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Peyronie's Disease (2015)
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== Background == * '''Definition of Peyronie’s disease (PD):''' *# '''Acquired penile abnormality''' *# '''Characterized by fibrosis of the tunica albuginea''' *# '''Which MAY be accompanied by (4) Peyronie’s Disease Erectile Dysfunction:''' *##'''Pain''' *##'''Deformity''' *##'''Erectile dysfunction''' *##'''Distress''' * '''Pathophysiology: inflammatory disorder of the tunica albuginea''' ** '''Microvascular trauma to the penile shaft associated with penile buckling in the erect or semi-erect state secondary to sexual activity is thought to be the most common inciting event,''' though most men cannot recall a specific event * '''Natural history: PD is characterized by symptoms with a variable course, some of which may improve or resolve without treatment in some patients'''. ** '''Pain will usually resolve over time without intervention; curvature, is much less likely to improve and may require treatment if it compromises sexual function and/or is the source of patient or partner distress''' * PD can have a profound negative impact on men’s QoL. Many men with PD experience emotional distress, depressive symptoms, and relationship difficulties.
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