Dermatologic Manifestations of Peyronie Disease Clinical Presentation

Updated: Jun 19, 2018
  • Author: Anne Elizabeth Laumann, MBChB, MRCP(UK), FAAD; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

Usually in Peyronie disease, the penis hurts only during an erection. This pain occurs in one third of patients. Penile curvature of varying degrees may be observed, only during an erection. No history of a congenital malformation of the penis (eg, chordee) or a metastatic cancer is present. Risk factors for Peyronie disease include history of erectile dysfunction and history of coital trauma to the penis. [7]

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Physical Examination

On palpation, a fibrotic plaque, usually greater than 1.5 cm in diameter, is felt over the penile shaft, usually either ventrally or dorsally.

The erect penis may be curved, or it may have an hourglass deformity with flaccidity of the distal penis. The patient can obtain photographs of the erect penis in private to demonstrate the increased curvature. Self-taken photographs can be used to establish a reference point for subsequent observation or treatment.

Evidence suggests that pain tends to lessen with time, but fibrosis and/or deformity tend to increase or persist. Waiting 12-24 months for the plaque to stabilize before surgical intervention is typical.

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Complications

Complications of Peyronie disease include the complete inability to maintain sexual performance.

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