Peyronie's treatmet using compression

Greetings Again and Happy New Year, Dr. Herazy …

Thank you once again for your helpful reply.

While discussing further options to mitigate my Peyronie’s with my urologist today, he shared that a colleague had successfully treated a Peyronie’s patient with PRP (“Platelet-Rich Plasma”) injections …. which you may readily recognize as the treatment administered successfully to Tiger Woods about a year ago for a knee injury. My urologist, though, hastened to advise me that this procedure is clearly experimental, non-FDA approved, and not covered by health insurance. Anyway, I was wondering if you’ve heard of this procedure as a Peyronie’s treatment; and, if so, what are your thoughts, concerns, cautionary advisories, etc.?

Also, speaking of non-conventional Peyronie’s treatment regimens, I read something recently about the use of “compression”, whereby the penis is rubber-banded in the area of curvature with the intent of breaking up the plaque. I believe this procedure had been tried with some success in India or elsewhere in SE Asia. Have you heard of such a procedure?  Is there any basis for the possibility of plaque being mitigated by a compression technique …. be it rubber-banding or other like technique?

Thank you for weighing in on the above.

Phil

 

Greetings Phil,

Give me a little time to investigate PRP and I will get back to you.

Compression of the penis, because it is such a soft mass of tissue, would work like a tourniquet to greatly reduce blood circulation to the point that significant tissue injury could occur – leading to more Peyronie’s disease.   In fact, many men who have used a device known as a “cock ring,” that is designed to block blood flow in the penis, have reported that they developed PD afterward.  This is a dangerous idea when applied to the penis that i would advise against.  TRH

Have you any knowledge about serrapeptase or nattokinase for Peyronie's treatment?

Hi, I just ordered your massage CD.

Have you any knowledge on the product serrapeptase or nattokinase?

They are in a category of systemic enzymes which are fibrolytic — fibrolytic enzymes break down fibrin and reduce or prevent scarring. Examples of these are serrapeptase and nattokinase. So, more precisely, could a fibrolytic enzyme like serrapeptase possibly reduce the fibrosis in the penis?

Best to you,

Michael

 

Greetings Michael,

Certainly.  Since 2002 PDI has advocated the use of the fibrinolytic enzymes, nattokinase and serrapeptase to treat Peyronies disease.  You may learn more about them here Enzymes (Neprinol, Nattokinase and Fibrozym) for Peyronie’s Treatment.   TRH

 

I need real complete information on what Peyronies treatment to use

I have a minor nodule on the forward 1/3rd of my penile shaft. It causes a twist up and mostly to the left when erect. I have been taking two 400 vitamin E caps a day and essential oil application once a day.  My Dr. suggested using the vacuum cup but I’m not convinced that this product is affecting the source of the problem. After reading some of the blogs here, I’m seeing that there’s more meds or supplements involved that may or may not have real effects on my condition.  I need real, complete info on what peyronies treatment regimen I need to adopt to affect a positive result. Your opinions/suggestions please.

Ralph
age 67

Greetings Ralph,

You need to spend some time reading the PDI website to educate yourself in this method of using Alternative Medicine to increase your ability to remove the Peyronie’s  plaque or scar from your shaft.  We have literally over 500 of pages of information telling you how to help your Peyronie’s disease.  I suggest you start at least with these few pages from the PDI website:   Start Peyronie’s Treatment and Dosage for Treatment of Peyronies Disease There are many others that you can use to get grounded in Alternative Medicine treatment, but these two are a good start. 

What is the dosage of therapy that will improve my Peyrnonie's disease?

I am taking a combination of Neprinol, Vitamin C and Vitamin E. Can you advise me of a good number of each to be taken per day? I am currently taking 6 Neprinol per day, 3,000 mg of Vitamin C and 800IU of Vitamin E per day. Is this a safe amount that will effect Peyronies disease?

Greetings,

As I write repeatedly in these commentaries, there is no way to know ahead of time if any therapy plan is going to be effective for any particular person’s Peyronie’s condition or what dosage will work for you.  This is why it is essential each plan should be as varied and aggressive as possible, and that it is followed faithfully each day.  Because you will be able to monitor the size, shape, density and surface features of your scar before therapy begins and as it continues you will know whether your plan is working.  If it is working, you continue following your plan. If it is not working, you slowly increase the dosage of your plan until you begin to notice changes in the scar.

It is essential that you not just take your various supplements, but that you “work” your plan.  The PDI concept of determining the dosage of Alternative Medicine to treat Peyronie’s disease is based on a simple system followed to prescribe drugs in medical practice. 

This is how your medical doctor fine-tunes the dosage of the drugs he/she gives you:   Your dosage is started based primarily on your age and body weight for that particular drug – everyone starts at about the same dose, but it will change based on response to the drug.  You take the drug as prescribed, you return in a week or two and your doctor asks you questions and examines you to see if your symptoms have changed.  If your symptoms have been reduced to your doctor’s satisfaction, your dosage is kept the same.  If your symptoms are the same the dosage is either increased or you are given even more drugs.  You now taken an increased drug dosage as prescribed, you again return in a week or two and your reduction of symptoms is determined.  If your symptoms are now reduced your dosage is kept at this higher level.  If your symptoms are the still same the dosage is once more increased or you are given even more drugs.  This goes on until your doctor thinks your symptoms are under control.  This is how medicine is generally prescribed. 

You can use the same method to determine how many and which of your different therapies to use to change the size, shape, density and surface features of your Peyronies plaque and hence to reduce the curved penis that the scar causes.

As you take the dosage of the Alternative Medicine therapies you are using you monitor the size, shape, density and surface features of your Peyronie’s plaque or scar, just as a doctor would.   If your scar shows improvement (smaller, softer, a different shape, more difficult to locate or you have signs of the scar “falling apart,” you keep dosage the same.  If your scar is the same size and shape, just as hard and just as easy to locate, you slightly increase the dosage of what you are taking or you add new therapy to your plan.   You compare your scar every 10-14 days, looking for positive signs of scar reduction.  This pattern of increased therapy continues until you find that your scar has begun to improve.

You do not just start popping a predetermined number of pills each day hoping that you get better.  You monitor your scar for positive scar changes and you are fully aware what it will take to make it happen.  This is PDI method of Peyronie’s disease treatment.  

The Neprinol, vitamin E and C dosage you are taking is very common, and might even be a little low in regards to Neprinol.  Please refer to the notes and detailed instructions you were given about taking Neprinol when you received your order from PDI.

If you have specific questions about altering your Peyronies treatment plan please contact me directly.   TRH

Will a combination of Neprinol and vitamin E be effective for my Peyronie's disease?

Do you think that a combination of Neprinol and vitamin E will be effective in helping my Peyronie’s disease?

Greetings,

There is no way to tell ahead of time if any Peyronie’s treatment plan will be effective.   No matter what plan you start with, it is always a guess to know at the start of care if it will help.   The eventual treatment plan a man uses to eliminate his PD is determined by its ability to influence the PD scar.  Each person has different needs, and this prevents one treatment idea from being the solution for everyone.    It is necessary to evaluate the effectiveness of any plan by looking for changes in the size, shape, density and surface features of your scars while you following your treatment.   You can start with any type of plan you believe might help you, but it is the response of the  scar tissue that guides and determines type of therapy that is used and at what dosage.

Your question tells me you have not spent much time on the PDI website.   You really should go over the PDI home page and follow the links you will find there.  If you are interested in recovering from your PD it is a great way to get an education how Alternative Medicine can be used to increase your ability to heal and repair the Peyronie’s plaque that is causing your bent penis.

Using Neprinol and vitamin E is a small combination that is far too limited to reach into the problem of Peyronie’s disease.  I have never heard of anyone who used this combination and got results.   As an example, if you look at the PDI small plan you will see there are seven different ingredients in that plan – and it is called small.   I am fully aware that many men can have financial problems that limit the amount of therapy they use, yet these same men also want a Peyronie’s treatment plan that gets results.

You see, it is not really what I think about using Neprinol and vitamin E that is important.   All I can tell you is that no one has ever told me that taking only these two therapies has helped his PD.    Usually, the plan must be larger to be effective.   How large does your plan have to be?   I don’t know.   You have to figure that out for yourself while you are working with your problem.  I suggest you start here  Start Peyronies treatment  to  learn how this is done.   TRH

Would Neprinol work on my Peyronie's disease?

Hi,

I’ve had Peyronies now for roughly 10 years. I passed a kidney stone in my 30’s and it jammed at the end of my urethra, I squeezed it ,and it passed. But for a month my penis killed me. It eventually shrunk to about 3 inches, from 7  1/4 inches . Ive tried everything. I went all natural. vitamin c, 1000mg , omega 3 1200mg, vitamin e 1000 mg, l-arginine, ginkgo biloba, saw palmetto 1000mg, and flax seed oil, 1000mg gotu kola.  All have helped get at least 6 inches in length back after 10 years.

My love life suffered at first, but we overcame things. I would like to get the other 1 1/4 inches back. Right at the tip, just behind, it curves up around 30 to 35 deg. I can feel the hard plaque still. It just won’t soften up any more.

Would Neprinol work, or do you have any suggestions on how to finally rid my self of this man destroying dilemma?  I’m 45 now, I would like to keep going if you know what I mean.

Thanks.  Any suggestions would be a great help.

Greetings,

While I realize you have probably just discovered the Peyronie’s Disease Institute website on the internet, my first suggestion is that you stop playing around using different herbs and supplements that have not been shown to be helpful for treating PD.

“Going natural” is not the key to successful Peyronie’s treatment; you have to use the right products and use them in the right way.  It looks to me like you just started using anything that might have had some positive things written about it, and hoped it would help your problem.   You have not “used everything.”   You have only scratched the surface.   You have approached your problem from the wrong direction and gotten lucky that some of the things you did  might have helped you.   Had you spent that same time, effort and money using the products from the PDI lineup for your Peyronie’s treatment I believe you would have been far better off today.

I suggest you get on at least the PDI medium plan along with the PDI gentle Manual Penis Stretching CD video and use them faithfully for a few months.  It is important to use the exact therapies from PDI because not all brands of Alternative Medicine therapies are of the same quality or potency.   You cannot walk into the average vitamin store and expect to get good quality products that will do the job for you.  It is amazing and appalling that many vitamin shops sell such low quality items.

Your question about Neprinol shows that you do not understand how to use Neprinol and that you are again approaching your therapy from the wrong direction.   You need to spend more time reading what is on the PDI website to learn how to go about successful Peyronies treatment. 

When you order from PDI you will receive specific instructions how to use everything that you order for the best possible treatment of Peyronies disease.   Let me know if you have specific questions about helping your problem.   Good luck to you.   TRH   

What is the best Peyronie's treatment?

Hello,

I am from Dubai.  My problem is like this:   Peyronie’s disease with left lateral (side) penile curvature and constrictive ring deformity causing hourglass close to body. No pain up to now during sex.  I find that my penis  is now shorter by more than one inch.   I took vitamin A & E but it did not help.  What is the best Peyronie’s treatment?   Thank you.

Greetings to you in Dubai,

I am sorry to learn about your problem.   

Taking only vitamin A and E is seldom effective because it is much too limited or narrow in its attempt to help you heal the PD scar.  The best Peyronie’s treatment is not any one therapy, but a combination of several – sometimes many therapies that work to assist your ability to remove the foreign Peyronie’s plaque or  scar tissue from your body.

Please do not think my answer is silly or insensitive.  Allow me to give you an answer that will tell you exactly what you need to do create the most effective therapy plan for your condition:  The best plan to treat your Peyronie’s disease is the one that you create that causes your body to break down and absorb the foreign scar material.   The best Peyronie’s treatment plan appears to be different for each man.   I do not know what you need to do to make this happen, but I can tell you how to figure this out for yourself. 

If you follow these steps you will do as much as you possibly can to be successful over your Peyronie’s problem:

1. Learn as much as you can about the natural treatment of Peyronie’s disease from the PDI website.  The more you understand the better your treatment and your results will be.

2.  Go to Start Peyronie’s treatment to see the basic outline of getting started with care.  Follow those instructions your read about.  

3.  Determine the size, shape, density and surface features of each PD scar you can find.  If you do not know how to locate your PD scar(s) send me an email and I will give you special help to determine where it is located and how to evaluate it.  This information is critical since you will use it to measure the progress and effectiveness of your Peyronie’s treatment plan.  Without this information you are only guessing about your treatment. 

4.   Monitor your PD plaque for changes as you follow your treatment plan.   If your scar or plaque changes size, shape, density or surface features while you are using your treatment plan, there is no need to change it; you simply continue to use that plan for as long as your scars continue to reduce. If your  scar DOES NOT CHANGE size, shape, density or surface features while you are using your treatment plan, you must increase the plan by either increasing your dosage of therapy products or increasing the variety of treatments you are using.  When you get to that point I will offer you ideas and information so you will know how you wish to proceed. 

Please let me know if you have an questions about how you wish to proceed.   TRH

Did my Dupuytrens and Peyronies start from hand trauma?

hello –

at 43 yrs old, i had no Peyronies symptoms. i injured my hand, and it required surgery to insert a couple of screws. when the cast was removed, i noticed a bump in the palm of my hand. about a month later, i noticed Peyronies plaques/scarring.

my primary care physician diagnosed me with Dupuytrens and Peyronies.  have you ever heard of this being triggered this way? i don’t think it was a concidence – not sexually active – no trauma occurred in that area. i had extensive swelling in my arm immediately after surgery from a nerve block that was used, and i can’t help but think that might have played a role. my primary care doctor thinks the surgery triggered some sort of systemic fibromatosis condition.

wondering what your thoughts are on this. this occured 3+ yrs ago, and there really has been no change.

thank you

 

Greetings,

Yes, I have heard of this sudden and widespread type of onset in which both Dupuytren contracture and Peyronies disease start at the same time from trauma.  In a few cases the trauma was to the upper extremity and once to the penis.  You might also have developed these two problems due to drug side-effects.  Since you did not mention your drug intake history I can only speculate, but there are certain medications that are know to cause both DC and PD; certain blood pressure, tranquilizer and a few other categories of medication can trigger a similar systemic fibromatosis.

If you have not noticed any change in three years with either problem you probably will within a short time since both conditions are progressive, although the rate might be slow.

Your real concern at this time should be directed toward elimination of these problems.  Please review the DCI and PDI sites for Alternative Medicine treatment options to increase your  ability to heal and repair these tissue changes.   TRH 

Follow up: Is it possible to urinate the Peyronie’s plaque out of the body?

Dr. Herazy,

Phil F. here, in reply to your response to my
recently posted question: Is it possible to urinate the Peyronie’s plaque out of the body.

I want to thank you for your prompt, direct and most helpful reply.

FYI, it turned out that a second, follow-up urine
culture indeed revealed an infection … enterococ-
cus faecalis. A 5-day regimen of Cephalexin seems to have taken care of it, fortunately.

As for the Peyronie’s Disease, well, I continue to weigh my options ….

Thanks again!

Phil

 

Greetings Phil,

Glad that you got that 2nd urinalysis and that it led to you getting the right kind of help.   

From what I can see from my vantage point of hearing from men from around the world. there are basically three options:  wait to see if your Peyronies gets worse enough to warrant surgery; try an unapproved drug in an off-label application that does not have FDA approval; try to increase your body’s ability to heal and repair the PD scar.

Let me know if you have any questions about using the PDI therapy concept for reversing the scar formation.  TRH 

 

 

Corpora cavernosa and the tunica albugnea in relation to Peyronie's disease

This is an anatomy question based on the two illustrations from your website.The first illustration of the inside view of the penis is one of the best I’ve seen. I particularly like the picture in the left corpus cavernosum showing a lattice like structure.

The second illustration has three parts (a,b, and c. Part c shows a penis curving upwards. When looking at the left corpus cavernosum in Part c, there is what appears to be a series of almost parallel squiggly lines. I’ve seen these lines in numerous anatomy illustrations, but have never (ever)seen anyone actually label what these lines are.

As the tunica albuginea is supposed to be smooth, I find these lines confusing. Do these lines represent the lattice like structure underneath the tunic. Or do they represent veins? Just what are these squiggly lines trying to represent?

Thanks
Rob

 

Greetings Rob,

Great question; thanks for asking.  I always enjoyed the study of anatomy when I was a student; a fascinating and exacting subject that is the basis of understanding disease and our effort to return to health.

For those who do not know the picture Rob is  referring to, go to Peyronies Penis Anatomy.

The wavy or wiggly lines that Rob is referring to are simply what the artist drew to represent the walls that make up the caverns or chambers or cavities of the spongy tissue of the corpora cavernosa.  You are just seeing the cut ends of those chambers represents shown in Box B that are shown as wavy lines in Box C because those same structures are shown from a different perspective.  These wavy lines are similar to a blueprint of a house where the architect draws a series of straight lines to represent the various walls that make up rooms, hallways, closets and outside periphery of the structure.  TRH

Is it possible to urinate the Peyronie's plaque out of the body?

Hello Dr. Herazy,

I have had Peyronie’s Disease for the past 18 months, with a penile curvature that is quite severe.

From 9/15 to 11/8/11, my urologist had me on a regimen of twice daily applications of Verapamil 30 ml Transdermal in PLO gel,80 mg/ml. As there was no discernible change in the curvature over the course of almost two months, it was decided to discontinue the Verapamil regimen.

However, since stopping, my recent urinations have contained a variable degree of light colored tissue-like particulate matter. Thus far, urinalyses have yielded nothing pathological, and thus the cause remains unknown.

My question is therefore: Is it possible that what I may be expelling in my urine are pieces of loosened plaque that have made their way into the urethra and out through the penis? My urologist thinks not, but the pharmacist does not rule out the possibility … despite believing it to be unlikely.

I might also add that the more such particulate matter being discharged during urination, the more discomfort I experience in the tip of the penis …. along with the occasional sensation of not having fully emptied my bladder.

Any answers, thoughts or recommendations would be very much appreciated.

Thank you,

Phil F.

 

Greetings Phil,

There is no anatomical connection between the opening of the urethra and the tunica albuginea of the shaft where your plaque is located.   Your pharmacist might be a great pharmacist, but knows noting of anatomy. If you actually did have a direct connection between the two you would be in the middle of a massively painful and bloody medical emergency, and you are not.

My guess from this end, with the limitation of knowing only what you have told me, is that you have an infection in the urethra – in spite of the negative urinalysis tests.  There are always false positives and false negatives in this kind of testing, and it is my guess that this is the case with you.  I suggest you go back to tell your urologist that your symptoms persist and that you would like another urinalysis done ASAP. 

After you get that situation cleared up I suggest you go to the PDI website to start some Alternative Medicine Peyronies disease treatment.   TRH

 

 

What can I do for my penis pain and hourglass deformity?

Dr. Herazy,

About 5 years ago, i was 20 years old. I had a healthy penis and a healthy sex life. I had some hair follicles/ bumps on the under side of the shaft that i would occasionally ( for some odd reason ) pick at. I had no problem with them aestetically. You could barely notice them even if you were looking for them. I just would pick at them like someone picks at blackheads or pimples on their face. I picked at one bad enough to where it scabbed up, which i had never done before. When this happened, before it had a chance to heal ( maybe 3 or 4 days later) i was picking at the spot again, and a little white nodule appeared and i scraped at it thinking it was a hard secretion of some kind. Instantly i lost feeling in my penis, and i panicked. There was not really any pain, but i didnt feel anything, and i could not get an erection. I could touch my penis with my finger and in some spots could not feel the touch at all and in other spots it was just dull. I went to the emergency room worried that i did something serious even though everything that happened was pretty superficial and just below skin level. After talking with a doctor, he couldnt explain why i lost feeling, but he assured me that i could not have damaged any nerves that shallow, and to relax and soon enough i would be able to get an erection. So, i did just that, and what do you know, the next day i relaxed and was able to get an erection. The problem was i still couldnt feel things as well as i use too. I figured that would pass as well. For the next few months i dealt with this minor nuisance. The amount of feeling i had in my penis would fluctuate day by day, nothing to serious, but something wasnt right. Also, the wound never seemed to close up correctly. To this day, 5 years later, it looks like an open hair follicle where the skin did not heal correctly and i can still see the little white nodule that i once picked at. One day a few months after the initial incident me and my girlfriend, now my wife, had sex three times. The next day i woke up, and my problem had gotten worse. The feeling of numbness was now worse, and now the head of my penis had a lot of numbness, which i forgot to mention was not the case previous to this. Also the head of my penis became discolored suddenly, overnight. It was just a slight discoloration around the sides and back of the head. The middle top part about the same size area as my finger tip was still the same color. This one area had normal feeling, whereas the slightly discolored area had much less feeling. There was a definite correlation. The day after that when it did not go away i scheduled an appointment with a urologist, and i went to see him that week. He basically told me nothing was wrong, and it was in my head. He told there is no way i damaged my penis from what i described, and there was nothing wrong with the color of the head of my penis. I understood that it was within a normal color range, but what i tried to explain to him is that my penis head was usually just a solid pink same normal color. Overnight, this tinted darker discoloration appeared, and it correlated with less feeling in these areas. He completely dismissed the notion. To ease my worries he sent me to a neurologist. All this guy did was have me do some standard normal tests someone would test for normally with a neurological injury and tell me i was fine and collect like 250 bucks of my money. No help at all. I gave up for the time being, and just lived with the difference in feeling. Sex was still good at times, but not so good at other times, and now after sex there was a recover process. I use to be able to have sex every day or two times a day or masturbate early in the day and then have sex at night. I couldnt do this anymore. There was never any pain during sex, but after sex there was irritation and soreness, and it usually took a day or so to recover. So i would just have sex once or twice a week. The sex itself would not hurt me. Ejaculation is what seemed to cause the pain and irritation inside of my penis. For maybe a year it stayed around the same. Then all of a sudden again, there was a new change. I masturbated earlier in the day, and then had sex at night and all of a sudden it got worse the next day. The feeling on the surface was worse, and now i would have weird feelings throughout the day where i would feel like i was on the verge of ejaculating just riding in my car, or walking around. There was something going on inside, possibly with my erectile tissue, causing these feelings. Also, i stopped masturbating for a long period of time after this because it appeared to make it worse at the time. I would ejaculate by becoming aroused and just touching my penis when very aroused due to my new feeling i was able to achieve this because i could now ejaculate easier and faster, with no movement of my hand on my penis. In the past, before my “injury”, i could sit around all day and try this if i wanted to and nothing would happen. This was not a good thing. When i would have this feeling on a regular basis at work or in a car, it become extremely annoying, like an itch. Also, the pain and irritation was worse now and become a nuisance, and now all of a sudden there was a new symptom more then a year in. The area right under the head of my penis seemed to be more hardened. Especially after sex. I could squeeze the bottom half of my penis with my thumbs with it soft and it was really soft and spongy. Above that from an inch below the head up to the head it was much harder all the way around. Especially shortly after ejaculating when it was the most irritated. For a while it seemed to just get gradual worse with the hardness, and the sensitivity and feeling varied day to day, and occasionally it would get much better which gave me hope that it was recovering. I would abstain from sex or masturbation during this time period, but a few days later it would revert back to how it felt before with the lack of sensitivity and irritation. Also, each time my symptoms got worse, i lasted shorter in bed. I would not have much feeling and my girlfriends vagina did not feel great anymore, but because i had that weird tingle that i walked around with all day i would sometimes ejaculate after a few hard thrusts, or i would have to cut it back and switch positions. The sex just was not comparable anymore to how it use to be. Over the last couple years it has been pretty much sustained with no significant change. One this i forgot to mention is i do have two benefits up until now that some others i am reading about do not. number one, i always can get a full erection. Number two, my erection is not curved. Still, the hardness got worse, and there seems to be a few little bumps or nodules under the skin in my upper shaft. Also when my penis is completely hard it looks straight, the only difference is on the right side of my upper shaft even though my penis does not bend, it is abnormal in the sense that it seems that the line is not smooth and straight up to my head any longer. It is ridid and dips in and back out slightly, not even really visible without pointing it out. Also when i am getting erect but not fully erect the penis will be bent to the right in a way that it never use to, but when i am fully erect there is no bend. Also, when it is in between flaccid and full erect, i can see the hourglass shape and a slight dip on the right side of my shaft in the middle right at the beginning of where the plaque seems to be. I think that i dont have a bend because the plaque is on all sides, thus the hourglass shape. My most recent development that is scaring me more then any of the other is there is now constant pain just on one side of my penis. It is after, during, and before sex. My problem would never bother me during sex previously, it would just shorten the length of time we could have sex and afterwards be irritated and require a day or two of recovery. It effected my sex life, but there was no pain during sex. Now, all of a sudden, 5 years later, this disease still continues to every once in a while get worse. The upper half of the shaft seems to get harder
, the bend seems to be more when flaccid and in between flaccid and erect, although there is still no bend while erect. Worst of all this pain now is scaring the shit out of me. I forgot to mention that i went to that same urologist twice, and then finally went to another urologist, and they all blew me off. The one saw me, and then gave me my money back and told me i did not have Peyronies, because i came to him with this diagnosis after my penis started to get hard spots and develop and hour glass shape. Also, it seems my penis has shortened slightly but this does not bother me so much. What does bother me is this new pain inside my penis on the left side that hurts during sex. After 5 years of this disease progressing it really has taken its toll, and for the first time it is now severely affecting sex. Will this keep progressing?  Is there anything i can do?  Does my disease continuing to progress have anything to do with that original wound that seemed to heal weird and remain slightly open? I look down at my penis when it is in pain and i cant fathom what has happened to me. I am 25, and i feel like i have a penis full of damage and scar tissue. Until now, i would have some days where my penis felt pretty good once in a while which gave me hope that this may be reversible some day. Now that hope is gone because this pain and irritation in the left side of my penis deep inside never goes away and its very constant. It just gets worse after sexual activity, and recovers slightly over the next few days. Is it possible the inflammation has caused penile cancer? Should i go back to the doctors again just to have them too me there is nothing wrong with my severely damaged penis? I still hold out hope because i still get full hard erections and there is no bend when fully erect, but all of this numbness, pain, and hardening among many other things is depressing me so badly. After 5 years i thought i learned to live with it, but this no pain i cant take? My main concern is there a possibility that i have penile cancer, since the pain on the left side seems to be worse right at the top of the shaft by one of these small bumps. It is not localized to the spot though, and when i press on the bump, the bump itself doesnt hurt. I wish i could do something to make all of this better, or just take a few steps back to where it was maybe halfway through this process. Any help is appreciated, thanks.

 

Greetings,

Several of your symptoms make your condition sound very much like Peyronie’s disease (shortened penis, pain, hourglass deformity, presence of “hard spots,” although you report one urologist said you have the condition and another said you do not.  I suggest you get a third opinion to break the tie.   One of these two is obviously wrong, but at this point you do not know which of the two it is.

What you describe does not sound like cancer.

If it turns out you do have PD I suggest you get yourself on an Alternative Medicine plan of self-treatment to increase your ability to heal and repair your Peyronie’s scar – if that is what it turns out to be.

Lastly, if it turns out you do have Peyronie’s disease I doubt it was caused by your picking five years ago at the superficial white spots.  These are known as Fordyce’s spots, and they are common, normal and natural 1-3 mm structures that most men have on the penile shaft and scrotum, of unknown origin.    I speculate that you probably injured yourself during sexual activity and this is the origin of your current symptoms

Please let me know what you learn after your 3rd evaluation.  TRH 

Is it OK to have sex if I have Peyronie’s disease?

DR. HERAZY,

MY PEYRONIE’S PROBLEM STARTED A FEW MONTHS AGO AND I HAVE A 30 DEGREE UPWARD BEND. WE STOPPED HAVING SEX. MY WIFE IS AFRAID SHE WILL DAMAGE IT MORE. MY UROLOGIST PRESCRIBED VERAPAMIL CREAM WHICH IS NOT HAVING MUCH AFFECT.WHAT NATURAL TREATMENT I CAN APPLY TO CURE THE PROBLEM? AND SHOULD I DO ANYTHING TO PROTECT MY PENIS DURING DAYTIME FROM PRESSURE OF ANY KIND, OR APPLY A FIRM UNDERLINING support to keep it straight?

 

Greetings,

There is much to say here.

First, do not stop your sexual activity; it is important that you basically continue as you always have, with the exception that you must be much more careful and defensive with your technique.  This is a huge subject, so perhaps to really understand it best you should get my book, “Peyronie’s Disease and Sex.”  It will help both of you to understand how to have a full sex life in spite of Peyronies.

Fewer doctors are using verapamil because of limited results – and you have seen this to be true for yourself already.  For more information, see my article,  “Peyronie’s and Verapamil.”     

Next, when you ask what kind of Peyronies treatment you can use to help yourself with your PD it is obvious you have not spent any time looking at the PDI website; it is loaded with hundreds of pages of information to answer this question.   To get you going in the correct direct go to start Peyronie’s treatment.  

You must protect your penis to prevent additional injury during sexual activity.  You do not have to worry about light contact or pressure during the day.   To protect the penis during sexual activity we have assembled a great list of effective penis supports that will reduce the chance of re-injury by sudden buckling or bending during intercourse.    Go to Sex Supports and Aids.     You never want to force your bent penis to make it straight.  Once you start treating your PD and you begin to cause your internal scar tissue to get reabsorbed your penis will be able to naturally straighten out.   Before that happens do not apply pressure to reduce your curved penis to make it straight.         

You really need to spend some time educating yourself in this critically important subject so you will know how to protect and assist yourself.    Probably the best single thing you can do to understand how all of this operates and how to help yourself is to get my first book, “Peyronie’s Disease Handbook.”  TRH

Peyronie’s disease and pain in the penis

Penis injury during sex common cause of Peyronie’s disease 

Nothing will get a man’s attention more than when his penis hurts.

There are typically two ways in which a painful penis can develop:  after direct penis injury, or as a result of some type of medical health problem or sickness affecting the urinary system.  When the penis hurts because of suspected disease of the prostate gland, bladder or urethra there are few clear cut answers to penis pain with the exact location, duration, and quality of penis pain different from case to case, without good explanation.   You will notice that some men with prostatitis have pain at the base of the penis, while other men with the same diagnosis have pain at the tip of the penis, and other men no penis pain at all.  Men who have a painful penis are often surprised that their condition is never given a definite diagnosis to explain its cause.

This discussion will focus primarily on a particular type of painful traumatic event peculiar to Peyronie’s disease that can either cause or worsen an existing penile problem, as with an injury during intercourse.

Peyronie’s treatment

Regardless of how Peyronie’s disease starts, surgery and drugs are not always needed to reduce the pain and penile distortion it causes. Since 2002 the Peyronie’s Disease Institute has worked with people from around the world to use natural Alternative Medicine methods to help their body reverse the Peyronie’s scar naturally. While surgery is always an option, most people prefer to first use non-surgical treatment to possibly avoid the inherent risks of surgery.

Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

Medical conditions that can cause penis pain

It is important to know that several common disease conditions not related to penile injury can also cause dull and sharp pain in the penis and should not be ignored, especially if you have other unexplained symptoms related to the pelvis or urinary system:

  • Peyronie’s disease
  • Bladder stone
  • Cancer of the penis
  • Inflammation of the prostate gland (prostatitis)
  • Reiter syndrome
  • Sickle cell anemia
  • Erection that does not go away (priapism) after 4 hours – medical emergency
  • Genital herpes
  • Syphilis
  • Urethra inflammation caused by chlamydia or gonorrhea
  • Infected or defective penile prosthesis
  • Infection under the foreskin of uncircumcised men (balanitis)
  • Pimples or insect bites on the head or shaft of the penis

Because any of these conditions can cause a deeply hurt penis, it is always best to rule out disease of the urinary system by going to your family doctor for a complete examination with any type of pains in the penis.  If you do not have a medical health problem, then a painful penis is usually explained by past trauma to the genitals or pelvis.  Even minor trauma can at times cause significant penile injury with varying degrees of pain and other symptoms.  One of the reasons that traumatic penis damage is often not suspected as the cause of genital pain is that there is sometimes a delayed response between the time of injury and when the penis pain begins.  It is rather common for a man to discover that a penis injury during sex that started his Peyronies disease might not cause discomfort until several weeks or months afterward.  Probably the single-most common way for PD to start is from a forcefully bent penis during sex.

Penile fracture or broken penis syndrome – Common way to hurt penis during sex

Even though there are no bones in the penis, penile fracture and broken penis syndrome are legitimate medical terms.  Both refer to a sudden and forceful bending injury of the erect penis, resulting in torn or ruptured internal tissue.  Many times a penile fracture will occur as a result of injury during sex activity when an erection is suddenly and forcefully impacted at the tip of the penis, almost like being punched in the nose.  When the force is sudden and unexpected the vulnerable shaft can painfully sustain a sharp bend, “breaking” the inner layer of penile tissue called the tunica albuginea membrane, as well as other tissues.  The forceful impact that causes a penile fracture most commonly happens during heightened sexual activity with the female partner in the superior position; other sexual positions allow for this to happen but this is the classic situation that results in a penile fracture.  Within just a second of time she will pull back too far, lose contact with the male, and then continue back down on top of the erection impacting the penis head with her pubic, inguinal or inner thigh area.  The initial immediate pain can be very mild or severe, depending on many variables, yet sufficient to tear the tunica when it is stretched tight during an erection.

The tunica albuginea surrounds the two corpora cavernosa chambers, specialized elongated masses of spongy tissue of the penis that fill with blood to create an erection.  In a penile fracture, because the torn tunica albuginea can no longer trap blood inside the penile chambers, blood that is normally confined within the penile chambers can freely leak out to surrounding tissue often resulting significant bruising and swelling, in addition to varying degrees of pain in the penis.

About half of men who undergo penis injury similar to the above, or even compression injury during a work-, sports- or auto-related accidents, will self-heal and repair the problem with the tunica albuginea without developing Peyronie’s disease.   The other half of cases will not heal, and it will slowly and gradually worsen as Peyronie’s disease develops over time.

Pain in tip of penis

Men with Peyronie’s disease sometimes have pain in the tip of the penis, although this is somewhat unusual because the pain of PD is usually located along the shaft or even base of the penis.  Although pain in the penile tip could be related to Peyronies, it is more likely due to reflex from the prostate gland; prostatitis often will refer pain to the tip of the penis.  As a point of differentiation, prostatitis will often increase urinary frequency, reduce the force and volume of urine, burning in the penile tip unrelated to voiding, reduced erectile ability, blood in the urine and semen, and aching pain is possible in the penis, testicles, rectum, perineum, groin and lower abdomen and low back.  Prostatitis can be precipitated by too frequent or too infrequent ejaculation, sexual arousal without ejaculation, withdrawal at the time of ejaculation, aggressive bike or horseback riding, excessive spicy foods, alcohol, and caffeine, as well as prolonged sitting especially in an automobile.

A similar complaint is burning at the tip of the penis.  When this occurs it suggests the possibility of an STD (sexually transmitted disease) or an infection of the urinary tract.   Generally, an STD is associated with a change of sexual partners, and can be variable from few a few subtle symptoms to marked genital pain during intercourse, discharge, itching and pain burning pain in the penis tip during urination.  STDs are serious problems that demand prompt and aggressive medical diagnosis and care.   A common urinary infection is suspected if you feel the need for frequent urination or notice that you need to urinate again within a few minutes.

Pain at base of penis

Pain at the base of the penis is perhaps most often explained as originating from a chronic bacterial infection of the prostate (chronic bacterial prostatitis).  This problem often comes and goes over time without apparent reason.   During a flare-up the penis pain can be dull or sharp, and extend to the testicles and anus as well as the pubic bone in front or the low back.  Bowel movements may be painful at this time.  It is also common to note frequent urgency of urination, pain when urinating or during ejaculation. While these symptoms are similar to an acute bacterial prostatitis, men who have a flare-up of chronic bacterial prostatitis tend to be less run down, feverish and ill-feeling than with acute prostatitis.

Herbal products to help with ED associated with Peyronie's disease?

I believe I got PD using ED drugs been married 30 yrs & need some erection help. Have stopped using the drugs, can you suggest something herbal I can use to replace them. Thanks Dave

Greetings Dave,

What you report is rather common.  I have communicated with hundreds of men who tell me their Peyronie's disease started after using PDE5 inhibitor drugs (Viagra, Cialis, Levitra); this can happen after just one use or repeated uses.  For more information see Peyronie's disease and Viagra, Levitra and Cialis and Peyronie's treatment and Cialis.

If you go to the PDI shopping cart and scroll about 3/4 the way down until you see BetterMAN and about 5-6 other sex stimulant products. The most important of the group is a product called Stimulin. You would definitely want to include Stimulin with whatever else you use.  

All of these herbal products are much more gentle than your drugs and will not worsen your PD problem.   Many men use them while undergoing their natural Peyronie's treatment plan.  TRH

Must I accept there is no cure for Peyronie's disease?

Hello Dr. Herazy,

I've had Peyronies since I was 14 years old. There was a blunt trauma, I was too young and shocked to address the issue and chose to ignore it.

Initially, my erections were not greatly diminished. There was a curvature of about 30 to 35% to the left and slightly downward. Erections lasted a little less long and were slightly harder to produce. Urine did not pass as forcefully as it had before.

Now I am 31, erections are much harder to produce, are never full and have significantly less duration. At times there is a slight pain in the penis after ejaculation and urine passes much slower than it use to. I would place the curvature at 40 to 45% and in a more flaccid state. It is very depressing for me because I have only experienced sex with this condition and as it worsens I avoid it and relationships. Surgery sounds horrible and signing up to a treatment plan has me concerned about developing conditions or side effects from the treatments, as I have a lot of life to live.

Is there any hope? Must I accept that there is no cure and what ever options are available will involve sacrifice or long treatment plans?

Suffering Guy

 

Greetings Suffering Guy,

Apparently you have not spent much time reading the vast amount of information about natural Peyronie's disease treatment available on the PDI website.  

When I developed PD in 2002 I began my treatment with the premise that there is a cure for Peyronie's disease – various authorities will report that from half to 20% of men who develop this problem will undergo a spontaneous remission in which it just goes away on its own.  In other words, the body corrects the problem of the internal plaque or scar tissue in the tunica albuginea, and the scar and the curvature just go away.  that sounds like a cure to me. 

When you read on the medical websites that "there is no cure for Peyronie's disease," what they really mean is that there is no prescription drug available from a pharmaceutical company that has FDA approval to eliminate the plaque in the internal tunica tissue.  While it might be true that "there is no cure for the common cold," does that mean that everyone who has a cold will continue to keep the problem and will eventually die from it?  No.  With rare exception (the very young, the very old, and those who are very weak with severe illness), anyone who develops a cold will cure it usually in a little less than a week.  That is what the body is designed to do to cure itself.  

Certainly, there are some conditions (cancer, multiple sclerosis, Alzheimer's disease, etc.) that are more difficult and more rare to overcome, but for the most part there are a large number of health problems that the body is fully capable of self-repairing.   Where exactly is it written that every case of Peyronie's disease is permanent and beyond the ability of the body to eliminate? I have never read that anywhere, and as I mentioned earlier every authority states that a fair number OF PD cases reverse themselves for complete elimination.   If that is true then the question should be asked, "Why hasn't your body eliminated your PD?"  

For the last 10 years I have spent every day with that question on my mind.  I have developed some ideas and strategies I have seen over and over again that will increase a man's ability to get rid of his own Peyronie's disease.  You can read about a few of these Testimonials of Peyronie's Disease Institute

There is not much I can do to reduce whatever level of sacrifice or time is required for your body to reduce your Peyronie's plaque to the best of your ability.  I hope you think enough of yourself, and are willing to do some work, to bring about your best level of recovery.  If you have any questions about using Alternative Medicine to treat Peyronie's disease please let me know.   TRH

How about using ultrasound as Peyronie's treatment?

What are your thoughts on using ultrasound technology to treat minor Peyronies scaring?  Thanks


Greetings,

After reading a little about using ultrasound physiotherapy to treat Peyronie's disease I was not sure I was getting a full or accurate explanation about treatment results and effectiveness.   for this reason I contacted two of the largest manufacturers of ultrasound equipment for their opinions.   Neither could say it has been adequately tested or proven to work, and suggested that if I wanted to use it I should be the one to do the research for them. 

In view of this lack of interest and lack of clinical background using ultrasound for Peyronies, I have not pursued this subject further.  TRH

Would you like me to send you pictures of Peyronie's disease?

Dr. Herazy,

I am not concerned with sex right now and I have no pain, except I have depression from my Peyronie's disease.

It seems I have only two problems. 1) a failure in the integrity of the wall of my penis on the left side. This is at a specific point rather than so much at a curve, even though that is there also when it is more erect. My penis doubles over to the left because of the failure in the shaft wall when not erect. 2) When erect my penis wants to hug the trunk of my body towards the left side.

Would you like me to send you pictures?

 

Greetings,

it is very common for men with Peyronie's disease to feel depressed for a variety of reasons.   For many men this depression arises from the (false) idea there is little you can do to help yourself with your Peyronie's disease and that your life will never be the same.  I suggest you begin spending more time reading and studying the PDI website to overcome this feeling of helplessness that seems to come from the idea that no drug has been found to help PD.  You need to know that the body reverses and corrects PD in a fair number of cases, and for this reason your energy should be focused on increasing and supporting your natural ability to overcome your PD.   Once you understand there is a lot you can do to increase your odds for self-repair and learn more about Peyronie's disease you will feel less scared and depressed.   Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There is a great technique I use to help men with their depression, called EFT.   Please go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 

What you describe as a failure of the integrity of the wall of the wall of the penis on your left side is not at all uncommon for men with PD.  This is commonly called a ding, dent,, hinge or pivot.  It can be caused in one of two ways, or a combination of both.  The first is by the abnormal internal tissue tension or pulling from within the shaft by the fibrous PD scar located in the tunica albuginea.  The second is by leaky veins within the shaft that do not close completely because the presence of the PD scar.  You can think of the PD scar acting almost like someone putting his foot in the doorway and preventing door from closing.  In PD the scar prevents the veins from closing, thus no pressure is built up within the shaft.  Without trapping of blood in the shaft the needed hydraulic pressure never develops to create a completely strong erection.  This can happen in just one small area of the shaft that creates the small dent in the side of the penis.   

Your left leaning erection is probably related to both the scar and weak erection on the left side of the shaft. 

There is not any need to send pictures at this time, since PD treatment is not based on the distortion or curve of the shaft.  Treatment is guided by the size, shape, density and surface features of the PD scars that create the distortion.   You must develop an exact knowledge of these characteristics in order to help your PD.   Once you reduce your scars, you will improve the distortion pattern that  bothers you so much.  This physical improvement will greatly help your sense of depression. 

So, i suggest you get busy.  Please get started with a reasonable Peyronies treatment plan that you can find on the PDI website.   If you need help with this, please let me know.  TRH 

Can masturbation cause Peyronie's disease?

Dr. Herazy, I know you are a busy man, but if you can recommend something specifically for me, then I would greatly appreciate it to boost my confidence. I struggle with a very black depression from my Peyronie's. Here is my status: when not erect my penis is just fine/when about 30% erect I have the beginning of an hour glass shape/when about 70% erect the curve is on the left side/when fully erect it hangs to the left and has a curve on the left side. Also, question: can masturbation cause this to have happened? Thank You

Greetings,

If you are like most men, i believe the primary reason you are so depressed is that you do not realize how much you can actually do to help yourself recover from PD.  A large part of your emotional state is due to feeling helpless and depressed, and these start with not understanding Peyronie's disease.  Therefore, once you begin to learn more about the problem you will feel less scared and alone, as many men do with PD.  Once you begin to actually do something to improve your physical condition you will feel empowered and in control of you situation.

There are three things you can do right now to help yourself:
1.  Go to the PDI website to the page about using EFT for distressing emotional states.  I have worked with many PD men using this technique and the results are often rapid and gratifying. Contact me directly for an EFT session when you are ready to feel better. 
2.  Get my book, "Peyronie's Disease and Sex" to develop a better understanding of yourself and how women relate to your condition.  Men usually make their situation worse by assuming that women will automatically reject a man who has PD; this is often not the case when the man knows how to effectively manage his sexual problems.  This book can help you in this area.   
3.  Get started on the most aggressive Peyronies treatment plan you can sustain for a few months to hopefully begin to make positive changes in your physical condition.   As part of your PD education you should read, "Peyronie's Disease Handbook."  

Masturbation, by itself, will not cause injury that can lead to Peyronie's disease.  However, very rough or physically abusive masturbation practices can cause injury to the tunica albuginea that leads to PD.   All masturbation to be safe should be as gentle and well lubricated as sexual intercourse.   TRH 


How often and for how long do you recommend moist heat for the Peyronie's scars?

How often and for how long do you recommend moist heat for the Peyronies scars?   Thanks, Roger

Greetings Roger, 

Use moist heat prior to the topical or external therapy (DMSO application or especially manual stretching technique) .  For this reason it will be more efficient to perform these together as a group so you do not have to do it several times a day. 

However, it is probably not advisable to use moist heart immediately prior to Genesen therapy since it would easily throw off any level of tissue sensitivity and make it falsely look like EVERY place you touch with the pens are active – when this is not actually true.  You would wind up wasting your time by treating points that did not need it although they appeared to need it.


5-10 minutes is a good time range to apply the heat.  You are only attempting to draw blood to the area of the shaft, and it does not take that long to dilate the blood vessels for that purpose; you are not poaching meat.   TRH  


What is the correct way to apply penis traction for Peyronie's disease?

I really enjoyed viewing the CD video for the light manual penis stretching technique.   Good information that I can see will be helpful to correct my Peyronies 80 degree bend.  One question. Is the stretching technique a slow fluid motion that continues to increase or a static consistent stretch that is held for minutes at a time? Thanks. Darryl
 

Greetings Darryl,

Glad you like the stretching video.  It is a great technique that I think everyone should add to their plan.  Just do not make the mistake of thinking this is all you have to do to get rid of your PD. 

The way to safely and correctly stretch the penis is to keep the traction light and consistent.  Do not vary the light penile traction force once you develop the deep dull ache that is mentioned on the CD.   

