I have Peyronie's disease. Is there anything i can use or do to lessen the pain when getting an erection?

Hello Dr Herazy,

About 3 months ago i had a vasectomy done, and to try and “clear out the system” i was masturbating a lot more then usual. Over time I began having throbbing pain from the shaft of the penis which would pulsate towards the tip when getting an erection, i don't recall this pain prior to the surgery or frequent masturbation. But it seemed as though it had worsened and after a self examination i noticed a BB sized ball towards the bottom of my shaft, so i made an appointment with my urologist.

Well I just had that appointment today and after a short physical exam by him he indicated that the BB sized ball was plaque/scar tissue and that i have Peyronie's disease. He has prescribed me Verapamil gel and is advising me to take Vitamin E UI pills, but he was up front letting me know this may not cure my problem. Now like most men i immediately came home and did further research, but all i'm finding are most men talking about the “extreme curvature” to their penis. And in my case its the pain when getting an erection that i'm more concerned about but i cant find anything that relates directly to that. Let me also point out that although i have a slight natural curve to my penis that i've had for years i do not have anything extreme going on in that area.

So my question to you is there anything i can use/do to lessen that pain when getting an erection? Now that i've located the plaque it seems to be radiating from that area. It has become very frustrating when trying to be intimate with my wife as i focus more on getting that pain when developing an erection then trying to enjoy the intimacy. Any help/suggestions would be greatly appreciated!

Thank You,

Johnny J

Greetings Johnny J,

Sorry to learn of your problem and the pain you are in.  Please follow the advice and direction of your doctor. I agree with him that a course of topical verapamil and vitamin E by itself is seldom successful.  This is why I developed the Peyronie's Disease Institute to explore and develop an alternative medicine approach to treating PD.  As another option,  I suggest you spend some time reading the PDI website to determine if this alternate approach that seeks to increase your natural ability to heal, repair and eliminate the Peyronie's plaque makes sense to you.  A good place to start is Natural Peyronie's Treatment Options. 

Frankly, when I communicate with men who start Peyronie's disease treatment I am told that pain usually goes away in a few days.  Pain during an erection seems to be rather easy to control with the therapies in any of the treatment plans you might select.  

You need to understand that Peyronie's disease is a process that takes time – sometimes up to 18 months or so – to fully develop all levels of symptoms and signs of this problem.  In fact, I have many times communicated with men who find that their problem continues to develop (deteriorate) well into the 2nd or 3rd year.  Do not assume that your condition will remain the same as it is right now.  If you have no particular curve associated with your Peyronies problem at this time, be grateful because some men start out with a wicked curve.  However, it is a rare case of PD that does not eventually display some level of penis curvature or distortion.  If you do not have at this time any aggravation of your fundamental naturally curved penis, it will probably not stay that way.   It is just a fact, so be prepared.

Whatever you and your wife decide is the appropriate level of intimacy at this time, please be sure to be careful so that you do not exacerbate your Peyronie's disease. Do not stop having sex; have sex in a gentle and sane way so that you do not cause further injury to your penis.  You were abusive and overly aggressive with your masturbation to the point that you developed PD.  Do not repeat that mistake by making your PD worse.  It can be done and it can be a nightmare you do not want to visit.  Use additional sexual lubrication during intercourse and select those techniques that avoid the possibility of accidental slipping out and jamming/ramming the penis that would injure it further.

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Let me know if I can help you in anyway.  TRH 

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What can I do to make my congenital penis curvature better?

Hi doctor,

I think I have a natural penis curvature or I was born with a bent penis to the left side by about maybe 35 degree max.  I already asked a urologist and after checking me he told me to not do surgery and told me that I do not have a scar tissue or anything.  After I did some research on the internet I found that there is some exercise that can help to fix my bent penis  and also some people talk about using vitamin E cream mixed with Cetaphil moisturizer.  So please just let me know if this can help or not.  And if not, what can I do to get better in this case? Thank you in advance and hope to hear from you soon.

Greetings,

As I have written many times in this blog, men have changed their congenital penis curvature using the methods described on this website.  I do not think that applying a moisturizer lotion mixed with vitamin E is capable of making significant tissue changes that would be required to alter a 35 degree curved penis.  Applying topical lotions that are intended to make the skin soft are far too superficial to accomplish what you have in mind.

You did not describe the exercise that you have in mind to correct your curved penis.  This would be key, I believe, because there are many ways to influence the tissue in most areas of the body by stretching the tissue.  As far as the penis is concerned, however, you must be very careful about being too aggressive and causing injury to this delicate tissue.  From my experience the penis stretching programs I see on the internet are far too abusive to consider doing.   For example, many cases of Peyronie's disease have been started by mechanical penis stretchers and jelqing.  In response to these abusive methods, several years ago I worked with a group of men through PDI to develop what I call the PDI gentle Manual Penis Stretching Technique that uses a very light but sustained traction to stretch the penis tissue over a period of time when accompanied by a wide variety of internal and external therapies that assist this stretching process.  I get back good reports from those men who use a broadly diversified and gentle approach to correcting their penis curvatures.

