Differential Diagnosis for George's Condition
- Single most likely diagnosis
- Peyronie's disease: This condition is characterized by the development of fibrous scar tissue inside the penis, leading to curved or bent erections. It is the most common cause of penile curvature and matches the symptoms described.
- Other Likely diagnoses
- Congenital penile curvature: Some men are born with a curved penis, which can be noticeable during erection. This condition could be a possible diagnosis if George has had the curvature since birth.
- Penile fracture: Although less common, a penile fracture (a tear in the tunica albuginea) can cause curvature of the penis during erection, especially if it heals improperly.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Malignancy (e.g., penile cancer): Although rare, penile cancer can cause curvature or deformity of the penis. Early detection is crucial for effective treatment, making it essential not to miss this diagnosis.
- Vasculitis (e.g., Behçet's disease): Certain vasculitic conditions can affect the blood vessels in the penis, leading to curvature or other sexual dysfunction symptoms. These conditions can have serious systemic implications if left untreated.
- Rare diagnoses
- Dupuytren's contracture of the penis: A rare condition where fibrous tissue develops in the penis, similar to Dupuytren's contracture in the hand, potentially causing curvature.
- Klinefelter syndrome: A genetic condition that can cause a variety of symptoms, including sexual dysfunction and potentially penile curvature, although this is not a primary symptom.