Peyronie’s Disease in Singapore: treating a senget kukujiao

Peyronie’s disease in Singapore is a penile deformity that SIRE sees sometimes.

You’ll know you have PD if you see your penis bending or curving during erection.

A small number of Singaporean men experience this form of sexual dysfunction.

SIRE can help if you if your kukujiao (penis) is senget (bent).

How do I know if I have PD?

PD causes the penis to become curved and painful, potentially leading to difficulty with sexual activity.

It is not a very common disease, but it can significantly impact a man’s quality of life as it affects the male genitals.

People have known Peyronies’s disease from as far back as 1743. The disease wasnamed after surgeon François Gigot de La Peyronie. In those days, people considered it an illness related to sexual activity or a sexually transmitted disease.

Today, we know it is not an infectious disease but a wound-healing disorder, caused by the formation of fibrous scar tissue inside the penis.

You will see some scar tissue, which is also known as plaque. Your scar tissue can develop in a layer of tissue that surrounds the erectile tissue in the penis.

When the scar tissue builds up, it can cause the penis to curve or bend during an erection, leading to pain and other symptoms. Worse yet, the scar tissue can hardened over time, making it more difficult to treat.

But how common is this specifically among Singaporeans? We’ll explore the data but SIRE does get inquiries from time to time.

How common is Peyronie’s disease among Singaporeans?

Peyronie’s disease affects about0.5 – 13% of adult males worldwide. Singaporean men experience PD at a rate of 1 to 3%.

This figure might be underestimated because men tend to be reluctant to reveal their sexual health problems.

But for Singaporean men, this could be caused by injury to the penis, genetics, or other underlying medical conditions.

Living with this disease can be challengingphysically, psychologically and emotionally. Men with this condition experience pain during sex, leading to anxiety and psychological distress.

It is important to talk with your partner and healthcare provider about these concerns and get yourself evaluated for immediate treatment to manage the symptoms of this condition.

What are the typical signs of Peyronie’s disease?

If your penis curves while attaining an erection, you may have Peyronie’s disease.

Theabnormal curvature in Peyronie’s disease tends to reduce penile length and can interfere with sexual activity by reducing performance, which are embarrassing issues for the patients.

You may also notice a lump on the penis due to abnormal wound healing. The initial stage of Peyronie’s disease, also known as the acute phase, is characterized by painful erections. This phase typically lasts up to 6 months and may be followed by either stabilizing or worsening the curvature.

Does this sound like you? Then you might have Peyronie’s disease and must consult a doctor to confirm it.

Causes of Peyronie’s Disease

Peyronie’s disease is a wound-healing disordercaused by the buildup of scar tissue in the penis, which can lead to curvature or bend in the erect penis. Men with a positive family history of Peyronie’s disease or who have suffered repeated trauma to the penis are at a higher risk of developing this condition.

When there is some injury to the penis during sexual activity, the healing process may become abnormal, leading to excessive buildup of scar tissue, forming a lump anddisturbing the penile curvature.

Some men with Peyronie’s disease may have some past injury to the penis, which causes a curved penis. It’s a progressive disorder; if ignored, it can worsen with time.

Diagnosis

If you are experiencing symptoms of Peyronie’s disease, it is important to talk to your doctor or a urologist at a hospital (Tan Tock Seng Hospital, Mount Elizabeth Hospital, etc.) or a GP/polyclinic as it can cause sexual dysfunction.

They can perform aphysical exam of your genitals and imaging tests, such as anultrasound, to diagnose the condition.

It is unlikely that the condition will correct itself without any medical intervention. Less than 15% of men with this condition report a recovery without any medical treatment. It means that if you got this disease, you should go for medical treatment as soon as possible because the condition will worsen with time and will not resolve on its own.

A urologist will usually recommend a penile Doppler ultrasound to confirm the diagnosis. Before the ultrasound, you may be given an injection to induce an artificial erection to evaluate the penile curvature.

Peyronie’s Disease Treatment

First up, treatment might not be necessary. When it comes to your kukujiao, it’s form over function.

