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Peyronie’s Diseases Treatment in Lucknow

What is Peyronie’s Diseases?

Phimosis is a medical condition in which the foreskin of the penis cannot be retracted (pulled back) over the glans (head) of the penis. It can occur naturally or as a result of other conditions and can be categorized into physiological and pathological types.

Signs & Symptoms of Peyronie's Disease

Key Symptoms

  • The penis may bend upward, downward, or to the side during erections.
  • Pain can occur during erections, but sometimes it is also present without an erection.
  • Scar tissue, or plaque, can be felt under the skin of the penis. It might feel like a flat lump or a band of hard tissue.
  • Difficulty achieving or maintaining an erection can occur.
  • The length of the penis may decrease due to the curvature.
  • Some men may notice a narrowing of the penis, causing an hourglass-like appearance.

Causes of Peyronie's Disease

The exact cause of Peyronie's Disease is not fully understood, but several factors are believed to contribute:

Possible Causes

  • Trauma or Injury: Repeated injury to the penis, often from vigorous sexual activity or physical activity, can lead to scar tissue formation.
  • Genetics: A family history of the disease increases the risk.
  • Connective Tissue Disorders: Conditions such as Dupuytren's contracture, which affects the hands, are associated with Peyronie's Disease.
  • Aging: The condition is more common in men over 50.

Treatment Options

  • Oral Medications: Vitamin E, potassium aminobenzoate, and others have been used, but evidence of their effectiveness is limited.
  • Injectable Medications: Collagenase clostridium histolyticum (Xiaflex) is FDA-approved to break down the collagen causing the curvature.
  • Penile Traction Therapy (PTT): Devices that stretch the penis over time can reduce curvature.
  • Shockwave Therapy Low-intensity shockwaves may help break down scar tissue, though more research is needed.
  • Nesbit Procedure: Removing or pinching tissue from the longer side to straighten the penis.
  • Plication Surgery: Shortening the side opposite the plaque.
  • Grafting: Removing the scar tissue and using a graft to cover the defect.
  • Penile Implants: For men with severe Peyronie's Disease and erectile dysfunction, implants can straighten the penis and enable erections.

Potential Complications

  • Psychological Impact: Anxiety, depression, and stress related to sexual performance and body image.
  • Chronic Pain: Persistent pain even when not erect.
  • Difficulty with Intercourse: Severe curvature can make penetration difficult or impossible.

When to Seek Medical Advice

  • Persistent inability to retract the foreskin in a child older than 3 to 7 years.
  • Painful symptoms associated with phimosis.
  • Recurrent infections or inflammation of the foreskin.
  • Urinary problems linked to tight foreskin.

Treatments Offered by Dr. Aditya P.S Sengar for Phimosis

URSL

Ureteroscopy (URS) is a minimally invasive procedure used to diagnose and treat conditions of the urinary tract, particularly kidney stones.

RIRS

RIRS (Retrograde Intrarenal Surgery) is a minimally invasive surgical procedure used to treat kidney stones located within the kidney.

PCNL

PCNL (Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove large kidney stones, typically those that are too large to be passed naturally.

MINIPERC

Miniperc (Mini Percutaneous Nephrolithotomy) is a minimally invasive surgical procedure used to remove kidney stones that are larger than what can typically be treated by other procedures.

ECIRS

ECIRS (Endoscopic Combined Intrarenal Surgery) is an advanced minimally invasive surgical approach used to treat complex kidney stones.

CYSTOLOTHOTRIPSY

Cystolithotripsy is a surgical procedure used to remove bladder stones.

LAPAROSCOPIC PYELOLITHOTOMY

Laparoscopic pyelolithotomy is a minimally invasive surgical procedure used to remove kidney stones (renal calculi) that are too large or complex to be treated.

LAPAROSCOPIC URETEROLITHOTOMY

Laparoscopic ureterolithotomy is a minimally invasive surgical procedure used to remove stones (ureteral calculi) from the ureter, the tube that carries urine from the kidney to the bladder.