Peyronies Disease

Peyronies disease is a difficult penile condition in which a plaque is formed within the penis which may lead to pain or deviation in the penis which precludes intercourse. This plaque has been proposed to be formed due to trauma during sexual intercourse. There are two phases of this disease, an active phase in which is the plaque is tender and keeps growing in size and a stable phase in which there is no pain and no further growth in the size of the plaque. There are different protocols of management of the different stages.

Evalution of Peyronies Disease

The condition requires proper examination and investigations before begining treatment. Dr. Raman Tanwar evaluates the extent, number and location of the plaque and treatment is guided by the age and degree of sexual activity and motivation of the patient. If there is persisting pain in the plaque, there is need to bring down the ongoing inflammation. Only when the disease becomes stable and there is no more growth of the plaque can more aggressive management towards cure be started.

The management of the acute stage includes painkillers and supplements. The changes in the plaque are evaluated clinical by weekly visits. Extracorporeal shock wave lithotripsy can be used to manage acute pain.

In the stable phase three lines of treatment exist namely medical management with Vitamin E, Colchicine and Potaba, Injection therapy with Verapamil and Kenacort and excision of the plaque.  Medical supplementation therapy bears poor results and long term therapy is required. It is a good option for patients with low grade disease, soft plaque and rare sexual activity. Intralesional Injections for peyronies disease is effective but long term results are doubtful. Every week an injection is given with a very fine needle into the plaque. The duration of the course is for 6 weeks (Total of 6 injections).

Surgical management requires that the penis is degloved and the plaque excised by shaving it off or by putting a graft. This procedure required 1 to 2 hours and is a safe and minor surgery. To know more about the management of peyronies disease please book an appointment with Dr. Raman Tanwar. Dr. Tanwar has extensive experience in the management of peyronies disease and performs surgeries for its correction on a routine basis.

पेरोनीज डिजीज एक अनूठी बिमारी है जिसमे लिंग के भीतर प्लाक बन जाते हैं जिससे लिंग में दर्द या टेढ़ापन आ जाता है।  इस बीमारी का पूर्ण इलाज उरोलोजिइस्ट द्वारा संभव है।  इलाज के तीन विकल्प उपलभ्ध हैं – दवाई , इंजेक्शन एवं आपरेशन।  डॉक्टर द्वारा परिक्षण के बाद इनमे से कोई एक विकल्प चुना जा सकता है।  यदि आप पेरोनीज डिजीज से ग्रस्त हैं तो आज ही डा ० रमन से परामर्श लें।