Peyronie disease

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis certain

Presentation

Erectile dysfunction. Palpable dorsal nodule with a noted absence of an abnormal curvature clinically.

Patient Data

Age: 40 years
Gender: Male
ultrasound

There is an echogenic, focal, dorsal, midline, tunica albuginea, calcific plaque straddling both the left and right corpora cavernosa.

The penile septum is normal and uninvolved.

The corpora cavernosa and cavernosal arteries are normal.

Case Discussion

Features consistent with Peyronie's disease.

In this instance, it is plausible that the presence of a midline fibrocalcific plaque (versus an eccentric plaque) prevented an abnormal curvature of the penis both in a flaccid and erect state in this patient.

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