Pyeronie Disease and Homoeopathy

8/16/2019 Pyeronie Disease and Homoeopathy

1/16

3

Peyronie’s Disease and homoeopathy


2/16

3


Peyronie’s Disease and Homoeopathy© Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy)

Dr. Swati Vishnoi B.H.M.S.Dr. Preetika Lakhera B.H.M.S.Homoeo ure ! Resear"h #nstitute

$H %&' Moraaa Roa' Kashipur (*ttaran"ha+) #$D#,Pin- &&%/0 Ph. 123&%- 410%' 353%4/523&

E. mail- drrajneeshhom@hotmail.comwww.treatmenthomeopathy.comwww.homeopathyworldcommunity.com

ContentsDefnition........................................................................................................................... 3

Etymology.......................................................................................................................... 3

Epidemiology......................................................................................................................3

natomy............................................................................................................................. 3!lans..............................................................................................................................3

Corpus ca"ernosum........................................................................................................3

Corpus spongiosum........................................................................................................#

$rethra........................................................................................................................... #

ngle o% the penis...........................................................................................................&

Physiology o% erection........................................................................................................'

(ull erection phase.......................................................................................................'

)igid erection phase....................................................................................................'

)ela*ation phase.........................................................................................................'

+ypes o% erection.............................................................................................................'

Psychogenic.................................................................................................................'

)e,e*ogenic................................................................................................................

octurnal.....................................................................................................................

Pathophysiology..................................................................................................................

cute in,ammatory phase..............................................................................................

(i/rotic phase...................................................................................................................

Etiology..............................................................................................................................

0njury to the Penis.........................................................................................................1

utoimmune diseases.....................................................................................................1

Connecti"e +issue diseases........................................................................................1

(amily history o% Peyronie’s disease.............................................................................1

ging..............................................................................................................................1

)is2 %actors......................................................................................................................... 1

+ypes..................................................................................................................................

4tandalone Peyronie disease..........................................................................................Peyronie Disease associated with systemic diseases......................................................

mailto:[email protected]://www.treatmenthomeopathy.com/http://www.homeopathyworldcommunity.com/http://www.treatmenthomeopathy.com/http://www.homeopathyworldcommunity.com/mailto:[email protected]


3/16

3


4ymptoms..........................................................................................................................

Diagnosis...........................................................................................................................

5edical and (amily History.............................................................................................

Physical e*amination........................................................................................................

0maging...........................................................................................................................

Complications..................................................................................................................... 67

Di8erential Diagnosis.........................................................................................................67

+reatment.........................................................................................................................67

4urgical +reatment.........................................................................................................67

onsurgical +reatment..................................................................................................67

9i%estyle Changes..........................................................................................................67

Homoeopathic treatment.................................................................................................66

)epertory o% Peyronie Disease......................................................................................66

:i/liography.....................................................................................................................6;

DefnitionPeyronie disease is a connecti"e tissue disorder< characteri=ed /y the %ormation o% a f/rotic

lesion or pla>ue ?Psora@ 4ycosisA in the tunica al/uginea< which leads to penile de%ormity<

pre"enting normal stretching< a%%ecting the

si=e and shape o% the erect penis as cur"ature

which can ma2e "aginal intromission pain%ul< diBcult< or impossi/le.

Peyronie’s disease /egins with in,ammation


4/16

3


Corpus spongiosum0t is a column o% sponge-li2e tissue running along the %ront o% the penis and ending at the

glans penis. 0t flls with /lood during an erection< 2eeping the urethra open.

$rethra +he urethra runs through the corpus spongiosum< conducting urine out o% the /ody.


5/16

3


ngle o% the penis +he angle o% the erect penis or erection angle is determined /y its si=e and its

attachment to the pu/oischial rami ?the cruraA and the anterior sur%ace o% the pu/ic /one?the suspensory and %uni%orm ligamentsA. 0n men with a long hea"y penis or a loose


6/16

3


suspensory ligament< the angle usually will not /e greater than 7 degrees< e"en with %ull

rigidity.


7/16

3


Physiology o% erection +he penile erectile tissues used in erection process in"ol"e-

• Ca"ernous smooth musculature

• 4mooth muscles o% the arteriolar and arterial walls

0n the ,accid state< these smooth muscles remain tonically contracted< allowing only asmall amount o% arterial ,ow %or nutritional purposes. Erection needs a particular series

o% e"ents-

n erection /egins with sensory or mental stimulation< or /oth. +he stimulus may /e

physical contact or a se*ual image or thought ?PsoraA.

