• 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  


    Are male enhancement pills effective in helping Peyronie's diease?

    I am using vitamin C, E, Scar-X, PABA, Fundamental Sulfur, Fibrozym, Nattokinase, Stimulin and Male Booster-X.  I have an hourglass curve at the base of my penis together with an upward bend. I am seeing some slight reduction in the deformity. My penis remains about an inch shorter than it was originally, Is there anything else I can do to regain the length. I tried the stretching exercises from your video with no result.  Are male enhancement pills effective?

     

    Greetings,

    There are many things to say about your email and how you are approaching your problem:

    1. Listing your therapy products by name without telling me how many you are taking of each, and when you are taking them, is not helpful.  I need details of how you are using the therapy products you are taking.   I also need to know how long you have been using this plan.

    2.  Stimulin and Male-X Booster are not intended to help Peyronie's disease.  I think you got the idea that sexual stimulant supplements can be used this way because many MDs prescribe Viagra for PD.  Viagra can be harmful to PD and even cause it; the sexual stimulants we suggest you use are mild enough that they will not harm you.   However, these two products will only increase sexual response (which is a good thing if you are having problems that way), but they do not help reduce the PD scar. 

    3.  I am happy for you that you are seeing reduction of your deformity – congratulations.  But, that is not the way to go about monitoring your progress or determining if your therapy plan is working.  PD is all bout the Peyronie's scar.  Your deformity gets your attention and stresses you, and you want to get rid of your deformity, but it is the PD scar that is causing your deformity.  You must carefully monitor your scar to know how you are doing.  Your treatment plan is NOT determined by your deformity, but by the size, shape, density and surface features of your PD scar.  Please, you need to get "Peyronie's Disease Handbook" to learn how to do this; all of the important information about monitoring your scar is located in chapter 4 of that book. 

    4. You have no way of knowing if the stretching exercise video did or did not help because you do not know the size, shape, density and surface qualities of your scar.  You are just guessing at this point if your stretching work was or was not helpful to you.  Besides, there is no way to isolate that one therapy did not help you while you are doing so many others.  All of your therapies work together to make changes in your overall condition.   You say your distortion is better, right?  How do you know the stretching exercises did not contribute to that progress?  Also, you need to tell me if you were able to feel the "deep dull ache" that is mentioned so often in the video while you were doing the penis stretches. 

    5. Lastly, all your therapies are internal in nature.  This is a flaw of your plan.  You need to do some external therapies to round out your plan.  If you need help making that decision, let me know.  You cannot assist your recovery with a plan that is unbalanced between internal and external therapies.   

    You cannot give me a few lines of vague information and expect me to help you.  Details please.    TRH   

    Is it possible my Peyronies scar is like a piano wire?

    Dr. Herazy, I wrote you last month and you really helped my confidence with what I am doing. Is it possible that my PD scar is like a piano wire from the base to the head? That is the only irregularity I can find. Thanks Dick R.

    Greetings Dick,

    Yes, it is certainly possible that your scar feels like a piano wire. The Peyronies plaque or scar material presents in a wide variety of ways, just as most everything about PD seems to be variable. 

    Although you did not say so, I will guess the long ridge of scar material tissue you say feels like a piano wire is located on the top or dorsal surface of the shaft.  This is a very common location for long narrow PD scars.  It is the anatomical structure, called a septum, where the tunica albuginea of the two chambers meet in the mid-line, and it runs from the base of the penis to the head (glans).   This septum is especially susceptible to separation during trauma, and can consequently develop a long thin scar.  

    You can assume this is your only, or your primary, Peyronie's scar if your curved penis is directed upward.  

    While you might be correct that it is only as thin as a piano wire, I suggest that you examine this thin ridge again to determine if you can detect that it tapers down to a flat band.  Almost like the gable roof of a house, your piano wire structure might just be like the uppermost ridge of the roof that gets thinner as it slopes down laterally.  I mention this speculation because it is always beneficial to have a clear and accurate visualization of each scar so you can closely monitor it  for changes as you continue to treat your PD. 

    You might find, if I am correct, that this flat tapered surface on either side of the piano wire will undergo changes in size, shape, density and surface features as your scar deteriorates as your treatment progresses. 

    If you do not know it is there, you will not have this useful information available to you to guide your treatment.  You must try to know everything there is to know about each of your Peyronies scars.

    TRH

    Does this mean I have Peyronies?

     

    In previous questions someone asked below "how do I find my PD scar?"

     

     

    In your answer you stated: "…….it is important to know your scar is not located on the surface; it is located below the surface and cannot be seen……"

    I have been informed that I have Peyronie's disease, however my erections are 100% straight.  They are just less flexible and half the top surface of my penis feels very hard, because of the scar tissue.  When my penis is flaccid and erect I can easily always see the scar tissue.

    Does this mean I have peyronies, also does this mean the scar tissue is just below the external skin and not on the actual erectile tissue? Is this possible? I have spoken to you previously but I am not sure if I mentioned this.

    Greetings,

    If you have been medically diagnosed with Peyronie's disease, what you say does not give me reason to doubt that diagnosis.  

    After reading your entire question several times I am unsure what you mean when you say "I can easily always see the scar."   If I were to try to hide a ball under the blanket on my bed, it would still be "seen" because of the way the ball would push up and distort and wrinkle the blanket.  I would not be able to see the ball directly, only able to see the effects of the ball on the blanket that is above it.  Is this what you mean when you say you can see your PD scar?

    By definition the Peyronie's plaque or scar is not located on the top surface of the skin.  It is located within the layer of tissue called the tunica albuginea that is located well below the surface of the skin, by many millimeters.     The tunica albuginea is sitting right on top of and is in contact with the actual erectile tissue, making it anatomically impossible to directly see the Peyronie's scar.  

    I have communicated with many men whose PD scars are so thick and dense that they distort the skin above, and thus they can see the outline of scar that lies below.  TRH

    Where is DMSO gel applied?

    Dr. Herazy,

    My order arrived last week, and today I started the treatment.  I'm very upbeat that I made the right decision. I have carefully reviewed all the documentation and explanations that came with my order.  It is very impressive how well you prepare your customers to work with their Peyronie's treatment products. 