Please review a few posts to give you a better idea about what this method can do for a bent penis that started from birth, Will the PDI Manual Stretching Technique help a congenital penis curvature?  and Could Peyronie treatment plans still possibly help my congenital curvature? and Can my congenital penis curvature be fixed by surgery or is there some other way to get help?

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I ask that you investigate this methodology to see if it makes sense to you.  TRH 

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Getting help with a congenital penis curvature

Hi Dr. Herazy,

I'm using the DMSO, Super CP serum and Nattokinase for congenital curvature with some success however the skin on the penis is becoming extremely wrinkled. I also have Ehlers-Danlos syndrome so my skin is more elastic than the average person.

I'm assuming this is due to the damage DMSO is causing to the epidermis.  Is there anyway to counteract this and when I stop using the products will the skin return to normal? At present I'm using several drops twice daily.

Kind regards,

Shamus

Greetings Shamus,

Congratulations on making improvement with the congenital curved penis problem.  Many people say it cannot be done, but we know that these things do improve when you do it correctly.

Well, first of all, for those who are not familiar with Ehlers-Danlos syndrome, allow me to say briefly that it is a congeniral disorder in which loose joints, scoliosis (spinal curvature),  easy bruising and sprained joints are common, along with skin that more stretchy or lax than normal, and a general weakness of most tissues.  For this reason I am not surprised that you might also develop Peyronie's disease along the way, since the underlying abnormality of this problem is thought to be an inherited weakness or abnormality of tissue collagen, which is glue that holds tissue cells together.

You are the first person in over 10 years of doing this work who has reported that the skin has wrinkled after using DMSO and you are the first person who has used it who also has Ehlers-Danlos syndrome.  There is a correlation.   No one else has ever reported this kind of response from DMSO.  

DMSO would not affect normal skin in the way that your skin is affected.   You must know by now that your situation is unusual and that you are not going to respond like other people to this simple DMSO therapy.  Typically when DMSO is applied to normal skin it will bring the normal oil that is located on the skin surface and bring that oil down into the deeper strata of the epidermis; this causes normal skin to sometimes become dry and itchy and not much else.  Simply reducing the frequency of DMSO application is all that is necessary to correct the dry and itchy skin response.

I would assume – and I stress, assume – that your skin is reacting in the same way and only becoming wrinkled by the lack of oil since DMSO is stripping from the surface and taking it deeper into the tissue.  But, then again, even on a good day your skin looks and feels different than other people since it tends to be super-soft and smooth compared to most everyone else.

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I ask that you please go to your specialist who you are seeing about your Ehlers-Danlos syndrome for an expert opinion.    Please follow your treating doctors recommendation, and pose these same questions.  Please let me know what you learn.  TRH  

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Can my congenital penis curvature be fixed by surgery or is there some other way to get help?

Hello Dr Herazy I am 34 years old and my penis bends down and left like a hook I have really hard erections and was wondering what can be done I don't think I have a plaque I have had this all my life . When my penis is flaccid if I stretch it out I can feel my left corpora cavernosa like a tight string and the right loose. Can I be fixed by surgery ? Thank you for your time.

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Greetings,

Of course, I cannot answer you in any direct or meaningful way since I have not examined your curved penis.

Your question has been asked and answered several times.  Please review the post Questions about straightening a congenital penis curvature and Stretching a congenital penis curvature. There are several other posts on this topic, all you have to do is enter “congenital penis curvature” in the search box and read all that comes up.

In doing this work this 2002 I have been surprised that many men report back to me that they have used the PDI gentle manual penis stretching method with success.   It is always used in conjunction with a variety of other therapies for best results.  I am not saying to forgo penis surgery, but if you do that as a first method of correction there is absolutely no way to undo bad results. (Surgery to correct bad surgery usually results in in worse results.)   I suggest to anyone that usually the best results occur while using conservative measures first, since there are little to no adverse consequences; if they are not effective you can always try more aggressive methods later.  TRH     

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Do you think masturbation in childhood may lead to Peyronies later in life?

Dr. Herazy,

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I have a personal interest in Peyronie's disease. At about 70 years of age I developed what was diagnosed as a true case of Peyronies. Prior to that I had no particular problem having multiple partners and three wives resulting in four offspring. The true signs of Peyronies were of rather rapid onset, over a period of a few months. My Urologist suggested Topical application of Verapamil creme which I used for approximately six months to no avail. I experienced no pain and my wife and I continued to have pleasurable sexual experiences.