Fhen the /rain senses a se*ual urge< it sends impulses to local ner"es in the penis that

cause the muscles o% the corpora ca"ernosa to rela* ?PsoraA. s a result< /lood ,ows in

through the arteries and flls the spaces in the corpora ca"ernosa li2e water flling into a

sponge ?PsoraA.

Fhen men get se*ually stimulated< the ner"ous system releases nitric o*ide ?GA that

stimulates en=yme that produces c!5P ?4ycosisA that rela*es the smooth muscle cells. +his causes the arteries in the penis to dilate ?PsoraA< allowing the /lood to ,ow more

easily into the penis. 0t also causes the erectile tissue itsel% to fll with /lood. +ogether this

results in an erection. c!5P is normally /ro2en down /y phosphodiesterase type &

?4yphilisA. +his results in rela*ation o% these smooth muscles. (ollowing e"ents ta2e

place in process o% erection-

(ull erection phase

• Dilatation o% the arterioles and arteries /y increased /lood ,ow in /oth the

diastolic and the systolic phases ?PsoraA

• +rapping o% the incoming /lood /y the e*panding sinusoids ?PsoraA

• Compression o% the su/tunical "enular ple*uses /etween the tunica al/uginea and

the peripheral sinusoids< reducing the "enous out,ow ?PsoraA

• 4tretching o% the tunica to its capacity< which occludes the emissary "eins

/etween the inner circular and the outer longitudinal layers and %urther decreasesthe "enous out,ow to a minimum ?Causa occasionalisA

• n increase in PG; ?to a/out 7 mmHgA and intraca"ernous pressure ?around 677

mm HgA< which raises the penis %rom the dependent position to the erect state?PsoraA

)igid erection phase

• %urther pressure increase ?to se"eral hundred millimeters o% mercuryA with

contraction o% the ischioca"ernosus muscles ?PsoraA

• +he /lood creates pressure in the corpora ca"ernosa< ma2ing the penis e*pand.

?Causa occasionalisA

• +he tunica al/uginea helps trap the /lood in the corpora ca"ernosa< there/y

sustaining the erection. ?PsoraA


8/16

3


)ela*ation phase

• +he erection ends a%ter clima* or a%ter the se*ual urge has passed. +he muscles in

the penis contract to stop the in,ow o% /lood. +he "eins open and the e*tra /lood,ows out o% the penis and /ac2 into the /ody. ?PsoraA

+ypes o% erectionPsychogenicPsychogenic erection is a result o% audio"isual stimuli or %antasy ?PsoraA. 0mpulses %rom

the /rain modulate the spinal erection centers ?+66-9; and 4;-4#A to acti"ate the erectile

process ?PsoraA.

)e,e*ogenic)e,e*ogenic erection is produced /y tactile stimuli to the genital organs ?PsoraA. +he

impulses reach the spinal erection centers some then %ollow the ascending tract<

resulting in sensory perception< while others acti"ate the autonomic nuclei to send

messages "ia the ca"ernous ner"es to the penis to induce erection ?PsoraA. +his type o%

erection is preser"ed in patients with upper spinal cord injury.

octurnalocturnal erections occur mostly during rapid-eye-mo"ement ?)E5A sleep< in which there

is-

• 0ncreased acti"ity in pontine area< amygdalas and the anterior cingulate gyrus

?PsoraA

• Decreased acti"ity in the pre%rontal and parietal corte* ?PsoraA

+he mechanism that triggers )E5 sleep is located in the pontine reticular %ormation.

ow-

•

Cholinergic neurons in the lateral pontine tegmentum are acti"ated ?PsoraA• drenergic neurons in the locus ceruleus and the serontonergic neurons in the

mid/rain raphe are silent

+his di8erential acti"ation may /e responsi/le %or the nocturnal erections during )E5

sleep.

Pathophysiology +rauma to the tunica al/uginea allows release o% trans%orming growth %actor ?PsoraA<

acti"ating reacti"e o*ygen species li2e nitric o*ide< which allows collagen deposits and

calcifcation o% the pla>ue that causes the de%ormity ?Psora@ 4ycosisA.