    The one item that I'm most confused about is the PMD DMSO gel.  Exactly where is this gel applied?  My instructions say that the topical therapies should be applied over or on top of the location of the Peyronie's plaque or scar. I do not have any scar. I don't have a problem shaving as described but I do not have a scar either on the part to be shaved or the penis. Or, when they mention scar, do they mean the part of the penis that is abnormally hard?  Please advise.  Randy

     

    Greetings Randy,

    Actually, if you have Peyronie's disease you do have a plaque or scar.   However, the scar is not external or superficial, it is internal and below the surface. It is located under the skin surface and within the tissue of penis called the tunica albuginea.  The scar or plaque is not visible from the surface; you cannot see it.  The closest you can come to actually seeing it is if the scar is so large and thick that it raises or elevates the penile skin above it and you can see the raised lump of tissue because of the large scar below the surface.  

    In order to be successful you really want to get to the point that you know the size, shape, density, and surface quality of your scar(s). If this is a new concept to you, I suggest you get the 1st book I wrote “Peyronie’s Disease Handbook.” It will help you immensely.

    Scar location is sometimes a complicated topic, especially in the case of multiple scars or plaques. You can expect to find at least one scar at the point of greatest concavity of your distortion. Again, this is a topic of such concern and importance that you really should get at least that one book so that you know what you are doing in regard to monitoring your scar. The physical change in your scar is going to guide your therapy; it will direct you to the best use of your therapy plan. to assist you with this subject, please go to Difficulty Finding the Peyronie's Plaque.

    To answer your question about where to apply the DMSO gel and related external therapies, they should be applied directly over the area of Peyronie's plaque or scar.  You do not need to apply these external therapies to the entire shaft, unless, of course, you have a wide spread pattern of scars over most of the penis.  TRH    

    How do I find my Peyronies scar?

    Hi, I'm twenty four and I think I got Peyronie's disease from an accident when I was in my early teens. It is naturally the most annoying thing I have to deal with. How do I find my Peyronies scar? Also, the medications and vitamins you are selling, how often would one need to replenish the stock?

     

    Greetings, 

    Knowing where your scar is located – although not always easy or obvious – is essential to Peyronie's treatment.  Knowing your scar location and how to accurately describe it is not a matter of curiosity; you MUST know about the scar in as great detail as possible in order to know if you are making actual progress or not with your Alternative Medicine treatment.   If you do not know this, then you are guessing.

    Before I go into this subject in some detail, I must remind you that the PD scar is best located while the penis is soft or flaccid – meaning not erect.  This will be true 99% of the time, so don’t bother to look unless you are flaccid. Also, it is important to know your scar is not located on the surface; it is located below the surface and cannot be seen.  Lastly, as a general statement the major scar you have that is causing a penile distortion will be found on the concave side of that distortion, usually at the lowest point of that concavity.

    This problem of being unable to locate the PD scar is so common I wrote a blog post titled, "Can't find Peyronie's plaque or scar."  Check it out for more help.

    PD “scars” or plaques are quiet variable.  Some men have an obvious scar and others could not find one if their life depended on it.   Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of PD can still be made.  This is so, because the scar that is causing the pain or bending is either:

    1. So small – it cannot be found

    2. So very soft – it blends into the other tissue and cannot be detected

    3. So deep – it cannot be reached or felt easily

    4. So large and flat – that the edges are not easily determined, almost like trying to find the edge of a roll of plastic wrap.  When it is a large scar – as many of them are – it is something that is so close to you that you do not see it because you are looking far away and cannot see what is under your nose

    5. So greatly different than what you think it is going to feel like that you miss it only because it does not meet your image of what it will be like

    6.  The doctor’s lack of ability, experience or concern when he does the scar examination – that he simply misses what is actually there if he was better at this kind of thing – yes, I know, it is difficult to imagine but it is true.

    Usually, when a scar 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.  From my experience with those who have an extremely difficult time locating their scar, it seems that #4 (so large and flat) or #5 (so different than what you expect) are the reasons for failure to locate the scar.  Keep this in mind when you search your landscape trying to locate the scar. 

    Ultimately, if you have PD you must begin the search with the attitude the scar is there, and it is only waiting to be found.  Do not start with a negative attitude; you want to have a sense of high anticipation that it will be found within the next few seconds – this will help keep your senses alert.  You should use as many different tactics as you can to find your scar(s) because having a good knowledge of your scar situation will help your treatment effort. 

    Hint:  Try to think in terms of your scar being much larger than you have previously imagined.  Allow yourself to mentally expand the size of the scar you are looking for.  Meaning, if you were looking for a “pea” before, start looking for a “peanut” size structure or even larger.  This changes your methods and your outlook about what you can detect.  

    It seems that lately I have many men reporting that their scars are as large as the length of the shaft, and some are narrow while others are wider.  Image that your scar is that large.  If you are looking for a pea-sized scar it will prevent you from easily finding something much larger like a postage stamp.     

    Do not be discouraged if the scar you have is large since it does not seem that the size has much to do with difficulty or time required to eliminate it.  Larger scars can take just as long as smaller scars to treat.

    Try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Find something that is unlike the rest of the tissue.  When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to see if it becomes easier to make sense of it.  It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong.  Really, how could you know what a PD scar feels like if you have never had to do this before?  It is a common problem.

    I have worked with well over a thousand men with PD, some mild and some severe cases, some just a few months and several that were more than 10 years old.  I had a pretty bad PD problem until I cured my condition using the procedures found in the book I wrote and the same Alternative Medicine ideas as on the website.  You will not feel like a victim once you start working to improve your health and immune response against the presence of this foreign tissue.