The architecture of my penis varied over a period of time. It was and is noticeably curved to the left. The Glans was small but has subsequently achieved normal architecture.  The curvature and a shortening of two inches prevails. (From a true 6″ to about 4).

I am now 81 years and seldom achieve orgasm and then only after prolonged oral and manual stimulation with adequate lubrication.

However my question and interest is regarding the “natural” curvature of the penis. I started masturbation at age 13 and as I recall my underdeveloped penis was relatively straight. However as length and maturity developed a definite but slight (10 Deg.) curvature to the left seemed to develop. This conformed to the natural curvature of my right hand which was the one used to masturbate. This continued until my full adult development and remained so for many years. Other than a marked curvature the symptoms presented no problems.

My thesis is that as the penis develops during adolescence the bend will be the result of the constant “abuse” of the organ during frequent masturbation. A nurse friend and lover of mine use to joke she could tell the left handed males from the right by the deviation of the penis. I have observed many males with straight penises and I am sure their masturbating habits were as common as mine.
Do you think that this may lead to Peyronies later in life.  Review of the literature reveals little information specifically relating to this issue.

Sincerely,

C. A. H. DDS MS

Greetings Doctor,

You are correct, there is no specific reference in the literature in regard to this particular, and somewhat common, question about repeated masturbation altering the shape of the penile shaft to conform to the hand that is habitually used.  There is also nothing noted in the literature tying Peyronie's disease and masturbation together.

I believe the reason there is so little interest to investigate the thesis is that it is rather implausible and has no evidence of occurrence in related or similar scenarios.  By this I mean if we take an approximately similar situation of a 13 year old boy who does something with approximately the same level of frequency or habituation as you or the average boy would masturbate, I cannot think of one example in which the body would be deformed or adapt to the repeated physical contact he would experience.

Giving this a few minutes thought, it seems to me that the best general area in which to explore or consider something like what you are suggesting would be in the area of sports or farm work, since it is common for 13 year old boys to be so engaged and to continue to be engaged in sport and farm work activities for many years thereafter.  Not only would the sport or farm activity start at this early age, and continue for many years subsequently, but it would typically be performed at a frequency similar or greater than such a boy would masturbate.  For example, a 13 year old boy growing up on a dairy farm would be obligated to milk cows twice a day, pitch hay daily, scoop manure several times a week and many other repetitious and physically demanding duties that significantly impact his developing body.  Yet, no deformity of the hands or upper body develops as a result of his work, other than the development of callus tissue on the hands which is only temporary.  

History does not report that when children during the Industrial Revolution were put into servitude at the age of 5 or 6 to work 10 hours a day 6 days a week that their bodies were in anyway significantly or predictably misshapen by contact with machines or tools they used.

Come to think of it, I have worn a belt snugly around my waist since 5 years of age or earlier yet I do not have an indentation to conform 8-12 hours of compression for a life time.     

What you ask about is a common idea, but I do not see evidence to support it.  TRH 

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Is pycnogenol good or bad for Peyronie's disease?

Good morning,

I have recently ordered the alternative large package and I would like to ask you the following.

I have the Peyronie disease and for other reasons I am taking a supplement of (Solgar) called pycnogenol. If I have well understood this product is related to collagen. Can you please advise me if this is good for the Peyronie's disease or bad and whether I should stop taking it or not?

Thanks/Regards,
Panos

Greetings Panos,

I am very familiar with pycnogenol, which is an extract primarily from the bark of a pine tree, pinus pinaster, although the same pycnogenol can removed from peanut skin, grape seed, and witch hazel bark.  The reason that it is not included in the PDI lineup of therapies is that it has not been subjected to any testing for Peyronie's disease that I can determine.  Not everything possible that could be remotely effective for Peyronie's treatment is included in our PDI treatment concept; only those things that have received a sufficient level of testing and produced some positive research findings but insufficient to be considered a complete cure.   Pycnogenol has not been tested at all in that manner and so will not be considered for inclusion until it is.   

When you consider how to go about treating your Peyronie's condition you have to determine that it is not the scar you are treating but your total body and your ability to heal and repair the PD scar.  The best route for Peyronie's disease treatment is different for each man.   This is why there are so many variations of the different plans that are being used.

Pycnogenol is often mentioned as being effective for treatment of many diverse problems: asthma, allergies, skin problems, elevated blood pressure,  reduced blood circulation,  muscle soreness, pain, arthritis, menopausal symptoms, painful menstruation, diabetes, retinopathy and erectile dysfunction, to name just a few.  It is also commonly used by those who are interested in its anti-aging benefits.  

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It is your decision to continue taking it or not.  TRH

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Any reason why these 10 items were not included in the Peyronie’s Large (Best) Treatment Plan I received?

