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Erectile Dysfunction? Peyronie's Disease May Be the Cause

If you're struggling with erectile dysfunction, you're not alone. Peyronie's disease is one of the most common causes of ED, affecting up to 10% of men. But there's hope—treatment can help improve your symptoms and help you get your life back on track.

Causes of Erectile Dysfunction: Peyronie’s Disease

Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It can be a total inability to achieve an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections.

Peyronie’s disease is one cause of ED. Peyronie’s disease is an acquired penile deformity resulting from the development of fibrous plaques in the tunica albuginea, the dense connective tissue surrounding the corpora cavernosa of the penis. The plaque formation causes the penis to bend or deform during erection, resulting in ED.

In some cases, the deformity is severe enough to prevent penetration during intercourse. In other cases, the man is able to have intercourse, but the deformity causes pain or discomfort. Peyronie’s disease can also cause psychological distress, which can further complicate the condition.

Peyronie’s disease is relatively uncommon, affecting about 5 percent of men. It is more common in older men, and the risk increases with age. Peyronie’s disease is also more common in men who have a family history of the condition.

There is no known cure for Peyronie’s disease, but treatments are available that can help to improve the condition. Surgery is an option for men with severe deformities. In some cases, the surgery can improve the man’s ability to have intercourse.

Other treatments for Peyronie’s disease include injections of drugs that dissolve the plaque, or surgery to release the plaque. These treatments can improve the deformity and reduce the pain. Physical therapy is also sometimes used to stretch the penis and reduce the deformity.

Peyronie’s disease is a cause of ED that can be difficult to treat. However, there are options available that can help to improve the condition. If you are concerned about Peyronie’s disease, talk to your doctor.

In this episode of his new weekly video series, Dr. Aaron Spitz discusses: Causes of Erectile Dysfunction: Peyronie’s Disease. Dr. Spitz explains the connection between Peyronie’s disease and erectile dysfunction.

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Full transcript of video:

[Opening music]

Hi, Dr. Aaron Spitz here, America’s favorite penis doctor, and in this political season where much attention is being placed on the sexual behavior or misbehavior of candidates or candidates’ spouses, it seems our country is suffering from a dysfunction. An electile dysfunction. And so I am inspired to discuss with you, erectile dysfunction, but with a twist.

Whether you lean to the left or lean to the right—and I don’t mean politically—this discussion is for you.

What I’m talking about is Peyronie’s disease. Peyronie’s disease is a bend in the erection. Now, I’m not talking about a subtle curve; I mean a really obvious angle, twist, indentation, or shortening caused by a hard lump of scar tissue that, for most men, occurs without any known injury.

For a few men, it’s an inherited condition. It goes along with some scarring in the tendons of the palm or the feet, and for a few it is the result of an obvious injury. But for the majority of men, it’s just bad luck.

So, here’s what happens with Peyronie’s. The penis is made up of two chambers. They’re like long balloons. And instead of filling with air, they actually fill up with blood, and as they expand, they lengthen and harden. And the lining of these chambers in the human penis is made up of elastin, which is elastic and stretchy, and collagen, which is firm and strong, and so it gives it a property of being not only able to expand, but also to be very tough. It can take a beating, so to speak.

Now, in Peyronie’s disease, the collagen part of the lining overgrows, and so you get too much of the tough part but not enough of the stretchy part. And in that part where the Peyronie’s plaque, we call it, is taking root, that part of the lining won’t stretch with the rest, so it stays tight and it’s like a kink. And as the penis expands, it causes it to bend and narrow and shorten. So, to add insult to injury, in this spot in some men, the ability to trap the blood in the cylinder gets compromised, and so it’s even harder to maintain the erection. Not only is it bent, but it may not be fully erect.

So, this is a very common condition; it affects about one in 10 men. The typical age is about 40 to 60, but it can happen in men even in their 20s or 30s.

Fortunately, there are treatments. In fact, in a small percentage of cases, it goes away all by itself within the first year or two. But in the majority of cases, it stays or maybe even progresses.

So, there’s really three main categories of treatment. One is stretching—stretching out that plaque, and that’s done with a traction device. It sounds medieval, it kinda looks medieval, but it really works; however, it has to be worn for a few hours a day over a six-month period.

Another form of treatment is injection into the area that’s too firm, to break it down. And that’s done over a series of treatments to gradually break it down so you don’t injure the penis.

And then a third form of treatment—the most definitive—is surgery to release or remove that area of scar tissue.

Now, none of these treatments are very much fun. But in the end, it’s worth going the extra mile … , inch.

Anyway, if you have Peyronie’s disease, get it checked out. Perhaps I can help. At any rate, do yourself a favor: There are treatments and there is a solution.

I hope this has been helpful. Don’t forget to continue to follow me on Facebook, LinkedIn, and Twitter.

[Closing music]

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Video transcription:

Hi, dr. Aaron Spitz, here America’s favorite, penis doctor and in this political season, where much attention is being placed on the sexual behavior or misbehavior of candidates or candidates spouses, it seems our country is suffering from a dysfunction and elect aisle dysfunction, and so I am inspired to discuss with you. You wrecked-tile dysfunction, but with a twist whether you lean to the left or lean to the right and I don’t mean politically. This discussion is for you. What I’m talking about is Peyronie’s disease. Peyronie’s disease is a bend in the erection now I’m, not talking about a subtle curve. I mean a really obvious angle, twist indentation or shortening caused by a hard lump of scar tissue that, for most men, occurs without any known injury for a few men. It’s an inherited condition. It goes along with some scarring in the tendons of the palm or the feet and for a few it is the result of an obvious injury, but for the majority of men it’s just bad luck. So here’s what happens with peroni’s. The penis is made up of two chambers they’re, like long balloons and instead of filling with air, they actually fill up with blood and as they expand, they lengthen and Harden, and the lining of these chambers in the human penis is made up of elastin, which is elastic and stretchy and collagen, which is firm and strong, and so it gives it a property of being not only able to expand, but also to be very tough. It can take a beating so to speak now in Peyronie’s disease, the collagen part of the lining overgrows, and so you get much of the tough part, but not enough of the stretchy part, and in that part, where the Barone’s plaque we call it is taking a route that part of the lining won’t stretch with the rest. So it stays tight and it’s like a kink and as the penis expands, it causes it to bend and narrow and shorten. So to add insult to injury in this spot. In some men the ability to trap the blood in the cylinder gets compromised, and so it’s even harder to maintain the erection. Not only is it bent, but it may not be fully erect. So this is a very common condition. It affects about 1 in 10 men. The typical age is about 40 to 60, but it can happen in men even in their 20s or 30s. Fortunately, there are treatments, in fact, in a small percentage of cases that goes away all by itself within the first year or two, but in the majority of cases it stays or maybe even progresses. So there’s really three main categories of treatment. One is stretching stretching out that plaque and that’s done with a traction device. It sounds medieval, it kind of looks medieval, but it really works. However, it has to be worn for a few hours a day over a six month period. Another form of treatment is injection into the area. That’s too firm to break it down and that’s done over a series of treatments to gradually break it down. So you don’t injure the penis and then a third form of treatment. The most definitive is surgery to release or remove that area of scar tissue. Now, none of these treatments are very much fun, but in the end it’s worth going the extra mile inch anyway, if you have Peyronie’s disease, get it checked out. Perhaps I can help at any rate, do yourself a favor. There are treatments and there is a solution. I hope this has been helpful. Don’t forget to continue to follow me on Facebook, LinkedIn and Twitter. You.

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