Penile injuries may rupture /lood "essels< which leads to /leeding and swelling inside thelayers o% the tunica al/uginea ?PseudopsoraA. 4welling inside the penis /loc2s /lood ,ow

through the layers o% tissue inside the penis ?Causa occasionalisA. Fhen the /lood ,ows

insuBciently< clots can %orm and trap immune system cells ?Causa occasionalisA. s the injury

heals< the immune system cells may release su/stances as nitric o*ide that lead to the

%ormation o% too much scar tissue /y deposition o% collagen f/ers ?Psora@ 4ycosisA. +he scar

tissue /uilds up and %orms a pla>ue inside the penis ?Psora@ 4ycosisA. +he pla>ue reduces the

elasticity o% tissues and ,e*i/ility o% the penis during erection< leading to cur"ature ?Causa

occasionalisA. +he pla>ue may %urther harden /ecause o% calcifcation.

+here are two phases o% the disease mani%estation-

cute in,ammatory phase


9/16

3


0t may /e associated with pain in the ,accid state or pain%ul erections and a palpa/le nodule

or pla>ue in the tunica o% the penis and typically a penile cur"ature /egins to de"elop ?Psora@

4ycosis@ 4yphilisA.

(i/rotic phaseFith the %ormation o% hard palpa/le pla>ues calcifcation may superimpose< resulting in

disease sta/ili=ation ?4ycosisA. Pain is present in early stages o% the disease which tends toresol"e with time in 37I o% men< usually a%ter one year o% the disease onset.

Etiology)epetiti"e micro"ascular injury or trauma to the tunica al/uginea leads to scarring ?Psora

4ycosis 4yphilisA. prolonged in,ammatory response results in the remodeling o%

connecti"e tissue into a f/rotic pla>ue ?4ycosisA. Penile pla>ue %ormation can result in

cur"ature ?Causa occasionalisA.

0njury to the Penis0njuries may /e caused /y "igorous se*ual or nonse*ual acti"ities. Hitting or /ending

the penis may injure the tissues inside as during se*< athletic acti"ity< or an accident. ?CausaoccasionalisA

0nappropriate angle o% insertion o% penis into "agina causing undue /ending

Fhen woman is on top she usually controls the mo"ement with her entire /ody weight

landing on the erect penis< not /eing a/le to interrupt it when the penis su8ers a wrong way

penetration< /ecause the harm is usually minor in woman with no pain /ut major in the penis.

?Causa occasionalisA

utoimmune diseasesFhen the immune system attac2s cells in the penis< in,ammation can cause scarring ?Psora@

4ycosis@ 4yphilisA.

Connecti"e +issue diseases• Dupuytren’s diseasean a/normal cordli2e thic2ening across the palm o% the hand

may mani%est Peyronie disease. ?Psora@ 4ycosisA

• Plantar fasciitisin,ammation o% the plantar %ascia. ?Psora@ 4ycosisA

• Sclerodermaa/normal growth o% connecti"e tissue< causing it to get thic2 and hard<

causing swelling or pain in muscles and joints. ?Psora@ 4yphilis@ 4ycosisA

• Systemic lupus erythematosus in,ammation and damage to "arious /ody

tissues< including the joints< s2in< 2idneys< heart< lungs< /lood "essels< and /rain.

?Psora@ 4yphilis@ 4ycosisA

•

Sjögren’s syndromein,ammation and damage to the sali"ary and lachrymalglands. ?Psora@ 4ycosisA


10/16

3


• Behcet’s syndromein,ammation o% the /lood "essels. ?Psora@ 4ycosisA

(amily history o% Peyronie’s disease man whose %ather or /rother has Peyronie’s disease may ha"e an increased chance o%

getting the disease. ?4yphilisA

gingge-related changes in the elasticity o% tissues in the penis may cause it to /e more easily

injured and less li2ely to heal well. ?Psora@ 4yphilisA

)is2 %actors• Dia/etes ?+u/ercularA

• Hypertension ?Psora@ 4ycosisA

• Dyslipidemia ?Psora@ 4ycosisA

• 0schaemic cardiopathy ?Psora @ 4ycosis@ 4yphilisA

• Erectile dys%uncion ?PsoraA

• 4mo2ing ?Psora@ 4yphilisA

• lcoholism ?PsoraA

• Dupuytren’s contracture ?Psora @ 4ycosis@ 4yphilisA

+ypes

4tandalone Peyronie diseaseFhen the disease de"elops due to local causes.

Peyronie Disease associated with systemic diseasesFhen it is associated with other systemic or autoimmune disorders.

4ymptoms4ymptoms may /e mild to se"ere which may de"elop slowly or >uic2ly. o%ten< the pain

decreases o"er time< /ut the cur"e in the penis may persist in se"ere cases.

