Diagnosis of Peyronies Disease

By  , Expert Content
Feb 15, 2012

Peyronies disease can be diagnosed clinically based on history (how the problem started as you describe it to your doctor) and visual and physical examination (what the doctor can see and feel). According to some research, Peyronies disease affects about 9% of men. It occurs most often in middle-aged men, but younger and older men can also get it. An association between Peyronie's disease and Dupuytren's contracture has been noted.  Dupuytren's contracture causes a claw-like deformity of the hand. The little finger and the ring finger are bent over towards the palm of the hand. In some cases, other fingers may be affected as well. About 10 to 25 per cent of men with Peyronies disease have Dupuytren's contracture.

Medical history: Some questions your doctor may ask include:

  • When did the symptoms start?
  • Is the deformity increasing?
  • Is it painful?
  • Do you have difficulty in sexual intercourse?

Physical exam: The doctor will try to feel (palpate) the penis when it's flaccid (not erect) to assess the location and amount of scar tissue you have and perhaps measure the length of your penis as well. The measurement can help to determine whether the penis has shortened if the condition worsens. You may be asked to take photos of your erect penis at home so that the doctor can determine the severity or degree of curvature when the penis is erect and location of scar tissue. It can help to plan treatment.

Lab tests: Most cases do not need any special investigations. Some tests that may be done include:

  • Ultrasound: This is a painless and non-invasive test, which is often used to assess penis abnormalities. It uses high-frequency sound waves that cannot be heard by human ears to obtain information of structures inside the body. The pattern of the echoes produced when the sound waves are reflected from the internal structure creates a picture called a sonogram. The radiologist can differentiate normal and abnormal images on sonogram. A penile ultrasound can show the presence of scar tissue, blood flow to the penis and other abnormalities.
  • Biopsy: This test involves taking a sample of tissue from the lump (or area of scar) to be examined under microscope. A pathologist will examine the biopsy sample. It may be done if the lump enlarges rapidly to rule out carcinoma or if the lump is developing an unusual manner.
  • X-rays: It is done on an erect penis. Before taking images of your penis, the doctor may give an injection directly into the penis that causes it to become erect. To lessen pain before the injection, you may be given a local anesthesia.


Read more articles on Curvature of the Penis.



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