Why Can I Get an.erection Alone but Not With a Girl
On this folio:
- What is Peyronie'southward disease?
- How common is Peyronie's illness?
- Who is more likely to have Peyronie'southward disease?
- What are the complications of Peyronie's disease?
- What are the signs and symptoms of Peyronie's disease?
- What causes Peyronie'southward disease?
- How practice health care professionals diagnose Peyronie'due south disease?
- How practise wellness care professionals treat Peyronie's disease?
- Tin I forestall Peyronie'southward disease?
- Clinical Trials for Peyronie's disease
What is Peyronie's disease?
Peyronie's disease is a disorder in which scar tissue, chosen plaque, forms under the skin of the penis—the male organ used for urination and sex.
The plaque builds up within the penis, in the thick elastic membrane chosen the tunica albuginea. The tunica albuginea helps keep the penis stiff during an erection. The plaque tin can develop anywhere forth the penis.
Equally it develops, the plaque pulls on the surrounding tissues and causes the penis to curve or bend, usually during an erection. Curves in the penis can make erections painful and may make sexual intercourse painful, difficult, or impossible.
The plaque that develops in Peyronie's affliction
- is caused by injury to your penis or by an autoimmune illness
- is non the same plaque that tin develop in a person'due south arteries
- is beneficial—not malignant and not a tumor
Peyronie's disease occurs in two phases.
Astute phase
During the acute phase, the plaque forms, and this stage can concluding up to 18 months.1 During this phase
- Inflammation may occur and plaque forms on your penis.
- Your penis starts to curve.
- Your penis may injure without an erection.
- Erections may become painful when scars develop.
Chronic phase
The chronic phase occurs after the plaque has formed. Usually, the chronic stage begins 12 to 18 months afterwards your symptoms first announced.1 During this phase
- Plaque and penile curvature may stabilize and non get worse.
- The pain in your penis may lessen.
- Erectile dysfunction (ED) may develop or become worse.
How common is Peyronie's affliction?
Approximately 1 in 100 men in the United States over the age of eighteen have been diagnosed with Peyronie's disease. However, based on studies of men who reported having symptoms of Peyronie's disease, researchers estimate that the actual number of men who take Peyronie's illness is more than i in 10.2,3
The gamble of developing Peyronie'southward disease increases with historic period.1 It is less common for men in their 20s and 30s to take Peyronie's affliction.1
Who is more probable to take Peyronie's disease?
You may be at higher risk of developing Peyronie'south affliction if you
- engage in vigorous sexual or nonsexual activities that cause micro-injuries to the penis
- have sure connective tissue and autoimmune disorders
- have a family history of Peyronie's disease
- are older
- have diabetes and erectile dysfunction
- have a history of prostate cancer treatment with surgery
Vigorous sexual and nonsexual activities
Men whose sexual or nonsexual activities (such as sports) cause micro-injuries to the penis are more probable to develop Peyronie's affliction.
Connective tissue and autoimmune disorders
If you have sure connective tissue or autoimmune disorders, you may take a higher take a chance of developing Peyronie's disease.
Connective tissue is specialized tissue that supports, joins, or separates dissimilar types of tissues and organs in your torso. Connective tissue disorders may touch on your joints, muscles, and skin. Some disorders associated with Peyronie's disease include
- Dupuytren'due south disease, also known as Dupuytren's contracture. In this condition, the connective tissue in the palms of the hands shortens and thickens. This results in the permanent bending of the outer fingers. Information technology is not clear why men with Peyronie'southward disease are more likely to develop Dupuytren'due south affliction.
- plantar fasciitis, which is inflammation of the thick tissue on the bottom of the human foot that creates the curvation of the foot.
- scleroderma, which is the abnormal growth of thick, hard patches of connective tissue. Scleroderma tin also crusade swelling or pain in muscles and joints.
In autoimmune disorders, the body's immune organization attacks the body's ain cells and organs. Autoimmune disorders associated with Peyronie'southward disease include
- systemic lupus erythematosus, which causes inflammation and damage to various body tissues including the joints, skin, kidneys, heart, lungs, blood vessels, and brain
- Sjögren'due south syndrome, which causes inflammation and damage to the glands that make tears and saliva
- Behçet'southward illness, which causes inflammation of the blood vessels
Family history of Peyronie'south disease
Medical experts believe that Peyronie's disease may run in some families. For case, if your father or brother has Peyronie'south disease, you may have an increased chance of getting the affliction too.