• Hard lumps on one or more sides o% the penis ?4ycosisA

• Pain during se*ual intercourse or during an erection ?Causa occasionalisA

• Hearing loud crac2 a%ter injury with pain and /ruising o% the penis ?Causa occasionalisA

• cur"e in the penis either with or without an erection ?Causa occasionalisA

• arrowing or shortening o% the penis ?Causa occasionalisA

• n hour-glass de%ormity or constriction to one side o% the penis ?Causa occasionalisA

• Erectile dys%unction ?PsoraA

•

DiBcult to get or 2eep an erection. 0n some cases< the penis only /ecomes hard up tothe area o% the scar and stays ,accid distally ?Causa occasionalisA

Diagnosis0t /ased on-

5edical and (amily History• /ility to ha"e an erection

• ppearance o% the symptoms

• Duration o% the disease

• Penile pain

•

Change o% penile de%ormity• DiBculty in "aginal intromission due to de%ormity


11/16

3


• (amily history

• Concomitants

• Gther medical conditions i% any< medications etc.

Physical e*amination • ssessment o% palpa/le nodules

• Penile length

• E*tent o% cur"ature- sel%-photograph< "acuum-assisted erection test or

pharmacological-induced erection

• ny other possi/ly related diseases- Dupuytren’s contracture< 9edderhose disease

0maging• $ltrasound

• J ray

Complications

0na/ility to per%orm se*ual intercourse

• Erectile dys%unction

• n*iety or stress< due to distortion o% the penis or se*ual disa/ilities

• Pro/lems %athering a child

Di8erential Diagnosisot all lumps in the penis are Peyronie disease. 4mall /umps< cysts and pimples on the

outside o% the penis and scrotum are also >uite common and usually harmless.

Penile cancer usually starts with a tender spot or wart-li2e /ump on the outside o% the penis

and there may /e /leeding and unusual discharge %rom the penis.

+reatment

4urgical +reatmentConser"ati"e treatment %or Peyronie’s disease usually resol"es it. 4urgery is only indicated in

patients with penile cur"ature that does not allow satis%actory intercourse.

onsurgical +reatment

+arget is to decrease penile cur"ature< pla>ue si=e< and in,ammation.

9i%estyle Changes• Kuitting smo2ing• )educing alcohol consumption

• E*ercising regularly

• "oiding drugs to increase erection time

• "oiding inappropriate se* techni>ues which threaten the penis to /e injured due to

wrong angle o% insertion into "agina e.g.-o Classic 4pooning 4tyle

o )egular 5issionary 4tyle

o 9eap%rog or Doggy 4tyle

o Contemporary 4pooning 4tyle

o )e"erse Cowgirl 4tyle etc.


12/16

3


Homoeopathic treatment

)epertory o% Peyronie DiseasePeyronie Disease acon. agar. ga"-a. !. all-c. alum-p. lum. lumn. am-c. am-m.am/r. nac-oc. nac. . androc. ang. ant-c. nt-t. anth. anthraco. apis arg-met. )!-. ). )4. arund. asa%. asar. aster. ur-m. aur-s. ur. /am/-a. :ar-c. :ell-p. /ell. /er/./or*. /oth-a*. /o". /ry. :$(G calad. calc-%. Calc-p. C9C. calen. camph-/r. Camph-m/r.Camph. Cann-i. C-4. Cann-*y=. C+H. CP4. Car/-an. C):-L. carc. caust. cham.Chel. Chin. chir-,. chlol. cic. cim*. Cina C9E5. Coc-c. cocc. cod. Co8. Colch. coloc. Con.cop. corn. croc. crot-h. Cu/. cund. cupr. cupre-l. cur. cycl. cyna. cyt-l. dendr-pol. Dig. Dios.diphto*. dros. dulc. erig. ery-a. eug. euph. %alco-pe. %err-i. (err. (9-C. gast. !els. gin2-/.gins. glon. !)PH. grat. guaj. ham. hell. helon. hep. hydr. hyos. Hyper. ign. 0od. ip. jac-c. jug-r. junc-e. 2ali-/i. Mali-/r. Mali-c. M90-CH9. 2ali-i. Mali-m. 2ali-n. 2ali-p. 2ali-sil. 2alm. 2ola2reos. 9CH. lat-m. 9aur. led. limen-/-c. lo*o-lae. 9up. 9yc. lyss. m-am/o. m-aust. mag-c.5ag-m. maland. mang. 5ed. 5eph. merc-c. 5E)C. me=. mill. mosch. mur-ac. 5ygal. naja

