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Peyronie’s disease

Peyronie’s disease. Ultrasound of peyronie’s disease Calcified plaque. X- ray pelvis showing bilateral fibrosis of the corpora cavernosa tunica albuginea denoting peyronie’s disease ( yellow line). Calcified plaque involving right corpus cavernosum ( painful erection) ( Peyronie’s disease).

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Peyronie’s disease

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  1. Peyronie’s disease

  2. Ultrasound of peyronie’s diseaseCalcified plaque

  3. X- ray pelvis showing bilateral fibrosis of the corpora cavernosa tunica albuginea denoting peyronie’s disease ( yellow line)

  4. Calcified plaque involving right corpus cavernosum ( painful erection) ( Peyronie’s disease)

  5. MRI: Peyronie’s disease

  6. MRI: Penile fibrosis

  7. Collagen in peyronie’s disease. Densely packed collagen fibers prevent normal sliding of tissue during expansion & contraction of erection process resulting in a curved penis. Collagen in normal tissue of tunica albuginea. Organized collagen fibers arranged in sheets that slide past each other during expansion & contraction of the erection process.

  8. H. & E. showing fibrosis of tunica albuginea but does not affect corpora cavernosa . It may be calcified or ossified (os penis)

  9. Mallory stain showing fibrosis of tunica albuginea in a caseof peyronie’s disease

  10. Dorsal neurovascular bundle is lifted off the underlying corporal body by a blue rubber loop. So nerve function will be preserved. The actual problem is the corporal body where incision & grafting will take place.

  11. Penile fracture in a case of Peyronie’s disease

  12. Penile fracture (Broken penis)It affects directly the tunica albuginea. Dignosis is by cavernosography ; MRI & urethrogrphy to rule out whether the urethra is traumatized, No bone inside cavernous tissue.

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