Is it possible to have a penile curvature without having a Peyronie's scar?

Dr. Herazy,

Is it possible to have an extreme curvature in one or both of the blood-filled columns in the inside of the penis without having a scar? I can't find a scar at all. Also, I only have pain (a slight twinge) in the base of the penis and in the curvature?

 

Greetings,

The only way you could have an extreme curvature without having a scar would be to have a congenital curvature (born with a normal curvature) or to develop some other health problem that would cause additional penile symptoms. 

If you have been diagnosed with Peyronie's disease and you have a bent penis you must realize the penile curvature is being caused by something that was not present before you developed PD.  There must be a reason for the distortion, correct?  In your case, the distortion is being caused by extra fibrous buildup that is very difficult to locate.  This is common in Peyronie's disease; I guess that at least half of men with PD have difficulty finding their scar(s).   In fact, it is so common that I wrote a blog post titled, "Can't find Peyronie's plaque or scar."   You could also read another question and answer, "How do I find my Peyronie's scar?" 

It is typical for someone who has been medically diagnosed with PD to still feel uncertain if this diagnosis is accurate and correct.   It is part of a denial response.  If this is true, you must either make up your mind you will either accept the diagnosis or go to another urologist for another opinion to either confirm or deny your Peyronie's disease diagnosis.  I sense that you are beating yourself up with doubts and endless questions.  At some point you must stop fighting the idea you have PD. You need to eventually take that energy you are wasting on endless worry and use it to do something about your problem.  Some men have a difficult time dealing emotionally with severe penile curvature.  If that is true for you, please contact me for a few EFT sessions and I think I can do something to help you in this way, as I have done for so many other men.   

The pain of Peyronie's disease is quite variable in terms of degree and location. Having a slight twinge at the base of the penis, and within the curvature, is consistent with this problem.  But then, having a great amount of pain at the base or toward the top of the penis would also be consistent since the pain of PD is wildly variable. TRH  


Could Peyronie treatment plans still possibly help my congenital curvature?

I have been searching for a possible remedy for my penis. I have a slight downward curve, I believe it is congenital because I've always had it, and there is no scarring underneath my shaft or pain. Could your treatment plans still possibly help my congenital curvature? even if i don't have Peyronies? PLEASE HELP, this is causing me so much emotional discomfort doc!


Greetings,

The PDI treatment plans are specific for Peyronie's disease.  However, I have been told by men who have congenital penile curvature that they used the information and technique from the PDI Manual Penis Stretching CD with great benefit.  I suggest you review that information to see if it makes sense to you and proceed accordingly. 

Additionally, since most congenital curves tend to be gradual and mild, I suggest that you could be making more of your lack of total straightness than it deserves.  Perhaps your values and sense of self-esteem exaggerate your emotional response to your variation.  It might be helpful for you to read "Peyronie's Disease and Sex" to get some insight into the way you are feeling about yourself.  TRH

Should my husband have a penile implant?

My husbands penis curves 90* upward when erect and has painful intercourse. We believe it's from an injury he sustained during intercourse about a year or so ago. We have seen a urologist several times and have been told our only real option is a prosthesis. Do you think your program could help us?

Greetings,

It is not my intention or desire to interfere between your husband and his urologist concerning any aspect of his treatment or his relationship with his doctor.  I will not answer your question directly if your husband should or should not consider having a penile prosthesis surgically implanted to resolve his current sexual problem – I have no direct opinion or advice for your question.  That is a subject for discussion between the two of you and your husband's treating doctor.  My only interest and purpose in making this reply is to offer general ideas, and pose questions to you, to broaden your discussion with the urologist about the progression of your husband's care.

My general opinion on this subject and ideas for you to consider, as you make up your own minds about his treatment, are these:

    1.  The penile prosthesis is a mechanical device that induces an artificial state of erection – either temporary or permanent –  so that intercourse can take place.  It is usually thought of a surgical treatment for Erectile Dysfunction, and less so for Peyronie's disease. Regardless of the type of penile prosthesis that is used it is necessary to surgically remove all or part of the corpora cavernosa (the bulk of the internal tissue that gives body to the penis) to make room for the prosthesis.  Once this is done the penis can never be returned to normal.  If there is some reason (massive infection, his body rejects the foreign material of the prosthesis, failure of the device) to remove the prosthesis, his penis will be just a small shell of what it once was.      

    2.  There are several basic types of prosthetic devices, and each has its advantages and disadvantages.  Which one is suitable for a patient is often determined during the actual operation when internal measurements can be made. Sometimes it happens that the patient wants one thing, but the surgeon is not able to provide that option because of anatomical problems.  The type of prosthesis to use is a huge subject and one that is very important for you to consider ahead of time.  I suggest that you go to several websites to research what your actual options are for each type of prosthesis, and what are the pros and cons of each.  Some sites you can visit are http://www.urologicalcare.com/advanced-ed-treatments/types-penile-implants/    and   http://www.mayoclinic.com/health/penile-implants/MY00358

    3.  While it is stated that 90%-95% of inflatable prosthesis implants produce erections suitable for intercourse, it is important to note that this must mean that 5-10% of  inflatable prosthesis implants produce erections that are not suitable for intercourse.  In my opinion for 5-10% of men to wind up having a non-functional erection after going through a gruesome surgery so they would have a functional erection, is a huge failure number.  The medical profession is proud to tell patient that the rate of patient satisfaction is very high with penile prosthesis use, and state that somewhere in the range of  80%-90% of men are satisfied with their results.  Again, I look at it from other direction and think about the 10-20% of men who are not satisfied with their device after going through the surgery.  Many people I communicate with are disappointed because of the lack of natural feel and natural appearance of the penis after surgery, the partial or total loss of sensation, the occasional or constant pain they experience, and/or the feel of something foreign in their groin area.  They must either continue to let it remain inside their body or remove it and be left with a flap of skin. 

    4.  Very few of the websites that discuss penile prosthetic surgery provide much detail about surgical failures and adverse surgical reactions. No surgery is totally free of possible direct complications, and penile implants have their own unique list of  possible complications:

  • Infection, and even recurrent infections that return long after the surgery is over
  • Uncontrolled bleeding after surgery, possibly leading to re-operation
  • Scar tissue formation, especially important in someone who already has Peyronie's disease
  • Tissue erosion and breakdown internally where the implant touches tissue, leading to eventual removal
  • Accidentally cut nerves, arteries or veins that lead to unintended consequences like pain, numbness, coldness, and/or chronic edema 
  • Mechanical failure of the prosthetic implant, leading to re-operation and removal

I have communicated with hundreds of men whose penile implant surgeries have gone bad.  Some doctors might mention post-operative infections, and even severe post-operative infections, but they do not elaborate what that really means in terms of possible long-term consequences to the patient and his partner. As a result of infections that occur, scar formation and unintentional cutting of nerves, arteries and veins the patient is left with more problems than before his penile implant surgery.  A man can be left with partial or total loss of sensation that means partial or total numbness of the penis no sexual stimulation or pleasure is felt.  He can be left with temporary or permanent pain, of a mild to severe nature, that is made worse by anything contacting the penis.  I have communicated with men whose only option after several failed penile surgeries was amputation.    

    5.  Most people who write to me about surgical options for  Peyronie's disease are considering an operation that will correct the curvature, not install a foreign device. What is the reason you were given to not do a Nesbit procedure or a skin graft?   Most often, after the Nesbit or skin graft fails only then, as a last option, is a penile implant suggested.  I am curious why in your husband's case the implant was suggested to start.  While I am not a big fan of the Nesbit and skin grafting options, they are still more conservative than a penile implant.  

    6.  It makes sense to me to first attempt more conservative options; options that do not have permanent and irreversible consequences. If this makes sense to you, you could consider spending a little time on the PDI website learning about the conservative options available to you.  You might check out Natural Peyronie's Disease Treatment.

   7.  There is no way for me to tell you in advance if the Alternative Medicine methods of PDI will help your husband.  It is something that has to be worked on over time to determine if he is capable of supporting and enhancing his immune response to eliminate the Peyronie's plaque that is causing his penile curvature. 