    There is no clear answer to your question about how often one would need to replenish the therapy that is being used.  Some therapies need to be resupplied every month or so, some every three months or so, and some never need to be replenish.   As a general idea about replenishing your therapy supply, the average man spends about $90-110/month replenishing his medium size PDI treatment plan.   TRH

    Can’t Find Peyronie’s Plaque or Scar

    Help to locate the Peyronies plaque

    It is not uncommon for the Peyronie’s plaque to be difficult to locate.  Sometimes it even happens that the examining urologist is not able to definitely locate a mass of foreign tissue that he/she is certain is the offending Peyronie’s plaque that is causing the bent penis to develop. First of all, it must be mentioned that if you are expecting to see the scar or plaque on the surface of the skin, you will not.  And Peyronie’s disease seldom causes a lump that raises the skin of the shaft.   The “scar” of PD is internal, not external – it is never seen, only felt.  It is a poor term to use, but the lesion of PD is also called a plaque (which is also a poor term). Generally, you do not have to examine the entire shaft looking for something that feels like a foreign mass of tissue.  Your examination should be centered in the immediate area of the concavity of your distortion.   By concavity I mean the condition of being curved like the inner surface of a sphere or the depressed area of an indentation.  You can also think of a concavity as being the lower bent area on the underside of a rainbow.  As far as the Peyronie’s disease is concerned, the concavity if that part of the bent penis that is the inner part of the arch that is formed.  If you want to learn more about the anatomy of the penis, please see Peyronie’s Anatomy of the Penis and Related Areas. Some men do not have a curved penis, but instead their distortion is that the shaft has small depressions, that look like dents or dings or areas where the surface has been pushed inward.  All of these are caused by one or more Peyronie’s plaques immediately below the lowest portion of each depressed area on the shaft. In fact there could easily be one, two or three or more internal plaque formations that are responsible for causing a single curve of the penis.  For this reason, as one of these scars responds to treatment faster than the others, it can cause the distortion to temporarily appear worse as the scar actually improves. Once you know where to find the scar it is a simple matter to carefully and thoroughly examine all the tissue directly at the lowest area of the concavity of the distortion to find the foreign plaque material that is preventing complete expansion of the shaft.

    Peyronie’s plaque easier to find if you have an open mind about it

    If your internal scar or plaque is not easy to find, forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue of the shaft that feels unlike the other tissue.  Find something that is unlike the rest of the tissue. When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to see if it becomes easier to make sense of it.  It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong.  Really, how could you know what a PD scar feels like if you have never had to do this before?  It is a common problem. “Peyronie’s Disease Handbook” is available from PDI and presents great information about finding the PD scar and valuable information about Peyronie’s Disease treatment. If you have any trouble finding your Peyronie’s scar, please write an email to Dr. Herazy at info@peyronies-disease-help.com

    Vitamin E as Peyronie’s Treatment

    About once a month we receive an order from a new customer who purchases only vitamin E.  Often these are one-time orders; these people order their vitamin E only once and we never hear from that person again.  When these orders appear I always assume it is from someone who has not taken the time to learn about correct Alternative Medicine treatment, and is simply following his MD’s suggestion to “try some vitamin E.”

    Using vitamin E as a single therapy with no other support therapies to develop synergy, from my experience in over 10 years of work with Peyronie’s disease, is never effective.  For this reason it is the policy of PDI to always include a note with that order to explain the limitation and problem of using vitamin E by itself.

    I have talked to many of these men who order only vitamin E to learn a bit more about their thinking, and how they come to believe this is all they have to do to recover from Peyronie’s disease.  Usually these men tend to take their health for granted, they do not use Alternative Medicine for their health problems and generally are not interested in knowing about this kind of treatment.  They place their vitamin E order simply because they were told to do it.

    During this conversation I will also learn that they are reluctant about taking vitamin E because they say “I recall that taking vitamin E can be dangerous.”    This is usually a minor objection that can be explained easily with the information from the PDI blog post, “Peyronie’s Disease Treatment and Vitamin E.”   Once the facts are presented there is no real reason to be fearful about using vitamin E in general or in a well designed treatment plan for PD.

    To be really successful using an Alternative Medicine to reverse the tissue changes of Peyronie’s disease requires that a man use multiple therapies to develop a synergistic effort to improve the ability of the body to heal and repair the Peyronie’s scar.   to learn how to do this, see Start Peyronie’s Disease Treatment.

    Medical Peyronie's Cure is Lacking

    Peyronie’s disease cure right under your nose

    Everyone wants a medical Peyronie’s cure that is a fast, easy, economical – and, oh yes – guaranteed.  In short, the ideal cure for Peyronie’s disease from the traditional medical viewpoint would be simply to pop a pill or two.  In this way everyone with a bent nail could go about with his life as before, with minimal inconvenience or effort.

    Why would I say that this is the viewpoint of “everyone”?   Well, simply because we live in a medical society.  When people think of a “cure’ they think of medicine as it is currently being practiced.   All efforts on the medical industry drawing board are directed toward looking for a drug – oral or injectible – to be the great cure for Peyronie’s disease that has evaded us for over 425 years.   Currently, Peyronie’s disease surgery is the only treatment that organized medicine makes available to someone with this problem and it is beset by limitations and drawbacks.

    Other than the Peyronie’s Disease Institute no other effort has been made to seriously investigate a treatment for Peyronie’s disease outside of the traditional medical model.

    This limited viewpoint of looking only for a medication to treat Peyronie’s disease is typical of the medical and drug industries.   The business people who decide how to approach a particular health problem tend to look at these issues from a profit standpoint; they also only look in directions and for treatment approaches that are not only profitable, but which they can control so that their profit is protected.

    Since the perfect Peyronie’s drug has eluded the medical establishment, they are quick to say there is no known cure for Peyronie’s disease.   What this statement really means is that there is no known cure for Peyronie’s disease using a drug or medical procedure they can profit from, control, and manipulate.

    There is a Peyronie’s cure

    What kind of medical quackery and heresy – nonsense – is it to say that there is a cure for Peyronie’s disease?  Actually none.  The body itself, in a fairly high percent of cases, will heal and correct – cure – the Peyronie’s plaque so that the problem does not advance.  Peyronie’s disease eventually leaves without a trace of deformity, pain, scar formation or limited sexual ability for about half of the men who get this problem.  It is said that about in half of the men who develop Peyronie’s disease, within the first 12-24 months the entire problem will just go away on its own.  Does that sound like a Peyronie’s cure to you?  It does to me.

    How does the body go about doing this miraculous thing, to rid itself of the terrible curved penis that is the hallmark of Peyronie’s disease, and heal over the mass of fibrous material that is known as the Peyronie’s plaque?  I do not know; no one knows.  But then again, I do not know how my body does the thousands of miraculous and complex things it does every second of every day of my life.  I do not know, as a small example, how my body can take the breakfast I just ate and convert into living tissue.  We are all just wonderful that way, and part of this is demonstrated when a man heals his own Peyronie’s disease.

    The Peyronie’s Disease Institute is involved with the use of a wide variety of nutritional and supplemental products that are intended to increase and improve the ability of the body to heal the Peyronie’s scar.  It is really not so complicated or more mysterious than that.