Once the light traction force causes the familiar deep dull ache, it is held at the same static “force” until the dull ache disappears or boredom causes you to decide to stop.  There seems to be a natural tendency for a lot of men to slowly increase the traction force after a few minutes have passed.  Avoid this tendency and strive to consistently maintain the same contact vectors and level of touch.   You will know you have increased your force when you notice the dull ache stop; simply lightening the contact touch should cause the dull ache to return as the fascia again begins to yield.   TRH  

What is the benefit of taking Neprinol rather than Nattokinase and Fibrozym?

Hello Dr. Herazy,

Thank you for the great site.

I am getting ready to place my first order with you and have a couple of questions:

1)  In your opinion what if any is the benefit of taking Neprinol over taking Nattokinase & Fibrozym. I understand your philosophy of overwhelming the problem but it seems like taking all 3 is overkill and from my limited understanding taking Nattokinase & Fibrozym sounds better than Neprinol?

2)  You do not mention the 15% Verapamil topical solution from PDLabs which seems to have had quite a few scientific studies done on it and the results seem to be very positive. Any thoughts on this would be greatly appreciated.

Thanks–I look forward to placing my order and getting started on a treatment plan.

Richard


Greetings Richard,

1)  The benefit of taking the single product, Neprinol, rather than the two products, Nattokinase and Fibrozym, is that the Neprinol is more concentrated and should result in taking fewer systemic enzyme pills per day while having a higher dosage intake.   In addition, Neprinol contains the additional enzymes of papain and bromelain.   The cost is higher for Neprinol, but considering the higher level of enzyme in the product, it is less expensive in the long term.   Yes, taking three different forms of a systemic enzyme might be more than is necessary, but for some men it does make a difference.  There is no way to anticipate how anyone will respond to their therapy plan, so I encourage everyone to experiment with different combinations of therapy products to determine how their scars will respond as you go through different combinations of products.

2)  Most every medical treatment for PD is the same – one or two positive studies and a larger list of negative studies about it.  The same with topical verapamil from PDLabs of Texas. The different studies mentioned by PDLabs of Texas are intriguing, but are contradicted by other similar studies of topical verapamil.  When i first developed PD in late 2001 or early 2002 and found the PDLabs website on the internet and read those studies I also was impressed with their conclusions.  for this reason I used their topical verapamil product for about six months, during which time my PD worsened considerably and I developed overwhelming side-effects that caused me to stop using the product.  At that time I realized I would have to look outside traditional medical treatment for helping my PD and I began to intensely investigate Alternative Medicine options; eventually I came upon the concept and and treatment protocol that developed into the Peyronie's Disease Institute.   Over the years I have discovered more controversy about their findings – but this is typical of any kind of treatment for PD.  It seems PD is always tangled in controversy and exceptions.   TRH 

What are the chances my Peyronies will stabalize soon?

i am a healthy 50 yr old who has been diagnosed with Peyronie's disease about 14 months ago.  I've had a dent about 1 inch from the base approx.2 inches long during erection.  I thought it was stabilizing but seems to be getting slightly worse, moving towards the head.  I now think I'm starting to get some ED.  No treatment except vitamin E.  Starting to stress,what are your suggestions on treatment?   What are the chances this will stabilize soon?  Should i expect this to get worse?  Are the ED drugs (Viagra) a good idea to use?

Greetings,

You are asking several questions, most of which are answered many places within the PDI website.  I suggest that if you wish to learn more about PD you spend a little time reading what is here for you.  I will go through the questions and points you raise in order.

What looks like movement of the indentations is more likely the result of changes in the internal scar tissue, causing different patterns of pull on the tunica albuginea and layers of fascia within the shaft.  There is a wide variation of development of Peyronies, so be aware that your particular situation might be different from others you read about.  for many men these small but accumulative changes of the PD plaque or scar causes deformity changes over a period of many years.

There are two probable ways you could be experiencing ED at this point:  Physical – from the growth or contraction the PD scar material causing the internal valves of the veins of the shaft to remain open, thus preventing development of internal hydraulic pressure that creates an erection.  Sometimes this is a widespread problem affecting the entire shaft, and sometimes a local problem causing dents or bottleneck deformities.  Emotional – you are, as most men feel, angry, confused, scared, and/or embarrassed about what is happening to you.  The emotions have a great impact on the development of the erect state.

Using vitamin E by itself is almost no treatment   Vitamin E as a Peyronie's treatment is a great therapy, very essential, but it must be combined with other therapies to get the right kind of tissue response you are looking for.  

Treatment is the most thoroughly discussed subject on this website.  See Introduction to Alternative Medicine treatment of Peyronie's Disease, and Guide for Peyronie's Disease Treatment, and many others.

The PDE-5 category of drugs (Viagra, Levitra, and Cialis) can cause problems due to excessive erection development, resulting in over-inflation and possible tearing of internal tissues of the shaft.   See Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply  and  Peyronie's Disease Treatment and Viagra, Levitra and Cialis and many others.

Far better to learn about Alternative Medicine treatment of Peyronie's disease, take control of your situation, stop feeling so helpless and reduce your stressful state.  If you have specific questions about treatment please let me know.     TRH   

Is it really possible that Peyronie's disease completely disappears?

Hello,

Is it really possible that Peyronie's disease actually completely disappears?

One often-quoted study says that 13% of cases improve spontaneously after one year. This, however, includes very small curvature or plaque reduction. However, I have not heard of one single reliable and medically documented story of complete remission. It seems that even if some treatments appear to be effective in reducing or even dissolving the plaque, the tunica can never regain its original elasticity.

Can you give us your thoughts about this please.

Best regards,

Leo

 

Greetings Leo, 

Thank you for the excellent question.

How often, and to what degree, Peyronie's disease spontaneously recovers is such an interesting and important PD topic that I wrote,  Spontaneous Remission and Natural Cure of Peyronie's Disease.    You might consider reading this also for additional ideas.

Anyone who has looked for help with Peyronie's disease knows why it has been called the bastard-child of medical practice.  No one should be surprised it has never been the subject of investigation to determine the frequency or degree of spontaneous recovery or natural healing.  I could not find any information about what criteria is used to determine a complete response to treatment or a spontaneous remission of Peyronie's disease.  For example, when all outward signs of cancer disappear after treatment, this is called a "complete remission" or a "complete response."   These terms do not necessarily suggest the cancer has been cured.  It only means the cancer cannot be detected in a way that it was previously used to identify it.  If after treatment the cancer is still present but in a reduced capacity to incapacitate the patient or of a reduced size, it is called a "partial remission."  In regard to Peyronie's disease these concepts might also apply, but this has not been worked out clinically for PD.  For this reason, the words we use (remission, recovery, response, cure, improvement, complete, partial) are subject to controversy because they have not been defined in relation to Peyronie's disease.  

Thus, there is room for interpretation when you ask if Peyronie's disease ever "completely disappears."   A consensus would have to determine if a practical (functional) or anatomical (structural) definition of recovery was to be used for Peyronie's disease.  Previously I have written, "the average man would not care at all that he had Peyronie's disease if it did not cause a penile distortion that denies him from having sexual intercourse.  If the Peyronie's lump did not interrupt sex activity, the problem would be essentially ignored." 

While i understand the thought and motive behind asking about a study of spontaneous remission of Peyronie's disease, I believe it is unlikely for the pharmaceutical or medical industries to actually spend money to research if this problem goes away on its own.  Their focus is far more likely to be directed toward drug creation or surgical advancements.  In preparation for writing this reply I Googled "spontaneous remission cancer" and "spontaneous recovery flu" and could not find any medical studies for those searches.  That this information is not available should not be interpreted that these things do not happen, but only that no one yet has taken the time, effort and money or has a vested interest to study these topics.   

For a majority of men, from a practical or functional standpoint, restoring sexual function would define "complete recovery" if this occurred as a result of direct treatment, or "spontaneous remission" if this occurred without treatment, regardless if the Peyronie's plaque persisted or the tunica albuginea was less elastic.  To underscore this prevailing and practical attitude that men take about their Peyronie's condition, I have communicated with many men who have told be that they like having Peyronie's disease because their particular direction and degree of penile curvature increased the sexual pleasure of their partner and thus they saw themselves as better lovers. Their interest in correcting their Peyronie's disease was equally practical and sexually motivated:  they were concerned that if the curvature worsened, they would not be able to engage in intercourse.  Conversely, from a clinical or anatomical standpoint, restoring previous physical normalcy (external appearance of the shaft, elimination of the internal fibrous plaque, complete elasticity of the tunica albuginea), would define "complete recovery" if this occurred as a result of direct treatment, or "spontaneous remission" if this occurred without treatment.  Without these terms being defined it is difficult to communicate accurately.

Yes, I am aware of that study reporting 13% of cases improve spontaneously; others reports suggest up to 50% of Peyronie's disease cases simply go away without treatment.  This variation in numbers is probably due to a different set of criteria for determining what degree of improvement constitutes a real improvement  or recovery; this is discussed in the 3rd paragraph. Given the nature of the problem It is easy to understand why there is still controversy and revision (usually upward) of the reported rate of occurrence of PD in the general population, to say nothing of the rate of spontaneous remission for the problem. 

When I developed Peyronie's disease I struggled frantically looking for a way out of the Peyronie's nightmare.  After reading reports of 20-50% spontaneous recovery from PD my thoughts turned in a more positive and productive direction.  The pivotal insight that occurred to me was:  "If 50% of men heal their own PD, then the body has a cure – even if the MDs do not.   All I have to do is increase my immune response to this PD scar in whatever way makes sense to me, and I believe I might be able to heal my problem like those lucky men who spontaneously correct their own problem.  Now I am in control."  Before that I held the common negative and hopeless victim mentality displayed on many of the Peyronie's forums. This little bit of information so encouraged me and uplifted my thinking, that I eventually developed the treatment protocol that enabled my body to heal my PD problem.  This same protocol (now improved in several significant ways) has since been used many hundreds of times by men who learned about it on this PDI website.

From my experience in working with men since 2002 I have used the informal, uncommitted, and long-distance format of the internet, emails and telephone calls.  Since I am not conducting formal research, I have no way to control, monitor or verify how anyone is conducting his PD therapy plan.  Men do what they want to do.  I can only offer suggestions and hope my message gets through.  Not only does everyone seem to create a slightly different therapy plan, but each man goes about using his plan in a different way.  The non-uniform and irregular application of the ideas you see on the PDI website makes it difficult to evaluate effectiveness or degree of improvement achieved.   Not only that, men are notoriously bad communicators about this aspect of their private life.  Once Peyronie's disease is eliminated from a man's life he quickly disengages from the problem and happily returns to his previous life, rarely contacting anyone about his success.  They gladly try to forget about the condition that so humiliated them and nearly ruined their lives.  Men are reluctant to discuss or report on the stigma of diminished size, erectile dysfunction and disfigurement associated with Peyronie's disease.  For these reasons the number of men who experience spontaneous improvement of their PD will always be much more speculative than even the number of men who have PD, which is wracked by speculation for the same reasons.      

You are correct, there are no formal medical studies of complete Peyronie's remission.   But what of those published medical statistics reporting 13-50% of cases that get well without treatment or outside intervention.  Is that not more than the medical acknowledgment or the single story of complete remission you asked for?  Further, what of the hundreds of urologists and family doctors each day around the world who advise their newly diagnosed Peyronie's patients to "come back in six months to see it it goes away"?  Aren't each of these MDs implicitly saying that from their experience they see a sufficient percent of PD cases clear up on their own, thus justifying the standard wait-and-see strategy they all use?  "Wait-and-see-back-in-6-months" is part of the standard medical protocol and must exist for some reason; do you think that spontaneous remissions happen often enough to build a treatment protocol around it?  I do.

I offer a simple speculation about the condition of the tunica albuginea after favorable Alternative Medicine treatment, because I do not know.  The body eliminates to the best of its ability what it does not need.   I have a scar on my knee from a childhood injury.  Over the years it has slowly faded and now is barely visible.  I assume that if there is no useful purpose for the PD scar within the tunica albuginea, the body will pick up the collagen fibers over time.  This might not be a fast process like the body removing the cells of inflammation, but it should at least in theory happen if only because the body is designed to eliminate foreign matter.  Along that line of thought, I am a retired chiropractor with a highly refined sense of touch developed over 42 years of practice.  When I report that I cannot find any evidence of my previous gang of PD scars, you can believe that they are either gone or so dramatically diminished in size.  Of course, this is ultimately speculation because surgery would be required to verify the actual state of my tunica.       

Lastly, it is difficult to know how to label my particular improvement of Peyronie's disease or the experiences of those men with whom I have worked.  They no longer come to the PDI site for treatment information because they are apparently satisfied with their previous Peyronie's problem after following their version of PDI therapy protocol.  I do not know if I can say my body eliminated or cured my Peyronie's disease, or not. I do not know if I can say I had a "complete remission" or a "partial remission" because those terms have not been defined clinically. 

All I know for a fact is that back in 2002 when I was at my worst, I could easily describe 4-5 different plaque primarily on the left and dorsal aspect of the shaft.  My primary distortion was a combination 35 degree curve to the left, a ten degree curve upward, with a counterclockwise rotation.  I say primary distortion because twice while I had this combination curve and twist, it was replaced for a few weeks by a severe bottle-neck deformity that made me sick to look at.   After following an aggressive and faithful PD therapy plan that I devised over many months, all of that went away.  I was able to monitor the slow and gradual reduction of the size, shape, density and surface features of each of those 4-5 plaque.  As I observed them slowly fragment and disappear, my distortions disappeared and my lost length and girth returned.  Today I cannot find any PD plaque and my shaft is straight.   I have worked with many men who have reported various stories along that same basic outlineOf course, some men respond better to Alternative Medicine therapy than others; not all respond well, and some do not get any improvement at all.  When I learn of men who are not making improvement I can usually trace it back to a small and non-aggressive application of the PDI therapy concepts that is revealed by meager and irregular purchase of therapies. Conversely, those men who report better results ask more questions, follow a more faithful and aggressive plan of action, and overall seem to be more focused and serious about their eventual recovery.       

Back to your original question, "Is it really possible that Peyronie's disease actually completely disappears?"   By that question I take it that you mean, "Is it possible that the tunica albuginea returns to a completely normal state after what you call a self-repair, self-healing or spontaneous remission?"  To that question l answer that I do not know.  I must assume that in order for my curvature pattern to improve, for my scars to be undetectable, for my lost length and girth to have been returned, that some favorable and demonstrable tissue change must have occurred within substance of my tunica.  This in turn should have caused the tunica to become more elastic than when it supported the nasty Peyronie's plaque.  Speculation, for sure, but logical.

For me, and I believe for the men who come to the PDI website looking for some straight information about what they can do to help themselves get well, I wish to say we do not care if the tunica albuginea completely returns to normal or not.   I am satisfied when a man tells me he cannot find his PD scar any longer; that he can have intercourse for the first time in many years; or that his penis is now straight.  At this time I am more interested in learning how to more effectively help the men who have Peyronie's disease so they can more quickly and efficiently eliminate their problem, than I am in splitting hairs while defining the words cure, healing, recovery and remission.

Again, thanks for the great question that gave me the stimulus to put a few thoughts on the internet that were not there previously.

Good luck to you and I trust that you are successful in dealing with whatever prompted your interest in this subject.  If you have interest in learning about Alternative Medicine Peyronie's disease treatment, please let me know.    TRH

Can I treat Peyronie's disease after 16 years?

I have had PD since I was 57. I am now 73. Is there anything I can do at this point or has the time for treatment passed?


Greetings,

Yes, there is a lot you can do and this might make you feel good about yourself for the first time in a long while.

From my experience in working with men who have Peyronie's disease, most stop looking for information and help after just a year or two.  These men are defeated by the negativity they encounter on most Peyronie's forums.  The great majority of men who contact PDI for assistance have had their problem for less than five years.  Occasionally someone will contact me who has had PD for 10 years.  The longest standing case I have worked with previously was 12 years old.  Your 16 year old case of PD puts you in a special category.

While working with these men whose problem is older than average, I have always been impressed with the ability of the Peyronie's plaque or scar to still respond favorably.   As with those whose PD is still in the common five-year range, the response to Alternative Medicine treatment still seems to be in direct proportion to the aggressiveness and faithfulness of care provided. 

There is no way for me to predict or anticipate how anyone will respond to non-drug and non-surgical Peyronie's treatment.  I think the healthiest and fairest way for you to approach your decision if you should attempt treatment is to first learn what is involved in the Alternative Medicine approach to recovery from Peyronie's disease.  Then decide what is a reasonable length of time you should be willing to devote to an aggressive and faithful program of care; maybe 4-6 months.  If it all makes sense to you, then begin care with the attitude that you will do your very best.  

After so long living with this lousy problem, I commend you for not being beat down by all the negativity and hopelessness that surrounds Peyronie's disease. 

A good place to begin learning about this unique PD treatment is start Peyronie's treatment.   Let me know if I can assist you in any way.  TRH

Spontaneous Remission and Natural Cure for Peyronie’s Disease

Helping nature to remove the Peyronie’s plaque 

Peyronie’s disease is filled with unknowns and controversy. There is even controversy about how often this problem simply goes away on its own. Some say it never goes away; that once you have Peyronies you have it for life. And there are those who say it goes away half of the time, and those who say it rarely goes away on its own.       
 
The term “simply goes away on its own” is another way of saying “self-healed” or “spontaneous cure” or “the body healed itself without outside assistance.” This is not an example of playing with words. In my world of working to help men reverse their Peyronie’s disease by improving their ability to heal or correct this problem, there is no difference in what these terms mean. It is important – even critical – to realize that when the body is able to rid itself of a disease process or abnormality it is an instance of true healing or a self-cure. Hence, it cannot be said that there is no cure for Peyronie’s disease. The body is able to cure Peyronie’s disease; it happens either rarely, or up to 20-50% of the cases, depending upon whom you choose to believe – but it does happen.
 
This is an extremely important point to consider in regard to using Alternative Medicine to treat Peyronie’s disease. When you use the different internal and external therapies to rid yourself of the Peyronie’s scar all you are attempting to do is to increase your body’s ability heal or cure itself of PD.         
 
Most of us would be in agreement that the body can and does rid itself – by a process in which the immune system heals, or “cures itself” – of Peyronie’s disease. How often this happens might be of some disagreement, but I think it is fair to say that most people know the body is able to cure or heal the Peyronies problem in some cases. This is an important point to keep in mind when you read or hear that there is no cure for Peyronie’s disease.
 
When the medical doctor says there is no cure for Peyronie’s disease what he really means is that there is no drug that he can prescribe that is a Peyronie’s cure. We have established that the body can and does heal the Peyronie’s plaque in an undetermined number of cases. With the Peyronie’s Disease Institute therapy program we are attempting to increase that natural healing ability.   
 

Is cancer more difficult to treat than Peyronie’s disease?

A spontaneous healing, also called spontaneous remission or spontaneous regression, is the unexpected cure or improvement of a disease which previously appeared to be stable or worsening. These terms are typically used to explain unexpected improvement of a cancer. The spontaneous regression and remission from cancer was defined by Everson and Cole in their 1966 book, Spontaneous Regression of Cancer, this way: "The partial or complete disappearance of a malignant tumour in the absence of all treatment, or in the presence of therapy which is considered inadequate to exert significant influence on neoplastic disease."

Because most of our medical information is presented through medical sources, it has long been suggested spontaneous regressions, let alone cures, from cancer are rare. Frequency of spontaneous healing was estimated to occur approximately at the rate of 1 in 100,000 cancers. Everson and Cole report that at least for small tumors, the frequency of spontaneous regression had been was drastically underrated and underreported. In their carefully designed mammography study they found that 22% of all breast cancer cases underwent spontaneous regression. They explain spontaneous regression from cancer: "In many of the collected cases … it must be acknowledged that the factors or mechanisms responsible for spontaneous regression are obscure or unknown in the light of present knowledge. However, in some of the cases, available knowledge permits one to infer that hormonal influences probably were important. … In other cases, the protocols strongly suggest that an immune mechanism was responsible".
 

When you read that in 20-50% of the cases the Peyronie’s disease goes away on its own, these are the instances in which the body was able to heal itself of the excess Peyronie’s scar. This issue of spontaneous resolution and tendency for improvement of Peyronie’s disease has been commonly cited. 1-4 If the body can cure cancer on occasion, why not Peyronie’s disease if you are doing many things at once to encourage this to happen?
 
All of this should give you some encouragement that the Peyronie’s Disease Institute therapy program is following a logical and reasonable course of action to help the body remove this problem, as the body was designed to do.
 

How often should a person with Peyronies use DMSO?

How often should a person with Peyronies use DMSO?  Can you use it daily with other topicals?   Will the stuff you put on after DMSO still go on?   Online it says put to put DMSO on LAST.  What if you put the DMSO on first is it still effective?

Greetings, 

Based on the basic nature of your questions about DMSO (how often to use it; combining it with other topical therapies; frequency of application) I have the sense that you have not gotten your DMSO from PDI.  Anyone who buys from PDI knows the answers to these questions and more.  PDI provides specific information and details for correct use with all the PD therapy products we sell.  We help you every step of your journey so you get the best results you can; you would not have these questions if you were dealing with PDI.  And this brings me to my biggest concern about you…

Some men make the mistake of using the highest concentration OF DMSO they can find, thinking that stronger is better and it is not.  You cannot use effectively use a high concentration DMSO for PD treatment very long without it quickly irritating the delicate skin of the penis.   This is why PDI offers the PMD DMSO brand of DMSO that was formulated in cooperation with Stanley Jacobs, MD, the man who in the late 1950s did the first medical DMSO research on humans.   Our DMSO formula has the best concentration for PD treatment, and it also contains PABA, MSM and urea for added benefit.  No other DMSO product is made specifically for Peyronies treatment but our PMD DMSO. 

Lastly, I must mention that you need to be very careful what you combine with DMSO when it is on your skin.  You mention applying "stuff" with DMSO.  This concerns me.  I have had contact with many men who decided to experiment by applying all types of chemicals along with DMSO over their PD scars.  Some men have crushed up and diluted drugs, applied solvents, slats and hormones and added DMSO to their experiments.   All of this can be extremely dangerous and counterproductive.  Please do not experiment with DMSO in this way.     

Now that I have had my say about DMSO in general, here are the answers to your questions:

DMSO can be used up to three times daily. 

It can be used daily with other appropriate safe topical therapies. 

It is best to apply DMSO last if you are also using other topical therapies; if you apply DMSO first there will still be reduced transfer of those topical therapies you applied first.     

Question about Peyronie's treatment

Dear Sir,

I M.A. Mujeeb from India is suffering from Peyronies. Up to May 2010 I was quite well in sex but May or June 2010 onwards my penis is bending from both side (stem side and ring side) While incursing I am getting pain. I request you to tell me whether this medicine is effective for the above problem for me.

Thanks and regards,

M.A. MUJEEB

 

Greetings M.A. ,

Any or all of the different Peyronie's therapies found on the PDI website can be successful when combined in an aggressively and faithfully applied treatment plan.  The likelihood for that success is increased by following a broad based plan that includes both systemic, topical and external therapies.

Even if you did mention several therapies there is no way for anyone to intelligently predict the outcome of your use of any therapy.  Treatment results is far too complex, with far too many variables, to give a meaningful answer to your question if you could be helped.  It is always something that each man must attempt to learn for himself how he will respond. 

To assist you I suggest you read at least a few of these articles:  Peyronie's disease treatment frequently asked questions and  Peyronie's treatment philosophy and Peyronie's disease natural treatments: introduction.  

 

 

 

TRH 

Do you think this is a bad idea?

Can you tell me what you think of using DMSO and possibly vinegar since it contains acetic acid, i used it and it didn't hurt but the mixture got very warm to almost hot, and it wrinkles the skin, i got this on a website… Wikipedia and other sources say….Diluted acetic acid is also used in physical therapy to break up nodules of scar tissue via iontophoresis. So can't you use dmso to deliver the acetic acid in vinegar similar to iontophoresis to break up peyronie's plaque? Do you think this is a bad idea to try?

 

Greetings,

Yes, I think this is a bad idea.  You got lucky that you only felt a hot sensation and that it just wrinkled your tissue.  I suppose had you left the vinegar on longer, or used it a second time, or in some other way increased your exposure to it, you would have probably developed a deep and serious burn of the penile tissue.  Do you know what would have been the likely result of a burn-injury to the deeper tissue of the penis for someone who already has Peyronie's disease?  More Peyronie's disease. 

Acetic acid of vinegar is a dangerous acid that will affect different tissues of the body in a variety of ways. The thin tissue of the entire genital region is unusually vulnerable to a burn injury caused by acetic acid.  When it is combined with DMSO the damage can be even more severe. 

Please do not do use vinegar again this way for your Peyronie's disease.  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

What can I do to make sure my penis curvature continues to straighten?

Greetings Dr. Herazy,

I've had Peyronies for close to 4 years. All I heard from those sad guys on the PD forums was that there is nothing you can do to cure PD.  But after being on your large PDI treatment plan for less than two months both my wife (a nurse) and I can tell there is a huge improvement in the curvature of my penis.  Not only is my bent straighter, I can enter her easier and we both have less pain during sex.  What can I do to make sure my Peyronies changes continue?   G.H.

Greetings G.H.

I am concerned here. Do not make any changes to your plan until you are fully versed in how to evaluate your progress via evaluation of your scar(s).  Judging your progress by positive changes in your curvature is all well and good, but it is not a reliable or accurate way to determine progress. Do not make the mistake of evaluating progress of your Peyronie's treatment plan solely on the basis of your reduced curvature. That is not the way you should do it. 

You must evaluate your treatment progress based on changes in the size, shape, density and surface features of your scar(s). Peyronie's disease is all about the scars, remember.  If you get rid of the scars your penis curvature will go away, but if your penis curvature gets straightened without change to your scar then the curvature will only come back.  

You must learn how to evaluate the scar for progress. I have a whole chapter devoted to this subject in my 1st book, “Peyronie’s Disease Handbook.” If you do not do your evaluation this way you are only guessing about progress and therefore you cannot determine correct dosage levels. Get the book if you do not have it. If you already have it, then re-read Chapter 4. 

Once you have a firm description of your PD scar then you will be able to use it as a reference point or benchmark to guide necessary changes in your treatment plan.  

Congratulations on your improvement so far, if you follow my suggestion I think you will be pleased how easily you can continue making good progress over your Peyronie's disease.   TRH

What can I expect from POTABA in my Peyronie's treatment?

I  WANT TO KNOW ABOUT THE PEYRONIE'S TREATMENT I HAVE BEEN PRESCRIBED.  I HAVE JUST SEEN A UROLOGIST WHO DIAGNOSED ME WITH PEYRONIE'S DISEASE. HE HAS PUT ME ON 400IU OF VITAMIN E THREE TIMES A DAY AND 12 GR. OF POTABA PER DAY.   IS THIS A GOOD COURSE OF TREATMENT?  WHAT CAN I EXPECT FOR A SUCCESS RATE?

THANK YOU

BOB

 

Greetings Bob,

In my opinion you should do a bit of online readying about POTABA. I think you will find a lot of controversy and reports of non-effectiveness about it.  From my experience there are fewer and fewer MDs using POTABA in the last few years because of high cost, limited results, and poor compliance because most men find they cannot tolerate the severe abdominal pain it causes even with the initial usage.  I am surprised your urologist did not mention this to you; I am sure he knows all about it. 

Did you ask the urologist what kind of success rate he has with this prescription?   I would be interested to know his response.

POTABA is one of the limited number of drugs available for prescription by an MD in the treatment of PD, although there are many MDs who do not prescribe POTABA  because they find the trouble their patients encounter while taking it does not justify the limited potential benefit.

Now, POTABA is nothing more than a simple B vitamin – PABA – that has a molecule of potassium added to it, or to say it another way, POTABA is a potassium salt of PABA.

PABA has been shown years ago in medical research to be successful in treatment of PD, but the medical profession likes to use drugs (POTABA) whenever it can, and refuses to use something as simple as a B-vitamin.  POTABA causes a host of gastric symptoms, for which reason few men complete their course of therapy with it.   PABA works just as well, and has no side-effects.  However, neither PABA or POTABA produce results as good as PABA when combined in a more aggressive therapy program as you see presented on the PDI website.

You should know this is a rather limited course of therapy.  No one can predict whether it will help you or not, you must follow if for a while to determine if it will improve the size, shape, density or surface quality of your Peyronie’s plaque.   You would be wise to get the book I wrote, “Peyronie’s Disease Handbook,” about dealing with Peyronie's disease on a daily basis to improve your chances for recovery. 

The Peyronie's Disease Institute has offered PABA to its visitors since 2002 for treatment of Peyronie's disease without a single report of inability to use it because of gastric problems.  To learn more about successful Peyronies treatment  TRH

 

Is there someting I am missing about Neprinol?

Dr. Herazy,

It is my understanding that Neprinol contains everything that the Fibrozym and Nattokinase supplements contains and is more potent, thus making it redundant to add Fibrozym to a program that already includes Neprinol.  Am I missing something?

Greetings, 

No, some men want assurance they are not missing anything in their Peyronies treatment plan, and they intentionally use the redundancy of getting the nattokinase and serrapeptase from two different sources.

Men use Neprinol both ways – as a total substitute for the other enzyme products, or in addition to them (usually with the Neprinol being the primary enzyme source and the others being used as a minor role).  The choice is yours. When I successfully treated my own scars that is what I did – I used the Neprinol as the primary and largest supply of systemic enzymes, and then added in a few of the others per day.  

I would consider trying just the Neprinol by itself, and see how it works for you and your scar.  If that is not enough to get your scar to change favorably, then bring back the Fibrozym or Nattokinase, or Quercetin/Bromelain if you are also using it, or all of them.  You must keep experimenting to learn what makes your scar respond favorably and then continue with that.   TRH  

Peyronie's treatment safety issue when applying moist heat

Hi Dr. Herazy,

The use of an electrical heating pad was suggested in last month's Peyronie's Disease Institute newsletter for the moist heat therapy. I am curious as to whether or not the immense heat and warmth provided by this electrical pad would be detrimental to the testicles. The pad it hot but does not seem hot enough to scald the penis. Thank you! 

Greetings,

To reduce possibility of excess heat being applied to penis and testicles you should:

     1. Reduce heat setting on the control of the heating pad so that the heat is not "immense" but only comfortably warm
     2. Place a small moist wash cloth between your skin and the heating pad to act as a buffer or spacer, thus reducing heat to the penis
     3. Position yourself so that your testicles are not in contact with the heating pad
     4. Place a dry wash cloth between the scrotum and heating pad to act as a buffer or space, thus reducing heat to the testicles

This suggestion for using an electric heating pad was submitted by one of the PDI Warriors and was presented in our last newsletter as an alternate way to apply moist heat to the shaft of the penis.  The original method that has been suggested by PDI is to use a hot water bottle wrapped with a moist towel and positioned to heat the shaft of the penis.  This method has the safety advantage of staying warm for 15-20 minutes before slowly losing heat.

Thank you for your observation.  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

Do you perform Peyronie's surgery?

Hello doctor!

I read your book and I am happy that the vitamins worked for you!

My husband has Peyronie's disease the last 2 years. He saw 2 doctors and they just recommended surgery,

Do you perform Peyronie's surgery? If you don't, could you please let me know which one is the best surgeon?

Thanks so much

 

Greetings,

Yes, the PDI treatment concept worked for me and for many men who followed the concepts you see on this website.  I assume the great majority of men who have been helped to regain their freedom from Peyronie's disease were also told they needed surgery, just like your husband.  They resolved their PD problem by using Alternative Medicine treatment and did not need surgery.

When you go to a surgeon you will usually find that they tend to think of and recommend surgery.  Since I am not a surgeon and I philosophically prefer to first use natural conservative means before resorting to drugs or surgery, I suggest before considering any type of risky surgery that your husband should first attempt a few months using Alternative Medicine to correct his problem.   TRH   

Is there any penis surgery procedure you could recommend?

Greetings,

I must admit that I am very embarrassed to send this message.

I'm 52 years old with what could be a fairly long 4.5 to 5" penis, but the curvature is painful and very very frustrating for my lover and me. I keep my pubic hair shaved to give the appearance of more mass, but he is not satisfied, nor am I.

Is there any penis surgery procedure you could recommend? I have been too embarrassed to mention this to our family practitioner (female).

What first steps can I do to improve my condition?

In His name, Peter

 

Greetings Peter,

After reading your email a few times I am not sure if you are more concerned about the pain and distortion of your Peyronie's disease, or by your loss of penile size since you developed PD. 

We live in a strange culture in which personal self-worth and value as a human being is based on penis size.  Your penis is attached to you; you are not attached to your penis. Think about that a bit. 

There is no need for embarrassment since developing PD is not a personal character flaw or a deliberate act that suggests an imperfection of who you are as a person; it is just an unfortunate  health problem.  No one should feel embarrassed for having glaucoma or asthma, not should you feel that way because of your PD.

From my experience in communicating with many hundreds of men since 2002 about penis enlargement surgery, I hear far too many horror stories of failed surgery.  Learn to enjoy what you have and who you are, or you might be left with little to enjoy.

If you want to actually treat your real problem I suggest that your go to the PDI website at Start Peyronie's Treatment to learn how to increase your ability to heal and repair your Peyronie's disease – which in turn could result in return of lost penile length and girth.   TRH

Is it adviseable to needle the penis directly?

Dr. Herazy,

I am an acupuncturist treating a patient with Peyronie's disease.  I bought your "Peyronie's Disease Handbook,"  hoping you had included specifics on the use of acupuncture, especially whether or not you think it's advisable to needle the penis directly?  I know you advise to not cause additional injury to the penis, but needling near scar tissue on other parts of the body is not contra-indicated, but actually beneficial.

What are your thoughts on this please? My patient is willing to try anything.

Greetings Doctor, 

Yes, needling a superficial scar on other parts of the body is very often beneficial, but the penis is a different part of the body. I would not needle the penis for concern of puncturing the tunica albuginea and further extending his Peyronies problem.  My concept is never to puncture the tunica in an attempt to help this problem. 

However, local treatment has always been an important part of my acupuncture practice, such as the famous Circle the Dragon technique, and that is why I advocate heavy use of the Genesen Acutouch pens to treat the PD lesion in this particular way because it will not risk injuring the patient by avoiding compromise to the tunica.

If you feel required to needle, distal points are always advisable. I do not treat a lot based on Five Elements theory, but I believe you would likely benefit your patient by evaluating for an Excess Wood situation.  Bear in mind that the “Peyronie’s “scar” is not a scar in the traditional sense of being a superficially located skin lesion; it is below the subdermis and within the tunica so the standard methods of needling a scar – that I have done daily for over 35 years – does not apply to PD.  At least, that is how I understand it based on my concept and methodology in guiding Peyronie's treatment.

If you feel obligated to needle, distal points are always advisable such as SP3, SP6, K3, GB34, the master points of the Conception Vessel, Sedation points for the Wood element and and Stimulation points for the Fire element. as well as appropriate Eight Extraordinary Meridian points (Du Mai, Chong mai, Yin Wei mai, etc.)    TRH  

Am I cheating on my wife?

Greetings Dr Herazy, 

I was wondering.  Since my penis has been bent over 70 degrees for the last few years of my Peyronies, my wife and I are not having any intercourse.  During this time, every now I have been masturbating without my wife's knowledge.  Am I cheating on her? 

Paul

Greetings Paul,

No, you are just keeping the pilot light burning for her benefit later. 

You owe it to her to be less shy and more creative.  You know, you are not the only one that needs sex every now and then. She is probably feeling lonely and neglected.  I encourage you to include her in your private efforts and maybe you two can share some favors. There is a world of sexual adventure and satisfaction for a married couple outside of traditional intercourse.  I go into all these areas in my book "Peyronie's Disease and Sex."   Don't be so selfish.  

The important goal is to get over your Peyronie's disease so you no longer have this limitation.  Stay focused on your PD treatment, please. TRH  

What is my opinion of prescription drug injection?

What is the Dr's opinion on using the prescription Edex injected with a syringe? 

Bryant from Ohio

 

Greetings Bryant, 

You ask for my opinion about Edex injections.  I will not comment on the drug, because that is the decision of your treating doctor.  But I will make a few observations about injections in general and how they could further injure the tunica albuginea.

Anytime you inject ANYTHING – even sterile water – into the penis and directly or indirectly contact the delicate tunica albuginea, you are taking a serious risk of making your Peyronie's disease worse. This could either occur just from the simple act of piercing the tissue of the tunica albuginea, or the placement of a concentrated chemical that is foreign to that tissue, or both.

I have communicated with many, many men whose Peyronie's disease started or was made worse from penile injections of a variety of substances.

If your problem is PD, why are you taking an ED medication? Some MDs prescribe Viagra, Edex, etc to their PD patients in the belief that this increases the local circulation which in turn is beneficial to PD.

What if you could take a drug that would enable you to lift a ton of weight above your head and keep it there for an hour? Nice trick, very impressive, but your body is not built to take that kind of pressure. It would cause great damage to internal organs, your spine, your blood vessels, all major joints, etc. Simply put, “It just ain’t natural.” Same with Viagra, Levitra or Cialis. The increased pressure created by these medications can be very damaging to the delicate tunica albuginea, and can result in or worsen a case of PD. What would happen to your car tires if you happened to over-inflate them with 100 pounds of air pressure, even though they were built to take just 40 pounds of pressure. You would be running the risk of damage to the internal structure of tire, wouldn’t you? Of course.

The same thing can happen if the penis is over-inflated and then given a “rough ride.” This is where the problems start, and this is what I wanted to bring to your attention. It is very likely that the MDs who prescribe these medications to men with PD will not agree with this thinking. MDs tend to favor a chemical “fix” even if it is temporary, so you would tend to expect a prejudice from an MD to use drugs to solve most problems.

A penis that is predisposed to PD in the first place cannot tolerate the kind of stress that these erections drugs create.  If you think independently and logically about what happens when these drugs are used, you should have no trouble understanding how this could work against you.  That is just the way I see it and I feel compelled to share this rationale with you. Use of Viagra and other related meds like it could easily be worsening the very problem you are attempting to heal. Something to think about.  TRH

What is the average age for onset of Peyronies?

Greetings Dr. Ted, 

Thanks again for all the information you have provided in the past. My curve has gone from 60 degrees to less than 10 degrees.  I can't believe all this change in just 13 weeks after only getting worse for the last three years.  

One more question that I have is about my age when my PD started.  I am 36 now and I got PD when I was 33.  According to most sites you read it states that occurrence typically is after age 55+, and some even say 40+.   Although I am sure there is great variation, does 33 seem young or typical given your experience?

Thanks again,

Gary

Greetings Gary, 

No, 33 is not especially young to develop Peyronie's disease.  I, unfortunately, communicate with many men your age and even younger who have PD.  Last week I was involved in a lengthy discussion with a young man of 18 years who has had a diagnosed case of PD for almost two years. It does happen.  

Age is less of a factor in Peyronie's disease than people would like to think, and the numbers are not absolute.  Just as you have stated that many sources report that PD usually occurs in men 40+ or 55+ or whatever age you might read, that does not mean there is a wall protecting you for the next few years if you are 37 years old.  While it is true Peyronies disease is a problem of older men, you youngsters can develop it also.  I would not put too much emphasis on that entire subject of age and PD.

The real question is now that you know you have PD, what are you going to do about it?  Let me know if I can help you tweak your plan a bit more to increase the rate of your improvement.  TRH

Benefit of VED for treatment of Peyronie's disease?

Dr. Herazy,

Do you recommend or see any benefits for using a Vacuum Erection Device (VED) for the treatment of early stage Peyronie's Disease when the patient has no difficulty achieving a normal erection by sexual stimulation?


Greetings,

Please review my blog post on this subject from a few years ago, http://peyronies-disease-help.com/ved-vacuum-pump-peyronies-disease-treatment/

Generally, like with most things related to Peyronies, I find men saying different things about the VED; some say it helps and some say it does not and others say it caused their PD.  The greatest limitation I find is that whatever stretching of the penile tissue occurs using the VED is too general.  To do any good in Peyronie's disease treatment the stretching must occur only and specifically at the site of the scar, not the entire organ.  To do this I developed the Peyronie's Disease Institute Manual Penis Stretching Method described in this video.    

Another way to look at the subject  of the VED is in regard to the current level of injury and vulnerability of your penile tissue at this time.  You already have a problem, and the problem often starts from a very small injury – sometimes so small that it goes unnoticed.  The VED will apply perhaps up to 100 PSI to your tissue; enough to often break blood vessels and tear tissue.  This amount of force applied to the penis that already has shown a tendency to over-respond to injury by creating excess scar tissue does not sound like a good idea to me.  TRH

Do I need your book or a doctor?

Thanks Doctor, I’m 64 and do a lot of heavy exercise. Yesterday I got a hard-on ….and for the first time time there was a break (left bend in the bottom third of my penis).  Do I need your book or a doctor? Thanks. Mike Adler

 

Greetings Mike,

What you really need is to know for sure what is going on with that bent penis.  The best way to do that should be to go to a doctor for an examination and diagnosis.  The problem is often that the doctor does not know, does not want to take the time, or does not seem to care about dealing with Peyronie’s disease.  Even after a medical examination it is common for a man to still be unsure if he has a correct diagnosis. 

To help you along this line of thought I suggest you read two blog posts that I did a while back.  The first is  Disorders of the penis besides Peyronie’s disease. This will give you an idea of what other problems you could be dealing with that could cause the sudden bend in your penis.  The second is Who is a Peyronie’s disease expert?.  This will give you some insight about the medical visit to have your penis examined. 

I suggest that you get a very good medical examination or at least in some way come to a point where you are confident with the condition going on below your belt.  It is not always easy, however, so be prepared.

If you wish to learn more about treating PD I urge that you start with the book I wrote, “Peyronie’s Disease Handbook.”  It will ground you so you know how to deal with PD from a physical and mental standpoint, treatment concepts, how to develop the essential skill of determining the size, shape, density and surface features of your Peyronie’s plaque, and how to avoid doing things that can cause additional injury to yourself. 

Let me know if I can help you in any way. Good luck.  TRH

Does Peyronies last forever?

Does peyronies last forever, or is their an estimate to how long it lasts? Thanks.

 

Greetings,

Here are your short answers:    Peyronie's disease can last forever, but in a large percent of cases it does not have to if the man actively and aggressively works to increase his healing ability against PD.   And, PD can last a life time in those men who do nothing about it.

In about half of the cases of Peyronie's disease, the disease will be self-corrected or eliminated without doing anything about it.  The body heals and eliminates the PD problem naturally like it heals and eliminates thousands of other health problems. jeale.  In the other half of persistent cases, the problem tends to continue indefinitely unless it is treated with Alternative Medicine methods that increases the body's ability to self-correct and heal the Peyronie's plaque.

For those men whose Peyronie's disease does not go away on its own, they tend to be very active and motivated to get help for their problem.  But after talking to a few MDs, reading a few online websites or asking a few questions on Peyronie's forums, they eventually learn the standard medical answer that there is nothing that can be done for Peyronie's disease – that there is no cure for PD.  After learning this from multiple sources they tend to get depressed and discouraged and stop looking for help.  Since they accept defeat, and never start to assist their natural recuperative abilities, their PD tends to either stay the same or slowly worsen over time.  Some men report slow gradual improvement of their PD while other men report slow gradual worsening, the opposite.  These contradictory reports of long term outcome of what eventually happens in Peyronie's disease is consistent with the extremely variable and contradictory nature of this problem.

So in this sense, I suppose you could find different opinions about how long Peyronies lasts.  Given the variable and contradictory nature of PD, most men agree that they do not want to risk that their PD will get better in 10 or 20 years.  They get active and they get started working a PD treatment plan as we discuss throughout the PDI website.  A good place to start learning about Peyronie's treatment is start Peyronie's treatment.

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 

What can I do to reduce the plaque?

i am 48 years old, and have had peyronie's for approximately 5-6 years from unknown origin (but most likely from a crush injury). my condition has progressed to the point where i have a very significant plague that runs almost the entire length of my penis; the plague quite literally feels like bone, and is located more near the top of my penis (between the outer skin and urethra). my penis is not curved, but rather has shortened (fairly substantially) and has lost significant girth; while my erections are reasonably hard (though not as hard as previous to the condition), the overall size of my penis has reduced quite significantly. in addition, i seem to have lost nearly, if not all feeling in my penis, so much so that when i do have sex w/ my wife, i feel virtually nothing, where it takes me a very long time to reach orgasm, if at all. sadly, i most often fail to reach such; only very rarely am i able to achieve orgasm now. in fact, it is somewhat difficult for me to even know precisely how full/ hard my erection is unless i actually palpate such. i have recently returned to the united states (from living in china), and will now be able to resume taking a fairly substantial series of supplements recommended by you and provided from your company. what can i do to reduce the plaque, and to hopefully regain feeling in my penis? can i ever regain feeling? your assistance is greatly appreciated … eric

 

Greetings Eric,

Thank you for your detailed description and questions.

I am a bit confused by your description of the location of your plaque (part of your description sounds like your plaque is on the bottom/under side of the shaft and another part sounds like your Peyronie's plaque is on the top/upper surface). 

In my reply I will assume it is on the upper/top surface of the shaft as you are looking down at your erection, since this is by far the most common presentation of plaque that runs the length of the shaft. This plaque location is most often responsible for lost length and girth, such as you describe, and for generalized erectile dysfunction.  Many men with PD experience localized reduction of erectile ability, resulting in soft spots, or nicks or dents or dings in various areas of the shaft.  Yours sounds like the entire shaft is soft, often the result of plaque development within the septum of the penis (the point where the tunica albuginea that is around one corpora cavernosa touches or combines with the tunica albuginea of the other corpora cavernosa).  

Your loss of feeling is not common; most men with Peyronie's disease with have little trouble with loss of sensation.  While lost penile sensation could be due to other factors unrelated to PD, I will assume it is related to the central location of your plaque compromising your nerve supply.   If this is true, and I have no way of knowing for a fact that it is since I have not examined you, I assume that your penile sensation should return once your plaque is reduced.  Besides reduced reduction of sexual sensation, do you also notice general loss of sensation to light touch or pain (as when you pinch the skin of penis)? 