In college a wise professor repeated frequently to our class, "There is never a perfect situation."   As I grow older I understand the importance of keeping this in mind.  When it comes to the often imperfect nature of surgery of any kind, it is better to be conservative at the onset and gradually play out to more aggressive and potentially risky options as your conservative choices are used up – not the other way around.    

Good luck in discussing this subject with your urologist.   TRH   

 

Age 17: Is my bent penis Peyronie's disease?

Hey Dr. Herazy, I am 17 Years old and have noticed this curvature in my penis for as long as i can remember. Ive been doing some research on different treatments for Peyronie's disease. . I was wondering what, if any, vitamins can I take that will help remove the plague or increase the bloodflow through the affected area. I want to try all of my options before I turn to surgery. And also I am sexually active but self-conscious as to what females will think when they see my PD. What should I do ?


Greetings,

First things first:  At the age of 17, if you have had a penile curvature "for as long as you can remember" it is not likely to be PD.  Your curvature is most likely a normal anatomical variation that makes you the unique person you are. 

No need or reason for embarrassment.  In my 2nd book, "Peyronie's Disease & Sex" I spend considerable time explaining in great detail how many women prefer a bent penis because it — shall we say — scratches their itch in a way that a straight penis does not.  In that book I counsel men that if you have a bent penis — either from PD or from a congenital variation — rather than sitting embarrassed in a corner afraid of being rejected, they should look for that wonderful woman who needs a man whose penis is bent.  Your task is almost like looking for the right lock that fits your key.

You ask what you should do.  I strongly suggest that you get to a urologist who is experienced with Peyronie's disease and get a diagnosis of what is actually going on with you.  At this point you are making an assumption, and that is not the way to approach this situation.  Do not guess about PD.  When you know for a fact you have PD — at this point I believe you do not have PD — then get back to me and I will guide you through natural treatment.  TRH 

Penis Extender Claims and Peyronie’s Disease

Correcting the curved penis of Peyronie’s disease

Many men with Peyronie’s disease are interested in recent advertising promotions reporting that penis extender devices can correct penile curvature. Any man who faces penis surgery because of Peyronies wants to believe this is true.
 
Penis extender is an advertising term used for a mechanical device that is claimed to increase the length and girth of the penis by applying prolonged traction to the organ. This is supposed to be accomplished by wearing a plastic and metal device on the penis designed to firmly hold onto the head of the penis while using variable length metal rods to apply a traction force away from the body by pushing against the pubic bone of the pelvis. There is no proof that the extender can cause the penis to become larger and remain that way for more than a few weeks. 

In early 2011 there are about 12 companies that manufacture penis extenders, with five of these companies that seem to dominate the market in terms of very aggressive internet marketing. Of the many penis extender devices I have personally evaluated, all are of the same basic design and engineering concept, with only small differences in regard to materials used and design features to hold the head or shaft of the penis while traction forces are applied.  The only great difference amongst this group appears to be in the advertising and promotional claims that they dare to make about the effectiveness of their products.  Prices range from $250 to $430 for the most common models.  

Problems with penis extenders

None of these penis extender companies inform their potential customers in their advertisements that best results are achieved when the device is worn for eight hours a day for six months or longer. That particular information is revealed only in the literature that comes with the penis extenders after the purchase is made.  
 
Also, none of these penis extender companies reveal that these penis extenders weigh on average just a little over a pound. This is why men who have tried to use the penis extender products as instructed report to me that over a short period of time they experienced a rather rapid break down of the tender penile skin (tissue erosion from compression and rubbing that causes blisters, bruises, (and in some cases Peyronie’s disease).   For this reason a few of the more careful companies (perhaps those who are already been sued for damages) include in the penis extender kit special bandages, extra lamb’s wool padding, antibiotic ointments and instructions to follow when – not if – tissue erosion and bleeding develop after using the penis extender.
 
All penis extender manufacturers claim that in addition to making the penis larger, their products can be used to treat Peyronie’s disease. However, none of these companies explain how this is accomplished. The closest explanation offered by one company is that “The device produces results by forcing tissues of the penis to expand rather than retract.” This is, of course, nonsense since the problem of Peyronie’s disease is not the tissue has retracted. When something retracts it pulls back, withdraws or pulls in. That is not what happens in Peyronie’s disease.   The problem of Peyronie’s disease is that excessive collagen material is deposited at the a site of suspected penile injury and develops into a mass of scar-like tissue, which in turn prevents expansion of the penile tissue during erection as well as prevents full closure of the penile veins during erection causing reduced ability to achieve a fully hard erection.   
 
In order to accept the explanation of the penis extender manufacturers you will have to accept the idea that Peyronie’s disease is simply a problem of the penile tissue contracting for some reason they do not explain. They propose that the answer to this problem is to pull on the retracted or contracted tissue, like pulling for a while on a rubber band. This simplistic description and answer to the problem of Peyronie’s disease does not address the well known science surrounding Peyronie’s disease. Anyone who has taken the time to understand his problem will know this does not make sense. This is like saying that if a person is short they can be made taller by using traction that will cause the tissue to “expand rather than retract.”             

Penis extender not Peyronie's treatment

The best things about the penis extender devices for Peyronie’s treatment are that they must be easy to sell because:
            1. Any man would like to believe that the answer to his Peyronie’s problem will also cause his penis to be bigger.
            2. The simple idea that fixing a curved penis is as easy as straightening a bent paper clip must appeal to anyone who is frustrated by the complexity of Peyronies disease.
 
It should be pointed out that none of the makers of the penis extenders offers a good explanation how this process is supposed to reverse the penile curvature of PD. It is my belief that they have not done so because there is none.  
 
For information about the Alternative Medicine treatment of Peyronie’s disease.    
  

Peyronie’s Surgery

Finding a surgeon for your Peyronie’s surgery

There are those times when Peyronie’s disease surgery must be done.  If you sincerely feel you have faithfully and honestly used all possible drug and non-drug options to avoid Peyronie’s surgery, and they have all been unsuccessful, and now you cannot continue with the pain and limited sexual ability that started with Peyronie’s disease, then you should carefully consider penis surgery.

From my experience in talking and emailing to many hundreds of men each year since 2002, I have only occasionally found men who are happy with the results of their Peyronie’s surgery.   Am I saying that most Peyronie’s operations are failures?  Not necessarily.  All I can say is that of those men to whom I speak, the great majority are not pleased with their results to restore the penile curvature of Peyronie’s disease.

When I get to speak to someone who has good things to say about his Peyronie’s surgeon and the results of the operation, I always make it a point to ask a lot of questions about the surgeon’s name and location, his credentials, and the interpersonal issues and insights that develop while working with the surgeon.

Here is some advice in helping you select a Peyronie’s surgeon, or any surgeon, because it all comes down to the same traits and characteristics that make someone a good surgeon:

1.     Do your research.  While many physicians can claim to do surgery, or be someone who specializes in being a Peyronie’s doctor, you should only consider using a doctor who is a board certified surgeon in the area of specialty you need the care.  You definitely do not want to have surgery performed by someone who comes to you randomly, without experience in working with Peyronie’s disease. The need to have experience and site-specific and disease-specific training cannot be emphasized too much. After all, it is your penis that is going to be cut on, and you want the best you can find holding the knife above you.

2.    There is no need to rush into anything.  Plan on spending at least six months doing your research.  No need to rush into anything.  The more time you spend the fewer mistakes you will likely make when you must decide.  If it takes you a full year to collect information, all the better you will feel and all the better your results will occur.

3.    Your doctor should be a Board Certified Urologist with a sub-specialty in genitourinary surgery, or a Board Certified Urologist with a sub-specialty in surgery that does exclusively genitourinary surgeries.  For example, a surgeon might be a board certified urologist with a subspecialty in genitourinary surgery, but might also further specialize in operating only on male patients.  Whether this surgeon might do male urogenital surgery on the elderly (geriatrics) or male children (pediatrics) only makes his experience more valuable.

