peyronie's disease most commonly presentswith either curvature, pain or feeling a nodule within the penis. if patients were to identify or see any ofthese, they should come in and see their doctor or see me. and we can evaluate this with a combinationof history, a proper physical. um i'll examine the penis and, you know, tryto identify any plaque or scar tissue within the penis. then i will do a curvature assessment, penileduplex ultrasound. with the curvature assessment, we'll do aninjection in the penis to create an erection.
with the penis fully erect, i'm able to measureall of the angles, all of the deformities um to get a real good sense about what exactlyis going on, how bad the disease is and how best to go about treating it. a this in conjunction with the penile ultrasound,a i check the blood flow going into the penis to make sure that there's proper blood flowand i also scan over the areas of scar tissue to see if there's any signs of calcification,which may impact my treatment decisions. if a patient were to identify any signs orsymptoms of peyronie's disease - the plaque, the curvature or deformity or pain a it'sbetter to get seen early um so that we can try to impact the disease before it has asignificant effect.
a patients commonly um have penile shorteningor other kinds of instability within the penis a that once it's set in, a we really don'thave perfect way to reverse it.