M. Peyroni

Also known as Peyronie's disease, is a condition characterized by the formation of hard deposits or "plaques" in the penile sheath, resulting in the curvature of the penis during erection, painful erections, shortening of the penis, and erectile dysfunction.

What causes Peyronie's disease (M. Peyroni)?

The exact cause of this condition is not precisely determined, but it is assumed that repeated microtraumas to the penis during erection lead to the deposition of fibrin in the penile sheath, followed by the deposition of calcium, forming solid deposits or "plaques."

The diagnosis of M. Peyroni

Includes a medical history (anamnesis) gathering information about the curvature of the penis during erection, a physical examination, ultrasound examination (UZ), and a test for prostaglandin E2 (PGE2) injected into the cavernous body of the penis.

Treatment for M. Peyroni can be:

  • Non-operative
  • Operative
  • Conservative

Non-invasive treatment with focused shockwave therapy (FSWT)

FSWT involves the application of focused shockwaves to the plaque during non-invasive treatment, leading to softening of the plaque, correction of penile curvature, reduction, or elimination of pain during erection, thus enabling sexual intercourse.

Therapies are typically conducted over 6-10 sessions during which FSWT is precisely applied to the plaque. The method is painless, non-invasive, and without contraindications.

Peyronie's disease treatment at Uronova Center

Is overseen by our team of doctors led by urologist specialist Dr. Milan Višekruna.

Focused shockwave therapy (FSWT) is a novel technology used in the treatment of Peyronie's disease to break down or eliminate the rigid, inelastic tissue (fibrous plaque) in the penis. FSWT is employed to fully disrupt or remove the fibrous plaque, leading to improved penile flexibility and reduced pain.

FSWT involves directing high-energy ultrasound waves precisely onto the fibrous plaque. Ultrasound induces mechanical destruction of the plaque tissue, creating micro-fractures, resulting in its resorption and improved tissue elasticity.

The therapy typically consists of a series of six treatments, each lasting about 20 minutes. Improvements are usually noticed after the first or second treatment, with the maximum effect achieved several months after completing the treatment series.

Unlike surgical treatment, FSWT is a minimally invasive procedure that does not require hospitalization, and patients can return to their daily activities immediately after treatment.

Contact us for additional information.

What are the symptoms and how does the disease manifest?

Given that Peyronie's disease (PD) is a condition where fibrous scar tissue develops within the shaft of the penis, leading to bending or curvature of the penis during erection, the most common symptom of Peyronie's disease is precisely a curved or bent penis during an erection.

Other symptoms may include:

  • Pain: Painful erections or pain in the penis, especially in the early stages of the condition.
  • Lumps or nodules: Formation of palpable lumps or nodules, often located on the upper or lower side of the penis, which can be felt during an erection.
  • Shortening of the penis: The penis may appear shorter when flaccid due to the fibrous plaque pulling to one side of the penis.
  • Erectile dysfunction: Difficulty in achieving or maintaining an erection may arise due to physical changes in the penis or psychological factors associated with the condition.

Symptoms of PD can vary from mild to severe, and the condition can significantly impact a man's sexual and emotional well-being. In some cases, the disease can lead to such severe penile curvature that sexual intercourse becomes extremely difficult or even impossible.

Peyronie's disease typically develops gradually over time, and it is not entirely clear what causes it. Some possible causes include penis injury, genetics, and certain medical conditions, such as Dupuytren's contracture.

It is essential to note that a curved or bent penis can also be caused by other conditions, so sometimes Peyronie's disease can be mistaken for congenital penile curvature, for example. Therefore, if you have these or similar symptoms, it is important to consult with a urologist to receive an accurate diagnosis and appropriate treatment.

Do not wait

schedule an examination as soon as you notice symptoms.

Early diagnosis of Peyronie's disease is crucial for complete recovery because it allows for early intervention in treatment, which can help prevent the development of new and more severe symptoms, as well as prevent the condition from significantly worsening to the point where the patient is no longer able to be sexually active.

If the disease is not treated in a timely manner, fibrous scar tissue causing penile curvature can become more established, making treatment more challenging and potentially leading to more serious symptoms.

In addition, early diagnosis allows for the use of non-surgical treatments, such as oral medications or physical therapy, which can be more effective when the disease is in its early stages.

Treatments that are more invasive, such as surgery, may become necessary if the disease is allowed to progress.

The diagnosis of Peyronie's disease is usually made through a physical examination and medical history. In some cases, ultrasound and tests for PGE2 may be necessary to confirm the diagnosis.

Early diagnosis also means that the patient can completely avoid unnecessary anxiety and distress due to the observation of disturbing symptoms, as early diagnosis and information about the condition.

In summary, early diagnosis is essential because it can improve the chances of a successful outcome, prevent the worsening of the condition, and enable a wider range of treatment options.

It also gives the patient the opportunity to be prepared and fully informed about this condition and all its aspects.

So, don't wait for the symptoms to worsen.
Call us to schedule an initial examination with Dr. Milan Višekruna, who will confirm or rule out Peyronie's disease and other urological conditions and provide you with an appropriate treatment plan.