4.    Generally, using a plastic surgeon is not a good idea.  While a plastic surgeon might be skillful in facial work, and have a good technique and a good hand for doing the fine details around the face, that does not mean these skills will carry over into removal of the PD scar material.  If your primary Peyronie’s or genitourinary surgeon wants to use a plastic surgeon for one particular phase of the PD surgery, and that primary surgeon will stay at the operating table the entire time, that is fine.  It all comes down to training and experience in the area of the penis, especially removal of the PD scar.

5.    Your surgeon should have vast experience with Peyronie’s disease, having performed at least 25 prior surgeries of the specific type you need – usually the Nesbit plication, or others. The larger this number, compared to others, the more likely you should consider this doctor.   Someone who has done 10 Nesbit surgeries does not know as much as someone who has done over 100. You want someone who has seen it all, done it all, knows what to do in all circumstances, and will not be surprised while you are under the knife – or later.

6.    While this might seem to be a small and superficial consideration, I suggest you employ a surgeon with a meticulous office and very neat appearance, and a clean non-cluttered desk –you want someone who is really meticulous and highly motivated for fine detail work to be doing your Peyronie’s surgery for you.  You want a neat-freak, someone who is “anal” doing this kind of work, cutting into your one and only manhood.

7.    Good eye contact and warm personality – two reasons: not only will this be what he/she will be like when you are under his/her knife, but how you will be treated in discussions and after surgery care – not ignored or forgotten.  You want someone who will be open and friendly and a good communicator before surgery, because these are great doctor skills after the surgery when you need it the most.

8.    If you have a friend that is a nurse in area, ask her to ask around for you about the surgeon you are thinking about using.  I worked for orthopedic surgeon who was the rave of the hospital and all the nurses who worked in that hospital brought their kids for broken bones and for their husband’s bad backs.  Nurses are more likely to know, and talk about, the bad stuff and the good stuff concerning doctors in your area.  It is a high recommendation when you know that nurses like work of the doctor you want to use.

9.    Go to the internet to Google your surgeon professional work history with your state board of medical review to see if any disciplinary actions have been taken against this doctor.  This is important because it will give you a strong indictor about the skill and ability he/she possesses. If your doctor has been sued three times for malpractice, and there are two others who have never been sued, the decision becomes much easier to make.

However, it is always best to avoid any surgery, especially Peyronie’s surgery, if at all possible.  That is what the Peyronie’s Disease Institute is all about.  Helping you to naturally treat Peyronie’s disease by helping your body to heal and repair so you can eliminate the scar and avoid getting cut on in the first place.    Look at a few of the testimonials about our Alternative Medicine treatment for Peyronies.

Why is My Penis Curved?

Might not need to straighten your penis

To answer this common question it is first necessary to know if this penile curvature is something you have had all your life, or if it is something that just appeared after being fairly straight all of your life; if it is an old or a new feature of your anatomy.  Usually there is little   reason to straighten your penis if that is the way you were born.  If a small curvature has not caused any problem in the past, it is not likely to be Peyronie’s disease and you should not treat it.

If you have had a curved penis all your life, then it is most likely due to a normal and natural variation of tissue in that part of your body.  The human body is often made with slight imperfections and variations, and this might be one of yours.   Just as someone might be born with one ear that is shaped differently than the other, or one leg slightly longer than the other, you might have a penis that is curved just because it is not made perfectly.

Inside the penis are three chambers of special tissue that have the ability to expand and become rigid when filled with blood.  If any of these three chambers is larger or smaller than the other two, or has some anatomical variation that prevents it from completely filling with blood, the penis will be distorted in some manner when erect.

This is rather common among men and is not in any way related to Peyronie’s disease and does not warrant treatment or concern.  So long as sexual function is not limited in any way the curvature is considered a normal variation that makes you a unique person.

On the other hand, if you have had a fairly straight penis all your life, and at some time later you noticed an unusual bend, curve, twist, or dent-like physical deviation during erection that was not there previously, then that recent change in your anatomy suggests the possibility of Peyronie’s disease.  This is especially true if the unusual bend, curve, twist, or dent-like physical deviation is accompanied by Peyronie’s pain and reduced hardness of your erection.  Confirming the problem of Peyronie’s disease even more would be your recollection of a recent accident or injury, or use of a drug that is known to have Peyronies as a side effect.

Straighten your penis sometimes unnecessary

Even though the distortion of your previously perfect penis can be very disturbing to a man, it is not the real problem of Peyronie’s disease.  While the curved penis gets your attention, it is the internal Peyronie’s plaque located in the tunica albuginea layer of the penis that is the real issue.  The way to straighten your penis is by eliminating the internal Peyronie’s plaque that is the cause of the curvature.  Having surgery to straighten your penis carries a high risk of failure and tragedy, and only creates the opportunity for more internal Peyronie’s scar tissue to develop as a result of the penis tissue being cut during surgery.  This is the reason so many men find that after having Peyronie’s surgery their curvature becomes worse; it is because of additional internal scar tissue that results from the surgical incisions.

This is why Peyronie’s Disease Institute advocates that Alternative Medicine first be used to eliminate the internal Peyronies plaque before penis surgery to treat Peyronie’s plaque is attempted.  For additional information about this process, please review safe and effective Peyronie’s treatment options.

Straighten Your Penis

How to straighten your penis naturally and gently

A common question about Peyronie’s disease treatment concerns restoring a curved penis to its prior degree of natural straightness.   The question usually is along the lines of, “If someone has Peyronie’s disease for over 10 years like me, do you think the problem has gone on too long to straighten your penis?”

The answer to that question is a simple. “No, probably not, and treatment is always worth a try. Even if you have had a curved penis for 10 years due to Peyronie’s disease, it is still worth the effort to try to straighten your penis.”

Notice, I did not reply that reduction of penile curvature was guaranteed or easy, or that it would necessarily be a total correction – I have replied that it is possible because this kind of thing can and does occur using the concepts presented on the PDI website.  No one can accurately predict if and how much progress a man can make with his Peyronie’s problem after any length of time, let alone 10 years.  But, I have worked with men whose PD is older than 10 years, and many were able to see change and improvement.  You will only know if it is possible to straighten your penis if you attempt to do so.

In my experience most men simply stop looking for Peyronie’s disease help after a year or two.  This seems to be about the time when they accept the defeat that the medical doctors feed to them.  After a while they read and hear so much negativity about recovering from their Peyronie’s penis that they eventually stop looking for fresh ideas and help.  They accept that there is no help and they do nothing.  For this reason I tend to communicate with men whose Peyronie’s disease is relatively recent, and they are still searching for answers; for this reason most of my experience is working with men whose PD is in the 3-24 month range.

Using Alternative Medicine to straighten your penis

Although the explanation is long and detailed, the basic idea for using Alternative Medicine to reduce the excess fibrous tissue of Peyronie’s disease that causes a curved penis can be simply stated:

1.    Determine the exact size, shape, density and surface qualities of your PD scar(s)

2.    Improve your diet to take in more nutrients that will assist healing

a.    Make needed dietary changes outlined in “Peyronie’s Disease Handbook”

b.    Aggressively and faithfully follow a broad based and diverse Alternative Medicine therapy plan of both internal and external therapies, as outlined on the PDI website

3.    Use the Manual Penis Stretching Technique© developed through research of the Peyronie’s Disease Institute.  Do not be fooled by the clever ads that promote a mechanical penis stretcher that attempts to force the correction you are looking for; they can be dangerous and can actually make your PD worse.  I have spoken to hundreds of men who learned the hard way that there is no easy way to reduce penile curvature.

If you do these things, in my opinion, you will stand your best chance to straighten your penis from the effects of Peyronie’s disease.  If you do nothing, if you sit around and wait for someone to develop a miracle drug that will magically solve all your problems for you, you will be waiting a long time and your life will slip away from you. If you use a mechanical penis stretcher you run the risk of injury to your already injured penis. This is why the best time to learn if you respond to your effort to straighten your penis is now; the sooner the better.

Is It Necessary to Straighten a Curved Penis?

