Would a penis extender help my curved penis?

I have a question about using a penis extender to reduce my curved penis.

I have had some moles removed from the top of my penis some time ago. I have a scar from my pubic bone that runs about 2-3 inches toward the head. Recently I have noticed when I have a partial erection my penis is curved upwards. I do not feel anything along the top that would feel like plaque or a bump or anything that shouldn't be there.

Could the scar be causing my curved penis condition? Do you think that a tension device like a penis extender would help my situation?

Thanks
Harold Bridges

Greetings Harold,

Guessing simply because you have an Anglo-Saxon last name, there is a possibility you could be genetically predisposed to Peyronie's disease. Your brief description is consistent with Peyronie's disease.  The surgery you describe could have resulted in excess scar formation at the site on the top portion of the shaft where you were cut, causing an upward bend.  Many men find that even Peyronie's surgery which is intended to reduce penis curvature will heal with increased scar formation and make their Peyronies worse.

The fact that you, as a layperson, cannot detect a noticeable scar or fibrous mass would not be unusual; many men cannot locate a Peyronie's scar when it is rather obvious to someone trained in this area.

You ask about a penis extender or mechanical traction device being used in your situation.  You obviously have not read too much of the PDI website.  Many men develop Peyronie's disease after being injured by such mechanical penis stretcher devices.  For information about this, please refer to  What do you think of a mechanical penis extender for treatment of Peyronie’s disease?  and My Peyronie’s disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?  and  Penis stretcher: Big problem as Peyronie's treatment

how to get your ex back

I suggest you get a formal diagnosis of your problem so you know exactly what you are dealing with. 

In my opinion, if it turns out you do have Peyronie's disease it would be good for you to attempts to try a brief therapeutic trial of Alternative Medicine treatment to see if you can stimulate a natural healing or recovery as it happens in about 50% of men who develop PD when the problem clears up on its own.

If you have additional questions please let me know.  TRH

how to get out of debt on your own
zp8497586rq
zp8497586rq

What can we do for our sex life after Peyronies gave me a 90 degree curved penis?

I was diagnosed by Dr. Levine about 7 years ago with Peyronies disease when I was 51 years old. When I told him I did not want to be cut on he politely told me he could not do anything more for me. I have read way too many horror stories about Peyronie surgery. Like I think I read on your website it does not make sense to operate on something that has already shown it is going to heal with an abnormal amount of scar tissue.

What I want to know is what can we do for our sex life after Peyronies has left me this way? My wife and me have had to be very careful about our sex life because my upward curve is close to 90 degrees, so there is a lot we can't do any more. We have learned to be satisfied with limited contact because my bent penis prevents complete entry. I am a lucky guy to have a wife who has stayed with me in spite of all this.

Thanks for all that you do.

W.

Greetings W.,

What I have written many times on the PDI website is that a man should be extremely careful and reluctant to undergo Peyronies surgery because of the increased risk of developing even more scar tissue and a worse case of Peyronie's disease after being cut on.  I have warned that before agreeing to undergo penis surgery it is very prudent to first use all of the possible non-surgical and non-drug options possible for at least a year before even thinking about being cut on to remove the PD scar tissue.  I am not against Peyronies surgery; I am against hasty and premature surgery as though it is the only option, and as though it is a simple and sure-fire cure for this terrible problem.  It is not. 

You ask for advice about your limited sex life, but I must back you up a bit and suggest that you might not have a limited sex life if your curve was improved or reduced.  This is a good place to start to help your sex life, by working to improve your Peyronie's disease.  It sounds like you have not tried to increase or support your ability to get rid of your PD on your own.   I suggest that you read How to start Peyronies treatment.

adobe creative suite 6 design

The subject of sexual problems when Peyronies is in the bedroom is huge, and the subject of possible solutions is complicated.  There is so much to be said about improving sexual performance and compatibility in spite of a curved penis that must refer you to the book, “Peyronie's Disease and Sex.”   I wrote this book a few years back to address this problem that affects most couples who deal with Peyronies;  few couples are exempt; sex problems are common and just a matter of degree.  What I can tell you since writing this book is that almost all people who read it and follow the ideas in it will improve their sexual ability and regain either a small or large degree of their lost sexual pleasure.  As an outside observer in this area I can tell you that I have yet to find a couple whose sex life is not helped by using this book; some to a great degree and some to a small degree but everyone seems to gain something.   TRH      

zp8497586rq

What plan do you recommend for someone with a 10 year-old case of Peyronie's disease?

Hello Doctor,

I've had a mild curvature to the side, enough for me to be pretty self-conscious but not enough to interfere with intercourse, for about ten years. Extremely rarely does it cause mild pain.

I'm 30, in good health, I haven't used ED drugs, and I haven't tried PD treatment before.  What plan do you recommend for someone like me who has had Peyronies for almost 10 years?

Also:  Do the plans include instructions for maintenance therapy once the scar has faded?

Thank you.

Ron

Greetings Ron,

The problem with a Peyronie's disease situation like yours is one of instability and vulnerability to re-injury. I see it happen often: A man with a nuisance kind of problem he can live with will suddenly have an accident during sexual activity and make his PD worse. With even a minor curve the penis is more likely to suddenly bend while thrusting than a straight shaft.  A  curved penis , even when mild, is an accident waiting to happen; the problem is that you have no way to know when that accident might happen and how bad it can be.   In my opinion the reason for you to do something about your PD is based more on prevention of this kind of problem, rather than being self-conscious.

Please go to  Suggestions to help you decide how to start Peyronie's treatment. You will see a lot of help there for yourself and it will put things into perspective for you as you decide how you wish to proceed. Based on the protocol outlined in the chart I think the age of your condition supersedes the fact your problem presents with only a mild curve at this time.For this reason it would seem appropriate that you begin using a large level treatment plan for Peyronie's disease.

Complete instructions are included for the use of all therapies that are ordered. Some men follow a maintenance program and some do not; usually the maintenance program consists simply of a low dose of systemic enzymes.

top 10 internet security software

Please let me know if I can help you in any way.  TRH

zp8497586rq

Does Bill Clinton have Peyronie’s disease or a curved penis?

Not every curved penis is Peyronie's disease

To offer a definitive and accurate answer to the question “Does Bill Clinton have a curved penis or Peyronie’s disease?” would require the presence of several pieces of clinical information determined by direct medical examination:

1. History of pain while erect, or less commonly pain while flaccid, or both
2. A mass or nodule of foreign scar tissue located below the surface of the penis shaft, detected by manual palpation or ultrasound examination
3. Structural deviation of the shaft of the penis during erection, (bending or curvature, hourglass, bottleneck, rotation or torque, or indentation deformity)
4. Erectile dysfunction, either total or partial, caused by the internal Peyronie’s scar material interfering with the pneumatic mechanism that creates a normal erection

Since none of the above information has been presented in any factual way, the curious public has only to rely on hearsay and innuendo.  Taking the sketchy information and various unconfirmed newspaper reports as credible, the only safe conclusion at this time is that former President Clinton does not have Peyronie’s disease.

A diagnosis of Peyronie’s disease can be complicated.  Peyronie’s disease is not determined solely on the presence of a curved penis, any more than the absence of penile curvature indicates a man does not have Peyronie’s disease.  Simply because a penis is curved does not support the conclusion that the cause is Peyronie’s disease, especially when the presence of the curvature is solely based on the observation of a layperson.

However, whether Mr. Clinton has Peyronie’s disease, or even a curved penis, cannot be confirmed in any meaningful way at this time due to the legal maneuvering and sealing of many court documents in which this question has been apparently asked and answered under oath.  As such, the presence or absence of a curve in Mr. Clinton’s penis is apparently known, but is not currently available for the public record.

Whether or not Bill Clinton, the 42nd U.S. president, does or does not have a bent penis, and is consequently assumed to have Peyronie’s disease, became an important political question during two different sex scandals in which President Clinton was famously involved.

The first, in 1994, centered on the sexual harassment suit that Paula Jones filed against President Clinton for conduct that was said to have occurred in 1991 at the Excelsior Hotel in Little Rock Arkansas. Her lawsuit was eventually dismissed on the grounds that she failed to prove damages as a result of her encounter with Clinton.  When Jones appealed the dismissal Clinton agreed to a $850,000 out-of-court settlement.

