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The health pill speaks of the Syndrome of Peyronie or curve foam. Il Dr. Danilo Centrella, surgeon, specialist in urology and andrology and director of the complex structure of Verbano Cusio Ossola, explains what this disease is, what causes it and what treatments it is.
Who was La Peyronie? To find out who he was Francois Gigot de La Peyronie let’s go to more than 300 years ago. He was a very knowledgeable French surgeon. A “battle” surgeon, one of those who worked on the field and gave, like the old surgeons, his support. He was so good that King Louis XV in 1740 wanted him in his court.
He studied battle medicine a lot. And it was he who described an extremely important diagnosis in urology. What is it about? Of the curvature of the penis, because from the evaluation of different patients, including also Louis XV, had seen that there was a disease of deviation of the penis. In truth, he was not the first: even Andreas Vesalius, who in 1500 described the human body with perfect anatomical tables, had already described this type of disease.
But what is Peyronie’s disease or hardening penis plastic? It is a disease caused by a familial genetic predisposition to a collagen deposit, a particular substance like a scar, on a part of the penis that is the elastic membrane that covers the corpora cavernosa which are the part that allow an erection. So what happens? Yes it has a deviation of the penis, a deformation of the penis and a pain during erection and a difficulty also in penetration.
If we consider that man represents his masculinity, therefore also the relationship with the outside world, even through his genitals, know that it is a disease with a very strong psychological component. And don’t think it’s rare, it’s not rare. You think it is in Italy and in the world one in ten men suffer from this diseasewith an incidence around 50/70 years, but, in reality, it is much earlier than in the past, precisely because the frequency of sexual intercourse has increased. The age of sexual intercourse is also anticipated. If we then think that in predisposed subjects, such as the diabetic subject, hypertensive, with hypercholesterolemia, with metabolic diseases, those who smoke a lot of cigarettes, those who drink alcohol there is a greater incidence up to one in 5 men, you understand that for us boys it is a major social disease.
Medicine has made great strides in treatment compared to the past. There is no gold standard of treatment, but the treatment is called tayloring, ie tailoring, for each type of patient’s disease. There are two phases, an acute phase, in which there is an inflammatory disease, and a chronic phase, in which there is a deviation of the penis.
Today there are treatments that are cutting edge like botulinum clostridium infiltrationthe collagenases of Clostridium which are used to dissolve the plaque, or the autologous stem cell transplant, as the prpor the low frequency shock waves which serve as a cavitation contraction decontraction ability to activate the metabolism of this plaque.
So no worries, every man has the opportunity to make an adequate treatment, contact your general practitioner at the urologist-andrologist of your choice.
Anyone wishing more information can visit the website of Dr. Danilo Centrella, surgeon, specialized in urology and andrology and director of the complex of urology of Verbano Cusio Ossola www.danilocetrella.it.
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