Peyronie’s Disease - What is it and how to treat it

Some men have the unpleasant surprise to find that their penis develops scar tissue and starts bending. This condition is known to health care professionals as Peyronie’s disease. It is believed that as many as 1 percent of all men suffer from this disease.

Peyronie’s disease is a condition named after Francois de la Peyronie, surgeon to Louis XIV of France, who was the first man to describe a treatment in 1743. While the cause of this disease is not well understood, its mechanism is perfectly clear.

The “tunica albuginea” is the tough layer of connective tissue that contains the sponge-like Corpora Cavernosa. For reasons unknown, scar tissue begins to form in the “tunica albuginea”, which prevents the normal expansion of the penis during erections and, in time, bends the penis to one side or the other.

Although the disease is somewhat painful at first, the pain eventually goes away on its own. The only effects of this disease are the curvature, which is visible when the penis is erect, and possibly a shortening of the penis in the flaccid state.

Most men suffering from it are perfectly able to have sex with their partners and experience no pain during intercourse. The disease can affect men of all races and ages, but it is most commonly seen in Caucasian males ages 40 and up. It is not contagious and is in no way related to cancer or other serious conditions.

While diagnosing of Peyronie’s disease is quite simple, treating it is not. Most urologists have little knowledge of possible treatments and one should seek the advice of an urologist who specializes in this disease. Some treatments that have been tried are drugs containing L-arginine and sildenafil. Surgery is also considered an option in severe cases.

The first clinical reports on this condition were made more than 250 years ago by Francois Gigot de la Peyronie, the man whose name is still linked to the condition, although the first to mention it was Cesare Aranzi in 1587. De la Peyronie was a brilliant surgeon and one of the founders of the Royal Academy of Surgery in France. His work on the penile curvature was the first and, for a long while, the only step toward the modern attempts to cure it. Unfortunately, today we are no closer to a comprehensive definition of the causes of Peyronie’s disease than Peyronie himself was in 1743.

Most doctors agree with the assumption (as yet unproven) that Peyronie’s disease is caused by microvascular trauma during intercourse. Unfortunately, since the tunica albuginea (the layer of the penis where the condition develops) is not rich in blood vessels, the healing process does not always follow the normal course. Multiple instances of intercourse trauma and poor healing lead to the formation of a plaque, which is made of fibrin, a protein that helps blood clot. This plaque prevents the normal expansion of the penis tissues during erection, thus causing the characteristic bend.

It is also believed that the diseases develops only in men who are genetically predisposed to the accumulation of fibrin within the tunica albuginea and the expansion of plaque to healthy tissue along the dorsal and ventral midline of the shaft. However, one must keep in mind that this attempt at etiology is still speculation at this moment. Unfortunately, Peyronie’s disease is considered a rare diseases and non-life-threatening, which means that only a handful of professionals are actually interested in uncovering the causes and finding a cure.

The procedure itself is quite simple. The penis is filled with a sterile physiologic salt solution in order to cause an artificial erection. The surgeon gathers with a clamp the outer side of the bend, which forces the Tunica Albuginea to straighten the penis. The direct consequence of this procedure is a slight shortening of the surface of the penis. The suture points may ooze for a day or two after the operation, but this is to be expected. The patient should avoid sex until the wound is healed and no more pain is experienced.

Another good way of dealing with Peyronie’s disease is to use a traction device to straighten the penis. Despite the controversy surrounding such novel approaches as traction devices, several clinical studies have already been conducted in order to assess the effectiveness of this technique. Due to the nature of Peyronie’s disease, any procedure that is based on sound scientific facts and promises to work is quickly put to the test in the hope that it might prove to be the long-sought cure. And traction devices seem to be a genuine alternative for men suffering from the disease.

The traction device, which can is part of the SizeGenetics penis enlargement program, works by forcing the tissue that makes up the penis to expand instead of retracting and increasing the curve. By using the SizeGenetics device on a regular basis, the men who took part in clinical studies have been able to reduce their curvatures and maintain or increase the size of their penises. While there’s still a lot of testing to be done, the studies have proved that the traction device is a safe and effective alternative to surgery or injecting various substances into the plaque.

The SizeGenetics device can also be used as an adjunct of surgery. While surgical intervention removes the plaque that had formed on the penis, it also triggers a shortening of the penis as the tissues located around the former plaque zone are no longer of the same length as the rest of the shaft. Therefore, the SizeGenetics traction device can be used to force these tissues to expand and assume the same length as the others in the penile shaft. Thus, men who have chosen surgery in order to rid themselves of Peyronie’s disease have a chance to prevent penile shortening.

The traction device was classified as a Medical Device Type 1 by the health authorities of the European Union and bears the CE sing, while the manufacturing process is fully compliant with the ISO13485:2003 and ISO90001:2000 quality management standards. Included in the SizeGenetics package is a free membership to PenisHealth, the penis exercises program featuring a series of exercises designed to decrease the curvature caused by Peyronie’s disease. Members of this program can learn to increase the length and girth of their penises, correct curvatures, prevent premature ejaculation and maintain sexual fitness throughout the years.

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