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He Medical Clinic

Peyronie’s Disease Treatment in Malaysia - Curved Penis

Peyronie’s disease is a non-cancerous condition resulting from fibrous scar tissue that causes a bend in the penis, making erections painful. This disorder causes an irregular curve in the penis, which is produced by patches of hardened scar tissue that grow underneath the penile skin’s surface. Scarring reduces the flexibility of the penis, which can lead to pain and difficulty with erections and sexual intercourse. If you’re experiencing a curved penis and suspect Peyronie’s disease, consult He Medical Clinic in Malaysia for effective treatment options.

Peyronies Disease

What Causes Peyronie’s Disease?

We don’t know exactly what causes Peyronie’s disease, but many doctors believe the scarring is caused by abnormal wound healing. According to studies, the condition can occur as a result of trauma to the penis. This can happen if your erect penis is injured by rough, vigorous sex, a hard knock in the crotch during contact sports, or a cruel prank. It’s possible that you aren’t even aware of the injury.

When a wound heals, your body normally breaks down the scar tissue and shrinks it over time. However, this process is not always flawless, and an excessive quantity of scar tissue forms instead. Your body attempts to break down and restructure this scar tissue over time in order to lessen its size.

The resulting plaques are hard and inflexible, causing the penis to lose its elasticity and bend in the area where the scarring is present. The curvature can be significant enough to make penetration difficult, whether vaginal, oral, or anal.

Development of Peyronie’s disease

Peyronie’s disease progresses in two stages.

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1. Active phase:

The active phase lasts between one and two years. During this time, the aberrant wound healing process continues to occur, and the penis continues to bend slowly. Peyronie’s disease produces pain and discomfort in the penis during this stage.

2. Chronic phase:

When the pain subsides and the curvature of the penis does not worsen any further, the illness is said to have stabilised.

What are the risk factors for Peyronie’s disease?

Peyronie’s disease appears to be influenced by genetics and age. Some people have a hereditary predisposition to the illness since it is genetic and runs in families.

As people get older, tissue changes lead to easier injuries and delayed healing. As a result, they are at a higher risk of developing this disease.

Peyronie’s disease is also more likely to occur among those who have Dupuytren’s contracture (hand thickening that causes the fingers to draw inward). We recommend patients get curved penis treatment as soon as possible.

Curved Penis Treatment

Those affected by the disease, especially in the active phase, may opt for nonsurgical treatment modalities. Types of curved penis treatment include:


Extracorporeal Shockwave Therapy (ESWT)

Low-intensity shockwave treatment is used to break up the abnormal scar tissue in the penis. When these waves are directed into the plaque, they can cause the plaque to break down mechanically. The targeted shock waves also aid in the promotion of blood flow to the plaque-affected area, which supports the formation of specific blood cells called macrophages, which lyse or "digest" the plaque. During the acute or even the stable phase of Peyronie's disease, ESWT is the most effective treatment for the pain associated with the disease. Typically, 4-6 sessions are needed to effectively control this condition. When ESWT is used to rectify the bend in the penis, several doctors have noticed an improvement in the curvature of the penis.

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Platelet Rich Plasma Therapy (PRP) / P-Shot

A sample of your blood is spun down in specialised tubes in a centrifuge to produce PRP, a specific golden extract rich in growth factors. Platelet-rich plasma, a concentrated blood extract, is then injected into the scar or painful area. The injections aid in lowering inflammation and promoting tissue repair. PRP is already used by athletes to speed up the recovery from sports-related injuries. PRP is also currently being used to treat erectile dysfunction and other male sexual health issues. Research indicates that PRP can reduce plaque size by 50%, enhance penis curvature by 50%, and lessen pain by 80%.

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Surgical Method

Surgery is indicated only in extreme situations. When Peyronie's disease has stabilised and the abnormal curvature has reached its peak and is not progressing further, surgery may be performed, indicating that the disease is in its chronic phase. To balance out the curvature, Tunica albuginea implantation is done, which involves stitching tissue on the opposite side of the affected area. Plaque incision and grafting is a treatment that involves cutting off the abnormal plaques and filling them with tissue from another part of your body. This is only done in more severe cases.

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Vacuum Erection Device / Traction Device

A vacuum erection device consists of a cylinder connected to a pump. When the equipment is switched on, it creates a suction that draws blood into the penis. This is a specific penis lengthening and straightening device that is worn for 6–9 hours every day.

Other Cause of Curved Penis

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FAQs on Peyronie's Disease

Erections and sexual intercourse can be difficult or impossible for Peyronie’s disease patients in some situations. Patients may feel concerned or anxious about satisfying their partner, causing an emotional impact on the relationship.

We urge couples to come in for consultations together so that they can voice their worries and needs and so that we can make better recommendations and modifications to help them sustain intimacy in their sexual relationship.

It’s probable that some men with Peyronie’s disease will develop erectile dysfunction since the plaques can make getting an erection or keeping a strong erection difficult.

Men with Peyronie’s disease are frequently distressed about their condition, which can lead to psychological concerns and ‘performance anxiety,’ both of which can influence their erections.

Both illnesses, fortunately, are treatable. Consult a doctor to determine the best course of action for your circumstances.

Usually, the abnormal penile curvature is not severe, and most men do not require surgery.

Surgery is only indicated in extreme situations where the condition has caused distress or unwanted complications for the patient. Some of the methods involved are Tunica albuginea implantation, plaque incision, and grafting.

Surgery may only be performed once Peyronie’s disease has stabilised and the aberrant curvature has reached its peak and is not progressing further. This indicates that the disease is in its chronic phase.

Other difficulties may emerge in addition to the concern or stress that the disease may bring you—and possibly your partner. It’s tough to have sexual intercourse when you can’t get or hold an erection.

If you are unable to have intercourse, you may be unable to conceive a child. To help you deal with these difficult situations, seek help from your healthcare team, which may include your doctor and a psychological counsellor.

Peyronie’s disease is most common in individuals in their forties and fifties, but it can also affect people as young as 20. According to research, 8 to 10% of those with Peyronie’s disease are under the age of 40.

Symptoms of Peyronie’s disease in young people include uncomfortable or painful erections. Acute disease frequently demands medical intervention.

However, it is recommended to make some lifestyle changes that may reduce the risk of developing ED related to Peyronie’s disease, such as stopping smoking and illicit drug use, reducing alcohol consumption, and getting regular exercise.