    For those who say it is quackery or nonsense to think that a person can improve his ability to heal and function better in life, I ask, “Why it is that a person eats?”

    What is the purpose of eating?  To satisfy the taste buds?  No, that is just a side benefit.  We eat, we put nutrients into our body so it can function; the food we take in is fuel to enable life and repair to take place.   By following the ideas of the Peyronie’s Disease Institute about PD treatment, all we are doing is trying to increase the odds and opportunity for the body to heal and repair in a way that is better than what is happening now.  Call this a Peyronie’s cure if you want, but it is no more miraculous than anything else that your body does during the course of an average day.

    For more information about the philosophy, click on natural Peyronie’s disease treatment.

    Treatment for Peyronie’s Disease with Drugs

    Medical Peyronie’s disease treatment

    Medical treatment for Peyronie’s disease is basically limited to simple reduction of pain and hope for some level of sexual function.  Since no known medical treatment of Peyronie’s disease exists, several experimental approaches are used with only half-hearted enthusiasm by the average medical doctor.

    Current experimental medical approaches used to treat Peyronie’s disease:

    • COLLAGENASE – Currently being researched as an injection directed into the scar tissue to enzymatically digest and eliminate it.   It is found that repeated injections into the penile tissue can cause Peyronie’s disease, and hence the long term outlook for this method is questionable.
    • POTABA – This is PABA, a B vitamin, with a potassium molecule attached.  PABA is a safe form of Peyronies treatment, but the addition of potassium to the B vitamin requires a large dosage often resulting in severe gastric pain and digestive problems.
    • COLCHICINE – This is a standard gout medication that is used to treat Peyronie’s disease because it is supposed to reduce inflammation and scar formation.  Not many reports of success are evident in the literature, and for this reason this drug is not a very popular Peyronie’s treatment.
    • INTERFERON – A protein that is used because it is thought to disrupt the production and promote the breakdown of collagen.  Of all medications used, this is the least popular Peyronies’ disease treatment.
    • VERAPAMIL – A drug normally used to treat high blood pressure. Can be administered topically in gel form over several months, or is directly injected into the plaque in a series of 8-20 shots into the penile tissue. This drug, in either form, is also less popular than it was when first introduced several years ago due to poor clinical results.
    • STEROIDS – This is the same common drug used for many conditions, basically because of its anti-inflammatory ability.
    • RADIATION – In low dosage thought to reduce pain, and no other benefit to Peyronie’s treatment.   Can lead to other problems of excess radiation.
    • SURGERY – Because the body does spontaneously resolve about 50% of Peyronie’s disease cases without any treatment or medical intervention, surgery should not be considered for at least one or two years following onset of signs and symptoms of the disease.  Peyronies surgery is used only in severe cases, because it is not uncommon for surgery to make Peyronie’s disease worse or lead to complications that are worse than the original problem.

    Most men who contact the Peyronie’s Disease Institute have already tried one or more of the above treatments, and are still looking for Peyronie’s help.  The philosophy to treat Peyronie’s disease is simply to treat the man who has the Peyronie’s scar so he is better able to eliminate and correct his own problem – just as happens with the 50% of men who spontaneously heal their own Peyronies scar without any help from anyone.

    The basic approach used by the Peyronie’s Disease Institute is to use as many well-researched Alternative Medicine therapies as possible so as to support the natural healing ability of the body.  This can be done with vitamin E and C, acetyl-L-carnitine, PABA, dietary guidance, gentle manual soft tissue stretching of the scar tissue, DMSO, copper peptides, and others.   For more details click Treatment for Peyronie’s Disease and you will see how easy it is to take control of your future.

    Peyronie’s Disease Surgery

    Surgical Peyronie’s treatment has many limitations

    The Peyronie’s Disease Institute is not against Peyronie’s disease surgery.

    The Peyronie’s Disease Institute is against the abuse of surgical treatment of Peyronie’s disease. Considerable surgical risk exists for any man with PD who has an operation to attempt correction of penile distortion.  Adverse outcomes and worsening of the original problem are associated with even a small incision (or injection) made to a penis that already has demonstrated the tendency to create excess Peyronie’s scar formation.

    The overuse and abuse of Peyronie’s surgery should be suspected when the treating doctor does not follow reasonable and conservative guidelines to consider a patient a surgical candidate.   A good surgeon will know that a man with Peyronie’s disease should fulfill these basic points before suggesting surgery:

    1. Severity, the most important indicator. The deformity must be severe enough to seriously interfere or stop sexual intercourse.
    2. Adequate time for healing and spontaneous recovery must be given. Usually thought to be from 12-18 months from the time of onset of PD.
    3. Non-responsive to a fair trial of medical therapy. In practice, many doctors attempt only one form of medical treatment.  When that fails the patient is told surgery is the only other option.  It appears that doctors know the poor results achieved by medication to make a difference with Peyronie’s disease that they are quick to want to skip this step and proceed to the operating room.   When vitamin E is offered as a therapy option, it is done so reluctantly and with little hope for success.  Further, no instruction is offered for the correct use of vitamin E, or information about the eight different members of the vitamin E family.  Since no real help is offered to assure that the patient will use vitamin E correctly, it is no wonder that so many men fail.   There is a large body of information available that can assure a man is more successful with vitamin E therapy for his Peyronie’s disease.  Using the correct type of vitamin E, and using it correctly in conjunction with other forms of therapy that work synergistically with it, would only increase the chance of success.
    4. Stable and unchanging scar.   This can mean changing for the better or worse. Since so few doctors, and the men with PD, even locate the PD scar, it is doubtful that this criteria is seriously considered.

    For information about the Leriche surgery technique for Peyronie’s disease.

    Risks of Peyronie’s surgery

    Surgery is not a Peyronie’s cure. Because of the unique anatomy and physiology of the penis, the risks of surgery to this area are a little different than other tissues.