Not every curved penis requires Peyronie’s treatment

Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is currently only minor and does not interfere with intercourse.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

But, it is unwise to delay effort to straighten a recently curved penis for three reasons:

  1. Many times a small penile curvature suddenly gets bad enough to interfere with intercourse
  2. The longer Peyronie’s disease persists the more difficult it can be to treat
  3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse because your penis could suddenly bend and buckle when you least expect it, resulting in additional injury on top of what you currently have.

If you are not sure you have Peyronie’s disease, it might be unnecessary to use any treatment procedure.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

Lifelong penile curvature

When a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

  1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
  2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
  3. Neprinol

The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

Straighten a curved penis due to Peyronie’s disease

Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes in the penile curvature and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

How to Straighten a Curved Penis

Penile curvature and Peyronie’s disease

Before discussing how to straighten a curved penis, it would be wise to consider if reducing penile curvature in your situation is a necessary and advisable thing to do.

If you know for a fact that you have Peyronie’s disease, it is my opinion that it is always wise to attempt to treat your problem – even if it is only minor and does not interfere with intercourse at the time.  Many men suggest to me that since their curved penis is not causing any sexual problem they are not going to do anything about getting rid of their Peyronies problem.  They say they will only worry about having PD if they cannot engage in intercourse.  Otherwise they intend to just leave it alone.

It is unwise to delay effort to straighten a curved penis for three reasons:

  1. Many times a small penile curvature can suddenly become bad enough to interfere with intercourse
  2. The longer Peyronie’s disease persists the more difficult it can be to treat
  3. A curved penis is unstable during intercourse.  The longer your penile curvature continues you take an unnecessary risk every time you engage in sexual intercourse that your curved penis could suddenly bend and buckle, causing additional or worse injury on top of what you currently have.

If you are not sure you have Peyronie’s disease, please see Peyronie’s pictures because it might be unnecessary to use any treatment procedures.  It is best to seek a medical opinion about your curved penis to determine the exact cause and diagnosis of your situation.

Lifelong curved penis

In those cases where a man has had a curved penis all his life, it is still possible to use a few techniques that are discussed on this website to straighten a curved penis that is not related to Peyronie’s disease.  The Peyronie’s treatment that might be successful to reverse a normally curved penis are:

  1. Gentle Manual Penis Stretching Technique © – done without dangerous or painful penis stretcher devices.
  2. PMD DMSO, in combination with copper peptides (Super CP Serum) and vitamin E concentrate.
  3. Neprinol

The idea behind this approach is to soften and reduce as much soft tissue as possible within the contracted scar tissue, while using gentle manual penile stretching to straighten your curved penis; approaching the problem from two different directions at the same time.

Straighten a curved penis due to Peyronie’s disease

Regardless of the duration of Peyronie’s disease or how severe the curved penis, it is possible to make changes to the degree of abnormal penis bending and distortion.  There is no way to predict how much correction can be earned; sometimes it is complete reversal of curvature and other times the correction is only minor – but everyone seems to note some degree of improvement.   The real factor that seems to determine if a man succeeds or not is the amount of time and effort he devotes to his problem.

Now that you know how to work to straighten a curved penis it is time to get busy.  You will never know for sure until you do your best to correct your penile curvature, and now is the best time to do it.

Difficulty Finding the Peyronie’s Plaque

Peyronie’s disease plaque

Let’s clear up the confusion about the Peyronie’s plaque, the fibrous scar-like tissue that is the most common characteristic of Peyronie’s disease.  Many people when reading “scar” automatically think they should see it on the skin surface; for this reason I prefer the term Peyronie’s plaque.

Peyronie’s plaque is usually a flat or slightly elevated mass of fibrous tissue just under the skin, in a thin but tough membrane of the penis known as the tunica albuginea.  Sometimes it is cord-like or nodular, but usually it lies flat making it difficult to locate.

Peyronie’s plaque is not in any way related to plaque material that line artery walls. It is benign, meaning it is not cancerous and it is not a tumor.  Peyronie’s disease and this fibrous material is not in any way contagious, and is not in any way the result of any transmittable disease or microorganism – thus there is no way for a sexual partner to “catch’ the Peyronie’s plaque.

The mystery of Peyronie’s disease

For a male health problem that affects up to nine percent of the adult population, it is amazing that practically no man ever hears about PD until the day he is given the diagnosis.  It is this shock – a “mystery” condition that comes out of the blue, for which there is no known cause and no known cure that can wreck a man’s life.  While caught off guard, totally confused and shocked upon first learning about Peyronie’s disease, a man is often does not ask all the standard questions and does not remember the information as he receives his diagnosis.

With so many details pouring into his ears, and so many questions rolling around in this brain, it is easy to understand why a man can leave his doctors office and not remember much about the mystery condition.  Even the doctor’s explanation about a Peyronie’s plaque can become confused, making it sound like it is related to the blood vessels.

Location of Peyronie’s plaque suggested by penile curvature

You can usually count on finding your internal plaque on the concave part of a curved penis.  If a plaque is located on the topside of the penile shaft (the most common location), the penis will bend upward.  A plaque on the underside causes a downward penile curvature.  A plaque on the left lateral side of the penis causes a curvature to the left, and a Peyronie’s plaque on the right lateral side of the penis causes a curvature to the right.

Many times a distortion develops on both top and side, or top and bottom, resulting in twists, hourglass deformities or indentation, even shortening of the penis.

Peyronies plaque is elusive

Each week I receive emails asking, “Since my doctor examined me and could not find any Peyronie’s plaque material, and I cannot see a scar, do you think I really have Peyronie’s disease?”

There is never an EXTERNAL scar or plaque in Peyronie’s disease that can be seen.  The Peyronie’s plaque is always an internal mass of fibrous tissue that is sometimes called a scar, but is not a scar in the usual sense.  Peyronie’s plaques or ‘scars” are only sometimes obvious, while at other times they cannot be found if a person’s life depended on it.  Ultimately, if you have Peyronie’s disease you must assume it is there and you should try as many different tactics as you can to find your scar(s) because having a clear and accurate information will help your Peyronie’s disease treatment effort.

To find the internal Peyronie’s plaque, sometimes it is helpful to think about it being much larger than you have previously imagined; mentally expand the size of the scar you are looking for.  If you were looking for a “pea” before and couldn’t find it, start looking for a “postage stamp” or a “thumb nail” size structure.  This change of the mental image increases your odds to detect it.

When the plaque cannot be located, but there is still pain and distortion of any kind, a diagnosis of PD can still be made.  This is so because the fibrous plaque can be so:

1. Small – it cannot be found

2. Soft – it blends into the other tissue and cannot be detected

3. Deep – it cannot be reached easily

4. Large and flat – that the edges are not determined, almost like something that is so close to you that you do not see it because you are looking far away

When plaque is never found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

It is common to have difficulty locating the plaque for the first time.  Sometimes it is best to forget about finding a “scar.” Instead just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Finding something unlike the rest of the penis tissue will help define the problem tissue that can be difficult to locate. It might be you have an unreasonable expectation of what a “scar” or Peyronie’s plaque should feel like, making it easy to miss what is rather obvious to someone else with experience in this regard.

After an unusual tissue is found, mark its location on the penis with a marker pen or something that will stay on the skin for a few days.  Return to that location each day to re-evaluate it.  You want to determine if it becomes easier to make sense of it, so you can monitor it during your Peyronie’s treatment.

Curved Penis and Peyronie’s Disease

Can a curved penis be normal?

One of the common questions I am asked is if a lifelong curved penis could be Peyronie’s disease.  The fast answer is that not all penile curvature or bends are abnormal, or even a problem.  If you have had a bent penis all your life it is probably not PD.

To help readers make sense of the situation, a longer answer is that a curved penis might indicate Peyronie’s disease under these two basic situations:

  1. Curved penis that occurs with other signs and symptoms:
    A.  Pain – the pain of Peyronie’s disease can be variable
    i.     Constant
    ii.    Only when erect
    iii.   Only when non-erect
    iv.   Occasional
    B.   Nodule or chord of fibrous tissue (Peyronie’s plaque) present somewhere under the surface of the shaft, usually located on the concave side of the curved penis C.   Penile curvature, bend or distortion not present earlier
    D.  Loss of sexual function
  2. Sudden appearance of penile distortion or bend that was not present earlier in life

Causes of a normally curved penis

Everyone has some degree of difference or asymmetry between one side of the body and the other.  I can just about be 100% certain that if you looked into a mirror you would notice not one, but many, differences in the appearance of your face:

  1. One eye shaped differently than the other.
  2. Wrinkles around the mouth or eyes that are different on one side of the face than the other.
  3. Nose and nostrils not even on the face.
  4. Mouth crooked.
  5. Center of chin not lined up with the tip of the nose or the space between the eyes.
  6. Ears shaped differently.
  7. Cheek bones not curved the same.