I ordered the Large (best) plan – order number 4789358764 Double checked by Dawn
In the instructions – Dosage: start of Care
there were 22 items listed for the therapy.
this is what did not come with the Large (best) package
Ascorbplex 90 or 180
Acetyl – L – Carnitine
PABA
Quercetin Bromelain
Neprinol
Unique-E oil
HJG and KBG Honso Herbs
Prosta- Support
Omega-T
Any reason why these would not have come in the large (best) Treatment Plan?

Also – While I assume all of the activity – nutritional, eastern medicine, Acupuncture, strectching, applicants, exercise all work together somehow – Is it truly a holistic plan or do some parts tend to work better than others.?

John

Greetings John,

The Peyronie’s disease large treatment plan does not contain everything that is available from the PDI store; it is not intended to be an all-inclusive plan – just large.  If you go to the PDI website and look at the description of the Peyronies  large plan  you will see there are 12 items in the large plan, and this is the number of treatment items that you received.  your order was complete and correct.   To say it another way, you did not receive everything in the PDI store because only 12 items are in the large plan and that is what you received.   It is a large plan, not an “all inclusive total kitchen-sink nothing-left-out therapy plan.”

There are several reasons that not every possible therapy is included in this large plan.  First, it might not be necessary to use such a huge array of all possible therapies to correct your problem.  If it does prove later to become necessary to include additional items in your therapy plan there will be additional items that can be used later.  And, the plan is limited to 12 items to simply keep the costs down for the person just getting started in care.

I suggest you spend a little more time reading some of the information available to you on this site to understand how this process works.

Please let me know if you have additional questions so I can help you in your recovery from Peyronie’s disease. TRH

 

Cortisone injections and Peyronie's disease

My doctor wants to put cortisone injections into my Peyronies scar, what do you think of that?

Will steroid injections reduce the inflammation and pain of my Peyronies?

My opinion is that it is risky to use cortisone injections as a Peyronie's treatment.  While a temporary and variable reduction of pain does occur in some cases, but not all, it is not worth the limited benefit that makes future Peyronies surgery more complicated and dangerous should it become necessary.  There is good reason to think twice about using steroid injections for this purpose.  This website has presented an earlier article about a closely related topic, Peyronie's disease treatment via direct drug injection.
It would be good to talk to your doctor about other treatment options or to consider using Alternative Medicine as a way to increase your natural ability to eliminate the Peyronies scar.  The PDI website explains how this can be done without the use of drugs and surgery.
In the 1960’s steroid (cortisone) injections were used as a Peyronie’s treatment under the theory that they would reduce plaque or scar formation because of the inhibitory effect cortisone has on fibroblast cell formation. Since fibroblasts are cells that make fibrin, and fibrin makes collagen in the body, with fewer fibrin cells the ideas was that this would result in less collagen produced during scar formation.
This treatment for Peyronie’s was used rather extensively until the mid-1980s when it became obvious that it did not consistently or greatly reduce collagen at the Peyronie’s plaque. And of equal concern was the observation that these steroid injections were causing penis tissue weakness (atrophy) of blood vessels, nerves, and all connective tissue of the corpora cavernosa and tunica albuginea of the at the site of the injections near the Peyronie’s plaque. These steroid injections resulted in weak and fragile tissue that would easily tear when a surgeon would try to sew it together during surgery, or worse yet would tear after surgery or heal slowly or not at all.

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It took a long time to notice and correlate this problem because virtually all of the studies of using cortisone injections in Peyronie’s disease did not use a placebo control, and they performed with only a small number of patients who reported their improvement subjectively without objective measurement of progress in terms of pain, plaque formation and deformity reduction.
Seldom did the steroid injections actually have a beneficial effect on the eventual Peyronie’s disease outcome, but had an undesirable side effect that made Peyronie’s surgery complicated and less effective. The problem was that the broad tissue destruction caused by the cortisone made the tissue so weak and compromised that a surgeon could not later go into that same area to suture the tissue closed at the site of a surgical incision, or expect the sutures to hold on the weakened tissue. If penis surgery was done it often resulted in frequent bleeding and repeated opening of surgical wounds. Once it was seen that cortisone injections made it difficult to do good surgery later, the practice began to fall out of general use.
In addition, the practice of using cortisone injections for treatment of Peyronie’s disease did not take into account the harmful effect of placing a series of multiple needle punctures into the scar material and the tunica albuginea tissue of the penis. Later clinical observations have shown that these frequent and repeated needle punctures act as additional trauma to tissue that has already shown itself capable of producing excess scar formation to repeated small injury. This has also proven to be the case when a series of multiple injections of other drugs like verapamil and interferon are used as Peyronie’s treatment. The clinical results of these other drug injections have not provided positive or encouraging clinical results that were any better than those of cortisone injections.
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