Diagnosis of Peyronie’s disease
Diagnosis of Peyronie’s disease passes by three stages: history taking, physical examination, and investigations.
1) History taking: When you tell your doctor your complaint about the curved penis, penile pain, and any other symptoms, he will ask you about previous exposure to penile trauma.
Also, he will ask you about some risk factors, such as:
- Do you have other members in your family who suffer from a similar condition or problems in wound healing?
- Do you suffer from any connective tissue disease, such as Dupuytren’s contracture or tympanic sclerosis?
- Did you have any pelvic or prostatic surgery before?
- Your habits, such as smoking and alcohol intake
- Do you suffer from any chronic health problem, such as Diabetes Mellitus?
Then, your doctor will ask you to expose your penis to do the physical examination.
2) In the physical examination, the doctor will palpate your penis to feel the scar tissue and evaluate its site and size. He also will measure the length of your penis. Also, your doctor may need to see your erection, and, to do this, he will inject a drug into your penis. These initial measurements help your doctor in the follow-up, which enables him to see if your condition improves or worsens. Your doctor also may need you to take some pictures for your penis during the erection at home, which may help accurate evaluation of the condition.
Your doctor may depend on the medical history and physical examination to reach the diagnosis of Peyronie’s disease. But sometimes, he will need to rule out some condition that presents with similar symptoms, such as penile cancer or congenital curvature, to confirm his diagnosis. Thus, he may order an ultrasound imaging of the penis.
3) Ultrasound imaging: In penile abnormalities, ultrasound is the most useful imaging technique. It uses the ultrasound waves to take a picture of the soft tissues in the body. It enables the doctor to see the site of the scar tissue and evaluate the blood flow to the penis.
On rare occasions, your doctor may need to take a biopsy from the scar tissue and send it for laboratory examination by a pathologist. He may do that when he needs to confirm his diagnosis and to rule out cancer, or if the condition deteriorates rapidly.
» After the diagnosis, your doctor will discuss the available treatments for Peyronie’s disease with you.