Patient case: Plastic Induration of the Penis (Peyronie’s Disease)
A 52-year-old male presents to the urology clinic with a 6-month history of penile curvature and pain during erections. He reports no history of trauma to the genital area but recalls noticing a small lump on the shaft of his penis, which gradually became firmer. Initially, the pain was mild and occurred only during erections, but over time, the curvature became more pronounced, and the pain intensified, affecting his sexual function.
On examination, there is a palpable, hard plaque on the dorsal side of the penis, and when the penis is manually stretched, a visible curvature is observed. The patient expresses concern over his ability to maintain a normal sexual life due to the deformity and discomfort. He is otherwise healthy with no significant medical history.
The diagnosis of Peyronie’s disease is made based on clinical findings. Treatment options, including oral medications, intralesional injections, and potential surgical correction for severe deformity, are discussed with the patient.
A) Pain during urination
B) Penile curvature during erection
C) Urinary incontinence
D) Discoloration of the penis
A) A palpable plaque on the penis
B) Testicular enlargement
C) Swollen lymph nodes
D) Rash on the genitals
A) Erectile dysfunction
B) Frequent urination
C) Blood in the urine
D) Pain during bowel movements
A) Antibiotics and steroids
B) Physical therapy and diet modification
C) Medications, injections, or surgery
D) Radiation therapy
Answers
1. B) Penile curvature during erection
2. A) A palpable plaque on the penis
3. A) Erectile dysfunction
4. C) Medications, injections, or surgery
