrunk. I used to have about a 6-inch erection now my erections are about the size of my thumb (both in length and thickness). My wife and I haven’t had sex in about 6 years and I can’t even discuss this with her. Over the last 13 months I have added Plavix, Toprol XL, and Zocor to the insulin I take. Is there anything that can help me or is there something else coming along in the next year or two?
You clearly have an advanced problem with fibrotic disorders including the Peyronie’s disease and Dupuytren’s contracture. The PD is likely causing the loss of elasticity of the penis and subsequent loss of length and girth. It is also likely that the combination of diabetes, elevated blood pressure,Read more →
What you describe may be a variant of Peyronie’s disease, but to make the diagnosis the penis is typically evaluated in the flaccid condition, the glans is pulled out to stretch the penis and then the shaft can be palpated to identify the fibrotic scar tissue knownRead more →
Dr. Mulhall answers: The conventional wisdom has held that men with combined impotence (erectile dysfunction, or ED) and Peyronie’s disease are ideally treated with a penile implant (a plastic device placed within the penis that can be inflated for sex and deflated after sex). This paradigm hasRead more →
At this point there is no recognized best treatment to prevent fibrosis from spreading within the tunica albuginea or into the vascular tissue of the penis for the man with PD. Recent research from California has suggested that increasing the amount of nitric oxide (NO) can actRead more →
Peyronie’s disease involves the jacket tissue which surrounds the vascular tissue of the penis. This jacket is known as the tunica albuginea and remains below the skin and subcutaneous tissues. Peyronie’s disease therefore does not affect the penile skin in any way. Therefore, any changes happening onRead more →
Dr. Mulhall answers: Not understanding the exact cause of the condition makes it very difficult to develop new treatments or a cure. However, at this point in time there are a number of centers in the world (mainly the USA) that are investigating the cause of Peyronie’sRead more →