What Are The Signs And Symptoms Of Peyronie’s Disease?

Posted on Mon, 13 Feb 2017

Question: Hello
My penis is bending downward. I am afraid whether it's peyronie's disease. I am 32 year old male. I am attaching some images here. Kindly take a look and tell me if it's peyronie's disease

Answered by Dr. Dr. P. T. Patil (56 minutes later)

Brief Answer:
Based on Photographs there is no evidence to suggest Peyronies disease

Detailed Answer:
Hello
Thanks for query .

Based on the photographs that you have uploaded you dot have curvature of the penis which is the most common feature of Peyronies disease

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) can you palpate any hard nodule(Calcified Plaque)in the shaft of the penis?
2) Do you have painful erection ?
3) Are you able to penetrate vagina and perform enjoyable sex ?

I would suggest you to consult qualified Urologist for clinical examination and get Ultrasound Scanning of the Penis done to confirm the diagnosis .

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Hello

I am attaching 3 new images so you can diagnose.

To answer your questions:

1) I cannot palpate any hard nodule. But there's a swollen vein on my penile shaft for last 2 years. When I pull the foreskin, I can see and feel a small lumpy cord. A doctor told me it was normal, so I didn't give it much thought. If I press that area, then it hurts a bit. I am attaching the image of the area along with the penile shaft with the vein. Kindly take a look.

2) I don't have painful erection, but I sometimes feel pain and ant-bite like feeling on my penis, especially when I masturbate a lot.

3) I don't have a sexual partner right now, so can't answer it. I can masturbate. Two weeks ago, I suddenly lost the ability to have erection for 2 days. A doctor told me it was because of psychological reasons. After two days, I regained the ability to have normal erection. Since then I've been worried about it.

For last two days, I am having soft erections. I a also feeling nervous and worrying about performance with a sexual partner.

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You do not have Peyronies disease

Detailed Answer:
Hello
Thanks for follow up .

Presence of calcified plaque is the predominent sypmptom of Peyronies disease So it is ruled out in your case .

The dilated vein on shaft of the penis is dilated tributary of Lateral superficial Vein of penis and is seen in many individuals and has no significance at all .

Rest of your sexual related issues are due to anxiety and stress related .

Try to allay your anxiety or consult qualified Psychiatrist for counselling .

Thanks and Regards
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (7 days later)

Hello

I have been feeling some pain on the right side of my penis during erection. The pain is not constant, but sudden and throbbing in nature. It doesn't always accompany erection, but only sometimes. I feel pain moving my erect penis on the right side.

Also the right side of the penis has now too many new veins. Can it be Peyronie's Disease, if not then what might be the reason for the pain. I am attaching two new images here, so you can make a diagnosis. Minimize these images, then you can clearly see the hard veins on shaft.

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
These are dilated tributaries of Lateral Superficial veins of penis .

Detailed Answer:
Hello
Thanks for follow up and uploading new photographs which reveals dilated tributaries of Lateral Superficial Veins of penis which XXXXXXX seen in many individuals and has no significance at all .

The pain that you get may be due to inflamed veins which can be controlled by taking Diclofenac or Brufen twice daily .

I again reiterate that you do not have Peyronies disease .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hello

I have also been having sore ache and fullness in both scrotum after a trauma to left testicle. Could this be epididymitis? I have taken Hetrazan medicine for 21 days because a doctor diagnosed me for filaria. But the pain is now in pelvic area and sometimes in testicle. The pelvic area becomes very sore after I sit for long or walk for a long time. I also feel uncomfortable when I get erect.

Answered by Dr. Dr. P. T. Patil (50 minutes later)

Brief Answer:
Get Ultrasound Scanning of Scrotum done to rule out Epididymitis .

Detailed Answer:
Hello
Thanks for follow up .
The pain in Testicle and sourness in groin could be duet to infection of Epididymitis and needs to be confirmed by doing Uktrasound Scanning Of Scrotum.

Take antibiotics like Doxicycline and anti inflammatory medicine like Diclofenc twice daily for two weeks .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (3 days later)

what do I have to tell the clinic? Scrotum Ultrasound? That's all? Will that reveal epididymitis? Or will I have to mention anything specific?

Kindly answer.

Answered by Dr. Dr. P. T. Patil (11 hours later)

Brief Answer:
You ask technician to do scrotal Ultrasound Scan

Detailed Answer:
Hello
Thanks for follow up .You ask for ultrasound Scanning of Scrotum it will detect any abnormality in Epididymis ,spermatic cord or blood vessels .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (7 days later)

Hello

I had the scrotum ultrasound test done. I am mentioning the findings below:

Testes

Both testes are normal in size, shape and position. No focal SOL seen.
Right testis measures 36mm x 21mm
Left testis measures 36mm x 19mm

Epididymis

Head of the epididymis appears normal on both sides

Septum

Septum appears normal

Scrotal skin

Normal in thickness and texture

Cord

Cord is not thickened in right side
Left cord is thickened

Tunica vaginalis

No fluid is seen in tunica vaginalis on both sides

Impression: Left sided Funiculitis

Please analyze the report and suggest the treatment.

Thanks in advance

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
You have infection of Spermatic Cord (Funiculitis)

Detailed Answer:
Hello
Thanks for follow up

Ultrasound Scanning of Scrotum has revealed thickening of spermatic cord (Funicullitis )

Take Antibiotic like Cefexime and Anti inflammatory medication like Diclofenac twice daily for 2 weeks
It will get resolved

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (26 hours later)

Hello

I consulted with a uro surgeon today who prescribed me doxycycline for 10 days, twice a day and combiflam (ibuprofen) for 7 days, twice a day.

