Several diseases of penis confused with Peyronie’s disease
Many times the question is asked, “What diseases of the penis can also cause nodules and bumps to appear under the surface of the shaft like Peyronie’s disease?” While I spend a good part of my day communicating with men about Peyronie’s disease treatment, I also am asked frequent questions by men who are unsure if they even have Peyronies.
These questions often arise because a man can have difficulty believing he has Peyronie’s disease. Also, because the medical outlook for Peyronies is so bleak, he will hope there is a mistake and that he has another of several diseases of the penis. This hope against having Peyronies is based on three common issues that frequently arise when someone is given a diagnosis of Peyronie’s disease:
1. Absence of injury or trauma. Often the doctor will explain that Peyronie’s disease starts as a result of some type of injury. Many men do not recall ever having any injury to the penis to account for the start of Peyronies.
2. Absence of a detectable nodule of scar or plaque tissue. Often the doctor will be unable to locate a palpable nodule under the skin of the penile shaft to confirm the Peyronie’s diagnosis; other times the best the doctor can do is to find something about which he remains unsure. Since a clearly defined fibrous nodule is the best way to confirm this diagnosis, this can be unsatisfying to both patient and doctor.
3. Absence of distortion or a curved penis that is caused by a lump or nodule in the tissue of the shaft. Physical distortion associated with Peyronie’s disease is caused by a nodule or mass of scar tissue that prevents full expansion of the penis tissue during an erection. If the penis is not curved or malformed in any way then the existence of a nodule can be questioned, as well as the existence of Peyronie’s disease can be questioned.
Faced with this uncertainty, the questions becomes, “If I do not have Peyronies disease, what else could it be?”
Conditions that resemble to a small or large degree that must be considered if the diagnosis of Peyronie’s disease cannot be made:
- Congenital curvature of the penis – natural condition a person is born with
- Penile dorsal vein thrombosis – could be related to old age or injury
- Local trauma – sometimes small repeated injury can cause bleeding into the tissue
- Acute penile fracture – usually related to major trauma
- Alcohol Abuse – secondary to metabolic disruption
- Diabetes Mellitus– secondary to metabolic disruption
- Tertiary Syphilis – a structure known as a gumma, that develops late in the progression of this sexually transmitted disease
- Scleroderma – autoimmune disorder affecting large areas of the body
- Gouty tophi or nodules – important if you have a history of gout, or that you notice your penis nodules get worse during a bad episode of gout
- Metastasis of cancer to the penis – very rare
- Chordee with or without hypospadias – usually diagnosed and surgically managed in infancy
- Ventral curvature secondary to urethral instrumentation – sometimes as a result of abusive and improperly conducted procedure
Use this list of possible conditions that can be associated with or confused with different symptoms of Peyronie’s disease to help your process of identification and elimination. If it happens you recognize one or two health problems from your personal or family medical history, then seeing it on this list will alert you to consider it as the real problem with which you must take action.
To assist your further here is a Peyronie’s questionnaire that might shed some light on your situation, or a review of Peyronie’s symptoms.
It is important that any treatment you undertake be directed toward the correct problem, especially if it is Peyronie’s treatment. If you are not convinced of the diagnosis, or you cannot find the telltale fibrous nodule, or you do not have any penile curved or distorted penis, you must come to a comfortable resolution of your problem. You should consult with a specialist in diseases of the penis who can determine an accurate diagnosis for you.
If it turns out you do have Peyronie’s disease it is always valuable to use Alternative Medicine to increase your ability to naturally heal and repair the scar that is the root of your problem.