While all of this relates to the face, but can also be said of the hands, feet, legs, abdomen – or penis.  All parts of our body demonstrate slight irregularities and imperfections that make us human.  These are the small and unimportant things that make us unique individuals.

Inside the penis are three long tubular chambers that contain erectile tissue – one corpora spongeosa and two corpora cavernosa.  If there is any difference in the length, width or straightness of these three chambers it will result in an erection that is curved or imbalanced in some way.

When a small boy first notices his erections he accepts them for what they are.  Later he begins to question and wonder if he is as good as other people, and does not like being different from other people who he assumes are all perfect.  Don’t allow a curved penis to become more than what it is.

It would be a good idea to have your curved penis evaluated by a doctor who has experience in this area if you also have recently started to have pain, a nodule or mass of fibrous tissue, and/or reduced sexual ability.

Your curved penis may or may not be Peyronie’s disease, therefor this diagnosis is always best left to the experts.

Visit the Peyronie’s Disease Institute website for information about the Peyronie’s disease natural treatments.

Potaba and Peyronie’s Disease Treatment

Potaba for Peyronie’s treatment based on PABA, a vitamin

PABA, or para-aminobenzoic acid, with a formula of H2NC6H4CO2H, is a white crystalline substance that is slightly water soluble.  POTABA is simply PABA with a molecule of potassium added to it.

PABA has been referred to as Vitamin Bx because it is an intermediate step in the bacterial manufacturing of folate or folic acid in the intestinal tract.  Some bacteria in the human intestinal tract, such as E. coli,require PABA for proper metabolism. Humans require folate since we lack the enzymes to convert PABA to folate, hence it is made available via the bacterial flora.  Sulfonamide drugs are similar to PABA in their chemical structure, and their antibacterial activity is due to their ability to interfere with the conversion of PABA to folate by the enzyme dihydropteroate synthetase.  In this way bacterial growth is restricted through folate deficiency without effect on human cells.

Medical use of Potaba (potassium para-aminobenzoate)

Potaba inhibits abnormal fibroblast proliferation, thus it can reduce formation of scar material early after injury.  It is speculated that this POTABA anti-inflammatory activity is dependent on initial biotransformation that starts with granulocytes that are stimulated through the initial injury.  It also inhibits abnormal fibroblast proliferation, acid mucopolysaccharide and glycosaminoglycan secretion that occur during the normal inflammatory process.

POTABA has been used to treat a variety of conditions characterized by chronic inflammation and fibrosis; this list includes scleroderma, dermatomyositis, morphea, pulmonary fibrosis and Peyronie’s disease.

A POTABA research study was conducted by Carson who retrospectively reviewed 32 patients who were treated with 4,000 Mg of Potaba three times daily, for at least three months and later were followed for an average of 14.4 months.   Carson reported reduction of penile pain in 44% of those studied,  plaque or scar size reduction in 56%, and improvement of penile angulation in 58%. Complete reversal of penile distortion and angulation occurred in 26% of those studied. The average interval to improvement was 4.2 months, and younger patients with a shorter duration of disease were more likely to respond to therapy.  Even thought Carson’s study did not have controls, it suggests a possible role for POTABA in the medical therapy of Peyronie’s disease.

Unfortunately, the results of Carson’s retrospective and uncontrolled research were not reported as an intent-to-treat study.  Further, the number of research subjects who started therapy but stopped because of severe abdominal symptoms prior to three months has never been disclosed.

Because of the expense of POTABA, the need to take POTABA three or more times daily, and frequent occurrence of severe gastrointestinal side-effects (burning pain, abdominal cramping, and bowel irritability0, make it very difficult for the average man with Peyronie’s disease to follow the treatment guidelines for even a short time.  Yet in order to be effective, the length of POTABA therapy is variable, but sometimes lasting 12-24 months of active care.

Medical use of PABA

When a single potassium molecule is added to PABA, it results in what is called a potassium salt; this combination of potassium and PABA is called POTABA.  It is used as a drug against fibrotic skin disorders, and as such it can be used in Peyronie’s disease treatment.  PABA is also occasionally used to treat Irritable bowel syndrome to and related gastrointestinal symptoms, and in nutritional epidemiological studies to assess the completeness of 24-hour urine collection for the determination of urinary sodium, potassium, or nitrogen levels.

Despite the absence of any recognized syndromes of PABA deficiency in humans, many benefits are claimed for PABA as a nutritional supplement.  PABA is said to improve fatigue, irritability, depression, weeping eczema (moist eczema), scleroderma (premature hardening of skin), a patchy pigment loss in skin called vitiligo, and premature gray hair.

Peyronie’s disease:  POTABA or PABA?

The first Peyronie’s treatment work involved PABA, the vitamin.  When this was shown to be successful, work was then done to show that POTABA, the drug, could be more successful.  The interest is working with POTABA – the drug – was greater than with PABA – the vitamin – because the drug is more profitable and is easier to control use and distribution through the medical profession.

The reason PDI promotes the use of PABA for Peyronie’s disease treatment is because it has almost no side effects, is much less expensive to use, does not require a prescription and it combines well with other Alternative Medicine therapies.

For more information about the many ways to use Alternative Medicine to promote tissue repair and reversal of penile curvature, go to Peyronie’s Disease Institute.

Diagnosis of Peyronie’s Disease

Poor welcome to the world of Peyronie’s disease

It seems that most men cannot clearly or fully understand the scope of the problem when they are first given a diagnosis of Peyronie’s disease.

Obviously, when a man goes to the doctor for the first time it is because he is having a problem of some type with “his plumbing.”   It might be the sudden or gradual appearance of pain, a lump or nodule, curved penis or distortion of some type, or reduced sexual ability, that brings him to see his doctor or surf the Internet. While he knows he is having a few Peyronie’s disease  symptoms that were not there until recently, he is surprised to learn there is actually a medical condition that causes his problem.

After being given the diagnosis, a common first mental question often is, “If there is this problem that can so cruelly affect a man, why on earth have I never heard of Peyronie’s disease before today?

It has been recently estimated that after the age of 40, there are about four to six cases of Peyronie’s disease for every 100 men around the world.  That is a lot of men and a lot of cases of Peyronie’s disease.  For such a common condition, why is it that no one seems to know about PD until it is too late?

There are a few answers to this question, and they are all important to any man dealing with Peyronie’s disease:

  1. No one likes to admit he has a problem, or is less than perfect, when it comes to his sexual apparatus and his sexual ability.
  2. No one wants to the subject of teasing or to be pitied.
  3. There is often such social restriction limiting discussion of sexual matters that prevents open and free information that limits the discussion of Peyronie’s disease or similar topics.

This is indeed unfortunate because if there was more knowledge of Peyronie’s disease there probably would be less of it. Additionally, if there was more knowledge and comfort  discussing this problem we would probably be a lot closer to a genuine Peyronie’s treatment than we are now.

If more young men were given more information, such as how trauma is associated with the start of Peyronie’s disease in over half of the cases, it is more likely that reasonable caution and defensive measures would be taken.  It is very difficult to avoid a problem if you do not know it exists. This is why in “Peyronie’s Disease Handbook” I spend a fair amount of time describing how men should talk to their sons about this problem.

To learn more about Peyronie’s disease, please go to the Peyronie’s Disease Institute website for information about cause, progression and Peyronie’s natural treatment.

Pictures of Peyronie's Disease – Penile Curvature and other Distortions

What does Peyronie's disease look like?  Pictures of Peyronie's disease

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Peyronies pictures of the classic curved penis shown on this page are offered to widen the experience and education of anyone interested in this terrible problem. The pictures of Peyronie's disease found at the bottom of this page are graphic full male nudity, presented for educational purposes.

