Fibrosis in the penis: causes of Peyronie's disease
Fibrosis in the penis is the direct cause of what is known as Peyronie’s disease, a condition that leads to the formation of scar tissue inside the penis. This tissue reduces the elasticity of the organ and can alter its shape, causing curvature, pain during erection, and difficulties in maintaining satisfying sexual relations.
At Andrología Barcelona, we explain how penile fibrosis develops, what its risk factors are, and which treatments are available to restore erectile function and improve sexual quality of life.
What is penile fibrosis?
Penile fibrosis occurs when fibrous tissue accumulates in the tunica albuginea, the layer surrounding the corpora cavernosa of the penis. This can cause:
- Curvature of the penis during erection
- Pain during sexual arousal
- Difficulty achieving or maintaining a firm erection
This condition can interfere with normal sexual activity and, in some cases, generate anxiety or emotional stress.
Causes of penile fibrosis
Although the exact cause is not always identified, the main factors associated with penile fibrosis include:
1
Repeated trauma or microtraumas
Injuries or bumps during sexual activity or sports can damage the tunica albuginea, leading to scar formation.
2
Genetic predisposition
Some men are more likely to develop penile fibrosis due to a family history of the disease.
3
Aging and vascular problems
Age and conditions such as hypertension, diabetes, or smoking increase the likelihood of fibrosis by affecting the penis’s elasticity and vascularization.
4
Collagen abnormalities
Disorders that affect collagen and connective tissue production can favor the formation of fibrous plaques.
How does penile fibrosis affect erection?
Scar tissue reduces the penis’s elasticity and can lead to:
- Curved or angled erections
- Incomplete or painful erections
- Erectile dysfunction
These changes can make sexual intercourse difficult and affect male self-esteem.
Treatments for penile fibrosis
Treatment depends on the severity of the curvature and the patient’s symptoms. Options include:
Medical therapies
- Collagenase injections (Xiapex) or hyaluronic acid (Perovial) to dissolve fibrous tissue
- Anti-inflammatory and antioxidant medications
- Penile traction devices to improve shape and length
Surgical treatment
Surgery for Peyronie’s disease is indicated in severe cases with significant curvature that prevents penetration or causes intense pain.
When to consult a specialist
If you notice penile curvature, pain during erection, or sexual difficulties, it is important to see a specialist in andrology or urology. Early diagnosis of penile fibrosis allows:
- Halting fibrosis progression
- Improving erectile function
- Restoring sexual quality of life
Penile fibrosis is one of the most common causes of erectile dysfunction related to structural alterations. Although it can be concerning, effective and personalized treatments exist to restore both function and sexual confidence.
At Andrología Barcelona, we offer a comprehensive approach, combining advanced diagnosis and therapies tailored to each patient to treat penile fibrosis safely and effectively.