The second, in 1998, became known as the Lewinsky scandal.  This high profile sex scandal centered on the extra-marital affair between President Clinton and a 22-year-old White House intern, Monica Lewinsky. Eventually the scandal resulted in the impeachment of President Clinton by the U.S. House of Representatives and a subsequent acquittal on all impeachment charges of perjury and obstruction of justice by the U.S. Senate after a stormy 21-day trial.

Both of these women hoped to prove that Mr. Clinton was sexually active in their presence by offering that they saw a “distinguishing characteristic” of his private anatomy, suggested by others to be some degree of penile curvature.

However, the public record regarding Mr. Clinton’s alleged bent penis has been purged from their testimony.  Because the Jones and Lewinsky cases involved a sitting U. S. president, all testimony and affidavits that would quickly answer this question about Peyronie’s disease were sealed by court order and remain so. Detailed review of Monica Lewinsky’s August 6th and August 20th grand jury testimony, released on September 21, 1998 reveals no questions asked or answered about his penis.  Detailed review of Paula Jones’ testimony during her deposition to the U. S. Senate on February 17, 1998 also reveals no questions asked or answered Mr. Clinton’s penis.

As a result of the court enforced silence on this subject the public does not know what these two women said about what they saw. The Washington Times has reported that several sources with close ties to the Paula Jones case indicated that in her sworn affidavit she alleges Mr. Clinton’s displayed a distinctly angled bend of his erect penis.

Even if it was widely known that both women said Mr. Clinton has a bent penis, this isolated information does not definitely prove that the former president has Peyronie’s disease; it would only mean that his penis is curved.

However, the New York Times newspaper has reported that on October 3, 1998 a detailed genital examination was conducted on Mr. Clinton by the chief of urology from the National Naval Medical Center, Capt. Kevin O'Connell whose interest was to specifically rule out Peyronie's disease.   The New York Times has reported that Dr. O’Connell, as a result of this examination would testify if given the opportunity, that Mr. Clinton does not suffer from Peyronie’s disease.  But this information is also under a court seal, so the best that can be done currently is to speculate.

computer antivirus software

Some normal penises are curved while other normal penises are straight; just part of the normal variation that exists between men that makes us all unique.  When those court documents are finally opened and made public, few of us will be around to care about the private parts of President Clinton.

zp8497586rq

Upward 40 degree curved penis with Peyronie's disease, 22 year-old thinks sex is over and mentions suicide

I am 22 years old, i was messing around with a girl (not having sex) but, she got turned on and thrusted down on me and her pelvic bone hit on the end of my erect penis and it hurt momentarily and i thought nothing of it and went on with business. When we finally had sex the next week and i felt smaller but just shrugged it off to a bad day. Then it still seemed to stay smaller and it began to hurt.

After 2 months of it hurting when i got an erection and noticing a bend in the middle i scheduled an appointment with a Urologist and wasn't too worried because i figured no matter the cost it would be fixable and i have an upcoming deployment so i would have the money to pay for any reconstructive surgery (which i looked up and found out there is nothing to fix it!).

I went to the urologist appointment and he said real quick it was Peyronie's disease and explained what i injured, to take vitamin E and just it will heal but i'll lose length and girth and will be more liable to injure it further in the future then he abruptly left the room and that was it.

The past week since my visit i have been scouring the internet and becoming very depressed and have been contemplating suicide ( seen another 22 year old post similar which made me feel as i should ask for help also) i have a 40 degree upward bend, the top of my dick when flaccid has a hard feeling to it, sort of a elongated lump. I feel about 3/4 to an inch smaller and much thinner. Also weaker erection but, that has started since the diagnosis which i believe is more mental that actual physical condition. But just a quick prelude, when having sex with girls for the first time i've always been shy and would struggle to hold an erection the first time or two until i was comfortable. Had a good sexual relationship with the girl before and was almost always ready to go no problem, and then that ended and after finally having confidence in my sexual self, i hurt myself and feel i'm ruined forever.

Greetings young man,

No, you are not ruined forever.  You are only ruined if you allow yourself to be ruined.  But, you are too good for that; you have already proven that you are too good to allow Peyronie's disease to ruin you because you have already started to take steps to take care of yourself and to learn about this ugly problem.  You have already showed me in your email that you will be one of those who survives Peyronie's disease one way or the other.

However, it sure as hell is true you are deeply scarred; you are also confused about this mystery condition that came out of the blue to hit you when you weren't looking; you are also shocked at how little the medical profession has to offer you; and you are also upset at the cold and indifferent way the urologist treated you.  When you put all these powerful negative emotions together it can rattle your thinking and put you mentally and emotionally off-balance for just a little bit.  Because of this you have allowed yourself to think about suicide for maybe the first time in your life.   How do I know you are feeling this way?  I experienced something similar when I developed PD in 2002.  In fact the majority of the thousands of men I have communicated with about PD have felt just like you, and have thought many of those same black thoughts.  When you have a lousy medical experience with Peyronie's disease like you did – just like almost all men do – you can understandably have an almost identical emotional reaction – just like almost all men do. The difference is that only a few men are honest enough to talk about it.

get your ex back

What you must do now is get busy to help yourself because you already know there is very little help for you from the medical side.  Most MDs are rather indifferent to the plight of the men they diagnose with Peyronie's disease.  In your reading and investigation of the PDI website I am sure you have come across the information by now that is repeated many times about 50% of men who develop PD getting over it  (spontaneous remission of Peyronie's disease) without any outside help at all. The message of the Peyronie's Disease Institute is that you always have the option of improving your odds of recovery by supporting your natural ability to heal PD like those lucky guys who do it naturally.   In fact, you could be one of those men and you just do not know it at this time.  There is much you can do to support the natural tendency of the body to always do the most it can to heal and recover to the best of  its ability.

You admit that you are a shy person.  Many times shyness comes from insecurity and lack of confidence that are rooted in past childhood issues.   There is nothing like being naked in front of someone for the first time to test your self-confidence and personal comfort.  Now that PD is an issue these insecurities and self-doubts are challenged even more.   This is a vitally important and complex subject that is central to the negative emotions that so many men feel when they first deal with Peyronie's disease.   I want to say many things to help you with this subject but my time and space is limited.  I strongly encourage you to get one of the books I wrote that I think will help you greatly, “Peyronie's Disease and Sex.”  There are so many helpful topics covered in this book that I am confident will help you think your way through your self-doubts.  Hopefully reading it will guide you to the other end of the problem at which time you will feel differently about having Peyronies disease.  If it does happen that you continue to have thoughts of suicide it is important that you talk to someone you trust for help and advice.

At the end of your email you said”…I hurt myself…”  Actually, that is only partially true.  The truth is that you put yourself in a dangerous situation and you allowed someone else to hurt your penis.  This happened because you did not know any better because you and 99% of the men in the world do not know about Peyronie's disease until they developed it.  If men do not know about PD, you can imagine that women are even more ignorant of it.  Therefore, it is likely that in your life you will never meet a woman who understands how dangerous it is for a man to be jammed and smashed down by her when he is erect.  You know; she never will.  Therefore, it is not up to you to deliver any lecture about PD and sex safety.  But, it is up to you to be smart; do not ever again allow a young lady to get that close to you when you are erect when she could duplicate that kind of injury. You must select a different range of safer sexual positions in which you are more in control of sexual activity, or at least learn to hold on to her waist so that you can limit how far back she can move to avoid a similar injury.

Please contact me again if you need help of any kind and I will do all that I can for you.  TRH 

zp8497586rq

My Peyronie's disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?

Winter 2010 I used a penis extender for around 1.5 months (4-6 hours each day or less), where I probably made an injury on the left side (too hard penis with too hard stretch), just below the glans.

get your ex back

I realize now that I probably have had congenital curved penis all my life.

When my penis is rock hard, it curves 30-40 degrees to the left. I think it was less before Winter 2010 when I started using the penis extender.

I wonder if it could have been possible that I didn't injure the penis, but bigger curve at the glans is due to longer extension on the right side compared to the left side (because of scar tissue on the left side) ?