nat-c. nat-m. nat-p. 0+-C. nu*-m. u*-". oena. ol-sant. onis. Gnos. Gp. G)0!. orot-ac.o=one par. petr-ra. petr. Petros. Ph-ac. Phos. Phyt. P0C-C. pip-m. pip-n. P9+. Pl/. plut-n.podo. psor. Puls. pyrog. ran-/. ran-s. rhod. )hus-t. ruta sa/ad. sa/al 4a/in. sal-n. sam/.sars. sec. sel. seneg. 4EP. 409. sin-n. 4pig. spong. s>uil. 4tann. 4+PH. stict. still. 4tram.sul-ac. 4$9PH. sum/. syph. +a/. tarent. +E). teucr. thala. ther. thiosin. +H$N. tritic-"g. +u/.tus-p. $st. "ac. "aler. "anil. "erat. "iol-t. Lip. "isc. wild/. *-ray yohim. =inc-pic. =inc. Oing.!EE)94 - FG$D4 - granulations< proud ,esh lumn. nac-oc. nac. nt-t. )4. Calc.Calen. chir-,. cund. hydr. Mali-chl. Mali-m. 9ach. 5erc. nit-ac. 4a/in. 409. 4$9PH. thuj.59E !E0+904EJ - CG0+0G pain%ul arg-n. /or*. calc. cupr. %err. 2ali-c. 2reos. lyss.merc-c. nat-m. plat. sa/al sep. sulph. thala.59E !E0+904EJ - E)EC+0G4 - continued - cur"ature o% penis< with canth.59E !E0+904EJ - E)EC+0G4 - continued pain%ul acon. )!-. aur-m. /ry. Camph.Cann-i. C-4. C+H. CP4. chlol. Colch. con. cop. Cu/. cur. dig. ery-a. ,-ac. hep. jac-c.

2ali-/r. M90-CH9. 2ali-i. Mali-m. merc-c. 5erc. 5ygal. nat-c. it-ac. u*-". Petros. phos.pip-n. P$94. sa/ad. sep. still. +E). +huj. =ing.59E !E0+904EJ - E)EC+0G4 - easy< too Con. %err-i. %err. 2ali-c. lyc. nu*-". Phos. Pic-ac. Plat. Pl/. rhod. sa/in. sum/. wild/.59E !E0+904EJ - E)EC+0G4 - e*cessi"e - thoughts< during se*ual cop. P0C-C.59E !E0+904EJ - E)EC+0G4 e*cessi"e ur-m. C+H. cop. (9-C. !raph. nat-m.op. Ph-ac. Phos. Pic-ac. plat. sa/in. staph.59E !E0+904EJ - E)EC+0G4 %re>uent acon. agar. gn. alum-p. alum. alumn. am-m. anth. anthraco. apis arund. aster. ur-m. aur-s. ur. /ell. /er/. cann-i. cann-s. Cann-*y=. Canth. Caps. car/-". caust. cham. Chel. chin. cic. cim*. clem. Coc-c. cod. coloc. corn.cyna. cyt-l. Dig. Dios. erig. (err. ,-ac. graph. ham. helon. jug-r. 2ali-c. 2ali-n. 2alm. lach.lat-m. 9aur. lyc. 5ag-m. 5ed. merc-c. merc. me=. mur-ac. nat-c. at-m. nat-p. nit-ac. nu*-". onis. petr. ph-ac. Phos. pic-ac. pl/. Puls. ran-/. rhus-t. sa/ad. sa/in. sec. sep. sil. sin-n.

4pig. sum/. +a/. ther. ust. "aler. "isc. =inc.59E !E0+904EJ - E)EC+0G4 %ruitless aur. con. gins. Phos. plat. 4ep.


13/16

3


59E !E0+904EJ - 0N$)0E4 Penis mill.59E !E0+904EJ 0N$)0E4 rn. Calen. con. Hyper. mill. )hus-t. 4taph.59E !E0+904EJ - 54+$):+0G disposition to e*cessi"e lum. /ell. C9C.C):-L. Chin. Gnos. orot-ac. 4tram. tu/.59E !E0+904EJ - 54+$):+0G disposition to agar. agn. lum. alumn. am/r.nac. . androc. pis arg-met. arg-n. ur. :ar-c. :ell-p. /ell. :$(G calad. Calc-p. calc.

