dr. Mohit Khera, a leading urologist, warned that many men with Peyronie’s disease are being treated in silence.
Millions of American men are ‘suffering in silence’ with deformed penises, the number one urologist has warned.
dr. Mohit Khera, of Baylor College of Medicine in Texas, said that one in 10 American men has Peyronie’s disease, a condition where scar tissue, known as plaques, appears under the pores and skin of the penis.
It is usually caused by repeated micro-traumas during intercourse, masturbation or exercise, and results in the individual’s genitals being bent to various degrees. Patients usually do not remember any specific trauma to the penis.
Dr Khera warned that most men do not seek help because of stigma and shame, despite the condition being highly treatable if caught early.
Dr. Khera told The Peter Attia Drive Podcast: “Seven to nine percent of men in the United States have Peyronie’s disease.
‘These residents, I called those residents who suffer in silence. They never talk about it. In fact, research shows that they are very quiet and do not help you search at all.
“The problem with that is that it has a significant impact on their quality of life.”
He added: “Patients who have the disease really suffer from depression. They feel that there is a deformity.
He said there are treatments for the condition, including injections and surgery.
When a man gets an erection, two columns of spongy tissue on either side of the penis expand and fill with blood.
In general, this leads to a straight or almost straight erection.
But in cases where the penis has been injured, such as through sex or vigorous masturbation, the healing process may have created a plaque in the fibrous sheath that surrounds the columns.
It causes the penis to bend up to 180 degrees when it is erect or flaccid.
There is some variation in how many men have Peyronie’s disease.
According to the National Institutes of Health, it affects one in 100 men, which equates to about 1.6 million American men.
But in 2011 study from RTI Health Solutions, which surveyed 11,400 men about their erections, the figure is 13 percent.
Dr Khera said if someone suffers a penile injury, it is important to get to hospital immediately to help prevent problems such as Peyronie’s disease.
The disease has two phases, says Dr Khera.
During the active phase, which can last up to a year, scar tissue continues to form and the penis gradually becomes more curved. Men can also feel the pain.
There is no point in doing any treatment at this point because the penis will continue to curve and more will be needed.
But in the following passive phase, the penis stops bending and nothing changes. The key can also disappear.
Men with Peyronie’s disease are also more likely to suffer from depression and erectile dysfunction because they believe they have a “deformity”.
Dr. Khera mentioned, “There is an active phase of 12 months, and in those 12 months it is the 15, 40 and 45 rule.
‘Out of all men, 15 percent just get better. Forty percent remains the same. And 45 percent of patients will get worse.
“That’s why it’s imperative to let victims know: Look, I’m not going to work on you, because if I work on you, and you’re the 45% that’s going to get worse, I’m going to have to work again.”
Doctors can deal with this situation by injecting an enzyme called collagenase into the plaque, which can also help break it down and straighten the penis.
Patients may undergo a surgical procedure in which sutures are placed on the opposite side of the penis to the plate or the plate is cut out.
Also available off-label are traction units such as RestoreX, which are most often used to lengthen the penis, although they will additionally help straighten it.
The 2021 inspection revealed Journal of Sexual Medicine found that 27% of men who had this situation were in scientific despair. It found that men who were not in relationships were significantly at risk.
Another check from the identical 12 months appeared on time Men’s Health Journal found that men who had this situation were more prone to despair and anxiety.
Men who have this situation can become desperate because they fear sexual contact with others.
In addition, they are at a higher risk of erectile dysfunction due to problems with their responses to their penis and whether they will be able to communicate with their partner.