Peyronie’s disease, also known as induration penis plastic or chronic inflammation of the tunica, is a tissue disorder involving the growth of fibrous plaques in the soft tissue of the penis affecting 5% of men. In my practice at least 25% of surgical candidates have Peyronie’s like plaques prior to surgery. Specifically, scar tissue forms in the tunica, the thick sheath of tissue surrounding the corpora cavernosa (or erectile bodies) causing pain, erectile dysfunction, abnormal curvature, loss of girth, indentation, and shortening of the penis. A variety of treatments have been used, but none have been especially effective.
Peyronie’s may cause pain, hardened, big, cord like lesions or scar tissue known as “plaques”, and abnormal penile curvature when erect due to chronic inflammation of the tunica albuginea. It is a common misconception that Peyronie’s Disease always involves curvature of the penis, however, the scar tissue sometimes causes divots or indentations rather than curvature. The condition may also make sexual intercourse painful and difficult. Progression of the disease will result in complete atrophy eventually.
In our practice men over 50 with any degree of erectile dysfunction are directed towards the inevitable: A Penile Prosthesis.