When the feeling, it was possible to test the seal, and the patient feels pain. Sealing cause inflammatory processes and the deposition of fibrous plaques under the skin of the penis, resulting in disrupted blood microcirculation, formed mikrogematomy. Subsequently disrupted elasticity and stretchability of the tunica albuginea, which then resulted in visible distortions at the site of formation of the seal.
What it is?
Peyronie's disease - a curvature of the penis due to the proliferation of fibrous membrane, where they form plaques, or benign tumors in the body of the penis.
Causes of Peyronie's disease
To date, none of the world's scientists can not name the exact causes of Peyronie's disease. However, Microfracture penis is considered a major risk factor in the development of such diseases.
It is believed that the constant stimulation of the head and body of the penis, inflammation develops last. As a result of this activity is activated fibroblasts and connective tissue degeneration occurs tunica. After that, the skin and tissue of the penis no longer be soft and flexible, but on the contrary, become stiff and immobile.
If inflammation continues against the backdrop of the active formation of connective tissue, the so-called remodeling occurs last. In other words, the connective tissue begins to change its own shape and curvature of the penis occurs. In addition, the risk of developing Peyronie's disease may increase systemic diseases such as diabetes, erectile dysfunction, hypertension, and lipid metabolism.
Controversial is the attitude of scientists to smoking and alcoholism in the development of Peyronie's disease. At a time when some believe that these factors contribute to the disease, while others completely deny such information.
One can not exclude the role of hereditary factors in the genesis of the disease. At least, this is evidenced by Dupuytren's contracture, which holds more than half of patients with Peyronie's pathology.
Classification
Peyronie's disease is classified depending on the stage, the cause and extent of deformation.
Considering the causes emit:
- Acquired forms - is a result of hormonal imbalance or injury;
- congenital - is formed as a result of fetal abnormalities.
According to the degree course of Peyronie's disease is divided into:
- pain - there is severe pain at rest and during an erection;
- functional - except the pain, with the disease it is impossible to lead a normal sex life.
By the degree of deformation of the disease is divided into several types:
- dorsal - penis is directed upwards;
- ventral - sexual organ is tilted down;
- lateral - penis pointing sideways.
Peyronie's disease is not a disease that poses a threat to human life, but has a high social value, as has a direct impact on the sexual intercourse, and, consequently, the quality of life of men active working age.
symptomatology
The symptoms of Peyronie's disease in men (see. photo) sometimes make themselves felt gradually, sometimes occur quickly and unexpectedly poignant. The main symptoms of the disease are:
- Painful erection;
- The curvature of the erect penis;
- The presence of seals under the skin of the penis.
In some cases, the pain symptoms of Peyronie's disease are felt weak or pass with time. Sometimes the appearance of plaques does not lead to deformation of the penis. In some patients, a decrease in sexual desire or short duration of intercourse. If at least one symptom of Peyronie's disease need to see a doctor, because in a state of neglect it often leads to impotence.
Diagnostics
The primary diagnosis is made on the results of visual inspection and palpation of the penis. Can then confirm the diagnosis X-ray or ultrasound the penis, which is determined when the size and structure of fibrous plaques.
Clinically, the disease manifests itself curvature of the penis and pain during erection up to the impossibility of sexual intercourse. About 30% of patients suffer from erectile dysfunction.
complications
Although this disease is not life threatening, when it is idle, it can lead to sexual dissatisfaction, pain during erection and irreversible functional impairment.
The disease is also complicated by the danger psihotravmatizatsii patients, suffering his own "illness."
If a small percentage of the deviation of the penis - it can not be called a disease. Peyronie's disease is accompanied by a significant increase in fibrous tissue, which leads to the formation of seals - this could ultimately lead to an inability to perform a sexual act (Dysfunction).
How is the treatment of Peyronie's disease in men?
pathology treatment is prescribed individually for each patient, after analysis of the study results.
There are several treatment methods:
- surgery;
- topical treatment;
- medication;
- shock wave therapy;
- folk remedies.
The first step is resorting to medication. It involves taking oral anti-inflammatory drugs or introducing them into the penis. Additionally applied physiotherapy.
Conservative treatment
It lies in the internal application of oral preparations, local administration to affected areas injections, physiotherapy and distance shock-wave therapy. As oral preparations are typically used colchicine, procarbazine, vitamin E, pentoxifylline and potassium aminobenzoate. Previously they used steroids, but they were found to be ineffective and is now no longer prescribed to treat the disease.
For the introduction of medications directly into the plaque are used:
- steroid hormones;
- Collagenase (assigned penis curvatures at not more than 30 °);
- Verapamil - calcium channel antagonist (effectively reduces the area of plaque and rigidity).
However, the use of local injection, though much more effective systemic treatment with medicines, but carries a latent threat. After injections may result in additional trauma tunica albuginea, involving new inflammatory processes, increased or plaque growths.
Physiotherapy includes such procedures as:
- magnetic therapy;
- diadynamic currents;
- laser therapy;
- mud therapy;
- electrophoresis;
- shock wave therapy.
When the shock wave therapy device generates a special pulse train which directs the expert through the nozzle directly with the plaque. As a result, seals are softened on the tunica albuginea, and the penis is straightened. This technique is used when the penis curvatures not more than 45 °.
Operation
Peyronie's disease surgical treatment is more effective, as it allows at the same time to correct the curvature and remove sealed components. The technique of surgical intervention is determined in each case individually Pairon Diseases.
Thus, if the penis curvature less than 45 degrees, and its length is sufficient, then the implication when correction defect occurs due to superposition of folds on the opposite side, is the most preferred. Fabric sutured nonabsorbable suture material, the penis is somewhat lost in length, but the likelihood of complications is minimal.
When sufficient length of the penis and bending more than 45 degrees albuginea excised as a ellipses, and on the opposite side of the curvature produced suturing nonabsorbable suture material. In case of insufficient length of the penis or failure of the patient by the above methods resorting to dissection or excision of the plaque followed by application of plastics. Defect tunica albuginea eliminated via the tunica vaginalis testis, skin graft, or synthetic materials.
If Peyronie's disease occurs with erectile dysfunction, the best solution is to falloprotezirovanie or falloimplantatsiya. This eliminates problems with erectile dysfunction and to correct penile curvature.
Treatment of folk remedies
Peyronie's disease is better to stick to the traditional methods of treatment, because traditional medicine can not only help the patient, but worsen his condition.
As a rule, traditional healers using local compresses and lotions, which only reinforce the processes of inflammation and exudation in the body of the penis. It is accompanied by a progression of Peyronie's disease. Thus, the use of traditional therapies during such disease unacceptable.
prevention
disease prevention measures are designed primarily to men over 35, but younger and must adhere to them, especially if there is a genetic predisposition.
Firstly, the need to eliminate all risk factors, such as injuries during sex. Choose only comfortable posture and make love after drinking, drugs. Wear comfortable, not squeezing the genitals, underwear.
Since provoke Peyronie's disease may be some systemic diseases such as diabetes, you should promptly carry out their treatment.
