Dr. Paul E. Perito is an expert and men’s health, focusing primarily on erectile dysfunction and urinary incontinence. He has performed almost 4,000 penile implant surgeries at Coral Gables Hospital, where he is chairman of the urology department. Aside from being the most in-demand penile implant physician in the nation, he also offers testicular implants and the surgical correction of Peyronie’s Disease. Peyronie’s Disease devastates those who are affected. Here, Dr. Paul E. Perito offers information about its causes and symptoms.
What is Peyronie’s Disease?
According to Dr. Paul E. Perito, Peyronie’s disease is a condition characterized by curvature of the penis. The condition can present ventral, lateral, or dorsal curve as well as shaft indentation in varying degrees. Dr. Paul E. Perito also says that the penis’s capability to withstand axial forces may result in another cosmetic defect, referred to as the hinging effect. The penile deformities are caused by scar tissue inside of the shaft of the penis. Painful erections are common early on, and can persist as the disease progresses. Dr. Paul E. Perito notes that patients report that sexual intercourse becomes difficult or impossible as the disease takes hold. In addition to penile curvature, bending and narrowing are common; more extreme cases may result in shortening of the penis. Dr. Paul E. Perito says for men who suffer from Peyronie’s disease that this is the most devastating side effect.
History and Causes
It is believed, notes Dr. Paul E. Perito, that Peyronie’s disease was first noticed in the 13th century, although François Gigot de la Peyronie was the first physician to describe and even treat the issue. In 1743 de la Peyronie described the disorder as a result of scarring due to venereal disease, says Dr. Paul E. Perito. It is widely believed that Peyronie’s disease is the result of trauma to the penis in either its flaccid or erect state. There is evidence to suggest that the enzymes that are responsible for scar tissue remodeling are fragmented or absent in patients with Peyronie’s disease, says Dr. Paul E. Perito.
Diagnosis of Peyronie’s Disease
The science behind the diagnosis of Peyronie’s disease is still evolving, reports Dr. Paul E. Perito. The best way for physicians to diagnose Peyronie’s Disease is to induce an artificial erection via an intercavernosal injection utilizing a vasoactive agent. According to Dr. Paul E. Perito it is then possible to measure the angle and girth of the penis. Many patients who present with Peyronie’s Disease also suffer from other vascular risk factors, including hypertension and diabetes. Less common fibrotic comorbidities such as Dupuytren and Ledderhose Disease have also been found in around 20% of patients, says Dr. Paul E. Perito.
There are a variety of surgical and nonsurgical treatments available for the treatment of Peyronie’s. Dr. Paul E. Perito maintains that surgical reconstruction may be a viable option for those who are unable to perform sexually as a result of the condition. If the patient is not a candidate for a penile implant he utilizes two academic referral centers in Chicago and Tampa to restore a patients sexual function.
To schedule a consultation with Dr. Paul E. Perito, or for more information on his office and surgical procedures available, please visit www.peritourology.com.
The information contained in this article is provided by Dr. Paul E. Perito for educational purposes only. It is not intended to treat or diagnose any condition.