Seriously, I didn't think so much about the curve before, so the curve might only have been congenital before this likely injury. I went to an urologist in May and he indicated that I maybe have had a little injury on the tunica albuginea (which makes the overall curve bigger).

In December I started to use an extender again, with the use of  XXXXXX, said to work specifically for PD. I stopped after 34 total effective days (9 h each day) as I have read some studies where they have used Verapamil injections before usage of an extender. In one study the curvature went from 30 to 0 and lengthened with 1.5 cm 🙂   I stopped using the extender 10 days ago.

Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed? Because it is speculated that some of the reasons the lengthening is shorter with PD, is because of the plaque. I have just started to use DMSO and SSKI (both topical), and will start to use Serrapeptase and Nattokinase as well. I see on this site that you also recommend Neprinol and some copper + +.

I have another question, so I may have to call you for more clearance; when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?

Peyronies disease is not just having plaque, but also having one side shorter than the other. It is then vital to use an extender so the shortest side can catch up the longest side, right?

I`m 31, which package do you recommend to me?

Greetings,

First of all, I removed the name of the penis stretcher product from your email because I think all of them are dangerous, as you have already shown us by reporting you injured yourself with one.  I wish to not promote these contraptions in any way.  The name of your particular device is not important because none of them are different from the others in any important or meaningful way.   All cars are fundamentally the same because all have a motor, seats, windows, wheels and a steering wheel; in that sense they are all identical in their basic design.  The same can be said of penis stretchers.  They all have a clamping device that holds the penis at or near the head, a base that is held against the pubic region, a pair of extendable threaded rods that lengthen the device while it is worn on the penis, a book of instructions that tells you what to do if you develop blisters and skin erosion while using the extender, and surgical wool and antibiotic ointment to keep you from hurting yourself further.

You are a rare man.  I have communicated with very few men who are able to wear a penis extender device for more than a short while; some could not wear one for even 10 minutes.  I have worked with many men who told me they could only put it on only one time and threw it away because of pain and apparent injury.   Many of those men who persisted in spite of the pain and superficial tissue erosion caused by these stretchers soon developed Peyronie's disease.  Some men put a penis stretcher on only one time for 30-60 minutes and then never again because they next day they have signs of early penis injury, and later demonstrate full blown Peyronie's disease.

It seems the prolonged pressure from the head clamp  causes local tissue anoxia (oxygen starvation) deep within the penis tissue; this is probably what happened to you.  When there is a lack of blood circulation in the penis caused by smashing it down with the clamp of the penis extender, blood circulation is cut off and a lack of oxygen occurs where the head is compressed.  This is very much like what happens when a tourniquet is worn too tight or for too long – the lack of oxygen caused by poor blood flow will kill tissue.  Any good boy scout or soldier learns that even if your arm or leg is severely cut you must periodically release the tourniquet – even if hemorrhaging starts again – so that fresh blood can deliver oxygen into the injured limb.  If this is not done the entire limb can become damaged and gangrene can develop.   But you report in one area of your email that you wore yours for 4-6 hours daily for six weeks, and you state later you wore another penis stretcher for nine hours daily for 34 days.  That is incredible.  If you were a boy scout you would have flunked the first aid class for leaving the “tourniquet” on for far too long.  No wonder you developed PD.

You state your congenital penis curvature is now worse than it was before you started using your first penis stretcher; your bent penis now curves 30-40 degrees to the left, more than before using the stretcher.  You think that the solution to the problem caused by the first penis stretcher is to use a second penis stretcher.  I do not agree with your thinking, and I will explain why later.

Please think about this statement I am about to make because it is very important in helping you to understand why you have injured your penis, and why I feel you are going about treatment in a totally wrong way:  If you have Peyronie disease, your problem is not that your penis is bent, dented or otherwise distorted; your problem is that you have dense scar tissue within the tunica albuginea layer of  the penis that as a secondary factor is causing your penis to be curved, dented or otherwise distorted.

Think of it this way.   If you cut yourself shaving, what is the actual problem?  Is your problem the blood running down your chin?  Or is the  problem the hole in your skin that as a secondary factor is allowing blood to leak out of the blood vessels and run down your chin? Certainly the blood gets your attention, but it is not the problem.  If you did not have the hole in your skin the blood would not be running down your chin.  If I was to offer you a way to wipe your face clean, it would not address the real problem which is the hole in your skin.   If I was to offer you something that would help you heal the hole in your skin rapidly you would not have to worry about the blood running down your chin.  Certainly when your penis is bent it gets your attention, but it is not the problem.

I emphasize this point because I believe you are seeing Peyronie's disease as being a curved penis, when it is not.  Peyronie's disease is a soft tissue condition of the penis in which a fibrous plaque of scar tissue develops excessively for some reason (congenital predisposition, nutritional deficiency, trauma, chemical or hormonal imbalance, drug side-effect, or a combination of some or all these) in the tunica albuginea, which in turn prevents the even and symmetrical expansion of the erection and a few other nasty symptoms.

You ask, “Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed?”   The answer is simple:  No.  If you did something to remove the plaque first, you would not need to use an extender because you would not have Peyronie's disease.  With no plaque in the tunica albuginea you would not have a curved penis and there would be no point in using the penis extender unless you are one of those men who believes stretching on the penis will make it bigger – and that is an entirely different topic.

You also ask, “…when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?”   The short answer is again, no.   As a longer explanation:  When a pregnant woman delivers a baby, does her abdomen stay stretched out?  When a weight lifter stops exercising, does he develop empty areas and voids where the larger muscle tissue used to be?  When you over-eat and your stomach and abdomen expand and bulge out, does it stay that way permanently?  No, to all of that.  All our body tissues are elastic (even bone to a very minimal degree), allowing the removal of unneeded or foreign tissue cells that are eliminated and healed over in the best way the body can accomplish under the circumstance.   The body always attempts to return to the most efficient and normal state it can whenever and however possible.  In the case of Peyronie's disease the body will attempt to reabsorb the strands of fibrous tissue and heals the tunica albuginea to the best of its ability.  In about half of the men who develop Peyronie's disease this attempt at self-repair and self-healing is successful.  In the approximate other half, the condition is not healed and becomes more or less permanent.

This tendency of the body to always attempt to return to normal (homeostatis), or self-heal, is the basis of the PDI concept for eliminating the Peyronies disease scar. By presenting to the tissue a wide variety of helpful and supporting vitamins, minerals, enzymes, and naturopathic modalities like moist heat applications, DMSO, gentle manual penis stretching (which is vastly different from your mechanical penis stretching concept), ultrasound and acupuncture therapy, we attempt to support, promote, stimulate and accelerate that ability of the body to eliminate the Peyronie's scar that works in 50% of men and fails in the other 50%.  What PDI attempts to do is really not so far fetched or bizarre.  We only attempt to assist and  promote a natural process that is successful in 50% of men when they eliminate their PD scar without any help from anyone.  We are not trying to make pigs fly.  The PDI concept of helping PD correction is one of working with the man who has PD so he can do a better job of what he failed to do in the first place.

Another question you pose is,  “PD is not just having plaque, but also having one side shorter than the other. Ii is then vital to use an extender so the shortest side can catch up the longest side, right?”   You ask that question as though having plaque and having a shortened side of the penis are two separate and distinct problems.  I get the impression you believe that the shortened concave side of penis curvature happens independent of the plaque, when that is not the case.   It is the presence of the dense fibrous scar that shortens the side of the penis in which it is located, and not the other way around.

To solve the problem of Peyronie's disease the body must eliminate the mass of dense fibrous scar in the tunica albuginea.  You cannot eliminate that tissue by stretching or pulling on it.  How do I know that?   Simple laws of physics governing our universe explains why stretching a penis with a PD scar will not influence that mass of inelastic tissue. 