In the experience of PDI, most men do not understand the full consequences and eventual degree of distortion that are possible from Peyronie's disease – until it is too late. Because they do not know how bad the penile curvature, Peyronie's pain, and loss of sexual function can be, there is a tendency to underestimate the problem. Thus it is assumed that the small problem will stay “just an inconvenience, and hardly noticeable”. For some the curve or distortion starts small and stays small. However, for others it starts small and just continues to get more distorted, more curved, and perhaps more painful, eventually resulting in total loss of sexual function. At this point most men resort to surgical correction. For a discussion, click Peyronie's disease surgery.

If your Peyronie's penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy's   second book, "Peyronie's Disease and Sex."

There is a direct, safe and effective technique for manual penis stretching that has been researched and developed by PDI.  For details, click on stretching curved penis.

Without fully understanding where Peyronie's disease might take them, it is easy for some men to not take the curved penis of Peyronies too seriously. The uninformed and uneducated can accept and agree with the wishful thinking of the standard medical treatment to do absolutely nothing for PD in its early stages.

Click on "Peyronie's Disease and a History Lesson" to completely change the way you think about Peyronie's treatment.

Peyronie's Pictures: an Education and Wake-Up Call

To help comprehend and verify the nature of the Peyronie's disease problem, many men are shocked to see a Peyronies picture for the first time. It can be a real wake-up call.

These Peyronies pictures are not intended to aid a layperson make a self-diagnosis, nor are they intended to guide Peyronie's disease treatment. They are offered to encourage prompt medical evaluation and attention about any problem that might be PD. Bear in mind, just as every person is a unique individual, with unique physical characteristics – this even extends to the appearance of the penis in health and disease. Simply because you have a curved penis, or even a severely bent penis with a 90 degree angle, does not necessarily mean you have Peyronies. Do not think that your penis must look like any of these. Only a physician experienced in this condition can accurately diagnose this problem.

Learn how easy it is to create an effective Alternative Medicine plan, click on Organize Peyronie's Disease Treatment.

Before viewing these Peyronie's pictures, please review what causes the dramatic penile curves and distortions you are about to see.

Peyronie’s disease can be considered an exaggeration of the wound healing process. It is characterized by the presence of one or more flat and irregular benign (non-cancerous) fibrous plaques or scars anywhere along the shaft of the penis, as well as painful erections. Usually there is only one scar, but multiple scars do occur.

These scars can stop full expansion of the penis during erection, resulting in various degrees and patterns of distortion. Depending on the number, size and location of scar tissue, the penis can be slightly to severely distorted or shortened during erection or not at all. For more information, Anatomy of the Penis and Related Areas.

Peyronies pictures showing the erect penis from 5°- 45° are not uncommon, sometimes 90º or more. Sexual difficulty and impotency also range from mild to severe, depending on the degree of curved penis deformity.

Graphic pictures of  Peyronie's disease

Peyronie's Disease downward penile curvature - unusual
Peyronie's Disease downward penile curvature – unusual
 
Peyronie's Disease hourglass deformity in lower one-third
Peyronie's Disease hourglass deformity plus slight penile curvature
 
Peyronie's Disease upward penile curvature - common
Peyronie's Disease upward penile curvature closer to glans (head) – rather common
 
Peyronie's Disease upward penile curvature closer to glans (head) -
            rather common
Peyronie's Disease upward penile curvature – common
 
Peyronie's Disease bottleneck deformity with lateral penile
            curvature to left - common
Peyronie's Disease bottleneck deformity with lateral penile curvature to left – common
 
Peyronie's Disease 90 degree lateral penile curvature to right

Hopefully, these pictures of Peyronie's disease will help you to understand your own situtaion better, and motivate you to see your medical doctor. Please review the section, Peyronie’s Disease Treatment, to determine how to incorporate the aggressive use of multiple conservative measures to treat your PD.

Click here for more Peyronies pictures.

Peyronie's Curved Penis

Penile Curvature of Peyronie’s Disease

Peyronies bent penis is common diagnostic sign

Peyronie’s disease natural treatment is all about supporting your own ability to heal and repair the internal scar tissue (plaque) that causes a distortion or curved penis to develop.  Even though the Peyronie’s plaque is the most important element of this problem, Peyronie’s disease is known as the “bent nail disease” because the curved penis is the most noticeable aspect of this problem except for the sexual difficulty that often develops.

To read success stories, click on Peyronie’s disease treatment testimonials.

In a healthy penis the internal tissue is flexible and expandable to allow for a normal erection to develop when blood is trapped inside.

In Peyronie’s disease the healthy and elastic tissue of the penis (in a part called the tunica albuginea) is replaced by dense and inelastic fibrous tissue that is called a scar or plaque. During an erection the normal elastic tissue of the penis can stretch and expand to allow the penis to become larger in length and circumference (girth) symmetrically, resulting in a straight erection. With the addition of Peyronies fibrous scar material this normal expansion cannot develop, resulting in a curved penis.

Peyronie’s disease often starts as a small nodule or bump on the top or sides of the penile shaft immediately below the surface of the skin. Over a few weeks to several months, this small area of density can expand to develop into an irregular shaped mass of variable size, shape, density and surface quality. Some scars are as long as the penis, or surround the shaft like a collar. Some scars are either so soft or small, or their edges are so gradual and vague, that the scar is not detected. When the scar or plaque cannot be located, it is can still be assumed to exist because of the curved penis that is commonly associated with Peyronies.

To learn more about a new, safe and effective technique for manual penis stretching of the Peyronie’s curved penis that does not involve costly manual stretching devices. For details, click on stretching curved penis.

Curved penis affects sexual intercourse

Penile curvature of Peyronie's disease can break a marriage because it prevents sexual acitivity in a large percentage of cases.

Peyronie's disease is called the "bent nail disease" because a curved penis can prevent sexual penetration.

About 75-90% of couples who deal with Peyronie’s experience problems with sexual intercourse. The primary issue compromising sexual penetration is the presence of a greatly bent or curved penis that makes penetration physically impossible or so painful that intercourse impossible. Distortions can be so severe they are described as “cork screw” or “cane handle.”

Further compromising and limiting sexual activity is the incomplete filling with blood that can also develop in Peyronies that results in a small or large area of softness of the penile shaft. This softness causes a weakness of the normally turgid erection that can cause additional difficulty for the sexual act.

It is a rare Peyronies couple who does not experience sexual difficulty because of penile distortion and reduced firmness of the penis. Because of the complexity of so many physical and emotional issues that surface for the couple who struggles with Peyronie’s disease, the reader is best referred to “Peyronie’s Disease and Sex” for detailed discussion and answers.

If your Peyronie’s penis is causing sexual distress, you might be interested in the in-depth and detailed discussion and loads of helpful information found in Dr. Herazy’s   second book, “Peyronie’s Disease and Sex.”

Normally curved penis

Some men are born with a penis that is not perfectly straight. Just as some people are born with hands or feet of different sizes, curvature of the nose, or eyes that are not the same size, the two primary chambers of the penis can be of a different size. For these men the penis will look straight when non-erect, but then exhibit the imperfection only during erection.

Usually this type of lifelong penile curvature is more gradual and arched than what is associated with Peyronie’s disease, and seldom prohibits intercourse.

This slight penile distortion will be noted all throughout life, and does not appear suddenly as does the curved penis of Peyronie’s disease. Additionally there is rarely pain associated with the normally asymmetrical penis, while pain is often felt in the early stages of Peyronie’s disease since inflammation is part of the initial process.

Curved penis treatment

The most important point to keep in mind at the start of Peyronie’s disease is that any penile distortion that develops is not the primary problem. While a suddenly curved penis is difficult to ignore, it is only a symptom of the real problem of Peyronie’s disease – the scar or plaque material under the surface of shaft. If there was no Peyronies scar there could be no curved penis.

This is the reason I counsel men who use the Peyronie’s Disease Institute method of Peyronies treatment to focus their time and attention of the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.

