I’m Dr Sébastien Beley, a Paris-based urological surgeon specializing in male sexual disorders, and in particular in the management of Lapeyronie’s disease. Today, I’d like to talk about a subject that concerns many patients: the link between Lapeyronie’s disease and the practice of sport. Is it possible to develop this pathology through physical activity? And if so, how can it be recognized and treated quickly to avoid complications? This article will provide you with detailed, clear and concrete answers on this often misunderstood subject.

What is Lapeyronie’s disease?

Lapeyronie’s disease is a condition characterized by the formation of an inflammatory fibrous plaque on the penis. This plaque develops in the tunica albuginea, the membrane surrounding the corpora cavernosa of the penis. It causes visible deformation of the penis, often in the form of a curvature during erection. This deformation may also be accompanied by retraction of the penis, i.e. a reduction in its length and circumference.

Unlike a simple congenital curvature, Lapeyronie’s disease is an acquired pathology that evolves in several phases. Initially, the plaque is inflammatory and can be painful, particularly during erections. Gradually, the inflammation diminishes, while the plaque becomes more fibrous and rigid, leaving the penis with a more pronounced deformity that is often irreversible without treatment.

The consequences are manifold: pain, functional discomfort, difficulty during intercourse, reduced self-confidence, even erectile dysfunction. It’s a disease that impacts on patients’ sexual and emotional quality of life.

The classic causes of Lapeyronie’s disease

The precise cause of Lapeyronie’s disease remains poorly understood. However, a frequent trigger is local trauma, often minimal, which causes intracavernosal bleeding. This bleeding initiates an inflammatory process that leads to plaque formation.

A classic example is microtrauma during sexual intercourse. Indeed, some men accidentally injure themselves during intercourse, which can trigger the disease. However, there are other situations where trauma may be responsible.

The link between sporting activity and Lapeyronie’s disease

Less well known, but just as important, is the potential role of certain physical activities in the onset of Lapeyronie’s disease. Indeed, direct trauma to the penis can occur during sports, especially those involving the risk of falls or direct impact.

Types of activities at risk

• Sports involving falls: For example, cycling, especially mountain biking or motorcycling, where a fall can result in a direct impact on the genital area.
• Contact sports: Martial arts, soccer or any sport where the penis can be struck by an object (such as a ball) or an opponent.
• Activities involving repetitive trauma: Even repeated microtrauma can, in some cases, promote the development of inflammatory plaque.

These shocks can cause a small amount of bleeding inside the corpus cavernosum, triggering the inflammatory process that causes the disease.

Recognizing symptoms after a sports injury

If you have suffered a shock or a fall to the penis during a sporting activity and you observe changes, it is essential not to let these signs pass:

• Unusual pain, especially during erections.
• A visible or noticeable deformity, such as a bump or plaque on the penis.
• Decrease in penis size, either in length or circumference.
• A change in the shape of the penis, with a new curvature or deviation.

These symptoms should prompt prompt consultation of a specialist, as early diagnosis means more effective treatment.

The importance of a prompt urological consultation

It’s essential to consult a urologist as soon as you notice an abnormal change in your penis after a sports injury. The specialist will carry out a precise clinical examination and may prescribe further tests if necessary, such as a penile ultrasound, to assess the presence and nature of the plaque.

Early diagnosis means that anti-inflammatory treatment can be started quickly. This inflammatory phase is the period when effective action can be taken to limit plaque evolution and reduce deformities.

Treatments available in the initial phase

• Anti-inflammatory drugs: help reduce pain and inflammation, slowing plaque progression.
• Local injections: In certain cases, injections of specific drugs into the plaque may be considered.
• Lifestyle modifications: Avoid repeated traumas and adapt sports activities temporarily.

The earlier treatment is initiated, the greater the chances of avoiding severe progression.

Consequences of delayed treatment

If Lapeyronie’s disease is not diagnosed and treated in time, the plaque becomes fibrous and rigid. Penile deformity can then worsen, making sexual intercourse difficult or even impossible. Penile retraction can also be significant, considerably affecting quality of life.

At this stage, medical treatments are often less effective, and surgery may be required to correct the deformity and restore sexual function.

Surgical options

• Plicature: Technique of “pinching” the part opposite the plate to straighten the penis.
• Grafting: In the case of large plaques, a tissue graft can be performed to replace the affected area.
• Penile implant: In severe cases with associated erectile dysfunction, an implant can be proposed.

However, surgery carries risks and should only be considered after a full evaluation and when conservative treatments have failed.

Prevention and practical advice for athletes

For athletes, it’s important to adopt certain measures to limit the risk of developing activity-related Lapeyronie’s disease:

• Wear appropriate protection: Use genital protection during high-risk sports.
• Avoid direct trauma: Be alert to falls and physical contact.
• Monitor any pain or abnormality: Don’t overlook unusual pain or deformity.
• Early consultation: In case of doubt, early consultation with a urologist is essential.

The role of education and awareness-raising

Lapeyronie’s disease is often a taboo subject, which often delays diagnosis. It’s vital to inform men, especially sportsmen, about the risks associated with genital trauma and the symptoms to watch out for.

A better understanding of the disease can help avoid chronicity, reduce suffering and improve quality of life. Don’t hesitate to discuss this subject openly with your doctor or a specialist.

Conclusion

Lapeyronie’s disease is a complex pathology that can occur following trauma, including during sporting activities. Direct trauma, however minor, can trigger an inflammatory process leading to the formation of a fibrous plaque responsible for penile deformities and pain.

It is therefore crucial to remain vigilant after a shock to the penis during physical activity. Any pain, deformity or change in penis size should prompt prompt consultation of a urologist. Early diagnosis and appropriate treatment, particularly anti-inflammatory, are the keys to limiting the progression of the disease and avoiding complications.

For athletes, prevention means wearing protective equipment and knowing the risks. Finally, awareness-raising and education are essential to remove the taboo surrounding this disease and encourage prompt treatment.

Take care of your sexual health, pay attention to your body and don’t hesitate to seek advice if you have any doubts.