You ask what you can do to reduce the plaque.  I saw in today's list of orders that you purchased a large assortment of internal therapies (Acetyl-L-carnitine, MSM, Neprinol, Omega T, Quercetin-Bromelain, Factor 400/400 and Maxi-Gamma).   However, you did not order any internal therapies (PMD DMSO, Unique-E oil, Super CP Serum, or Genesen Acutouch pointers).  Both internal and external therapies are necessary for effective treatment.  It is also necessary that you follow the dietary modifications outlined in "Peyronie's Disease Handbook" to keep your blood pH toward the alkaline side.  The stretching video contains detailed information how to address plaque formation found within the septum, such as you have.  All of these therapies must be applied at the same time to achieve best results.    

You will probably have to modify your plan to achieve favorable changes to the size, shape, density and surface features of your plaque.  Do not be slow in making those changes to your plan when you see that after 10-14 days of treatment the plaque is not responding.  For this reason it is absolutely critical that you clearly can identify the size, shape, density and surface features of your plaque.  I know I might sound like a broken record when I continue to repeat this, but if you do not know these four aspects of your plaque description, you are only guessing at your treatment.  Please, do not guess. Know what is going on down there below your belt and you will have an excellent way to direct and guide your therapy toward the greatest degree of success of which you are capable.

Please stay in close contact with me as you begin your self-directed therapies.  Let me know of any problem or questions that arise, and I will be happy to offer you information and ideas for your consideration.  TRH

Pentoxifylline, Niacin and Peyronie’s Disease

Pentoxifylline is not an approved Peyronie’s disease drug

There are several things I find interesting in a question and answer about Peyronie’s disease and Pentoxifylline (Pentox) I discovered online recently.  It appears on the Peyronie’s forum of a medical doctor who is well known as a Peyronie’s disease expert.  I will not use the doctor’s name since it does not serve a useful purpose to mention his name.

Here is the question, followed by the doctor’s answer:

Question:  Can Pentoxifylline help with increasing blood flow when a man has PD?  Also is Niacin also an alternative that might achieve any results?

Answer:   Pentoxifylline has been shown in animal studies to potentially reduce the development of the Peyronie’s scar when the animals consumed the Pentox in their drinking water from the time that the Peyronie’s process is triggered.  Pentoxifylline is indicated to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because it has a mild non-specific vasodilating effect.  Therefore, it is possible that it can increase blood flow in the man with PD.  As to whether this will improve erections or has anything to do with preventing progression of already established PD is unknown.  Niacin, to my knowledge, has not been studied as a treatment for Peyronie’s disease.

Pentox preferred simply because it is a drug

Point # 1.  The doctor responds that the use of Pentoxifylline is used to treat Peyronie’s disease because it has the ability to enhance blood flow to the lower extremities in patients with peripheral vascular disease likely because of its mild non-specific vasodilating effect.

My response:  Here the doctor is saying that Pentoxifylline is used in Peyronie’s disease because it improves blood flow in people who have peripheral vascular disease.  Anyone who has studied this subject knows that Peyronie’s disease is not a vascular or blood vessel disease, so it is difficult to understand from this answer the connection between the two conditions. This reason he gives for using Pentox for treatment of PD is not supported by what we know about this condition.

Point #2.  The doctor states that Pentoxifylline is used in Peyronie’s disease (of the penis) because it improves blood flow in the periphery of the body, meaning arms and legs.

My response:  These are two different areas of the body. This part of the answer suggests that Pentox has not been tested or shown to actually improve the blood flow to the penis, only the upper and lower extremities.  This reason he gives for using Pentoxifylline for treatment of PD is not supported by what we know about this condition.

Point #3.  The doctor attempts to tie his two points together and then carefully speculates that “it is possible that it can increase blood flow in the man with PD.”

My response:  What the doctor is saying is that using Pentox for Peyronies treatment might possibly work since it works for other conditions that are only remotely related. This kind of speculative use of a drug is common, and would not be objectionable except for the fact that Pentoxifylline is known to have side effects that can affect the cardiovascular, immune, digestive, respiratory, visual and nervous systems. That is a risk taken by a patient for use of a drug that might only possibly help an unrelated condition.  I doubt many patients know that they are exposing themselves by taking drugs that are not known to help the condition they have.

Point #4.  The doctor reports that it is unknown if Pentoxifylline will improve erections or has anything to do with preventing progression of an existing case of Peyronie’s disease.

My response:   Saying that it is unknown if Pentox will improve erections suggests that it does not influence blood flow to the penis. Yet, improving penile blood flow is one of the reasons given by this doctor to justify using it for Peyronie’s disease.   Since I have never heard of anyone taking any medication for prevention of Peyronie’s disease, the doctor also says that Pentoxifylline will not alter the progression of a case of PD once it has started.  This sounds to me that it would not help Peyronie’s disease.

Point #5.  The doctor reports that to his knowledge niacin (a member of the B vitamin family) has never been studied as a possible treatment for Peyronie’s disease.

My response:  Niacin is well known to those who take vitamins for the “niacin flush” that it causes.  Niacin causes an increased blood flow throughout the body, experienced as heat, redness and itching that occurs after taking a few hundred milligram dose.

So we have the doctor reporting that Pentox (with side effects) is used to treat Peyronie’s disease because it has a “mild non-specific vasodilating effect,” yet niacin (with no side effects) which also has a mild to moderate non-specific vasodilating effect has never been studied as a Peyronie’s treatment.

I think this is a classic example of the drug industry ignoring potential non-drug therapies simply because they lack profitability.  This is a point to remember when you are told that no nutritional therapy has been shown to help PD.   This is only true because these companies refuse to do the testing to prove they might have merit.

Point #6.   The doctor uses  only one brief  sentence to discuss niacin, and 90% of his reply to discuss a drug that does the same thing as niacin can do and do it without side effects.  In his short sentence about niacin he only says that it has not been studied as a Peyronie’s treatment.  Period.  As a scientist, as a physician interested in advancing the body of thought about Peyronie’s treatment, wouldn’t you think the doctor would be more interested in something like niacin?  Instead, he merely brushes the idea of niacin use for PD aside.  This is so typical of the attitude of organized medicine about treatment of Peyronie’s disease.

Point #7.  The man who asked a reasonable and intelligent question about niacin was not given an actual answer about niacin.    He was only given a reply that promoted the use of a drug that has side effects and not known to be effective against Peyronie’s disease.   And you wonder why men get frustrated with the lack of help and useful information about Peyronies treatment.

Read a few testimonials that show what the PDI concept of Alternative Medicine treatment of Peyronie’s disease can do.

Spontaneous Remission and Natural Cure for Peyronie’s Disease

Helping nature to remove the Peyronie’s plaque

Peyronie’s disease is filled with unknowns and controversy.  There is even controversy about how often this problem simply goes away on its own.  Some say it never goes away; that once you have Peyronies you have it for life.  And there are those who say it goes away half of the time, and those who say it rarely goes away on its own.

The term “simply goes away on its own” is another way of saying “self-healed” or “spontaneous cure” or “the body healed itself without outside assistance.”  This is not an example of playing with words.  In my world of working to help men reverse their Peyronie’s disease by improving their ability to heal or correct this problem, there is no difference in what these terms mean.  It is important – even critical – to realize that when the body is able to rid itself of a disease process or abnormality it is an instance of true healing or a self-cure.  Hence, it cannot be said that there is no cure for Peyronie’s disease.  The body is able to cure Peyronie’s disease; it happens either rarely, or up to 20-50% of the cases, depending upon whom you choose to believe – but it does happen.

This is an extremely important point to consider in regard to using Alternative Medicine to treat Peyronie’s disease.  When you use the different internal and external therapies to rid yourself of the Peyronie’s scar all you are attempting to do is to increase your body’s ability heal or cure itself of PD.

Most of us would be in agreement that the body can and does rid itself – by a process in which the immune system heals, or “cures itself” – of Peyronie’s disease. How often this happens might be of some disagreement, but I think it is fair to say that most people know the body is able to cure or heal the Peyronies problem in some cases.  This is an important point to keep in mind when you read or hear that there is no cure for Peyronie’s disease.

When the medical doctor says there is no cure for Peyronie’s disease what he really means is that there is no drug that he can prescribe that is a Peyronie’s cure.  We have established that the body can and does heal the Peyronie’s plaque in an undetermined number of cases.  With the Peyronie’s Disease Institute therapy program we are attempting to increase that natural healing ability.

Is cancer more difficult to treat than Peyronie’s disease?

A spontaneous healing, also called spontaneous remission or spontaneous regression, is the unexpected cure or improvement of a disease which previously appeared to be stable or worsening. These terms are typically used to explain unexpected improvement of a cancer.  The spontaneous regression and remission from cancer was defined by Everson and Cole in their 1966 book, Spontaneous Regression of Cancer, this way: “The partial or complete disappearance of a malignant tumour in the absence of all treatment, or in the presence of therapy which is considered inadequate to exert significant influence on neoplastic disease.”

Because most of our medical information is presented through medical sources, it has long been suggested spontaneous regressions, let alone cures, from cancer are rare.  Frequency of spontaneous healing was estimated to occur approximately at the rate of 1 in 100,000 cancers.  Everson and Cole report that at least for small tumors, the frequency of spontaneous regression had been was drastically underrated and underreported. In their carefully designed mammography study they found that 22% of all breast cancer cases underwent spontaneous regression.  They explain spontaneous regression from cancer: “In many of the collected cases … it must be acknowledged that the factors or mechanisms responsible for spontaneous regression are obscure or unknown in the light of present knowledge. However, in some of the cases, available knowledge permits one to infer that hormonal influences probably were important. … In other cases, the protocols strongly suggest that an immune mechanism was responsible”.

When you read that in 20-50% of the cases the Peyronie’s disease goes away on its own, these are the instances in which the body was able to heal itself of the excess Peyronie’s scar.  This issue of spontaneous resolution and tendency for improvement of Peyronie’s disease has been commonly cited. 1-4 If the body can cure cancer on occasion, why not Peyronie’s disease if you are doing many things at once to encourage this to happen?

All of this should give you some encouragement that the Peyronie’s Disease Institute therapy program is following a logical and reasonable course of action to help the body remove this problem, as the body was designed to do.

Learn about starting a Peyronie’s treatment plan.

  1. Williams JL, Thomas GG. The natural history of Peyronie’s disease. J Urol 1970; 103: 75-76.
  2. Furlow WL, Swenson HE, Lee RE. Peyronie’s disease: a study of its natural history and treatment with orthovoltage radiotherapy. J Urol 1979; 114: 69.
  3. Williams G, Green NA. The nonsurgical treatment of Peyronie’s disease. Br J Urol 1980; 52: 392-395.
  4. Gelbard MK, Dorey F, James K. The natural history of Peyronie’s disease. J Urol 1990; 1441: 376-379.

 

 

 

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.    
  

Broken Penis and Peyronie’s Disease

Penile fracture can lead to Peyronies

The most frequently found explanation of Peyronie’s disease usually refers to it as an exaggerated healing of penile trauma. This injury can be so small as to be unnoticed or so severe as to be considered a broken penis or a penile fracture.

A fractured penis is also known as a broken penis syndrome.  It is a severe and painful form of bending injury that occurs to the erect penis typically during intercourse when a thin tissue membrane of the penis called the tunica albuginea becomes ruptured or torn crosswise, not along the length of the penis.  When a penile fracture occurs it is often accompanied by a popping or cracking sound that can be heard by the sexual partner, and results in immediate flaccidity. Because of the severe pain in the penis, bruising, and swelling, this is considered a medical emergency that often results in surgical repair. When the fractured penis is severe, the urinary tube within the penis that drains urine from the bladder (urethra) can be damaged, leading to blood in the urine.

All couples who use the woman-on-top intercourse position have experienced times when the woman will thrust back and lift off  the penis only to come back down again, forcefully pushing and bending the penis against her pelvic bone , groin or vulva region.  And all men have had the experience of missing the point of penetration at the opening of the vagina during intercourse.  These two are the most common way to cause a penile fracture.

Approximately 1,000 cases of broken penises are reported each year in the U.S.  Men in their 20s and 30s are a higher risk because they are more inclined to engage in vigorous or acrobatic sexual activity that result in a broken penis.   Men in their 50s and 60s are less inclined not only because of reduced frequency and vigor of sexual activity, but because their erections tend to be less rigid.

It is not necessary to stop sexual activity if you have Peyronie’s disease, only that you become more careful and conservative about a few aspects of your sexual repertoire.  Especially for a man who already has a penile problem, it is most wise to avoid additional injury of another fractured penis so that the Peyronie’s sex problem is not made worse.   Peyronie’s Disease Institute suggests the following safety steps to avoid reinjury and possible worsening of an existing case of Peyronies:

  1. The man should not allow himself to be so filled with sexual excitement and abandon that the throws caution to the wind during intercourse.   He must be the calm and sensible one who monitors and evaluates the strength and control of thrusting and selection of sex positions so as to avoid those that put him at risk for additional injury.
  2. The man should be the one who does primary thrusting in intercourse  to reduce the chance of  additional penile trauma.
  3. Use of additional sexual lubrication during  sexual intercourse.  Even if his sexual partner produces adequate natural lubrication, apply additional sexual lubrication to avoid dryness during intercourse that can lead to additional injury while thrusting.

After the broken penis has healed begin a treatment plan using Alternative Medicine measures found on the PDI website.  Learn more about increasing the ability of the body to heal and repair PD at Start Peyronie’s Treatment.

Prostate Screening Tests and Peyronie’s Disease

Older men undergoing unnecessary PSA screening

A new study from the University of Chicago reports on the use of PSA-based prostate cancer screening in the United States, concluding that many elderly men could be receiving excessive and unnecessary prostate cancer screening tests.  This same study also determines that while elderly men are over-tested for prostate cancer, while a significant percent of men in the 50-60 age group are not being tested enough for prostate cancer.

The prostate specific antigen (PSA) test is used to help detect prostate cancer or other prostate abnormalities.

These same University of Chicago researchers report that data from two separate surveys conducted in 2000 and 2005 found that slightly less than half of men in their seventies received PSA screening tests within the prior year, a number almost double the PSA screening rate of men in their early fifties.  Consistent with this trend, men who are 85 years and older were given PSA screening tests about as often as men in the 50-60 age group.

Senior author of this study, Scott Eggener, MD, said, “Our findings show a high rate of elderly and sometimes ill men being inappropriately screened for prostate cancer. We’re concerned these screenings may prompt cancer treatment among elderly men who ultimately have a very low likelihood of benefiting the patient and paradoxically can cause more harm than good. We were also surprised to find that nearly three-quarters of men in their fifties were not screened within the past year.”  In the active study group were 2,623 men age 70 years and older and almost 12,000 men between the ages of 40 and 69 served as the control group. .

Published online in the Journal of Clinical Oncology (March 28, 2011), Dr. Eggener and his colleagues evaluated test  results in 2000 and 2005 of health surveys from randomly selected households, as part of the National Health Interview Survey initiative.  Reviewing this survey data, Dr. Eggener was able to calculate the estimated 5-year life expectancy of each participant over age 40 who had received a PSA test.

The total PSA screening rate for all men (40 years and older) within the past year was 23.7% in 2000 and 26% in 2005. A breakdown of this total number into meaningful groups shows that the PSA screening rate was lowest in the 40 to 44 age group (7.5%), the PSA screening rate increased to 24% in men ages 50 to 54 years.  The PSA screening rate increased again with a peak rate of 45.5% for men  s 70 to 74 years of age. Screening rates then declined with age, with 24.6% of men age 85 years or older reporting being screened.

The study concludes with the suggestion that treating physicians should be more selective in recommending PSA cancer screening tests for elderly male patients who are less likely to receive benefit from the results of that testing.  Instead, they recommend that more rigorous prostate and PSA screening tests should be done routinely for those men who are in the younger and healthier 40-50 age groups, since it is they who will more likely benefit from early prostate cancer diagnosis.

How does this relate to Peyronie’s disease?  Well, it shows that as your medical doctor is recommending tests and procedures for you, he is also calculating values and factors that might  not be related to your direct benefit.  This is the aspect of modern government-managed and insurance company-dictated health care that is warned about.   Medical decisions are made for you and about you that are based on what is good for others.  Keep this in mind when health care options are being given to you.

Who is a Peyronie’s Disease Expert?

The problem of the Peyronies specialist

The problem for a man with Peyronie’s disease is much greater than his physical condition. If it were not bad enough that there is no known cause and no known cure for Peyronies disease and that most medical doctors prefer to rush out of the room rather than explain this problem, there is another layer of distress to deal with when you have PD.   It appears that even within the medical profession there is disagreement about who should provide Peyronie’s disease treatment. While reviewing an internet Peyronies forum recently I discovered an interesting Q/A.  This brief exchange demonstrates just how great the difficulty is for any man who has a curved penis to know where to go for help.  The doctor’s name has been omitted only because it is actually not important to this discussion. Suffice it to say that this doctor is considered a Peyronies specialist and practices in one of the largest US cities. His answer says a lot about the low knowledge and poor experience level of the average general practitioner and urologist with Peyronie’s disease.  It is both amazing and sad to think he believes so few doctors are capable of providing good care for this problem. I have been diagnosed with PD by a urologist 3 months ago. I am 59. He has prescribed 800 IU of Vitamin E daily & also Infam-away (a hi-potency Enzyme formula) capsules 6 daily on a empty stomach. Nothing has helped after taking these medicines for 3 months. Erections are very painful and curvature has developed to the left. An indentation about 1" below the glans has also developed. He has basically told me that there is nothing else he can do. My primary care physician admits that this is a disease that not much is known as to the whys and what will work to help the pain and hopefully stop or reverse the curvature which at present is 30-40%. I was given a pain killer to help especially if erections get too painful. Are there any over-the-counter or on the internet medicines that may help? Dr. XXXXX Answers: There are no known over-the-counter products of benefit in Peyronie's disease. Most urologists know little about this condition and are generally not completely up-to-date on treatments and we suggest that you seek out a Peyronie's disease expert for evaluation and a discussion of treatments From his response you could almost hear the professional rivalry and his impatience with his medical colleagues who he thinks do not know as much as he thinks he knows.  You will also notice he did not offer any helpful advice to this man who asked the question. If you should not go to a urologist for a problem with your penis, then to whom should you go for care?  If “most” urologists do now know enough about PD to be current with care, how is the average patient to know who is safe to go for care?  No urologist has on his/her business card, “I am a urologist but it do not know how to treat PD.” Many of the people who write to me at the PDI website info@peyronies-disease-help.com live in small states and areas of low population, with poor access to a urologist and have no idea who a “Peyronie’s specialist” might be.  This is why so many men who contact me after going through the medical route of Peyronies treatment are totally confused, frustrated and angry about their medical care. While I do not agree with the opinion of this Peyronie’s specialist, “[t]here are no known over-the-counter products of benefit in Peyronie's disease,” I can only assume he is referring to the absence of studies in medical journals about non-drug treatment of PD and not his own private investigation or experience.  This tends to be true in this country because our medical doctors are not comfortable or experienced doing independent thinking. They only repeat what the drug companies and the multi-million dollar drug research have told is the truth. This truth of course changes when that same multi-million dollar drug research is found to be false, full of bad research, or riddled with corrupt findings.  When a new “wonder drug” is suddenly pulled from the market after patients are made worse or die from the prescribed drugs they are given by doctors, the doctors are told to think and prescribe in a different way.  They are given new truths from the drug companies and new drugs. In Europe it is different.  This is why so many new ideas and innovative discoveries come from Europe. In my own opinion, it is best to attempt to promote your own spontaneous recovery from Peyronie’s disease by doing all that you can to increase your body’s ability to heal and repair the curved penis plagues you.  Read about this process at Start Peyronies treatment

Peyronie’s Disease and Phimosis

Phimosis treatment and Peyronie’s disease

There is a lot of discussion these days about how the sellers of the mechanical penis stretchers say they can be used for treatment of Peyronie’s disease.  Any reader of this forum knows that PDI has taken a position against these awkward mechanical devices because of countless conversations and emails from men who report to PDI that these stretchers have actually caused their PD or worsened the PD problem if it was already present.  See Penis Stretcher: Big Problem as Peyronie’s Treatment and Penis Stretching for Peyronie’s Treatment and Penis stretching for Peyronie’s Disease Treatment

There is another way to that is better and safer to correct the distortion and bent penis of PD.  It is to use the PDI Gentle Manual Penis Stretching Technique © instruction CD to actually make significant improvement in the curved penis that is caused by the Peyronie’s plaque.  For confirmation how this might work for Peyronies disease, one has only to look at how the medical profession advises a man to help himself when he has a condition of the penis called phimosis.

Phimosis is a fairly common condition of the penis in which the prepuce or foreskin is too tight or small for it to be completely pulled back or retracted over the head of the penis.  Most of the time this condition is detected in early childhood, but sometimes persists into adulthood.   In the adult with phimosis, since the foreskin cannot be easily pulled back over the head, oil and dead tissue cells collect between the head and foreskin and results in the collection of a smelly white cheese-like accumulation called smegma.  During sexual activity the skin can become irritated and painful because of the forced friction and movement of the otherwise tight skin.  To correct this problem the medical profession has a simple solution that should be kept in mind by anyone with Peyronie’s disease.

Phimosis treatment shows how to manage Peyronie’s disease

There are two basic ways to stretch the foreskin or prepuce when phimosis is present:

  1. Gently pull back on the foreskin when erect, so that its opening feels tight around the head without feeling real pain.  Hold this position for a few minutes, and repeat a few times at one session.  Do a few sessions per day.  This stretching can be made easier if you first soak in a warm bath.
  2. Gently pull the foreskin forward over the head to create extra tissue in front of the head.  Then, with the foreskin forward and the two little fingertips inserted into the foreskin opening, hold each side of the foreskin further open and gently pull out and away on each side of the opening you have created so that the opening is larger than usual.  Continue stretching the opening with the tips of the little finger until it feels like you have stretched it to a comfortable limit and is never painful.   Hold for a few minutes and repeat a few times during a session.  This is also done best after soaking in a warm bath for a few minutes.

Continue stretching the prepuce or foreskin for a while longer once you develop to the diameter foreskin opening you want.

Peyronie’s treatment can also be done by stretching that should be easy, gentle and done in a relatively short time.  Heavy weights, tight clamps that abuse the tissue, and months of treatment are not necessary.  All of this is best accomplished with the PDI Gentle Manual Penis Stretching Technique ©.

Peyronies Treatment and Attitude

Peyronies care improved with right attitude

When someone starts Peyronies disease treatment using Alternative Medicine there is always a sense of heightened anticipation about how fast results might occur, and how quickly sexual function and lost size might be restored.  Often this attitude of expectation is so intense that an unreasonable anticipation develops that can only lead to disappointment, frustration, and ultimate failure.   This is unfortunate since so much of this self-inflicted problem is totally avoidable.

The best attitude to have while starting Peyronie’s treatment is a simple combination of determination, honest curiosity and low expectations.  Your determination should stem from the fact that there is no known Peyronies cure, other than the fact that 50% of men get over their PD solely because of natural healing and repair of their immune system.   This should serve to make you determined to be one of those 50% of men who corrects his own PD problem.  Honest curiosity should arise from learning about your particular case of Peyronie’s disease in terms of the size, shape, consistency or hardness, and surface features of your plaque or scar formation.  You should also be curious to learn what you use and what you can do to make your scar go away on its own.  Keep your expectations low and allow yourself to the surprised and delighted by whatever progress you can achieve on your own.  Reasonable expectations reduce your stress, and stress slows and inhibits your progress.  Contribute to your recovery with the right mindset that leads to the success you are looking to earn.

Contributing to your ultimate success is to keep in mind that Peyronie’s disease follows almost no pattern of behavior or similar findings or reaction from man to man for comparison.   It seems that each case of Peyronies is different in small and large ways.  And for this reason it is also difficult to anticipate the course of recovery for anyone.  You must be willing to accept the uniqueness of your situation, including how long it will take to begin to see improvement and the eventual elimination of the Peyronie’s plaque that plagues you.  Peyronie’s disease us unlike any other health problem you have ever dealt with, so do not make the mistake of using past experiences to anticipate PD progress.

Lastly, you should not expect to gain good results against your Peyronie’s disease with a half-hearted or minimal effort.  Over and over again I see that men who do little, gain little, and men who do their best, achieve the best.  Stay focused and work hard to eliminate your Peyronie’s plaque and you stand the best change of ridding yourself of this terrible problem.

Erections and Peyronie’s Disease

Erections can be difficult to develop on demand while in a sexual situation.  Paradoxically, erections can be difficult to stop or inhibit at certain times, especially during sleep.  All of this is important to Peyronie’s disease treatment since erections during sleep can have an adverse affect on progress of care.

A nocturnal, or nighttime, erection occurs because it is important for the basic health of the deep tissue, known as the corpora cavernosa, of the penis.  These deep tissues of the shaft fill with blood and trap it within the corpora cavernosa to create the erect state. If this term, corpora cavernosa, sounds familiar it is because the tunica albuginea is a thin and tough layer of tissue that covers the corpora cavernosa and the tunica albuginea is where the Peyronie’s scar is located.A nocturnal erection can be thought of as type of stretching exercise that takes place during the night when there is little other activity going on, to make sure the penile tissue is stretched and used in this unique way to keep the tissue healthy.

The problem during a nocturnal erection when Peyronie’s disease is present is that restriction and binding of the already-bent erection can be sustained against the penis for a long period of time.  Also, it is important to keep in mind that this added pressure poses a risk of additional injury top the man who already has PD.  For this reason it is important to be careful with an erection when the penis has no comfortable or safe direction to extend itself.   Since it is not possible to stop an erection while asleep, it is smart to not wear tight or limiting underwear or pants while sleeping if you have Peyronie’s disease. It might be even smarter to wear nothing at all while you sleep since this avoids a great potential for binding and restriction.

For the most part, a normally occurring erection that can simply “stand on its own” with no pressure against it, is not going to bind or incorrectly stretch out the penile tissue in a way that is detrimental to the penis.  Problems occur during a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.   For this reason it is understood that a naturally occurring erection is safer than an artificially created erection.

Drug induced erections can start Peyronie’s disease

Over the years I have communicated with many men whose PD started after a drug induced erection that stressed the penile tissues by greatly increased internal pressure.  This process would not be much different than taking a car tire that is meant to go no higher than 40-50 pounds per square inch during normal use, and over-inflating it to 100-150 pounds per square inch.  Because it is not built to take that kind of pressure, you could expect some problems to develop in using a tire that way.  Not much different with the penis.

Sexual activity is NOT to be avoided if you have Peyronies, but rough, aggressive, hard sex can be dangerous and really injure the already damaged tissue further. Developing and using a natural erection is not to be avoided either in Peyronie’s disease.  However, it is important to keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Any sexual activity or posture that causes pain should be avoided.

Many important related topics about taking care of yourself, avoiding injury, doing nothing to set your progress back while you are attempting to heal your problem, are covered in my book, “Peyronie’s Disease Handbook.”   Check out the website about this book at  http://www.peyronies-disease-help.com/PD-owners-manual.html I think you would enjoy learning more about what you can and should do to take care of this nasty problem.

When Peyronie’s Scar Not Easily Located

Peyronie’s plaque

If you are going to be in charge of your therapy plan, you must know where your Peyronie’s plaque or scar is located.  Even though it is not always easy or obvious, it is essential to Peyronie’s disease treatment because our method is to use “scar behavior” as a guide – a bench mark – a barometer – to judge effectiveness  of care.  Scar behavior is not a matter of curiosity; you MUST know about the scar in as great detail as possible to know if you are making actual progress or not.  If you do not know if there is a change in the size, shape, density or surface features of your scar during treatment, then you are guessing – and shame on you because your results will not be as good as if you actually knew what was going on down there.

Before I go into this subject in some detail, I must remind you that the Peyronies 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.

Peyronies scars or plaques can be extremely variable in most all aspects.  For example, while some men have an obvious scar, 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 Peyronie’s disease is still made.  This diagnosis can be accurately made 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.  The doctor’s lack of ability, experience or concern when he does the 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.

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) is often an issue.  Keep this in mind when you search your personal  landscape while trying to locate your scar.

Finding your Peyronie’s plaque

Ultimately, if you have Peyronie’s disease you must begin the search with the attitude the scar is there, and 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.  Of these, some are narrow while others are wider. With this in mind, image that your scar is very large.  If you are looking for a pea-sized scar it will prevent you from easily finding something much larger.

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.

Different way to approach Peyronie’s scar

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 of 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 Peyronie’s plaque feels like if you have never had to do this before?  It is a common problem.

Peyronie’s Disease Institute has much success with the methods we present to you.  Just because your doctor could not locate your scar does not mean it is not there.  And it definitely does not mean that you cannot find it, just because he can’t.   As so many men with PD finally come to understand, you must take control of your situation and begin to get well on your own.

I have worked with hundreds and hundreds of men who wanted Peyronie’s treatment.  Some of these cases were mild and some were severe, some had it just a few months and a few more than 10 years old.  I had a bad Peyronie’s disease problem until I cured my condition using the procedures found on the PDI 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.

Protection for Peyronie’s Disease during Intercourse

Girth enhancement rings stabilize Peyronies

Since 2002 Peyronie’s Disease Institute has made several different products available to our customers that offer important penile protection while still allowing sexual intercourse to take place.   One of these is the girth enhancement ring or sleeve, please see Girth Enhancement Ring.

Using this uncomplicated device provides a level of support that greatly reduces the possibility of re-injury of the penis during intercourse.  For many men this simple and inexpensive device is essential in a couple’s ability to engage in sex at all – for many men the added support is needed to make penetration.

The basic girth enhancement sleeve is a thick but flexible tube that is open at both ends, made of very soft and stretchy silicone material.  The penis is slipped into the tube and the glans or head of the penis sticks out at the other end for full sexual contact.   With this added support the shaft is less likely to be re-injured by sudden bending or collapse.

Even if the cause of Peyronie’s disease in your case was not trauma, it is critical that you do all you can to not injure your penis during sex if you have PD.  The following deformities present a real or potential weakness of the shaft of the penis that can easily get re-injured during sexual activity, and therefore will benefit from the use of girth enhancement sleeve:

1.    Twist

2.    Curve

3.    Bend

4.    Dent, dink, nick, depression, impression or filling error

5.    Bottleneck deformity

6.    Hourglass deformity

Any of these Peyronies deformities is weakest at the area of the greatest distortion, or thinnest part of the shaft, that can suddenly bend, fold or collapse during insertion or while thrusting.  This is the area over which the girth enhancement sleeve should be worn.

Dealing with a penis that is weak in one small area is like having an ankle that is weak because of an earlier injury, making it susceptible to re-injury.   Also, just like a sprained ankle, each penile re-injury occurs more easily and gets progressively worse.  The best approach to take is to not allow additional injury to take place so the tissue remains as healthy and strong as possible.  For the ankle the treatment is to wear a support and to slow down so that you do not hurt yourself again.  The same with Peyronie’s disease.

A valuable second benefit to the girth ring support is the additional thickness or girth it adds to the penis that can make up for the lost dimension that many men experience.

I urge any man whose penis is distorted by Peyronie’s disease – known as a Peyronie’s penis – to investigate the girth enhancement sleeve to provide protection during sexual activity to avoid re-injury and worsening of his problem.

Communication Vital for Peyronie’s Teatment Success

Saying you do not know might be the wisest thing you can do

The Peyronie’s Disease Institute has been working with men since 2002, offering the most effective therapy ideas and products we can find, and helpful information about successful Alternative Medicine treatment of Peyronie’s disease.

Usually within the first month of Peyronie’s treatment a man will enter into a critical point of his Peyronie’s treatment when he can become confused and doubtful.  Many men become unsure if they are using the correct treatment products or using them in the right way. Many times men want to change their plan but do not know how to do it.  If this describes how you are feeling about your treatment plan, you must let me know your questions and I will do my best to help you with all of this.

Please do not hesitate to send an email asking for help and information.   I would be happy to answer your questions, and offer insights and ideas gained after successfully treating my own PD, writing two books on this subject, and working with nearly a thousand men from around the world with their Peyronie’s treatment.

Contact Dr. Herazy at info@peyronies-disease-help.com

Peyronie’s Disease and Intercourse

Peyronies and problems with sexual intercourse

Sexual intercourse can be a problem in Peyronie’s disease due to the penile distortion that occurs because of the presence of fibrous scar tissue, or Peyronie’s plaque, within the shaft of the penis.  The presence of this fibrous plaque can cause the penis is bend in any direction to a minor degree that is hardly noticeable, up to and even beyond a 90 degree curve.  In addition to a significant bend, Peyronies disease can also cause distortions that are described as “bottle neck” and “hour glass” for their resemblance, as well as simple dents or dings along the side of the shaft. Click here for Peyronie’s pictures.

The cause of Peyronie’s disease has not yet been determined even thought the condition has been known for almost 500 years.  Some researchers theorize the distortion forms as a result of trauma to the penis, or when minor contact causes an indirect micro-trauma shearing force that can result in minor bleeding into the wide area of tissue.   While healing is taking place certain growth factors that appear to be genetically determined cause an abnormal amount of scar tissue (or plaque) to form at the site of injury.

The penis is composed of three cylindrical cavities, with two of these at the top and one below.  The top two are wider and thicker, and are called the corpus cavernosa, while bottom cylinder is the corpus spongiosum and contains the urethra or the tube through which urine flows.  During erection the two top corpora cavernosa expand to trap and hold the blood that produces the pneumatic force that results in enlargement and rigidity.   Each of these paired cylinders is surrounded by a very elastic covering called the tunica albuginea, similar to the casing of a sausage.

In a case of Peyronie’s disease the elastic tissue of the tunica is replaced by scar tissue, so it lacks flexibility and the ability to stretch.  Because the plaque is not elastic, but rather hard, it will not stretch with erection.  When this happens the erection that occurs is not even or symmetrical, and often smaller than before.

What starts out as a small nodule or constriction on the penile shaft just below the skin surface, eventually expands to form a flat plaque or deposit that can sometimes extend along the entire length of the shaft.  This plaque invades and replaces the elastic tunica albuginea covering of the internal tissue of the penis, leaving a mass of inflexible material. In some patients the penis beyond the plaque will not become as rigid. When a man with this degree of extensive Peyronie’s has an erection, the scar or plaque material cannot expand, resulting in a curved or bent penis, or one that exhibits a bottle neck or hour glass deformity – or a combination of these distortion patterns.

Often the plaque is located on the top surface of the penis, causing an upward curvature.  However, plaques can occur anywhere on the penis; the scar or plaque will always be worse on the concave portion of the distortion pattern.

Many men with Peyronie’s disease complain not only about their curved or distorted erection, but also about the loss of length and girth. These are all results of the inelastic tissue within the substance of the penile body.

Peyronies curved penis and sexual intercourse

One-third of men with Peyronie’s have pain when erect, and a smaller number become impotent. In some cases, the head of the penis does not fill with blood, resulting in a penis that is erect on the bottom near the pubic area, and soft or flaccid toward the top part of the penis – this is called a bottle neck deformity.  This type of distortion would make intercourse difficult due to penetration problems.  About half of men with Peyronie’s disease continue to function sexually when their curving penis is gradual and minor.  But as the curvature becomes abrupt and large the amount of sexual difficulty also increases.   Half of men with Peyronies experience frequent to constant problems with intercourse due to their distortion pattern.

For in-depth solutions and discussion of the sexual problems related to Peyronie’s disease please review the contents of Peyronie’s Disease & Sex, a one-of-a-kind book written by a man who completely cured his PD using the Alternative Medicine treatment principles found on the Peyronie’s Disease Institute website.

Pentoxifylline and Peyronie’s Disease Treatment

Pentox for Peyronie’s treatment is an off-label use

Every now and then I get an email asking for my opinion about using Pentox (Pentoxifylline) for Peyronie’s disease treatment.  Over time I have developed a few ideas about this controversial drug that is gaining some popularity as an off-label Peyronie’s treatment.

Those MDs who prescribe Pentox are still trying to figure out the best way to use it, not only for PD but for many other conditions.  While the primary use for Pentoxifylline is based on its ability to increase peripheral blood circulation, hence it is used to treat senile dementia and intermittent claudication, Pentox is gaining acceptance with the medical community for Peyronie’s treatment.

Some MDs who have learned the hard way that PDE5 drugs (Viagra, Cialis, Levitra) are not at all a safe or effective Peyronie’s treatment have instead begun to prescribe Pentox to increase blood flow in Peyronies.   But to have that make any sense at all you have to believe that PD is caused by reduced blood flow in the first place, or that merely increasing the blood flow will somehow help PD.  I can totally agree with that thinking if you have evidence that your penis suffers from reduced blood flow (it is cold and blue).  But if your penis is not cold and blue and bent, then you probably will not benefit from Pentox in the way that most people think.

It is my opinion that when Pentox is said to help men with PD it is because as the blood flow is increased to the periphery, it also brings in an increased flow of nutrients to assist the healing process.  Further, when Pentox helps a case of PD it is because of the totally secondary benefit of increasing the body’s ability to heal and repair the PD plaque when there are more nutrients in an area of the body.   It is a small point, perhaps, but a vitally important point to understand that it all comes down to the body healing the PD scar – not the Pentox having some curative ability by itself.   If Pentoxifylline can increase general circulation more safely than Viagra, Cialis, and Levitra, then great I am all for that.  But you have to consider that if you do not have a circulatory problem in the first place, then why take any of these drugs at all?

If the benefit of Pentox is to bring more nutrients into the tissues, to assist healing and repair of the PD plaque or scar, that is wonderful.  If it is beneficial to bring more nutrients into the tissue, would it not be a more logical and effective Peyronie’s treatment to intentionally and intelligently supply a wide variety of nutrients at a higher than average dosage to the body to assist the healing process?  After all, that is what PDI has been doing since 2002 and it works in a great percentage of cases when it is done correctly.

Since extremely few men actually have any evidence of a circulatory problem in the pelvis, taking Pentox or even Viagra, Cialis, and Levitra, will not make a difference because that is not the problem that is going on with PD.   If the problem is that you did not heal your tunica albuginea injury because of poor nutrient availability then I suggest it would do you a lot of good to increase the nutrients directly, not indirectly by playing with the circulatory system when there is no circulatory problem.

You notice that I do not say, “Do not take Pentox,” I only say it is new so use caution.  I also say that when Pentoxifylline helps it probably does so only because it helps the body work better by increasing available nutrients, not because it specifically increases blood flow.  If you want to help your pelvic blood flow:

1.    Wear boxer shorts

2.    Uncross your legs when you sit

3.    Do some Kegel exercises

4.    Put a moist hot pack on your privates when you watch TV

Most MDs are taking the attitude that while they do not know if Pentox helps PD, or why it helps when it appears to help PD, at least they currently have no evidence that it makes PD worse – so what the hell, take it and let’s see what it does for you.  This is how many medical patients get hurt in the long run with such a cavalier attitude about drugs.

I say better to take an Alternative Medicine approach to your problem to help your body heal and repair the Peyronie’s pathology naturally.

Peyronie’s Disease Treatment and Insanity

Einstein and Peyronie’s treatment

We have all heard Albert Einstein’s definition of insanity:  “Doing the same thing over and over again and expecting different results.”   Well, I think this sometimes applies to the way some men conduct their Peyronie’s disease treatment plans.

I am reminded of Einstein’s famous quote each time I communicate with someone who wants to know why his Peyronies treatment is not getting results even though he is faithfully following it daily, for weeks and months at a time.

Please review the following email exchange between one of your PD Warrior brothers and me. You will see the writer had no idea about the size, shape, density or surface quality of his scars yet he was trying to treat himself with Alternative Medicine.   Because he had no idea of where he was, where he had been, or where he wanted to go, he was easily discouraged and was not successful with his Peyronies treatment.

I will use the familiar method to keep the email question sent to me in black and my responses to him in red within his email so the information becomes more of a conversation between us.

Hello Dr. Herazy,

It has been a while since we talked on the phone when I asked for help getting started treating my Peyronies correctly.   My name is BXXXXX, maybe you remember me.   I am the student at the University of XXXXXXXXX who was in the bike accident and was hospitalized with a fractured pelvis.  Three months later I was diagnosed with PD.  I asked my doctor if he thought there was a connection between the accident and the PD and he said no.  From my experience Peyronie’s disease is a fairly common outcome if you sustained direct injury to the penis shaft when your pelvis was fractured.  Many men develop Peyronies disease  after injuries that occur during sexual activity that are less serious than what you went through, so I am not sure why he would have said this.  Also, your Peyronies could have started either from the injury to the shaft that took place during the bicycle accident, or from the catheterizations that took place during surgery or afterward.  I have a large discussion about how PD can start from abusive catheterizations on the PDI blog at Possible Peyronie’s Causes: Catheter and Cystoscope Trauma.    Because of my limited funds I settled on using a PDI medium plan plus PABA.

I thought because I am young and the injury was recent I would get over the PD fast.  That is usually true for most men, but even some younger men take longer to recover because of overall poor health, stressful lifestyle, poor diet, genetic predisposition, or other reasons like drug abuse. But after two months I got discouraged and quit care for a few months.  I was following the medium plan for two months and my curve stayed the same as far as I could tell, so I stopped doing everything.   You made a few mistakes early in your care:  1. You did not contact me for ideas and advice about your treatment when you ran into a problem.  You were in a totally new area of your life and you were trying to do it all by yourself when you have help available.  Big mistake.  2.  I looked up your records and you did not getPeyronie’s Disease Handbookthat would tell you how to go about treating your problem.  For this reason you used the phrase “my curve stayed the same as far as I could tell.”  This means that you were not using the condition of your curve to tell you if your treatment was successful or not, and this is a big mistake made by people and MDs who have no idea how to approach PD treatment. The condition of the penile curvature is determined by the internal PD scars that affect the tunica albuginea.  If you want the curve to go away you must get rid of the scars.  All of your evaluation and attention should be directed to understanding and documenting the condition of the size, shape, density and surface qualities of each of your scars.  Once your scars are reduced or eliminated you will change in the distortion pattern or bend that you have.  3.  You were guessing about your care because you were guessing about your condition at the time you were treating yourself.

Before you go on a diet to lose weight you must at least measure your waist and weigh yourself so you know your situation at the start of your diet.  If you do not measure your waist and weigh yourself, how will you know if your diet is working?  If you are guessing about your weight, you will either quit a plan that is working because you do not know that it is working, or you will stay on a diet too long that is not working.   If you know your exact waist measurement and weight you will be able to tell immediately when the diet starts to work – or not.

You will then be able to intelligently either stay on a diet that is helping you or change the diet if it is not helping you – all based on your knowledge of the situation.  You must do the same with your PD treatment. Then I reinjured myself during sex   Always be very careful during sexual activity and maintain control of the situation because it is you who will suffer most.  All woman-on-top positions are dangerous because you do not have good control over her and she can bend the penis if she comes up too far and you slip out.   When she comes back down again you will get your shaft bent. and my curve got even worse.  I thought I had no choice but to start PDI treatment again since the idea of Peyronie’s surgery is out of the question for many reasons.     Good thinking.  Surgery is the last thing you want to do if you have PD.  I have many posts on the PDI blog about Peyronie’s disease surgery that goes bad.

I am sorry to say that after ten weeks of faithfully   No, you did not faithfully follow the PDI concepts of treatment. You think you did, but you did not.  You tried to make up your own rules and they did not work for you.  You cut a few steps out of the process and you wasted time and money guessing about your treatment.   As a necessary step at the beginning you must determine the exact size, shape, density and surface quality of each of the scars you can find. Once you know that, then you can begin care.  By applying or using whatever level of treatment you think would help you, you should frequently monitor your scar to see how they are responding to whatever kind of treatment you have chosen to use.  To learn more about this process, please refer to chapter four of the “Peyronie’s Disease Handbook” and many blog pages that refer to this process. treating my problem I believe I have not made any changes with my bend or the pain I have,  Again, it is not the bend or pain that is important – but it is the condition of the scar that is causing the bend and the pain that is important.  All focus and attention should be on the scar that is causing all of the things you notice. although sometimes it is difficult to say.   That is exactly the point I am making.  It is difficult for you to say because you were guessing for four and a half months and you got confused and frustrated along the way. The two nodules on the top of the shaft are smaller some days, but it is difficult to know for sure.  It is good that you can tell that they are changing, that means that your tissue will respond to your treatment if it is already responding to things that you are doing in your daily life.

For the last ten weeks this is what I take:

Nattokinase – 2/dose between meals
Fibrozym – 2/dose between meals
Vitamin E 400/400 – 3/day
Maxi-Gamma E – 1/day
Vitamin C – 1/day
MSM – 3/day
Scar-X – 2/day
PMD DMSO with Unique-E and Super CP serum – 1/day
PABA – 6/day
Massage and Exercise program – 4 or 5/week

There is nothing wrong with the plan you are following.  The problem is that you are not sure your body is not responding to it because you have no baseline for comparison to judge progress.  So, the job in front of you is to know exactly the size, shape, density and surface qualities of your scars, and to then see what you have to do to your plan to make your scars change from that baseline.  It is that simple – and that difficult.  More about that will be covered below.

If you are looking for my suggestions about what you might want to consider changing with your PD program:

1.    Consider increasing your enzyme dosage; maybe even adding Neprinol into your plan.

2.    You really should reduce the Factor 400/400 vitamin E for now

3.    Consider increasing the vitamin C intake

4.    Adding moist heat applications prior to your PMD DMSO treatment is always a good idea

5.    Consider getting the PDI Manual Stretching video – it is an inexpensive way to add a very different level of treatment to your plan

6.    Consider using the Genesen Acutouch pens – they are effective and often increase treatment results within a short time for many men

You do not want to follow all of these changes or additions at once; doing one at a time while monitoring your PD scar for positive changes is how it is done.

Putting these two different times I followed your system of treatment I worked for a total of about 4½ months and do not have anything to show for it.  How do you know you have nothing to show for it?  You could have a nice reduction of the size, shape, density or surface quality of your scars but you would never know it because you have not taken the time to learn how to document these important measurements.

