During history taking and physical examination for Peyronie’s disease, which finding supports the diagnosis?

• A. No curvature or plaque
• B. Angulation, curvature, palpable plaque
• C. Testicular pain
• D. Urethral discharge

Answer: (B)

Peyronie’s disease results from fibrous scarring of the tunica albuginea, which causes the penis to bend or angulate during erection. The strongest supporting finding is the combination of penile angulation or curvature along with a palpable penile plaque on examination. This plaque is typically felt as a firm, non-tender area on the shaft, often on the dorsal aspect, corresponding to the site of the curvature. A patient might describe a crooked erection or painful erections, and the exam may reveal the palpable plaque that explains the deformity. Absence of curvature or plaque makes Peyronie’s unlikely, while testicular pain or urethral discharge would suggest other conditions.