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A percentage of cases are believed to be the result of minor penile trauma (which may be so slight as to have gone unnoticed at the time). However, incidences do rise in men in their 50's and 60's, are sometimes accompanied by other connective tissue disorders and may even have a genetic link.Treatment: Due to the fact that the cause of many cases of Peyronie's remains a mystery, medical treatment options are often hit and miss. Doctors often recommend oral vitamin E supplementation as a first line treatment option because of the vitamin's ability to reduce the formation of scar tissue throughout the body. In more severe cases medications that help to breakdown collagen (a protein which is believed to play a key role in the development of Peyronie's) are injected directly into the affected tissues - but again with varying levels of success. Corrective surgery to reduce the severity of penile curvature is usually considered a last resort, as the various bend marijuana delivery surgical procedures available either tend to cause a degree of penile shortening or have a relatively high risk of causing further erectile impairment. A recent study published in the Journal of Sexual Medicine suggests that penile traction might offer a viable non-surgical alternative for men who've failed to respond to other forms of treatment.Symptom: Whilst having sex you hear a nauseating cracking sound, followed by extreme pain, your erection deflates quicker than a blown out tyre and your little fella promptly turns black and blue...Cause: This nightmare scenario is caused by sudden trauma to the penis which results in a 'penile fracture'. Whilst your penis contains the same number of bones as the average mollusc (none), the cracking sound is a result of the tunica albuginea (the sheath of tissue covering the erectile chambers mentioned above) splitting or tearing under extreme force.Violently bending a fully erect penis is the common culprit - an easy mistake to make during the throws of passion (particularly if she's on top). But if the worst does happen and you consider your other half to be culpable, don't expect any monetary compensation - a man who tried to sue his (not surprisingly ex) girlfriend for that very thing had his lawsuit for reckless endangerment dismissed.Treatment: Prompt surgical intervention to repair the damaged tunica is usually a necessity. Left untreated experts warn that there's a 10 - 50 percent chance that you'll sustain irreparable damage that could result in permanent distortion to the penile shaft, pain during sex and worst of all, permanent loss of erectile function.In all honesty though, you're not likely to need much encouragement to rush yourself to A & E if you're ever unlucky enough to experience the mind numbing agony, swelling and bruising that usually accompanies a penile fracture.Symptom: Mr Happy has outstayed his welcome...Cause: Although a perpetual hard-on might sound like fun (behind closed curtains at least), take heed, because an erection that lasts more than four hours requires urgent medical attention to prevent permanent penile damage.Medically referred to as Priapism, involuntary erections that refuse to subside can be caused by a host of factors. In healthy men, illicit drugs including cocaine and marijuana and the abuse of anti-impotence medications for recreational purposes are common culprits.