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Feature Article Urology
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Peyronie’s disease: knowing when to treat the condition

Benjamin Davidson, Peter Sutherland
Peyronie’s disease can be a debilitating condition affecting a man’s sexual function. A six-month duration of stable, not worsening, symptoms is necessary before surgical treatment can be considered. Otherwise, watchful waiting and patient reassurance are all that are needed.
Key Points
  • Peyronie’s disease is characterised by a curvature of the penile shaft, particularly during erections, that is usually associated with a palpable area of fibrosis in the tunica albuginea.
  • The prevalence of Peyronie’s disease is probably underestimated because of the embarrassment most men feel about having this condition.
  • Most men present with penile pain, penile angulation, a plaque that is usually palpable at the site of and on the acute side of the angulation, an indentation in the shaft and/or decreased erectile function.
  • Most men require only reassurance and a watchful waiting approach.
  • Peyronie’s disease should be debilitating, prohibiting satisfactory intercourse, if surgery is to be performed.
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