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Peyronie's Disease

good afternoon
I have a very big request to answer me a few questions.
I am 28 years old, as far as I can remember, I did not have a large curvature of the penis to the left,. there was no pain during intercourse, more psychological discomfort. I read a lot about the possible treatment options not an arc .. in short, I decided to have an operation! I was looking for a doctor with experience, and with experience. sort of found. came to the examination, he said that I have Peyronie’s disease, (although I thought it was a congenital illness) and it seems like a plaque is groping precisely from the side of the curvature. An operation was performed in a city clinic, he spent a couple of days in a hospital. After the operation, not a slight swelling was formed !! And the curvature did not go away. The doctor said that this should not be, and that they eliminated the cause, but the curvature may be due to a temporary absorbable lining in place of the plaque that was .... IS IT POSSIBLE . and said that now again there’s no need to climb there, and you need to give time 3 months to see the result. CAN IMPROVEMENT AFTER SOME TIME HAS PASSED ?? OR IS IT JUST BRAINS TO HERE ?? AND MUCH VERY WRONG AFTER OPERATING Puffiness. HOW MUCH TIME CAN THE Edema Hold
I will be VERY grateful for the answers.

It is very difficult for me to judge what happened in your operation.
It is difficult, because I was not present there, and for ethical reasons too.

Peyronie’s disease is now truly “younger.” I observed 30-year-old patients with plaques in the protein coat and with a curvature of the penis. However, in Peyronie’s disease (or local cavernous fibrosis), the curvature is acquired, usually after an injury to the penis.

You write that this curvature has always been. If so, this is an inborn curvature of the penis.

I do not know what to say.
Now it’s too early to talk about reoperation.
At least 2-3 months should pass after the primary, so that you can reoperate.

Please read this story.
If nothing changes for you, I’ll fix it.

By the way, I could not answer you in a timely manner. Now more than 2 weeks have passed, has something changed for the better?

good afternoon
The story that you advised to read, I read it before the operation. And he even brought it and showed it to the doctor (as an option of what should not be done). Almost a month later, there were no improvements at all, the curvature worsened by a factor of two. During the operation, there was an incision on the side of the curvature, now there is a compaction, and the hematoma may have completely decreased. I wait until another month and a half will pass, then I will seriously talk with the doctor (if the situation does not change) The second time, of course, he will not let me cut myself. Now I wear an expander in the afternoon for four hours, tell me if wearing an expander can improve the situation? Or is it better not to wear it? And if after one and a half months there will be no improvement, can you be operated on? and how much will it be ? And there is one more problem. I live in Kiev and am a citizen of Ukraine. It’s not very difficult to fly to Moscow for an operation, but will any additional papers be needed? and in general, is it possible to make an operation to a citizen of another country?

And what is the best way to handle postoperative puffiness?

How are you doing?
Can I use an extender?
Is there any result?

Hello. I did an ultrasound of the penis and this is what the doctor wrote in the results:
On the survey sonogram of the soft tissues of the penis, the skin is not changed. In the area of ​​the cavernous bodies, no additional formations were detected. The intramural part of the urethra is not changed. In the course of the artery of the penis and in the region. multiple small hyperechoic inclusions up to 0.8-0.6 mm (microcalcifications) without clear echo are located on the head. In the projection of the head on the left, a single hyperechoic inclusion of up to 1.6 mm with fuzzy echotene (plaque?) Is located. Peripheral lymph nodes at the time of examination are not enlarged, not changed.

Conclusion: echoes of microcalcinosis of the soft tissues of the penis (Peyronie's disease is not excluded).

Generally how to be?

A year ago I had a seal, in the form of a semicircle strand, and resolved a year later, I was checked and the doctor gave such a conclusion. That is, even an ultrasound doctor does not give a clear conclusion that there is peyronie's disease. What should I do?

Etiology

The etiology is unknown. The most likely cause of Peyronie’s disease is considered to be repeated microtraumas of the protein coat of the corpora cavernosa. The disease begins with an acute inflammatory process, as a result of which the proliferation of membrane fibroblasts increases sharply, some of which differentiate into myofibroblasts, and deposits of collagen and fibrin increase. Continued inflammation leads to remodeling of connective tissue into a fibrous plaque, which can lead to curvature of the corpora cavernosa.

Risk factors for developing Peyronie's disease are diabetes mellitus, arterial hypertension, impaired lipid metabolism, coronary heart disease, erectile dysfunction, smoking, and alcohol abuse. According to EAU, 3–39% of patients have Dupuytren's contracture.

Flow

Two phases of the disease can be distinguished: the phase of acute inflammation and the fibrotic stage.

The stage of acute inflammation can be manifested by pain in the penis at rest and painful erection, as well as the appearance of “soft” plaques and curvature of the penis.

In the fibrotic stage, a dense palpable plaque forms, which can subsequently calcify, this indicates the stabilization of the disease.

Over time, deterioration is observed in 30-50% of patients, stabilization - in 47-67%. Spontaneous improvement occurs only in 3–13% of patients. Improvement is possible at an early stage of the disease. After the formation, and especially calcification of the fibrotic plaque, spontaneous improvement is very rare.

Diagnostics

The initial diagnosis is made according to the results of external examination and palpation of the penis. The diagnosis can be confirmed after radiography or ultrasound of the penis, in which the size and structure of fibrous plaques is determined.

Clinically, the disease manifests itself as a curvature of the penis and pain during erection up to the impossibility of sexual intercourse. About 30% of patients suffer from erectile dysfunction

Prompt

Surgical intervention is most often a radical excision of a fibrous plaque. Sometimes plastic is needed at the site of the defect formed on the cavernous body. There are several ways to exclude plaque: Nesbit surgery, placement of a graft at the site of deformation, implantation of a penile prosthesis.

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