    1. Additional scar formation and possible worsening of PD.  Because any man attempting a surgical correction of PD who already has massive scarring, must expect more scarring to develop as a result of that surgery. It is a known fact – seldom discussed with a PD patient before surgery – that surgery for PD will result in more PD, sooner or later.
    2. Loss of penis size. Extensive scar tissue that is severe and persistent enough to cause a deformity serious enough to justify Peyronies surgery, represents a large mass of internal scar tissue. Surgery will remove a large and irreplaceable loss of connective tissue and loss of elasticity of the tissue that is not removed. If it is not bad enough that surgical correction and return of sexual function cannot be guaranteed because of the possibility of complications, every surgical candidate must understand that there will always be a loss of length and diameter of the penis.   Many men tell me that this secondary consequential loss of penis size is hardly discussed before surgery. Most men learn about the loss of penis size after it is too late.
    3. Incomplete straightening, no change, or worsening of the original PD deformity.  Loss of elasticity, additional scarring, and damage to the veins of the penis that can occur as a result of surgery, can also reduce or prevent correction of the original PD problem.
    4. Loss of sensation.  Due to anatomical location of important sensory nerves of the penis, PD surgery can slightly, or greatly, or totally, reduce skin sensation and  pleasure associated with sexual activity.  Temporary reduction of sensation is very common, and permanent sensory loss is less common.
    5. Loss of erection strength.  Surgery cannot help but alter both the inflow and/or outflow of blood to the penis.   By disturbing the pneumatic mechanism that creates an erection it is not uncommon for men to report either loss of erectile rigidity (hardness) or inability to maintain an erection (impotence) – and sometimes both.

    If a surgeon has been attempting to get you to undergo PD correction surgery, and you were told the surgical outcomes are “good,” I strongly suggest you get a very clear and detailed explanation for what the surgeon means by “good.”  You might think “good” means that you will be perfect again, that your PD will be gone, that you will feel like a teenager.  The surgeon might be thinking that “good” means only a one or two inch loss of length, only a 50% chance of loss of penile rigidity, only a 50% loss of skin sensation, and restoring your curve from 90 degrees to only 30 or 40 degrees.   It is not an easy thing to determine how to straighten a curved penis.

    If your surgeon tells you these things are not true, and that surgical results are “excellent” you might want to ask him what he means by excellent.  If he says you are worrying too much about such a safe and simple operation, ask the surgeon to put that in writing.  Ask the surgeon to guarantee that the surgery will not result in impotence, loss of skin sensation, that you will have a completely straight penis, and that your Peyronie’s penis will never return.  You will not get that guarantee because no one can say what will happen to you as a result of PD surgery.

    This blog post is not anti-surgery.  This blog post is all about getting a clear and honest idea about reasonable expectations after Peyronie’s surgery.  It is my experience that most men are led to believe that their surgery results will be far better than the surgeon and reality can deliver.

    Keep in mind that what is good for the surgeon might not be good for the man with Peyronie’s disease.

    Peyronie’s Treatment Sensations

    Strange reaction to Peyronies therapy

    Every now and then I get a question about the variety of unusual sensations and reactions that men notice during Peyronie’s treatment, or immediately after, a particular therapy used in Peyronies treatment.  These are the Peyronie’s disease therapies most often associated with this kind of response:

    1. Genesen Acutouch Pointers
    2. Manual stretching method found on the CD
    3. DMSO PMD formula
    4. Super CP Serum copper peptide ointment

    Most often the sensation is described as a “tingling” or “aching” or “electrical” sensation in or near the area of treatment.  It can be felt during or within the hour any of these therapies are applied.  The intensity can be variable from time to time it is felt; sometimes very mild and hardly noticeable, and at other times enough to wake a person from a sound sleep. Sometimes the response occurs each time the treatment is done, and for other men the reaction occurs every now and then at irregular times.

    If you experience this kind of reaction in the area of your Peyronie’s scar, do not become alarmed. It is common and usually signals some good response to your Peyronie’s treatment as changes are occurring in the condition of the scar.

    This is not something that has been studied much in the scientific literature since those researchers prescribing drugs or standard medical procedures for PD do not get the kind of reactions and responses that occur while following the Peyronie’s Disease Institute therapy principles.  They do not report this kind of reaction because they do not make the kind of rapid changes that are seen in men using the PDI protocols.

    Therefore, there is no research that has been done to explain this phenomenon.  It is my theory that these reactions are due to the rapid changes that take place in the tissue in and around the scar material.  During or after a particular Peyronie’s treatment a change may occur in the tension and length of the otherwise contracted scar material of the penis.  These alterations of tension and position of the tissue layers could easily explain the unusual sensations that occur. I find from my own treatment experience, and that of other men who have had improvement in their Peyronie’s disease, that these “moving” or “tingling” or “aching” sensations appear when the scar is undergoing some level of change (improvement).  Many men come to count on the appearance of these changes to herald improvement of their scars from time to time.

    It is most probably NOT just one therapy or just the one product causing this usual sensation.   It is closer to the truth to say that these sensations are the sum total of all the synergistic efforts that are included in your therapy plan. The problem (a good problem) with using so many of these therapies together is that you will never be able to accurately say which one did the most or least for you.   A synergistic Alternative Medicine therapy plan is a group effort, with all therapies making some contribution to whatever happens to you.

    Please email your questions about Peyronie’s disease treatment to this blog.

    Curved Penis and Peyronie’s Disease

    Peyronies bent penis is focus of problem

    While the primary interest of Peyronie’s disease treatment is the internal scar tissue or fibrous  plaque material that causes the distortion or curved penis to develop, it is not the primary interest of the man who has PD.  For him, the most important aspect of Peyronie’s disease is the curved penis that plagues him.  For this reason Peyronies is also known as the “bent nail disease.”

    For those interested in viewing graphic pictures, click curved penis of Peyronie’s disease.

    Peyronie’s disease causes a curved penis when the fibrous tissue of the Peyronie scar or plaque pulls unevenly or causes incomplete filling within the erect penis.  This can vary in degree or severity from man to man.  For this reason the curved penis does not indicate the severity of the Peyronies problem or success of Peyronies disease treatment.  The true success of Peyronies treatment is based on the change that occurs in the Peyronies plaque or scar.  Once the fibrous scar changes, eventual improvement in the curved penis can be expected in time.

    The internal tissue of the healthy penis is flexible and expandable.  This normal tissue is able to allow for a normal erection to develop when blood is trapped inside the organ.

    In Peyronie’s disease some of the tissue is not healthy or flexible and elastic.  Specifically, the deep tissue known as the tunica albuginea is not elastic because it replaced by dense and inelastic fibrous tissue that is called a scar or plaque.   As an erection develops the elastic tissue of the tunica albuginea must stretch and expand evenly on both sides, left and fright, and top and bottom, of the penis.  If this cannot happen because an area of the penis is no longer flexible and expandable, then a curved penis results.