We all have heard the expression many times, “A chain will break at its weakest link.”  We all intuitively understand what that means.   When a stretching or traction force is applied to a series in which there are stronger or stiffer areas as well as weaker or more flexible areas, the weaker or flexible parts or areas will give way, break down, fail or somehow give  up before the stronger parts or stronger areas.   In war: when the enemy attacks, the weaker part of a battle line will give in before the stronger part of a battle line.  Toilet paper and postage stamps: when the paper is pulled the area of paper that has been weakened by the small perforation holes will tear before the non-perforated paper has a chance to tear.  Tires on a car:  the softer the tire, the more it will absorb the vibration energy of a rough ride, and the harder the tire the more it will pass the energy of a rough road to your body.  There are countless examples of the idea that a weaker, thinner or more flexible area will absorb energy before a stronger, thicker or more rigid part is able to do so.  This is why a chain will break at its weakest link.  What does this have to do with Peyronie’s disease?

The PD scar is thicker and stronger than normal skin and corpora cavernosa tissue of a penis. When a traction force is applied to the penis, the normal elastic corpora cavernosa and skin tissue will absorb the energy of the traction force as it stretches out before the inelastic scar tissue has a chance to stretch – the scar will not get a chance to get stretched because the healthy penis tissue will absorb the energy as it stretches first.  Don’t believe me?  Do this experiment.  Find  three rubber bands– two that are thin and stretchy and one that is thicker and heavier than the two thin rubber bands.  Loop these three rubber bands together in a series, placing the two thin stretchy rubber bands at the ends and the thick heavy one in the middle.  Now hold this series of rubber bands at the two ends and pull on it so you are stretching the whole thing out to make them all longer.  Notice that all movement and stretch  is coming from the two thin stretchy rubber bands that are at the ends, and no movement or stretch is taking place in the thick rubber band in the middle.  Only when you stretch so far that the two thin rubber bands are near their breaking point and are ready to snap, will the thick rubber band in the middle begin to move a little.  If you continue to pull, one of the thin bands will break before the thick band has stretched only a small amount.  This will happen every time.  Thus, when you pull on a flaccid penis that has Peyronie’s disease you cannot stretch the thick fibrous scar tissue because the normal elastic skin and deeper corpora cavernosa tissue will absorb the traction force to do all the stretching just like the thick and thin rubber bands looped together.  

In Peyronie's disease any apparent inequality of length is caused by unequal expansion of the corpora cavernosa due to the presence of the dense fibrous scar material within the tunica albuginea. The dense and inelastic scar prevents full expansion of the erect penis, and perhaps only a minor amount of actual contraction of the tunica albuginea.  When I work with men who have been successful in reducing or eliminating the their PD scar material their curved penis returns partially or completely back to normal depending on how much scar elimination occurs.  I am told for some the scar elimination is complete and for others only partial; when I treated my own Peyronie's disease in 2002 it was complete elimination of the PD scar.  No mechanical penis stretching is done and no mechanical penis stretching is needed.  In 2006 a research project was undertaken during which we devised and perfected a gentle manual penis stretching method that works completely unlike and contrary to the concepts presented in the mechanical penis stretchers.  Additionally, I find that lost penis length and girth that occurs is a result of fibrous infiltration of the tunica albuginea and this often improves to the degree the body is successful in its attempt to remove this foreign fibrous tissue, owing to the natural tendency of the body to heal itself when given the opportunity.

Your last question about what Peyronie's treatment plan I recommend for you is the most difficult and also easiest one to answer.   Since I am not your treating doctor I can only advise you as I advise all other men who come looking for help in starting self-treatment.  I suggest you use the largest and most aggressive plan of treatment that you can sustain for at least 3-4months while you follow the PDI concepts of Peyronie's treatment that supports and encourages your body to eliminate this terrible scar material.  If you decide to do so, you might use the gentle manual penis stretching technique as part of that effort.

I appreciate your hard work, earnest effort and sincere desire to rid yourself of your Peyronie's disease.   You are like many men I deal with daily.  I commend you for not accepting your problem and encourage you do all you can to heal your problem.  If I can help you in any way, please let me know.  TRH

zp8497586rq

Is having a penis with a congenital twist really rare or fairly common?

Hi, Dr. Herazy.

I'm wondering if your treatment program might help me improve my penile torsion–my penis has a counter clockwise rotation some 45 degrees. I'm 40-years-old and married.

One more thing–is having a penis that twists in one direction or another really rare or fairly common?

Thanks for any advice.

Very best–Chris

Greetings Chris,

Since you do not mention having Peyronie's disease I will assume that your twisted shaft is a condition you have had all your life, or a congenital twist that is simply the way you are.  I mention this because it could also be part of the deformity pattern that develops as a result of Peyronie's disease, since many men note this finding along with a curved penis and loss of size that results from the presence of the Peyronie's scar.  When I had Peyronie's disease back in 2002 I also had a torque or twist in the shaft; mine was also counterclockwise, and it was resolved along with the 35 degree bend to the left, upward 10 degree bend, and loss of size when I was able to heal the PD scars that were causing that mess. 

But I assume your twist is unrelated to PD and is only something that makes you the unique and wonderful guy that you are.  For information about how some men are born with a different looking penis please refer to  How can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Previously I have described how many men have used the PDI gentle manual penis stretching technique to partially or completely reverse congenital penis curvature and bends.  Please refer to Will the PDI Manual Stretching Technique help a congenital penis curvature?

It is not I often learn of men who have a congenitally twisted or torqued shaft; most often it is congential curvature that is mentioned.  Further, when twisting is mentioned I believe the amount is not often as much as our 45 degrees.   However, when it comes to these kinds of variations of the penis there is a tendency for men to not broadcast this information.  I would suspect that it is more common than generally spoken about.    For these reasons I will say that your situation is not all that common, but certainly not rare.  

I would suggest that if your torqued shaft is presenting a problem to your sexual function that you could consider a brief therapeutic trial of maybe three months or perhaps more using this PDI protocol to see if you can reduce the degree of variation you have. TRH

zp8497586rq

Comments about Peyronie's disease measurements and difficult or painful sexual intercourse

Hi doctor,

I saw a picture of a individual on your site with Peyronies where the claim was, he was 45 degrees. It didn't seem to me like his curved penis was 45 degrees, obviously there's more than one way you can measure. 

I always believed the side with the curve is the side you measure. The problem is that when measuring Urologists can do it differently because there is no set standard. Its like penile length measurement,some doctors/researchers will press the ruler to the pubic bone, but others will only touch the ruler lightly to the abdomen. When measuring girth some measure at the base, some in the middle.  Some researchers /doctors stretch the length only with some doing it once,others a few more times & elongating it ,others use pharmaceutical induced erection. 

The bottom line is that a congenital curve or Peyronies curve (if it doesn’t hurt) doesn’t matter if its 0 degrees or a 1,000 degrees if intercourse can be done without pain for both parties.

Bill

Greetings Bill,

Often I will notice that the person will only estimate the degree of penis curvature, and usually on the exaggerated side.  Actually, while the degree of curvature is of course important to know and record, it is really much more important and significant to know the size, shape, density and surface features of the PD scar that is causing the curvature. You see, the curved penis is just a result or secondary factor to the real problem of Peyronie’s disease – the Peyronie’s plaque. Too much time and attention is paid to the secondary problem (the bent penis) and not enough to the cause (PD scar). I can certainly understand why the curved penis and distortion get so much attention from people, but being all engrossed only in the curvature does prevent a man from focusing on the actual problem and how to treat it correctly.

I have worked with men who swear they cannot penetrate with a 10 degree bend, and other men who say that their 60 degree bend only slows down penetration. The problem of penile distortion and resultant difficulty of sexual intercourse is a complex problem, that is made so because human emotions and motivation are a part of the equation. Many times the amount of difficulty of penetration, or pain during intercourse, with a couple who must deal with Peyronie’s disease is due to lack of natural lubrication and lack of preparedness of the female partner; if she is tense and fearful that she will hurt him, she is less likely to be relaxed and fully sexually stimulated to produce the level of natural readiness for that makes penetration easy. If you are interested in this subject because of some difficulty with sex now that you have Peyronies, please see my book “Peyronie’s Disease and Sex.”

Your last comment is quite true.  Most men would not care or do much about their Peyronie's disease if they could still have intercourse without a problem.

buy essays

TRH

zp8497586rq

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.

argumentative essay

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

zp8497586rq

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?

essay writing services

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

zp8497586rq

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.

writing essay

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  

zp8497586rq

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.

paper writing service

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     

zp8497586rq

Did my Peyronie's disease or curved penis begin because of always using the same hand while masturbating?