Your system makes sense and I like the logic of it, but I do not know how to make it work for me.   It is really not that complicated or difficult to make the system work once you get a few things explained to you. What changes should I make to my treatment plan to create more definite changes in my problem?    All you have to do is to make some change – any change – to your PD treatment plan and check back in 7-10 days to see if there is any change in the size, shape, density or surface quality of your scars.  If you see a change, then keep doing what you are doing.  If you see no change, then change something else.  It is as simple – and complicated – as that.

Since neither you nor I am smart enough to know ahead of time what your body needs to recover from PD, it is your job to try different things to learn first-hand how your scar will respond to whatever changes you decide to make.

Following the same ineffective plan for four and a half months is insane.  If you are walking north and you really want to be going south, you must stop what you are doing and turn yourself around.  Successful PD treatment is not a matter of popping a handful of pills into your mouth, hoping that something will happen.  You must learn what it takes to make your PD scar respond favorably and continue to do that.  You must be in control of your plan and understand your Peyronie’s plaque or scar behavior better than your MD – and that should be pretty easy.  I can help you if you let me. TRH

Thanks for your time and help.

BXXXXXXX


I hope reviewing this email exchange was helpful.

It really is not a complicated process to figure these things out.  I believe the problem is that most people are accustomed to going to the doctor and following orders; they are not accustomed to being in charge of their treatment.   After men realize that their MD has no viable PD treatment to offer them, then they finally take on the challenge of taking control of their destiny and they start to see results.

Peyronie’s Treatment at the New Year

As this New Year begins it is a good time to stir your commitment to success in your Peyronie’s treatment.

When you consider that your odds for success against Peyronie’s disease are not very good if you do nothing, it is important that you do something to help yourself.  We specialize in doing all that you can to help you to heal this problem of PD.

Good luck to you.  Let me know what I can do to help you along on your path to successful Peyronie’s disease treatment.

“The secret of success is constancy to purpose.”  — Benjamin Disraeli

“Genius is divine perseverance. Genius I cannot claim nor even extra brightness but perseverance all can have.”  —  Woodrow Wilson

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.    — Ralph Waldo Emerson

“History has demonstrated that the most notable winners usually encountered heartbreaking obstacles before they triumphed. They won because they refused to become discouraged by their defeats.”  —  B.C. Forbes

“The price of success is hard work, dedication to the job at hand, and the determination that whether we win or lose, we have applied the best of ourselves to the task at hand.”   —   Vince Lombardi

Don’t be discouraged.  It’s often the last key in the bunch that opens the lock.   —   Ralph Waldo Emerson

“Desire is the key to motivation, but it’s determination and commitment to an unrelenting pursuit of your goal – a commitment to excellence – that will enable you to attain the success you seek.”  — Mario Andretti

“The difference between the impossible and the possible lies in a man’s determination.”   —  Tommy Lasorda

He conquers who endures.   —   Persius

“Adhere to your purpose and you will soon feel as well as you ever did. On the contrary, if you falter, and give up, you will lose the power of keeping any resolution, and will regret it all your life.”   —   Abraham Lincoln

“The difference between a successful person and others is not a lack of strength, not a lack of knowledge, but rather a lack of determination.”   —  Vince Lombardi

“Always bear in mind that your own resolution to succeed, is more important than any other one thing.”   —   Abraham Lincoln

Protection for Peyronie’s Disease during Intercourse

Girth enhancement rings stabilize Peyronies

Since 2002 Peyronie’s Disease Institute has made several different products available to our customers that offer important penile protection while still allowing sexual intercourse to take place.   One of these is the girth enhancement ring or sleeve, please see Girth Enhancement Ring.

Using this uncomplicated device provides a level of support that greatly reduces the possibility of re-injury of the penis during intercourse.  For many men this simple and inexpensive device is essential in a couple’s ability to engage in sex at all – for many men the added support is needed to make penetration.

The basic girth enhancement sleeve is a thick but flexible tube that is open at both ends, made of very soft and stretchy silicone material.  The penis is slipped into the tube and the glans or head of the penis sticks out at the other end for full sexual contact.   With this added support the shaft is less likely to be re-injured by sudden bending or collapse.

Even if the cause of Peyronie’s disease in your case was not trauma, it is critical that you do all you can to not injure your penis during sex if you have PD.  The following deformities present a real or potential weakness of the shaft of the penis that can easily get re-injured during sexual activity, and therefore will benefit from the use of girth enhancement sleeve:

1.    Twist

2.    Curve

3.    Bend

4.    Dent, dink, nick, depression, impression or filling error

5.    Bottleneck deformity

6.    Hourglass deformity

Any of these Peyronies deformities is weakest at the area of the greatest distortion, or thinnest part of the shaft, that can suddenly bend, fold or collapse during insertion or while thrusting.  This is the area over which the girth enhancement sleeve should be worn.

Dealing with a penis that is weak in one small area is like having an ankle that is weak because of an earlier injury, making it susceptible to re-injury.   Also, just like a sprained ankle, each penile re-injury occurs more easily and gets progressively worse.  The best approach to take is to not allow additional injury to take place so the tissue remains as healthy and strong as possible.  For the ankle the treatment is to wear a support and to slow down so that you do not hurt yourself again.  The same with Peyronie’s disease.

A valuable second benefit to the girth ring support is the additional thickness or girth it adds to the penis that can make up for the lost dimension that many men experience.

I urge any man whose penis is distorted by Peyronie’s disease – known as a Peyronie’s penis – to investigate the girth enhancement sleeve to provide protection during sexual activity to avoid re-injury and worsening of his problem.

Pentoxifylline and Peyronie’s Disease

Pentox not researched Peyronie’s disease treatment

Pentoxifylline (often called simply, Pentox) is a drug that is sometimes used in medical Peyronie’s disease treatment.  The exact mechanism by which Pentox affects the Peyronie’s plaque is not at all understood.  But then, its use for PD is called off-label – meaning experimentally and without scientific basis since the drug was not intended or designed to be used in this way.  This is similar to the way that Viagra, Cialis and Levitra are prescribed for PD, even though this is also an irregular use of these drugs; Verapamil is used in a similar off-label manner.

Pentoxifylline is not a vasodilator; it affects the body by changing the shape of red blood cells while in the blood vessels by a mechanism that is not completely understood.  This change allows for improved flow into the smaller arteries and even capillaries of the body. For this reason it is commonly used for treatment of circulation problems in the arms and legs.  While being taken, the effects are experienced as though Pentox is a vasodilator but it is not.

Pentoxifylline is one of those drugs that have multiple off-line uses as determined by any adventurous doctor who is willing to experiment with his/her patients. This is good and bad at the same time.  Apparently pentoxifylline does so many things in the body that it can and is applied to many conditions – this is good, I suppose.  But because it does so many things in so many areas and systems of the body that Pentox is more likely to cause widespread and surprising side effects and new problems that new health problems can develop in those who experiment with it – this is bad.    It has been used in humans for a wide variety of inflammatory and fibrotic conditions; hence, it has been also used for Peyronie’s disease at times.   When it does seem to help PD, the mechanism is not understood, but could be related to blocking of the transforming growth factor (TGF)-1-mediated pathway of inflammation, thus prevents deposition of collagen type 1.

It comes as a tablet that is specially coated to prevent stomach lining irritation.  For this reason do not break, crush, or chew the tablets; swallow dosage whole. Do not stop taking pentoxifylline suddenly. It may take 8-12 weeks for any beneficial effects of pentoxifylline to be noted.

This drug is so new that there have been very few – maybe only one – studies of pentoxifylline for any use.  It has yet to be determined how much and how reliably pentoxifylline reduces plaque formation in later term or well developed Peyronie’s disease.

Before taking this medication, let your doctor know if you have an ulcer of the stomach or duodenum, liver disease, any type of bleeding disorder or any type of surgery.

Lastly, because pentoxifylline increases the movement of blood into and out of all areas of the body, it increases how the body responds to some drug functions and reactions.  For this reason, if you are taking another medication along with Pentox you might notice that the other drug will begin to affect you stronger or differently than before.  Thus it might be necessary to adjust the dosage of these other drugs while you are taking pentoxifylline.

I have run across many men who were put on this drug and had no improvement of their PD, and experienced multiple side effects strong and bizarre enough that they had to stop usage – and this made their problem even worse.  These Pentox side effects include loss of appetite, nausea, constipation, headache, dizziness, anxiety or blurred vision may occur at first as your body adjusts to the medication.  More significant are the other side effects of chest pain, mental confusion, gastric irritation, difficulty breathing, or severe rashes that should prompt immediate attention of the prescribing doctor.  Also, pentoxifylline can be difficult to reduce once you are on it since rapid reduction can worsen any of the above side effects.

For information about the natural Alternative Medicine treatment of Peyronie’s disease please visit the Peyronies Disease Institute website.

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.

Peyronie’s Disease and Cancer Surgery

How Peyronie’s disease can start after cancer treatment

This blog entry will be different from the usual discussion of Peyronie’s diseaseIn this blog posting I will offer my comments about an email I  discovered on another website that covers the subject of prostate cancer and Peyronie’s disease; it is predominantly a medically leaning website in which the moderator and visitors discuss their personal experiences with prostate cancer treatment.

Because there is a statistical relationship between men who undergo radical prostate surgery and Peyronie’s disease, I am interested in discussing this topic from a different perspective.  There is a bit to say about these cases of secondary PD that occur after cancer surgery, often ignored in comparison to the more pressing problem of prostate cancer.

The man who wrote the following email wanted to tell others his experience while visiting an ED specialist after his radical prostate surgery.  After this kind of surgery it is common for erectile dysfunction (ED) to develop due to the large amount of nerve damage that occurs.  The writer mentions he developed Peyronie’s disease after his prostate operation, and makes several comments about PD that are typical of those I receive daily. This is why I bring this email and my comments to the Peyronie’s Disease Institute blog. Many people believe what this man expresses because of what they are told and read from other sources. I present my thinking to you to challenge your thoughts and beliefs.  If you disagree, I would like to hear from you.

The email I am using was posted on this other website without comment because no one thought there was anything wrong or unusual about this man’s Peyronie’s disease treatment comments. It is important for my audience of PD men to read this email because of the popular ideas and attitudes that the writer reveals.

The email from the man (RR) who had the radical prostate surgery is written in black, and my comments inserted within his email are in red.

From RR:

A recent posting stimulated me to go to my ED specialist, a trip which I have been putting off. My history: RP
This means “radical prostatectomy,” or surgical prostate gland removal along with surrounding tissues – usually related to cancer. 9/20/99 at age 65, one nerve spared, PSA still undetectable, and some detectable Peyronie’s, or at least a bending of the penis at about a 20% angle to the left (looking down on it) about one inch from the base.

I started early pursuing ED options and had tried Viagra, a VED and injections by seven weeks post RP. For those who have read the PDI website and blog you will immediately notice that this man within seven weeks after his cancer surgery did three things that are associated with causing Peyronie’s disease: 1. He used Viagra – this can excessively stretch and injure the tunica albuginea; the same is true of Cialis and Levitra.   2. He used a VED – this is the vacuum pump device that can overstretch and injure the internal tissue of the shaft.  3.  He received injections into the shaft of the penis, probably to create an artificial and temporary enlargement, apparently because his doctor thought this is beneficial to his recovery.  I never really had success with the VED, partly because I got enough initial take from the Viagra for a stuffable erection, This is an interesting point he makes here.  After using Viagra he says it is necessary to  “stuff” his penis into the vaginal opening for intercourse to take place.  Forcing or stuffing a weak enlargement into the vaginal opening is a common way to start Peyronie’s disease or worsen your problem if you already have it.  If a man is so soft that insertion is difficult, he runs the risk of abruptly bending his weak erection during insertion or possibly causing the shaft to bend, buckle or collapse during the thrusting of intercourse.  This can easily injure the delicate tunica albuginea enough to start or worsen Peyronies.  You never want to engage in sexual relations with less than a fully hard erection because a soft erection is an unstable situation that often leads to injury and PD.  His doctor should have warned this man about his need to “stuff” his penis, but apparently did not.  This fellow is writing as though this is just the way things are supposed to be when you use Viagra; you just have to push and “stuff” yourself in, like it is no big deal.  This is a foolish and dangerous thing for a man who already Peyronie’s disease, but no one has warned him about this danger. but primarily because I had early success with injections. Notice he uses the plural form, “injections.” You will see in his next sentence he is referring to injections of the drugs Trimix and Papaverine Chloride into the shaft to create a temporary artificial enlargement.  I have repeatedly warned about any kind of injection into the penile shaft that is known to start or worsen Peyronie’s disease because the needle damages the tunica albuginea. I have scores of conversations in which men who tell me their PD started after just one injection. It is certainly possible that this fellow’s PD started because of repeated injury caused by inserting a needle into the tunica albuginea and leaving irritating chemicals there. Trimix gave me too much discomfort for intercourse, so I was soon switched to Papaverine Chloride which is one of the three ingredients in Trimix. A 30 cc dose of this gives me a reliable erection for about an hour, and the pain-free reliability of this made me forsake the other options, even though I still take 100 mg. of Viagra two to three times a week to encourage nocturnal erections.

I now get nocturnal erections both with and without Viagra, and can get rather full erections without Viagra, but it takes a fair amount of stimulation, so that my wife and I have just continued with the Papaverine when we desire intercourse, Papaverine is an injection drug that is used each time this couple desires sexual union.  So, rather than take Viagra because it is too much work because it requires “a fair amount of stimulation,” he chooses to inject himself each time with Papaverine. He does not say how often he does this, but this could be many injections monthly. Yet no one has presented the idea to this fellow that his shaft is not a pin cushion that could eventually develop Peyronie’s disease after this kind of repeated injury. This is how people get into trouble being far too casual about the use of drugs and intrusive therapies. rather than risk the undependability or hassle of the other options. Because he wants to avoid the risk of undependability and hassle of other options, he repeatedly stabs a needle into his tunica albuginea and now wonders why he has Peyronie’s disease.  This kind of casual and repeated use of drugs in general is a common way for many people to create many problems for themselves – yet no where in this discussion does this fellow’s doctor try to stop this kind of behavior.

The Peyronie’s hadn’t seemed to be getting worse, and didn’t interfere with the enjoyment of sex, so until today I had been putting off the trip to my ED specialist because it involved a long trip. My specialist is Dr. Steven Auerbach who is listed as an ED specialist in the appendix to Eid’s book and who also contributed the chapter on erectile dysfunction in Aubrey Pilgrim’s book.

Auerbach’s reply was that there did not seem to be enough scarring to take any action now. If it gets worse he will give me either Verapamil cream or Verapamil shots if the problem is more localized.  He has about 15 men on Verapamil, and although there is not yet any real documented success he is pursuing this treatment. Please read that last sentence again.  Both the doctor and this patient are not at all bothered that there are no reports of success using Verapamilthey will use it anyway.  Neither the doctor nor the patient do not mind there are real dangers (increased or decreased blood pressure, lung and breathing complications, liver and kidney damage) posed by the use of topical Verapamil, because they think it might help his PD.  Further, he does not mention that Verapamil is a calcium channel blocker that has been implicated as the cause of Peyronie’s disease in some men. He also continues to recommend taking Viagra frequently, if for no other reason than to stimulate blood flow. This is a favorite topic of mine – the idea that Viagra should be used “to stimulate blood flow.”   First, no one can question the need for good blood flow and adequate circulation for health and healing.  But, when should a person really consider taking action to increase blood flow?  Answer: when there is actual evidence of reduced or inadequate blood flow to an area.  This evidence would be slight coolness or a slight blue colored tint to the skin.  We all know that if your skin is cold and blue, you need to increase circulation.  If your penis is not cold or blue, but it is as warm as the rest of you and is the usual color, this is strong evidence that your circulation is fine.  Second, the idea of increased circulation of blood should bring to mind either a faster blood flow into an area or more blood than is normally found in an area of the body.  Let’s say that you are running for a while.  You would expect more blood to be flowing into the lungs and legs, at least, and probably all the rest of you.  This would be an example of increased blood flow.  Do you know what an example of decreased blood flow is?  (Remember, before you answer, that this means “a faster blood flow into an area or more blood than is normally found in an area of the body.”)  Well, a good example of decreased blood flow in the body is what happens during an erection. What? Think about it.  During an erection blood is trapped in the spaces of the corpora cavernosae and corpora spongiosum of the shaft.  The primary veins of the shaft close, stopping drainage of blood that goes in and out, thus backing up or trapping blood to increase pressure against the walls of the tunica albuginea.  This is what creates the characteristic hardness and enlargement of an erection.  The shaft does get longer and thicker because more blood enters the shaft, but for the average man this might be only 2-3 tablespoons more blood than is normally present while flaccid.  However, this slightly greater amount of blood is still trapped inside the shaft and does not flow freely like when you exercise. There is a very small amount of exchange or circulation of blood during this time; otherwise it would be dangerous to have an erection for more than a few minutes.  But, overall, the actual movement and flow of blood is less at this time, compared to the non-erect state.  You can prove this to yourself by close examination of your erection. Your entire organ is darker and more purple colored – when the normally red head or glans becomes tinted blue because of reduced circulation, it appears to be purple by mixing of the two colors.  Also, the veins of the shaft become obvious (like varicose veins) in the same way they will if you wrap one hand around the other wrist and squeeze to stop the blood flow.  So, if all this is true – and it is – then how does taking Viagra increase blood flow?  Answer: it does not increase circulation in the penis.  An erection can only happen if blood is trapped like air becomes trapped inside a balloon to make it more rigid.  Go tell that to your MD the next time he wants to write a prescription for you to “increase circulation” down there.  He/She is not thinking, but only repeating some nonsense he/she read somewhere.

His web site (http://www.hisandherhealth.com/) is not all that encouraging about the use of Verapamil, but he now seems encouraged. I do not understand this comment at all.

I questioned him on the use of the VED for exercise, The VED (vacuum erection device) is not exercise. It does not increase blood circulation; again, it merely traps more blood in the shaft by creating a negative force. This is why the penis turns very dark and purplish while it is in the VED, and the penis comes out cold – because blood is trapped there, not moving.   This is also why in order to stay enlarged after removing himself from the VED, it is necessary to put a tight rubber ring around the base to keep the blood trapped inside. but he did not recommend it, but also did not recommend against it.   He recommended taking Vitamin E and counseled against taking Vitamin C, especially in the mega dosages that some take. MDs do not study nutrition in medical school, did you know that?  The vast majority of MDs think you do not need to take additional nutrients beyond what you get in your diet.  I could go on and on about what MDs as a group do not know about nutrition, but this blog post is too long already. I have never heard of anyone who has taken vitamin E by itself  – in the way that MDs recommend – and gotten any help with their Peyronie’s disease.

He also thought that my Peyronie’s, or whatever we want to call it, may be entirely independent of the injections I am taking. It is common for a doctor to not admit to the possibility that a patient’s Peyronie’s disease was caused by the Papaverine injections he prescribed.  That could result in a law suit.   He believes most of the Peyronie, scarring or fibrosis comes from lack of use. In all my years of researching PD, I have never heard of this before; that PD is caused by lack of use.   There is no way to support this idea that PD results from lack of sexual use – it just not make sense at all. He is strongly against sitting idly by for any period of time after an RP, believing that exercise and blood flow is very important for recovery. Of course good blood flow is important for recovery.  But taking a bucket of Viagra is not going to make that happen.  However, applying heat packs (rosy red skin and a larger shaft afterward) would be a good way to increase circulation.  Wearing boxer shorts rather than tighty-whitey briefs would be a good way to help circulation.   Also, a massage of that area to actually increase blood flow to the lower pelvis would be great.  However, this man’s doctor apparently did not mention any of that.  Your average MD would rather quickly write a drug prescription than take two minutes to talk about hot packs, underwear and massage. My bending is on the left side of the penis, which means that the scarring would be on that side, so being right handed I probably would be giving myself more injections on the other side. He probably gave himself more injections on the left side of the shaft.  Go here to see Peyronie’s pictures.

Just thought I would throw this information into the hopper of information to which we all have access. I believe what this post  actually did was to create more confusion and bad information about what to do after RP surgery and what not to do if you have Peyronie’s disease.  This is simply more drug promotion and little new thought about true health care.

RR

The email just discussed appears at http://www.phoenix5.org/sexaids/basics/penile/PeyPersRR.html

Please forward your thoughts and comments about my opinions.  I would be happy to hear from you, especially if you are interested in Peyronie’s disease natural treatment.

Curved Penis Facts and Humor

Since Peyronie’s disease is all about the effect of the Peyronie’s plaque that causes the classical curved penis, here is useful – and sometimes just fun – information about an important part of the male anatomy.

1. Pronged cigarette smoking can shorten the penis up to a centimeter, or slightly less than a half inch. Since erections are affected by normal blood circulation, and smoking leads to calcification of blood vessels, it is easy to see that erectile quality is not helped by smoking cigarettes.   If you are not concerned about how smoking is bad for your lungs and blood vessels, now you know it is also not good for your manhood. .

2. With knowledge and techniques developed through stem cell research, it is now possible to use the foreskins of circumcised infants to grow skin for burn victims.  A single foreskin can be used to create 23,000 square meters of new tissue.  This is an area large enough to cover every Major League infield in the U.S.

3.
An enlarged prostate gland can lead to premature ejaculation, as well as erectile dysfunction (ED).  If you have a problem with either ED or premature ejaculation that has not responded to direct therapy, consider having your prostate gland examined.

4. The average male orgasm lasts six seconds, while the average female orgasm lasts 23 seconds.

5. Scientists have identified the oldest male fossil animal yet discovered. It is an ocean-dwelling creature found in 425-million-year-old rocks in the UK. This creature is called is a hard-shelled sea creature called Colymbosathon ecplecticos; that is Greek for “amazing swimmer with large penis.”

6. Even after circumcision the foreskin can be grown back. The movable skin of the penile shaft can be pulled up toward the glans (head) of the penis and kept in place with tape.  Using a series of plastic rings, caps, and weights, and after a few years the male can once again say, “Everything is covered.”

7. From a physiological standpoint, there are two types of penises. The first type is called a “grower” because it can easily expand and lengthen when erect to a size much greater than its flaccid dimensions.   The other is called a “shower” because it is very large when flaccid, but doesn’t increase in size when erect.  It is estimated that 80% of men are growers, while 20% are showers.

8. German researchers say the average time for sexual intercourse is 2 minutes, 50 seconds.  Yet, women estimate that the average time for sexual intercourse is 5 minutes, 30 seconds, and men say it is in excess of 10 minutes.

9.
The record holder for numbers of sexual partners is King Fatefehi of Tonga, an island in the South Pacific Ocean.  It is recorded that he had sexual relations with 37,800 women between the years 1770 and 1784—that’s about seven women a night.

10. Spanish researches have determined that better-looking men may have faster and stronger sperm.  When women were shown photos of men who sperm was known to be in good, average, and unhealthy condition – and were told to select the men that they thought were most handsome.  The women consistently selected men who were in the good sperm category.

11. The act of ejaculation is not controlled in the brain, but it is a reflex that is started within the spinal cord.  It can therefore be said that it does not take any brains for a man to have sex.

12. The most common cause of penile rupture and injury is overly vigorous masturbation causing Peyronie’s disease.  For this reason it is wise to slow down, use a lot of lubrication, and enjoy a nice gentle ride.

Beta-Blockers and Peyronie’s Disease

What is a beta-blocker?

Anyone who has looked for a cause of Peyronie’s disease will eventually read about a drug called a beta-blocker.   I will not bore you with the technical aspects of the chemistry and physiology of beta-blockers, but only what might be important to you as someone who suffers with PD.

Beta-blockers are prescription drugs used to treat a wide variety of conditions, but most often heart-related disorders like abnormal and irregular heart rhythms, chest pain, and the immediate symptoms of a heart attack, as well as to lower the heart rate and reduce the force of heart contraction.  They are available in tablet, liquid and injection forms.  Beta-blockers can also be used to treat migraine headaches, social phobias, hypertension, muscle tremors related to anxiety and/or an overactive thyroid gland. Timolol is a particular beta-blocker that is prescribed as an eye drop, used in the glaucoma treatment since this beta-blocker reduces the pressure of fluid inside the eye. Beta blockers have been called “the musicians underground drug” because they can be used for performance anxiety.

Some of the more popular beta-blockers and their brand names are: acebutolol (Sectral), atenolol (Tenormin), bisoprolol (Zebeta), metoprolol (Lopressor, Lopressor LA, Toprol XL), nadolol (Corgard), and timolol (Blocadren).

Inderal is perhaps the most commonly prescribed beta-blocker.  This beta-blocker affects the heart and circulation particularly well.  It is frequently used to treat hypertension (high blood pressure), heart rhythm disorders, tremors, angina (chest pain), and other heart or circulatory conditions. It is also used to treat or prevent heart attack, and to reduce the frequency and severity of migraine headaches.

If you have taken a medication for any of these problems you might have taken a beta-blocker and were not warned about it.  This might be worth checking out.

If you know you have taken a beta-blocker in the past and now have Peyronie’s disease, this might be a possible explanation for your PD and you might want to discuss this with the doctor who prescribed it for you.

If you are currently taking a beta-blocker you need to know that this category of medication should not be stopped suddenly, since this can bring about an attack of the original condition – sometimes more severe than the original problem – plus a rapid and dangerous rise of the blood pressure.  If beta-blocker use should be stopped or reduced, this should only be done under close medical supervision.  The best way to continue your Peyronie’s disease treatment is to keep your doctor informed and aware of what you are doing with Alternative Medicine.  You should try to get him or her to be a part of your natural Peyronie’s disease treatment.

Peyronie’s disease connection to beta-blockers

All beta-blocker drugs list Peyronie’s disease as a possible side effect.  This association has been borne out in communication with men in my work with the Peyronie’s Disease Institute.

Possible Peyronie’s Cause: Catheter and Cystoscope Trauma

Unrelated cancer surgery possible cause of Peyronie’s disease

Debate and confusion persist about a Peyronie’s cause, no matter how much time passes.

We who deal with Peyronies on a daily basis know that not much research effort is given to this problem we share.  Medical research into the cause of Peyronie’s disease is often directed toward a genetic quirk or biochemical flaw within the cellular structure – that can be treated with drugs.  In spite of a hundred years of failure looking for a pharmacologically treatable Peyronie’s disease cause, one obvious area has not received much interest: trauma.

No one denies that trauma is at least a common secondary cause of Peyronie’s disease, if not the primary cause.  Yet, there is nothing in the medical literature that addresses the great amount of totally preventable trauma delivered while under medical care.  It is my opinion that doctors can be a Peyronie’s cause during the sometimes brutal and hidden trauma of male catheterization and cystoscopic examination that occurs before, during or after many types of surgery, like bladder or penis surgery.

Since 2002 when I started the Peyronie’s Disease Institute I have communicated with a host of surgical nurses.  They advise me that during surgery, while a man is under general anesthesia and is catheterized or given a urethral scope examination for any reason the process is often rushed and aggressive since the patient is not awake or aware.

To understand the potential problem, consider that the male urinary opening at the tip of the penis is a slit that averages 0.15 to 0.20 inches (4-5 mm) in length, compared to a 9 mm catheter or cystoscope that is put into that slit.  .

The potential for abuse that can lead to Peyronie’s disease exists because the size of the cystoscope used for men ranges from between the thickness of a pencil up to approximately 9mm.  In addition, many cystoscopes have extra tubes to guide other instruments for surgical procedures to treat urinary problems.  That is a lot of material that goes up that little passage way.  Sometimes twists and narrowed areas of the male urethra are encountered that prevent passage, when the catheter or cystoscope will be forced deeper by a surgeon who encounters difficulty.  This, I have been told, is a common problem that is not much talked about.

Nurses get into big trouble, and jeopardize job security, for revealing what they see and hear in the operating room.

It is my speculation that unnecessary injury related to forceful and rushed catheterization or cystoscope insertion is the reason many men develop PD that they cannot otherwise explain.  This opinion is based on the number of men I speak to who tell me they cannot account for their PD based on penile trauma.  Of these men who recall no direct penile trauma, when I ask about any kind of surgery that took place within a year or so before developing PD, at least 95% tell me they were either catheterized or received a cystoscopic examination for one reason or another.

For this reason I speculate these men were traumatized during their catheterization or cystoscopic procedure sufficiently to injure their tunica albuginea enough to cause Peyronie’s disease.

One example within Peyronie’s disease research to support this theory of an association between surgical catheterization and cystoscopic examination and PD, comes from the Urology Service of the Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, in June of 2010 published an article in Urology Times titled, “Peyronie’s Disease Following Radical Prostatectomy:  Incidence and Predictors.”

This search for a cause of Peyronie’s disease must consider that for men in their 50s, both prostate cancer and Peyronie’s disease are fairly common.  The purpose of this project was to determine if there was an actual link between those men who had a radical prostatectomy (RP) operation for prostate cancer and Peyronie’s disease.

They reviewed their sexual medicine database from 2002 to 2008.  They isolated men who received a RP as the only form of treatment for a well-defined and localized prostate cancer, looking for those who developed Peyronies within three years after their RP surgery and compared this group to those men who did not develop Peyronies.  They studied 1,011 such men, of whom 15.9% PD – a number higher than the general population.   They found that the average time for a man to develop PD after his RP was 14 months, give or take a month.   The average curvature was determined to be 31 degrees, +/- 17 degrees.   They further found that younger men (average of 59 years) who had a RP operation were more likely to develop PD afterward, than older men (average of 60 years), and that white race men (18%) were more likely to develop PD than non-white rave men (7%).    Also, they discovered that erectile function after RP surgery did not predict the later development of PD.

Because men who experienced sexual dysfunction after RP were found to develop Peyronie’s disease more frequently than the general population, the study suggested that this group should be routinely evaluated for PD.

This study, written by R. Tal, M. Heck and others, speculates that the Peyronie’s cause for these men might be somehow related to their prostate cancer.
Because it is common for the medical community to primarily delve deeply and intently into the biochemical and hereditary factors for a cause of Peyronie’s disease,  without consideration of more simple and obvious reasons, they do not much evaluate for trauma.   Surgical trauma is a possible Peyronie’s disease cause for those with a history of prior radical prostatectomy (because of the cystoscopic and catheterization procedures they receive), but apparently is not investigated since this would cause a medicolegal problem for the medical community and little reason to use medication.

Peyronies: Disease of the Penis?

Peyronie’s disease is not a disease

The problem that brings men to this website that is usually commonly called Peyronie’s disease is not a disease of penis tissue, actually.  We continue to use this term only because for hundreds of years it has been commonly associated with this problem we share, but it is not accurate.

A disease refers to an altered condition of the body that is associated with extreme pain, significant and limiting organ or system dysfunction, social problems, and even death.  Further, a disease is typically acquired by means of indirect or direct contact or transmission from one person to another.  While there are many definitions of what constitutes a disease, the above definition is universally acceptable.

Let’s consider each element of what constitutes a disease, point by point.

1.    Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all – does not fulfill definition.

2.    The genitourinary system of which the penis is only a part continues to function carrying urine in all cases, and has reduced sexual function in about half of the cases – does not fulfill definition.

3.    Society is not affected by a Peyronie’s curved penis that plays havoc with the man who has it in the way that diseases like the flu or measles, alcoholism, syphilis and tuberculosis  do – does not fulfill definition.

4.    Lastly, it is not communicable.  It is not possible to catch Peyronies from someone else or pass it on to another person  – does not fulfill definition.

5.    Peyronie’s disease is not fatal, except to some couple’s sex life – does not fulfill definition.

You will notice that throughout the PDI website and blog I often refer to this problem as a “condition.”  More clinically accurate names that were taken from the Peyronie’s Disease Institute website:

1.    Indurato penis plastica

2.    Penile fibrosis

3.    Penile fibromatosis

4.    Penile induration

5.    Chronic cavernositis

6.    Fibrous sclerosis of the penis

7.    Fibrous cavernositis

8.    Fibrous plaques of the penis

Peyronie’s syndrome

Some people use the term Peyronie’s syndrome to refer to this problem, but technically that is also not a correct way to refer to Peyronie’s disease.

A syndrome refers to a typical group of several essential and clearly recognizable clinical signs, symptoms and characteristics that often occur in association or together, creating a picture or profile of a recognizable clinical condition.  In an actual syndrome the presence of one feature, sign or symptom will alert a doctor to the possibility a particular syndrome might be present.  Once this is established, the doctor will automatically look for other features, signs and symptoms that normally occur with it within the profile of that suspected syndrome. If additional typical findings are found, a diagnosis of that suspected syndrome can be made.

Peyronie’s syndrome is not a valid term because the characteristics, signs and symptoms of Peyronies are actually too few, and seldom present a customary group of features that suggest this particular health problem.  By usual medical standards the few symptoms and signs associated with PD are actually vague and sometimes are totally missing. Since there are typically only three such standard findings associated with Peyronie’s disease (penis pain, penis curvature, presence of the common Peyronie’s plaque or scar), this group is not  large enough to strongly suggest this condition, hence Peyronie’s syndrome is not a good term to use.

Disease of penis not fair to either party

Many times I am asked how I would suggest telling a woman about Peyronie’s disease.  The first thing I say is, “You want to be fair and accurate when you tell this new woman you have just met about your problem. For this reason do not tell her you have a ‘disease.’  PD is not a disease, so do not create a problem for her or yourself that neither of you deserve.”  I then go on to explain that to be most accurate and honest requires that you describe what is wrong with you, avoiding the term “Peyronie’s disease.”  Simply say, “I injured myself a few years ago, and now I have an excess of internal scar tissue that has caused some penile curvature.  I am not as straight or large as I was before this scar material developed, but I am otherwise very healthy. Do you have any questions about what I have just said?” Then answer her questions honestly and forthrightly.  I have never met a man who has gotten into trouble or lost a woman in a new relationship if he offers this type of description of his problem.

You do not have a disease of penis tissue so do not frighten her or create problems where none should exist.

If you wish to learn more about this condition usually called Peyronie’s disease, or Peyronie’s disease treatment, please review our website and blog for additional information.

Difficulty Swallowing Many Peyronie’s Vitamin Pills

Can’t easily follow Peyronie’s disease vitamin plan

It’s sometimes difficult to swallow a solid substance without first chewing it; you feel like you are working against a protective instinct.  This is made worse when there are many such solids to swallow.  Nonetheless, it is often necessary to swallow 4-18 pills several times a day as part of the Peyronie’s disease vitamin plan you have created to assist your recovery over PD.

Frustration grows when you can’t easily take many pills in your Peyronie’s disease vitamin plan because you hesitate or gag.  There are different useful strategies to get over this hurdle.  I have never met anyone who cannot get over this problem if they work at it.

Since pill swallowing will likely remain a required skill until you correct your Peyronie’s disease, approach a pill swallowing problem from several angles using old and new tricks:

1.    Practice with common food. Swallow mini candies, or small bites of food, without chewing to simulate pill taking.  Deliberately think about and feel the sensation of having chunks of solid food sliding down your throat; get comfortable with that feeling; focus on how easy it is to be relaxed when you swallow pieces of cooked vegetables or meat that are actually larger than the pills that make you uncomfortable.

2.    Put 1-4 pills in your mouth.  Keep them there while you carefully go through a few small chewing motions – do not actually chew on them to avoid a nasty taste. After you have satisfied the need to “chew before swallowing,” immediately drink some water as you swallow the pills already in your mouth.  You will thus fool yourself into the idea that you have chewed what you want to swallow.

3.    Take pills one at a time to avoid overloading your gag reflex.

4.    Drink a large glass of warm water BEFORE taking your Peyronie’s disease vitamin plan.  This will relax your throat muscles and make taking the actual pills easier.

5.    Sip a cold, carbonated beverage (sparkling water, lemon-lime soda) straight from the bottle when swallowing a pill.

6.    Spray or gargle with an over-the-counter topical anesthetic (normally used for sore throats) before swallowing.

7.    Take a deep breath and hold it in, before putting the tablet in your mouth; some say that this can suppress gag reflexes.

8.    Place the pill on the back of your tongue, drink some water, tilt your chin down toward your chest, and swallow.

9.    Put the pill on the tip of your tongue, drink some water, tilt your head back, and swallow.

Combining some of the above ideas could yield a remedy for you, but if none of them help you should really consider some larger issues.

The fact is your throat operates as part of a complex system. While it may seem you have an extraordinarily strong gag reflex or odd throat mannerisms, consider that it may actually be the power of your mind, not the power of your throat. Try to psych yourself out with this pill swallowing mantra — “I can swallow this…I can see the pill going down.”

Or, perhaps not being able to swallow pills has something to do with a past event. If you are unusually tense about pill swallowing from something that happened in your childhood, it makes sense for it to surface when you try to swallow a pill again. Did you choke on a raisin many years ago? Did a school nurse with dirty hands force you to take a pill? You may be subconsciously dealing with issues such as these every time you swallow an aspirin or vitamin.  Fear of choking, fear of medicine, or general anxiety may be preventing you from swallowing pills. If you think these mental factors are to blame, you might consider talking with a counselor.

While it seems unlikely, the possibility of a greater medical issue does exist. The medical term for difficulty swallowing is dysphagia, and the term is often used with regard to a disorder of the esophagus. Keep in mind, though, that if you can swallow your food without trouble, your esophagus is probably fine.

This is an important issue to address because you cannot allow trouble swallowing your Peyronie’s vitamin pills to prevent you from achieving success over your PD.

Help Peyronie’s Disease Treatment with One Simple Idea

Early Peyronie’s treatment experimentation

In the early phase of experimenting with my own Peyronie’s disease treatment in 2002, I saw only slight improvement.  With so little helpful information available at that time, I was forced to constantly experiment on myself based on my reading and research.  My double-curve was only slightly better after a few months of using a wide variety and a great amount of different natural therapies.  I was discouraged because I was not sure i would be able to figure out how to get the Peyronie’s help I needed.

About this time two important things happened that would change everything for me.

The first was that I began to notice that while my curvature did not change at all in the early part of care I noticed that my Peyronie’s plaque or scars were not only changing, but changing often and in different ways.  The penile curvature did not change but the scars were very active. I began to notice that the size, shape, density and surface features of each scar would change – sometimes a lot – sometimes for the better and sometimes for the worse – every few days.   This was a fascinating and frustrating observation that I had never read or heard about while doing a great amount of investigation into Peyronie’s disease. I thought I was the only one whose scars changed so much, because in all my reading I had never read about rapid and significant scar changes.

This was the unique discovery about PD in 2002 that I was the first to make:  Not only do the size, shape, density and surface features of the Peyronie’s scar change, but they change on a frequent – sometimes almost continuous – basis.  Realizing that the scars were changing made me think differently about Peyronie’s disease; as a result I had to re-evaluate my early Peyronie’s disease treatment ideas.

The second thing that happened was my wife made a brilliant observation about my scars in relation to what I was eating.  I would discuss my scar changes with my wife because I was fascinated that so much change could take place often in just a few days.  One day, after making yet another report to her about my scars getting worse again (after showing improvement for several days), she casually told me, “You know, it seems that whenever you eat ice cream your scars get worse.  You said your scars were softer and more difficult to find a few days ago.  You had a big bowl of ice cream last night, and now your scars are hard again and easier to find.  I noticed the last few times you ate ice cream that two or three days later you complained about your scars getting bad again.  Maybe you should stop eating ice cream for a while and see what happens to your scars.”

Well, like any husband, at first I thought she was wrong.  But when I began to experiment with her ice cream theory, I saw to my amazement that she was correct.

This led to a series of other direct observations that changes in the size, shape and density of the PD scar are often in relation to what I was eating.  It also led to my second important discovery:  By observing for changes in the size, shape, density and surface quality of the PD scar, it can be “used” to act like a guide to determine what is good and bad for that person’s Peyronie’s disease.

Help Peyronie’s treatment: compare to scar

If you want to help Peyronie’s treatment be more effective you must learn to measure your treatment efforts against changes in your PD scar.  All treatment must be evaluated to learn if your scar responds favorably to it.  In order to do this you must know how to determine and record the size, shape, density and surface feature of each scar.  This very important topic is discussed in detail in “Peyronie’s Disease Handbook” – in addition to other important topics.

Don’t guess with your Peyronie’s treatment.  Know what makes your scar get better or worse.  Use that critical information to guide you to your best level of recovery of which you are capable.

Drugs Can Cause Peyronie's Disease

Prescriptions drugs that start Peyronie’s disease

The cause of Peyronie’s disease remains unknown.  However, among the more commonly suspected causes are injuries as during intercourse, penile trauma as during a difficult catheterization procedure or surgery, genetic predisposition, or a problem of the immune system.

Because medical Peyronie’s disease treatment is also poorly defined, with no standard drug receiving formal approval, one must wonder about the drugs that are currently being prescribed by medical doctors for their Peyronies patients.

Several prescription medications list Peyronie’s disease among the potential side effects.  While no formal research exists that proves these medications cause Peyronie’s disease, presumptive evidence and frequent patient complaints of strong association with these drugs supports these as possible causes.

  1. 1. Beta Blockers – These are the most common medications in popular use that list Peyronie’s disease as a potential side effect.  Beta blockers is a class of drugs used for various indications, but particularly for the management of cardiac arrhythmias, protection of the heart after a myocardial infarction (heart attack), angina pectoris, atrial fibrillation, cardiac arrhythmia, congestive heart failure, glaucoma, migraine prevention, mitral valve prolapsed, and hypertension (high blood pressure). They tend to diminish the effects of epinephrine (adrenaline) and other stress hormones in the body, thus reducing cardiac demands.  If you have ever been treated for any of these conditions, and were treated with a beta blocker, this might explain a current case of Peyronie’s disease. Commonly prescribed beta blockers:

Acebutolol                  Alrenolol                     Atenolol
Betaxolol                 Bucindolol                     Carteolol
Carvedilol                   Celiprolol                    Esmolol
Labetalol                    Metoprolol                  Nadolol
Nebivolol                    Penbutolol                  Pindolol
Propranolol                Sotalol                        Timolol

  1. Interferon – This prescription medication is used to treat multiple sclerosis, leukemia, and hepatitis.  Its manufacturers list Peyronie’s disease as a possible side effect.
  2. Dilantin – This is a well established anti-seizure medicine, also reported by its manufacturers as a potential cause of Peyronie’s disease.
  3. PDE5 drug group (Viagra, Cialis, Levitra) – this is a group of inhibitor drugs that block an enzyme process of the smooth muscle cells lining the blood vessels supplying the corpus cavernosa of the penis.  As a result of this influence, these drugs act to increase blood flow in the penis in response to sexual stimulation.   The maker of each of these three drugs advises that men with Peyronie’s disease should consult with their doctors due to possible adverse effects on the penis.

The bottom line concerning all these drugs is that every one of them has side-effects and related ways of complicating the problem of someone who is already sick.  Drugs should be used with great reserve and discretion, and avoided if at all possible.

Once PD is present and a man learns that there is no known medical treatment available, he should consider using Alternative Medicine for Peyronie’s treatment options.  This is an option that the Peyronie’s Disease Institute has researched and developed since 2002, with considerable success.

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.

Viagra, Cialis and Levitra Use with Peyronie’s Disease

Peyronie’s treatment using erection producing drugs

The erectile dysfunction and soft erections associated with Peyronie’s disease are sometimes treated with Viagra, an erection causing drug made by the Pfizer Pharmaceutical Company.  The information about Viagra duplicated in this blog post is written by Pfizer about Viagra, in relation to Peyronie’s disease.   The basic information presented by Pfizer is essentially true for other erection producing drugs, like Cialis and Levitra.

Here is the Viagra drug information from Pfizer, found their website.  I have removed a considerable amount of technical Viagra information that does not apply to Peyronie’s disease to make it easier to find what you need to know. Notice the section below that I have put in bold and underlined.

PRECAUTIONS

General

The evaluation of erectile dysfunction should include a determination of potential underlying causes and the identification of appropriate treatment following a complete medical assessment.

Before prescribing VIAGRA, it is important to note the following:

The safety of VIAGRA is unknown in patients with bleeding disorders and patients with active peptic ulceration.

VIAGRA should be used with caution in patients with anatomical deformation of the penis (such as angulation, cavernosal fibrosis or Peyronie’s disease), or in patients who have conditions which may predispose them to priapism (such as sickle cell anemia, multiple myeloma, or leukemia).

The safety and efficacy of combinations of VIAGRA with other treatments for erectile

dysfunction have not been studied. Therefore, the use of such combinations is not recommended.

In humans, VIAGRA has no effect on bleeding time when taken alone or with aspirin. In vitro studies with human platelets indicate that sildenafil potentiates the antiaggregatory effect of sodium nitroprusside (a nitric oxide donor). The combination of heparin and VIAGRA had an additive effect on bleeding time in the anesthetized rabbit, but this interaction has not been studied in humans.

Use of any drug to assist erections in Peyronie’s disease

It is my opinion that any man who is undergoing Peyronie’s disease treatment is taking a huge risk to use any of these erection producing drugs because it has been my observation and experience in talking to hundreds of men about their Peyronies problem, that these drugs can injure the penis and actually start Peyronie’s disease, make it worse, or possibly delay or interfere with your effort to try to heal your Peyronie’s plaque.   This happens because of the damage done by the surprisingly strong and uncontrollable erections these drugs can create.

With the use of these drugs it is possible that the forced erections they cause can place great internal stress within the penis that can injure the delicate tunica albuginea.  The erections created by these drugs can be indeed super-erections, greater than what a man normally experiences.

I have had a number of men tell me they are convinced their Peyronie’s disease started after using Viagra, Cialis, etc.   I am confident that at a later time we will start to hear reports about more side-effects of these medications.  This should not be so difficult to believe when you can read for yourself that the drug manufacturer is already warning men in particular with Peyronie’s disease to be cautious about its use.

Peyronie’s disease aggravated easily

Super-charging an erection is not the way the body was designed to be used.

