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Peyronie’s Disease

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Urology at a Glance

Abstract

Peyronie’s disease (PD) is an acquired benign disease that affects the tunica albuginea of the penis leading to fibrous plaques. The major and most characteristic symptom in affected patients is penile deviation, which may lead to inability for sexual intercourse [1–3]. The prevalence of PD is 3–9 % of adult men, with males between 40 and 70 years being affected predominantly. However, PD also occurs in the younger population under 30 years [2, 4]. The etiology of PD is unknown, but some hypotheses exist. The disease is considered a wound-healing disorder that occurs in genetically susceptible males following repeated penile microtraumata. These microtraumata usually occur during sexual intercourse, without being noticed by the patient. However, PD has a multifactorial background including unregulated deposition of collagen and overexpression of transforming growth factor-β-1, which finally lead to the formation of characteristic penile plaques. Common comorbidities and risk factors for developing PD are diabetes mellitus, hypertension, hyperlipidemia, hypogonadism, smoking, and excessive consumption of alcohol. Dupuytren’s disease is an associated collagen disease, affecting 9–39 % of PD patients [2, 5, 6].

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References

  1. Ralph D, Gonzalez-Cadavid N, Mirone V, Perovic S, Sohn M, Usta M, Levine L. The management of Peyronie’s disease: evidence-based 2010 guidelines. J Sex Med. 2010;7:2359–74.

    Article  PubMed  Google Scholar 

  2. Levine L, Burnett AL. Standard operating procedures for Peyronie’s disease. J Sex Med. 2013;10:230–44.

    Article  PubMed  Google Scholar 

  3. Mulhall J, Schiff J, Guhring P. An analysis of the natural history of Peyronie’s disease. J Urol. 2006;175:2115–8.

    Article  PubMed  Google Scholar 

  4. Tal R, Hall MS, Alex B, Choi J, Mulhall JP. Peyronie’s disease in teenagers. J Sex Med. 2012;9:302–8.

    Article  PubMed  Google Scholar 

  5. Porst H, Garaffa G, Ralph D. Peyronie’s disease (PD) – Morbus de la Peyronie. In: Porst H, Reisman Y, editors. The ESSM syllabus of sexual medicine. Amsterdam: Medix Publishers; 2012. p. 680–731.

    Google Scholar 

  6. Bichler K, Lahme S, Mattauch W, Petri E. Untersuchungen zum Kollagenstoffwechsel bei Induration penis plastica. Urologe A. 1998;37:306–11.

    Article  PubMed  CAS  Google Scholar 

  7. Hatzichristodoulou G, Dorstewitz A, Gschwend JE, Herkommer K, Zantl N. Surgical management of penile fracture and long-term outcome on erectile function and voiding. J Sex Med. 2013;10:1424–30.

    Article  PubMed  Google Scholar 

  8. Nelson C, Mulhall JP. Psychological impact of Peyronie’s disease: a review. J Sex Med. 2013;10:653–60.

    Article  PubMed  Google Scholar 

  9. Hellstrom W, Feldman R, Rosen RC, Smith T, Kaufman G, Tursi J. Bother and distress associated with Peyronie’s disease: validation of the Peyronie’s disease questionnaire. J Urol. 2013;190:627–34.

    Article  PubMed  Google Scholar 

  10. Cruz N. Congenital penile curvature and penile torsion. In: Porst H, Reisman Y, editors. The ESSM syllabus of sexual medicine. Amsterdam: Medix Publishers; 2012.

    Google Scholar 

  11. Conkbayir I, Yanik B, Keyik B, Hekimoglu B. Superficial dorsal penile vein thrombosis (Mondor disease of the penis) involving the superficial external pudendal vein: color doppler sonographic findings. J Ultrasound Med. 2010;29:1243–5.

    PubMed  Google Scholar 

  12. Tunuguntla H. Management of Peyronie’s disease-a review. World J Urol. 2001;19:244–50.

    Article  PubMed  CAS  Google Scholar 

  13. Pryor J, Farell CR. Controlled clinical trial of vitamin E in Peyronie’s disease. Prog Reprod Biol Med. 1983;9:41–5.

    Google Scholar 

  14. Paulis G, Brancato T, D’Ascenzo R, De Giorgio G, Nupieri P, Orsolini G, Alvaro R. Efficacy of vitamin E in the conservative treatment of Peyronie’s disease: legend or reality? A controlled study of 70 cases. Andrology. 2013;1:120–8.

