Fact-sheet: Erectile dysfunction - Lapeyronie


Updated on 04/18/2018 at 3:58 PM

Note : 0/10

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Definition

Chronic inflammation leading to fibrosis and localized thickening of the tunica albuginea: "plaque"

Plaques may be: lateral or septal / calcified

Idiopathic fibrosis of the corpus cavernosum

Frequent history of trauma

Affects middle-aged men

Clinical features

Erectile disorders: abnormal penile curvature on erection / pain / induration

Ultrasound

Thickening of the tunica albuginea, more often on the dorsal aspect

+/- Doppler hyperemia reflecting inflammation

posterior attenuation if calcified

MRI

Fibrotic plaques: T2 hyposignal, thickening of the tunica albuginea

enhancement correlated with active inflammation

Management

Medical or surgical treatment depending on symptomatology, severity of penile curvature, and disease phase

Differential diagnosis

Penile tumor