peyronie

geoff
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peyronie

Postby geoff » Thu Jun 21, 2018 6:29 am

Peyronie's disease is a penile curvature that develops due to the consolidation of the penis and the growth of fibrous tissue, which makes the erection painful. This condition is diagnosed in 0.3-1% of men in the age group from 40 to 60 years. At the same time, medical studies confirm that the disease is caused by plaques in the protein shell of the cavernous bodies and benign seals from the back of the penis, the urethra and the sides of the penis. The first mention of such a condition as Peyronie's Disease was noted in 1561, but it was described much later by the French surgeon Francois de La Peyronie.

lenny
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Joined: Thu Oct 06, 2016 4:14 pm

Re: peyronie

Postby lenny » Thu Jun 21, 2018 6:31 am

Peyronie's disease is a penile curvature that develops due to the consolidation of the penis and the growth of fibrous tissue, which makes the erection painful. This condition is diagnosed in 0.3-1% of men in the age group from 40 to 60 years. At the same time, medical studies confirm that the disease is caused by plaques in the protein shell of the cavernous bodies and benign seals from the back of the penis, the urethra and the sides of the penis.

lenny
Posts: 1169
Joined: Thu Oct 06, 2016 4:14 pm

Re: peyronie

Postby lenny » Thu Jun 21, 2018 6:31 am

The first mention of such a condition as Peyronie's Disease was noted in 1561, but it was described much later by the French surgeon Francois de La Peyronie. The pathogenesis of the disease is not fully understood today. Of those theories of the pathogenesis of Peyronie's Disease, which has a modern andrology, the most popular is the theory, in which the main cause is called microtrauma of the protein shell with the development of hematomas, leading to fibrous changes in the tissue of cavernous bodies.

markus
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Re: peyronie

Postby markus » Thu Jun 21, 2018 6:33 am

In this case, most of the microtrauma that lead to the development of Peyronie's Disease, occur as a result of sexual intercourse. But not all penis curvatures are acquired. In some cases, Peyronie's Disease is a congenital condition. The cause of congenital Peyronie's disease is the hypoplasia of the protein shell or a short urethral canal. With congenital pathology of plaques is not observed, and the curvature of the penis occurs due to the presence of connective tissue strands in the cavernous bodies. While minor curvature are not pathological and do not require treatment. 2-3% of men suffer from congenital Peyronie's Disease of varying severity.

geoff
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Re: peyronie

Postby geoff » Thu Jun 21, 2018 6:34 am

The first active phase of the disease lasts from six months to one and a half years, if the seals in the penis body have not disappeared on their own, then conservative treatment is indicated. The earlier the penis curvature is revealed, the more effective the conservative therapy is. Surgical treatment is indicated for acute pain and severe cases of Peyronie's Disease, which occurs with significant penile curvature. If conservative therapy does not bring results, then also resort to surgical treatment, which is becoming increasingly popular because of the high efficiency.

lenny
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Re: peyronie

Postby lenny » Thu Jun 21, 2018 6:35 am

Palpation examination gives the services the ability to determine the location of the plaques and degree of curvature. It is also important to establish the cause of penis curvature during the examination and survey. The degree of curvature of the penis can be estimated from a photo that can be taken by the patient during erection. Ultrasound is highly informative already in the early stages of Peyronie's Disease.

lenny
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Joined: Thu Oct 06, 2016 4:14 pm

Re: peyronie

Postby lenny » Thu Jun 21, 2018 6:36 am

Conservative treatment consists in the introduction of anti-inflammatory drugs and drugs that prevent the formation of fibrous tissue into the penis. Physical therapy, x-ray therapy, laser therapy with helium-neon laser have a positive effect. Inside are a complex of vitamins A and E, drugs colchicine and paraaminobenzoic potassium, tamoxifen and aminobenzoate sodium

markus
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Re: peyronie

Postby markus » Thu Jun 21, 2018 6:37 am

Surgical treatment is more effective, as it allows you to simultaneously correct the curvature and remove the compacted nodes. The method of surgery is determined in each case Pironi's disease individually. So, if the penis curvature is less than 45 degrees, and its length is sufficient, then the plication, when the defect is corrected by applying folds on the opposite side, is the most preferable. The tissue is sutured with non-absorbable suture material, the penis loses some in length, but the probability of complications is minimal.

geoff
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Joined: Tue Oct 11, 2016 4:17 pm

Re: peyronie

Postby geoff » Thu Jun 21, 2018 6:38 am

With a sufficient length of the penis and curvature of more than 45 degrees, the protein shell is excised in the form of ellipses, and on the opposite side of the curvature, suturing is performed with an unabsorbable suture material. In case of insufficient length of the penis or refusal of the patient from the above techniques, dissection or dissection of the plaque is resorted to with subsequent use of plastic. The defect of the protein shell is eliminated with the help of the vaginal shell of the testicle, skin flap, or synthetic materials. If Peyronie's Disease occurs with erectile dysfunction, then the optimal solution is the penile prosthesis, or fallimentare. This allows to eliminate problems with erection and correct penile curvature.

lenny
Posts: 1169
Joined: Thu Oct 06, 2016 4:14 pm

Re: peyronie

Postby lenny » Thu Jun 21, 2018 6:39 am

Prevention of penis curvature is a reasonable choice of positions in sex, refusal of coitus in a state of alcohol or other intoxication, since most penis injuries occur during sexual intercourse.


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