I was kicked in the penis six weeks ago. I was diagnosed with Peyronie’s disease this week. I have not had intercourse in a year or more. Could the injury have caused the Peyronie’s disease?

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Dr. Levine answers: It appears that the most common cause for triggering Peyronie’s disease is local trauma to the penis, which most commonly occurs during sexual activity when the penis is erect, but a man may develop Peyronie’s disease following a direct trauma to the penis that can occur from a kick, motor vehicle accident or a variety of other situations. Regardless if the individual is susceptible to Peyronie’s disease, the trauma may trigger the abnormal wound healing process, which ultimately results in the Peyronie’s plaque.

Previous I have been riding a bicycle for 60+ years, and continue to ride daily. I often have penile numbness after a period of time in the saddle. Could this be a cause of PD, and cause further exacerbation of my PD? Do you have any recommendations on bicycle saddles, or bicycle types, that would hep reduce penile numbness/trauma? Thank you.
Next Since trauma and micro-trauma are widely accepted as a major cause of PD, what is believed to be the level of risk from intralesional verapamil (ILV) treatments? Also, does the aging process make the tunica more subject to damage from ILV treatments?
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