What if you could take a drug that would enable you to lift a ton of weight above your head and keep it there for an hour?  Nice trick, very impressive, but your body is not built to take that kind of pressure to the muscles, ligaments, joints, bones and blood vessels.  A trick like that would cause great damage to internal organs, your spine, blood vessels, all major joints, etc.  Simply put, “It just ain’t natural.”  Same with these erection drugs like Levitra and Viagra.  The increased pressure created by these medications can be very damaging to the delicate tunica albuginea, and can result in or worsen a case of PD.

What would happen to your car tires if you happened to over-inflate them with 100 pounds of air pressure, even though they were built to take just 40 pounds of pressure?  You would be running the risk of damage to the internal structure of tire, wouldn’t you?  Of course.  The same thing can happen if the penis is over-inflated and then given a “rough ride.”  This is where the problems start, and this is what I want to bring to your attention.

Viagra, Cialis and Levitra are not a Peyronie’s treatment

It is very likely that the MDs who prescribe these medications to men with Peyronie’s disease will not agree with this thinking.  MDs tend to favor a chemical “fix” to most problems, so you would tend to expect a natural and automatic prejudice from an MD to use drugs to solve most problems.

If you have taken Cialis or any other erection producing drug because it was prescribed for you, and you mention this information to your MD, what do you suppose he or she will say?  Well, the first thing you must consider is that this information indicates that your doctor prescribed something for you that was not safe or appropriate.  The natural reaction would be for your doctor to immediately defend her decision.  That makes sense.  It is not my intention to make trouble for your doctor, she was only doing what she thought was best for you.  It is my intention for you to independently think about these things and see if they make sense to you, the owner of the penis that could become injured.  Do more research on your own, then talk to your doctor.  This way you are armed with both sides of the story.

It is my further intention to prevent you from injuring yourself further with these erection producing drugs.

A penis that is predisposed to Peyronies in the first place cannot tolerate the kind of stress that these erections drugs create.  It is just like someone with asthma cannot tolerate dust, odors or smoke that does not bother other people.  If you already have Peyronies you should do everything you can to avoid any kind of stress to this tissue, including avoidance of erection producing drugs.

I talk to a lot of men who are given a prescription for Viagra, etc. to help their sexual difficulty, and they instinctively know that this treatment does not make sense to them.  Yet, they are tempted to use the drug because of the promise of improved sexual performance; besides, they are also tempted because they feel, “Heck, my doctor would not do anything to hurt me, maybe it is OK to do.”  I would agree, your doctor would not want to hurt you intentionally.  Yet, we all know that tens of thousands of people are hurt each year by drugs that are given with good intentions and bad consequences.

In addition, I have talked to many men who have reported to me that they used these erections drugs many times, maybe for several months, with absolutely no problem.  The erections were “normal” and controllable, and everything was fine, and the sex was great.  Then, one night, one time, they took that same drug in the same way, and they got an erection that was unbelievably hard and huge, and they thought they were going to explode.  It scared the devil out of both partners.  A few days or weeks later – a curved penis and Peyronie’s disease developed.

If you attempt to think independently and logically about what might happen to your Peyronie’s disease when these drugs are used, you should have no trouble understanding how this could work against you.  If your doctor can convince you that they are perfectly safe, then you should do what your doctor says to do. Just remember, who that penis is attached to if a tragedy happens.  Your doctor will shrug his shoulders; you will have a worse case of PD.

My opinion is that the use of Viagra and similar erection drugs could easily be worsening the very problem you are attempting to heal.   The use of these drugs represents a calculated risk that you are taking, and you should be aware of it.

Please write a comment or question about this article if you want to know more about Peyronie’s disease treatment with Viagra, Levitra or Cialis.

What is Peyronie’s Disease?

Not all definitions of Peyronie’s disease are honest or correct

Great question, “What is Peyronie’s Disease?”  However, an accurate and honest answer is not always easy to find.  If you are one of the hundreds of new people each day who surf the Internet for a Peyronie’s cure, you need to pay attention to the kind of answer you might run across.

In my experience it is common to receive an incorrect answer when it is provided by someone who only wants to sell you something, like a magic herb or a manual penis stretcher.  When a salesperson is the source of your information the answer will often minimize Peyronies by oversimplifying the real problem to the point the answer is not truthful.

The reason that someone will intentionally give you this false information is easy to understand.  If Peyronie’s disease can be made to sound like a simple problem, then a simple solution can be more easily presented to you in a believable way – and the more likely you will buy a product if the problem and solution sound uncomplicated and straightforward.

The usual short (and false) answer you will see to this question is, “Peyronie’s disease is a curved penis.”  This is almost like saying that Peyronie’s disease is no more complicated than a bent paperclip.  All you have to do is straighten out the paperclip – and we all know how easy that is to do – and you are as good as new.

What you must understand is that the bent penis of Peyronie’s disease is just a symptom of what is wrong.  The penile curvature is not the problem, it is just a sign of the real problem. What is causing the penis to curve is the actual problem that must be addressed.   Click here to view

If you have pneumonia, you will probably have a nasty cough. But, it is not correct – or helpful – to say, “Pneumonia is a cough.”   If the problem was presented to you like that, and you believed it, then someone could sell you a cough suppressant as a cure for pneumonia.  You would believe that stopping the cough is all you have to do.  The truth is that the cough is just an outward sign of a deeper problem. To address your pneumonia correctly you must do what is necessary to help your body reduce and remove the lung infection, the inflammatory response that occurs because of an invasion of foreign bacteria, and the cough – and the pneumonia – will no longer be an issue.  The cough is just a sign of the pneumonia, it is not pneumonia – just as a curved penis is a sign of Peyronie’s disease, but it is not the problem. The bent penis is just an outward sign of a Peyronie’s plaque or scar tissue within the tunica albuginea interfering with the normal filling of the corpora cavernosa, resulting in a bent or distorted erection. No amount of penis stretching or mystery herb from Afghanistan will eliminate the PD plaque.

So, what is Peyronie’s disease?

Peyronie’s disease is a problem with no known cause and no known medical cure in which the presence of a dense fibrous nodule or band in the tunica albuginea layer of the penis causes a variable degrees of pain, penile distortion during erection, reduced sexual function, and loss of physical size in length and girth.

If the explanation, “Peyronie’s disease is a bend in the penis” makes you think it is just like a wrinkle in your shirt that can be ironed out – then you are ready to accept the notion that pulling on the bent penis can magically remove that kink.  If it were only that simple and worked that well.

You will notice that none of the advertisements for the magical herbs or mechanical penis stretchers explain how they work.  The reason there is no explanation is because they do not affect the Peyronie’s plaque, which is at the heart of Peyronie’s disease.

For additional discussion to the question, “What is Peyronie’s disease?” please go to Peyronie’s disease discussion.

Peyronie’s and Verapamil

Verapamil and Peyronie’s disease treatment

Verapamil is used in Peyronie’s disease treatment by injection directly into the Peyronie’s plaque or a topical Verapamil cream is applied to the skin over the Peyronie’s plaque.   For more information about this method, see Peyronie’s disease treatment via direct drug injection.

Verapamil is a calcium channel blocker of the phenylalkylamine L-type.  It works by relaxing the muscles of the heart and blood vessels. Verapamil is an anti-arrhythmic drug approved by the FDA in 1981 to treat hypertension, angina, cardiac arrhythmia, and recently, cluster headaches.  No oral or transdermal Verapamil is approved for Peyronie’s disease treatment.  Most used for Peyronie’s treatment is in the form of a topical Verapamil cream that is applied twice daily for many months.

There are many different companies that compete against each other with their own unique patented Verapamil formula, creating difficulty to know what to believe about the use of Verapamil for Peyronie’s disease treatment.

With so much competition among companies and unsafe practices of illegal companies, some even resort to making inferior and dangerous topical Verapamil cream products.  As a result, Peyronie’s patients who use counterfeit Verapamil have reported:

  • Changes in blood pressure, causing dizziness, fainting, heart beat irregularities, often requiring changes in other medications to become stabilized
  • Severe skin irritation
  • Skin burns and blistering

Peyronie’s Verapamil connection

As with many popular medications, the exact way Verapamil is supposed to benefit Peyronie’s disease is not entirely known.  Keep this in mind when someone says they do not know how vitamin E or acetyl-L-carnitine or PABA helps Peyronie’s disease.

It is proposed that long term use of Verapamil blocks calcium from entering into the Peyronie’s plaque or scar.  Another theory s that Verapamil increases fibroblast activity to make more collagenase that breaks down the Peyronie’s plaque or scar. However, calcium is an essential mineral that must have free access and movement in all tissues and hundreds of different normal and healthy chemical, enzyme and hormone functions of the body.  The body needs calcium to function normally and healthfully, and it does not do well when it is blocked by a drug like Verapamil.

Peyronie’s disease and Verapamil side effects

When taken topically or orally for Peyronie’s, Verapamil can cause side effects that may impair thinking or abnormal organ function because of calcium metabolism interference.   Care should be used when driving a car, operating dangerous equipment, or any skill in which mental alertness or memory is needed.

Verapamil and Peyronie’s disease warning

Men treating Peyronie’s disease with Verapamil must deal with extreme fatigue, loss of energy, blood pressure problems and skin reactions that often occur.  Also, if Verapamil is stopped suddenly any side effect or problem for which it is being taken (like Peyronies) may become worse.

You should not use Verapamil if you are allergic to it, or if you have:

  • Serious heart conditions, especially “sick sinus syndrome” or “AV block” (unless you have a pacemaker)
  • Low blood pressure
  • Recent heart attack

Personal experience with Verapamil and Peyronie’s disease

After attempting to treat my own Peyronie’s disease with topical Verapamil cream for eight months, my overall health suffered from weakness, fatigue, memory failure and low blood pressure caused by the Verapamil in my blood stream.  However, worst of all, while using Verapamil my Peyronie’s disease worsened.   The size of each Peyronie’s plaque increased and my Peyronie’s curve doubled.

Shortly after using Alternative Medicine to eliminate my Peyronie’s problem, I started the Peyronie’s Disease Institute with my MD colleagues I was working with at the time.  With this organization I communicate with dozens of men daily about their problems with PD.  Considering the information outlined above, it seems fewer and fewer medical doctors use Verapamil for Peyronie’s disease management.

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.

Peyronie’s Disease Treatment Via Direct Drug Injection

Injections can cause Peyronie’s disease

Peyronie’s disease treatment using drug injection into the delicate tunica albuginea of the penis is a medical therapy that is fast loosing favor for treatment of the Peyronie’s penis.  One of the reasons is the lack of good results, the other is that it has been shown that injections can cause or aggravate Peyronie’s disease in many cases.

I have personally communicated with hundreds of men whose Peyronies started after a series of penile injections that were undertaken for a variety of reasons.  It appears the drug is not so much the issue that causes injury to the tunica membrane, but the repeated penetration and trauma that causes the scar material that eventually starts a Peyronies problem.   However, it has also been shown that the presence of certain drugs can cause a chemical irritation to the tunica albuginea.  So in this regard, drug injections could easily represent a double threat of injury to the tunica that results in Peyronie’s disease.

Peyronie’s treatment – “First, do no harm”

This blog post about Peyronie’s disease treatment using direct drug injections (Verapamil, cortisone, etc.) should hit home for a large number of you.  Many men have undergone painful drug injections into the penis because their medical doctor thought it was worth the effort, and only found themselves with a new problem or worsening of their original Peyronie’s disease.

First I will simply copy an article, “Extracorporeal shock-wave therapy in the treatment of Peyronie’s disease.”  This research discussion is essentially about Extracorporeal Shock Wave Therapy, ESWT (or ESWL as they call it here).  This article comes from www.pubmed.gov under the reference number PMID: 15114750 [PubMed – indexed for MEDLINE].

What is important to note in our particular discussion is the area I have highlighted for emphasis.  You will note from an earlier post about ESWT in Peyronie’s Disease Treatment Forum blog, this form of therapy has been fairly well abandoned by a large percent of doctors who used it for many years since these injections seem to cause more problems than it helps. The reason this information about ESWT (or ESWL) is included in this article about penile injections is that these Russian physicians make a very interesting comment while discussing ESWT that underscores the damage created by injections (of any kind) into the tunica albuginea.

[Article in Russian]

Neĭmark AI, Astakhov IuI, Sidor MV.

The authors analyse the results of treatment of 28 patients with Peyronie’s disease using extracorporeal shock-wave lithotripsy (ESWL) performed on Dornier U15 lithotriptor. A total of 2-6 sessions were made, maximal number–12. The efficacy was controlled by clinical indices and ultrasonic investigation (Doppler mapping of the blood flow). ESWL proved to be efficient in the treatment of Peyronie’s disease (PD), primarily, in patients with early disease before appearance of severe fibroplastic alterations. Less plaque vascularization by energetic Doppler mapping due to ESWL is an important diagnostic criterion of PD treatment efficacy. Conservative treatment is not indicated in marked deformities and plaque calcification, erectile dysfunction. Moreover, any injection into the tunica albuginea, especially complicated by hematomas (deep tissue bruising) may be a damaging factor which triggers fibrous inflammation. Such patients should be treated surgically. If the patient is interested in immediate results or is not interested in continuation of sexual life, the treatment is ineffective. Thus, ESWL is an effective, safe method of PD treatment but requires further study and accumulation of clinical experience.

It seems that the problems penile injections can cause is not that necessarily about the drug that is injected into the tunica, but the needle itself that is used to deliver the drug. An injection to deliver any drug, or sterile water, can cause injury to this delicate membrane.  This sets off an inflammatory response that can result in significant Peyronie’s disease plaque or scar tissue formation for men who as so predisposed.   Doing this once can be risky.  Doing this up to a dozen times over a few months, as is often the recommended course of therapy, just multiples the opportunity for injury to mount on top of injury.

This Russian research team offers the opinion that the effects of such injection into the penile shaft causes such significant plaque development, that surgery is the best treatment option for the damage that it can cause.   Obviously, I do not agree with that, since surgery can also cause more scar development. Their conclusion is that they find men who receive these injections often eventually are rewarded with a disturbed and discontinued sexual life.

Growing concern about injections for Peyronie’s disease treatment

This idea is brought to your attention to demonstrate there are many in the medical community who agree with the same position that I have taken for many years now.  These doctors and I contend it is inherently risky, in fact, dangerous, to stick needles repeatedly into the penis for Peyronie’s disease treatment. Their  logic concludes that any treatment that can start or aggravate the very problem it is attempting to treat, is not much of a treatment.

It is unfortunate that the medical community turns a blind eye to the direct observation of poor results, serious irritation of the tunica, and the solid logic that reputes injections as a form of Peyronie’s cure.  Those who continue to inject their Peyronie’s disease patients, and bring these men farther down the road toward greater plaque development, must be desperate to look useful or just ignorant of how Peyronie’s disease often develops.  It is so common for medical doctors to think only in terms of medicine and surgery, notwithstanding the tragedy that can often result from their limited thinking.

The Peyronie’s treatment concept of using non-invasive methods to increase the healing response of the body is a safer and more trustworthy Peyronie’s disease treatment than some of the aggressive medial schemes being promoted today.

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.

Thacker’s Formula – Other Peyronie’s Treatment Questions

Thacker’s formula and other Peyronie’s disease treatment questions

Perhaps a few times a month someone emails a question to me about Thacker’s formula.  This legendary Peyronie’s treatment – called Thacker’s formula because of the Dr. Thacker who is said to have created it – contains a specific ratio of Castor oil, DMSO and apple cider vinegar.  Although I know the exact proportions to make this Peyronie’s treatment I will not disclose this information here because I can not provide in this space all the details for correct use that are necessary to use it correctly and safely.

Along a similar line, I am sometimes asked if I know anything about using various things like herbs for herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (Coenzyme Q, EPA), or some type of old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure.   They want to know what I would think about using the Thacker’s formula or other treatment, and why don’t any of these types of treatment appear in the PDI lineup of therapies?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that could be actually very effective.  But who among us wants to spend his time, effort, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

Thacker’s formula does not meet Peyronie’s treatment guidelines

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum are not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the Peyronie’s Disease Institute lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not use it exclusively as the treatment you provide for yourself.

While there is no reason to believe there is any potential harm in using Thacker’s formula correctly, and perhaps great therapeutic benefit,  at this time I cannot endorse the use of Thacker’s formula because it is essentially untested and unproven in any meaningful way.  There is a lot of good information about sensible Peyronie’s disease treatment, with reasonably good results in research testing, that should be used in a broad based  rehabilitation program.

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.

Synergy and Treatment of Peyronie's Disease

How Synergy Applies to Treatment of Peyronie’s Disease

Questions?
Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
Learn the latest and best Natural Peyronie’s treatment

Synergy (sin’-er-je) is the interaction of two or more substances or forces that when combined tends to produce a total effect that is greater than the sum of the individual elements. A short explanation of synergy is “1 + 1 +1 = 5”. Taber’s medical dictionary defines it as “the harmonious action of two agents such as drugs, or organs such as muscles, producing an effect which neither alone could produce, or an effect that may result which is greater than the total effects of each agent operating by itself”.

Synergy can be applied to winning a game of tug-of-war, or Peyronie’s disease treatment to reduce the terrible curved penis that so often develops.

Here is a very good example of synergy in everyday life. A doctor must closely monitor the combined effects of drugs that are prescribed to a patient. The effect of drug A on the body might be well known, and the effect of drug B might also be well known. But the synergistic effect of combining drugs A and B can be difficult to predict. As a result the doctor must closely monitor a patient when multiple medication is being administered. Thus, synergy is a significant part of the art of medicine.

There are many examples in life in which two or more agents or elements act in common to produce an end result that is greater than the simple sum each is able to achieve separately. A good example of synergy occurs in agriculture, when soil nutrients are applied to benefit crops. If nutrient A is known to produce a 2% increase in crop production, and nutrient B is known to produce a 2% increase in crop production, it is logical that using these two nutrients together should result in a 4% crop increase. However, because of the synergy between nutrients A and B a 6-8% crop production increase might occur, instead of the expected 4%. Taking it a step further, nutrients A, B, and C (with each increasing crop production by 2%) when used together might result in a combined synergistic effect above 12%.

Peyronie's treatment requires synergy to reverse a curved penis or eliminate Peyroie's plaque

Did you ever hear that some cooking recipes cannot be simply doubled if you want to make twice as much of a particular dish? Have any idea why that would be so? Sure you do: synergy. Perhaps, when a recipe is doubled, the oil, or the salt, or other ingredient reacts in a way that is more than twice its single effect. This is another example of synergy in action.

Let’s say that I can lift a maximum of 100 pounds, and you can lift a maximum of 100 pounds. It would seem reasonable that by working together, you and I should be able to lift 200 pounds. However, with the principle of synergy, it might be possible that together you and I could lift more than that, maybe 205, 210 pounds or more. Life is full of situations in which the synergy of team effort occurs.

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


Peyronie’s disease treatment using synergy

PDI’s philosophy for Peyronie’s disease natural treatment makes a lot of sense when you think about taking advantage of the power of synergy. We are suggesting that you take advantage of a simple and frequently seen phenomenon that occurs all around us every day. This explains why it is better to combine vitamin E with vitamin C and MSM or PABA in your Peyronie’s therapy plan.

Commentary:  Standard medical "wait-and-see treatment" of Peyronie’s disease, click Peyronie’s Disease and Man Whose House is on Fire.

Peyronie’s Disease Institute’s  approach of using multiple natural therapies uses this power and expects a synergistic result in treating PD, just as in other applications commonly seen in medical practice, architecture, agriculture, or any other part of life. The synergistic effect applies in countless areas and situations, and treatment of PD is no different. Therefore, the synergy of multiple therapies selected from successful PD research and studies should result in an improved ability of the body to heal and repair.

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

Science is Slow about Peyronie's Treatment

Science Can Be Slow – Especially with Peyronie's Treatment

It is said that if aspirin was discovered today, it would not meet the rigid and exacting standards of scientific proof that are currently in use. Aspirin would be one of those drugs that would be outside of accepted medical practice since it would lack sufficient scientific proof. Medical acceptance and scientific proof of a therapy is, of course, important and desirable especially with Peyronie's disease treatment for the elimination of the classic curved penis or other penile distortions that occur.  Yet it is important to keep in mind that just because a procedure or substance lacks this acceptance does not mean it is therefore ineffective or inferior. It might just mean that medicine and science have just not yet figured it out sufficiently to declare that it is OK. Remember that it was not too many years ago medicine and science said the following were falsehoods, and could not be proven scientifically: 1. Exercise is good for your heart. 2. Diet is related to heart disease. 3. Smoking causes lung cancer. 4. Smog is harmful to lung tissue. 5. High fat diet raises cholesterol in the blood. 6. Antioxidants, vitamin E and vitamin C are related to immunity and resistance. This list of what science made mistakes about could go on for a long time, all the way back to the “The world is round”. Most of us are old enough to remember the problem with Thalidomide. How about the AMA declaring that there was “insufficient scientific proof” of a correlation between a high fat diet (think French fries) and obesity? To read success stories, click on Peyronie's disease treatment testimonials. The point is simple:  Sometimes science is just slow to pick up ideas and information that are apparent to average people who use common sense and simple observation.  PDI thinks the same is basically true in regard to Peyronie's disease natural treatment.

For an interesting way of looking at things, click on A Honey of an Idea for Peyronie's Disease Natural Treatment.

Peyronie's Disease and a Man Whose House is on Fire

Peyronie's Disease and a Man Whose House is on Fire

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Here's a little story from the Peyronie's Disease Institute that expresses the thoughts and frustrations of someone with Peyronie's disease:

A man came home one day to find his house was on fire. He ran to his neighbor's house and yelled, “Hurry, call the fire department. My house is on fire!”

The neighbor came to the widow and replied in a professional voice, “Be calm, and try not to worry. Research shows that 50% of house fires go out by themselves, so in my opinion there is really no need to bother the fire department. I suggest you just wait and see if you will be one of the lucky ones.”

Peyronie's disease, a curved penis and Peyronie's plaque is an emergency for most men that requres immediate action

The first man replied, “Are you kidding? 50/50 odds are terrible! If I'm in the wrong 50% group, I could lose everything. I can’t take a chance like that. The fire is small now and it’s on the first floor, so maybe I can do something to take care of it. If you won’t call the fire department for me, then I'll just use a garden hose to help myself.”

The neighbor again casually replied, “I advise against it. There have been no double-blind or cross-over scientific studies to show that a man with a single garden hose can consistently put out a small house fire. Some studies have shown that it works, but then again there are other studies that show that it doesn’t work. There is so much controversy about this subject that the experts advise against doing anything but waiting to see if the fire goes out by itself. I think we need more studies in this area. I really can't explain why some indicate that it does help, and others show it does not. I hope you understand that I don't want to go out on a limb and recommend something that might not actually work. With no official agreement how to handle your situation, to protect my reputation for always being right, and to prevent you from suing me for giving you false hope that you can put out your own fire, I am going to suggest you do nothing right now. That’s about the safest advice for me to give to you.  I know your house is on fire, and all of that must be terribly inconvenient for you, but I have to protect myself you know. Can't you just wait a while longer for more research to actually prove your garden hose idea is correct? Research is being done right now to develop a new chemical that can be used to put out small house fires. Of course, any new chemical will be expensive and will only be available through authorized outlets that will have to charge a lot of money for the product, but in time, it could be helpful in a situation like this.”

The first man shouted in a panic, “Are you crazy? My house is on fire right now, and it is getting worse by the minute. I need help right now. I can’t wait for your studies and your research to prove anything, and I can’t wait for any new chemical. If some of the studies show that the garden hose will put out a house fire, or at least control it to some degree, then why shouldn't I give it a try? I would be a fool to not give it a try because it might be just the right thing to do. I know — maybe I can get a few garden hoses going and even increase the odds it will work. Maybe it will completely put out my fire. If it works, look at what I have gained – if it doesn’t work, who cares, at least I tried.”

The neighbor then explained to the worried and agitated man, “Not to worry: Be patient. You know, you are really getting worked up. If your home is destroyed – and becomes useless to you – you can always get a contractor to fix it. Think of it as your back-up solution. If your house becomes useless, just get it repaired. I've heard that some of the houses turn out pretty good.”

The first man snapped back, “You are nuts! Why should I let this fire get so bad that I need a contractor? Some contractors are better than others; what if I get a bad one? I’ve heard horror stories about dealing with a bad contractor. What if there are problems with the contractor's work? What if my house isn’t as good after his repair work as before the fire started? Even good contractors sometimes have problems with their work that even they can’t explain. I could be stuck for the rest of my life with bad results. No. Common sense tells me the best thing I can do now is to protect what I have and try to avoid dealing with any contractor if I can.”

The neighbor leaned against his doorway and told the frustrated man, “I guess the garden hose idea could do no real harm. But you could be wasting water, you know. Be careful that you do not use more water than you actually need. Now, I've read some studies about using too much water to put out a fire, and… ”

The first man didn’t hear the neighbor’s last bit of logic. He was now running back to his burning house and the garden hose. He shouted back to the neighbor, “Maybe you would feel differently if this was your house on fire. I’ve got to get busy and try to help myself if you can't offer me better help than that. I have to do what makes sense to me, even if there is no research to prove me right.” The man whose house was on fire picked up his hose and started working with it. He felt less stressed as he got busy doing all he could in a bad situation. Who knows, maybe he even put the fire out.

Read a few of many Testimonials from the Peyronie's Disease Institute.

Peyronie’s Disease and a History Lesson

Peyronies Disease and Important Lessons from History

This discussion is about a terrible sickness that appears in the news occasionally, with an interesting application to Peyronie’s disease natural treatment.

Throughout history great epidemics have occurred, killing huge numbers in a given population. However, it is rare to find evidence that an epidemic – no matter how devastating – killed an entire population.  In fact, it is not known if an entire population has been lost to a disease epidemic. This is a simple fact that has great importance to Peyronie’s treatment.

That the human race survived the ravages of many deadly epidemics tells us something about ourselves, and our ability to defend against disease and heal tissue.  You must remember that in every epidemic that has ever occurred some of us recover after becoming sick − or never even get sick at all − while others become severely ill and die. From this we learn our bodies, for the most part, do a great job of defending, mending and repairing, even in the face of great health challenges.

As an example, a smallpox epidemic will typically kill 30-50% of the people who are exposed. Yet, did you ever wonder if a small pox epidemic is so bad that 30-50% of a population will die, what about the other 50-70% of people who survive the small pox epidemic? Why do these 50-70% survive? Why don’t 80%, 90% or all of those exposed to smallpox die from it? What is so special about the 50-70% who survive? What do they do, or not do, that keeps them from contracting the disease or dying? No one knows exactly how those who survive such an ordeal do it. But, we can at least assume that those 50-70% who survive an epidemic have a healthier immune system and were able to maintain better function of body chemistry and physiology. There is another way to say it that sounds a little silly, but is true: We can generalize that people do not get sick after exposure to a disease like smallpox because they are healthier than those who get the disease. Some bodies function better in some way to heal, repair and survive than the others who get sick, or die. The same can be said of any health problem, even Peyronie’s disease – if your body is working at its highest level, you stand a better chance of avoiding or surviving a health problem. This is where the PDI theory about PD comes in.

We all have scars on our body. Sometimes a minor injury heals with a major scar, while on the other hand, some major injuries heal without a scar. Some scars from childhood injuries fade as we get older. These are important points to consider, since scar formation of the tunica albuginea of the penis is central to the problem of PD. If scar tissue doesn’t always develop after injury, and is reversible in 50% of the men with PD, what about you? Do you really have to be stuck with a scar and a permanently bent penis? Our interest at PDI is to determine why this reversal of scarring happens in 50% of PD cases, and how to assist scar reversal for more PD sufferers. We think we are on the right track with our efforts, and we offer our ideas to you for your consideration.

We all have seen from our everyday observations and experience that scarring is not always inevitable and is sometimes reversible. At the Peyronie’s Disease Institute we simply attempt to create a favorable environment in which scarring of the tunica albuginea is minimized to the best of each man’s ability, and maybe even eliminated, by enhancing and supporting the normal healing response of the tissue to injury. Remember:  no epidemic killed everyone, so we know our body has an amazing ability to repair and heal.   History proves this to us.

Just as we have seen from history that not everyone who is exposed in an epidemic of a fatal disease gets it, PDI is working with the theory that the scar of Peyronie’s disease might be avoided or minimized if you can improve your tissue health and immune response.    If you work a bit to increase your ability to repair and heal your problem, you might even be able to avoid Peyronie’s disease surgery, wouldn’t that be nice?

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

Organize a Peyronie’s Disease Treatment Plan

An Effective Plan to Treat Peyronie’s Disease is Simple and Direct

Let’s understand something. You do not have to use each and every one of the following products to create a Peyronie’s disease treatment plan. Which therapies – and number of therapies – you finally select are entirely up to you. One therapy – any therapy – has got to be better than none; two are even better, three even more so, etc.

Perhaps the average number of therapies that are used in a treatment plan is about 9-10. As a general rule, the greater the number of therapies the greater the power of synergy working for you. Our experience is that those who try to do the least, get the least. Makes sense, don’t you think? No one can predict how a person will respond to any plan, but as the old saying goes, “You usually get out of it what you put into it.”

Additional information about Peyronie’s disease treatment – totally different and totally from a different direction, not presented anywhere on this website – is also available in the “Peyronie’s Disease Handbook.”|A good attitude seems to be directed toward an aggressive plan that can run for several months to help the body heal the Peyronie’s plaque material – anything that will avoid Peyronie’s disease surgery.

Why Buy from PDI? It’s all about getting the best Peyronie’s disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part of selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.

Brief guide to create your Peyronie’s treatment plan:

1. Be aggressive. Think in terms of overwhelming your problem and supporting your tissue health in a broad area. Picture this as a war plan and you wish to attack from as many directions and levels as possible to assure your success in battle.

2. Diversify. Use some internal therapies and some external therapies. Use some nutritional therapies and some energy therapies. From the internal options, consider some nutritional and some enzyme therapies. Mix it up.

3. Educate yourself. Read about the various therapies so you can understand why each is recommended in treatment of PD. Determine which are the most important to you.

4. Get personal. Think in terms of what you know about your own health and body. Try to select those options that address you personally.

5. Discuss your ideas with your doctor. Do not exclude your doctor from your decision-making process. Keep him/her informed and listen closely to all advice you are given.

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

Options PDI recommends for your consideration in your PD treatment plan:

Method Item Product name, count PDI price
Internal Vitamin E Integral E 400/400 (60 soft gel) $28.00
internal Vitamin E Gamma E 500 (60 soft gel) 28.00
Internal Vitamin E Aqua-E (60 soft gel) 32.00
Internal Vitamin E Unique E (180 soft gel) 33.50
Internal Essential Fatty Acid Omega T 1000 (60 soft gel) 28.00
Internal Vitamin C Natural C 1 gram (100) 7.75
Internal Vitamin C Natural C 1 gram (250) 19.00
Internal Vitamin C Ascorbplex 1000 (90) 11.00
Internal Vitamin C Ascorbplex 1000 (180) 20.00
Internal MSM  Fundamental Sulfur (100) 12.25
Internal PABA PABA 500 mg (100) 8.50
Internal Acetyl-L-Carnitine Acetyl-L-Carnitine 500 mg (100) 39.75
Internal Enzyme Quercetin-Bromelain 333 mg (100) 16.00
Internal Enzyme Fibrozym (100)  16.50
Internal Enzyme Fibrozym (200)  28.00
Internal Enzyme Nattokinase 1500 (100) 16.50
Internal Enzyme Neprinol (300) Call for sale price 144.50
Internal Enzyme Neprinol (90) Call for sale price 79.99
Internal Japanese Herb KBG formula  17.00
Internal Japanese Herb HJG formula  18.00
Internal Homeopathy Scar-X  12.50
Internal Green Drink Greens First – 10 oz 39.50
Internal Multiple Vitamin Prosta-Support Formula (120) 22.50
External DMSO PMD Topical DMSO (4 oz) 21.00
External Vitamin E Callisto Vitamin E oil (1 oz) 20.00
External Copper Super CP Serum (1 oz) 21.00
External Acupuncture Genesen Acutouch Pointers 399.00
External Massage Exercise Instruction CD program 39.50
External Stretching Manual Penis Stretching Method 49.50
External Stress EFT – telephone consultation 80.00/hour

If you have any questions or problems concerning your Peyronie’s disease treatment plan, just send an email to info@peyronies-disease-help.com

For an interesting way of looking at things, click on A Honey of an Idea for Peyronie’s Disease Natural Treatment.


Why Buy from PDI? It’s all about getting the best Peyronie’s disease treatment possible:

  • Service PDI offers email support and assistance for the products and services we provide. Dr. Herazy is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
  • Quality and Quantity Repairing the Peyronie’s scar is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part selecting good companies and products. Buy with confidence.
  • Value PDI has a competitive pricing structure of which we are proud. You cannot find better products that deliver the quality and quantity for the prices we have set.
  • Convenience Everything you need is here, right now, in one place.


How an Erection is Affected by Peyronie's Disease

Peyronie’s Disease Stops Normal Erection Mechanics

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An erection is the stiffening or hardening with enlargement of the penis that periodically occurs upon a sexual and non-sexual stimulus. The primary purpose of an erection is sexual intercourse.  The curved penis of Peyronie’s disease occurs when this process is interrupted or impaired by the presence of the Peyronie’s plaque material.

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

View graphic pictures, click on pictures of Peyronie’s disease and Peyronie’s pictures

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.”

The complex erection mechanism can start in either the brain (a thought), the penis (a touch), or the bladder (when filled). Upon stimulation a beautifully intricate and balanced reaction of nerve messages occurs between the brain and the reproductive organs. The first thing to happen to the penis is a message is received from the brain. This message causes nitric oxide to be released from the tissue of the penis. Nitric oxide in turn causes the same cells of the penis to produce cyclic guaosine monophosphate (cGMP). This chemical, cGMP, has the ability to cause rapid relaxation of both the arteries of the penis and the smooth muscles that line the network of small interconnected spaces of the corpora cavernosa and corpus spongiosum. This relaxation response has an expansive and enlarging effect on the penis, because it causes more blood to flow into the penis and it is “loosened up” to receive and hold the extra blood that is being shunted to it .

Going up

Blood quickly enters the network of erectile tissue spaces as this relaxation continues along the length of the penis. A small amount of blood enters the corpus spongiosum, but the majority of it engorges the corpora cavernosa which expand to hold 90% of the blood involved in an erection.

As more and more blood enters the relaxed spaces of the penis, the expanding spongy tissue presses against the firm tubular connective tissue sleeves known as the tunica albuginea and Buck’s fascia. This increased pressure in turn pushes against veins that normally let blood out of the cavernous and spongy spaces of the penis, compressing and closing their valves. Now with the veins closed off a greater and greater amount of blood is trapped in the penis. When the three penile chambers are filled with blood the penis is at its maximum length, diameter and rigidity, and is said to be erect.

The glans or head of the penis, the mushroom-like end of the corpus spongiosum that sits like a cap on the end of the penis, remains more soft and pliable during erection because its tunica albuginea is much thinner than elsewhere in the penis. This thinness of the tunica at the head of the penis does not allow it to develop the rigidity that other parts of the penis achieve. Of course this is a good design feature, since the relative softness of the glans protects the cervix of the uterus during intercourse.

Going down

After ejaculation, or upon loss of mental or physical stimulus, the brain stops sending signals to the penis to release nitrous oxide. With loss of the nerve signal and subsequent chemical release, the flow of blood is reduced, the pressure drops, the vein valves are no longer held closed and so open up to release blood, and the erection ceases. The penis returns to its normal pre-erectile size and flaccidity.

A simple balloon can give you a better idea of how an erection works: Before you blow up the balloon, the balloon wall material is very soft and flexible. Put a little air into the balloon and it begins to change shape by filling, making the balloon larger. As more and more air gets trapped inside the closed space of the balloon, it continues to become more rigid and large, until a limit is reached. After this certain limit point the previously flexible balloon material gets surprisingly tight and rigid. To keep it rigid you tie off the opening, and to reduce the rigidity you untie the opening.

Click on “Peyronie’s Disease and a History Lesson” to completely change the way you think about Peyronie’s treatment.

Peyronie’s disease and leaky valves

PD causes a problem with the erection mechanism because the vein valves “leak” and cannot build up sufficient pressure to create a full erection, due to interference from the scar or plaque tissue in the tunica albuginea. Its as thought the scar tissue blocks the closer of the vein valves, just as a kink in a car door keeps the door from closing completely, or not at all. As improvement occurs in the size, shape and density of the PD scar as a result of successful therapy, one of the first observable changes will be in the quality of erection response.

And this is why we contend, as you will read in other parts of this website, Peyronie’s disease is all about the scar.

For an interesting PD therapy discussion, click on Heads You Win, Tails You Don’t Lose with Peyronie’s Treatment.

Honey Of an Idea for Peyronie's Disease Natural Treatment

Honey and Peyronie's Natural Treatment

Peyronie's disease treatment must be profitable for the drug industry, even if honey could help a bent or curved penis it would still have to make money to justify Peyronie's research This is one of those “I’ve got bad news and good news” stories. Here is the bad news: Peyronie’s disease  usually is given a bleak outlook based on current medical thinking. There is no strong research that currently proves any treatment method consistently or significantly improves the course of PD. Yes, PDI agrees with the medical establishment, there is currently no proven medical cure for PD; but that says notice about Peyronie's disease natural treatment using a variety of non-drug and non-invasive ways to assist you to heal your own Peyronie's problem. Here is the good news: We think the lack of a known or accepted medical “cure” shouldn't discourage the man with Peyronie’s disease at this time, since there are so many safe and non-controversial natural and alternative therapies that have earned good — but non-conclusive — reports in research from around the world. As you know from reading reports about various therapies, there are many encouraging therapies from which to choose. There is potentially very much that can be done for PD outside of standard medical treatment, with encouraging science to back it up. Scientific research is slow and deliberate; it is often contradictory, and it is sometimes – often – driven by the profit motive. Some Peyronie’s disease research shows favorable and positive results with vitamin E, or MSM, or Neprinol, or carnitine, or Nattokinase, etc., while other research of these same substances indicates just as unfavorable and negative results as the others are positive. Some research shows that only such a small percentage of men with PD are helped by conservative management that the results are not scientifically significant, or the results are inconclusive, or they are contradicted by other equally valid research. In other words, Peyronie’s disease research is often contradictory, vague and undependable. Many treatment methods are never studied because there is not enough potential profit to justify the high cost of such research. Just as a wild example, what if honey was actually an effective treatment for PD? Yep, all you had to do was eat some honey or smear it on you, and a short while later your PD would be gone. What would be the motive for a large drug company to do the necessary and vital research proving that honey was a good treatment of Peyronie's disease?   None.   If honey was a proven cure for PD only some beekeepers – and you – would benefit. Without profit, research usually doesn’t happen.

Understand why Alternative Medicine treatment of Peyronie's disease is not accepted by traditional medical practice, click  Science is Slow.

Profit and Peyronie’s disease treatment

If honey was the cure for Peyronie's disease, the research would never get done, and scientists would be correct to say there is “no research available to prove its      effectiveness.” Of course that lack of proof would be by their design. That is the dilemma of alternative medicine, and it is the basis for the indifference and lack of enthusiasm for Peyronie's disease treatment. PDI thinks there have been enough favorable findings for many therapies – fully acknowledging research and studies that contradict and refute them – that a person should investigate these inexpensive and naturally occurring therapies to learn their therapeutic benefit firsthand. Please note that for all of the therapies (vitamin E, DMSO, carnitine, Neprinol, copper, etc.) that are sometimes given negative results, there are other favorable and positive studies of these same therapies that contradict the negative studies. The therapies that PDI suggests are scientifically grounded, safe, economical and adequately proven to a degree necessary to justify their cautious and limited use in treating PD.

To read success stories, click on Peyronie's disease treatment testimonials.   So don’t be too bothered by a current lack of proof for theses Peyronie's treatments. Peyronie’s Disease Institute thinks it has  “A Honey of an Idea “ for you.

Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

Logic and scientific basis for natural Peyronie’s care

Questions?
Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
Learn the latest and best Natural Peyronie’s treatment

Anything you do for your Peyronie’s disease – even if what you do is to do nothing – is a choice and a calculated gamble.

Peyronie’s Disease Institute’s opinion is that it is smart to use the best of what is known and available while the truth about PD is still being debated. If what you do makes a difference to your Peyronie’s disease, look what you gained. If your Peyronie’s disease natural treatment effort does not help your PD, you did not harm yourself and chances are the various therapies at least benefited your overall health and well-being.

Commentary:  Standard medical “wait-and-see treatment” of Peyronie’s disease, click Peyronie’s Disease and Man Whose House is on Fire.

This website offers a base of information to create a personal treatment plan with reasonable possibility to improve your opportunity for success, based on the synergy of using multiple therapies yet with minimal risk since none of these treatments are inherently dangerous. With so many simple, safe and sensible things that often work, even though none of them have full scientific proof and acceptance, you have a reasonable chance to increase your tissue’s ability to heal and repair your PD. Even if these therapies do not help your PD, there is only remote chance any of them could do harm. This is not true of medical therapies. Peyronie’s Disease Institute uses therapies that are refinements of substances normally and naturally found in your tissues – vitamins, minerals, enzymes, and amino acids. None of the therapies we propose are foreign or invasive in nature.

If you are successful in supporting your health sufficiently, and your tissue responds by healing your PD – you win. If you are not successful in supporting your health sufficiently or early enough to adequately make the changes or improvement in your PD as you hoped – you don’t lose. There are no known side-effects to the elements of this treatment plan, and you improved your eating habits, improved your nutrition input, exercised more, probably removed some plaque from your arterial walls, probably lowered your blood pressure, probably noticed that your blood circulation was improved and your hands and feet are not cold as they were before, and probably witnessed general improvement in your overall health or elimination of your curved penis – you don’t lose.

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

Peyronie’s treatment and your odds for success

If after following an aggressive and scientifically based alternative program of care your PD does not respond, as can certainly happen, then Peyronie’s disease surgery can still be performed. It seems logical that the PDI approach to managing PD is a safe way to use the time that the average MD would suggest that you do nothing to help yourself. Most conservative thought would be favorable to spending a few dollars and reasonable effort to reduce the need for an eventual surgical procedure. The person with a cold takes vitamin C to increase the function of his immune response, and expects to shorten the time he is ill. The person who has a broken bone and takes a calcium supplement, or the person who is anemic and takes some extra iron, or wants to build up some additional muscle tissue and takes some extra protein, is thought to be sensible and intelligent.

The Peyronie’s Disease Institute tactic of aggressively using widely acceptable nutritional information and science in a Peyronie’s disease treatment plan is not much different. These measures have been reported to improve the ability of the body to heal and repair PD in certain studies — and could increase the odds you could be in the 50% group that eventually recovers from Peyronie’s disease.

Peyronie’s Disease Treatment Question

Common question about Peyronie’s treatment

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), or an old home remedy (garlic, castor oil, olive oil) that might be used as a Peyronie’s disease cure.  Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that that could be actually very effective.  But who among us wants to waste his time, effort, energy, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum is not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the PDI lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

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 Disease Treatment and Vitamin E

 Peyronie’s vitamin E dosage

The usual Peyronie’s disease vitamin E dosage advice from a medical doctor will be to “take no more than 400 IU of vitamin E a day.”   Sometimes this number will be doubled to 800 IU daily by some doctors who are more aggressive with their recommendation.  All of this is of valuable interest because vitamin E is the most commonly recommended non-drug Peyronie’s disease treatment, and very often it is the only non-drug Peyronie’s disease treatment that will be discussed.

Since vitamin E is available in both a synthetic form and a naturally occurring organic form, which form you use determines how much you can safely take.  Eight different members of the vitamin E family, four known as tocopherols and four known as tocotrienols, make up the vitamin E family.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E group.  The most widely found member is known as gamma tocopherol, which works to eliminate nitrogen free radicals and is a very effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage.

Most vitamin E supplements contain only alpha tocopherol because it was thought that only this single part of the family of eight is the most important for Peyronies disease treatment. In fact, most vitamin E skin products contain a small amount of synthetic dl-alpha-tocopheryl acetate.  This means that they contain only one of the eight members of the vitamin E family in the less effective synthetic form. Only products which supply the complete vitamin E family and are particularly rich in gamma tocopherol and tocotrienols in their natural and unesterified form contribute to accelerated wound healing and minimized scarring.  This is why PDI is most insistent on men using a vitamin E therapy that is heavily slanted toward gamma tocopherol and all the tocotrienols.

Peyronie’s and vitamin E controversy

Concern about vitamin E safety during the past decade or so has been due solely to bad publicity in this area, which is based on perpetuation of questionable research and misunderstanding about vitamins.   Faulty research reporting and misinterpretation of findings are the same two reasons for the condemnation of vitamin E supplementation.

First, vitamin E confusion arises from a medical reporting that ignores details of a particular vitamin E study reported in the Annals of Internal Medicine.  The problem is gross generalization or not understanding the vitamin E research study.

The Annals of Internal Medicine vitamin E report is found at   http://annals.org/article.aspx?articleid=718049    Review this information to verify what I report is accurate:

  • Those who took part in this vitamin E research often combined vitamin E with various drugs while they were being studied.  All potential and actual adverse drug reactions to these different drug combinations were not factored in or considered anywhere in the study results.
  • All study participants were elderly people, already being treated for a variety of chronic diseases. The researchers report this as a strong complicating issue, and puts suspicion on all conclusions because these elderly and sick people are far more likely to be taking high doses of vitamin E. They readily admit it is inaccurate to generalize these findings of this group to a healthy, normal, average or younger age group population.
  • This study contained too many variables.  It evaluated many different research studies, all of them used different procedures and protocols such as different vitamin E dosages administered for a widely variable amount of time. They admit they evaluated and combined data from sources that originated and were collected in different ways; they went beyond comparing apples and oranges, they compared grapes and bowling balls.
  • None of the studies reported took the time to report or differentiate chemical immense differences of natural and synthetic vitamin E.
  • Within the scientific community the findings of the original research has been questioned and criticized.

