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Impotence and dating

The causes of PD are not completely understood but it is believed that it originates from trauma or repeated microtrauma to the erect penis in genetically susceptible men, leading to symptoms such as inflammation, a lump or plaque in the shaft, pain, and deformities of the penis such as curvature.

PD may be more common following prostatectomy (16%) or in diabetic men with ED (20%).

In 2015, an International Consensus Panel on Sexual Medicine (ICSM) met to discuss the role of penile traction therapy in treating various conditions.

Penile curvature will rarely improve during the late phase of the disease. A retrospective comparative study of traction therapy vs.

Physicians refer to Peyronie’s disease as a sustained or progressive disease. no traction following tunica albuginea plication or partial excision and grafting for Peyronie’s disease: measured lengths and patient perceptions.

The late or chronic phase begins approximately 6 to 18 months after the first symptoms.

During the chronic phase, pain and inflammation typically end and a bend in the penis becomes evident and may worsen.

Regardless, the belief that PD will resolve without treatment over time persists. Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study.

This belief sometimes presents an obstacle to early treatment that may benefit many men.

Xiaflex has been cleared by the FDA to treat PD and has demonstrated improvement in penile curvature without impacting penile length or pain.

Since the introduction of Xiaflex, interferon and verapamil are less commonly used in current practice.

Sometimes patients are misdiagnosed with ED instead of PD.