    Article  PubMed  CAS  Google Scholar 

  15. Al-Shaiji T, Brock GB. Peyronie’s disease: evolving surgical management and the role of phosphodiesterase 5 inhibitors. Scientific World Journal. 2009;9:822–45.

    Article  PubMed  CAS  Google Scholar 

  16. Mehrsai A, Namdari F, Salavati A, Dehghani S, Allameh F, Pourmand G. Comparison of transdermal electromotive administration of verapamil and dexamethason versus intra-lesional injection for Peyronie’s disease. Andrology. 2013;1:129–32.

    Article  PubMed  CAS  Google Scholar 

  17. Hatzichristodoulou G, Meisner C, Gschwend JE, Stenzl A, Lahme S. Extracorporeal shock wave therapy in Peyronie’s disease: results of a placebo-controlled, prospective, randomized, single-blind study. J Sex Med. 2013;10:2815–21.

    Article  PubMed  Google Scholar 

  18. Gelbard M, Lipshultz LI, Tursi J, Smith T, Kaufman G, Levine LA. Phase 2b study of the clinical efficacy and safety of collagenase clostridium histolyticum in patients with Peyronie disease. J Urol. 2012;187:2268–74.

    Article  PubMed  CAS  Google Scholar 

  19. Levine L, Newell M, Taylor FL. Penile traction therapy for treatment of Peyronie’s disease: a single-center pilot study. J Sex Med. 2008;5:1468–73.

    Article  PubMed  Google Scholar 

  20. Mulhall J, Hall M, Broderick GA, Incrocci L. Radiation therapy in Peyronie’s disease. J Sex Med. 2012;9:1435–41.

    Article  PubMed  Google Scholar 

  21. Kadioglu A, Kücükdurmaz F, Sanli O. Current status of the surgical management of Peyronie’s disease. Nat Rev Urol. 2011;8:95–106.

    Article  PubMed  Google Scholar 

  22. Hatzichristodoulou G, Gschwend JE, Lahme S. Surgical therapy of Peyronie’s disease by partial plaque excision and grafting with collagen fleece: feasibility study of a new technique. Int J Impot Res. 2013;25:183–7.

    Article  PubMed  CAS  Google Scholar 

  23. Nesbit R. Congenital curvature of the phallus: report of three cases with description of corrective operation. J Urol. 1965;93:230–2.

    PubMed  CAS  Google Scholar 

  24. Gur S, Limin M, Hellstrom WJG. Current status and new developments in Peyronie’s disease: medical, minimally invasive and surgical treatment options. Expert Opin Pharmacother. 2011;12(6):931–44.

    Article  PubMed  Google Scholar 

  25. Lahme S, Götz T, Bichler KH. Collagen fleece for defect coverage following plaque excision in patients with Peyronie’s disease. Eur Urol. 2001;41:401–5.

    Article  Google Scholar 

  26. Garaffa G, Porst H, Ralph D. Peyronie’s disease, part II: surgical management. In: Porst H, Reisman Y, editors. The ESSM syllabus of sexual medicine. Amsterdam: Medix Publishers; 2012. p. 715–31.

    Google Scholar 

  27. Wilson S, Delk JRII. A new treatment for Peyronie’s disease: modeling the penis over an inflatable penile prosthesis. J Urol. 1994;152:1121–3.

    PubMed  CAS  Google Scholar 

  28. Levine L, Dimitriou RJ. A surgical algorithm fpr penile prosthesis placement in men with erectile failure and Peyronie’s disease. Int J Impot Res. 2000;12:147–51.

    Article  PubMed  CAS  Google Scholar 

  29. Taylor F, Levine LA. Surgical correction of Peyronie’s disease via tunica albuginea plication or partial plaque excision with pericardial graft: long-term follow up. J Sex Med. 2008;5:2221–8.

    Article  PubMed  Google Scholar 

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Correspondence to Georgios Hatzichristodoulou .

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Hatzichristodoulou, G., Lahme, S. (2014). Peyronie’s Disease. In: Merseburger, A., Kuczyk, M., Moul, J. (eds) Urology at a Glance. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54859-8_44

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  • DOI: https://doi.org/10.1007/978-3-642-54859-8_44

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