If you and your partner aren’t experiencing any discomfort during intimacy, then you are fine.

In fact, curvature can help enhance the experience in certain positions, as it reaches into sensitive points like the G-spot

However, you should seek treatment if you have acute pain after sex as this might increase the risk of inflammation and worsen your penis’s curvature.

If you feel unmotivated in the bedroom and are losing intimacy with your partner or have sexual dysfunction such as erectile dysfunction or premature ejaculation, then you need to see a doctor. SIRE can help.

Several treatment options are available for Peyronie’s disease, depending on the severity of the condition.

Medication

Mild cases may be treated with medication which can help break down the scar tissue and improve the curvature of the penis.Both oral and intralesional therapy are available to treat the condition.

Surgery

If medical therapy fails or you want quick results, your doctor will advise you to go forpenile surgery. Suppose you do not have a problem with erectile function, and your curvature is not too severe. In that case, you will undergo a simple surgical treatment called penile plication to correct the curvature. In surgical procedures, there is a risk of penile shortening.

If your curvature is more severe, your doctor will go for anincision of the plaque and use a graft. This procedure carries arisk of erectile dysfunction as a complication. Suppose you already have erectile dysfunction along with Peyronie’s disease. In that case, your surgeon will go for the placement of an inflatablepenile prosthesis. It will resolve both issues, erectile dysfunction and penile shortening.

LiSWT

A non-invasive treatment that can improve the symptoms of Peyronie’s disease is electro shockwave therapy.

Sometimes, it’s also known as low-intensity shockwave therapy (LiSWT), and it’s named as such because during the procedure, a machine delivers low-intensity shockwaves to the affected area of the penis, stimulating the growth of new blood vessels and breaking down the fibrous scar tissue that causes the curvature.

The shockwaves help to stimulate the body’s natural healing response, which can lead to a reduction in pain and an improvement in erectile function. The treatment typically involves a series of sessions, which are usually administered once a week for several weeks.

Studies have shown that LiSWT can help, though a doctor will assess and employ the therapy on a case-by-case basis.

The bottom line

Peyronie’s disease is a relatively rare condition that can significantly impact a men’s quality of life.

It is important to seek medical attention if you are experiencing symptoms, as early diagnosis and treatment can help to prevent complications and improve outcomes.

Several treatment options are available for Peyronie’s disease, including medical and surgical treatments to help you. Message us to learn more.

FAQ

What is PD?

PD is a condition where scar tissue builds up inside the penis, causing it to bend or curve during an erection.

What are the symptoms and causes of PD ?

Peyronie’s disease is a condition in which fibrous scar tissue develops inside the penis, causing it to curve or bend during an erection.

The symptoms of Peyronie’s disease may include a curved or bent penis during an erection, pain during an erection, and difficulty with sexual intercourse.

The exact cause of Peyronie’s disease is not known, but people think it comes from trauma or injury to the penis, genetics, or other underlying medical conditions.

Who is more likely to have PD?

Peyronie’s disease is a relatively common condition that can affect men of all ages, although it is more common in middle-aged and older men.

Can your PD be cured?

While there is no cure for Peyronie’s disease, there are several treatment options available to help manage the condition and improve symptoms.

How do health care institutions treat PD ?

Your Peyronie’s disease is typically diagnosed through a physical exam and medical history. You may need additional testing, such as ultrasound or x-rays, to confirm the diagnosis.

What are the management and treatment options for PD ?

Treatment options for Peyronie’s disease may include medication, surgery, or the use of traction devices to straighten the penis.

Treatment options for Peyronie’s disease may include medication, surgery, or the use of traction devices to straighten the penis. People say that electroshock wave therapy and injections of collagenase are also treatments that show positive effect.

Are there any complications associated with PD ?

Complications of Peyronie’s disease can include erectile dysfunction, difficulty with sexual intercourse, and emotional distress related to the condition.

How does PD affect the curvature of the penis?

Peyronie’s disease causes scar tissue to develop inside the penis, which can cause it to bend or curve during an erection.

How much curvature must I have in order to consider it PD?

Anywhere from 15 to 90 degrees.