Palpable fibrous plaque on dorsal penile shaft indicates-

• Peyronie’s disease (plastic induration of penis/ penile fibromatosis) usually seen over 40 years of age. • It is due to fibrous plaques in one or both corpus cavernosum of varying sizes involving tunica albuginea which may later calcify or ossify. • Cause remains obscure, the dense fibrous plaque is microscopically consistent with findings of severe vasculitis. • Palmar fibromatosis (Dupuytren’s contracture), plantar fibromatosis and penile fibromatosis (Peyronie’s disease) are components of the same pathological process called superficial fibromatosis. Clinical Features • Painful erection, curvature of penis and poor erection distal to involved area. • No pain when the penis is in nonerect state. • Palpable induration or mass appears usually on the dorsolateral aspect of the penis. Treatment • Spontaneous remission occurs in about 50% cases, so observation and emotional support advised initially. • If the penile deformity is distressing, Nesbitt’s operation can be performed to straighten the penis. • Nesbitt operation: Straightening of penis by placing non-absorbable sutures in corpus cavernosum opposite to the plaque.