A CASE OF PEYRONIE'S DISEASE

PEYRONIE’S DISEASE:

                This is a 38 yr. old male who presented with erectile dysfunction.

Examination revealed 2 hard plaques palpable along the corpora cavernosa.

Ultrasound confirmed the presence of calcific plaques of 8 to 10 mm. within the

tunica albuginea of the penis, just superficial to the corpora cavernosa.

 

DIAGNOSIS: Peyronie’s disease, possibly type 2 in this case.

 

 

What is Peyronie’s disease?

Peyronie's disease is a poorly understood condition afflicting men usually in their 40s but may range from 18 to 68 years. It is characterized by a plaque, calcific or non calcific, in the tunica albuginea of the corpora cavernosa in the penis which leads to penile deformity making sexual intercourse difficult if not impossible. It is often accompanied by severe pain upon erection in the early stage.

   Morphological pattern in ultrasound: There are 3 types bases on ultrasound findings: (type 1)à the plaque appears as a thickening of the tunica albuginea without acoustic shadowing;

(type 2)à moderately calcified plaque with typical ultrasound shadow but minimal density increase in the density profile;

(type 3)à severely calcified plaque with typical acoustic shadowing and density increase in the histogram profile.

 References:

                   1)  http://www.andrologyjournal.org/cgi/content/full/25/5/752

Calcification of penis (corpora cavernosa) in hemodialysis patients

               2)http://www.penisdoctor.com/peyronies.htm