Dr. Herazy,

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 cream 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. A nurse friend and lover of mine used 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.

I believe the reason there is so little interest to investigate this idea 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.

write an assignment

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 in factories and coal mines , that their bodies were in anyway significantly or predictably misshapen by rigorous and repeated contact with machines or the tools they used.

Come to think of it, I have worn a belt snugly around my waist since at least five years of age or earlier yet I do not have an indentation to conform to 8-12 hours of compression from a belt over a life time – and I am 67 years of age.

Lastly, and perhaps most importantly, I think you have made the case that handedness while masturbating does not lead to any particular curved penis pattern.  You wrote that many men have straight penises although they were all likely to have masturbated at the same age and the same or greater frequency and gusto than what you used.   The fact that those straight penises exist tends to refute what you have proposed. 

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

However, what you describe in your email does sound like Peyronie's  disease.  I would suggest that the apparent injury that started your Peyronie's problem was not because of your right (or left)  hand holding your erection with any particular hand repeatedly, but from some accident that occurred while as a young man or even later in life.     TRH

zp8497586rq

I am 19 years old and I need your help with a curved penis after rough masturbation

From the time when I was 11, I used to masturbate, and several times after masturbation, I pulled my penis so hard that I heard a kind of sound from end of my penis.

Another bad habit I had was the wrong way of masturbation. I used to bring my legs closed to each other and then moving or inserting the erected penis between the two legs. After a short time I saw that my penis is curved, narrowing form its end where a kind of line like rupture and weakness is seen.

Now when I get erection, I lose it and get back soon, it can’t stand erect which makes me unable to achieve penetration. Although, I have erection, but it can not be maintained.  While having intercourse it curves down from its end I mean the place where it is weak and narrowing. And also I think I ejaculate very quickly.

What should I do? I need your help!

In our area we don’t have experienced doctors, so please help me. Now I am 19 years old, the age when I lost self-confidence and seeking for help.  I need your help, Please! Help me !!!!!!!!!

I am looking forward to hearing from you.

 

Greetings,

Yes, you do need help.  You need more help than I can offer here to sort out what has happened to you over the years due to your rough masturbation practices.  It is fairly common for Peyronie’s disease and masturbation to be related to each other simply due to repeated injury. 

In your case, the first thing you need to do is to get a complete urological examination even if you have to go outside your area, so you and I can both be certain you have Peyronies.   If you have not told your parents, or an adult in your family, about your problem you should do so now if you can do so comfortably and without concern for reprisal.

If you feel embarrassed talking to a family member about what is going on with you, then simply tell them, “I have pain in my private parts and I do not know why.”  That story will protect your privacy, make you feel comfortable that you are not saying more than you want to say, yet it will also let an adult know you re in trouble and need medical care.   If that adult wants to go into the exam room just tell them that you feel embarrassed and that you would prefer to go in alone. Once you get to the doctors office you can get a lot more specific and accurate so the doctor will know what to do with you.

There are very strict HIPPA laws in place today that will protect your privacy as an adult. This way no one from the family needs to know what is going on, but you can get the diagnosis you need.

You may or may not have Peyronie’s disease.  I cannot tell you what is going on from the limited information you provided.

If it turns out that you do have Peyronie’s disease you must keep in mind that many boys and men have made the same mistake you have made by masturbating too aggressively; you are not alone in this problem.  You need to learn how to achieve orgasm while using gentle and pleasant self stimulation. If you need help along this line, please let me know and I will guide you to appropriate resources.

Let me know how it goes for you.  If your parents want to use Alternative Medicine to treat your problem, contact me again and we can work together.  TRH

My husband has a curved penis, is this normal?

 Bent penis usually means Peyronie’s disease later in life

A curved penis can be normal for some men, or it can indicate the presence of a problem for other men.  Just because the penis is curved does not necessarily mean there is a problem.

For the most part, the fact that penile curvature exists at all in a man does not indicate a true abnormality or reason for concern; an abnormality is more so suggested if there is a change in the appearance and structure of the penis if it was previously straighter than it is now and only later became curved.

If a diagnosis of Peyronie’s disease has already been made to explain the bent penis you are asking about, you should consider using Alternative Medicine treatment to assist and support the body’s natural ability to heal and repair the Peyronie’s plaque that causes the curved penis and the various signs and symptoms that are a result.  Click here to find a good place to start learning about non-surgical and non-drug Peyronie’s treatment.

When did the bent penis begin?

Usually the answer to the question, “When did the curved or bent penis begin?” will usually indicate if there is an actual problem to justify concern.

If your husband’s penis has been curved since childhood, or for as long as he can remember, then there is a very good chance that he has a normal variation of the shape of his penis.  This is called a normal penis curvature and is often simply due to a variation of the size of the internal chambers that make up the body of the penis.   In a congenital curve of the penis there is usually no pain associated with erection or intercourse.

Also, in regard to when the penis curvature occurred, it is not uncommon for Peyronie’s disease to develop after certain medical procedures or treatments:

  1. Use of Viagra, Cialis or Levitra (PDE5 inhibitor drugs) that have been known to cause damage to the internal tissue of the penis when an exaggerated or excessive erection occurs.  For some men this can happen after just one use of these drugs, or for other men after multiple uses that previously did not cause any unusual reaction.
  2. Use of beta-blocker heart medications that are used for chest pain and arrhythmia to name a few.  There are many beta-blockers used, but a few of the more popular are Lopressor LA, Sectral and Tenormin
  3. Use of some cholesterol lowering drugs (statin drug group) that have a long list of known side effects, but recently have been expanded to include Peyronie’s disease.  There are statin drugs in this category, but a few of the more popular are Crestor, Lipitor, Lisinopril and Lovastatin
  4. Having been catheterized as part of surgical procedure, especially when done while under anesthesia while in a hospital setting.  Many times greater force is used to pass the catheter tube through the urethra due to time constraints and urgency, resulting trauma to the penile tissue.

If your husband’s penis curvature started recently or sometime after his teen years when it had been previously straight, then this suggests a problem for which he should make an appointment with a urologist for an examination and diagnosis.  The most common cause of a curved penis that appears after it was previously straight, by far, is Peyronie’s disease.  Other less common causes can be:

  1. Trauma to the penis that causes simple swelling
  2. Trauma that causes penile fracture
  3. Penile cancer, although very rare

Diagnosis of Peyronie’s disease and the curved penis 

Typically, in cases of an adult onset curved penis, there are three primary findings that usually have to be met in order to establish a diagnosis of Peyronie’s disease:

1.    Presence of one or more nodules or areas of hardness located under the skin of the shaft.  These localized nodules are not seen on the surface, but a felt by digital examination below the skin; some can be so large that the surface of the skin is elevated from below by the nodule.

2.    Pain, from mild to severe, from occasional to constant, in some area of the penis while erect.  A small percentage of men experience penile pain while flaccid (non-erect), and an even smaller percentage experience pain during both states.

3.    Recent development of curved or bent penis, or some other similar distortion of the penis (bottleneck, hourglass, or indentation). 

A diagnosis of Peyronie’s disease can still be made without one of the above findings, if the other two are dominant and reliable.  Other findings of slightly less frequency and less importance seen during Peyronie’s disease, that are of some value in making a diagnosis  are:

  1. Loss of penis size in terms length and circumference (girth or diameter).
  2. Reduced erectile ability in either the entire shaft or a localized area of it.

The important thing is to not ignore the penile curvature and to do whatever you can to avoid Peyronie’s surgery whenever possible since the side effects can be devastating.

Can weight lifting or masturbation cause Peyronie’s disease?

Dr. Herazy,

A few months ago I noticed a slight curve/tilt in my penis to the left side. I figured it was due to the way I lay when I sleep, and I thought it would go away soon. But, now, it's months later and it hasn't gone away, and I'd say it's gotten a little worse. I'm thinking it's Peyronies Disease, but I'm not sure. I seem to have most of the symptoms: one part of my penis looks like it's pinched, there's an area of inflamed skin on the underside of it, and there's the curvature I mentioned. However, there's no pain (except lately I feel a very minor, dull pain near the inflamed area after ejaculating which lasts for a few minutes, and the curvature also gets worse for a few hours after ejaculating), and the curvature is only maybe 30 degrees to the left at its worst.

