Surgery to remove plaque from the penis is only performed when all other methods of treatment have proven unsuccessful. There are a few techniques used in surgery for Peyronie’s repair. The method of removal is often determined by the severity of the curvature and the individual anatomy of the man who is affected. Dr. Elist will remove the plaque which has formed on the penis, which requires a skin graft from another area of the body. When the Nesbit procedure is used, the tissue opposite the affected side may be removed to reduce the curvature of the penis. This may ultimately reduce the size of the erect penis. This can be corrected with the use of a penile implant if desired.
Erectile dysfunction can take many forms. No matter which form it takes, ED can take a toll on all areas of your life. While there are many feelings that ED can create, you should know that you’re not alone. Dr. Elist has more than 40 years of helping men with all forms of ED, including Peyronie’s disease. He can guide you through the delicate process of treatment and help you find your confidence again.
Penises come in all shapes and sizes, and it is not unusual for a penis to curve in one direction or another when erect. Peyronie’s disease is a rare, debilitating form of ED that can make getting an erection extremely painful. It is caused by the formation of fibrous tissue, also referred to as plaque, forms in the spongy tissue of the penis. This plaque causes the penis to bend often at an extreme angle when erect, and can be quite painful.
In some instances, Peyronie’s disease will resolve itself and go away on its own. When caught in its early stages, that is within three to six months of onset, Peyronie’s disease can be treated by non-surgical means. These methods include:
Arthritis medication. It is believed that Peyronie’s disease is a form of arthritis of the penis. Some anti-inflammatory medications may be effective in treating the disease, although large doses are often required and may have a negative effect on your digestive tract.
Steroids have been shown to be effective in stopping the progression of Peyronie’s disease, and may be injected into the penis along with lidocaine in order to stop more painful episodes.
Penile injections can help to reduce the swelling and pain that are associated with Peyronie’s disease.
Surgery. When more conservative methods are unsuccessful, corrective surgery may be performed to remove the fibrous tissue that has formed in the penis.
The root cause of Peyronie’s disease is largely unknown, although it is believed that it is caused by some kind of trauma to the penis such as an impact or motion which causes the penis to bend when erect. This trauma may result in bleeding, causing scar tissue to form. Not all cases of Peyronie’s disease, however, are a result of penile trauma. There are many men who develop Peyronie’s disease who have never experienced penile trauma of any kind. It appears that both your genetic makeup and age can be contributing factors to the development of Peyronie’s disease.
The largest sign of Peyronie’s disease is the formation of flat fibrous tissue known as plaque which forms along the shaft of the penis. This plaque usually forms on the top side of the penis, but may also form on the bottom side. Occasionally the plaque forms in a circular pattern around the penis, causing a “bottleneck” or hourglass pattern. As the fibrous tissue forms, it may attract calcium deposits, causing it to harden and calcify. This can lead to painful erections, soft erections, or an extreme curvature of the penis. Peyronie’s disease may also lead to a shortening of the penis, or cause pain even when your penis is not erect.
Dr. Elist has made it his life’s work to assist men who are experiencing ED, and help them return to a full, healthy life. A respected pioneer in the field of male urology, Dr. Elist possesses the experience and vision to addresses the cause your ED and find a solution to the problem. The entire staff in our Beverly Hills office is committed to providing you individual, discrete attention both during your time with us and while you recover from Peyronie’s repair. You are not alone. Let us guide you down the path to complete sexual health.
During your recovery, you will be prescribed medication that will prevent you from having an erection so your body may heal from the procedure. Dr. Elist will provide you with an antibiotic to help you avoid infection, as well as pain medication to allow you to recover in comfort. Dr. Elist will also provide you with detailed instructions for your recovery, which includes the avoidance of sexual activity. Most men find they feel well enough to return to work within a few days.