Masoom Raza Mirza, Maria Shabbir Saria, Tasir Ahmed Mumtaz.
Peyronie`s disease.
J Ayub Med Coll Abottabad Jan ;18(1):66-7.

A 22 years old gentleman presented in surgical clinic, with a painful nodule on the left side of his penis and deformity during erection for two months. He was alright two months back when he started feeling something firm under the skin of penis just proximal to the glans. At erection this area becomes painful even to touch and glans deviates toward the left. He did not recall any kind of penile trauma or UTI in recent past. There is no history of smoking. He was a young man in good health. General physical examination was normal. A plaque of 2x1 cm was present on the left side in the shaft of penis just proximal to the glans. This plaque was tender and firm in consistency. A clinical diagnosis of Peyronie`s disease was made and an ultrasound was performed which showed a plaque in both Transverse (Fig.1) and Longitudinal (Fig.2) planes. He was counseled and Vitamin E 200mg B.D prescribed. He was followed up in clinic and after six weeks he reported that the plaque is no more painful and deformity had not worsened.

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