Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable penile plaque, reporting [dorsal/ventral/lateral] curvature during erection. Symptoms include [painful/painless] erections, erectile dysfunction, and penile shortening. Onset: [Date/Duration]. Progression: [Stable/Progressive]. Impact on sexual function: [None/Mild/Severe].
Clinical Examination Findings
Genitourinary exam reveals a firm, non-tender, palpable plaque located at the [distal/mid/proximal] penile shaft. Penile length: [X] cm. Curvature assessment (via auto-photography or pharmacologically induced erection): [X] degrees. No evidence of urethral discharge or inguinal lymphadenopathy.
Treatment Protocol
Management plan: [Conservative/Medical/Surgical]. Options discussed: Intralesional injections (Collagenase Clostridium histolyticum), oral therapy (Pentoxifylline/PDE5 inhibitors), or surgical intervention (Plication/Grafting/Penile Prosthesis). Patient advised on risks, benefits, and realistic expectations regarding curvature correction.