Considering there's no significant pain, and considering the curved penis isn't too major and my penis still works just as fine as it did before, is there a chance that it's maybe not Peyronie's Disease? Or maybe a mild form of it? I'm convinced it's from rough masturbation, and if it is, is it possible I can cure it naturally by maybe stopping masturbation and being more careful from now on?

The curvature seemed to show up overnight, but I recently remembered that I noticed the "pinched" area maybe a few months before the curve showed up. So, it seems that this happened gradually (if that makes a difference at all). I also realized that I started lifting weights around the time I noticed the pinch effect, and as I've continued to lift weights it seems like I'm seeing more and more symptoms of Peyronie's Disease. (I haven't physically damaged my penis with weight equipment at all, but I'm wondering if maybe the strain from lifting is stressing my tissue? Could that be a cause?)

Thank you very much, Dr. Herazy, and I'm really hoping I can fix this problem with your advice.


Greetings, 

My first advice is to stop guessing and wondering, and make an appointment with a local urologist to have your problem formally diagnosed.  The tissue inflammation and pain after ejaculation are not typical of Peyronie's disease and could indicate other problems. 

Lastly, the strain of weight lifting would not cause Peyronie's disease; if you have it, rough masturbation is much more likely a cause.  Please review the article in the PDI website, Peyronie's disease and masturbation.

If your condition is diagnosed as Peyronies then I suggest you consider putting yourself on a treatment plan to increase your natural ability to reduce and eliminate the foreign fibrous tissue of the PD plaque. Let me know if I can help you in any way.  TRH 

Can I cause more damage to my Peyronie’s disease due to difficult penetration during sex because of a partial erection?

Hi Dr. Herazy,

I started having some pain with erections about March 2012, seen family doctor, asked if penis was bent and when I self examined, and yes it was. He then told me I had Peyronie's Disease. I had about 30 degree bend to left and could still enjoy sex. Most pain has subsided, but about 2 weeks ago, found I could not make penetration with my wife. Upon self exam, I see I am not getting full erection, top of penis is soft while base is erect. I gather there must now be full blockage to the end of penis? I am thinking of trying your medium treatment plan. Also, can I do more damage if I try again with my wife? I was also thinking of trying CyberSkin Transformer, would that help? Like every other guy, this is a huge blow to me.

Thanks!

 

Greetings,

Your assumption that your poor erection quality is due to a "full blockage to the end of the penis" is not correct.  Actually, the opposite is probably true.

In Peyronie's disease the reduction of erection strength is typically due to the Peyronie plaque preventing the closure of valves in the penis veins.  When these valves cannot close the blood that is normally circulating within the penis simply is not trapped and collected to create the hydraulic effect known as a erection.  Imagine what would happen if you attempted to blow up a balloon that had the other end cut off.  Any amount of air you would blow into the balloon would not be trapped inside and the balloon would not swell and become firm with increased internal pressure caused by air being collected in an enclosed space.  To say it another way, if you try to warm up your bathroom in the winter you must close the door so the heated air can collect inside the enclosed space.  Opening the door allows the heated air to escape.  In the soft area of your penis the blood is not being trapped because the scar prevents closure of the valves that trap blood.  Your blood circulation in the penis is probably as good and uninterrupted as it has ever been, it is just not being collected to create the hydraulic pressure a good erection requires. 

What is probably happening in your situation is that the fibrous material related to your Peyronie's disease has advanced now to the point that the internal Peyronie's scar or plaque material is getting larger and reducing the ability of the valves to close to trap blood and create a complete and normal erection.  The solution involves reducing the size of scar, or even eliminating it.  That is where the PDI treatment plans come in to help you heal them as they normally are healed in about half of the cases.  The medium plan is a popular way to get started with Peyronies treatment.     

Sexual penetration with a partial erection can be difficult and dangerous.  It is dangerous in the sense that a partial erection can suddenly bend and buckle during intercourse and this can result in further damage to the tunica albuginea and make your PD worse than it is now.  I suggest that you get the 2nd book I wrote, "Peyronie's Disease and Sex" that will explain in great detail how you can maintain your sexual activity in spite of having PD.  It is a great book that has helped many couples in this vital area of life.  

The Cyberskin Transformer series of products are effective in providing additional support to the penis to reduce – but not totally eliminate – the possibility of sudden bending during sexual activity that can further injure the penis.  There are other products as well that PDI has available for this purpose like the Girth Prosthetic Rings, Invisi-rider Enhancer and the Reversible Sleeve.  All of these can be found at the sex supports/aids section of the PDI store front.

Peyronie's disease can be a tremendous personal stress to everyone who is in a relationship who has to deal with the outlandish physical changes that can happen to a penis.   The important thing is that you work to do all you can to reduce those changes by increasing and supporting the natural ability of your body to eliminate the internal fibrous scar tissue that causes the curved penis and weak erections of Peyronie's disease. Please let me know if I can help you in any way to correct your problem to the greatest extent possible.   TRH   

Is a penis extender the wrong thing to use for Peyronies?

Hi Dr.

I got Peyronie's disease about 5 years ago through intercourse with my wife. I saw an urologist who prescribed a 3 month dose of pills which failed to do anything so we tried it again. I was then told I could have surgery which made me go into denial. The curve has got worse over the last 2 years and I’m worried about having sex so it's become non existent between the two of us. I am now desperate and have been looking at the penis extender for Peyronies – is this a possible method along with your treatments, or is this the wrong move. I'd like to get started in the right direction.

Thanks R


Greetings R,

You need to do a little bit of reading.  There are many articles and posts I have written about using a mechanical penis stretcher, commonly called a penis extender.  Here are a few links for you to read: Penis stretcher:  Big problem as Peyronies treatment and Penis extender claims and Peyronie's disease and Peyronies treatment and the penis stretcher.

Peyronie's surgery is always something that is proposed when other medical treatment eventually fails.  I would caution you to consider that if your penis has already demonstrated the ability to develop too much scar after a small injury, there is a stronger possibility of an even greater amount of scar occurring as a result of the surgical incisions associated with common penis surgery techniques.  This is the reason that men find their PD worse after having surgery to correct their curved penis.     

From my experience many couples who live with Peyronie's disease in their lives will limit or stop sexual intimacy when it is not necessary to do so.  The problem often is that their medical doctor does not know about or does not take time time to explain, some basic information that would enable a couple to safely engage in intercourse.  I can assure you that within a brief time you would feel a lot more comfortable about resuming sexual relations once a few things have been explained to you. My wife, who is an RN, and I have counseled with many hundreds of couples and helped them to regain that part of their lives by simply sharing some simple information. Contact me if you are interested in learning more.  Additionally, you can get a book that wrote, "Peyronie's Disease and Sex" from the PDI website.       

Getting Peyronie's treatment started in the right direction is easy if you are prepared to spend some time educating yourself on the PDI about Alternative Medicine methods to increase your ability to remove the PD scar naturally.  I did it, and I get emails every week from men who are doing it.  I have come to realize that when the average man even after five years of dealing with Peyronies if he uses a large and diverse program of care and works aggressively will see positive change in 2-4 months in about 80% of cases.

Let me know if I can help you in any way to get your life together.  TRH

Will this surgery work to correct my Peyronie’s disease?

I have peyronies a year and a half now with a 45 degree bend when erect.i have consulted my doctor.i have seen a surgeon and I am not satisfied with his straightening method.he just wants to put a slit in it and sew it back.i don't believe this would would work.i need a second opinion.i am on medical card and live in county roscommon in the west region of Ireland. i need a surgeon who is prepared to carry out the full and proper treatment I would be very thankful for your assistance doctor and advice.i am only 39 and this is ruining my relationships and I am depressed. please help me.


Greetings,

Are you sure you heard and understood everything that was told to you about this penis surgery?

I cannot directly comment about what your surgeon explained about the Peyronie's surgery he or she proposed because I was not there to hear the explanation you were given, and you were. However, as I understand penis surgery to correct a penile curvature caused by PD, the typical procedure is much more complex than simply putting a slit in the shaft and closing it up.  

