Conditions and Treatments

What is Peyronie’s disease or curvature of the penis?

It is a disease caused by the formation of a plaque (or scar) on the penis, which causes a curvature. In addition to the curvature, the patient may experience loss of size and erectile dysfunction.

What are the symptoms of Peyronie's disease?

Although a specific cause for this disease has not been established, it is believed to be associated with direct trauma to the penis, which is usually caused during sexual intercourse. Micro-ruptures in the body (elastic tissue that covers the erectile tissue of the penis) cause inflammation and deposit of healing material, causing tissue contracture and consequently curvature of the penis. Most of the time, the patient cannot remember or associate the appearance of the disease with any specific event.

This disease has been frequently associated with erectile dysfunction, and can occur from attempted penetration with a penis that is not fully erect. It has also been associated with Dupuytren’s disease, which causes contracture in the structures of the hand.

What is the cause of Peyronie's disease?

At first the patient may experience pain in some area of ​​the penis, with or without erections. Then the scar formation causes a progressive curvature, which can take up to 1 year to stabilize. It is usual for the patient to experience:

How can I know if I have Peyronie's disease?

If you have noticed a curvature in the penis, pain with erections, or have felt nodules on the surface of the penis, you could have this disease.

The medical evaluation consists of a previous history and a physical examination by the doctor. In addition, the doctor may ask you to provide photos or videos of the curvature for the evaluation appointment. In some cases, the doctor may perform an ultrasound study, to assess the size of the plaque and the severity of erectile dysfunction, if present.

Who requires treatment for Peyronie's disease?

Any patient who suffers from problems at the time of sexual intercourse, suffers from anxiety about the curvature or loss of penis size, or wants to improve and regain a full sexual life, is a candidate for the treatment of Peyronie’s disease.

What treatment options are there?

Depending on the type and severity of the disease, the treatments will be personalized for each patient, according to the degree of curvature, erectile function, age of the patient, and expectations.

Among the treatments we have are:

  • Suction Machines (VED)
    Traction devices
  • Shock wave treatment for pain (ESWL)
  • Injectable medications (Xiaflex)
  • Reconstructive penis surgery

o Folding (“plication” in English) with sutures

o Removal of the plaque and insertion of a biological patch

o Plaque incision

  • Penile prosthesis insertion surgery with reconstruction and restoration of size and thickness

What happens if I don't treat my Peyronie's disease?

Usually this disease is progressive in up to 50% of patients and could lead to penis shortening, erectile dysfunction, and severe anxiety in some patients.

Dr. Saavedra is the only specialist on the island with a subspecialty in advanced reconstruction management in patients suffering from Peyronie’s disease.

“Tree that is born doubled”, now its trunk straightens “

If you think you have any symptoms of Peyronie’s disease, we are here to help you discreetly and confidentially.

Contact us today to make an appointment

Contact us today to arrange an appointment

You can also call us at 787-419-0069

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