¿QUÉ ES LA ENFERMEDAD DE PEYRONIE?
Definición
Iniciemos definiendo el peyronie como una enfermedad que se caracteriza por la formación de una banda fibrosa en la túnica albugínea de los cuerpos cavernosos del pene que provoca la desviación o curvatura del pene durante la erección. Dependiendo de la extensión de la banda fibrosa, el proceso puede imposibilitar la penetración o hacer que la erección resulte dolorosa.}

Prevalencia
Se estima una prevalencia del 3 al 9% y se encuentra asociada a otros enfermedades como la enfermedad de dupuytrent.
Diagnóstico
Se fundamenta en una adecuada valoración clínica del paciente, las características del mismo determinarán los estudios complementarios a solicitar.

Clasificación
Clásicamente se describen dos fases : Aguda: donde hay dolor y progresión de la curvatura, generalmente suele durar hasta un año y la crónica (el dolor desaparece y se detiene la progresión), esto es sumamente importante para establecer el planteamiento terapéutico.
Tratamiento
En fase aguda las opciones comprenden vitamina E, colchicina, pentoxifilina, POTABA, tadalafilo entre otros. Su efectividad es limitada. En la fase CRONICA (no progresión de la curvatura, ni dolor por lo menos durante los últimos tres meses) la terapia intralesional con colagenasa e interferón son una opción previa al tratamiento quirúrgico.

Las opciones quirúrgicas incluyen procedimientos con plicatura, injertos además de la colocación de prótesis de pene, la modalidad a seleccionar dependerá de las características del paciente como grado de curvatura, longitud del pene, estado de la función eréctil del paciente entre otras.

Links de interés:
Urotalk – CAU. Dr. Alejandro Carvajal (SLAMS). Enfermedad de Peyronie.
Guideline European association Of urology – Penile curvature
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