Vitamin E safety

The Annals of Internal Medicine report states vitamin E has a relative risk of 1.05. A relative risk of 1.0 is actually a neutral finding.   This 1.05 risk level is not clinically significant to establish an association between a fatal dose or use high dose vitamin like vitamin E.  Consider that water might have a relative risk of 1.05 in certain situations.

Before taking higher doses of vitamin E for therapeutic benefit, consult a health professional first.  Discuss your health concerns, possible vitamin E side effects, and what dosage of vitamin E might be best for you.  Vitamin E may be deficient in some diets, especially very low fat diets. Most nutrition experts agree that taking vitamin E supplements is safe.

Vitamin E study limitations and problems

Here is a summary of this study presented by those who conducted this study:

The evaluation of high-dosage vitamin E trials in which more than 400 IU of vitamin E was used was often too small to establish accuracy of findings.  This study should not have included elderly patients with one or more chronic diseases, yet they were the primary participants.  It is not clear how to generalize the findings of this study conducted on ill and elderly people to a population of healthy adults.  It is also not clear how to determine the exact dosage at which someone might be at risk of taking too much vitamin E based on this study using ill and elderly people.

In spite of these large obvious flaws and limitations, the conclusion of this study is that any dosage at or above 400 IU daily of vitamin E mayincrease mortality and should be avoided.

Secondly, misunderstanding and confusion exists over the many subtle differences between natural and synthetic vitamin E.  The ultimate error is that natural and synthetic vitamin E will chemically react the same, and that is not true.

Problem #2 – Natural or Synthetic Vitamin E

Natural vitamin E is d-alpha-tocopherol, and synthetic vitamin E is dl-alpha-tocopheryl. Since the names of the chemicals are different you know the chemicals are different.  As the chemicals are different, their reaction is also different in the body.

The Townsend Letter for Doctors and Patients reports, “Natural vitamin E supplements outperform synthetic forms, according to a VERIS Research Summary. Results of recent studies suggest that natural vitamin E is more bioavailable and is retained in body tissues significantly longer than synthetic vitamin E. These studies show that previously accepted differences were underestimated and that the bioavailability of natural vitamin E is about twice that of synthetic vitamin E compounds.”

Vegetable oil, specifically soybean oil, is the primary source of naturally occurring vitamin E.  However, synthetic vitamin E is manufactured from petroleum chemicals (yes, the same oil that comes out of the ground, used to make tar, motor oil and gasoline, often linked with cancer).

Doctors are very comfortable and familiar with prescribing synthetic chemicals.  For this reason they are not hesitant to prescribe a synthetic vitamin.  But, the primary difference scientists use to determine toxicity and function within the body is the molecular structure of a compound.

When taking levels of “vitamin E” above 400IU is found to be unsafe, it is because the vitamin E is synthetic and not tolerated well. All biomedical testing proves that within the human structure there is a strong chemical discrimination or preference between natural and synthetic vitamin E.

“Our studies suggest without question that natural vitamin E delivers at least twice the impact as synthetic E,” said Robert Acuff, PhD, Professor and Director, Center for Nutrition Research at East Tennessee State University.  He concludes it is the natural form of vitamin E is obviously the one human tissue was designed to use.  Margaret Traber, Associate Professor at the Linus Pauling Institute, Oregon State University, seems to discriminate between the two forms of vitamin E, reporting that the human body will retain the natural organic form of vitamin E, while rapidly eliminating the synthetic form in the urine and bowel.

It is my opinion that the human organism will tolerate much higher doses of natural vitamin E – provided by Peyronie’s Disease Institute and the Natural Complementary Medicine LLC website – and can tolerate much less synthetic vitamin E available found in lower cost and lower quality products.  For this reason PDI only uses organic and natural vitamin E for use in Peyronie’s disease treatment plans.  Using the kind of vitamin E we have available, many men use levels in the 800IU-1,200IU range while attempting to reduce their Peyronies plaque or scar.

For additional information go to the PDI website at vitamin E.

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.

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.

Peyronies and Viagra

Peyronies and Viagra are connected

Questions about Peyronie’s disease and Viagra are common.   Viagra, one of the PDE5 inhibitor drugs, is wildly popular and widely used not only among men who have erectile dysfunction (ED, impotence), but healthy men who merely use it to have longer lasting and more repetitive sexual intercourse.

While I hate to spoil the fun, over the years I have had a disturbing number of men tell me that they now have Peyronies – and Viagra was the cause of it.  They report the erection that occurred after using Viagra was a super-erection and caused greater than normal internal pressure and pain.  Shortly after having such an episode they report having Peyronie’s disease; they reason that Viagra use is the only possible cause, because no trauma occurred.

It makes sense that any of the PDE5 inhibitor drugs (Cialis and Levitra are the others) increase pressure that is sometimes greater than normal with the tunica albuginea. In addition, these drugs create such hard and long-lasting erections because they induce an artificial condition within the penis.

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 Viagra, and the rest of these products.

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

Even though it sounds like a teenagers dream come true, the penis is not designed or intended to sustain such great internal pressures that are created by these drugs, nor is the penis built to be used in hour after hour of intercourse.  Just because you can, doesn’t mean you should.  That kind of activity can be abusive to the delicate tunica albuginea and could be the connection between Peyronies and Viagra or any other PDE5 inhibitor drug.

Several months ago a man told me he injured his penis while using Viagra.  He took some Viagra for the first time to the delight of his wife, and him.  After rousing intercourse, both fell asleep except his penis stayed erect.  He enjoyed the enormous erection and at first he thought it was great.  While asleep with this huge erection he rolled over and jammed his penis into the mattress.  In great pain, he heard and felt the tissue of the penis “pop.”  Two months later he was diagnosed with Peyronie’s disease.

Weekly I am told or I read that MDs write orders for their patients with Peyronies and Viagra is the most commonly prescribed drug.   The MD will explain that the Viagra will increase the blood flow to the penis and this is beneficial to Peyronie’s disease.  I think this is nonsense.

While there is an increased amount of blood within the penis during an erection that causes the greater size of the organ, it is perhaps only 2-3 tablespoons more blood than is normally present.  But here is the most important point that explains why this idea is so silly:  The extra blood, and even the normal amount of blood that is inside the penis during an erection, is TRAPPED there.  It is not freely flowing, or moving in and out as you would like to happen, to actually increase circulation.  During an erection, there is less true circulation of blood – that is why the penis gets darker, because there is less oxygen present – and so there is no therapeutic purpose in creating super erections with Viagra because that is not the way to get better circulation.

A man would know he actually is suffering from poor circulation in his penis, just as he would know he has poor circulation in any other part of his body – like his feet or hands.  When the feet or hands have poor circulation they become cold, painful and pale.  If your penis is not cold, painful and pale, then reduced circulation is probably not your problem.  And enduring prolonged erections from a PDE5 inhibitor will not help your Peyronie’s disease, and could make it worse.

If you want to increase circulation to the penis, you can do it as you would to your feet or hands.  You would apply heat to the area as with a hot water bottle, or cover it with a blanket.  You can even rub it!  It is as simple as that.

The increased occurrence of Peyronies and the increased use of Viagra is not a coincidence.  There is a reason more and more men are getting Peyronie’s disease at the same time that more and more men are using Viagra and the other PDE5 inhibitors.  Now you know about Peyronies and Viagra.

Peyronie’s Disease and the Erection

Peyronie’s treatment and how to care for erections

An important consideration of Peyronie’s disease treatment concerns how the ability to develop a normal erection will be influenced.

While erections can be difficult to develop on demand during a sexual situation, paradoxically, an erection can be difficult to stop, especially when it develops while asleep.  Nocturnal (nighttime) erections occur for a reason, and they are important for the overall health of the spongy tissue of the corpora cavernosa and corpora spongiosum (deep tissues of the penis that fill and trap blood to create the erect state).

It is as though the body takes the opportunity to develop an erection during the night when there is little other activity going on, to assure that the penile tissue is stretched and used in this particular way for its own benefit.  The problem with a nocturnal erection in Peyronie’s disease is that confinement and binding of the erection can be sustained against the penis for a long period of time at the risk of additional injury.  Be especially careful about getting an erection during a time when the penis has no comfortable place to go – do what you can to avoid an erection while wearing tight underwear or pants.

For this reason it is important to not wear tight clothing to bed in order to avoid this problem.

For the most part, a normally occurring erection that can simply “stand on its own” with no pressure against it, is not going to bind or stretch out the penile tissue to any great excess that is going to be detrimental to the penis. Where you can get into trouble is in creating a drug-induced (Viagra, Cialis, Levitra) or artificial erection, during which an abnormally great amount of blood is drawn into the penis by more soft tissue relaxation than normal.  So in this way we see that a naturally occurring erection is safer than an artificially created erection.

Over the years I have communicated with many men whose Peyronies disease started after a drug induced erection that stressed the penile tissues by greatly increased internal pressure.  This process would not be much different than taking a car tire that is meant to go no higher than 40-50 PSI during normal use, and over-inflating it to 100-150 PSI during use.  Because it is not built to take that kind of pressure, you could expect some problems to develop in using a tire that way.  Not much different with the penis.

Sexual activity is NOT to be avoided if you have Peyronie’s disease, but rough, aggressive, hard sex could really hurt you.  Developing and using a natural erection is not to be avoided either in PD.  Just keep your wits about you and do not go wild during sex.  The emphasis should be on an easy, smooth and gentle sexual encounter.  Anything that causes pain should be avoided.

Many important related topics about taking care of yourself, avoiding injury, doing nothing to set your progress back while you are attempting to heal your problem, are covered in my recent book, “Peyronie’s Disease Handbook.”   I think you would enjoy learning more about what you can and should do to take care of this nasty problem.

Peyronie’s Disease Treatment Question

Peyronie’s treatment that are not mainstream

Every now and then someone emails a question to me about an herbal Peyronie’s disease treatment (ginkgo biloba, echinacea), a micronutrient (coenzyme Q, EPA), and old standby like vitamin E, or an old home remedy (garlic, Castor oil, olive oil) that might be used as a Peyronie’s disease cure.  Along a similar line, I am sometimes asked if I know anything about a legendary Peyronie’s treatment known as Thacker’s formula, what I would think about using the treatment, and why does this treatment not appear in the PDI lineup of therapies?

How is a Peyronie’s treatment method selected by PDI?

In order for any therapy or procedure to be included in the PDI lineup of 14 potential Peyronie’s treatments, it has to have either been applied specifically in treatment of PD in a series of scientific studies and proven at least 50% effective in several trials (even though it might have done poorly in others), or it must have demonstrated good success and acceptance within the scientific community for treatment of other unrelated health problems (acupuncture and homeopathy).  With this simple criterion we establish some level of scientific credibility for those therapies in our PDI lineup, and further increase the possible effectiveness of therapy when several of these are united in a synergistic program of care.

There are probably some really good Peyronie’s disease treatment ideas that that could be actually very effective.  But who among us wants to waste his time, effort, energy, money, and most importantly, his opportunity to get over his Peyronie’s disease by experimenting with theories that have absolutely no proven ability to influence the body to promote healing? I did not want to waste my time on theories of questionable merit, when I knew there were many available that had already achieved some level of success.  This last group seemed to be a better place to look for answers, than chasing unproven ideas.

Edgar Cayce’s castor oil pack might indeed be an effective Peyronies’ disease treatment, but for one reason or another it has not been subjected to even minimal scrutiny for PD.  The goal of recovering from Peyronies is too great to use an untried treatment, when there are so many others of higher credibility and logic to work with.

PDI was started on the basis of using treatments of some level of known and proven merit, and uses this standard today to determine what additions will be recommended and used in future therapy plans.  Rumors, stories, and speculation you read about on a Peyronie’s forum is not enough.  Alternative Medicine employs early science to see through the maze of superstition and learn the truth of what may or may not work to regain health.  These are the principles used to formulate the current Peyronie’s disease treatment strategies you have learned about.  We are already working on the outer rim of established medical practice, but we must be careful to not go too far away from common sense and valuable scientific information that will help us achieve our health goals.

Usually, my suggestion for someone who wants to use such a new Peyronie’s treatment is to do it in combination with several other known and better proven therapies already in the PDI lineup.  This way there is back-up treatment, and the total effort will create a therapeutic synergy.  Never is it suggested to use only the one therapy of any type, proven or unproven.

So, if you are just adding in an extra type of therapy because you read about it on a Peyronie’s forum, I say, all the more power to your curiosity and sense of adventure, but please do not have that constitute the majority of what you do for yourself.

Try not to become so desperate that you grab at straws. There is a lot of good information about sensible Peyronie’s disease treatment I can offer if you need help with your rehabilitation program.

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.

What is the Best Peyronie’s Disease Treatment PDI Uses?

Best Peyronie’s treatment

Every week, without fail, some poor guy who just learned he has PD will write an email to me asking, “What is the best one of all the Peyronie’s disease therapies PDI uses?” it is a common question, and a good one.

The best way to treat Peyronie’s disease is with everything you can throw against it.  It is that kind of problem.

There is no one therapy that is a magic bullet. There are no wonder cures, no nifty little tricks that will get you a larger penis and are also a Peyronie’s disease treatment.

Each person must educate himself about the problem, read about the different Alternative Medicine therapies and what they can do, determine if there are any indicators that one or more might be indicated, and then consider time, effort and cost. Lastly, it is necessary to determine how important it is to you to regain your health. Based on all this, a man should feel comfortable with a plan of action he can follow for several months as he goes about doing all he can to improve his body’s ability to heal and repair the injury of PD.

Those men who get good results with their Peyronie’s disease are the tough SOBs who just keep going after it day after day with as much therapy as they can afford to use, until they seem to wear the fibrous tissue down. Slowly they gain on it, with the scar(s) becoming softer and smaller; slowly they come around. Some get fantastic results and some get only moderate results – few who work hard at it do poorly. There usually is progress to be made if you work at it.

So, again, “What is the best Peyronie’s treatment?” I would say the answer is that you do all that you can for as long as you can until your body overwhelms the Peyronies plaque tissue. To do less than that is to allow Peyronie’s disease to ruin your life.

Penis Stretching for Peyronie's Disease Treatment

Penis stretcher in Peyronie’s disease treatment

Here is a post that I recently entered on a Peyronie’s disease forum in response to a man’s comment that he wore a particular penis traction device for three months and noticed no change in his condition.   This information about this manual therapy that works well with other Peyronie’s disease natural treatments found on the PDI website.

Greetings estep32002,

I have read your post about the penis stretching or penis traction device for Peyronies treatment.

Previously, I have written to this forum in the negative about these penis traction devices. I have done so because of repeated communications I receive from men who have Peyronie’s disease, who tell me of their lack of success. They tell me of their inability to wear these penis stretcher devices because of built-in design flaws, and their experience of being injured by these stretchers. All that I learn tells me they do not help Peyronie’s disease as the sellers say they do.

Actually, I think you are somewhat unusual in your ability to have worn or used one for three months. Men tell me they cannot stand to put one on for longer than a half hour. They say they get bruised and develop sores after a few minutes or a few hours of use.

One fellow recently told me he wore his expensive model for ten minutes and never put it back on again. Another poor guy admitted to me he has three of them sitting in a drawer, and they all hurt him badly. He thought if bought a better and more expensive one, he would eventually find one that he could use. Three stretchers later, no such luck.

If you could wear such a device long enough to actually stretch the soft tissue of the penis, that does not mean the more rigid and more dense tissue of the Peyronies plaque would also stretch. When I was first introduced to the idea of using a penis traction device to treat Peyronie’s disease, it did not make sense to me. I figured that the only thing that could eventually happen – if all went well – would be that the penis would be larger, but it would still exhibit the PD plaque with the related curvature that it causes. Let me explain.

Just as a chain breaks at its weakest link, a penis that has a Peyronies plaque in it will primarily stretch from the normal, healthy tissue. The normal tissue will stretch sooner and farther than the plaque material can respond to the stretching force. Think of it this way: A roll of toilet paper tears at the perforations because that is a point of weakness in the paper. Here’s another example: Remember when automobile tires had inner tubes? Remember what would happen if you blew it up with air, if it had a weak spot in the rubber wall of the inner tube? Sure. The weak part would bubble up or swell up because it was weaker than the normal strong part. The weaker part would stretch under pressure before the strong part of the rubber had a chance to stretch.

In Peyronie’s disease stretching the weaker tissue is the softer normal tissue, while the stronger tissue is the plaque that contains all the dense fibrous materials. When someone with PD stretches his penis, most or all of the lengthening will come from the more flexible and weaker tissue, not the scar tissue. The scar will not be altered because it cannot participate in the stretch, because the traction force is used up by the normal tissue.

When I ask these traction device makers a few simple questions exactly how their penis enlargement products can help Peyronies, I never receive answers back from them. I ask about the pain and tissue erosion created by the pressure that is applied to hold onto the penis head, and again I get no reply. I think this says a lot

There are safer and more effective ways to stretch the penis, to reduce the PD plaque material, than applying a mechanical appliance that smashes down on the glans to hold the penis. Peyronie’s disease is a complicated and stubborn problem to treat. I have been personally involved with PD for about seven years now, since having the happy experience of developing a pretty nasty case of it. In that time I have learned a lot and helped many men along the way. My advice is to be very careful with these mechanical penis stretcher products. TRH

What I did not mention in that Peyronie’s disease forum response is that the safer and more effective way to stretch the penis was developed by me while working with 10 men who I knew who were customers of the Peyronie’s Disease Institute. If you are interested in learning about this gentle and effective way to treat your Peyronies, go to Peyronie’s penis stretching.

Peyronie's Plaque and Fibrin

Peyronie’s disease plaque and fibrin

The tissue changes that occur in Peyronie’s disease are unique in regard to the Peyronie’s plaque that develops.

In a November 2005 abstract account, Kenneth D. Somers and Dawn M. Dawson, of the Department of Microbiology and Immunology, Eastern Virginia Medical School, Norfolk, Virginia, and Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio, reported on their findings concerning the tissue changes that occur in Peyronie’s disease.

To begin this explanation, they remind us that Peyronie’s disease is actually a pathological fibrosis, or a situation in which there is excess fibrin tissue located in a small area to the degree that it becomes a problem for the body. In the case of Peyronie’s disease, this fibrosis also is associated with an excessive deposit of collagen in the same area of the fibrin plaque or scar.

Although the cause of Peyronie’s disease remains unknown, they tell us, injury or trauma has long been thought to be the inciting event. To determine if this is true, they looked at the cellular structure of the Peyronie’s plaque or scar to get an insight into the cause of this condition.

Materials and methods they used

Small samples of plaque tissue was taken from 33 patients with Peyronie’s disease, and control tissue and nodular tissue was taken from the penis of eight patients with Dupuytren’s contracture; both groups of tissue were analyzed for collagen staining, as well as fibrin and elastic fiber structure and distribution.

Their results

As a result of this study they found abnormally stained collagen in 97% of the samples, disrupted elastic fibers in 94% and excess fibrin deposition in 95% of the samples. These same findings were not found in the normal scared tunica albuginea of control patients who did not have Peyronie’s disease. The presence of abnormal fibrin accumulation in Peyronies plaque tissue was detected in a special chemical analysis, while this abnormal fibrin was not found in skin tissue samples from the same patients.

Their conclusions

Their conclusions from this study is that the fibrin deposits in Peyronies plaque tissue is consistent with the theory that repeated minor injury or single major injury to the tunica albuginea results in fibrin being deposited in the tissue spaces at the site of trauma to start this condition.

PDI therapy concept

Peyronie’s Disease Institute has taken the position that it is this excess fibrin deposit within the excess collagen formation that can be safely and easily removed by the use of a battery of systemic enzymes that are specific for foreign fibrin protein in the body. By using natural Peyronie’s disease treatment methods to increase the healing response of the immune system against Peyronie’s disease plaque, it is possible to reverse the abnormal tissue found in the tunica albuginea and therefore eliminate the cause of pain and penile curvature associated with Peyronie’s disease.

Peyronie’s Pain

 

Peyronie’s disease pain is different with each man

Peyronie’s disease symptoms – even Peyronie’s pain – can be extremely variable. In fact, one of the things that makes Peyronie’s pain so undependable as a factor on which to create a diagnosis of Peyronie’s disease is that the penile pain is a different presentation from one man to another. Because of the wide variety of Peyronie’s disease pain symptoms, Peyronies treatment can be equally variable when using Alternative medicine.

Peyronie’s pain symptoms

The onset of Peyronie’s pain symptoms can be sudden or slow, but most often will appear in less than a month after direct injury. Often the pain related to Peyronie’s disease is worse at the beginning of the problem, and then gradually improves over time – perhaps in a few weeks or months. Other men have a delayed onset of Peyronie’s disease pain. For all these reasons it is not a reliable way to judge the severity of the condition or to use to calculate the time necessary for eventual recovery.

For many men the pain associated with the actual injury that causes the problem to begin can be greater than the daily Peyronie’s pain that is associated with living with the condition. For others, the pain associated with the actual injury is mild and brief compared to the daily Peyronie’s pain they experience. Again, all of this is related to the variable nature of all Peyronie’s disease symptoms.

Peyronie’s disease pain patterns

Peyronie’s pain most often occurs with an erection during the first six to 18 months after onset. However, pain associated with Peyronie’s disease may present itself in many ways:

  • Only during an erection
  • Only when not erect (flaccid)
  • Only during an orgasm
  • Only when the penis is touched

Peyronie’s pain originates in Buck’s fascia

The scar tissue, also known as a plaque, associated with Peyronie’s disease and the variable pain it can cause can often – but always – be felt below the surface of the skin of the penis as small elevated or flat beads, lumps, bands of slightly to greatly dense and hard tissue. These soft tissue masses are located in a layer of soft tissue in the tunica albuginea. However, the scar in the tunica albuginea does not cause the actual Peyronie’s pain. The pain originates from the many pain fibers found just below the tunica albuginea in another layer of soft tissue called Buck’s fascia.

Apparently, when a man experiences intense or frequent Peyronie’s pain, it is because the scar is large enough or deep enough to press down deeper from the tunica albuginea into Buck’s fascia. And when pain is not as great a complaint, it is because Buck’s fascia is not being irritated by the scar or plaque material.

For a more comprehensive discussion of Peyronie’s disease pain, local penile anatomy and Peyronie’s disease treatment you can start searching the Peyronie’s Disease Institute website at Peyronie’s disease introduction.

Peyronie's Disease Treatment with Neprinol

Peyronie’s treatment – Neprinol for Peyronie

Neprinol is a very well researched systemic enzyme therapy that is used for Peyronie’s disease treatment. Since the curved penis that is so common in Peyronies is such a common problem with no effective medical treatment, Neprinol is a much needed Alternative Medicine tool against this problem. Neprinol works to break down and eliminate the offending Peyronie’s plaque fibrous material that causes the bent penis for which Peyronies is so well known. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors. Confusion exists about Neprinol because it is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme like so many other products.

These are the basic highlights about Neprinol as it relates to Peyronie’s disease treatment:

1. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase. Therefore, a lower dose of Neprinol is needed to reach a higher level of these two enzymes, as when lower concentration enzymes are used separately.

2. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes. PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym. Both of these great products can be used successfully in Peyronies treatment. But, Neprinol has more of these same enzymes in it than these separate enzyme products.

3. Dosage of Neprinol – like most other Peyronies treatment products – is based on ability of that product to make a positive change in the condition of the Peyronies plaque or scar. While the bottle of Neprinol might say to take six capsules daily, the effective dose for each man will be different. After working with PD treatment since 2002 I know that some men respond with a dose of four capsules of Neprinol daily, while others might take 20 for the same results. There is no magic dose of Neprinol. It is something than must be determined by continual trial until a favorable change is noted in the condition of the Peyronies scar material. Safety is always an issue, so it is necessary when anyone is taking more than six Neprinol daily to take a period rest from this therapy, by simply stopping usage for several days every few weeks.

4. A single bottle of Neprinol is comparatively expensive for a few reasons: the bottle is three times larger than the average enzyme product, (Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products often are sold in bottles of 100) and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and coenzyme Q than are found in any other enzyme product. Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet. Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them.

5. For a $10 discount we offer for Neprinol, just type in the discount code word “Neprinol” in the appropriate discount offer area, bringing your cost down to $135 for the Neprinol 300 size.

To read more about the use of Neprinol and other systemic enzymes in Peyronie’s disease treatment, go to the Peyronie’s Disease Institute discussion about systemic enzymes at Peyronies treatment with Enzymes and Neprinol

Neprinol and Peyronie’s treatment

Because Neprinol is heavily promoted for Peyronie’s treatment, some men develop the mistaken idea to only use Neprinol in their Peyronies treatment plan. I advise against this. Not because Neprinol is not an effective way to reduce foreign fibrin from the Peyronies plaque and scar material, but because Peyronies disease is such a stubborn problem to treat successfully. PD almost always requires large and complex treatment for a considerable length of time. I rarely hear of cases in which Neprinol does more than reduce penis pain associated with Peyronie’s disease. But when it is combined with other effective forms of Peyronies treatment, the results can be dramatic.

Effectively treating Peyronies is all about doing all that you can to create synergy with multiple therapies designed to increase your ability to heal and repair the Peyronies plaque or scar. It is never as easy as popping a few pills – even as great as Neprinol – and getting the kind of results we all want.

Please send your questions about Neprinol and Peyronie’s disease to “Ask Dr. Herazy…”

Peyronie's Disease Self Treatment

PDI – the leader in Peyronies disease self treatment

Every now and then I get an email from someone wanting to know if I know anything about Peyronie’s disease self treatment.

This is always surprising since it is so obvious to me that the major topic of the entire Peyronie’s Disease Institute web site is all about using Peyronies natural treatments that every man can manage for himself.

The way that PDI helps someone learn about and work with Peyronies disease self treatment is by first explaining about the different therapies, then offering detailed information about putting together an effective Peyronies treatment plan, and lastly by being available to answer questions and make suggestions if problems arise during care.

The general topics of discussion and product availability that are part of a larger Peyronies disease self treatment plan include:

1. Natural supplements taken internally (vitamin E, vitamin C, PABA, acetyl-L-carnitine, enzymes, herbs, etc.)

2. Homeopathic medicine (Scar-X)

3. Natural supplements taken externally (vitamin E, copper peptides, DMSO)

4. Energetic medicine (professional grade non-invasive acupuncture therapy equipment, a video about gentle manual stretching of the PD scar, or an additional educational program that is a video about a gentle massage and exercise program)

5. Books (“Peyronie’s Disease Handbook” and “Peyronie’s Disease & Sex”)

For anyone who is interested in Peyronies disease self treatment, it is safe to think that PDI has what you need. PDI has provided help to those who want to help themselves get over their Peyronies since 2002.  If you have any questions about the topic of Peyronie’s disease self treatment, please contact Dr. Herazy at info@peyronies-disease-hlep.com

Peyronies Treatment and the Penis Stretcher

Peyronie’s Curved Penis and the Penis Stretcher

This blog report is about the hot Peyronie’s disease treatment topic of penis stretchers, or as they sometimes call an extender, and the long awaited announcement of our new, one-hour PDI Manual Penis Stretching Method© CD video.

All of this work and the discovery of yet another way to use Alternative Medicine to treat Peyronie’s disease started because I receive so many questions about the penis stretching devices, and the sad fact that I hear so many bad stories about them. I got tired of telling people why these penis stretcher devices cannot work, describing the common potential dangers they create, their mechanical limitations of use, and the many horror stories I hear from men whose PD started after using a penis stretcher.  So, I started with a goal to learn if I could safely and effectively stretch the Peyronies penis, and I did.

A few months ago I wrote in the PD Institute Newsletters that I would soon offer a process that would revolutionize the concept of penis stretching as an improved form of Peyronies treatment. Now, the brand new PDI Manual Penis Stretching Method© CD is complete and ready for your review on the PDI website.

There are several very good reasons I looked into, and then developed, this entirely new concept in Peyronie’s disease treatment. Most of these reasons are well known to a large percent of men who have Peyronies treatment and have tried and failed with the commonly advertised mechanical penis stretcher devices, and should be well known to the rest of you for your personal benefit and safety.

From my experience, those over-priced penis stretcher devices you see advertised so heavily as a Peyronies treatment are not effective, and are potentially dangerous to all men with PD.

One aspect of the problem is the inability to wear the stretcher. Makers of these manual devices do not mention on their websites that you should not wear the device for more than two hours at a time – yet they want you to wear it for eight to nine hours a day to achieve results. If you could actually wear the stretcher for the full two hours, this would mean that you would put it on and take it off four or five times a day, with perhaps an hour or two rest periods between each wearing cycle. Most of your day would be spent tending to the stretcher, and you would have to do this for perhaps a year or more!

However, after talking to many hundreds of men over the years I know that most men cannot wear one for longer than 10-15 minutes at a time because of the pain and injury they cause. The pain is not so much caused by actual stretching of the penis, but by the pinching and compression to the head of the penis (glans) that is needed to forcefully hold the penis while it is stretched. Now, I don’t know about you, but my penis does not have a handle on it, so there is no good or easy way for a mechanical stretcher to grab the penis in order to stretch it. Thus, it is necessary to apply a strong and constant pressure directly around and below the glans while the traction force is applied.

I have met a few men who could wear a manual stretcher for up to an hour at a time, but not much more than that. If you are one of the men tough enough to wear one for up to an hour, this would mean most of your waking hours would be spent waiting in pain to either put the stretcher on or take it off. I have met men who had so much pain, tissue erosion and broken blood vessels that they never tried to wear it more than once. I have met men whose Peyronies started after a single use of a manual penis stretcher.

The danger of bruising, blisters and tissue erosion are so common that the instructions that come with the stretcher devices discuss what you should do when – not if – these problems occur. If this level of injury happens to the outside of the penis, it can do similar injury to the delicate tunica albuginea where the real injury of Peyronie’s disease occurs. This is how men get into trouble.

There are other practical problems with the stretchers. These involve common issues of daily living like wearing clothes, sitting down, working or urinating that make using a stretcher rather difficult or impossible. I guess these would not be a problem to men who do not wear clothes, do not sit down, do not work, and urinate wherever and whenever they wish. For the rest of us, the mechanical stretchers pose a real problem in the real world.

There are other considerations about the stretcher devices. Have you ever wondered why most of the penis stretcher companies that advertise so heavily are located outside the U.S.? It could be that it is better for them to be located outside the bounds of U.S. law when it comes to customer complaints, product returns and refunds.

Over the years I have been approached by many major manufacturers of these stretching devices, asking me to sell their products on the PDI website. When I ask a few specific questions of these people, something interesting always happens. I find that the person I am speaking to suddenly is not the correct person to answer my kind of question, and I am told that someone else will get back to me with an answer. When I do not get called back by the second person, for fun and curiosity, I call back to speak to the second person. The second person is never available, or is never in the office, and never calls me back. Never, in all the times and all the situations this has happened over the years, has anyone ever answered one of my questions. Remember, these are the people who want me to sell their product, yet this is the kind of help and service I receive. Can you imagine the help and service you would receive if you called with a problem after you spent your money?

Did you ever wonder, if the stretchers worked as quickly and easily as the advertising says they do, why do they have to advertise constantly everywhere you go when you read about PD? There is a reason they are advertised so heavily, and it is not because of effectiveness.

Yet, the concept of stretching soft tissue is interesting since Peyronie’s disease is a soft tissue problem.

So, I recently completed this experimental trial that lasted a little less than two years, in which I worked with 10 men who were customers of PDI and NCMP. From this effort I was able to devise a totally new concept in manually stretching the Peyronies plaque or scar. Our results showed that 80% had moderate to marked reduction of curvature and/or scar formation, with each and every man experiencing an improvement of sexual function.

I encourage you to visit the PDI website to learn more about this method to safely, painlessly, comfortably, and effectively reduce your PD scar, reduce your PD curvature, and improve your sexual ability in 80% of the cases. I ask that you understand that the same concepts of Alternative Medicine, logic and common sense you see throughout the PDI website also applies to the strategy and methods taught in the new PDI one-hour stretching CD.

If, after watching the brief demonstration video, you still have questions about the procedure then just send me an email at info@peyronies-disease-help.com You know I will answer your questions.

Bear in mind that the primary principle behind all PDI treatment concepts has always been synergy, and it always will be. Therefore, you need to understand that the PDI Manual Penis Stretching Method© is not a stand alone method.

Manual penis stretching was used in our tests in conjunction with standard Peyronie’s Disease Institute treatment plans as an additional method to increase synergy of care. No one used just this gentle manual penis stretching technique. In each case, greater progress occurred after using the Peyronie’s Disease Manual Penis Stretching Method© than without it; each man who followed the system saw better progress from his PDI therapy plan after adding the stretching technique. It seems that the PDI Manual Penis Stretching Method© increased effectiveness of our current treatment concept in eight out of 10 in our little study group.

Yes, Peyronies is a lousy problem and I wish I could tell you that this is a magical cure – just like the people who make the mechanical penis stretchers or the herbal products, but I can’t. Effectively treating Peyronie’s disease is still work.

While I can report that 80% of the group saw improvement, that means that 20% did not. I came to learn that those who did not do well with the manual stretching method were those who used very small therapy plans or did not follow their plans faithfully. So, there is room for improvement with this manual Peyronies treatment method. I would hope so. We are just learning how to apply this concept, so it will be necessary to share our insights, experiences and ideas with each other.

Please check it out. I believe you will be impressed and intrigued with the PDI Manual Penis Stretching Method©.

Peyronie's Disease Treatment with Genesen Acutouch Pointers

Genesen Acutouch pens for Peyronie’s treatment

So many readers of the Peyronie’s Disease Treatment Blog use the Genesen Acutouch therapy pens and report good tissue changes after Peyronie’s treatment with them. For this reason this blog commentary will focus on basic techniques and concepts for their correct use.  Please recall that these Genesen Acutouch pens are the same professional quality instruments used to deliver acupuncture treatment for Peyronie’s disease.

Many people ask about treating the Peyronies plaque with them, wanting to know if it is better to use the holders that come with the pens or to just hold both pens manually.

The answer is that either methods will work for Peyronies treatment, depending upon each person’s particular response to the therapy. While there is a lot of research behind the development and use of the Genesen Acutouch Pointers by the Korean manufacturer, I would start out closely following their guidelines. Most men find using the Genesen pen holders is more comfortable and convenient, although some say the rigid distance that the holders mandate is not as effective for them as a slightly greater/lesser distance.  Each user must feel free to experiment with the Genesen Acutouch instruments or pens – be creative – and use the approach that delivers the greatest “reaction” that is described on the PDI website.

Some men get confused about pen tip placement around the Peyronies scar. It is important to remember to keep the pen tips 1/8 to ¼” from the edges of scar.  If a scar is ¼” in size, that means your pointers are rather close to each other, and if a scar is 3” in size your pointers are considerably farther apart.  The idea is to get the pens to deliver the current through the substance of the scar – whatever its size.   Since the manufacturer’s holder keeps them 1 1/2 inches apart, I would work with that distance too, especially if the scar is smaller than 1¼” in size.   Even if it is pea-size, try keeping the pens in the holder and stay farther away than the 1/8 to ¼” distance from the edges that I just mentioned.  You see, there are no rules, just guidelines that should eventually result in greater reactivity.  Break most any rule I give you about the Genesen pens, to see if you can generate a stronger or more dependable reaction.  Stand on your head in the corner, if it seems to give you the greatest response.

The Genesen pens are extremely popular for good reason; they are effective, easy to use, inexpensive compared to going to an acupuncturist at $90-$125 a visit, and very convenient to use in the privacy of your own home.

Each set of Genesen pens comes with my own 10 pages of notes that I created for the treatment of Peyronie’s disease. These outline some very common and popular treatment protocols. Any of these could be used by an acupuncturist who might easily needle these for you. The big advantage of the Genesen pens is that you can treat yourself in this very same manner, any time of the day or night, and several times a week, as you wish.  You can really concentrate your treatment with frequent care for best results, without going broke.

Consider adding the Genesen Acutouch pens to your therapy lineup if you are not seeing the kind of results you want.

Peyronie's Disease Treatment Results

Effectiveness of Alternative Medicine Peyronie’s disease treatment

Many people want to know about the effectiveness of this Alternative Medicine method for Peyronie’s disease treatment that is being used by the Peyronie’s Disease Institute.

All day long I deal with men from around the world – like you – who do not have to report back to me. I have no control about how, if, and when anyone uses their various Peyronies therapy.  The information presented on the PDI website is available for people to use, and there is little to be done to assure the ideas and information is used correctly. In the casual relationship we both enter into, there is no guarantee you or anyone else will use any of these products as I suggest they be used.

You know how people can be.  I can only hope the suggestions I make are given fair consideration, and application of my suggestions and ideas are made in the correct way. PDI has no way of knowing how any of these procedures are being used.  This is a most important point to consider because how these products are used determines the results that are earned. PDI stresses the importance of multiple therapies to maximize the effectiveness of synergy, and this is where most of the discussion of treating PD seems to center: How to go about creating a synergistic effect and how much to develop for the best response possible.

I get back bits and pieces of information from men, here and there. But guys are guys, and so the feedback I receive back is limited in relation to the large amount of time, effort and information I put out to the PD community. But from the information I receive on an irregular basis, I can tell you candidly I see strong evidence that the more that a person does to knock that scar out of the tissue the greater the synergistic effect and the greater the likelihood for success.

Peyronie’s treatment and synergy

From an Alternative Medicine perspective, success in treating Peyronie’s disease comes down to synergy. You recall that synergy (sin’-er-je) is the interaction of two or more substances or forces that when combined tends to produce a total effect that is greater than the sum of the individual elements. A short explanation of synergy is “1 + 1 +1 = 5”. Taber’s medical dictionary defines it as “the harmonious action of two agents such as drugs, or organs such as muscles, producing an effect which neither alone could produce, or an effect that may result which is greater than the total effects of each agent operating by itself”.

The Peyronie’s treatment philosophy of PDI  makes a lot of sense when you think about taking advantage of the power of synergy.  We are suggesting that you take advantage of a simple and frequently seen phenomenon that occurs all around us every day, just as in other applications commonly seen in medical practice, architecture, agriculture, or any other part of life. The synergistic effect applies in countless areas and situations, and treatment of Peyronie’s disease is no different. Therefore, the synergy of multiple therapies selected from successful PD research and studies should result in an improved ability of the body to heal and repair.

While most men agree that the concept of synergy can be used to their benefit, they seem reluctant to use it. Why this is so is a matter of speculation. For the most part their hesitance to employ synergy aggressively with multiple therapies is based on financial considerations (money problems) or skepticism and caution that this process is too good to be true (fear of being lied to). In response to both of these possible reasons, PDI has done as much as possible to clear the way to effective use of these synergy therapy principles.

For those who have money troubles we have placed prices that are the most competitive and discounted possible. For those who are skeptical and concerned about being given false hope, PDI has taken great lengths to document the research and effectiveness of the many therapies that are used. For the most part, personal opinions are avoided and research results are used to explain our choices. The rest is up to the reader. Either this form of therapy makes sense or it does not. It either is something that appeals to you or it does not. You either understand the concept of synergy or you don’t.  It is the reason that MDs have so much trouble with patients when they start putting them on more than one drug – when combined, the synergistic effect of multiple drugs begins to magnify, often causing drug reactions that most people have come to be concerned about.  In the area of Alternative Medicine the synergistic results tend to be beneficial because the substances are basically beneficial and desirable to the organism. When given in large measure the results earned from Alternative Medicine measures tend to be positive and enforce a positive response.

No guarantee for Peyronie’s disease treatment

Peyronies is an extremely tough problem.  No one can promise results for ANY health care problem, let alone PD.  You know, some people never recover from a common cold, and some people can have a broken bone that does not heal.  No reasonable person can make guarantees of success.  So much is yet unknown about PD that we are still working on the treatment concepts.  You must do your best, do as much as you can, and do it for enough time for your tissue to respond.

How well you respond to this form of Peyronies treatment is dependent on your effort. Like the old saying goes, “You get out of it what you put into it.”  If you want to develop your own personal Peyronie’s cure you must be ready to work for it. PDI will help you.

Tricks for Successful Peyronies Treatment

Hints for better results with Peyronie’s treatment

Here are a few little tricks that I developed and discovered when I was actively treating my own Peyronie’s disease.  While none of these are earth-shaking or terribly ingenious, these ideas can make your life easier and your Peyronie’s treatment plan just a little more effective in the long run.

See if these strategies fit into your way of doing things:

1.      Keep a bottle of enzymes on your bathroom sink.  When you get up to urinate in the middle of the night, it is a good time to take an extra 1 or 2 or 3 Neprinol pills or other enzymes.  This will keep your blood level  saturated while there is no additional food in your system for several more hours.  Night time is a good time for Neprinol enzyme treatment.

2.      Get in the habit of watching TV at night with a hot water bottle on top of your scar.   Make your TV time productive so you can d some simple Peyronie’s treatment while you are relaxing.

3.      Get in the habit of watching TV at night while you are doing some of the soft tissue massage you learned from the “Massage and Exercise” video.  Make your TV time productive.

4.      Keep your vitamins and enzymes away from heat and sunlight.  Don’t keep them in the car when it is warm outside.  Even a few hours of exposure can reduce potency.

5.      A large “X” written on top of the therapy bottles you take with food will help you to quickly pick them out from the others.  A large “O” written on top of the therapies you take on an empty stomach will do the same for your enzymes.

6.      Place your vitamin case or your bag of enzymes out in the open, on top of your desk at work, or in a place where you will easily see it, to keep you from forgetting to take them as you should.

7.      Sort and divide up all of your vitamins and enzymes once a day, in different containers or small plastic bags you can take with you.  It is more efficient than opening and closing all those bottles two or three times a day.

8.      If you find that you have a difficult time swallowing a large number of pills at a time, or that your throat is getting irritated by the frequent swallowing of pills over a period of time, try this. Instead of using cold water to wash the pills down, try using warm water. It seems to be more relaxing to the muscles of the throat and does not cause a tightening of the esophagus the way cold water does.  Try it.

9.      Incorporate the use of a water-based lubricant (like KY) into your sexual activity, even if you do not think it is absolutely necessary.  This will protect you from possible friction injury.

10. In the missionary position, place a pillow below her hips/pelvis to raise her up a little.  This changes the angle of entry if you have a curvature problem.  It can sometimes make a significant difference.  If you are having a lot of sexual problems, go “Peyronie’s Disease and Sex”  to learn about improving your love life.

11. Go to the PDI website to learn about the Erektor external penile support device.  If you have ED or erectile dysfunction because of your Peyronie’s disease, or if your curvature or distortion is so bad that you are afraid to try intercourse because it might injure your penis again if you penis bends or buckles during insertion, then you definitely need the help and support of an Erektor device.  Learn more about the Erektor at www.NaturalEDSollutions.com These are wonderful custom-made supports that will open up a whole new world of sexual activity for you if you find yourself denied by the limits of Peyronie’s disease.

Peyronie's disease treatment and Viagra, Cialis and Levitra

Questions about Viagra, Cialis and Levitra, and Peyronie’s disease

Boy, do I get questions about Viagra, Cialis and Levitra and Peyronie’s disease!  Most of these questions come from men who are taking these drugs on the advice of their MDs who using it as part of their Peyronies treatment efforts.

These drugs are wildly popular, not only among men who have erectile difficulty ( Peyronie’s disease  impotence) but also healthy men who merely use them to have longer lasting and more repetitive sexual intercourse.

Sounds like a good thing, doesn’t it?

While I hate to spoil the fun, but over the years I have had a disturbing number of men tell me they know their PD started after using Viagra, Cialis, etc.   The erections created by these drugs are indeed super-erections and get to be that way because of the greater than normal internal pressure that is created within the tunica albuginea.  This is powerful stuff that can really cause problems in this delicate area of the male body.

These drugs create such hard and long-lasting erections because they induce an abnormal state in the penis. What if you could take a drug that would enable you to lift a ton of weight above your head and keep it there for an hour?  Nice trick, very impressive, but your body is not built to take that kind of pressure.  It would cause great damage to internal organs, your spine, your blood vessels, all major joints, etc.  Simply put, “It just ain’t natural.”  Same with Peyronie’s treatment with Viagra, and the rest of these products.

As much as it might sound like a dream come true, the penis is not built to sustain increased internal pressures that are created by these drugs, and the penis is not built to have hour after hour of intercourse.  That kind of activity can be abusive to the delicate tunica.  Just because you can, doesn’t mean you should.

I have an interesting story from a man who called me a few months back and explained that he injured his penis in a most unusual way.  He and his wife had used Viagra for the first time to their mutual delight.  Both of them went to sleep, except his penis continued to stay erect.  It was a monster of an erection and at first he thought it was great.  During the night, while asleep with a huge erection, he rolled over in bed and jammed his penis into the mattress.  He felt a great pain and felt the tissue “pop.”  Basically he tried to pole vault on his erection and he found his penis could not sustain that force.  About two months later he developed PD.  Can you imagine what would happen if you already have Peyronies disease and had something like that happened?  You would go from bad to worse.  This man did.

I know many men with PD have their MDs write prescriptions for these erections drugs.  I am sympathetic why men do these things.  They figure if it was not good for them the MD would now do it.  What they forget is that most MDs do not understand or care about PD, and are more interested in getting the fee for the office visit, than doing what is the smart thing to do.  MDs also perform surgery for PD that makes the problem worse, knowing there is a high rate of poor surgical results from this kind of surgery.  Just because you can get a prescription for it doesn’t make it any safer or any less stupid in the long run.

Use your head and stay away from these forced erections.

One last metaphor.  Your car tires are designed to hold 40 pounds of air pressure.  What would happen if you decided to increase the pressure to 80 pounds, just for “the fun of it?”  Well, first of all, we would all understand the tire would be much more likely to blow up and pull away from the rim because it was not built to be used that way.  It would be damaged by applying more pressure to it than it was built to take.  Enough said.

Peyronie’s Disease Institute has access to some really great Oriental herbal erection enhancing – not forcing – products.  These will easily and gently boost your erectile ability but not in such a forceful way that you will get hurt.  They surely do work, but with no side effects, they last a good 8-12 hours, and they are a whole lot less expensive than your prescription drugs.  Let me know if you are interested and I will give you some information about these wonderful and safe products.

