PEYRONIE’S DISEASE TREATMENT

Personalized Treatments for Peyronie’s Disease

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Peyronie’s Treatment

Peyronie’s (pay-roe-NEEZ) disease is the development of fibrous scar tissue inside the penis that causes curved, painful erections. Penises vary in shape and size, and having a curved erection isn’t necessarily a cause for concern. But Peyronie’s disease causes a significant bend or pain in some men.

Curious about
Peyronie’s Disease?

WHAT IS PEYRONIE’S DISEASE?

Peyronie’s disease is caused by repeated penile injury, typically during sex or physical activity.

Penises vary in shape and size, and having a curved erection isn’t necessarily a cause for concern. In Peyronie’s disease, the bend is significant and may occur along with pain or interfere with sexual function. It also has two stages: the acute and chronic phase.

WHAT ARE THE SYMPTOMS?

Peyronie’s disease plaques mostly (70% of the time) form on the top (or dorsal side) of the penis. The plaques make the tunica albuginea less flexible and may cause the erect penis to bend upwards. When plaques form on the bottom or side of the penis, the bend will be downward or sideways. Some men have more than- plaque, which may cause complex curves.

  • Other signs that you may have Peyronie’s disease are:
  • bent or curved penis
  • lumps in the penis
  • painful erections
  • soft erections
  • having trouble with sex because of a bent/curved penis
WHAT ARE THE CAUSES OF PEYRONIE’S DISEASE?

Peyronie’s disease is likely caused by minor injury to the penis. (See penile trauma.) This type of damage is most often caused by vigorous sexual intercourse (such as bending the penis during penetration or pressure from a partner’s pubic bone), though it can also be caused by sports or other accidents. Injury to the tunica albuginea may result in scar tissue forming in the cells (fibrosis). This scar tissue then forms the plaque of Peyronie’s disease. Peyronie’s disease is the result of a problem in the way the body heals wounds.

DIAGNOSIS & TREATMENT?

Your health care provider may be able to tell if you have Peyronie’s disease with only a physical exam. The hard plaques can most often be felt whether the penis is stiff or not. To check how the penis curves, your health care provider may inject a drug into your penis to make it stiff, and may take pictures for study. In some cases dynamic ultrasound, which uses sound waves to get a picture of what’s in your body, is used to see where the plaque is, check for calcium buildup, and show how the blood flows in your penis.

Treatments:

  • Medication
  • Shockwave treatment in combination with PRP

PEYRONIE’S DISEASE FAQS

We’re sure you have questions, and we’re here to answer them! Below are some frequently asked questions that might help, but we’re also available via phone or email for anything that might be on your mind!

Researchers estimate that Peyronie’s disease may affect 1 to 23 percent of men between 40 and 70 years of age. However, the actual occurrence of Peyronie’s disease may be higher due to men’s embarrassment and health care providers’ limited reporting. The disease is rare in young men, although it has been reported in men in their 30s. The chance of developing Peyronie’s disease increases with age.

Some men with Peyronie’s disease (about 13 out of 100) get fibrosis in other parts of the body. The most common sites are the hands and feet. Dupuytren’s contracture, in which fibrosis occurs in the tissue of the palm, is one health problem linked to Peyronie’s disease. Dupuytren’s contracture may lead to permanent bending of the outer fingers. It isn’t clear what causes plaque to form in either disease, or why men with Peyronie’s disease are more likely to get Dupuytren’s contracture.

Cells taken from Peyronie’s plaques act like cancer cells in some ways, such as not dying normally and forming tumors when put into mice with no immune systems. But there has never been a case of Peyronie’s disease that has turned into cancer in a human.

If you have other symptoms that aren’t often seen with Peyronie’s disease, such as external bleeding, trouble peeing, or penile pain that lasts for a long time, your health care provider may take a sample of the tissue (biopsy) for further study.

The following factors may increase a man’s chance of developing        Peyronie’s disease:

  • Vigorous sexual or nonsexual activities that cause microscopic injury to the penis
  • Certain autoimmune and connective tissue disorders
  • A family history of Peyronie’s disease
  • General aging
  • Diabetes-related erectile dysfunction
  • Having had surgical treatments for prostate cancer

– YOUR SACRAMENTO UROLOGIST

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Golden State Urology in Sacramento, California, is a top choice for urologic care, offering expert treatments with a patient-centered approach. Their team of highly skilled professionals provides advanced solutions for a wide range of conditions.

With state-of-the-art technology, personalized treatment plans, and a commitment to compassionate care, Golden State Urology ensures that every patient receives the highest standard of medical attention. Whether you’re seeking innovative procedures or routine care, our experienced specialists are dedicated to improving your health and quality of life.