If you are positive you were given this exact explanation, I suggest you contact another urology surgeon who will take your case more seriously for a second opinion.  Using the information that follows I propose that this next time around you be prepared to ask many questions and demand answers.  You should fully understand what is being proposed to you so you can make an intelligent and informed decision.  I also suggest that you spend some time on the Peyronie's Disease Institute website to learn about the possibility of using non-drug and non-surgical treatment to increase your ability to eliminate the Peyronie's plaque naturally.

I am sensitive to what you are asking and I understand your concern about penis surgery.  However, I have no way to know what is the full and proper surgical treatment for your particular problem, and frankly neither do you.  Something as vitally important and final as surgery requires a great deal of trust in the skill and competence of the surgeon in an area that a layperson does not have enough knowledge or skill to judge what needs to be done. Having said that, I think you might be correct to want to talk to another surgeon if only because it is not correct or proper that you were allowed to leave that office without a better understanding of the proposed surgery.  In my opinion, a half-hearted explanation is no explanation, and does not bode well for the kind of surgery that a doctor like that would provide.

There is always the possibility you misunderstood what was explained to you, but it is still the responsibility of the doctor to make sure you do fully understand so you can give informed consent to a surgical procedure.  There is also the possibility the doctor did not want to give you all the (somewhat gruesome) details of the surgery, since it might scare off someone with a squeamish stomach. Another possibility is that the doctor simply did not want to take the time from a busy office schedule to explain what would happen in the proposed surgery.  It has been my observation that many times a surgeon will greatly limit or modify the truth about some aspect of a proposed surgery (risks, chances for recurrence, changes for failure, degree or frequency of complications or side effects) so that the patient is more inclined to accept the idea of the surgery, and agree to have the surgery done.  It is somewhat of a "selling job" that is done.  It is not appropriate, it is not correct, and it is not legal, but it is done.  Perhaps something like this happened in your case.  Whatever was the reason that you thought the doctor was going to "put a slit in it and sew it back," it is the fault of the doctor for that notion and possible misunderstanding to remain.

More than likely, and I could be completely wrong since I was not there, the doctor proposed to do a Nesbit procedure for your curved penis.

For the most men the Nesbit procedure is the most common, easiest and most direct way that a surgeon can address the penile curvature of  Peyronie’s disease. However, it causes shortening of the erect penis by 2.5 to 6 cm (one to two and a half inches), and this is the greatest drawback of it.  The operation is performed under a general anesthetic and takes 40 to 60 minutes.  Men usually go home the day after surgery, or even the same day.

Basically, in the Nesbit operation the main idea is to make an elliptical incision to remove some of the shaft tissue and tunica albuginea from the long side of the bent penis (on the side opposite the inner curve of the bend), in an effort to straighten the curvature.  This tissue removal is responsible for the overall effect of penis shortening when the long side is reduced. The rule of thumb is that for every 25-30 degree of curvature that is present, a loss of approximately 1 to 1.5cm penis (about half to one inch) length at erection will occur.

An incision is made all the way around the shaft, a few millimeters behind the edge of the head (glans) of the penis.  The cut skin of the penis is rolled back down (like rolling or peeling your socks down off your leg), exposing the two corpora cavernosae so the one corpora cavernosa that is opposite the bend and the Peyronie's plaque can be shortened.  This is done by either removing tissue of the corpora with removal using an elliptical incision or simply by drawing it tighter with internal stitches.  After this is done the foreskin usually has to be shortened also so that it matches the new shorter length of the penis.  As in any operation, infection of the incision lines can be a problem and the foreskin, if left behind, sometimes becomes swollen after surgery; for this reason many surgeons will also perform a complete circumcision to prevent this complication. Otherwise direct surgical complications are not common, but occasional to infrequent side effects after surgery of erectile dysfunction, permanent numbness and penile pain can occur.

Hopefully, this explanation of the Nesbit procedure is helpful.  Keep in mind that this is the simplest Peyronie's surgery.  You can see Peyronie's surgery is a lot more complex than what you thought.  TRH

Is my curved penis since 10 years of age a congenital curved penis?

Good Day! I really don't what to do with my problem I have a curved penis and it really embarrass me for myself. My penis started to curved when I was in grade 5(10 yrs old) and years passes by my penis curved so badly, it curved to the left side about 35 degrees. This causes me big problems. I lost my confidence to continue my life. I always think about it how am i suppose to do to solve this problem. I've read lots of comments from different blog sites about curved penis but not like them, the curve of their penis are upward and downward. I always exercise my penis hoping to make it straight but sadly nothing change.

Our family are not fortune to give me money for a checkup. They don't know about this. I really don't want them to know, no one knows that I have a curved penis except my 2 ex-girlfriend. It's so embarrassing. I don't want to be like this forever. I send this message to this website hoping for a help. I am dying for help if there someone could help me please I'm begging.

Thank you. I apologize for my English grammar, I'm not that good in English.

God bless.


Greetings,

You use very good English. You should be proud of your ability.

There is a good possibility that your penis curvature is how you were born, meaning it is normal and natural for you to have a curved penis. It could be the way you were made. The term for this natural development is that the problem is a congenital penis curvature, meaning it is from birth. I suggest that you should go to a doctor to learn if you have Peyronie's disease in case this is what is wrong with you. It is your decision. If it is a natural curve you were born with there could be limited ability to make any change. I have no way to know ahead of time how you might respond.
computer protection software

However, I have heard from men who also had a congenital curve of the penis and were able to make small to medium changes in it using the PDI gentle manual penis stretching technique. This method was designed and researched as a way to assist reversal of different penis deformities associated with Peyronie's disease, and was not intended to be used to correct natural penis variations. Even so, it seems to work in some cases, depending on how it is done and if supporting therapy is used to stretch the soft tissue of the shaft.

The men how have used the PDI gentle manual penis stretching technique, also used Neprinol three times a day to assist this process. I would suggest you consider a brief trial of treatment for three months to see if you might respond. If you are interested in experimenting a bit in this way I can assist you. Please contact me again and I can give you the necessary information to get started. TRH

zp8497586rq

Is it really possible to cure Peyronie's disease?

Hi. My name is Laurynas .  i'm 49 years old from country named croatia in eastern europe, now living in the U.S.A

i have crooked penis, i've slept with four women so far, with first i felt discomfort( soft pain )

and with the last two i even couldn't put my penis into their vagina s( because of curvature).

this desease touched my self esteem , and my potency, too. i have neuroses called anhedonia( unability to feel pleasure).

my questions are – is it really possible to cure Peyronies disease or somehow reduce it and are these non traditional treatments work?

and what is your opinion about penis extenders?

thanks for answers in advance.

Greetings Laurynas,

First, while you have mentioned your bent penis, you did not say that you know you have Peyronie's disease.  Just because your penis is curved does not mean you have Peyronies.  Has your penis, more specifically your erection, always been crooked?  Some men are born with a penis that is not straight when erect.   If this is your situation then you need to approach your distortion from a different direction.

Assuming you know you have Peyronie's disease, I will give you my thoughts and experiences.  When I developed Peyronie's disease at age 54, in 2002, I was confronted by the same problems and fears as you, as well as every other man who has this problem. I had no good direction to take, and so I used the most common and logical medical treatment used at that time.  I knew it did not have a good record of success to cure Peyronie's disease but there was not much else that was available that made sense to me.  This was a topical Verapamil cream that I used faithfully for six months during which time my condition worsened and it caused a multitude of side effects that affected my health.  I quit using Verapamil and decided to seek the assistance of three MDs I was working with at that time.  We put our heads together (don't you just love American idioms?) while I did all of the research on any current Peyronie's information I could find. 

Over time we developed the treatment protocol that is now found on the Peyronie's Disease Institute website.  Our thinking was directed by the fact that in about 50% of cases, within the first 12-18 months of developing Peyronie's disease the condition will self-heal or you can say that the body will cure the problem on its own.  In this sense there is a very real and very obvious method to cure Peyronie's disease, and the body does it pretty well in about half of the cases. Please read an article I wrote about this, Spontaneous remission and natural cure for Peyronie's disease.