Average Time for Peyronie's Disease Treatment to See Results

Peyronie's disease treatment averages

There are no averages with Peyronie’s disease.  Everything about Peyronie’s disease is up for grabs. And for sure there is no average time within which men respond to Peyronie’s disease treatment.     Some men respond in a few weeks, others take months, and some not at all. There are those who email me saying they are not responding to Peyr0nie's treatment.  After questioning them,  I usually find  they made the mistake of either using a plan that is too small or not faithfully following the plan they have.  PD is a tough problem and you must be dedicated to eliminating the problem – half efforts do not work. What we propose at PDI is a concept for Peyronie's disease therapy that is not so earth shattering or extreme.  All we are doing is attempting to figure out why your PD did not correct like about 50% of the men who develop this problem.  If half of the men “cure” their own PD, why not you?  That is all we are attempting to address with our therapy concept.  It is really not so far out as some of the other things you find on the Internet. All standard medical information about PD clearly states that in half of the cases, the Peyronies “goes away on its own.”   The Peyronie’s disease treatment approach promoted by PDI is to do all that is necessary to prepare the body to heal on its own, just as it should happen, just as happens in half of the cases.   In this sense you can say that a natural Peyronie's cure is about 50% effective.   It is really not such a crazy or extreme idea.  PDI advocates that an aggressive use of multiple conservative Alternative Medicine therapies, as outlined in our website, an assist the body to heal the Peyronie's plaque or scar better than if that effort were not extended. Since 2002 it is my experience that those men who follow the largest and most aggressive therapy plan will usually get the best results.  For those interested in doing all that can be done to promote healing and repair, the “Large (Best) Plan” is designed for maximum personal treatment.  This can be found on the PDI website .   The Medium Plan is the most popular of the three plans offered by PDI. There is also a Small Plan that is well designed.    It is very common for men to substitute Neprinol in place of the two smaller products, Nattokinase and Serrapeptase in any of the plans.  All can be modified to suit your thinking about therapy.

Aggressive Peyronie's treatment is usually best

Peyronie’s disease treatment must be followed aggressively and faithfully because PD is a very difficult and stubborn problem to treat successfully.  For any level of correction of the problem be prepared to spend time and effort to build up the strength of the immune response.  It can be done; I talk to men everyday who are doing it. I would be pleased to answer any specific questions you have about treatment.  I will be happy to give you the best of my thinking about what you might want to do to change the direction your problem is heading.  Simply ask a question at the end of this blog post. I have worked with hundreds and hundreds of men, some mild and some severe, some just a few months and a few 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 – the "Peyronie's Disease Handbook" – and the same Alternative Medicine ideas as on the website.  Success against PD is not determined by how bad the problem is at the start of care or how soon you start treatment; it seems to be determined by intensity of effort. You do not have to feel like a victim if you are working to improve your health and immune response against the presence of this foreign tissue. Peyronie’s Disease Institute is available to offer information and suggestions for effective care.  The PDI website offers ideas and information you will not find anywhere.   If you want some help and ideas that you are not now getting, I would be pleased to help you along.

Nine Causes of Pain in the Penis

Peyronie’s disease not the only cause of penis pain

Peyronie’s disease often causes pain during erection because the shortened scar tissue located in the tunica albuginea cannot lengthen, and causes pain.  Occasionally, men will also report Peyronie’s pain when erect and non-erect; some men will even report never having pain during erection but only when non-erect or flaccid.

Since pain is often a part of the Peyronie’s disease landscape, let us take a closer look at penis pain that occurs only during sexual activity, with the most common causes being listed first. .

Peyronie’s disease is a common explanation when men have sexual pain, but it is not the only one. See your doctor for an official diagnosis, but here are some other culprits.

Poor sexual technique and insufficient foreplay to cause adequate sexual lubrication.  Rushing into genital penetration before the female partner is adequately prepared sexually can be painful due to the vagina being dry and too contracted.  Use of adequate sexual lubrication can be extremely helpful.

Prostatitis is an inflammation or infection of the prostate gland that can cause swelling and pain in the area behind your penis (just below your bladder), pain or burning when urinating, and painful ejaculation.

Genital herpes can cause a sore on the penis that results in very painful sex.  In addition to avoiding sexual contact with a partner during an outbreak because these sores are extremely infectious, part of the therapy for herpes is to refrain from sex in any case.

Urinary tract infections anywhere from the bladder to the tip of the urethra (urinary tube that runs the length of the penis to pass urine out of the body).  This needs to be treated rapidly, because they can spread and become very serious.

Yeast infections of any part of the urinary tract are often accompanied by itching or burning at the tip of the penis.

Allergies and dermatitis caused by sensitivity to chemicals or soaps can result in inflammation of the skin on the penis, especially for those men who are uncircumcised.

Psoriasis of is a non-infectious chronic skin condition that results in scaly, itchy and painful red patches.  These are usually treated with low-dose steroid creams. When psoriasis of the penis develops, sexual contact can be painful.

Phimosis is a condition of the penis in which the foreskin, also called the prepuce, is too tight to be completely retracted over the head of the penis.  Movement of this tight skin during sexual activity can be very painful.

Paraphimosis is a similar condition in which the tight foreskin becomes stuck behind the head of the penis.  Low grade infections can develop, and reduced blood flow to the area can occur, either or both of which are very painful.

Any pain that develops during sex should be investigated by a medical doctor.

For a more in-depth discussion about matters of penis pain, and the role of Peyronie’s disease in sexual activity, please refer to my book, “Peyronie’s Disease & Sex

Peyronie's Disease Treatment Blog to Help You

Peyronie’s disease blog

Peyronie’s disease is surrounded by a world of misinformation, honest differences of opinion, lack of judgment, as well as total confusion.

Every week I get at least one email from someone who is newly diagnosed with Peyronie’s disease, but doubts that he has it.  The email will explain that the writer doubts he has Peyronie’s disease because he has heard that there is a Peyronie’s plaque or scar involved, and since he cannot see one, he doubts the diagnosis is correct.   He asks me to tell him if I think he has Peyronies, solely based on the information that his penis is bent.

What does this have to do with Peyronie’s disease treatment and blogging?  Well, with this Peyronie’s Disease Treatment Forum blog available to any man or woman who deals with the problem of PD, it is far easier to create a library of information and ideas about Peyronie’s disease treatment using Alternative Medicine.

If you are reading this blog looking for answers to an important question, you owe it to yourself and to the larger Peyronie’s disease community to ask that burning question about your problem that you would like explained.  There is a very good chance that other people would also like to know more about that same issue.  Without your participation in this blog, it will not reach its full potential to help you and others with Peyronie’s disease.

Questions in these areas?  Fire away:

  1. Anatomy of the male or female genitals
  2. Erections – how do they happen, why is mine weaker than before, how to increase and strengthen mine
  3. Peyronies disease – any aspect
  4. Peyronie’s disease  treatment – any aspect of medical, surgical or Alternative Medicine treatment
  5. Intercourse – any aspect
  6. Relationship problems – any aspect
  7. Your treatment plan is not going the way you thought it would

Please ask your questions and make your comments to those who have left a comment here.  In this way the misinformation, honest differences of opinion, lack of judgment, as well as total confusion of some, can be lifted.

Peyronie's Syndrome

Peyronie’s disease defies classification

Technically, Peyronie’s syndrome is not the correct way to refer to Peyronie’s disease.  Actually, calling it Peyronie’s disease is not correct, either, but more on that later.

First, the term Peyronies syndrome.   A syndrome refers to a group of several essential and clearly recognizable clinical signs, symptoms and characteristics of a health problem that often occur in association or together.  In the situation in which a syndrome occurs, the presence of one feature, sign or symptom would alert a doctor to the possibility a particular syndrome was present, so he/she would automatically look for other features, signs and symptoms that normally occur with it.  If those additional findings are detected, then  a diagnosis of that syndrome could be made.

Peyronie’s syndrome is not a valid term because the characteristic Peyronies symptoms are actually too few, and they do not usually form a tightly bound set of features that suggest this particular health problem. The few symptoms and signs associated with PD are actually vague by usual medical standards. Since there are typically only three such standard features or clues associated with Peyronie’s disease  (penis pain, distorted or curved penis, and the common Peyronie’s plaque or scar), this set of presenting characteristics is not large enough or strongly suggestive of the condition, hence syndrome is not a good term to use.

Peyronie’s syndrome is not a disease, either

Then we come to the term Peyronie’s disease, which is not all that accurate either.  A disease refers to any condition that causes extreme pain, significant organ or system dysfunction, social problems, and even death, and is usually acquired through direct or indirect transmission or communication from one person to another.  Of course, there are many definitions and ways of looking at what constitutes a disease, but that is generally acceptable in most cases.

Since Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all, it does not fulfill that requirement.   Since the genitourinary system of which the penis is only a part continues to function, and the penis continues to carry urine and oftentimes is still capable to function sexually, it does not fulfill the requirement of loss of function.  While having a bent penis plays havoc with the man who has it, and the woman or women he is sexually active, it does not affect society as a whole, the way actual diseases like the flu or measles, syphilis, tuberculosis or alcoholism do.  Peyronie’s disease is not fatal, except to some couple’s sex life, so it also does not fulfill that part of the requirement.  And lastly, this problem is not communicated or transmitted from one person to the next; you cannot catch Peyronies.

When referring to Peyronie’s disease it is more accurate and fair to use other terms like “condition,” or the more descriptive terms that follow in this list.  These are more clinically accurate names that have been collected and were taken from the PDI website:

  1. Indurato penis plastica
  2. Chronic cavernositis
  3. Fibrous sclerosis of the penis
  4. Fibrous cavernositis
  5. Fibrous plaques of the penis
  6. Penile fibrosis
  7. Penile fibromatosis
  8. Penile induration

This list of descriptive terms was taken from the PDI website where the basics of Peyronie’s disease are discussed at length.  If you wish to learn more about this condition, called Peyronie’s disease, please review this additional information.  But whatever you do, do not call it Peyronie’s syndrome, OK?

Peyronie's disease and women

Peyronie’s disease affects more than one person at a time

Any woman who lives with a man who has Peyronie’s disease knows that her life is affected – drastically and to the core.

Shortly after starting Peyronie’s Disease Institute in 2002 I noticed an interesting phenomenon that was very much a surprise to me.  Initially, I never imagined I would deal with women in relation to any direct aspect of Peyronie’s disease, even though I knew that women are greatly and adversely affected by it in so many ways.  Knowing how my own wife had to struggle with my initial bad behavior and personal weakness that was brought to the surface by Peyronies, I knew full well how a woman’s life could be stressed deeply in this way.  But, yet, I initially thought that women would stay in the background in regard to designing a Peyronie’s treatment plan and dealing with the many questions that come up during actual therapy.  I thought it would be rare that I would come into contact with these ladies.  How wrong I was.

Consistently, around 5-15% of orders placed for various Peyronie’s treatment products are placed by a woman.  As I began to offer online answers to Peyronies questions, I soon found that about 5-10% of first-time emails asking basic questions or ordering information was being sent by women. This is the way it has started, and continues to today.

It is my first impression that there were a few possible reasons for the large percent of women who communicate with me about a totally male health problem:

  1. The man with Peyronie’s disease does not have access to, or does not know how to operate, a computer.  Fair enough, he is computer illiterate and she helps him out because he cannot do it.  That makes sense.
  2. The man is on the road so often, as with a truck driver, or his work is so intense, demanding of his time or so fatiguing that she again simply helps him out by communicating instead of him.  That is easily understood.
  3. The woman’s work involves computers and she is far more comfortable than him, so she does it because she is just better at it. Perhaps her schedule is far more flexible also, in her career, so once again she pitches in and this also is easy to understand her involvement is one of simple convenience and ease.

While all of these are possible reasons, and they do come up, I have come to learn these reasons and explanations are actually the exception.  In fact, they are the rare exception.   While speaking to or emailing with these women who deal indirectly with Peyronie’s disease I have learned these women are only taking over because the man with the problem is so devastated by his bent penis, by his penis that has become smaller, or because of  Peyronie’s disease impotence that he refuses to engage in anything related to his Peyronie’s problem.  He often will not talk to her about his problem, and will refuse to discuss starting or following a Peyronies treatment plan.

So deep and intense is his withdrawal from a problem he feels so shamed and humiliated, that he is often is not even interested in learning how to help himself.  Thus, it is his mate who will step forward to help in whatever way she can.  This, of course, exposes her to tirades of anger, bitter refusals, endless arguments and frequent rejections that circle around his idea that she does not leave him alone, that she is bothering him, that she does not understand, that she doesn’t know what she is doing, and endless tactics of self-sabotage and self-hatred.   I hear these things often, and I must admit I was guilty of many of these tactics myself when I was at the depth of my despair with my Peyronies.

Peyronie’s Disease Treatment Forum

Why do I now mention all this on the woman’s side of the Peyronie’s Disease Treatment Forum?   All of this background information and insight is mentioned here, so that any woman reading this will know she is not alone.  She will know she is not genuinely as much at fault as he claims she is.  That she will feel empowered to know she is doing what any good person does when the person she loves is in trouble; she pitches in, she helps in whatever way she can, and she forgives him for being a jerk because she understands he is greatly disturbed by the trouble he is in.  She stands by him as best she can, because it is the right thing to do, because her love for him makes her strong to do more than she thought she could do.  And, having read this, perhaps she will feel better and her burden will be a little lighter.

There is much more that can be said about this complex and destructive way that Peyronie’s disease reduces his interest in intimacy.  This takes up a large part of the second PD book that I wrote, “Peyronie’s Disease & Sex.”  Another helpful book is “Peyronie’s Disease Handbook” that discusses more treatment aspects.

Please accept my invitation to comment on this post, and to ask questions about the way that Peyronie’s disease influences men in strange and powerful ways that are often not pleasant.  I stand ready to assist any woman who lives with Peyronie’s disease.

Peyronie’s disease treatment with Scar-X

Homeopathic Scar-X used for Peyronie’s disease treatment

Scar-X is a great Peyronie’s disease treatment that just happens to be a Peyronie’s homeopathy therapy.  This is a unique homeopathic product that was put together exclusively for Peyronie’s Disease Institute by a gifted young homeopath from California.  Homeopathy is not a nutritional therapy; it is a type of energy medicine. It is about 175 years old and is gaining rapidly in popularity in the U.S., although it is used far more extensively in most other parts of the world.

Let me tell you how you can know for sure that homeopathy is gaining respect and use within the traditional medical community.  Recently, I attended a medical meeting at a famous teaching hospital in my area, during which the benefits of homeopathy were explained.  There were about 500-600 MDs in attendance.  We all were urged to consider using homeopathy in a case if standard prescription drugs were ineffective.

In addition there is yet another, even stronger, proof that homeopathy is gaining tremendous medical acceptance and use.  Go to your favorite drug store, and ask the pharmacist for some over-the-counter cold relief remedies.  In this same area of the drug store I guarantee you will find several – many – homeopathic preparations.  However, you will not know they are homeopathic preparations  because the DRUG store and the DRUG companies do not want you to know you are taking a non-drug preparation. Now they sell it to you, but it is presented as though it was just another drug.  Homeopathy will be packaged and presented as though it was just another over-the-counter medication, although it is not.  You will also find more homeopathic remedies in the over-the-counter section that are used for menstrual cramps, headaches, sore throat, hemorrhoids, fever, and many other common complaints.

Yes, homeopathy has really gained a large following within the mainstream medical community, they just don’t want to make a lot of fuss about it because they have ridiculed homeopathy for so many years it the past, saying it was worthless and quackery. The medical establishment is not good at admitting it was wrong.

Different way to use Scar-X

Scar-X is a very popular and low cost homeopathic remedy that can be a part of your Peyronie’s disease treatment.  If you follow the directions that are provided with each order you will be taking it in a very effective way.

However, there is a variation for taking Scar-X, and any other homeopathic preparation that you may have, that adds to its effectiveness.  I used this method when I was treating, and cured, my own Peyronie’s disease.   Here is another way to take a liquid homeopathic formula, rather than simply squirting it under your tongue and holding it there for 30 seconds:

1.      Place about 12 ounces of water in a glass, or find a water bottle of 12-16 ounces.  The exact amount of water is not that critical.

2.      Place 2-10 drops of Scar-X in the water, and agitate and stir well.

3.      Sip this water all day long, following the restrictions about not having any strong taste or recent food or liquid in your mouth for 15 minutes before or after you do take the water/Scar-X combination.

4.      It should take you perhaps all day long to finish the water/Scar-X combination.  So, in effect, it will take you all day long to consume the 2-10 drops of the homeopathic formula that you started put into the  glass of water.   The idea is that since homeopathy is all about extreme dilutions of substances down to the point that they are only present as energy when you take them, this further reduction and dilution of the Scar-X will make it more effective for you.

So there you have a different way of taking Scar-X that might be more effective than the other method.  Try it and let me know what you think.  Follow all of the other rules about taking the homeopathic formula that you were given when you received your order.

If you are not using Scar-X, you should look into it to increase your chance for Peyronie’s treatment success.

Let me know if you have comments or questions about this post.  Just leave your comments in the reply box, below, and thank you. TRH

Peyronie’s Disease and How to Avoid Infidelity

Marital stress caused by Peyronie’s disease

If having Peyronie’s disease was not stressful enough on a relationship, it has been reported by The New York Times that more men and women than ever are cheating on each other.

This blog article does not intend to plant the seeds of anxiety, doubt, or suspicion about an unfaithful mate, because these thoughts have likely occurred within the first hour for any every man who learns his curved penis is caused by Peyronies disease.  This blog post is offered to address that common fear and anxiety, and offer advice for what you can do to increase your ability to keep your relationship solid and strong.  So read on, since this is additional reason for men with a bent penis to be interested in improving their romantic talents and sexual skills.    In a recent newspaper article, The New York Times commented that University of Washington researchers discovered more men and women are cheating today than in the past.  What is termed the lifetime rate of infidelity is greater for both sexes; for men over 60 infidelity is now at 28 percent, up from 21 percent. The frequency of infidelity has tripled for women, with infidelity now at 15 percent.

Apparently it is the temptation offered by the modern age, in the form of cell phones, e-mail communication and instant text messaging that allow people, including women who work at home, to create intimate relationships with those who are not their traditional partners.   Pepper Schwartz, Ph.D., author of Prime: Adventures and Advice on Sex, Love and the Sensual Years, believes women are more inclined to wander and experiment with others is because of growing independence and ease of maintaining private communication with different people.  Dr. Schwartz notes that if a person was sexually active while single or unattached, that person is more likely to be dissatisfied and roam if their current relationship develops problems.

“If things aren’t great, they are more open to reliving some of the sexual passion and high points of their single days,” Schwartz says.

At what point in a relationship do things become not great?  “[People] get bored or feel like, ‘Is this all there is?’ ” Schwartz says. “[The reasons] for men and women are the same: They need reassurance and they’re feeling unappreciated.”   So, notice here that Dr. Schwartz is not replying that a woman becomes unfaithful because she is not receiving adequate sexual activity, or that she is unhappy with the number of orgasms or the size of his penis.  This is an extremely important point.  It has been my observation that men with Peyronie’s disease develop relationship problems more because of how they behave on the emotional relationship or social level, than on the sexual physical level.

Dissatisfaction in a romantic relationship usually revolves around something any man with Peyronie’s disease can always provide, in spite of a bent penis – he can always offer her respect, reassurance and appreciation.  Keep in mind that the real dissatisfaction in a romantic relationship is often more about emotional issues than physical issues.  Even when the woman expresses sexual dissatisfaction with her mate, they come to the surface only because of deeper and larger problems that are emotional in nature.  Men tend to think of a relationship more so from the purely physical aspect, while women tend to think of a relationship more so from the purely emotional aspect.  This is the wonderful, and problematic, difference between the sexes.

A man with the bent penis of Peyronie’s disease thinks he has a problem in his relationship because of the physical problems with sex.  This is often not true.  A man would think this way, while a woman doe not.  For a woman the real issues of highest importance are the critical personal human issues of respect, reassurance, appreciation, and an emotional bond that is strong and frequently satisfied.  I have seen that if a woman is emotionally satisfied, she is far, far more likely to willingly accept her mates reduced physical limitations.

I spend a great amount of time discussing all phases and aspects of this exact issue that arises in Peyronie’s disease between a man and a woman in my book, “Peyronie’s Disease & Sex.”  This book has saved many marriages and relationships over the years.  I urge you to read it if you are having relationship problems because of your Peyronies.

Peyronie’s disease and romance

On a daily basis, with so many interferences and stresses that separate a couple, romance is difficult to maintain.  However, there many easy and fun things any man with Peyronie’s disease can do, no matter how badly his penis curvature interferes with usual sexual activity.   These are five positive and pleasant steps you can take, even if you cannot engage in intercourse, that will assist you greatly to keep her interested and close to you:

1. Spend more time together. A good relationship requires time together and alone with that special person.  Give her the attention she craves.  Go out with her to do things that you previously avoided.  Go grocery shopping together.  Tag along when she does a few errands, or to her work functions you usually avoid. Help her with some chores that you can share together.  Be a friend to her in ways that you did not see before.  Dr. Schwartz advises, “You can’t do it all, but even if you’re there sometimes, it will remind her that she’s part of a great couple instead of an individual out there on her own.

2. Keep your relationship fresh and fun. See where you have fallen into a level of dullness in your lives, and make some changes.  While you might simply see a schedule, she might see a rut.  Eating at the same restaurant, doing the same things each evening after work, being far too predictable, or not adding variety to your lives together can take the edge off a relationship.  Even sex can become part of that predictable quality that becomes less fun and boring.  Suggest a “nooner,” then meet her back at the apartment for lunch in bed. “Rent an erotic movie, go shopping for a sex toy, buy her a sexy teddy,” Schwartz suggests. “Make her believe no one could be as romantic or as much fun as you are.”    Go to http://www.natural-complementary-medicine.com/ index.asp?PageAction=VIEWCATS&Category=7 Here you will find a few things to spice up your sex life.   With Peyronie’s disease putting limits on your sexual activity, it is important that you compensate by improving those elements of your personal and romantic relationship that can be improved, no matter how far your penis is curved.

3. Deal with all that sudden anger. Men with Peyronie’s disease are notorious for their anger.  I will write a blog post about this problem soon, but for now let’s just agree that your temper lately has gotten out of control far too often and far too extreme.  Do not use anger as a way to avoid the problems of Peyronie’s disease.  Take the issues and problems you now face, and discuss them directly with her because she needs to know what is going on with you – your fears, your embarrassment, your feelings about your masculinity, your insecurity about your relationship with her, all of it.  Many men cannot talk about these things, so they explode.  ”Anger is like a termite—you don’t see it, but it’s eating the walls and the structure of the house you’re living in,” Dr. Schwartz says. “The house is the relationship, and if you don’t handle it, the termites will ultimately destroy that bond which keeps someone loyal.”   You did not ask to have Peyronie’s disease, but it is your decision and your ultimate fault if you allow your anger to erode your relationship.

4. Learn how to use time. Dr. Schwartz advises that time can be used to diffuse and calm a tense situation.  “What you don’t want to do is have a fight when you’re mad. Say, ‘Look, you’re upset, I’m upset, let’s meet tomorrow at breakfast and talk about this. I’m not in the best shape to deal with it right now.’ ” Talk about your problems, sure, but only do so when you are levelheaded and in control of yourself.  If you are not, the chance is good that you will only make things worse.  Use time to work in your favor to solve your relationship problems.

5.  Create, or take advantage of, romantic moments. Even though it can be extremely corny and uncomfortable for a man, let’s just assume that all women really enjoy those Hallmark moments:  sitting by the fireplace, reading a book together, washing her hair or doing her nails, sending her an email that tells her in simple language how much you love her, or just holding hands while you walk.  Women think of these small things as great foreplay, and that is why they appreciate it when a man holds open a door, or takes care of her in small but important ways.  Dr. Schwartz says, “The less [of these moments] you have, the more she’s thinking how it used to be, or how nice it would be to have a man offering to fly her to a cabin in the woods.”  Make sure you are the one she is fantasizing about, by creating foreplay with simple acts of consideration, reassurance that you value her, and appreciation for who she is and what she does.   “You don’t have to do it all the time, but if you can’t remember the last time you did any of this, it’s way too long,” Schwartz says.

Even if you do not have Peyronie’s disease, these things will improve and deepen your relationship.  But if you have Peyronie’s disease these things become all the more important.  You must do all that you can to support and strengthen your relationship with her, now that one element of your physical ability to satisfy her is diminished.

Peyronie’s disease does not destroy a relationship; it is allowed to die when the man who has PD does not understand what motivates his woman.  Wise up.

Peyronie's Plaque

Peyronie’s disease plaque or scar

There is much confusion and lack of information concerning Peyronie’s disease, especially the elusive Peyronie’s plaque or scar .

It is truly amazing that for a male health problem that according to some surveys affects up to nine percent of the adult population, practically no man ever hears about this problem until the day he is given the diagnosis of Peyronie’s disease.  It is no wonder that no one has ever heard of a Peyronies plaque until he has one.  It is this shock – that a “mystery” condition that comes out of the blue, a condition for which there is no known cause and no known Peyronie’s cure can suddenly wreck a man’s life – that contributes to the lack of information about Peyronies.  While feeling totally confused and shocked upon first hearing about the Peyronie’s plaque or scar that accompanies it, prevents a man from asking all the standard questions and retaining the information he is told when he receives this diagnosis.

With such bad news pouring into his ears, and so many questions rolling around in this brain, it is no wonder that a man can leave his doctors office and not remember much of what he is told  about Peyronies.

In addition to this shock of learning he has Peyronies, most medical doctors do not like to manage cases of Peyronie’s disease, and therefore do a bad job of it, further adding to the common situation in which a man will not understand the basics of this problem – like the Peyronies plaque.

We all know Peyronies disease is called the “doctor’s nightmare” because of the problems associated with dealing with men who have this problem.  With no known cause or cure, the doctor comes off looking like a dummy for not having more clear information or help for his newly diagnosed Peyronies patient.  Adding to the negative atmosphere for the doctor in dealing with a Peyronies patient, the doctor also knows there will be hard feelings that will arise later when the PD patient develops additional penile curvature, reduced sexual performance, and frequent marital problems.  All of this happens while the doctor can only stand by as his Peyronies patient deteriorates over time. The doctor is often held responsible for these problems since he did not offer any help to his patient.  None of this is fair, but this is how it happens.   For these reasons many doctors try to get a man out of the office as quickly as possible, and often without sufficient time to ask questions or adequate explanations to prepare a man for the future.

In this atmosphere of minimum time and minimum information, the shocked Peyronies patient does not understand or recall basic facts about Peyronie’s disease.  For example, the fundamental problem of PD pivots around the presence of one or more masses of fibrous material located within the covering of the substance of the penile shaft, called a Peyronies plaque or scar. Many times a man who has had PD for many years will no absolutely nothing about his  Peyronie’s plaque.

Peyronies Plaque is elusive

Another common situation exists in which the doctor cannot find a Peyronie’s plaque, and neither can the man who owns it.  Each week I receive several emails asking me, “Since my doctor examined me and could not find anything, and I cannot see a scar, do you think I really have Peyronie’s disease?”

The fat is, there is never an EXTERNAL scar or plaque in Peyronie’s disease; it is always an internal mass that conveniently is known as a scar, but is not a scar in the usual sense.  PD “scars” or plaques are quite variable.  Some men have an obvious scar and others cannot find one if their life depended on it.   Ultimately, it is there and you should try 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, so mentally expand the size of the scar that you are looking for.  Meaning, if you were looking for a “pea” before, start looking for a “postage stamp” or a “thumb nail” size structure.  This information should change your methods and what you can detect when trying to locate your Peyronies plaque.

A Peyronie’s plaque or scar can be quiet variable; some men have an obvious plaque and others cannot 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 is still made.  This is so, because it is the Peyronies plaque or 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 easily, especially during erection

4. So 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

5.  The doctor’s lack of ability, experience or concern when he does the 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.

I often suggest that men try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that does not feel like the other tissue pf the shaft.  Find something that is unlike the rest of the tissue.  When you find it, mark its location with a marker pen of 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 determine 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.  Really, how could you know what a Peyronie’s plaque feels like if you have never had to do this before?  It is a common problem.

Let me know your experiences and problems in locating your Peyronie’s plaque. Take this chance to tell others your experiences and problems with this elusive tissue.

Ladies Peyronies Forum – Women only!

Peyronie’s Disease Forum for Women Serves Useful Purpose

Women need a Peyronie’s forum for their special needs and issues.

While no one can doubt that the man who has Peyronies suffers in many ways with this problem, the women who love and live with these men suffer greatly in their own way.  Every woman touched by Peyronie’s disease suffers not less because hers’ is an indirect involvement, but perhaps more because of the acute frustration and helplessness of being unable to do anything to comfort her man during his times of distress.

Many of the emails I receive each day come from the women who are just as confused, frustrated, and angry about all the same issues that each man experiences in trying to deal with PD – with a few added issues.

Just as the man who first learns he has Peyronies, the woman must also attempt to grasp the answers to the basic questions that commonly arise at this time:

  1. This condition I have never heard of before – Peyronie’s disease – just what is it, and what do we do to get rid of it?
  2. Is it life threatening?
  3. What do you mean, there is no known cause or Peyronies cure?
  4. In the early part of the 21st century, when even cancers are being cured, how is it possible that science has no help for this problem?
  5. Could it be that we have talked to a doctor who is lazy or incompetent: should we talk to someone else?
  6. Would we get better answers, and help, if we spent more money and went to a higher level specialist?
  7. How could this problem affect up to 9% of the male population, but I have never heard of it before?
  8. What do you mean, you do not know if it is going to get better or worse?

On and on the questions pour out, trying to make sense of a terrible situation.  But there are other questions that a woman must naturally ask in the privacy of her own self:

  1. I am sorry that he got injured during intercourse.  He knows I did not do it on purpose.  I feel so guilty when I see him suffering.  Is he holding all this against me?
  2. What about my sexual needs; what am I going to do now?
  3. I didn’t do anything wrong, why am I suffering too?
  4. Why is he being so quiet and secretive about this; why won’t he talk to me about this problem?  Doesn’t he realize It is affecting me, too?
  5. What is going on with him?  He is getting so moody and irritable that I am afraid to talk to him sometimes.
  6. I feel like there is a brick wall around him, and he is a hundred miles away.  Why won’t he talk to me?

Of course, there are all the sexual problems and sexual discussions that are so unique between couples.  These too, are a part of the problems associated with Peyronie’s disease treatment– sometimes minor and manageable, and sometimes so major that a couple can not sustain themselves together.  In these cases where I counsel couples, I find that most all of the time each couple has a problem communicating on a much deeper level necessary to truly understand each other to the degree needed in this time of special need.

Throughout all this time, during discussion and lack of discussion, the woman suffers in her own unique way.  There are no easy answers to any of this, but it is necessary that a woman be able to communicate with someone, express her fears and her needs, and learn she is not alone.  This section of the Peyronie’s Disease Treatment forum blog is intended for this purpose.

Please feel free to ask questions, post comments and replies to each other, so you may feel this is a place of understanding and comfort for you.

Peyronie’s disease treatment with vacuum pump (VED)

Vacuum Erection Device (VED) and Peyronie's Disease

Every now and then I am asked about the use of a VED,  vacuum pump or Vacuum Erection Device to treat the curved penis of Peyronie’s disease.  Many men are encouraged about a VED because their medical doctor has suggested it, or they have read something written on the Internet saying that it is a good Peyronie’s disease treatment.  Some of the more outlandish ads even say a VED is a Peyronie’s cure. A Vacuum Erection Device is a clear plastic cylinder chamber that is open at one end, and is placed over the penis and held tightly against the skin of the lower abdomen.  At the other end of the VED is a simple air pump that removes the air inside the cylinder once the penis is inside it. The air is removed from the chamber so that the bent penis is affected by the negative atmospheric pressure inside.  As a result, the negative pressure causes more blood than normal to enter the penis and an unusually large erection develops. This grater than average enlargement is said to be able to stretch the deeper tissue of the penis and reduce the penis curvature. The effect is temporary, but impressive.  A VED will give you an erection larger than you have ever had before, although it will not last more than a few hours outside the chamber, and any tissue changes that the stretching produces are equally temporary. The effects of reduced atmospheric pressure on tissue can be demonstrated by the "love kiss" or "hickey" that is created by placing the mouth over an area of skin (classically the neck), and forcefully sucking the tissue for just a short while.  Within seconds the blood vessels of the area are so dilated –  and often ruptured –  that a bruised mark is left in the area that will last for several days.  The Vacuum Erection Device does something similar to the entire penis.  It dilates all the tissue, allows more blood to enter the penis for as long as it is held in place, and it can also result in ruptured blood vessels and injury to the delicate tunica albuginea.  This kind of tissue reaction can be a catastrophe for someone who already has Peyronies.

VED can cause Peyronie's disease

In my time communicating with men who have Peyronie’s disease, I have found a surprisingly large percent of them who state their initial injury that resulted in their Peyronies can be traced back to use of a VED.  These are the men who started out simply wanting to increase their penile dimensions, and injured themselves to the point that Peyronie’s disease developed.  While there are a few men who say a VED helps them, there are many more who say it does not. The danger with a penile vacuum pump is in the overuse or abuse of such a device.  The theory behind the therapeutic use of the VED is to slowly and gently stretch the scar tissue and soften it.  That does not appear to happen, because the normal tissue does indeed stretch, but the Peyronie’s disease plaque tissue does not.  As a result a man finds that he has a temporarily larger penis that is less able to reach a normal full erection – and it still has the same Peyronie’s disease plaque or scar, and/or curve, he had before. When a man uses a VED he will either overuse the device, taking the very real risk of injuring the penile tissue even more, or he will temporarily enlarge the penis but injure the vascular mechanism so that his erection is not as rigid as before.  What he winds up with is a large soft penis that is rather ineffective in intercourse.  You definitely can create an artificial erection with a pump, but there are often damaging consequences to a VED that causes men to quickly stop using it once they see all the drawbacks. Many people ask for my advice about a “penis pump.”   Here is the basic problem with the VED:   You and I have both definitely proven that we have penile tissue that is susceptible to injury and when injured (and even when not injured), we can develop an excess scar reaction.  If you injure the penis by over-stretching, as is easy to do since there is no way to know at what point is the point of over-stretching, you will create more Peyronies plaque material.   Most men will probably over use the VED just because they get excited when they see the results the device can produce temporarily.  If you are prone to Peyronie’s disease anyway, this kind of tissue stretching can be a disaster.  The only way you can safely use a VED is to not over use it; the problem is there is no way to know what is over use and abuse until it is too late. From my experience with countless men, my opinion is that it is simply better to avoid the temptation and pass on the Vacuum Erection Device.  It can cause a lot more problems than the small and temporary change in Peyronie’s disease is worth. Send along your questions concerning Peyronie’s treatment under the “Ask Dr. Herazy…” heading, or reply to this particular article in the space below.

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.

Peyronie’s Disease Treatment and Neprinol

Neprinol Used for Peyronie’s Treatment

Many men with Peyronie’s disease seem to have questions about Neprinol, the systemic enzyme that is such a popular therapy.  Some confusion exists because Neprinol is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme, like so many other products.

These are the basic highlights of what you need to know about Neprinol as it relates to Peyronie’s disease treatment:

  1. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors.
  2. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase.  You do not need to take as many Neprinol to get a higher dose of these two enzymes, as when you take the lower concentration enzymes separately.
  3. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes.  PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym.  Both of these are great products and they can be used successfully in any PD program; it’s just that Neprinol has more of these same enzymes in it than these separate enzyme products.
  4. Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products come in bottles of 100.
  5. While a single bottle of Neprinol is comparatively expensive a few reasons:  the bottle is thee times larger than the average enzyme product, and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and Coenzyme Q than are found in any other enzyme product.  Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet.  Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them.  For more information about how  Neprinol is used with great success in Peyronie’s disease treatment, clink on  go to Neprinol.
  6. If you want the discount we offer for Neprinol, just type in the discount code word “Neprinol” when you place your order with us, and you will be given a discount of $10 that brings the price down to $135.
  7. Most men can slowly work themselves up with very little trouble to 6 Neprinol per day; in fact, many men start at this dosage level and continue on from there to higher dosages without a problem.  Those who take it in the 9-12 per day range seem to get better results.  I know of many men who are quite successful with their Peyronie’s disease treatment who take a dose even higher than this.  Some people cannot do this, and all should be very careful to use caution and follow the directions that are supplied with the Neprinol when it is sent to you.

If you want to read more about systemic enzymes and Neprinol used in Peyronie’s disease treatment, go to the PDI website discussion about systemic enzymes at Neprinol.

Many times I get questions from men wanting to use only Neprinol in their Peyronies treatment.  I advise against it, because as good as Neprinol is, I have seldom see it do more than reduce penis pain associated with Peyronie’s disease.  Now, I guess there are men who have used it all by itself, and have found reduction of Peyronies plaque material or improvement of their curved penis.  I just have never learned that directly from anyone in personal communication.  However, when incorporated into an aggressive and well balanced Alternative Medicine Peyronie’s disease treatment plan, I have seen Neprinol often make a great difference in the effectiveness of the overall plan.

Remember, treating Peyronies is all about creating synergy with multiple therapies designed to increase your ability to heal and repair the Peyronies plaque or scar.  It is never as easy as popping a few pills – even as great as Neprinol – and getting the kind of results we all want.

Please send your questions about Neprinol to “Ask Dr. Herazy…”

Peyronie's Disease Treatment Success Stories – Big and Small

Men do not like to discuss their Peyronie’s disease condition

Each day I run into many examples of reluctance to talk about their Peyronies disease. A woman will tell me her husband has shut her out completely about his PD, and just clams up and walks away when she asks him about his Peyronies. I often write notes on the PDI order forms that go out to men when they receive their shipment of Peyronie’s treatment supplies; I ask, “Please write me a note and tell me how it is going for you.” I rarely get a reply, even when I learn later things are going great. Men send me an email, asking a question about their Peyronies treatment or something about their penis problem. In that email many of these men will often admit that it has taken them a few months to get the nerve to write to me.

It seems that there is something in most men that they just do not like to address the problem of Peyronie’s disease – almost like by not discussing it, it does not exist. Whatever the reason, I hope that men will some how feel more comfortable using this blog to discuss their small and large successes using the Peyronies treatment ideas found on the PDI website. I trust that men will share the good news of reducing and eliminating pain in the penis or curvature, eliminating or reducing Peyronies plaque or scar material, regaining lost length, and improving or restoring sexual function.

Please take a moment to tell others about the areas where you have had success and the things that have improved since you have begun using the Alternative Medicine treatment concepts to increase your ability to heal your Peyronie’s disease.

When to Take Supplements in a Peyronie’s Disease Treatment Plan

Timing of Peyronie’s disease treatment important

Some men at the start of care get confused about taking their Peyronie’s disease treatment supplements.  If it is true that timing is everything, as they say, it is critical to the success of your Peyronie’s disease program.  If you do not take your supplements at the right time, you are not going to get the kind of results that you should.

Double check to make sure you take each one of your Peyronies therapies at the right time.  I just had a fellow the other day – after three months of treatment – finally figure out that he got confused on the first day, and was taking his Neprinol WITH meals.  What a mistake!  He wasted precious time, opportunity and money. Do not make that kind of error.

Take these with meals (immediately before eating or during a meal):

1. Vitamin E 400/400

2. Maxi-Gamma E

3. Omega Q

4. Natural C 1000

5. Fundamental Sulfur with C (MSM) – if you are having digestive complaints when taking it    between meals on an empty stomach, otherwise take between meals

6. PABA

7. Acetyl-L-Carnitine

8. Prosta-Support

9. NanoGreens – our new green drink

Take these between meals (1 hour or more before eating or 2 hours after eating):

1. Neprinol

2. Fibrozym

3. Nattokinase

4. MSM (Fundamental Sulfur) – only if it bothers your digestive tract when taken on an empty stomach

5. Quercetin/Bromelain

7. Scar-X – be careful you do not even chew gum or eat candy during this time; your mouth must not even have the taste of food in it when you take homeopathy

At the beginning of the day, separate all the supplements you will need for that day.  It is more work to handle the bottles twice a day.  If you are going to eat every meal away from home, put what you need in each for each meal in one of the small plastic cases for easy and clean transport.

Put an “X” on the bottle top of all products you take between meals.  Finding them will be easier when you are putting your supplements in the case.

We encourage you to talk to your personal physician about any digestive problem or concern you may have.  It is critical that you keep your family doctor informed about your progress and your current condition, especially when there is a problem.

If you have ideas about other topics you would like to have addressed, or questions about Peyronie’s disease treatment or plaque, please let me know.  TRH

Peyronie's disease treatment philosophy

Peyronie’s disease treatment is effective because it is different

The Peyronie’s disease treatment philosophy of PDI is not accepted within the medical community at this time.  You should know the opinions and philosophy of PDI are not current mainstream medical thinking, although PDI has assisted perhaps a dozen or more MDs with their own Peyronies problem in the last few years.

The Peyronie’s Disease Institute philosophy for Peyronie’s treatment is different from standard medical thinking in two fundamental ways.

1. PDI recommends using mainstream Alternative Medicine therapy products (vitamin E, copper, DMSO, enzymes, etc.), and procedures (a special manual stretching technique we have developed, manual penis stretching,  along with exercise, massage and acupuncture).  These are recommended even though they have not fulfilled the testing standards usually required of medication.  The use of stretching, exercise, massage and acupuncture are included because of their longstanding use in medical care for a wide variety of health problems; they have stood the test of time.

2.  PDI has found after seven years of review and research that taking multiple therapies, all at the same time, in sufficient quantities as described on its website, often stimulates or supports an improved ability to heal and repair the famous Peyronie’s plaque or scar.  The scientific term for this phenomenon is “synergy”.

The specific therapy products used by PDI are well known and generally accepted as important, and often essential, for health and well being, such as vitamin E, MSM, acetyl-L-carnitine, etc.  However, what is unique is that PDI advocates these therapy products are used in combination and in significant number for maximum potential effect and benefit.  This synergistic concept of therapy used by PDI to treat PD takes advantage of the affect of synergy – a concept that is very well known in medical practice. Synergy is the ability of two or more substances to work together to produce a total effect greater than what each individual therapy could produce by itself.

This Peyronie’s disease treatment concept is based on simple observations about this problem:

  • Why do some men completely recover from Peyronie’s disease without treatment?  You know, this happens in about half of the case.
  • Why do some men get worse and need surgery, no matter what treatment they try?
  • If the Peyronie’s plaque is similar to scars like I have on other parts of my body, why does it seem to change so much – not only the size, shape, and density of the scar, but also the location?
  • If it’s actually the same problem among all the men who have it, why does Peyronies vary so much from one man to the next?
  • What’s the difference between the two groups of men whose Peyronie’s disease goes away on its own, and the other in which it only gets worse no matter what they do for it?
  • What is the fundamental difference between these two groups of different responses?
  • How can I join the group that repairs and eliminates the Peyronie’s plaque and reverses the bent penis of PD?

Certainly, no one has complete or easy answers to these questions – yet.  However, I think it makes perfect sense that the man whose Peyronie’s disease simply goes away on its own has a better healing capacity, than another man whose PD never improves.  It cannot be a mater of luck; nature is just not that way.   It is my opinion that you can increase your healing capacity and become healthier in some yet undetermined way so you are able to heal your Peyronie’s scar and reverse your Peyronie’s bend to the best of your ability.

The fact that some men are able to recover better than others, must mean there is variable − not static − capacity to healing and repair among men.  Common sense and generally accepted knowledge about health, nutrition, and the healing process offers you and I the foundation for a treatment concept and philosophy that should improve your chances to recover from Peyronie’s disease better than if you did nothing to enhance your ability to heal.  It is really as simple and direct as that.  The Peyronie’s plaque found within and on the tunica albuginea can be seen as an expression or extension of the overall health and healing potential of the body in which it occurs.  Similar to an ulcer, a Peyronie’s plaque or scar can be thought of as the result of abnormal body chemistry and physiology.  As such, treatment of Peyronie’s disease should attempt to improve that distressed or abnormal chemistry and physiology of the penile tissue in which the plaque is found.

All therapy products, nutrients, techniques and ideas presented by PDI are all directly or indirectly intended to improve the chemistry and physiology of the body in general and plaque elimination in the tunica specifically. The end result of this effort should be a healthier person with healthier tissue that can heal better. That is the reason all Peyronie’s therapy items are selected on the basis of their potential to improve or normalize the chemistry and physiology of the tunica of the penis and the foreign plaque material.  Peyronie’s Disease Institute adopts the judgment of Mayo Clinic concerning Peyronie’s disease when it stated. ”early stage disease [of Peyronie’s disease] is reputed to respond better than well-established plaques, an early trial of inexpensive, safe and well-tolerated oral therapy is often initially recommended. … With advances in the molecular biology of inflammation and wound healing, the management and understanding of this frustrating disease will no doubt improve.”

With this statement in mind, I strongly recommend that any man, in any stage of Peyronie’s disease – no matter how chronic or advanced – should at least investigate the use of synergy created by the combination of several simultaneous non-invasive treatment measures selected on the basis of the best understanding of your problem and the information that is available to you.

Peyronie’s disease treatment is variable from one man to the next. Because the Alternative Medicine therapies used in Peyronie’s disease treatment are intended not to treat the disease but to support and strengthen the man who has the problem, so he can heal and repair it to the best of his ability.  Since we are all different, each man must approach his own search for a Peyronies cure on an individual basis.

The PDI website is full of helpful information about Peyronie’s disease treatment to increase your ability to heal and repair PD, just as it naturally and spontaneously happens in 50% of the men who develop this condition.   Keeping this in mind should change the way you look not only at Peyronie’s disease, but also the way that you consider your relationship to the problem and how you hope to eventually overcome it.

Biggest Peyronie’s Disease Treatment Mistake You Can Make

Learn from others about Peyronie’s treatment

What’s the biggest fundamental mistake I see men make while undergoing conservative Peyronie’s treatment?  This is a good question, because if you are making this mistake it could be sabotaging your success right now.

