IATROGENIC: induced inadvertently by a physician or his treatment plan. There is a
long history of suggestions that medical treatments and/or prescribed medications
cause Peyronies. It is interesting to look at some of the articles that suggest medical
treatment may contribute to the development of our condition. My commentary is in
In the Journal of the Royal College of General Practitioners (August 1982), Drs.
Owen, Williams and Rees state that Peyronies is associated with hypertension and
atherosclerosis. Another common factor is the use of beta-blocker medications. The
authors provide 3 case histories of men who developed Peyronies after undergoing
medical treatment with beta blockers.
The winter 2000 publication of the James Buchanan Brady Urological Institute,
Johns Hopkins Medical Center contained an article suggesting a strong positive
correlation between radical prostatectomy for prostate cancer and the development
of Peyronies. The author, Dr. Jonathan P Jarrow, states that only 26 out of 100,000
men are diagnosed with Peyronies each year and it is “wear and tear” condition. In
their study, 3 out of 64 radical prostatectomy patients developed Peyronies after
surgery. This is a 1,000 fold increase as compared to the previous numbers (26/100,
Dr. Danny R. Westmoreland is a Mason County, West Virginia physician who went
to a urologist for removal of a stent from his urethra. During the procedure,
Westmoreland maintains that he experienced pain and repeatedly told the urologist
to stop. The procedure which should have only taken 15 seconds, lasted 15-20
minutes. After the procedure, he developed a variety of aliments, including
Peyronies disease. In an interesting twist of logic, Dr. Westmoreland alleges that his
urologist committed rape by not removing the scope when asked. Another individual
saw this doctor for his long standing Peyronies disease and agreed to have
corrective surgery. Unfortunately, postoperatively the patient still had Peyronies and
pain. The urologist said this was due previously undiscovered plaque. Both
individuals have sued him and the outcome is still pending.
Unfortunately, virtually every aspect of Peyronies is still a mystery. These stories
highlight our dilemma. No one knows what really knows causes it. Dr. Jarrow’s
statistic of 26 out of 100,000 seems very low and I would like to know the origin of
these numbers. Everything I read shows a higher incidence. Wear and tear is an
unusual descriptive term for the condition. The last time I heard that phrase I was
trying to get warranty service for my automobile brakes. The numbers involved in
the survey are so small that I have to wonder if they have any meaning or they can
be chalked up to coincidence. The story out of West Virginia is frightening. If a
physician (Dr. Westmoreland) does not know how to select a urologist to treat this
condition where does that leave the rest of us. My only advice is that before being
treated make sure your physician has significant experience in treating this
ailment. I can remember my first experience. When I went to a urologist, he said
that he treats mainly prostate cancer and sees Peyronies patients once in a while.
Don’t let someone like this treat you. Finally, I have been taking beta blockers for
many years before developing Peyronies. The first article suggests a connection,
but no solid proof.
If any reader has developed Peyronies after medical treatment, please share your
story with the rest of us.