Now here’s something we don’t talk about much, but for sufferers,
it’s very embarrassing: Peyronie’s disease. It’s distressing, not that
uncommon and is manifested by a penis that bends when erect.
One in 20 men in the UK have Peyronie’s and six out of 10 of those have suffered depression because of it and had difficult relationships .
It
has a negative impact on intimacy, sex and sexual satisfaction, and
affects mood, self-esteem and masculinity. Plus, nearly half found their
GP wasn’t helpful and no treatment was offered.
Bent penis affects '1 in 20 men' and many are too embarrassed to see doctor about painful condition
Peyronie’s
disease is caused by a build-up of collagen, known as a plaque, in the
penis. This causes it to bend when erect, painful during the initial
inflammatory phase of the condition and it can make sex difficult or
impossible.
The illness most commonly comes on between the ages
of 41 and 60 and around a third of Peyronie’s disease sufferers also
have or will develop a condition called Dupuytren’s contracture in the
hands. Here the little or ring finger or both are pulled into the palm
and can’t be straightened.
There’s an equivalent condition of the feet, Ledderhose disease.
The cause of Peyronie’s is unknown, but it’s believed trauma to the
penis, such as sexual injury or operation, could be to blame. There’s
also a link with high blood pressure and medication used
to treat it.
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Vitamin E deficiency and a genetic disposition to the illness have also been suggested as risk factors.
A
new survey of 185 men with Peyronie’s by charity British Dupuytren’s
Society emphasises the emotional toll it takes. Treatment should include
mental support with reassurance, counselling, detailed discussion of
treatment options and their risks and benefits, setting goals for
treatment and realistic expectations.
Peyronie’s disease usually
starts with an active, inflammatory phase when non-steroid
anti-inflammatories bring symptomatic relief of pain. In the stable
phase and when there’s no erectile dysfunction, psychological support is
crucial in dealing with difficulty with sexual intercourse and distress
due to the effect on a relationship.
There are several surgical
options like penile shortening, penile lengthening and injecting drugs
that aim to soften the collagen plaque. A new drug, Xiapex, is
administered in a course of up to eight injections over a period of 24
weeks, depending upon the curvature and response to treatment.
Given it’s an outpatient, minimally invasive, non-surgical treatment, many men may favour it.
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