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Urology (Expert Forum)
diagnosis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
diagnosis
by crossbones, May 24, 2004 12:00AM
I am 54, approximately 6 months ago I experienced pain during erection, no change in sexual function. There was no trauma involved. About 3-4 months ago the pain subsided, however I now notice an upward bend in my penis. The bend being just before the head, typical to Peyronies illustrations. Sexual function is diminished. All other functions are fine. I do not notice any hardening of tissue. Is this erectile disfunction or peyronies? Combination? Is Verapamil a viable solution. Viagra,etc. I understand these symtoms sometimes correct with time.
Doctor's Answer
by Kevin Pho, MD, May 26, 2004 12:00AM
, May 26, 2004 12:00AM
Peyronie's disease is a possibility. An ultrasound would be a reasonable test to evaluate for this.
If present, there are various treatment options. Vitamin E supplementation and para-aminobenzoate tablets (B- complex substance) may be taken for several months. Chemical agents such as a calcium channel-blocker (e.g., verapamil), an enzyme that breaks down connective tissue (collagenase), and steroids (e.g., cortisone) may be injected into plaque or delivered by iontophoresis can all be considered.
Erectile dysfunction typically does not cause pain during erection. I would ensure there isn't any further disease present before attributing the symptoms to this.
I would consider a referral to a urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If present, there are various treatment options. Vitamin E supplementation and para-aminobenzoate tablets (B- complex substance) may be taken for several months. Chemical agents such as a calcium channel-blocker (e.g., verapamil), an enzyme that breaks down connective tissue (collagenase), and steroids (e.g., cortisone) may be injected into plaque or delivered by iontophoresis can all be considered.
Erectile dysfunction typically does not cause pain during erection. I would ensure there isn't any further disease present before attributing the symptoms to this.
I would consider a referral to a urologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