    Peyronie’s disease usually begins with a small nodule or bump that is found on the top or sides of the penis, just immediately below the surface.  A few weeks to several months to a year later, a small fibrous nodule can expand into a larger irregular scar of variable size, shape, density and surface quality.  These scars can be as long as the penis.  Some appear like a collar to go around the shaft.   Some are one large mass, while others appear to be like small isolated islands of fibrous tissue in many areas.   Scars can be so soft or small, with edges so tapered and vague that no scar can be found.  In a case of Peyronie’s disease when no scar or plaque can be found, it is still assumed to exist when a curved penis develops during erection. .

    Normally curved penis

    Most men have a straight erection, but some are born with a penis that curves or bends (usually upward).   Just as fingers on the hand or a nose can display a natural bend, or arms can be of different length on the same person, the penis can be bent without the presence of Peyronies.  Typically, the normally curved penis follows a more gradual and arched design, more like a banana.  In Peyronie’s disease the curved penis is more localized and abrupt, like an angulated bend.

    When the two primary chambers (corpora cavernosa) of the penis are a different diameter or length, the penis will bend when erect.   The penis will appear straight when flaccid, and on erection it will bend.

    This slight penile distortion will not be associated with pain, there will be no trauma in the history, and it will not appear suddenly as does the curved penis of Peyronie’s disease.

    Curved penis affects sexual intercourse

    It is estimated that 75-90% of Peyronie’s disease couples will sooner or later experience a sexual intercourse problem, in regard to either pain or difficult penetration – or both.   The curved penis of is the primary reason sexual penetration is compromised, and it is also the reason for the pain that can be experienced by either – or both – partner. This is especially so in those cases in which the distortion is so severe it is described as “cork screw” or “cane handle.”

    Incomplete filling of the penis with blood during erection can also happen in Peyronies.  This results in an area of the penis, either small or large, that is soft and unable to sustain the rigors of intercourse.  A soft area within an otherwise firm erection presents a weakness and vulnerability of the normally turgid erection.  A weak area of erection can suddenly collapse or buckle during intercourse, causing additional injury to the penile tissue.  This can cause pain, inflammation and additional fibrous infiltration.

    It is a rare Peyronies couple that does not deal with some level of sexual difficulty related to penile distortion and reduced firmness of the erection.  The many physical, emotional and social issues of Peyronie’s disease are complex.  For this reason the reader is referred to “Peyronie’s Disease and Sex” for more information about this complicated area of life with a curved penis.

    Treatment of the curved penis

    It is important to remember that any penile distortion that develops in Peyronie’s disease is not the primary problem of this condition.   A curved penis that appears one night is difficult to ignore, but is only a symptom of the real problem of Peyronie’s disease – the scar. Without the Peyronies scar there would be no curved penis.

    This is the reason I advise men who are undergoing Peyronies treatment to focus on the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.  The curvature can improve or worsen as the scar is reduced.

    A small scar can cause a large bend, just as a large scar can cause no bend at all if it is balanced and symmetrical.   For this reason a curved penis can worsen as the scar is being reduced or eliminated.   Estimating progress or success of a PD therapy plan is difficult .  A man can have many more scars than he is aware of, and they can be larger than can be detected since they are often difficult to locate and often overlap.

    If only one scar is present the curvature problems are direct and easy to understand, although  this is unusual.   However, if multiple scars are present the internal pulling and twisting they cause can be very complicated.   Several scars can interact on many  planes of internal penile tissue.   Any reduction in one or more scar will alter the internal tension and pulling of the tissues, resulting in an altered curvature.  There is no guarantee the curvature will change for the better initially – sometimes it can look worse as the scars become smaller.  This is why I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of what is going on with the scar9s) below the surface.

    Do not be discouraged by the curved penis of Peyronie’s disease.  Instead, stay focused on your plan for effective Peyronies treatment.  Learn more about Peyronie’s disease treatment.

    Peyronie’s Treatment and Cialis

    Peyronie’s and Cialis (Tadalafil) and PDE5 inhibitors

    Peyronie’s and Cialis are both on the rise – no pun intended, and there is a reason for that.

    Cialis it is not a Peyronie’s treatment; Cialis is used to treat erectile dysfunction (impotence).   Some MDs use Cialis in Peyronies treatment because they think it will help the patient achieve a stronger erection  since Peyronie’s disease and impotence or erectile dysfunction often occur together.    But    This practice is is coming under close scrutiny because Viagra, Cialis and Levitra (all the PDE5 inhibitors) can make Peyronies worse if they cause a very extreme erection that the body is not built to handle.  This can cause damage to delicate tissue and more Peyronie’s plaque formation.

    Peyronie’s and Cialis Usage

    Every man should know each package of Cialis contains information warning that men with Peyronie’s disease should use Cialis with great caution because of possible side effects that include damage to the penile tissue that can actually cause Peyronie’s disease if you do not already have it.

    MDs write orders for their patients with Peyronies and Cialis is a commonly prescribed drug.   The MD will explain that the Cialis will increase the blood flow to the penis and this makes it beneficial to Peyronie’s disease.  I think this is nonsense.

    An erection is created when blood is TRAPPED inside the penis, causing the spongy tissue to fill up and expand with about 2-3 tablespoons more blood than is normally in the penis.  This additional 2-3 tablespoons of blood become TRAPPED inside the penis, just like when you blow up a balloon and tie a knot at the end of the balloon.  Sure there is more air inside the balloon, but it does not circulate freely – it is stagnant air. And the additional blood also does not circulate freely in the penis.  That is why the penis is darker when it is erect – the blood does not have much oxygen in it, making the tissue darker.  This just goes to show how little many MDs think about what they are doing when they write a prescription.

    Cialis is a popular erectile dysfunction drug, but it does not make sense to use it for treatment of Peyronie’s disease. When a man goes to his doctor for his Peyronie’s and Cialis is prescribed, he should understand the reason for the prescription does not make sense.

    Cialis and Peyronie’s Connection

    While I hate to spoil the fun for those whose sex life is enhanced by Cialis, but over the years I have had a disturbing number of men inform me they now have Peyronies and Cialis use was the cause.  Any of the PDE5 inhibitor drugs (Viagra and Levitra are others) can increase pressure within the penis that  can be greater than normal.  Injury to the tissue can lead to Peyronie’s disease.

