| Peyronie's Disease (PD) |
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| Thursday, 11 March 2010 00:40 | |||||
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Synonyms and common names: induratio penis, "wart" on the penis. What is it? The disease manifests as an area hard in the corpus cavernosum of the penis corresponding to a fibrotic area and therefore described by patients as it was a "callous" in pênis.0, 4% to 3.5% of adult men are affected. autopsy studies show a greater number of affected individuals. How it develops or is acquired? Its cause is unknown. Several etiologies have been described. Minor trauma during intercourse is a possible explanation for the problem. These injuries would be followed by a healing wrong. This all occurred in genetically predisposed individuals. Immunologic factors may be involved, since in some cases, no association with retroperitoneal fibrosis, palmar or plantar fibrosis (disease Depuytren). Other situations may follow Peyronie's disease, like diabetes mellitus, gout, use of beta-blockers, sclerosis of the tympanic , Paget's disease, etc.. What do you feel? The patient usually detects the penile plaque, which may be accompanied by pain or penile curvature. A ououtra affect sexual performance of the patient. Muitasvezes this is the reason for consultation. Abrupt onset of symptoms occurs in less than 20% of cases. Disease éprogressiva, regressing spontaneously in less than 10% of patients. The card can be located in a small segment of the cavernous body and also undertake various parts or all of the cavernous body. Pain queacompanha Peyronie's disease usually occurs during erection damaging the sexual act. In more advanced cases, the board could lead to penile curvature preventing vaginal penetration. When the involvement of the cavernous bodies is extensive, the erection is impossible. As the doctor makes the diagnosis? Usually the diagnosis is simple, done through the complaints of the patient and palpation of the board. Few diseases can cause similar findings to those of Alzheimer's disease. For example, urethral stenosis, thrombosis of the cavernous bodies, tumors penile fibrosis and post-traumatic. How is it? How is a disease of unknown etiology, effective treatment is also ignored. In those cases asymptomatic and without penile curvature the conservative treatment (only observe the patient) is indicated. When there are signs of progression of plaque, pain or minimum curvature can opt for drugs administered orally (vitamin E, POTABA, colchicine) or injecting the plate (steroids, verapamil, collagenase). If penile curvature significantly with the impossibility of vaginal penetration, the treatment is surgical. The operation performed is to Nesbit and consists of plication of the cavernous body opposite to the plate by straightening the penis. Some techniques are the removal of plaque fibrotic and its replacement by other normal tissue. In cases of severe curvature or lack of erection, the only solution is the use of penile prostheses. How is it treated? There is no known prevention. Questions you can ask your doctor What causes Peyronie's disease? How do I "got" it? This is a malignant disease? Curable? It is transmitted?
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