Peyronie’s Disease

What is Peyronie’s Disease?

Peyronie’s Disease is a connective tissue disorder affecting the Tunica Albuginea, the tough fibrous layer of connective tissue that surrounds the erectile tissue (Corpus Cavernosum) of the penis. In Peyronie’s disease, when the penis becomes erect, the region where the scar tissue (penile plaques) is formed does not stretch, and the penis bends or becomes disfigured and can be painful. Penile duplex Doppler ultrasound (PDDU) is used to diagnose Peyronie’s Disease.

The Cause of Peyronie’s Disease

The most common cause of Peyronie’s disease is from a sudden bending trauma (buckling) to the penis during intercourse. Some men report no known traumatic event to the penis, but have certain health and inherited conditions that may increase their likelihood of developing Peyronie’s disease.

Signs and symptoms:

  • When the penis is erected there is a change of shape and bend of the penis, this can pull the penis and make it short or narrowed.
  • Pain in the penis when erected.
  • You can feel a thicken scar tissue when the penis is not erected.
  • Increases psychological distress and anxiety of the condition.

Factors increasing the chances of Peyronie’s Disease:

  • Age: The prevalence of the condition increases with age, especially for men in their 50s and 60s.
  • History of connective tissue disorders (Dupuytren’s contracture – cord like thickening to the palm of your hands)
  • Cardiovascular disease such as hypertension: increase risk of erectile dysfunction (ED)
  • Diabetes
  • Obesity
  • The side effects of Prostate cancer surgical and medical management (such as the side effects of radiation therapy and radical prostatectomy).

How can Pelvic Connections help?

We work closely with your GP or urologist to discuss your treatment options, this could involve therapeutic ultrasound therapy applied to the penile plaque 2-3x/week over 4-6 weeks.

Pelvic Connections whole body approach around assessment and management will also determine if we need to work around the muscles around your hips, abdominal wall, and core. Pelvic floor muscles training (up training and down training) to assist with maintaining an erection and to help the management of pain with intercourse. Penile pump therapy can also be explored. 


The Physiotherapists Treating Men’s Health