    If it were possible to take a drug that would allow you to lift a truck above your head and keep it there for an hour, should you do it?  That would be an interesting, and very impressive to the ladies, but is that reason enough to subject your body to the potential risk that would be involved?   The fact is that the body is not built to be used that way.  Lifting a great amount of weight causes internal pressure on tissue and organs that were not meant to bear that kind of weight.  Great injury would occur to internal organs, your spine, knees, hips, shoulders, blood vessels, and so on.  The same relationship exists between Peyronies and Cialis, and the rest of these PDE5 inhibitors.

    All of this is so unfortunate because there are far safer methods for Peyronie’s disease treatment.

    The increased occurrence of Peyronies and Cialis use also increasing is not a coincidence.  There is a reason that more and more men are getting Peyronie’s disease at the same time that more and more men are using Cialis and the other PDE5 inhibitors.

    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.”

    Peyronie’s Plaque or Scar

    Peyronie’s plaque or scar central issue

    The central issue of Peyronie’s disease is the infamous Peyronie’s plaque, also called a scar. Peyronie’s disease typically occurs in men between 40 and 65 years of age, although a range of 16 to 80 years is documented; some experts say it can occur at any age. From personal communication with a particular man, I was told that his own Peyronie’s disease was started after a dog bite to the groin – at the age of 10. Nonetheless, it is most important to recognize that all clinical signs and symptoms of Peyronie’s disease originate from the effects of the plaque upon the internal tissue layers (tunica albuginea) of the penis.

    A developing Peyronie’s plaque appears in response to either micro-trauma to the small blood vessels from a single injury of great force, or multiple injuries of a small force. While there is strong evidence that genetic factors and drug factors also influence the start of PD, it is trauma that is usually considered to be the most likely cause of the Peyronies plaque or scar.

    A Peyronie’s plaque on the cellular level initially consists of fibrin threads deposited in a massive network throughout an area of injury within the tunica albuginea of the penis. Peyronie’s plaques, or scars, later combine the dense threads of fibrin connective tissue with reduced and fragmented elastic connective tissue fibers, as well as excessive amounts of type III collagen material, which happens to be specially inclined to excessive scar development. In about one-third of chronic cases of Peyronie’s disease, calcification of the plaque can occur over time. For more technical information about the Peyronies disease plaque.

    The curvature of the Peyronies penis is due to the fact that scar tissue does not stretch as easily or as fully as healthy normal tissue. The normal tunica albuginea is composed of elastin fibers and collagen, although the site of scar tissue from Peyronie’s disease is composed mostly of collagen. This difference in composition of these two tissues is what causes a bent penis to develop during erection.

    Eventually as one or more Peyronie’s plaques develop into a mass of hardened tissue in the delicate tunica albuginea, it results in variable pain and penile distortion that most often takes the form of a bend or curve; sexual function is often reduced as a result of direct or indirect affects of Peyronie’s disease, also. The penile curvature of Peyronie’s disease is caused by the dense inelastic scar, or plaque, material that shortens the involved side of the tunica albuginea layer that covers the corpora cavernosa of the penis. In approximately one third of patients, the scarring involves either the top or bottom portion of the penis shaft, occasionally both. The lateral sides of the penis can also be affected by Peyronie’s plaque development, if that area experiences injury.

    Peyronie’s plaque not easy to find sometimes

    In some men the Peyronies plaque is easily found on manual examination, in others it is found with difficulty, and in some men no Peyronies plaque is ever located. It can be frustrating to have a wicked penis distortion, and still not be able to locate the Peyronie’s plaque.

    To locate the plaque or scar material a light and inquisitive touch is most effective. Do not be heavy-handed, or press down into the deeper layers to find the Peyronie’s plaque material, because it is found just below the surface of the skin. And, oh yes, you will never directly see the plaque or scar, since it is not on the surface of the skin, but below. Make peace with the Peyronie’s plaque and do not hate it, just determine how to assist your body to remove it.


    To learn about using Alternative Medicine to increase your ability to heal and repair the Peyronie’s plaque, a good place to start is the PDI website, Peyronie’s disease treatment introduction.

    Peyronie’s Natural Treatment

    Peyronie’s disease natural cures not presented honestly

    When a man with Peyronie’s disease investigates the internet for Peyronie’s disease natural treatments, the results are surprising and disappointing. Usually the information is not about Peyronie’s natural treatment in an honest or wide presentation, but simply a limited two or three sentence statement that vitamin E does not help in cases of Peyronie’s disease.   The idea presented is that Peyronie’s natural treatment is the use of vitamin E and nothing more and nothing else, and it does not help anyway.

    The truth is that the average medical doctor does not know how to use vitamin E as a Peyronie’s natural treatment, and so he or she mismanages the value of the therapy. Any failure is not placed where it belongs – on the doctor – but is assumed to be the failure of vitamin E to help Peyronie’s disease.

    What this kind of statement means – “that  vitamin E does not help in cases of Peyronie’s disease” – only means that the writer or the doctor does not know how to use vitamin E effectively or correctly to assist the body to correct this problem.  It has nothing to do with vitamin E, or any other Peyronie’s natural treatment – but with the way they are used.

    Peyronie’s disease natural cures unfair representation

    It is not fair to say that vitamin E is not a valid and effective Peyronie’s natural treatment. However, it is accurate that the way the average medical website or medical doctor has extremely limited and biased information against Peyronie’s disease natural cures. It is fair to say that the average medical doctor is strongly biased in favor of drugs and surgery as the primary treatment for any medical condition. In the case of Peyronie’s disease, this is especially perplexing and damaging to someone with Peyronie’s disease looking for genuinely helpful information, since the medical profession admits there is no effective drug to treat this problem and the results of surgery are often poor – at best.