cann-i. cann-*y=. C+H. C):-L. carc. Caust. Chin. Cina cocc. Co8. Con. dendr-pol. Dig.dios. dros. dulc. %alco-pe. (err. !els. grat. hyos. Mali-/r. Mali-c. 2ali-p. 2ola 9CH. 9yc. 5ed.5eph. merc. mosch. nat-m. u*-". Gp. G)0!. o=one petr-ra. Ph-ac. Phos. Pic-ac. P9+. Pl/.podo. Puls. sal-n. sec. sel. 4EP. sil. 4tann. 4+PH. stict. stram. 4ulph. tarent. thuj. +u/. $st."anil. =inc.59E !E0+904EJ - PE04 complaints o% acon. agar. agn. lum. am-c. am-m. am/r.anac. ang. ant-c. ant-t. ). ars. asa%. asar. aur. /ar-c. /ell. /or*. /o". /ry. calc. camph.C-4. Cann-*y=. C+H. Caps. car/-an. Car/-". caust. cham. chel. chin. cic. C9E5.cocc. co8. colch. coloc. Con. croc. cupr. cycl. dig. dros. dulc. euph. %err. !raph. guaj. hell.hep. ign. iod. ip. 2ali-c. 2ali-n. 2reos. lach. laur. led. 9yc. m-am/o. m-aust. mag-c. mag-m.mang. 5E)C. me=. mosch. mur-ac. nat-c. nat-m. it-ac. nu*-m. $J-L. op. par. petr. ph-ac. Phos. pl/. P$94. ran-s. rhod. rhus-t. ruta sa/ad. sa/in. sam/. sars. sec. sel. seneg.4EP. sil. spig. spong. s>uil. stann. 4taph. stram. 4$9PH. teucr. +H$N. "erat. "iol-t. Oinc.

4M0 - C0C+)0CE4 hard calc-%. dros. ,-ac. !raph. 2ali-/i. sil.4M0 - C0C+)0CE4 pain%ul all-c. asa%. aster. /am/-a. /oth-a*. calc. calen. Car/-an. car/-". con. crot-h. eug. gin2-/. graph. Hyper. 2ali-c. 2ali-sil. 9ach. limen-/-c. lyss. 5ag-m. at-m. it-ac. nu*-". phos. plut-n. 409. staph. sul-ac. tritic-"g.4M0 C0C+)0CE4 /ell-p. calc-%. car/-". caust. chir-,. crot-h. dros. (l-ac. gast. glon. graph.hyper. iod. 2ali-/i. 2ali-c. lach. 5erc. me=. naja nat-m. nit-ac. o=one petr. phos. Phyt.pyrog. sa/in. 4il. sul-ac. syph. thiosin. "ip.4M0 ME9G0D alum. ars. /ell-p. calc-%. calc. calen. car/-". carc. caust. crot-h. cupre-l.diphto*. dros. (l-ac. gast. !)PH. hyper. 0od. junc-e. 2ali-/i. lach. lo*o-lae. lyss. maland.merc. 0+-C. nu*-". phos. phyt. psor. rhus-t. sa/in. 409. sul-ac. 4ulph. thiosin. thuj. tu/."ac. Lip. *-ray$)E+H) CHG)DEE acon. ga"-a. !. nac. )!-. aur-m. /ell. /er/. /ry. camph-/r.Camph-m/r. Camph. Cann-i. C-4. C+H. CP4. chlol. clem. Colch. con. cop. Cu/. cur.dig. ery-a. ,-ac. gels. hep. hyos. jac-c. Mali-/r. M90-CH9. 2ali-i. 2ali-m. 9up. merc-c. 5erc.5ygal. nat-c. it-ac. u*-". oena. ol-sant. Petros. phos. Pic-ac. pip-m. pip-n. P$94. sa/ad.sa/in. sal-n. sep. sin-n. still. stram. +E). +huj. tus-p. yohim. =inc-pic. Oing.

:i/liography

dult 4e*ual Dys%unction 4e*ual Pain 4yndromes C$))E+ Diagnosis Q

+reatmentR (amily 5edicine< #e... 4e*ual pain syndromes can negati"ely a8ect arousal.

4e*ual pain syndromes occur in 6#I o% women and 3I o% men in the general population<

and Qgt7I o% samples o% %emale patients. Peyronie pla>ues or other penile de%ormity<

priapism< and lower urinary tract symptoms ?9$+4sA can /e etiologic...

Chapter 3. Di8erential DiagnosisR 4ymptoms< 4igns< and Conditions 0mpotence

?Erectile Dys%unctionA Clinicians Poc2et )e%erenceR +he 4cut 5on2ey< 66e...<

anticholinergics addicti"e medicationsR alcohol< narcotics antipsychotics antiandrogensR

histamine H ; /loc2ers< fnasteride< 9H)H analogues< spironolactone< othersA history o%

priapism< Peyronie disease< testicular %ailure< hyperprolactinemia ...