Men with Peyronie’s disease say they want to recover.  They all say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, additional ideas or strategies that often make a difference, I get a different reply from these same men.

As we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, if it is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this list of five reservations, the one that always interests me the most is #3, the one requiring that any PDI treatment must be “guaranteed.”  I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing.

I had some dental work the other day to extract a badly cracked tooth.  I asked the dentist if he thought he could get the entire tooth with roots out of the socket.  He said, “No, I can’t say that. I just don’t know ahead of time.  If that root breaks off, you will need a dental surgeon to have the jaw opened to remove that nasty little root.”  Did you ever notice that when you get some work done by your dentist, he asks you repeatedly how numb you are?  Your dentist does this because he/she has absolutely no way to guarantee the exact effectiveness of a simple Novocain shot. You must be asked continually how much numbness was created, and how much pain you are having, because something as simple and direct as a Novocaine shot represents an unknown outcome, with no guarantee.

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he prescribes for you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.  when it comes to guarantees, caveat emptor, buyer beware.

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is easy, fast, guaranteed, inexpensive or convenient.  It is tough work because Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

Must go all out to get Peyronie’s help

A half-hearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement.

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.

If you are truly serious about correcting your Peyronie’s disease, you must be ready to commit to  work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  Without true commitment and dedication to the task, it is almost impossible to succeed.

To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the heading, “Ask Dr. Herazy…”    TRH

Cause of Peyronie's disease

How Peyronie’s disease starts

As anyone who has the problem knows, the cause of Peyronie’s disease is not well understood.  However, any research topics that shed light on this basic question are of great interest to men who have Peyronie’s disease.

Perhaps a good question to start with is, what causes the erect penis to bend in a case of Peyronie’s disease?  The answer lies in the function of the corpora cavernosa functions in the mechanism to produce an erection. There are actually two corpora cavernosa, laying side by side like two cigar shaped, paired balloon-like chambers that must be filled with blood to create an erection. Their connective tissue wall, the tunica albuginea, offers resistance and rigidity when it is stretched to its maximum.  The tunica is elastic to a point, but unlike the thin and flexible wall of a balloon, the tunica albuginea is interlaced with strong connective tissue fibers. These strong fibers do not allow for much expansion, and eventually determine the shape of the erect penis because of their structural rigidity.

Thus, in a very real and fundamental way, Peyronies disease is a disorder of the tunica albuginea. By producing dense and rigid areas of the tunica, called Peyronie’s plaque or scars, Peyronie’s disease interferes with the full expansion of the tunica. Plaques are either regions of reversible inflammation in early phases of Peyronies, or permanent scars later if the inflammation is severe and continues too long.  Much like a piece of tape placed on the wall of a balloon, the plaque or scar causes uneven filling and expansion of the tunica, and this causes bending  of the column of the corpora cavernosa.

A basic question is, what causes these plaques to begin?  Microscopic and chemical studies show that plaques represent an early stage of the wound healing process when the tunica is injured. Whatever starts Peyronie’s disease, the problem seems to the inappropriately increase of the normally healthful and proper process of wound repair.  Actually, wound healing may not be the appropriate term in all situations.

Most likely cause of Peyronie’s disease

One cause of Peyronies disease is obvious and direct trauma to the erect penis. This trauma can range from sudden and unexpected angulation during sex, to am actual rupture of the corpora cavernosa.  However, the fact is, many men with Peyronies do not recall any such traumatic occurrences.

Over time, all sexually active men will experience some degree of wear and tear on vulnerable areas of the soft tissue erection mechanism. Both the structural arrangement of the corpora and the inherent elasticity of its connective tissues counteract the strong mechanical stresses created by strong sexual activity.  But when men reach their mid-fifties, fundamental connective tissue elasticity throughout the body, and the penis, is on the decline.   And so, it just so happens that the average for appearance of Peyronies disease is fifty-four.

Peyronies plaques most often appear along the top surface of the penis. It is this region where the two corpora meet side by side, along the upper edge of the “inflatable I-beam” created during an erection that is most vulnerable to stress induced delamination.  Another word for a layer is a lamina; when layers are disrupted or separated, it is called delamination.

Autopsy studies in the mid-1990s on men have shown the earliest microscopic changes thought to be early Peyronies disease changes are actually a common finding.   It seems that while many men develop these changes, they will evolve into Peyronies plaques only for a small percentage of cases.

So what causes the process of normal wear and tear to develop abnormally into the destructive process of wound healing that is called Peyronie’s disease?  There are no clear answers to this question.   However, Peyronies disease is more common in diabetics, as well as men who have gout.  These are two conditions that can have an adverse affect on normal connective tissue healing. It is also more common in the presence of Dupuytren’s contractures. These scars of the fascial covering of the finger tendons in the palm of the hand are thought to be inherited, and may reflect an abnormal tendency toward scar formation in other areas.

Thus, we see that much is still to be learned about Peyronie’s disease, but as these microscopic tissue clues are unraveled, the mystery of this problem will be advanced, as well as Peyronie’s disease treatment.

Peyronie's disease treatment with Xiaflex

Peyronie’s treatment with experimental drug, Xiaflex

Peyronie’s disease is best known for the plaque, scar or hard lump that causes a curved penis to develop.   Peyronies begins as a localized inflammation, usually as a result of injury of some type. It is currently believed that Peyronie’s disease is caused by vascular trauma or injury to the deeper penis anatomy. Peyronie’s disease is most common in men over 50 years, and the incidence increases with age. This inflammation often progresses to a hardened plaque or scar that reduces flexibility of the tissue of the penis, and results in a bend or distortion during erection due to incomplete filling or restriction of the tissue.  Often, this causes constant pain or pain during erection, and for some men these can prevent sexual intercourse due t physical incompatibility or erectile dysfunction.

Aside from the physical changes, depression and reduced self-esteem are commonly experienced by men with Peyronie’s disease.

Peyronie’s disease is most often treated by urologists, even though there are no approved drug therapies for Peyronie’s disease.  Peyronie’s surgery may be an option for some patients although complications such as worsening of the PD distortion can develop, as well as loss of penile length can occur.   Xiaflex, a type of collagen reducing enzyme, or collagenase, has been experimentally injected into the Peyronie’s disease scar or plaque as an in-office procedure. The purpose of injecting Xiaflex into the PD scar is to soften the scar tissue and improve or reduce the curvature of the penis. Further, this is hoped to improve sexual function and eliminate the distressing negative psychosocial aspects of Peyronie’s disease.

Peyronies Xiaflex trial results

Sponsored and monitored by BioSpecifics Technologies Corp., licensor of Xiaflex, the 12 month phase II open-label trials of Xiaflex showed limited but promising results.  These research tests were conducted to evaluate the ability of Xiaflex to successfully treat Peyronie’s disease, as well as its compatibility and side effect potential.  In this process clinical success was defined as a baseline change of penile angulation of at least 25 percent.

Each of the study participants received three injections of Xiaflex, administered on a separate day, and given over seven to ten day period.  Twelve weeks later, each man received a second series of three injections.  Research subjects were evaluated at three, six, and nine months after the Xiaflex injection series.

The average baseline angulation was 52.8 degrees.  In this study clinical success was achieved at three and six months with 58 percent and 53 percent of patients, respectively.  This would suggest that early success might not last very long or that the improvement to the Peyronie’s disease distortion was temporary.

In this study there were adverse reactions with Xiaflex that were not described in the general media.  The most common adverse reaction was only reported as a problem at the local administration site that was mild or moderate in severity, non-serious, and resolved in time without medical attention.  No comment was made about worsening of the Peyronie’s disease after the nine month time frame as a direct result of repeated injury to the delicate tunica albuginea tissue from the multiple needle injections of the needle used to deliver the Xiaflex.

It is the opinion of PDI that for some men these repeated injections could make their Peyronie’s disease condition worse over time.   It might be prudent for the average man to wait until more clinical treatment results are collected and interpreted before considering this treatment approach.

Peyronie's disease therapy and a little more

Additional Peyronie’s disease treatment to consider

One of the best questions you can ask yourself during your Peyronie’s disease therapy is, “What else can I do to help this problem along?”

The answer does not always have to mean a great amount of money spent on more supplements and enzymes – although this is not a bad idea, either.  You can:

1.      Apply moist heat to the scar area.

2.      Take more time and effort to assure you are not compressing your genital when you are sitting.

3.      Make some of the simple and easy dietary changes that PDI suggests to increase your odds of recovery. from Peyronies.

4.      Spend more time in intercourse or masturbation to increase circulation to the genitals.  How this should be done is a major topic of my second book, “Peyronie’s Disease and Sex.”  For more information see “Peyronie’s Disease and Sex

5.      Consider using some simple massage and exercise procedures that will increase blood flow in and lymphatic drainage away from the area. An excellent way to do this is explained in the one-hour instructional video from PDI at Peyronie’s Disease Massage and Exercise Video.

6.   Start a program of gentle manual penis stretching to reduce the soft tissue contraction and fibrous infiltration of the fibrous scar.   Look at the information about this stretching concept, at Peyronie’s Disease Manual Penis Stretching.

7.  Learn how to evaluate your situation as a scientist might so you will know for a fact – better than your MD – the exact condition of your PD scar.  Once you know how to evaluate your situation you are far more likely to identify improvement when it occurs.   All of this is covered in the first book about PD I wrote, “Peyronie’s Disease Handbook.”   For more information see “Peyronie’s Disease Handbook

8.      Get more physically active with walking and light exercise, and spend less time sitting in front of the TV.  Anything you do to increase your level of physical activity will boost your immune response and chances of recovering from Peyronie’s disease.

9.     Ask questions if you do not know how to help yourself.  Write an email and explain your situation, and I would be happy to help you in whatever way I can.

Don’t be a victim to Peyronie’s disease.  Take action.  Learn to be in control of it and you are closer to victory over your PD.

Peyronie’s Disease Treatment Via Direct Drug Injection

Drug injection trauma can lead to Peyronie’s disease

Peyronie’s disease treatment using drug injection into the delicate tunica albuginea of the penis is a medical therapy that is fast loosing favor.  One of the reasons is the lack of good results, the other is that injections often cause or aggravate PD.

This blog post about Peyronie’s disease treatment using direct drug injections (Verapamil, cortisone, etc.) should hit home for a large number of you.  Many men have undergone painful drug injections into the penis because their medical doctor thought it was worth the effort, and only found themselves worse for their effort.

First I will simply copy an article, “Extracorporeal shock-wave therapy in the treatment of Peyronie’s disease.”  This research discussion is essentially about Extracorporeal Shock Wave Therapy, ESWT (or ESWL as they call it here).  This article comes from www.pubmed.gov under the reference number PMID: 15114750 [PubMed – indexed for MEDLINE].

What is important to note in our particular discussion is the area I have highlighted for emphasis.  You will note from an earlier post about ESWT in Peyronie’s Disease Treatment Forum blog, this form of therapy has been fairly well abandoned by a large percent of doctors who used it for many years since these injections seem to cause more problems than it helps. The reason this information about ESWT (or ESWL) is included in this article about penile injections is that these Russian physicians make a very interesting comment while discussing ESWT that underscores the damage created by injections (of any kind) into the tunica albuginea.

[Article in Russian]

Neĭmark AI, Astakhov IuI, Sidor MV.

The authors analyse the results of treatment of 28 patients with Peyronie’s disease using extracorporeal shock-wave lithotripsy (ESWL) performed on Dornier U15 lithotriptor. A total of 2-6 sessions were made, maximal number–12. The efficacy was controlled by clinical indices and ultrasonic investigation (Doppler mapping of the blood flow). ESWL proved to be efficient in the treatment of Peyronie’s disease (PD), primarily, in patients with early disease before appearance of severe fibroplastic alterations. Less plaque vascularization by energetic Doppler mapping due to ESWL is an important diagnostic criterion of PD treatment efficacy. Conservative treatment is not indicated in marked deformities and plaque calcification, erectile dysfunction. Moreover, any injection into the tunica albuginea, especially complicated by hematomas (deep tissue bruising) may be a damaging factor which triggers fibrous inflammation. Such patients should be treated surgically. If the patient is interested in immediate results or is not interested in continuation of sexual life, the treatment is ineffective. Thus, ESWL is an effective, safe method of PD treatment but requires further study and accumulation of clinical experience.

It seems that the problems penile injections can cause is not that necessarily about the drug that is injected into the tunica, but the drug injection with a needle itself that is used to deliver the drug. An injection to deliver any drug, or sterile water, can cause injury to this delicate membrane.  This sets off an inflammatory response that can result in significant Peyronie’s disease plaque or scar tissue formation for men who as so predisposed.   Doing this once can be risky.  Doing this up to a dozen times over a few months, as is often the recommended course of therapy, just multiples the opportunity for injury to mount on top of injury.

This Russian research team offers the opinion that the effects of such injection into the penile shaft causes such significant Peyronie’s plaque development, that surgery is the best treatment option for the damage that it can cause.   Obviously, I do not agree with that, since surgery can also cause more scar development. Their conclusion is that they find men who receive these injections often eventually are rewarded with a disturbed and discontinued sexual life.

This idea is brought to your attention to demonstrate there are many in the medical community who agree with the same position that I have taken for many years now.  These doctors and I contend it is inherently risky, in fact, dangerous, to stick needles repeatedly into the penis for Peyronie’s disease treatment. Their  logic concludes that any treatment that can start or aggravate the very problem it is attempting to treat, is not much of a treatment.

It is unfortunate that the medical community turns a blind eye to the direct observation of poor results, serious irritation of the tunica, and the solid logic that reputes injections as a form of Peyronie’s disease treatment.  Those who continue to inject their Peyronie’s disease patients, and bring these men farther down the road toward greater plaque development, must be desperate to look useful or just ignorant of how Peyronie’s disease often develops.  It is so common for medical doctors to think only in terms of medicine and surgery, notwithstanding the tragedy that can often result from their limited thinking.

The PDI concept of using non-invasive methods to increase the healing response of the body is a safer and more trustworthy Peyronie’s disease treatment than some of the aggressive medial schemes being promoted today.

Peyronie’s Treatment Philosophy

Many elements in successful Peyronie’s treatment plan

“What is the most important product or vitamin I should use to treat my Peyronies disease?”  I get that question all the time.

The correct answer is that there is no ONE important therapy; they are ALL important, especially when used together. Each alone has limited ability to make a difference with the fibrous Peyronie’s plaque.   But when used together as we advocate at PDI, their combined effort is capable of generating a healing response. None will work alone to get results that are equal to a wide-based synergistic approach to therapy.

There is no way to predict which vitamin or mineral or enzyme therapy will do the most for you.  Actually, there is no one product that can destroy the scar by itself or build you up sufficiently so you can do the job yourself.  I think they are all necessary.  The more you can do for yourself, the better the results will be against Peyronie’s disease.

Please read and re-read sections of the PDI website that describes the treatment philosophy and principles of synergy, found at Peyronie’s treatment philosophy .  If you are having any doubts or indecision about what you are doing, you owe it to yourself to go over some of these points. You should educate yourself well about this terrible problem and come to fully understand why you are following this course of Alternative Medicine care.

There is a lot of good information for you on the PDI website.   If you haven’t spent a few minutes there lately, now might be a good time to just go over what started you thinking in this direction in the first place.   After you understand more about the philosophy that guides this process of eliminating the Peyronies plaque, it will be easier to follow your program well.

Peyronie’s Disease Treatment Philosophy

“What is the most important product or vitamin I should use to treat my Peyronies disease?” I get that question all the time.

The correct answer is that there is no ONE important therapy; they are ALL important, especially when used together. Each alone has limited ability to make a difference with the fibrous Peyronie’s disease plaque But when used together as we advocate at PDI, their combined effort is capable of generating a healing response. None will work alone to get results that are equal to a wide-based synergistic approach to therapy.

There is no way to predict which vitamin or mineral or enzyme therapy will do the most for you. Actually, there is no one product that can destroy the scar by itself or build you up sufficiently so you can do the job yourself. I think they are all necessary. The more you can do for yourself the better the results will be against Peyronie’s disease.

Please read and re-read sections of the PDI website that describe the treatment philosophy and principles of synergy, found at http://peyronies-disease-help.com/philosophy.html . If you are having any doubts or indecisions about what you are doing, you owe it to yourself to go over some of these points. You should educate yourself well about this terrible problem and come to fully understand why you are following this course of Alternative Medicine care.

There is a lot of good information for you on the PDI website. If you haven’t spent a few minutes there lately, now might be a good time to just go over what started you thinking in this direction in the first place. After you understand more about the philosophy that guides this process of eliminating the Peyronies plaque, it will be easier to follow your program well.

Largest Peyronie’s Disease Treatment Mistake

Do Peyronie’s treatment correctly for best results

What’s the biggest fundamental mistake I see men make while trying to treat their Peyronie’s disease?  This is a good question, because if you are making this mistake it could be sabotaging the success of your Peyronie’s disease treatment right now.

Their mistake is that they will only undergo an Alternative Medicine treatment of Peyronies if it is guaranteed.   They never stop to think or realize that no doctor in his right mind will guarantee any form of treatment, especially Peyronie’s disease.

Most men say they want to recover from their Peyronie’s disease.  They say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, such as additional ideas or strategies to follow that often make a difference, I get a different reply from these same men.

When we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, but only if the therapy is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this above list of five reservations, the one that always interests me the most is #3, wanting to know if the Peyronie’s disease treatment ideas of PDI are “guaranteed.”

When I hear this question, I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing.

I had some dental work the other day to remove a badly cracked tooth.  I asked the dentist if he could guarantee if he could get the entire tooth and roots out of the socket.  He said, “No, I can’t.  If that root breaks off, you will have to go to the dental surgeon to have the jaw bone opened to remove that nasty little root.”  Because he could guarantee the exact effectiveness of the Novocain shots he put into my jaw, he had to continually ask me how much numbness was created and how much pain I was having.  He asked, because he did not know, because even something as simple and direct as a Novocain shot represents an unknown outcome.  You see, a dentist cannot guarantee the effectiveness of a simple Novocain injection.

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he gives you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is easy, fast, guaranteed, inexpensive or convenient.  It is tough work.  Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

A halfhearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement.

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.

If you are truly serious about correcting your Peyronie’s disease, you must be ready to work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the PD Blog heading, “Ask Dr. Herazy.”

Peyronie's disease plaque and fibrin

Tissue changes of Peyronie’s disease are unique

In a November 2005 abstract account, Kenneth D. Somers and Dawn M. Dawson, of the Department of Microbiology and Immunology, Eastern Virginia Medical School, Norfolk, Virginia, and Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio, reported on their findings concerning the tissue changes that occur in Peyronie’s disease.

To begin this explanation, they remind us Peyronie’s disease is actually a pathological fibrosis, or a situation in which there is excess fibrin tissue located in a small area to the degree that it becomes a problem for the body.  In the case of Peyronie’s disease, this fibrosis also is associated with an excessive deposit of collagen in the same area of the fibrin plaque or scar that results in a curved penis.

Although the cause of Peyronie’s disease remains unknown, they tell us, injury or trauma has long been thought to be the inciting event. To determine if this is true, they looked at the cellular structure of the Peyronie’s disease plaque or scar to get an insight into the cause of this condition.

Materials and methods they used

Small samples of plaque tissue was taken from 33 patients with Peyronie’s disease, and control tissue and nodular tissue was taken from the penis of eight patients with Dupuytren’s contracture; both groups of tissue were analyzed for collagen staining, as well as fibrin and elastic fiber structure and distribution.

Their results

As a result of this study they found abnormally stained collagen in 97% of the samples, disrupted elastic fibers in 94% and excess fibrin deposition in 95% of the samples.  These same findings were not found in the normal scared tunica albuginea of control patients who did not have Peyronie’s disease. The presence of abnormal fibrin accumulation in Peyronies plaque tissue was detected in a special chemical analysis, while this abnormal fibrin was not found in skin tissue samples from the same patients.

Their conclusions

Their conclusions from this study is that the fibrin deposits in Peyronies plaque tissue is consistent with the theory that repeated minor injury or single major injury to the tunica albuginea results in fibrin being deposited in the tissue spaces at the site of trauma to start this condition.

Peyronie’s treatment concept

Peyronie’s Disease Institute has taken the position that it is this excess fibrin deposit within the excess collagen formation that can be safely and easily removed by the use of a battery of systemic enzymes that are specific for foreign fibrin protein in the body.  When combined with other known methods to increase the healing response of the immune system against Peyronie’s disease plaque, it is possible to reverse the abnormal tissue found in the tunica albuginea and therefore eliminate the cause of pain and penile curvature associated with Peyronie’s disease.

Peyronie's Disease Treatment and Copper

Copper and Peyronie’s disease

Many people underestimate the benefits of copper  in Peyronie’s disease treatment. Copper is not like some of the more popular dietary and nutritional superstars like calcium, iron or zinc.   Copper is not as widely discussed because its range of uses within the body are narrow and too technical to be easily explained.

When someone says that calcium is needed to build bones, that is a rather simple and direct connection because calcium is thought of as coming from rocks and bones are hard like rocks.   When someone says that iron is needed to build red blood cells, that also is a rather simple and direct connection because iron is a primary element in hemoglobin, and iron stains things red and blood is red (because of the iron in hemoglobin).  But when someone says that copper is essential for the Krebs citric acid cycle, that is not so easy to think about.

The copper PDI advocates is presented to the body in the form of a copper peptide, which is easily taken into the tissue and used in a wide variety of essential, but small, technical processes.  The copper product we use is formulated by one of the world’s leading authorities on the subject of copper metabolism of the skin, Dr. Loren Pickart.  It is his product that we use to assist the healing of Peyronie’s disease, called Super CP Serum.  It is intended to saturate the tissue, traveling deeper over time with extended use.  Very little copper (about 0.1%) actually gets into the skin, but all the human studies on intact skin, both with GHK-Cu and the newer SRCPs, found positive actions on skin within 2 to 7 days.  Apparently, even at this low saturation level, the tiny  amount of copper that enters the tissue is enough to accomplish the desired results. The Neutrogena company has published very extensive studies in Cosmeceuticals volume 2 that confirm this principle.

The PMD DMSO we use will easily carry the copper-peptides deeper and more quickly than if it was not used.  This is why PMD DMSO is almost always used with this copper peptide product to assist the tissue of the penile shaft absorb the copper peptides and incorporate it at the cellular level. It is theorized that some of the copper is carried away from the area with the blood circulation, while the remainder extends progressively deeper with use. Depth of saturation has to do with several factors: amount applied, frequency of application, duration of application, and unique cellular physiology.

You might want to consider applying these two products in this way:  First, apply 2-3 drops of the Super CP Serum over the sites of the lesion(s).  After a few seconds of light rubbing and you will see and feel that it is quickly absorbed.

Second, flip open the spout of the PMD Topical DMSO Solution, and apply 2-3 drops over the same area and quickly spread it around.  You will likely notice an almost immediate warming sensation where you applied the DMSO; this is the response of the subcutaneous fat layer of this tissue to the penetration of the DMSO – that is how fast DMSO enters the tissue.

You might consider increasing the synergy of this local topical treatment process by also applying the Callisto vitamin E oil at the same time.  Even though the Callisto oil is being mentioned last, it is not applied last; it should be applied either before or after the Super CP Serum – and the PMD DMSO is always applied last, to drive the others into the tissue.

There is an additional benefit of using the Callisto vitamin E when using these other products that was not mentioned on the website: The vitamin E oil tends to keep the skin over the scar from becoming irritated; it doesn’t happen often, but it can occur.  The problem is that the skin of the shaft is thin, delicate and generally doesn’t receive much contact or abuse in the normal course of a day. For this reason, the penis shaft  tends to be easily irritated by a lot of things that do not bother skin in other parts of the body.  Since we don’t know just how sensitive your skin may be to concentrated copper or DMSO, adding in the Callisto oil can keep this problem from occurring.  Most men do not have this irritation response to either product, but you just might be the exception that proves the rule.  With this preventive measure you are assuring that irritation is minimized or eliminated, and so will you will be able to continue uninterrupted with your copper/DMSO therapy. To review why vitamin E is an important part of a PD program, check out the Vitamin E and C section on the website, at vitamin E

Usually progress of copper saturation is judged by evaluation of changes in pain (intensity and frequency), various qualities of the scar (density or firmness, size, shape and number), and penile function (deformity, angle, rigidity of erection, and shape).  Once this process gets started, it may still take additional weeks or months for it to be great enough to be detected.  Dr. Pickart tells of anecdotal information concerning copper and PD, when he informs me that men who apply copper peptides preparations on their penis after general skin irritation often say they wake up at night with erections; this he speculates is due to the activation of copper and zinc SOD which helps normalize nitric oxide vasodilator reactions.

Lastly, Dr. Pickart reports that his company has many hundreds of reports of regular scar tissue vanishing after using his products, with Super CP Serum being the newest of these.  For information about the use of copper in a Peyronie’s disease treatment plan, go to copper and Peyronie’s disease

It comes down to following your diverse Peyronies treatment plan with therapies like copper peptides and PMD DMSO for a reasonable period of perhaps several months, and seeing what happens in your individual case.   Send a question here to the blog and I will do my best to assist you.  TRH

Peyronie’s disease treatment via direct drug injection

Injections can injure delicate tunica albuginea, leading to Peyronie’s disease

This blog post about Peyronie’s disease treatment using direct drug injections (Verapamil, cortisone, etc.) should hit home for a large number of you.  Many men have undergone painful drug injections into the penis because their medical doctor thought it was worth the effort, and only found themselves worse for their effort.

First I will simply copy an article, “Extracorporeal shock-wave therapy in the treatment of Peyronie’s disease.”  This research discussion is essentially about Extracorporeal Shock Wave Therapy, ESWT (or ESWL as they call it here).  This article comes from www.pubmed.gov under the reference number PMID: 15114750 [PubMed – indexed for MEDLINE].

What is important to note in our particular discussion is the area I have highlighted for emphasis.  You will note from an earlier post about ESWT in Peyronie’s Disease Treatment Forum blog, this form of therapy has been fairly well abandoned by a large percent of doctors who used it for many years since these injections seem to cause more problems than it helps. The reason this information about ESWT (or ESWL) is included in this article about penile injections is that these Russian physicians make a very interesting comment while discussing ESWT that underscores the damage created by injections (of any kind) into the tunica albuginea.

[Article in Russian]

Neĭmark AI, Astakhov IuI, Sidor MV.

The authors analyze the results of treatment of 28 patients with Peyronie’s disease using extracorporeal shock-wave lithotripsy (ESWL) performed on Dornier U15 lithotriptor. A total of 2-6 sessions were made, maximal number–12. The efficacy was controlled by clinical indices and ultrasonic investigation (Doppler mapping of the blood flow). ESWL proved to be efficient in the treatment of Peyronie’s disease (PD), primarily, in patients with early disease before appearance of severe fibroplastic alterations. Less plaque vascularization by energetic Doppler mapping due to ESWL is an important diagnostic criterion of PD treatment efficacy. Conservative treatment is not indicated in marked deformities and plaque calcification, erectile dysfunction. Moreover, any injection into the tunica albuginea, especially complicated by hematomas (deep tissue bruising) may be a damaging factor which triggers fibrous inflammation. Such patients should be treated surgically. If the patient is interested in immediate results or is not interested in continuation of sexual life, the treatment is ineffective. Thus, ESWL is an effective, safe method of PD treatment but requires further study and accumulation of clinical experience.

It seems that the problem penile injections can cause is not necessarily about the drug that is injected into the tunica, but the needle itself that is used to deliver the drug. An injection to deliver any drug – or sterile water – can cause injury to this delicate membrane.  This sets off an inflammatory response that can result in significant Peyronie’s disease plaque or scar tissue formation for men who as so predisposed.   Doing this once can be risky.  Doing this up to a dozen times over a few months, as is often the recommended course of therapy, just multiples the opportunity for injury to mount on top of injury.

This Russian research team offers the opinion that the effects of such injection into the penile shaft causes such significant Peyronie’s plaque development, that surgery is the best treatment option for the damage that it can cause.   Obviously, I do not agree with that, since Peyronie’s surgery can also cause more scar development. Their conclusion is that they find men who receive these injections often eventually are rewarded with a disturbed and discontinued sexual life.

This idea is brought to your attention to demonstrate there are many in the medical community who agree with the same position that I have taken for many years now.  These doctors and I contend it is inherently risky, in fact, dangerous, to stick needles repeatedly into the penis for Peyronie’s disease treatment. Their  logic concludes that any treatment that can start or aggravate the very problem it is attempting to treat, is not much of a treatment.

It is unfortunate that the medical community turns a blind eye to the direct observation of poor results, serious irritation of the tunica, and the solid logic that reputes injections as a form of Peyronie’s treatment.  Those who continue to inject their Peyronie’s disease patients, and bring these men farther down the road toward greater plaque development, must be desperate to look useful or just ignorant of how Peyronie’s disease often develops.  It is so common for medical doctors to think only in terms of medicine and surgery, notwithstanding the tragedy that can often result from their limited thinking.

The PDI concept of using non-invasive methods to increase the healing response of the body is a safer and more trustworthy Peyronie’s disease treatment than some of the aggressive medial schemes being promoted today.  For more information about the Alternative Medicine treatment philosophy for care of PD, please go to the PDI website.

Peyronie’s Disease Treatment and Partial Success

Everyone has a different response to Peyronie’s treatment

Not everyone responds the same to Peyronie’s disease treatment.  After a few months of intense and faithful use of a Peyronie’s treatment plan a man will often, but not always, discover one or more small, but important, changes in his condition:

1.       Reduction or elimination of pain in the penis

2.       Softening and or reduction of the Peyronie’s plaque

3.       Changes in the penile curvature

4.       Improved erection capability

As these changes are noted, and take on permanency over time, a person with Peyronie’s disease assumes these changes will continue to develop at the same speed and degree of improvement.

In other words, if in one month there was a 10 degree improvement of the curvature of the penis, a person tends to assume that the next month would bring another 10 degree change.  When this does not happen, as is so common, disappointment can develop. And sometimes disappointment advances into a sense of failure and hopelessness. Given all the complex interplay of powerful emotions and interpersonal tensions that are a part of living with Peyronie’s disease plaque, this disappointment can be fueled into something greater than it needs to be.  This kind of disappointment – high hopes based on early progress, followed by frustration because lofty expectations are not fulfilled – can lead to dark depression.

Where a man would otherwise have a sense of partial success and satisfaction that progress has at least begun, in Peyronie’s disease doom and gloom often prevails.  Let us take the example of the man who starts Alternative Medicine Peyronie’s disease treatment with a 90 degree bend.  After 2-6 months of self-care, he now has a 45 degree bend.  Is he happy and satisfied?  Of course not!  He doesn’t even think about or feel appreciative for the 45 degree improvement, he just thinks all the more about the 45 degrees of curvature that has not improved.  I suppose that is human nature.  With so much intense interest and effort focused on the Peyronies curvature and plaque, he focuses all of this interest only on that part of his problem that has not improved.

These observations are presented to expose this idea to you in case you are guilty of these same negative reactions to partial success.  It is the old story of the glass being either half full or half empty; very often it is just a matter of how we look at things.  But in the case of Peyronie’s disease, there is a potentially damaging consequence to this distorted way of looking at the partial success of treating this problem.  When someone is so emotional and upset as is common in PD, it is easy to lose sight of the progress that is being made.  In this negative state of mind I have seen many men stop successful care prematurely merely because a portion of the initial problem still remained.  Worse yet, a man can disregard a good solid 10 degree of improvement simply because it is only a partial improvement and abandon all of his therapy because he has a disillusioned way of looking at himself.

If you have benefited your Peyronies curved penis with only partial success and want more, well that means you are like everyone else.  You must allow yourself enough time and opportunity to respond and improve.  You must also not be guilty of setting yourself back by continually injuring your penis during the course of a day by the way you handle yourself.  This is a subject that is very important, and is covered in some detail in “Peyronie’s Disease Handbook.”

Keep things in perspective.  Don’t be so discouraged that you are not yet perfect.  Continue your treatment until you are as good as you can make yourself.  Be grateful for what you have accomplished, even if more needs to be done.  Keep a realistic attitude about your timeline for healing and repair.

“Lord grant me the courage to change the things I can, the serenity to accept the things I can’t change, and the wisdom to know the difference.”

Stay positive. Stay focused on the progress you have made while following the best Peyronie’s disease treatment plan you can put together.

Peyronie’s Disease and Stressful Emotions Related to Sex

Stressful emotions and Peyronie’s disease

Peyronie’s Disease Institute has for many years written about the various emotional issues closely associated with the bent penis disease.

Even though Peyronie’s disease is said by some to occur in 3-9% of all men, surprisingly very little is known regarding the psychological or emotional disruptions to the sexual well-being of those afflicted with this problem. In a 2008 research project, reported in the Journal of Sexual Medicine, 2008;5:2179-2184, Smith JF, Walsh TJ, Conti SL, Turek P, and Lue T, attempted to determine the source of emotional and relationship problems in Peyronie’s disease. In addition, this study attempted to identify risk factors associated with psychosocial difficulties in men with PD.

Of 245 men in this study, the mean age was 54.4 years, ranging from 19.4 years to 75.6 years; of these men 62% were married, and 59% presented within 2 years of disease onset. The overall prevalence of emotional and relationship problems that were attributable to Peyronie’s disease was 81% of the married men, and 54% of the unmarried men. Among those men who reported to experience relationship problems, emotional problems were noted in 93%.Loss of penile length and inability to have intercourse were strongly identified as the cause of a very high percent of emotional problems reported in this study.

Peyronie’s disease has physical and emotional aspects

Studies like the one mentioned above prove what every couple who deals with Peyronie’s disease knows all too well:  living with PD is not easy and it puts a lot of stress on any marriage or relationship.

It is obvious to any Peyronie’s disease couple who must daily deal with the reality of this problem, that Peyronie’s disease can quickly and easily become a source of great mental and emotional stress to both partners.  Having Peyronie’s disease should not be seen as a reflection of a man’s self-worth, masculinity, or virility.  In all cases of Peyronie’s disease in which a loving couple is involved, improved communication skills make a great difference in how the stress is managed and how the couple survives on a daily basis.

If Peyronie’s disease advances it sometimes causes occasional or permanent erectile dysfunction.  This inability to achieve an erection strong enough to allow for penetration is often seen as a sign of diminished masculinity by the man, and diminished sexual desire by the woman.  It is most important that every man with Peyronie’s disease takes special effort to reassurance his sexual partner that this limit of sexual function is purely physical and not a refection of reduced interest and desire.  Conversely, every woman who is involved with a man with Peyronie’s disease should assure him that his physical limit is not a true or valid reflection of her respect, love, or desire for him.

For additional insight into dealing with the complex emotional issues between loving partners, please review “Peyronie’s Disease and Sex” at Peyronie’s Disease and Sex.   Since this topic is so large and complex, referring to the more detailed information of this book would be most helpful to couples who are experiencing sex problems as a result of the Peyronie’s  curved penis.

Peyronies treatment and the penis stretcher

Peyronies treatment and the penis stretcher

This blog report is about the hot Peyronie’s disease treatment topic of penis stretchers, or extender, and the long awaited announcement of our new, one-hour PDI Manual Penis Stretching Method© CD video.

All of this work and the discovery of yet another way to use Alternative Medicine to treat Peyronie’s disease started because I receive so many questions about the penis elongating devices, and the sad fact that I hear so many bad stories about them. I got tired of telling people why these mechanical penis stretching devices cannot work, describing the common potential dangers they create, their mechanical limitations of use, and the many horror stories I hear from men whose PD started after using a penis stretcher. So, I started with a goal to learn if I could safely and effectively stretch the Peyronies penis, and I did.

A few months ago I wrote in the PD Institute Newsletters that I would soon offer a process that would revolutionize the concept of penis stretching as an improved form of Peyronies treatment. Now, the brand new PDI Manual Penis Stretching Method© CD is now complete and ready for your review on the PDI website at Manual Penis Stretching Method©

There are several very good reasons I looked into, and then developed, this entirely new concept in Peyronie’s disease treatment. Most of these reasons are well known to a large percent of men who have PD and have tried and failed with the commonly advertised mechanical penis stretcher devices, and should be well known to the rest of you for your personal benefit and safety.

From my experience, those over-priced penis stretcher devices you see advertised so heavily as a Peyronies treatment are not effective, and are potentially dangerous to all men with PD.

One aspect of the problem is the inability to wear the stretcher. Makers of these manual devices do not mention on their websites that you should not wear the device for more than two hours at a time – yet they want you to wear it for eight to nine hours a day to achieve results. If you could actually wear the stretcher for the full two hours, this would mean that you would put it on and take it off four or five times a day, with perhaps an hour or two rest period between each wearing cycle. Most of your day would be spent tending to the stretcher, and you would have to do this for perhaps a year or more!

However, after talking to many hundreds of men over the years I know that most men cannot wear one for longer than 10-15 minutes at a time because of the pain and injury they cause. The pain is not so much caused by actual stretching of the penis, but by the pinching and compression to the head of the penis (glans) that is needed to forcefully hold the penis while it is stretched. Now, I don’t know about you, but my penis does not have a handle on it, so there is no good or easy way for a mechanical stretcher to grab the penis in order to stretch it. Thus, it is necessary to apply a strong and constant pressure directly around and below the glans while the traction force is applied.

I have met a few men who could wear a manual stretcher for up to an hour at a time, but not much more than that. If you are one of the men tough enough to wear one for up to an hour, this would mean most of your waking hours would be spent waiting in pain to either put the stretcher on or take it off. I have met men who had so much pain, tissue erosion and broken blood vessels that they never tried to wear it more than once. I have met men whose PD started after a single use of a manual penis stretcher.

The danger of bruising, blisters and tissue erosion are so common that the instructions that come with the stretcher devices discuss what you should do when – not if – these problems occur. If this level of injury happens to the outside of the penis, it can do similar injury to the delicate tunica albuginea where the real injury of Peyronie’s disease occurs. This is how men get into trouble.

There are other practical problems with the stretchers. These involve common issues of daily living like wearing clothes, sitting down, working or urinating that make using a stretcher rather difficult or impossible. I guess these would not be a problem to men who do not wear clothes, do not sit down, do not work, and urinate wherever and whenever they wish. For the rest of us, the mechanical stretchers pose a real problem in the real world.

There are other considerations about the stretcher devices. Have you ever wondered why most of the penis stretcher companies that advertise so heavily are located outside the U.S.? It could be that it is better for them to be located outside the bounds of U.S. law when it comes to customer complaints, product returns and refunds.

Over the years I have been approached by many major manufacturers of these stretching devices, asking me to sell their products on the PDI website. When I ask a few specific questions of these people, something interesting always happens. I find that the person I am speaking to suddenly is not the correct person to answer my kind of question, and I am told that someone else will get back to me with an answer. When I do not get called back by the second person, for fun and curiosity, I call back to speak to the second person. The second person is never available, or is never in the office, and never calls me back. Never, in all the times and all the situations this has happened over the years, has anyone ever answered one of my questions. Remember, these are the people who want me to sell their product, yet this is the kind of help and service I receive. Can you imagine the help and service you would receive if you called with a problem after you spent your money?

Did you ever wonder, if the stretchers worked as quickly and easily as the advertising says they do, why do they have to advertise constantly everywhere you go when you read about PD? There is a reason they are advertised so heavily, and it is not because of effectiveness.

Yet, the concept of stretching soft tissue is interesting since Peyronie’s disease is a soft tissue problem.

So, I recently completed this experimental trial that lasted a little less than two years, in which I worked with 10 men who were customers of PDI and Natural Complementary Medicine LLC. From this effort I was able to devise a totally new concept in manually stretching the Peyronies plaque or scar. Our results showed that 80% had moderate to marked reduction of curvature and/or scar formation, with each and every man experiencing an improvement of sexual function.

I encourage you to visit the PDI website to learn more about this method to safely, painlessly, comfortably, and effectively reduce your PD scar, reduce your PD curvature, and improve your sexual ability in 80% of the cases. I ask that you understand that the same concepts of Alternative Medicine, logic and common sense you see throughout the PDI website also applies to the strategy and methods taught in the new PDI one-hour stretching CD.

If, after watching the brief demonstration video, you still have questions about the procedure then just send me an email at info@peyronies-disease-help.com You know I will answer your questions.

Bear in mind that the primary principle behind all PDI treatment concepts has always been synergy, and it always will be. Therefore, you need to understand that the PDI Manual Penis Stretching Method© is not a stand alone method.

Manual penis stretching was used in our tests in conjunction with standard PDI treatment plans as an additional method to increase synergy of care. No one used just this gentle manual penis stretching technique. In each case, greater progress occurred after using the Peyronie’s Disease DI Manual Penis Stretching Method© than without it; each man who followed the system saw better progress from his PDI therapy plan after adding the stretching technique. It seems that the PDI Manual Penis Stretching Method© increased effectiveness of our current treatment concept in eight out of 10 in our little study group.

Yes, Peyronies is a lousy problem and I wish I could tell you that this is a magical cure – just like the people who make the mechanical penis stretchers or the herbal products, but I can’t. Effectively treating Peyronie’s disease is still work.

While I can report that 80% of the group saw improvement, that means that 20% did not. I came to learn that those who did not do well with the manual stretching method were those who used very small therapy plans or did not follow their plans faithfully. So, there is room for improvement with this manual Peyronies treatment method. I would hope so. We are just learning how to apply this concept, so it will be necessary to share our insights, experiences and ideas with each other.

Please check it out. I believe you will be impressed and intrigued with the PDI Manual Penis Stretching Method©. Go to Manual Penis Stretching Method© and let me know what you think.

Peyronie’s Disease Treatment with ESWT

Breaking up gravel and Peyronie’s disease

Peyronie’s disease treatment has been done in recent past times with ESWT, although after just a few years of promotion and use it has rapidly fallen out of favor.

ESWT or Extracorporeal Shock Wave Therapy is a standard medical procedure that involves the use of shockwave lithotripsy (high pressure and low frequency sound wave) technology to treat Peyronie’s disease.  The machine that actually creates the extracorporeal shockwaves is a device located outside the body, that is applied over the affected tissue of the Peyronies plaque. In Peyronie’s disease, the fibrous plaque or scar is the target of these shockwaves that are identified with an ultrasound scanner.  The ESWT shockwaves per session range from 2000-3000, applied over several minutes, with the average patient receiving 4-6 treatments and a maximum number of sessions of 12. This procedure can be performed with or without sedation, although most men prefer sedation after their first actual encounter with ESWT.

Although ESWT is primarily used as a treatment for kidney stones, this shock wave therapy or lithotripsy, has also been attempted for Peyronie’s treatment since the early 1990s. However, more recent studies re-evaluating the effectiveness of ESWT for Peyronie’s disease have only shown mixed results. Some studies have found ESWT restores normal erections and reduces pain associated with Peyronie’s disease.  However, additional studies could not reproduce those same findings, and have not found any clinical benefit. Further research is needed to fully evaluate what role, if any, shock wave therapy should play as a treatment for Peyronie’s disease.

The current evidence concerning the safety of ESWT for Peyronie’s disease appears adequate, using accepted medical standards.  However, keep in mind that accepted medical standards also suggests that Peyronies surgery that leaves many men impotent or totally numb or more distorted after the surgery is also thought to be safe.  Even so, the evidence for the effectiveness of ESWT does not appear adequate to support the continued use of this procedure without special arrangements and for audit or research; this means that if you want to use ESWT, you will have to agree to use it on a research basis because it has not proven to be effective.  Doctors who use ESWT must therefore tell their patients that the outcomes of this procedure are uncertain and there is unclear effectiveness in relation to the risks involved.

ESWT safety

Safety is always an issue in any healthcare matter.  In the several studies of ESWT safety that have been conducted since the late 1990s, according to medical review, “relatively few complications were reported. Complications were mostly of a transient nature and included urethral bleeding, bruising, skin discoloration due to petechiae (small dot-sized bruises), and hematoma (large bruises). The relationship between the energy level used in the treatment and the reported complications is unclear…The Specialist Advisors did not note any particular safety concerns about this procedure. Superficial bruising and moderate local pain were noted as potential adverse events.”

This disconnected thinking seems to be typical of many medical reviews of Peyronie’s disease treatment options.  On one hand, the report of ESWT safety casually mentions urethral bleeding, along with large and small bruising of the penile tissue. On the other hand, it does not consider that small trauma is often sufficient to trigger the onset of Peyronie’s disease.  Perhaps a trauma large enough to cause bleeding and bruise marks is no big deal to a medical researcher, but ask a man whose PD started from a small and one-time injury during sexual relations.

Think of what a jack-hammer does to concrete

It seems unbelievable that medical researchers, who the public rely upon for approval or disapproval of Peyronie’s disease treatment options, can be this ignorant of the situation concerning Peyronie’s disease.  Perhaps this entire body of researchers did not consider that a trauma large enough to cause penile bleeding and bruising might just be sufficient to cause or aggravate Peyronie’s disease.

In fact, no medial explanation has been offered how beating on a Peyronie’s disease  plaque 2000-3000 times with a high pressure and low frequency sound wave is going to help the problem.  Recall that this technology was intended to break up kidney stones.  A Peyronies plaque is not a kidney stone.  The fact that the scar or plaque is sometimes calcified in latter stages is perhaps where the connection started between kidney stone and Peyronie’s disease.  Yet, it must be considered that the tunica albuginea of a man susceptible to Peyronie’s disease is unlike other tissue.  When irritated it develops plaque material, especially when subjected to something as strong as 2000-3000 sound waves strong enough to break up a kidney stone.

It just never made sense to me when I first heard of the ESWT concept several years back, and I was the only one saying that kind of direct and repeated trauma capable to break kidney stones could not be beneficial to the tunica of a man who already has Peyronie’s disease.  Over time I heard less and less of ESWT and how even the Canadian clinic that promoted it so heavily has stopped doing the procedure.

It seems that common sense is not that common, especially when it comes to Peyronie’s disease treatment.

Peyronie’s Disease Plaque, Viagra, Cialis, Levitra, and Blood Supply