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Erectile dysfunction and Peyronies
Erectile Dysfunction can be defined as the inability
to maintain a hard enough erection to have intercourse,
is uncommon in Peyronies disease. Usually, this consists
of a reduction in maximum hardness. It is usually a
short-term effect, and rarely causes enough softening
to preclude normal intercourse. The main problem in
Peyronies disease is the Interrupted & Less Blood
supply in the penis and other Erection mechanism.
Men with Peyronies disease normally seek medical attention
for pain or bending of the penis during erection, which
results from swelling and scarring in a particular part
of the male anatomy known as the tunica albuginea. This
condition is most regularly acquired at about age of
55. A man can be born with curving of the penis, though
this is not Peyronies disease. It is somewhat uncommon,
affecting somewhere between one and three men in a hundred
Erectile dysfunction
has been reported to be associated with Peyronies. Recent
reports have suggested the occurrence of ED to some
degree with Peyronies to be up to 80%.
ED may be due to several factors in men with Peyronies
prior to any medical or surgical treatment together
with vascular insufficiency and structural alterations
making coitus difficult or impossible including severe
curving, shortening, and indentations causing a 'hinge-effect'.
There may also be a significant psychogenic component
to the ED in many men with Peyronies
which could clearly contribute to diminished erectile
response.
Erectile dysfunction allied with Peyronies is a problem
with not only physical but also psychological effects.
When considering treatment options for patients with
ED, the first line option used should be safe, minimally
invasive and reasonably successful. This therapy should
be strongly considered as primary medical therapy for
those presenting with ED associated with Peyronies.
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