Peyronie’s Disease

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How is Peyronie’s Disease diagnosed?

The differential diagnosis between Peyronie’s Disease and congenital penile curvature is based on history taking and on the examination of the genitalia. Often patients report that the condition has started following a trauma to the erect penis during sexual activity. 

A lump in the tunica albuginea can be palpated at the examination of the penis; it is important to document size, location and texture of the lump.

The degree of deformity and shortening can be assessed only in the erect state, when the tunica albuginea of the corpora cavernosa is stretched to its maximum capacity.

Since self-photography of the erect penis can underestimate the exact tridimensional extent of the curvature, as the picture is by definition bi-planar, an artificial erection should be always induced in clinic in order to precisely document the degree of deformity. 

A precise assessment of the degree of deformity is paramount, as different types of deformities are better corrected with different surgical techniques.

A thorough assessment of the penile blood supply should be carried out performing an Eco Colour Doppler Ultrasound Scan following induction of an artificial erection, as some type of surgical procedures are contraindicated in case of poor vascular parameters due to the risk of postoperative worsening of the quality of erections. Therefore, the Eco Colour Doppler Ultrasound Scan of the penis provides the surgeon with extremely important information that will help to choose the most appropriate treatment option for each specific patient. 

Why Choose Giulio

Giulio is a veteran surgeon with 15 years of experience in the field of Andrology and Reconstruction. He is also one of the largest penile prosthesis implanters in Europe, as well as the surgeon who performs the largest number of procedures for the correction of complex cases of Peyronie's disease. He has been invited to lecture and perform surgery in 21 different countries, in 6 different continents.

130

Penile prosthesis implants last year

300

Complex Andrological procedures every year

700

Phalloplasties over his career