It is common during successful Peyronie’s treatment for the curved penis to worsen as the scar is being reduced or eliminated. This happens because it is difficult to know how many scars a man actually has, since they are often difficult to locate and often overlap. If only one scar is present (unusual), the curvature problems are direct and easy to understand. But, if several scars are present (common), the internal dynamics are made very complicated. Several scars could be influencing 2-3-4-5 different planes of connective tissue within the deep tissues of the penis to which they are all interconnected. Any change in one or more will change the way the internal tissues are pulled internally. This can make the curved penis and other penile distortion appear worse, even though the scars are improving under treatment.

For this reason it is wise to ignore the penile distortion and focus all attention to the condition of the scar while using Alternative Medicine to treat your Peyronies problem.

Do not be discouraged by the curved penis of Peyronie’s disease, but focus on effective natural Peyronies treatment.

To view graphic pictures of Peyronie’s disease, click on pictures of Peyronie’s disease and Peyronie’s pictures

Peyronie’s Disease Treatment and Russian Roulette

Peyronie’s Disease Treatment is Not a Time to Gamble

Standard medical care of Peyronie’s disease often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the curved penis  goes away on its own. If it doesn’t go away, we can always do Peyronie’s disease surgery.” For the half of the Peyronie’s disease cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an “acceptable” level of pain, an “acceptable” degree of penile curvature, or an “acceptable” level of sexual impairment, the outcome of the Peyronie’s disease is said to be “satisfactory” and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an “acceptable” outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain “acceptable” level of a penile problem. If you get only as bad as he or she hoped, then your doctor’s opinion will be that everything worked out pretty well for you − even if you don’t think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

Read success stories, click on Peyronie’s disease treatment testimonials.

Peyronie's disease treatment can be a gamble if you do nothing for a year or two while your curved penis can worsen.  Peyronie's surgery is also a gamble.

Don’t gamble with your Peyronie’s disease treatment

You should find out early in your care if it is your doctor’s opinion that a 5-10-20° bend in your penis is a “satisfactory” outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor’s opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a “satisfactory” outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor’s opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a “satisfactory” outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss Peyronie’s disease treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is “acceptable”.

If you have PD you should know that the medical profession has a very low standard by which to judge what is an “acceptable” level of pain and distortion for YOUR penis, and what is an “acceptable” level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. Peyronie’s Disease Institute thinks this wait-and-see approach is a poor gamble and a bad strategy.

Learn how easy it is to create an effective Alternative Medicine plan, click on Organize Peyronie’s Disease Treatment.

Peyronie’s disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie’s disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution.

Most would agree that it is better to do all that you can for your Peyronie’s disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area. For further discussion, click on Heads You Win, Tails You Don’t Lose.

Standard medical care of PD often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the PD goes away on its own. If it doesn’t go away, we can always do surgery.” For the half of the PD cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an “acceptable” level of pain, an “acceptable” degree of penile distortion, or an “acceptable” level of sexual impairment, the outcome of PD is said to be “satisfactory” and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an “acceptable” outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain “acceptable” level of a penile problem. If you get only as bad as he or she hoped, then your doctor’s opinion will be that everything worked out pretty well for you − even if you don’t think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

You should find out early in your care if it is your doctor’s opinion that a 5-10-20° bend in your penis is a “satisfactory” outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor’s opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a “satisfactory” outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor’s opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a “satisfactory” outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss PD treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is “acceptable”.

If you have PD you should know that the medical profession has a very low standard by which to judge what is an “acceptable” level of pain and distortion for YOUR penis, and what is an “acceptable” level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. PDI thinks this wait-and-see approach is a poor gamble and a bad strategy.

Peyronie’s disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie’s disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution, although not a good one as you can read in Peyronie’s surgery.

Most would agree that it is better to do all that you can for your Peyronie’s disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area.    For further discussion, click on Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment.

Peyronie’s Cure is Where You Find It

Looking at Peyronie’s treatment differently

While it is generally agreed there is no such thing as a Peyronies cure, PDI has shown since 2002 that it is certainly possible to reverse the curved penis of Peyronie’s disease with Alternative Medicine when it is done in the correct way.  This concept is so different than what is promoted on the internet it could be called a new Peyronie’s treatment methodology.

Peyronie’s disease is primarily concerned with the dreaded fibrous Peyronie’s plaque or internal scar material that can cause a variable degree of penile curvature, pain, sex problems, and reduced penis size.  Any true Peyronie’s treatment must address the issue of the fibrous scar.  Yet, when men are first diagnosed by a medical doctor they are told there is no known cause of Peyronies disease and no Peyronie’s cure.

Just because the medical profession does not have a drug as a standard Peyronie’s disease treatment, they have assumed the position there is no such thing as a Peyronie’s cure.  For this reason MDs do not like to treat Peyronie’s disease.  The average medical doctor, even a urologist, has few options for anyone with PD, other than Peyronie’s disease surgery – which often has poor results.

Peyronie’s disease treatment

The current accepted Peyronie’s disease treatment in a medical office is to do nothing for the first one or two years, while waiting for the Peyronie’s problem to either get better or worse on its own.  This is the wait-and-see approach to Peyronie’s treatment is frustrating and irritating to any man who wakes up one morning with the curved penis of Peyronies.

While the medical establishment maintains there is no effective Peyronie’s disease treatment, the Peyronie’s Disease Institute has worked since 2002 using Alternative Medicine in a unique way that proves this is not true.  There is a simple and direct method to for Peyronie’s disease treatment that is either misunderstood or overlooked by the medical profession.  Those who follow the Peyronie’s Disease Institute treatment concepts sometimes even call it a Peyronie’s cure.

Daily I communicate with angry and defeated men who get no help from the medical profession, who are neglected and given no hope or information to help themselves with their Peyronie’s problem.   Men speak of feeling like Peyronie’s orphans.

One of the basic questions of Peyronie’s disease treatment is this:  “If my medical doctor says there is nothing that can be done for me, other than surgery, what does that really mean to me?  For those who are comfortable with thinking independently, they must decide if there are options outside of medicine that the neighborhood MD does not know about, or even care about.

Natural treatment for Peyronie’s disease

The Peyronie’s Disease Institute was started in 2002 by Dr. Theodore Herazy after he successfully cured his own severe PD with Alternative Medicine.  His early experiments with herbs, vitamins, minerals, enzymes and other safe natural remedies showed exciting promise for Peyronies help.  Over the years he has guided and counseled hundreds of men each year through the treatment maze toward elimination of the scar and distortion of a Peyronie’s penis.  It is not always an easy assignment, and when it is done incorrectly or without needed gusto it falls short of the desired outcome.   But when a man uses all of the tools available to him in a faithful and aggressive manner, the results can be dramatic and prompt.   It is estimated that about 80% of men with Peyronie’s disease who follow a large plan according to the outline provided on the PDI website, see from moderate to great success in reduction of penile curvature and elimination of the Peyronie’s plaque material.

Even though the medical profession says it can’t be done – it happens anyway because the body knows how to heal itself.  Using the Peyronie’s Disease Institute concepts, you will be able to assist and stimulate that natural healing response that some people call a Peyronie’s cure.

Peyronie’s Penis

What causes curved penis?

Before I discuss what can be called a “Peyronie’s penis,” it would be good to mention the normal penile curvature of many men.  Many men look for answers to “Why is my penis curved?” and eventually come to think they have Peyronie’s disease, when that is not the case.  They think that just because they have curvature of the penis, that it must be a Peyronie’s penis, when it is not.

Normal penile curvature

A small degree of curvature of the penis is common among men and can be considered normal, as many men are born with this benign condition, commonly referred to as congenital curvature. Probably the single best and easiest way to determine is a curved penis normal, is to answer the question “Have you had this curved penis problem all of your life?  When you were a small boy, was your erection bent?”  If the answer is “yes,” then it is most likely your current problem is not a Peyronie’s penis.