Chapter 3. 5ale 4e*ual Dys%unction Ca"ernosal Disorders 4mith and +anaghos!eneral $rology< 61e... Ca"ernous "eno-occlusi"e dys%unction ?CLGDA may result %rom a


14/16

3


"ariety o% pathophysiologic processes. Degenerati"e changes ?Peyronies disease< aging<

and dia/etesA and traumatic injury to the tunica al/uginea ?penile %ractureA can impair

the compression o% the su/tunical and emissary "eins...

Chapter #. Physical E*amination o% the !enitourinary +ract Palpation 4mith and +anaghos !eneral $rology< 61e... Palpation o% the dorsal sur%ace o% the sha%t may re"eal

a f/rous pla>ue in"ol"ing the tunica al/uginea co"ering o% the corpora ca"ernosa< typical

o% Peyronies disease. +ender areas o% induration %elt along the urethra may signi%y

periurethritis secondary to urethral stricture. ...

Chapter #6. Disorders o% the Penis Q 5ale $rethra Peyronies Disease 4mith and

+anaghos !eneral $rology< 61e... in the corpora ca"ernosa. dditional methods include

radiation therapy and injection o% steroids< dimethyl sul%o*ide< or parathyroid hormone

into the pla>ue. +he success o% such treatments is poorly documented. Peyronies

disease ?plastic induration o% the penisA was frst descri/ed in 6#; and is a well...

Chapter '. )adiology o% the $rinary +ract 5iscellaneous $rologic ngiography

4mith and +anaghos !eneral $rology< 61e.ectional methods< these procedures are rarely

used. lthough uncommon< corpus ca"ernosograms are made /y direct injection o%

suita/le contrast material into the corpora ca"ernosa o% the penis. +hey can /e use%ul in

e*amining %or Peyronies disease or f/rosis< impotence< priapism< and traumatic penile...

Chapter ''. Dermal Hypertrophies and :enign (i/ro/lastic5yof/ro/lastic +umors

Peyronie Disease ?Penile (i/romatosisA (it=patric2s Dermatology in !eneral 5edicine<

1e... (i/rosis o% the dorso-lateral penis< resulting in cur"ature o% the penis and erectile

dys%unction< is termed Peyronie disease. )is2 %actors include genetic predisposition<

trauma to the penis< smo2ing< alcohol consumption< and history o% dia/etes or

hypercholesterolemia. < 677 G"er se"eral...

Chapter 3. +he ging (aceR )hytidectomy< :rowli%t< 5id%ace 9i%t History o%

(aceli%t +echni>ues C$))E+ Diagnosis Q +reatment in GtolaryngologySHead Q ec2

4urgery< 3e... to ma2e patients loo2 To"er-pulledU and unnatural loo2. 0n the 67s<

%aceli%t techni>ues changed dramatically with the description o% the 454 layer /y 5it=

and Peyronie. 42oog is credited with the de"elopment o% 454 manipulation. +his /egan

an era o% di8erent strategies to attain optimal "ector pull...

Chapter . Hand 4urgery Dupuytren Disease Current Diagnosis Q +reatment in

Grthopedics< &e.... Ectopic deposits may occur in the dorsum o% the pro*imal

interphalangeal joint ?2nuc2le padsA< the dorsum o% the penis ?Peyronie diseaseA< and the

plantar %ascia o% the %oot ?9edderhose diseaseA. ...

Complications o% $rologic Procedures and De"ices CG5P90C+0G4 G( DEL0CE4(G) E)EC+09E DV4($C+0G +intinalli’s Emergency 5edicineR Comprehensi"e 4tudy


15/16

3


!uide< 1e... +he most common causes o% erectile dys%unction are dia/etes< priapism<

"ascular disease< Peyronies disease ?de%ormity especially seen on erection due to

nodulesf/rous pla>ues in penile tissueA< pel"ic trauma or surgery< spinal cord injury< and

psychogenic reasons. lthough oral medication...

Endocrine +umors o% the !astrointestinal +ract and Pancreas Clinical (eatures

Harrisons Principles o% 0nternal 5edicine... whee=ing or asthma-li2e symptoms ?161IA<

pellagra-li2e s2in lesions ?;;&IA< and impaired cogniti"e %unction. "ariety o%

noncardiac pro/lems due to increased f/rous tissue ha"e /een reported< including

retroperitoneal f/rosis causing urethral o/struction< Peyronie’s disease o% the penis...