Crumbling
Your chance of getting Peyronie's affliction increases with age. Historic period-related changes in the tissues in the penis may cause it to be more easily injured and less likely to heal well.
Diabetes with erectile dysfunction
Men with diabetes-associated ED have a 4 to 5 times higher chance of developing Peyronie'due south disease compared with the general population.4
Prostate cancer treatment with surgery
Your chance of getting Peyronie's disease increases afterwards surgery for prostate cancer. Medical experts believe this is related to ED developed after surgery for prostate cancer.5
What are the complications of Peyronie's disease?
Complications of Peyronie's disease may include
- the inability to have sexual intercourse due to penile curvature
- ED
- emotional distress, depression, or anxiety about sexual abilities or the appearance of the penis
- stress in a human relationship with a sexual partner
- problems fathering a child because intercourse is difficult
What are the signs and symptoms of Peyronie'southward disease?
The signs and symptoms of Peyronie'due south disease may include
- hard lumps on 1 or more sides of the penis
- pain during sexual intercourse or during an erection
- a bend in the penis with or without an erection
- changes in the shape of the penis, such as narrowing or shortening
- ED
These may develop slowly or announced quickly and tin be mild to severe. In many cases, the pain decreases over fourth dimension, although the curve in the penis may remain.1 Issues with intercourse or ED can occur during either phase.
What causes Peyronie'southward illness?
Medical experts do not know the verbal crusade of Peyronie's disease but believe that it may exist the result of
- acute or chronic injury to the penis
- autoimmune disease
Peyronie's illness is not contagious or acquired past any known transmittable affliction.
Injury to the penis
Medical experts believe that hitting or angle the penis may hurt the tissues within. These injuries tin happen during sex activity, athletic activity, or an accident. It can happen in one case, an astute injury, or repeatedly over time, a chronic injury.
The injury may cause bleeding and swelling inside the elastic membrane in the penis, or the tunica albuginea. When the injury heals, scar tissue may grade, and a plaque can develop. The hard plaque pulls at the surrounding tissues and causes the penis to curve.
You may not be aware of micro-injuries to your penis when they occur. Researchers take found that many patients are unable to recollect a specific incident just before symptoms started.1
Autoimmune disease
Men who have an autoimmune disease may develop Peyronie's affliction if the immune system attacks cells in the penis. This can lead to inflammation in the penis. Scar tissue may form and develop into plaque. See connective tissue and autoimmune disorders for more on autoimmune disorders associated with Peyronie'south illness.
How do health intendance professionals diagnose Peyronie's affliction?
Men with Peyronie'southward affliction are usually referred to a urologist—a doctor who specializes in sexual and urinary issues.
A urologist diagnoses Peyronie's disease based on your medical and family history and a physical examination.
Imaging tests are unremarkably not necessary to diagnose Peyronie'due south disease only may be used to get together boosted data well-nigh the plaque.
Medical and family unit history
The urologist will enquire about your medical and family history. Some questions might be
- When did your symptoms begin?
- Do you experience hurting during an erection or at other times?
- Practice you take erection bug or issues with sexual intercourse?
- Does anyone in your family accept Peyronie'due south disease or other medical conditions?
- Are you taking any medicines? If so, what are they?
- Do yous have other medical problems or conditions?
Physical exam
A urologist can ordinarily feel plaques in the penis whether it is erect or non.
If the urologist needs to examine your penis during an erection, you will receive an injectable medicine that volition cause an erection. Your urologist may likewise ask yous to take pictures of your erect penis at domicile to evaluate the curvature during your follow-up visits.
How exercise health intendance professionals care for Peyronie'due south disease?
The goal of treatment is to reduce pain, attain a straight or close-to-direct penis, and restore and maintain the ability to have intercourse.
Not all men with Peyronie's disease need handling. In a very few cases, Peyronie'southward disease goes away without treatment.1
Also, you may not need treatment if you have6
- small plaques
- lilliputian or no curve to your penis
- no hurting
- no bug with sexual intercourse
- no urinary problems
If you demand treatment, your urologist may recommend nonsurgical treatments or surgery depending on the severity of your symptoms, how much your penis curves, and whether your Peyronie'due south disease is in the acute or chronic phase.
Your urologist will talk over your handling options with y'all and review possible side effects and outcomes.
Besides treatment, your urologist may recommend lifestyle changes to reduce the risk of ED associated with Peyronie's disease.
Nonsurgical treatments
Nonsurgical treatments include injections, oral medicines, and medical therapies. They may be used when Peyronie'southward affliction is in the acute phase.
