How To Repair Damaged Penile Tissue

You might think that a man who suffered an injury to his penis would be well enlightened of that fact. Just for many men with Peyronie's disease, repeated injury from sexual practice or other physical activity causes damage without being noticed.

Peyronie's is the germination of scar tissue, or plaque, in the erectile tissue of the penis that causes painful, curved erections. Men can merely get Peyronie'south through trauma or injury, though Brad Figler, Physician, an assistant professor of urology at the UNC School of Medicine, says nearly men don't report either.

"The vast bulk of patients don't study a single traumatic episode," Dr. Figler says. Because men with slight erectile dysfunction often get Peyronie's, "during sex, the penis buckles a little chip considering it's not fully cock. It's not painful and not something they notice, but it tin can cause a tear in the penis."

It's this kind of tear that can lead to the buildup of scar tissue.

The Symptoms of Peyronie's

Here's how Peyronie's manifests:

"When at that place's an injury, the body responds to that injury and tin can heal it with regular good for you tissue, which helps the penis aggrandize, or it can heal it with scar tissue," Dr. Figler says. "Scar tissue does a lot of good things—it prevents bleeding and infection—but information technology doesn't expand."

During an erection, a normal penis will expand in length and girth. But the presence of scar tissue will prevent expansion in ane or both directions. "If the scar tissue prevents expansion in length, which is near common, then during an erection, one side of the penis gets long the fashion information technology used to, but the scarred side doesn't. This length discrepancy causes curvature," Dr. Figler says.

"The same thing can happen with girth: Commonly, the penis increases in girth during an erection. If there's scar tissue, the areas that don't have scar tissue increase in girth like they used to, and the areas with scar tissue might non increase equally much, and then the patient gets narrowing," he says.

Although less mutual compared to penile curvature, the narrowing of the penis can cause other problems. Sometimes the narrowing can be so severe that it prevents blood menstruum backside the area of narrowing, or information technology can cause a "hinge effect," which makes the penis unstable when erect.

While the injuries are oft subtle and happen over fourth dimension, Peyronie's also can result from meaning injuries, such as penile fracture, that lead to scarring. People who are prone to forming scar tissue—such every bit those who experience Dupuytren's contracture, a like status in the fingers, or Ledderhose illness, a similar status in the feet—are besides more than probable to get Peyronie's.

How Peyronie's is Treated

Peyronie's disease is divided into two phases: active or stable.

For men in the active stage of Peyronie's, there has been an injury to the penis that the body is trying to heal. During this phase, men volition experience a deep throbbing in the penis, like they pulled a musculus, even when information technology'southward not cock. Tenderness and curvature tin can likewise take place, though the caste of curvature might change as the torso tries to heal the injury.

Men enter the stable phase of Peyronie's if the curvature of the cock penis hasn't changed for three to six months and there is also no pain from inflammation.

Handling of Peyronie's disease depends on the stage, only Dr. Figler says that all men'southward erectile function should exist assessed before deciding on any treatment. "Some of these patients have such severe erectile dysfunction that if we fix the curvature or narrowing, it won't exist any better since they still tin can't get an erection," he says.

For men in the active phase, Dr. Figler says the condition must run its course. "We'll care for it symptomatically with ibuprofen or Advil, and then essentially wait until that phase is over," he says.

Treatment of the stable phase of Peyronie's tin be more in-depth. Medication tin be injected into the scar tissue to deliquesce information technology or surgery tin be performed.

"If yous think well-nigh a patient with curvature, one side of the penis is longer during an erection than the other side. To treat the curvature, we're either going to make the short side of the penis longer or the long side of the penis shorter," he says.

Surgery that makes the long side of the penis shorter, called plication, is minimally invasive, with the whole procedure taking less than an hour. Doctors operate on the good for you side of the penis and brand a small incision over the indicate of maximal curvature. A pleat is put in the erectile tissue to shorten it and brand both sides of the penis the same length, which eliminates the curvature.

Incision grafting, or the procedure that makes the shorter side of the penis longer, is more than invasive. Doctors operate on the side of the penis with the scar tissue, either removing information technology or making small incisions to allow it to expand. As a result, the penis straightens out, "but then there is a defect, as there is no covering to the erectile tissue where the plaque was removed or incisions were made," Dr. Figler says. The area is then covered with a graft, or tissue, to fix the defect.

Considering grafting is more than invasive, Dr. Figler says the platonic candidate for this procedure must have severe curvature or narrowing and proficient erectile function. "We can treat fifty-fifty astringent curvature in the other surgery, but nosotros can't treat narrowing in that surgery," he says. "If someone wanted to treat severe narrowing, they would demand a graft."

A penile prosthesis can be also implanted for men who take astringent erectile dysfunction and Peyronie's. "If someone has Peyronie'south disease and astringent erectile dysfunction, and then we can go straight to the penile prosthesis (to help the man get erections) because just the deed of putting the prosthesis in straightens the penis out," Dr. Figler says.

The Psychological Aspects

Penile issues such as erectile dysfunction tin can often cause embarrassment or shame in many men, and Peyronie's is no different. Dr. Figler says the psychological attribute of the disease is a huge problem, especially equally information technology relates to cocky-image and talking to a doctor.

"We know that it definitely affects men'due south self-image, and they are definitely reluctant to seek medical attending," he says. "We also know that when they exercise seek attention, it can accept a long time for them to become referred to a place where they can get treatment."

That said, Dr. Figler says in that location has been a change in contempo years thanks to Xiaflex, a medication that helps treat Peyronie's. "I call back in that location's a growing perception among men who have seen the Xiaflex advertisements, likewise every bit with primary intendance doctors, that this is a treatable illness," he says. "Whereas, if you asked primary doctors a decade ago, they'd say there is zippo nosotros can practise about it, fifty-fifty though that wasn't correct. Present, in that location is a better sense that this is treatable."

Source: https://www.med.unc.edu/menshealth/scar-tissue-can-lead-to-painful-erections/

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