What is penile fibrosis? Causes, consequences and how to treat it


Every men, who look for a healthy and long-lasting sexual life, should take care of the health of their penis. Knowing the problems that can affect the well-being of your penis is of fundamental importance to be able to recognize the symptoms in case something does not go well. Moreover, it is very important to have regular consultations with an urologist to do preventive examinations.

One problem that affects men, sometimes without any apparent symptoms, is penile fibrosis. That is a nodule, formed by an internal thickening, which can change the anatomy of the penis. Although it is a problem that occurs inside the penis it is possible to notice the fibrosis through palpation. That is what we will get to know next.


How to identify penile fibrosis?

Just as women are encouraged to do the breast self-examination to detect possible nodules in the breast, men should include penile palpation in their daily lives. Self-examination should be done with the flaccid penis, from the bottom to the top, in the search for any evidence of lump in the internal area, which may be the size of a pea, the pit of an olive or possibly the size of a coin. At any sign, schedule an appointment for a more accurate diagnosis.

Sometimes the fibroses are not easily palpable, but they can generate a loss of elasticity in the tunica albuginea (the penile cartilage), which can cause the penis to bend, sharpen, shorten or straighten, if it was originally bent downwards. Feeling pain during erection is also a sign that something is not going well and needs some medical attention.

When you notice any of these symptoms, seek an urologist as soon as possible. Depending on the stage in which the fibrosis is found, it can be treated with medications or with a surgical procedure if it is in a more advanced stage.


What causes penile fibrosis?

The main factor that causes the formation of penile fibrosis is the occurrence of a trauma in the penis, which may occur during the sexual act. It can be caused by an impact in the penis during penetration, more likely to happen to patients with congenital curvature or Peyronie's disease, besides that, there are also cases of involuntary erection in which the penis can, even under clothing, accidentally suffer an impact.

Moreover, some conditions may also increase the possibility of developing fibrosis due to the lack of oxygenation inside the penis, as in the case of patients with diabetes, men who have had prostate surgery, or those who do not have regular morning and nocturnal erections. The less oxygenation inside the penis, that is, the less blood circulating, the greater the chance of the appearance of fibrosis.


Can I have a normal sex life with penile fibrosis?

First, it is important to note that any evidence of penile fibrosis should be examined and eventually treated. There are superficial and internal fibroses. The superficial ones are those responsible for the curvature of the penis, since they affect the elastic tissues, reducing one of the sides. The degree of the curvature is what will determine if the problem will affect, or not, the sexual life of the man. In case the penis gets bent to the point of disrupting or hindering penetration, it is necessary to treat the condition so it remains safe for the couple to have sex.

There are also internal penile fibrosis. They can cause tortuosity of the penis, but they have an even more serious consequence for sexual intercourse: they compromise blood circulation inside the penis, which limits its flow and directly interferes the erection capacity and the sexual performance of the patient.


I have penile fibrosis, what now?

Anyone who has developed a fibrosis in the penis can have a normal life after proper treatment. When visiting an urologist, an erectile-induced exam will be performed to evaluate penile vascularization and the type and stage of the existing fibrosis.

If the fibrosis is on a mild stage and does not cause deformity in the penis to a point of disrupting the ability to have or to maintain erections, the problem can be treated with medications in order to prevent it from worsening and causing greater consequences.

If fibrosis has spread and has caused a significant deformity to the penis or if it disrupts the erection, the use of pills and medications will not achieve the desired outcomes. In these cases, the best solution is to perform a surgical procedure, based on the Egydio Technique, which will treat fibrosis and solve any other problems that the lump has caused, such as shortening and thinning of the penis. 

Now that you already know what fibrosis is and how to identify it and treat it, it is time to search for a specialist to ensure a safe and healthy sexual life. You can start by filling out this form and we will start a full evaluation.


Dr. Paulo Egydio

MD, PhD, Dedicado no Tratamento da Doença de Peyronie, Pênis Curvo e Implante de Próteses Penianas. Doutor em Urologia pela USP, CRM 67482, RQE 19514. - Vencedor do Debate do Sobrevivente da AUA em 2019.

Subscribe to our blog