Penis Deviation

Penile Curvature (Penile Deviation): Medical History

The anamnesis (medical history) represents an important component in the diagnosis of penile deviation (penile curvature). Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When did you first notice curvature of the penis? … Penile Curvature (Penile Deviation): Medical History

Penile Curvature (Penile Deviation): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital (congenital) penile deviation. Cardiovascular system (I00-I99) Thrombophlebitis (superficial phlebitis) or thrombosis of a vein running along the back of the vein. Segmental swelling thrombosis Neoplasms (C00-D48) Penile tumor (e.g., penile carcinoma, penile sarcoma, penile metastases). Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Induratio penis plastica … Penile Curvature (Penile Deviation): Or something else? Differential Diagnosis

Penile Curvature (Penile Deviation): Complications

The following are the most important diseases or complications that may be contributed to by penile deviation (penile curvature): Endocrine, nutritional, and metabolic diseases (E00-E90). Hypogonadism (more common in men with induratio penis plastica). Circulatory system (I00-I99) Thrombophlebitis (superficial phlebitis) or thrombosis of a vein running along the back of the vein. Genitourinary system (kidneys, … Penile Curvature (Penile Deviation): Complications

Penile Curvature (Penile Deviation): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes [due topossible andropause/menopause in men/hypogonadism (hypofunction of gonads (gonads)): dry and brittle skin; hot flashes and sweats; balding forehead hair, decreased beard growth]. Inspection and … Penile Curvature (Penile Deviation): Examination

Penile Curvature (Penile Deviation): Drug Therapy

Therapy goals Pain relief Removal/reduction of penile deviation (penile curvature). Therapy recommendations Potassium paraaminobenzoate: results in significant decrease in plaque size as well as inhibition of progression of penile deviationFrequent gastrointestinal side effects. Erectile dysfunction (ED; erectile dysfunction): see below of the disease of the same name. See also under “Surgical therapy” and “Other therapy”.

Penile Curvature (Penile Deviation): Diagnostic Tests

Obligatory medical device diagnostics. Penile ultrasonography (ultrasound examination of the penis) [detection of plaques in number and size (echo-rich thickening of the tunica albuginea (connective tissue sheath around the corpora cavernosa)); calcified or not yet calcified: calcifications (calcifications) in the plaque area can be identified by the dorsal acoustic shadow] Doppler sonography (ultrasound examination that … Penile Curvature (Penile Deviation): Diagnostic Tests

Penile Curvature (Penile Deviation): Surgical Therapy

Surgical procedures should only be used in cases of severe functional impairment i.e. severe penile curvature with significant problems with cohabitation (intercourse). Before surgical intervention, it must be ensured that there is a disease arrest of about 6-12 months. 1st order (for induratio penis plastica). Surgery according to Nesbit (shirring technique): on the longer, convex … Penile Curvature (Penile Deviation): Surgical Therapy

Penile Curvature (Penile Deviation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate penile deviation (penile curvature): Leading symptom Curvature of the penis (usually upward, but also downward or to one side; deviation greater than 45°, sometimes up to 90°). Accompanying symptoms of induratio penis plastica Hardening or nodules (coarse plaques) usually on the concave side of the penile deviation in … Penile Curvature (Penile Deviation): Symptoms, Complaints, Signs

Penile Curvature (Penile Deviation): Causes

Pathogenesis (development of disease) A distinction is made between congenital (congenital) penile curvatures and acquired penile curvatures: Congenital penile curvatures as a result of genetic maldevelopment of the penis are usually discovered in the newborn. Examples of acquired penile curvatures: Induratio penis plastica (IPP, Latin induratio “hardening”, synonym: Peyronie’s disease; ICD-10 GM N48. 6: Induratio … Penile Curvature (Penile Deviation): Causes

Penile Curvature (Penile Deviation): Therapy

General measures Mechanical penile modeling: targeted penile stretching and bending exercises as directed by a physician. Conventional non-surgical therapy methods Extracorporeal shock wave therapy (ESWT): is used to directly destroy calcified structures and is thought to improve blood flow.ESWT is usually part of a multimodal approach, meaning that it is performed alongside mechanical penile modeling … Penile Curvature (Penile Deviation): Therapy