You or your doctor may notice an abnormal hardening of the tissue below the skin, in one area along the shaft of the penis.
During erection, there may be:
A bend in the penis, which usually begins at the area where you feel the scar tissue or hardening
Narrowing of the penis
Problems with penetration or pain during intercourse
Shortening of the penis
Signs and tests
The health care provider can diagnose curvature of the penis with a physical examination. The hard plaques can be felt with or without an erection.
The doctor may use injected medications to cause an erection. Or you may provide your health care provider with pictures of the erect penis for evaluation.
An ultrasound may show the scar tissue in the penis, but it is not necessary.
When diet and health modifications have failed to alleviate erectile dysfunction and the patient has tried all forms of the oral medications , the patient must then be counseled on the remaining types of therapies, including the prostaglandin family of medications. These are medications that act locally in the penis to give an erection. This differs from the pill or " Viagra " type of medications that require the central nervous system (i.e., the brain) to tell them to work. This type of medication comes in two preparations and can be delivered in two routes (injection or penile suppository). The first route is by injection into the penis. The common brand name for this medicine is Caverject or alprostadil (generic). This medication also comes in various strengths as the pills do. A lot of patients do not like this option for obvious reasons. It does require the injection of the medicine into the base of the penis. The medication is dispensed in a small via...
This is the first of a three-part series on a condition called patellofemoral pain syndrome (PFPS). The focus of this article is on classifying the problem according to the biomechanics and treating it according to whether there is pain or instability. The patellofemoral joint is the located where the patella (knee cap) meets the end of the femur (thigh bone). Patellofemoral pain syndrome causes pain under and/or around the kneecap. When there is instability, the patella slips and slides during movement. Dislocation of the patella is a common feature of instability-related PFPS. The authors carefully explain the biomechanics of the normal knee. Understanding the way the structures of the patellofemoral joint move and function is important when treating this condition. The physical therapist must strengthen the correct muscles to balance the forces around the joint. Too much pull in one direction can cause additional problems. The main symptoms of PFPS are pain along the sides of the pate...
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