Since my problem started with an injury and not by bacteria, I was wondering if there is any need to take antibiotic. Kindly explain why antibiotic.

Answered by Dr. Dr. P. T. Patil (10 hours later)

Brief Answer:
Trauma can lead to infection

Detailed Answer:
Hello
Thanks for follow up .

Trauma to testicle can cause infection of the cord hence it is mandatory to take antibiotic and anti inflammatory drug like Combiflam .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

I have been taking antibiotic and anti-inflammatory medicine for 3 days now but the pain in my testicle and lower back area hasn't subsided. When can I expect the pain to subside?

Also, I am curious to know how the said medicines will reduce the thickness of the spermatic cord? Will antibiotic reduce the thickness? If yes, then how?

If no, then how will the thickness be reduced?

Kindly answer these questions

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Both the drugs will reduce tickness of cord

Detailed Answer:
Hello
Thanks for follow up .

Thickness of the cord is due to infection and inflammation of the cord which is controlled by antibiotic and anti inflammatory medications by vertue of their properties of fighting against infection and inflammation and rightly prescribed by your Dr.It take 3-4 weeks to resolve the issue completely .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hello

The doctor gave me 10 days course. Today is the sixth day and the tenderness and pain in my left testicle, groin and pelvic area has increased. I am really confused. I have been taking both antibiotic and anti-inflammatory drug but there's no improvement in pain and tenderness. In fact, the pain seems to have increased.

Can you explain why it is happening?

Answered by Dr. Dr. P. T. Patil (13 minutes later)

Brief Answer:
Doxicycline may not be effective ..

Detailed Answer:
Hello
Thanks for follow up .

The pain and tenderness in testicle even after taking Doxicycline suggest that the antibiotic may not be effective .

You need to do urine culture and take appropriate antibiotic as per culture report .

Infection of cord (Funicullitis )take 4- 6 weeks to get resolved completely hence one has to take medications for long period of time

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (8 minutes later)

I have done a normal ultrasound, not a color doppler ultrasound. The ultrasound report says Head of the epididymitis appears normal on both sides. But my doctor diagnosed me for epididymo-orchitis. I am really confused. Arefuniculitis and epididymo-orchitis same? Please shed some light on this.

Also, as you said funiculitis takes 4-6 weeks to get resolved, do you mean 4-6 weeks with medication or without medication? Kindly clarify.

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Funicullitis and Epididymitis are two different entities

Detailed Answer:
Hello
Thanks for follow up .
Funicullitis is infection of spermatic cord which contains Vas Difference ,blood vessels,lymphatic vessels while Epididymitis is infection of Epididymis which is the head of the Vas Difference where sperms are stored before they are released for ejaculation .

Funicullitis takes 4-6 weeks to get cured with medications .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hello

I have pain in the underside of left testicle which was affected by the trauma. The pain is not severe but dull and it's a dense pain. It pains when I touch that area. Sitting aggravates pain and then it radiates to my left lower back and left thigh and left leg.

Are these the symptoms of funiculitis or epididymitis?

Also, can a person have epididymitis despite ultrasound showing normal sized epididymal head? If he can, then how to diagnose epididymitis?

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Epididymitis can be diagnosed on clinical examination

Detailed Answer:
Hello
Thanks for follo up .

Epididymitis and Funicullitis are two different entities .

Epididymis is the beginning of spermatic core (First part )hence it is very difficult to differentiate between Funicullitis and Epididymitis .

Continue taking appropriate antibiotic

Thanks and Regards.
Dr.Patil.

Thanks and Regards.

Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (7 days later)

Hello

I have completed the two weeks course of antibiotics (doxycycline 100mg) and painkiller (combiflam). After that, my consulting urologists prescribed a course of Tab Calpol 650mg, twice a day for 7 days. Today is the third day I am on Calpol and the pain in the underside of the left testicle has considerably reduced. However, the swelling hasn't reduced yet. Both testicles feel a bit swollen when I touch them, even though the USG report shows they are in normal size.

My urologist said after taking Calpol for 7 days, I need to take Hetrazan tablet for 21 days because he thinks the infection is due to filaria. He also told me to wear tight underwear for 3 months.

Since my ultrasound report shows I have left sided Funiculitis, I am a bit confused as to whether the treatment is going on the right direction. Kindly give your opinion on this. Also when can I expect the pain and swelling to completely reduce?

Kindly answer

Answered by Dr. Dr. P. T. Patil (13 hours later)

Brief Answer:
It takes 3-4 months to resolve the symptoms

Detailed Answer:
Hello
Thanks for follow up .

It takes 3-4 months to get these symptoms resolved completely .Till then you have to take medications along with Hetrazan ,

Do not worry and have a patience .Your problem will definitely get resolved .

Thanks and Regards
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Hello

Thanks for your suggestion.

Does funiculitis cause pain in lower back, radiating to left leg and an uncomfortable feeling in upper testicle, groin and pelvic region?

Answered by Dr. Dr. P. T. Patil (12 hours later)

Brief Answer:
Yes Finicullitis can give pain inlower back

Detailed Answer:
Thanks for follow up Funiulitis can give rise to pain in lower back .Continue taking medications (Pain killers like Bruden )
Thanks Dr Patil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (26 hours later)

Hello

Can funiculitis cause erectile dysfunction?

Answered by Dr. Dr. P. T. Patil (16 hours later)

Brief Answer:
Yes Funicullitis can cause ED for a short while

Detailed Answer:
Hello
Thanks for follow up .
Funuculitis can cause ED temporarily and will get recovered after its has XXXXXXX cured completely with the medications .
Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar