Resumo

GUIMARAES, Ana Carla; BRANDAO, Vera; CARVALHO, Ana Luísa  e  COSTA, Sílvia Orange. Peyronie’s disease: the importance of identifying to reassure. Rev Port Med Geral Fam [online]. 2019, vol.35, n.6, pp.512-516. ISSN 2182-5173.  https://doi.org/10.32385/rpmgf.v35i6.12273.

Introduction: Peyronie’s disease is a connective tissue illness characterized by the presence of fibrous tissue in the tunica albuginea of the corpora cavernosa. This condition may cause pain and deformity during erection. Being a sexual disease is often hidden by the patient, although it is a cause of much anxiety and frustration. Diseases characterized by the formation of tumefactions are often associated with cancer, therefore Peyronie’s disease patients are often afraid of having a penile tumor. The purpose of this case report is to show not only the importance of a family doctor on the recognition of this pathology but also its importance on deciding what the most appropriate approach is in order to tranquilize the patient and family. Case report: Male, 57 years old, personal history of arterial hypertension, without another relevant pathological history. He goes to the doctor because of anxious symptoms, for no obvious reason. He mentions concerns about his sexual performance because, during the erection, which would not be as exuberant as usual, the penis would present a curve with concavity to the right. No other symptoms. The penile ultrasound showed images compatible with Peyronie’s disease. The patient opted for an expectant attitude. Months later, the anxiety symptoms have improved, Peyronie’s disease has stabilized and his sexual activity is satisfactory. Comment: Peyronie’s disease is a benign disease whose etiology is not yet fully known. The diagnosis is essentially clinical, although a penile ultrasound is often used. Different medical treatments have been tested without proven effectiveness, so the gold standard treatment is surgery. As a family doctor, it is important to be able to inform and reassure the patients in order to avoid unsuccessful cycles of consultation, testing and treatment.

Palavras-chave : Peyronie’s disease; Penile curvature.

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