Endocrine +umors o% the !astrointestinal +ract and Pancreas Patho/iology

Harrisons Principles o% 0nternal 5edicine... release could /e in"ol"ed in mediating either

the diarrhea or ,ush< /ut con,icting data e*ist. :oth histamine and serotonin may /e

responsi/le %or the whee=ing as well as the f/rotic reactions in"ol"ing the heart< causingPeyronie’s disease and intraa/dominal f/rosis. +he e*act mechanism...

5ale !enital Pro/lems PEV)G0E4 D04E4E +intinalli’s Emergency 5edicineR

Comprehensi"e 4tudy !uide< 1e... Peyronies disease produces progressi"e penile

de%ormity< typically cur"ature with erections< that is pain%ul and may result in erectile

dys%unction or preclude success%ul "aginal penetration during intercourse. ;'

E*amination o% the penile sha%t will disclose a thic2ened pla>ue< typically...

4ports 5edicine Q Gutpatient Grthopedics !eneral Considerations Current

5edical Diagnosis Q +reatment ;76'...< particularly in those o% Celtic descent. +he

incidence is higher among alcoholic patients and those with chronic systemic disorders

?especially cirrhosisA. 0t is also associated with systemic f/rosing syndrome< which

includes plantar f/romatosis ?67I o% patientsA< Peyronie disease ?6;IA< mediastinal...

+he 5ale !enitalia and )eproducti"e 4ystem Plastic induration o% the penis

?Peyronie diseaseA De!owin’s Diagnostic E*amination< 67e

+he 4pine< Pel"is< and E*tremities Contracture o% the plantar %ascia De!owin’s

Diagnostic E*amination< 67e... $nilateral or /ilateral asymptomatic thic2ening o% the

plantar %ascia is associated with Dupuytren contracture o% the palms and Peyronie

syndrome. ...

$rologic Disorders &. Penile painCurrent 5edical Diagnosis Q +reatment ;76'....

Pain in the erect penis may /e due to Peyronie disease ?f/rous pla>ue o% the tunica

al/uginea< resulting in pain%ul cur"ature o% the erect penisA or to priapism ?prolonged

erectionA. ...


16/16

3


$rologic Disorders (. 5edical and 4urgical +herapy %or Peyronie Disease Current

5edical Diagnosis Q +reatment ;76'... wide range o% medical and surgical treatments

ha"e /een used to treat the disorder. Clostridial collagenase is the only (D-appro"ed

medication %or the treatment o% Peyronie disease. Collagenase is administered to the

central portion o% the penile pla>ue /y needle injection it causes...

$rologic Disorders !eneral Considerations Current 5edical Diagnosis Q

+reatment ;76'.... Peyronie disease is a f/rotic disorder o% the tunica al/uginea o% the

penis resulting in "arying degrees o% penile cur"ature or de%ormity. Peyronie disease

de"elops in appro*imately &67I o% men older than &7 years. Fhile 67I o% men impro"e

spontaneously< &7I will sta/ili=e and the remainder...

$rologic Disorders 59E E)EC+09E DV4($C+0G Q 4EJ$9 DV4($C+0GCurrent 5edical Diagnosis Q +reatment ;76'... E44E+094 G( D0!G404 Erectile

dys%unction can ha"e organic and psychogenic etiologies< and the two %re>uently o"erlap.

Grganic erectile dys%unction may /e an early sign o% cardio"ascular disease and re>uires

e"aluation. Peyronie disease is a common< /enign f/rotic disorder...

$rologic Disorders Fhen to )e%er Current 5edical Diagnosis Q +reatment ;76'...

Patients with inade>uate response to oral medications< who are una/le to tolerate side

e8ects or who are dissatisfed with their current treatment. Patients with Peyronie

disease or other penile de%ormity. Patients with a history o% pel"ic or perineal trauma<

surgery< or radiation...

$rology PEV)G0E’4 D04E4E C$))E+ Diagnosis Q +reatmentR 4urgery< 6#e....

0% the patient is impotent< insertion o% a penile prosthesis is the procedure o% choice.

(i/rosis o% the dorsal co"ering sheaths o% the corpora ca"ernosa occasionally occurs

without 2nown cause in men o"er age #&. +rauma to the penis during intercourse has

/een implicated in the etiology o% Peyronie’s...

Encyclopedia Homoeopathica

)adar 67

Pyeronie Disease and Homoeopathy

Documents

Transcript of Pyeronie Disease and Homoeopathy