Injections. Injecting a medicine directly into plaques, called intralesional injections, can be washed in the acute stage. The injection site is often numbed before the shot. These treatments can be done in the doctor's part.
- Collagenase. Intralesional collagenase injections (Xiaflex) are currently the only FDA-approved treatment for Peyronie's disease. Collagenase is an enzyme that helps break down the substances that make upward plaques. Breaking down the plaques reduces penile curving and improves erectile function. This handling is approved for men with penises curving more than xxx degrees.7
- Verapamil. Verapamil is used to treat high blood pressure and may reduce penis pain and curving when injected into the plaque.1
- Interferon-alpha 2b. Interferon is a poly peptide made by white claret cells. Studies show that information technology reduces hurting, penile curving, and plaque size.7
Oral medicines. In that location are no oral medicines that effectively treat penile curvature at this time.7 Yet, potassium para-aminobenzoate is used to treat Dupuytren's contracture and may reduce plaque size. Information technology has no effect on penile curving.
If y'all feel hurting, your urologist may propose y'all take nonsteroidal anti-inflammatory drugs (NSAIDS).
Nondrug medical therapies. Other medical therapies to care for Peyronie'southward disease are however being studied to see if they work.7 These therapies include
- mechanical traction and vacuum devices—aimed at stretching or bending the penis to reduce curving
- shockwave therapy—focused, low-intensity electroshock waves directed at the plaque may be used to reduce paini
Surgery
A urologist may recommend surgery to remove plaque or help straighten the penis during an erection. Surgery may be recommended for men who have Peyronie's disease when
- symptoms have not improved
- erections or intercourse, or both, are painful
- the curve in the penis prevents sexual intercourse
Medical experts recommend you don't have surgery until your plaque and penis curving stabilize.1
Several types of surgeries care for Peyronie'southward disease. Your urologist will examine the plaque on your penis and consider the all-time type of surgery for you. An ultrasound will show the exact location and size of the plaque.
Some men may develop complications after surgery, and sometimes surgery does not correct some effects of Peyronie'southward disease such every bit the shortening of the penis.
Grafting. In this surgery, your urologist will remove the plaque and replace it with a patch of tissue that was taken from some other part of your body, such as skin or a vein from your leg; grown in a laboratory; or from organ donors.
This procedure may straighten the penis and restore some length that was lost due to Peyronie'due south disease.
Some men may experience numbness of the penis and ED later the procedure.
Plication. In plication surgery, your urologist will remove or pinch a slice of the tunica albuginea from the side of the penis contrary the plaque to aid straighten the penis.
This procedure is less probable to cause numbness or ED.
Plication cannot restore the length or girth of the penis, and the penis may go shorter.
Device implantation. Penile implants may be considered if a human has both Peyronie'south illness and ED.
A urologist implants a device into the penis that tin cause an erection. The device may assistance straighten the penis during an erection.
In some cases, the implant lone will straighten the penis adequately. If the implant solitary does non straighten the penis, a urologist may combine implantation with one of the other ii surgeries.
Can I prevent Peyronie's affliction?
Researchers exercise not know how to foreclose Peyronie's disease. At this time, diet and nutrition accept not been plant to play a function in preventing Peyronie's affliction.1
Clinical Trials for Peyronie'south disease
The NIDDK conducts and supports clinical trials in many diseases and atmospheric condition, including urologic diseases. The trials look to find new ways to preclude, detect, or treat disease and meliorate quality of life.
What are clinical trials for Peyronie's disease?
Clinical trials—and other types of clinical studies—are office of medical research and involve people like you. When y'all volunteer to take part in a clinical report, you lot aid doctors and researchers acquire more than almost disease and improve health care for people in the future.
Researchers are studying many aspects of treating Peyronie's disease including the efficacy of
- different medicines
- other types of nonsurgical treatment
Find out if clinical studies are correct for you.
What clinical studies for Peyronie'southward disease are looking for participants?
You tin view a filtered list of clinical studies on Peyronie'southward disease that are open and recruiting at www.ClinicalTrials.gov. You can expand or narrow the listing to include clinical studies from industry, universities, and individuals; still, the NIH does not review these studies and cannot ensure they are rubber. Always talk with your wellness intendance professional person before you participate in a clinical report.
What take we learned nearly Peyronie's disease from NIDDK-funded research?
The NIDDK has supported research projects to learn more near how plaque develops and the function of genes.
References
Source: https://www.niddk.nih.gov/health-information/urologic-diseases/penile-curvature-peyronies-disease
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