    It is also not fair to say that vitamin E is the only Peyronie’s natural treatment that can be employed against Peyronie’s disease. The potential list of Peyronie’s disease natural cures is rather long and varied:

    1. Vitamin E – oral and topical, especially the gamma tocopherol faction

    2. Vitamin C – best combined with vitamin C

    3. PABA – this is a B vitamin, not POTABA which is a drug that is made by the addition of a potassium molecule added to PABA

    4. Quercetin – an antioxidant

    5. Bromelain – powerful protein enzyme

    6. Serrapeptase – powerful protein enzyme

    7. Nattokinase – powerful protein enzyme

    8. Herbal compounds – Chinese and Ayurvedic types

    9. DMSO – dimethyl sulfoxide drives therapy compounds deep into the scar tissue

    10. Copper peptides – topical preparation assists scar reorganization

    11. Acupuncture – non-invasive techniques used for over 4000 years to help healing

    12. Massage – increase blood circulation and tone of local tissue

    13. Exercise – increase blood circulation and tone of local tissue

    14. Manual penis stretching – gentle non-mechanical method to stretch contracted scar

    15. Diet – special protocol to promote tissue alkalinity and healing

    The average person for Peyronie’s disease natural treatment information would do well to expand their search beyond biased medical websites and explore the many well researched and diverse Alternative Medicine websites that seriously investigate the subject in a more comprehensive manner.

    The Peyronie’s Disease Institute presents over 200 pages of documented information exploring Peyronie’s disease natural treatments along with a Q/A section, survey’s, books, and videos to explore the many diverse options that are available for consideration.

    One last thought concerning information about Peyronie’s disease natural cures. There is none. Some unscrupulous individuals promote herbal concoctions and painful mechanical penis stretching devices as Peyronie’s disease natural cures, but they are not anything of the kind. While all of the Peyronie’s disease natural treatments mentioned above when used in an effectively combined treatment plan can help the body to heal and repair the terrible Peyronie’s scar, none of them can be considered a cure in the sense many would hope.

    The Peyronie’s Disease Institute offers detailed information and therapy products that when used together in various combinations have helped men all over the world for the last eight years to reduce and sometimes overcome their problem while intelligently using Peyronie’s natural treatment.

    Peyronie's treatment

    Peyronie’s disease treatment in detail

    Since mid-2002, I have been deeply and continually involved in Peyronie’s disease treatment – initially for myself, and then later for other men who have PD. All the details of my successful effort to heal my own case of Peyronie’s disease using Alternative Medicine are revealed in my first book, “Peyronies’ Disease Handbook.”

    The most popular single topic of any email question I receive from around the world concerns Peyronies treatment, naturally.  More than wanting to know about the chemistry or the physiology of Peyronie’s disease, or how to locate the Peyronie’s plaque, or names of doctors in different parts of the world, or anything else about PD, people want to know what must be done to successfully treat this terrible problem.

    Many details about Peyronie’s disease treatment are found on the PDI website, in “Peyronies’ Disease Handbook,” and in nearly 100 issues of the Peyronies Disease Institute Newsletter.  Some days I answer more than a dozen emails from men and women who have countless questions about PD treatment.  I offer the best information I possibly can to each person. Yet, no matter how many times I present this information in a variety of formats, there remains one aspect of Peyronies treatment that many people just do not seem to understand.

    Perhaps it is my fault for not stating this treatment information plainly enough, or not presenting it often enough.  Yet, somehow I feel responsible I have not found the best way to present this basic aspect of Peyronie’s disease treatment so everyone will understand this topic as well as I do.   If this is so, if all this is my fault, here is yet another attempt to make this important point about Peyronies treatment perfectly clear.

    Peyronie’s disease treatment critical point

    Regardless of how a person attempts to increase their immune response to eliminate the nasty Peyronie’s plaque, it is not as important how you start treatment, as it is how you progress and eventually finish your Peyronies treatment.   There are many ways to rationalize and calculate how you will go about treating your PD problem.  There are many good ways to help your body eliminate the Peyronie’s scar and restore penis health.  That is the reason I have assembled three different size sample treatment plans, go to http://www.natural-complementary-medicine.com/index. asp? PageAction =VIEWCATS &Category=2 I have repeatedly said that these three plans can be increased or decreased in an effort to help your body heal your Peyronies.

    Each day several men begin their Peyronie’s treatment with PDI in a wide variety of formats. Some of these are ultimately successful and some are ultimately unsuccessful, not because of the plan they put together at the beginning of their care, but their ability to modify, organize and apply the necessary changes to their Peyronie’s treatment plan if they do not get the kind of results they are looking for with the plan they start with.

    Peyronie’s treatment is like a football game

    Let’s say that you are a football coach, and you have a big game coming up.  As part of your job, you rationalize and calculate how you will beat the opposing team.  You know the strengths and weaknesses of the men on your own team, and you do the best you can to understand the strengths and weaknesses of the men on the other team.  You keep in mind the weather conditions, the time of day, home team advantages, and countless statistics to eventually develop a winning strategy.  Eventually, you devise a plan to win.  The day of the big game arrives and you put your plan into action.  After a few minutes into the game you see that you have made some mistakes because none of what you planned is happening, because apparently you did not figure things out correctly.

    You can do one of two basic things:

    1. You continue with the plan you started with.  You follow the basic plan that you started with because you tell yourself that your plan made sense to you before, and it should eventually work out.  You tell yourself, you must have patience with your plan.  You remind yourself that if you continue to follow your starting strategy things will sooner or later come together, your plan will begin to work, and you will eventually win.  Besides that, you do not know what else to do, so you struggle forward.
    2. You change your plan after giving it a reasonable time to work.  You eventually keep those parts of your starting strategy that seem to be working, while you change other parts of the plan that are not.  You improvise where you can, make minor and major changes if you are able, and look around for options that you might not ever have considered before.  You try different things until something works.   It is not pretty, it is not what you planned, but you take every advantage you can find during each moment of the game. Besides that, you do not know what else to do because continuing with a loosing plan does not make sense to you.

    You see, my PD Warrior, Peyronie’s treatment should not be not static, although some people approach it that way.  Just because you start with one idea, one plan, does not mean you must continue with it if it does not seem to be working after a reasonable length of time.

    If you start with one idea, and it seems to be working, fine, continue with it.  But if it is not working, change it.  How?  I don’t know.  But if you let me ask you a few questions and tell me about what you are doing, I know I can offer you some ideas you have never considered.  Sometimes these changes make a small difference in the progression of Peyronies treatment, and sometimes they make a huge difference.

    Now, I hope this little discussion makes a difference in your effort to increase your ability to heal and repair your Peyronie’s disease.

    Please comment and ask questions here if there is more that you would like to know about successful Peyronies treatment.