What happens if Peyronie's disease is left untreated?

Peyronie’s disease is a connective tissue disorder characterized by the development of fibrous scar tissue inside the penis, leading to abnormal curvature during an erection. Though its exact cause is unclear, it is thought to be related to repeated minor injuries to the penis, genetic factors, or autoimmune responses. Left untreated, Peyronie's Disease Treatment in Dubai an progress over time, causing various physical and emotional effects on those affected.

Why Ignoring Peyronie's Disease Can Lead to Complications

When Peyronie’s disease is left untreated, the natural progression of the condition can lead to further complications. For many men, the condition might initially present as mild curvature or minor discomfort, which can make it seem manageable without medical intervention. However, the body does not typically resolve Peyronie’s disease on its own, and over time, the scar tissue (or plaque) may worsen, causing more pronounced symptoms. This can impact both physical and mental health, as the changes in the structure of the penis may lead to limitations in sexual function and increase feelings of frustration or low self-esteem.

Progression of Peyronie’s Disease

If Peyronie’s disease is left untreated, it often progresses through two stages: the acute phase and the chronic phase.

1. Acute Phase: During this phase, which usually lasts between 6 and 18 months, the curvature of the penis may become progressively worse. Scar tissue forms and thickens, leading to a gradual increase in the bend or angle of the penis when erect. This phase can be accompanied by pain during erections, as the scar tissue develops and stretches in response to pressure. Some men may hope that this pain will subside over time, and while it sometimes does, the bending or curvature often remains.

2. Chronic Phase: After the acute phase, the condition typically progresses to the chronic phase. In this stage, the scar tissue has fully developed, which usually results in a stable bend or curve that no longer changes. At this point, pain often subsides, but the deformity of the penis remains. Without treatment, men may experience significant difficulty in engaging in sexual activity due to the structural changes, which can cause embarrassment, frustration, and further complications.

Sexual Dysfunction and Physical Impact

One of the most profound effects of untreated Peyronie’s disease is on sexual function. The curvature can make intercourse challenging, painful, or even impossible. For some men, the disease also leads to shortening of the penis, which can be distressing and affect their self-image. Over time, this can lead to sexual avoidance, relationship issues, and feelings of inadequacy. Additionally, as the curvature worsens, the impact on physical sensation can reduce sexual pleasure and contribute to erectile dysfunction.

Another possible physical consequence is the development of plaque calcification. In untreated cases, scar tissue can calcify, making the affected area harder and more difficult to treat. Once calcified, the tissue is less responsive to non-surgical treatments, which makes the condition more challenging to manage. Surgical intervention may be the only effective option for severe cases, though surgery itself carries risks and potential complications.

Emotional and Psychological Effects of Untreated Peyronie's Disease

Ignoring Peyronie’s disease can also have significant emotional and psychological impacts. Many men feel embarrassed or ashamed about the changes in their body, especially in a society where male sexual performance is often associated with self-worth. This embarrassment can lead to withdrawal from intimacy and, in some cases, contribute to feelings of depression and anxiety. Partners may notice the withdrawal and feel rejected or confused, which can strain relationships. Left unaddressed, the psychological toll of untreated Peyronie’s disease can add another layer of complexity to the condition, leading to isolation and negatively impacting quality of life.

Some men find it difficult to seek help for Peyronie’s disease due to the private nature of the symptoms. However, without treatment, the emotional burden often worsens over time. Counseling or therapy may be helpful for those struggling with self-esteem or relationship concerns, but seeking medical treatment for the physical symptoms is typically necessary for long-term relief.

Erectile Dysfunction as a Complication

Untreated Peyronie’s disease often leads to erectile dysfunction (ED) due to the impact of the scar tissue on the penis's structure and blood flow. The scar tissue can prevent the penis from filling properly with blood, leading to difficulties achieving or maintaining an erection. For some men, Peyronie’s disease also disrupts the erectile tissue’s ability to expand fully, resulting in partial erections or erections that cannot be sustained.

The correlation between Peyronie’s disease and ED can further complicate intimacy and sexual satisfaction, creating a cycle of frustration and anxiety. It may also lead to additional physical issues if the individual tries to engage in sexual activity despite the pain or functional limitations caused by the curvature. Over time, untreated Peyronie’s disease and resulting ED can affect a person’s sense of masculinity and lead to a decline in overall mental health.

When Peyronie’s Disease Worsens Over Time

For some men, the lack of treatment can mean that the Peyronie’s disease continues to worsen over years. The development of fibrous plaque does not necessarily stop in all cases, and repeated trauma to the area can exacerbate the scarring, leading to an even more severe curvature. In some instances, the condition may worsen to the point where everyday activities, such as urination or wearing certain clothing, become uncomfortable.

Additionally, some men may develop multiple plaques, leading to an even more irregular shape. If the condition continues to worsen, the impact on both physical function and appearance can be distressing, potentially making later treatments more invasive or less effective.

Conclusion

Leaving Peyronie’s disease untreated can lead to a range of progressive complications that affect both physical health and emotional well-being. The initial pain may subside over time, but the curvature and deformity usually remain. Untreated Peyronie’s disease can result in significant sexual dysfunction, contribute to relationship challenges, and lead to mental health issues like depression and anxiety. Without intervention, the structural changes in the penis are likely to become more pronounced, potentially leading to a decline in quality of life. Seeking medical advice and exploring treatment options can help manage symptoms, prevent progression, and reduce the long-term impact of the condition.