The Link Between ED and Peyronie’s Disease
Sometimes men with ED also have Peyronie’s disease.
Erectile dysfunction is the inability to get and/ or maintain an erection sufficient enough for sexual intercourse. Sometimes men with ED also have Peyronie’s disease. Fortunately, urologists specialising in sexual health are trained to treat both erectile dysfunction as well as Peyronie’s.
Peyronie’s disease (PD) is the development of fibrous scar tissue inside the penis that causes curved and/or deformity of the penis and painful erections1. The causes of PD aren’t fully understood, but the disease may result from repeated injury to the penis, genetics, connective tissue disorders, age or other health conditions.2 Penises vary in size and shape so a curved penis may not be cause for concern. If, however, curvature prevents you from having sex or causes pain, you should talk with your doctor. Nearly a third of men with PD complain of pain and abnormal penile curvature.3
Complications of Peyronie’s disease include1:
- The inability to have sexual intercourse
- Difficulty achieving or maintaining an erection (ED)
- Anxiety or stress about sexual abilities or appearance of the penis
- Stresses on the relationship with your sexual partner
Erectile Dysfunction & Peyronie’s Disease: The Link
Erectile dysfunction is common among men with Peyronie’s disease. Peyronie’s occurs in up to 9% of adult men, but approximately 75% of men with the disease will also experience ED.4 Studies have shown that 22–54% of men with PD often struggle with having erections firm enough for sex.5 ED may be a symptom of Peyronie’s disease:1
- Signs and symptoms may appear suddenly or develop gradually
- Scar tissue (plaques) can be felt under the skin of the penis as flat lumps or bands of hard tissue
- Bend to the penis may curve upward, downward or bend to one side. It may also be a narrowing of the penis with an hourglass appearance and a tight narrow band around the shaft
- Erection problems may cause problems getting or maintaining an erection (ED)
- Shortening of the penis
- Pain: may have penile pain, with or without an erection.
If your symptoms are severe or worsen over time, your doctor may recommend medication or surgery. The effects of PD and ED can be long-lasting if left untreated. These conditions often result in increased risk of depression, low self-esteem and relationship difficulties. These issues can affect both the man’s and his partner’s quality of life.6
Treatments Beyond Medications – Take Control
For men struggling with ED and Peyronie’s disease and looking for answers, there are many treatment options for you to explore. These solutions can help men live an active and satisfying life again. The important thing to understand is that you are not alone — there is hope for nearly every man suffering from ED and Peyronie’s disease. Treatment options for PD include medication or plication, incision or excision, and grafting procedures.
If a man also has erectile dysfunction, a penile implant procedure with or without grafting material is another option.2 These treatments work differently for different people, and some may be more effective than others. During procedures to address Peyronie’s disease, an inflatable penile implant can be implanted to treat erectile dysfunction. In a study of men with ED and PD, 98% had complete resolution of penile curvature with a penile implant and modeling.7
Finding a satisfying treatment for PD can be a life-changing event for many men (and their partners) who may have struggled for years with a condition that can impact their self-esteem and affect their intimate relationships.
Men with ED can effectively be treated with a penile implant, whether or not they have Peyronie’s disease.
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1. Mayo Clinic. Peyronie’s Disease. 2014. http://www.mayoclinic.org/diseases-conditions/peyronies-disease/basics/complications/con-20028765. Accessed January 9, 2016. 2. Peyronie’s disease. Mayo Clinic. www.mayoclinic.org/diseases-conditions/peyronies-disease/symptoms-causes/syc-20353468. Accessed January 9, 2016. 3. Sullivan J, Moskovic D, Nelson C, et al. Peyronie’s disease: urologist’s knowledge base and practice patterns. Andrology. 2015 Mar;3(2):260-4. 4. Kirby EW, Verges D, Matthews J, et al. Low testosterone has a similar prevalence among men with sexual dysfunction due to either Peyronie’s disease or erectile dysfunction and does not correlate with Peyronie’s disease severity. J Sex Med. 2015 Mar;12(3):690-6. 5. Penile Implants-Erectile Dysfunction. Sex Health Matters: www.sexhealthmatters.org/erectile-dysfunction/penile-implants-erectile-dysfunction/P7. Accessed December 3, 2014. 6. Chung E. Diagnosis and management of Peyronie’s disease: an evidence-based review. Trends in Urology & Men’s Health. 2015 Jan/Feb;18-22. 7. Chung E, Solomon M, DeYoung L, et al. Comparison between AMS 700™ CX and Coloplast™ Titan inflatable penile prosthesis for Peyronie’s disease treatment and remodeling: clinical outcomes and patient satisfaction. J Sex Med. 2013 Nov;10(11):2855-60.
Results from case studies are not necessarily predictive of results in other cases. Results in other cases may vary. All images are the property of Boston Scientific. All trademarks are the property of their respective owners.
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