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Our Sacramento urology medical center is open 6 days a week and provides evening appointments to accommodate varied work schedules. Please call to schedule a consult.

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At Golden State Urology in Sacramento, we prioritize personalized treatment plans for each patient, addressing various conditions such as sexual health issues (e.g., vasectomies) and urinary tract conditions (e.g., infections, incontinence, cancers) to achieve optimal results.

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At our urology center, we prioritize patient satisfaction and utilize advanced technology to achieve optimal outcomes for various reproductive and urinary issues, including vasectomies, urinary incontinence, infections, and cancers of the testis, kidney, prostate, and bladder.

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Our Sacramento, CA urologists have 30 years of experience in sexual health, urinary medicine, urologic surgery, and cancers, continually adopting advanced solutions and technology for both men and women.

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We value our patients and credit our success to them. As your Sacramento urologist office, we focus on monitoring patient satisfaction and finding solutions for optimal outcomes, prioritizing your happiness as a measure of our success.

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Our doctors bring a wealth of experience and expertise to ensure you receive the highest quality care. Our team is here to support your health journey every step of the way.
Dr. Prithipal S. Sethi, MD
Board Certified Urologist
Dr. Kristene Myklak MD
Board Certified Urologist
Holly Gillan, RN
Registered Nurse
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Sindhu Mohan, Clinical Research Coordinator - Golden State Urology
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FAQ’s

We’re sure you have questions, and we’re here to answer them! Below are some frequently asked questions that might help, but we’re also available via phone or email for anything that might be on your mind!

A urologist is a physician whose specialty is maintaining and studying the male reproductive system and the urinary tracts of both men and women. These specialists are certified in diagnosing and treating many conditions in the genitourinary tract, which encompasses the kidneys, urinary bladder, ureter, urethra, and adrenal glands. A urologist also studies and deals with the male reproductive organs — penis, prostate, testicles, epididymis, seminal vesicles, vas deferens, etc. A urologist can also specialize in male fertility as well, performing vasectomies and vasectomy reversals.

Our urologists in Sacramento treat disorders such as urinary tract infections (UTI), kidney stones, hematuria (blood in the urine), kidney cancer, stress incontinence, benign prostatic hyperplasia, erectile dysfunction, prostate cancer, testicular cancer, and cystitis. You will also find a doctor who is skilled in gynecology to address women’s urinary health and in pediatrics to treat urinary issues in children. Golden State Urology employs some of the best urologists in Sacramento with in-depth expertise and extensive experience in treating these conditions.

A urologist can help both men and women struggling with urinary or sexual health issues. If you’re experiencing any of the following symptoms, schedule your consultation with one of our urologists in Sacramento.

Symptoms for Men
  • Urinary Issues: Frequent urination, especially at night, urgency, weak or interrupted urine flow, dribbling, or a feeling of incomplete bladder emptying.
  • Erectile Dysfunction: Problems with achieving or maintaining an erection.
  • Testicular Problems: Pain, swelling, or lumps in the testicles.
  • Certain Types of Pain: Pain in the lower back, groin, and pelvis or pain while urinating.
  • Blood in the Urine: Visible blood or a pinkish tint to the urine.
  • Incontinence: Loss of bladder control or leaking urine.
Symptoms for Women
  • Urinary Tract Infections (UTIs): Frequent UTIs or recurring infections that require antibiotics.
  • Incontinence: Loss of bladder control or involuntary leaking of urine.
  • Painful Urination: A burning sensation or pain when urinating.
  • Frequent Urination: Needing to urinate often, especially at night.
  • Blood in the Urine: Visible blood or a pinkish tint to the urine.
  • Pelvic Organ Prolapse: Sensation of pressure or a bulge in the pelvic region.
  • Pain in the Lower Abdomen or Pelvis: Persistent or sharp pain in these areas.

A urologist can perform in-depth tests to provide an accurate diagnosis. Our team of urology physicians will also prescribe treatment to resolve the underlying cause and help manage your symptoms.

If you have no urological symptoms, a general check-up every few years is usually sufficient. However, men over 40, those with a history of urological issues, or those at risk for prostate cancer should schedule annual visits.

Participating in a clinical trial can give you access to cutting-edge treatments before they are widely available. However, it’s important to discuss the potential risks, benefits, and eligibility criteria with your doctor to determine if a trial aligns with your health needs.

Screening recommendations vary based on age, sex, and risk factors. Men over 50 (or 40 with risk factors) should consider prostate cancer screening. Women may need regular pelvic exams and UTI screenings. Kidney function, bladder health, and STIs are other considerations. Always consult your doctor for personalized recommendations.

Yes, a family history of conditions like prostate cancer, kidney disease, bladder cancer, or infertility can increase your risk. If certain urological issues run in your family, early screening and lifestyle changes may help with prevention and early detection.

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