It is most common for the curvature of Peyronie’s disease to cause a bend or distortion that is angular or abrupt, like a sudden bend in the road, while a congenital curvature is usually gradual and milder in degree, like a banana.  Some cases of Peyronie’s disease will cause a gradual, mild, banana-like curvature, however.  Because no case of Peyronie’s disease can be diagnosed on the basis of the appearance of the curved penis, a doctor must evaluate the condition for other signs and symptoms.

When a man has Peyronie’s disease the condition is characterized by an internal scar or plaque, or hard lump that forms within the substance of the penis. Congenital penile curvature will not exhibit this internal scar material.  If the cause of the penile curvature is Peyronies, it will often appear rather suddenly, be accompanied by pain, be accompanied by some degree of lost penile length or girth, and cause a certain degree of erectile problem that has not been experienced before.   Not all of these factors must be present for a diagnosis of Peyronie’s disease; the presence of the internal scar or lump is most valuable to make the decision.

Peyronie’s disease can cause pain, penile distortion and reduced sexual ability due to the presence of flat or cord-like internal lesions (scar tissue known as “plaques”) located on the top, bottom or sides of the penis within a thin but tough membrane known as the tunica albuginea.  Although it is a popular notion that Peyronie’s Disease always involves curvature of the penis, the scar tissue sometimes causes other distortions like a bottle neck deformity, an hour-glass deformity, or divots or indentations or nicks, rather than the classic curvature.

How to fix penile curvature

Once it has been determined that a man has only a normal congenital curvature of the penis, it is still possible to help him using a few parts of the standard Peyronie’s disease treatment approach.  He can use topical DMSO, Callisto topical vitamin E oil, Super CP Serum, and the gentle manual penis stretching technique developed by the Peyronie’s Disease Institute to make positive improvement safely and effectively once he knows he does not have a Peyronie’s penis.

Peyronie’s Disease and Baby Boomers

Peyronie’s disease:  male health problem no one knows about

If you are a member of the baby boomer generation and have never heard of Peyronie’s (pay-row-neez) disease, you are not alone.  However, if you are a male baby boomer or married to one, you are in the prime age group to experience a problem you know nothing about.  This is so because Peyronies disease primarily affects men between 50 to 65 years of age, although an age range of 18 to 80 years has been reported, with an average age at onset of 53. Few people know about the problem until they need Peyronie’s disease treatment.   This is why it is important for all baby boomers to know about, and how to avoid, it because this health problem can easily ruin your life. Peyronie’s disease remains one of the most perplexing and difficult urological diseases to treat; it has been called “the doctor’s nightmare”.  Most everything about this condition (cause, progression, symptoms, age distribution, response to treatment) is variable and unique to the man who has it.  The great variability of Peyronie’s disease that makes it difficult to study and to understand, also makes it almost impossible to treat like other medical conditions. It is a complex problem that is much more common than most people realize. Estimates suggest that up to eight out of 100 men over the age of 40 have Peyronie’s disease – that is a lot of people worldwide – and still only a small percent of people have ever heard of it. People are reluctant to discuss this problem because it involves the male organ.  For this reason it is difficult to develop accurate information and statistics, especially since men are so shy on one hand, yet also inclined to exaggerate.

Definition of Peyronie’s disease

Peyronie’s disease can best be understood as an exaggerated wound healing in response to an injury in which an excessive amount of Peyronie’s scar tissue develops within the man’s shaft. Peyronie’s disease (also known by over 12 different names, among which is "iduratio penis plastica") is very special disorder of the connective tissue in which fibrous “scars” or “plaques” develop usually after direct injury.   This Peyronie’s plaque occurs in a special tissue of the shaft known as the tunica albuginea, a fibrous chamber or envelope that surrounds the two penile cylindrical shaped masses of spongy tissue known as the corpora cavernosa.  The corpora cavernosa enlarge during sexual excitement, and the tunica albuginea covering, are designed to expand and elongate.  If there is fibrous scar or plaque material in the tunica albuginea, the expansion and elongation cannot develop properly resulting in bending, weakness, shortening and incomplete filling of the organ.  Sometimes this distortion is mild (just a few degrees) and does not affect the ability to perform, while at other times the distortion can be extreme (more than 90 degrees) resulting in greatly adverse consequences. A certain degree of normal penile curvature can and does occur in some men.   This is a benign and natural condition many men are born with, commonly referred to as congenital curvature; this is not Peyronie’s disease.

Peyronie’s disease signs and symptoms

Four common findings of Peyronie’s disease:

  1. Pain – caused by inflammation and stretching of internal tissues in response to injury and distortion; can be present constantly or only during erection
  2. Nodule or mass formation – variable size lumps or elongated cords can develop in one or multiple areas; sometimes these are difficult or impossible to locate depending on the density, depth and size of the scar formation
  3. Curvature or distortion – caused by presence of one or more nodules or masses of scar tissue in the tunica albuginea, preventing normal expansion during erection; can be minor to gross in appearance
  4. Reduced sexual ability – due to physical distortion that prevents penetration or due to reduced firmness that also prevents penetration (erectile dysfunction).

The onset of Peyronie's disease symptoms can be sudden or slow, but often appears within a month or two after direct injury.  The pain of Peyronie’s disease is extremely variable; from hardly noticeable to the kind of pain that prevents sleep.  Peyronie’s pain is worse in the beginning, usually gradually improving over time – improvement in a few weeks while others continue for years. For these reasons Peyronie’s pain is not a reliable way to judge the severity or calculate the time for eventual recovery. Even though Peyronie’s disease is a male health problem, women are also affected by it.  They are indirectly and adversely affected by the erectile dysfunction, organ curvature and distortion that make intercourse often impossible, as well as loss of organ size that often occurs over time.  Additionally, and perhaps even to a greater degree than men, woman bear the brunt of the mood swings, anger, brooding and ill-temper that accompany their partner’s Peyronies problem.

Treatment of Peyronie’s disease

There is no standard or accepted medical Peyronie’s cure since no drug is proven to eliminate the scar within the shaft.  The only accepted and available medical treatment is Peyronie's disease surgery.  However, given enough time after Peyronie’s surgery the condition will only re-appear in a worsened presentation.  This surgical outcome is made bleaker by knowing that even the first Peyronie’s surgery can result in total loss of sensation (anesthesia), increased pain and increased curvature and greater scar formation than before surgery, and in some cases amputation. The Peyronie’s Disease Institute has specialized for the last eight years in the use of Alternative Medicine therapies and techniques that are found to be successful in perhaps 60-80% of cases. None of the therapies are known to result in adverse reactions or side effects.  For more information about the Alternative Medicine approach, visit Peyronie’s disease treatment.

Prevention of Peyronie’s disease

With so many variable aspects of this problem to consider, it is important to know that in addition to everything else, there is no universal agreement about the cause of Peyronies. Some say that injury alone cannot start the problem as we have described above, but that other genetic and metabolic factors must also be present.  The Peyronie’s Disease Institute takes the position that this is true.  However, if a man never sustains direct injury to the area he is far less likely to develop Peyronies. With age not working in the favor of any baby boomer couple, it is important to evaluate all situations in which direct injury can affect this area – especially sexual activity.  This requires  that special caution is exercised if a baby boomer gentleman finds he no longer has the usual firmness he previously possessed (erectile dysfunction).  Attempting intercourse with a partially flaccid organ can result in sudden buckling or abrupt bending during insertion or the sex act itself.  Another way to prevent injury is to modify the techniques used during sexual relations.  The single most common injury that starts Peyronie’s disease occurs when the female partner is on top, and she loses hold of him while she thrusts down, jamming and painfully bending him against her upper thigh.  To avoid this kind of injury it is important to not use any female-superior position, but to use other techniques in which physical contact is controlled, firm and not likely to disengage during activity. Even if baby boomers have never heard of this terrible condition that robs a couple of one of the greatest pleasures of life, it happens every day.  Now that you know about Peyronie’s disease you can do a lot to protect the best years of your life. Dr. Theodore Herazy has practiced Alternative Medicine for over 40 years, and has directed the Peyronie’s Disease Institute for the last eight years.  He has written two books about this problem, “Peyronie’s Disease Handbook” and “Peyronie’s Disease and Sex.”