Peyronie's disease is not incurable; it is just incurable using the current medical knowledge and drugs available.  The body does a fairly good job of eliminating PD about half of the time, but the medical profession seems to ignore this. When your medical doctor tells you there is no cure for PD, what he means is that he has no drug to give to you. 

What I did under the watchful eyes of my medical colleagues was to provide to myself a wide group of natural therapies that are helpful to support and supply the nutritional needs of the body so it can do a better job of healing and eliminating the Peyronie's plaque tissue that is at the heart of the curved penis that is so disturbing you right now.   I was able to eliminate my internal PD fibrous scar and reverse the curvature it caused.  I now have no Peyronie's disease because i worked to help my body eliminate it like it should have in the first place.  It is really not a very complicated idea. 

Getting back to a few things you mentioned in your email, I would like to remind you that all men have a problem with Peyronie's disease reducing their self-esteem.  I did.  Then I realized that I am more than a penis.  If lost my right arm, would I still be a man?  If I was blind, would I still be a man?  What makes a man a man?  It is much more than his penis – it is part of it for sure, but it is still only a part of the whole man.  

If you have a woman who thinks less of you because your penis is curved, find another woman.  Find a woman who appreciates the fact that unique.  Find a woman whose vagina perfectly fits your curved penis because when you do you will find that you will be able to give her sexual pleasure that no other man can do.  Find a woman who does not judge you like you are a dog in a dog show who must be perfect according to a set of rules that someone else has written.  Find a woman who loves you and appreciates you because you are one great Lithuanian guy.

Your potency was bothered because you allowed yourself to become embarrassed.  That problem occurred because of how you felt about yourself at that moment, and was for the most part your fault for not judging yourself correctly.   You were being immature and too rough on yourself.  Stop it.

Penis extenders are dangerous, they do not make sense, and I can find no evidence that they actually work.  Many men come to me after they use a penis extender to get larger, and only injure themselves so badly that they develop PD after using the device.  There are many articles I have written about these mechanical penis stretchers on the PDI website; look them up, please.

click here

I suggest that you spend a little time reading some of ideas and information about natural Peyronie's treatment found on this website.  Let me know if I can help you in any way.   TRH

zp8497586rq

Do I start with the penis stretching CD to treat my Peyronie's disease?

Hi Doctor.

I am Abduallah Adi from Palestine, I am 20 yrs old. Six months ago I had Peyronie’s disease because I was wearing a very tight underwear and I went to a urologist and told me it is PD. He gave me vitamin E and Antibiotic only.

My penis hurts me and it almost 30 degrees upward.

Now I visit your site and I don't know what to buy. Do I start with the stretching or what please help me.

I am waiting your response.

Greetings Abduallah,

Over the years I have encountered several men whose Peyronie's disease started with the prolonged compression caused by wearing tight clothes of any type. It is not the most common way to get injured and develop Peyronies disease, but it does happen.

Vitamin E is an important Peyronie's treatment but it must be a very high quality natural vitamin E product; you cannot use just any kind of vitamin E. Also, when used by itself vitamin E tends to not have enough affect on the body to promote tissue repair; it must be combined with other therapies for greatest effectiveness.

The gentle PDI Manual Penis Stretching Method CD is not intended to be used by itself; all PDI products are intended to be used together for greatest benefit. You cannot play the piano and call yourself an orchestra – you need violins, drums, trumpets and many other instruments to complete the sound of an orchestra. It is the same with PD treatment. It is necessary to supply everything needed for tissue repair and healing – delivered to the body all at the same time – to provide the boost and support needed for successful recovery from Peyronie's disease. The gentle PDI Manual Penis Stretching technique is only one part of what you might need to eliminate the Peyronie's plaque and reverse your curved penis. Some men who try using only the PDI stretching method have made small changes in their bent penis problem, but only after adding in the necessary other elements do they begin to get the large improvement they need.

Instead of using only the manual penis stretching technique, I suggest you use the largest Peyronies treatment plan you can afford to stay on for 2-3 months. During this time you will work to give your body the opportunity to heal and repair the Peyronie's plaque that is causing your bent penis.

Please go to the Peyronies treatment ordering page, found by clicking on the blue button at the top of the right sidebar. Any of the treatment plans you will find on this page can be effective, but we find that the larger and more aggressively applied plans work better than those that are smaller and only casually used. TRH

zp8497586rq

How should I do penis stretching with two different deformities?

I have Peyronie's disease with a downward curvature when erect. I have watched the PDI gentle massage video and it states that you should attack the biggest curvature first, ok. But here is a problem, when the penis is flaccid, ie not erect, I also have an hour-glass deformity figure. The hourglass figure is not there when fully erect at all, but it does make it harder to apply gentle massage technique when flaccid. So should I try to attack the hour-glass figure first or not?

Greetings,

If you are correctly applying the gentle manual PDI penis stretching technique to a flaccid penis that demonstrates a hourglass deformity you should not have any trouble holding or maintaining the correct contact. You are doing something wrong.

In your question you used the word “attack” twice.

In the one-hour video I know I did not use that word once, because the emphasis is always about how light and gentle the contact and minimal the traction is when applying this special penis stretching technique. I hope you are not being too aggressive with this method of treating Peyronie's disease, and that you are carefully applying the specific instructions just as they were carefully presented to you. For you to be having a problem holding a contact for an hourglass deformity tells me you are not doing the work correctly.

best casinos for online

In the video spent a lot time explaining the method will not work if you are too aggressive and heavy-handed when you use it, so please be careful how you apply it. Actually, I encourage you to sit down and watch the CD again to be sure you are doing it correctly.

Regardless how you might be using unnecessary and counter-productive force, I can advise you that you should be applying traction not to correct the hourglass deformity since you report that it is only present when you are flaccid, or non-erect. Your gentle penis traction should be applied to correct the downward bent penis carefully following the instructions given in hour long video for this kind of deformity.

Also, you do not mention doing any other form of Peyronie's treatment, such as vitamin E and C, systemic enzymes, PABA, DMSO, etc. If you are only using the PDI gentle manual penis stretching technique by itself you are making another mistake. Please contact me if you have any questions or need something explained in greater detail. I am concerned how you are working to correct your Peyronie's disease and want to assist you in any way I can. TRH

765qwerty765

Is there anything I can do to help my husband recover from Peyronie’s disease?

Any woman can help and support his effort to reduce Peyronies disease in several ways

There obvious and not so obvious, direct and indirect, ways a woman can help the man in her life to deal with his problems of Peyronie’s disease not only on a personal treatment basis, but also by supporting and assisting with those personal matters that threaten their relationship as a social and sexual couple.

It goes without saying that the obvious physical problems of a curved penis, reduced length and girth, and erectile dysfunction that are part of Peyronie’s disease directly affect the man who has this condition.  But the woman in a relationship with such a man is in a critical position because of their personal relationship to help him deal with the many negative aspects of Peyronie’s disease, and so can provide an integral part of any solution he might need.  Her role begins by understanding and accepting that he is going through a strange and stressful event for which no man is ever prepared.  Throughout a woman’s life, even before her teen years, she is talked to and prepared for changes in her reproductive system; she discusses these events that affect her genital area with her mother and perhaps her sisters and girlfriends who also experience these changes; she even goes to a special kind of doctor, a gynecologist, who specializes just in the female reproductive system; each month she is reminded that her pelvic region does unusual things; if she becomes pregnant she soon overcomes her modesty and privacy about this area of her body.  A man does not ever experience anything remotely like that.  His genitals are his prized masculine region, but they are private.  For the most part his reproductive area is uneventful and is not discussed much – except if he develops Peyronie’s disease.

For these reasons he has been completely unprepared by his past experiences to deal with  suddenly learning that there is a problem he has never heard of before, called Peyronie’s disease, that jeopardizes his ability to engage in sexual intercourse and denies him the act that defines manhood to him.   For a man Peyronie’s disease is perhaps not so much experienced as a health problem in which fibrous plaque material develops internally within the penis, but more so it is felt to be a loss of what makes him a man.  The woman who must deal with her man’s Peyronies problem must see this condition as a great emotional issue for him and be prepared to forgive him if his temperament and mood suffers while he comes to grips with his curved penis that no longer works as it once did.

He will benefit greatly from his mate’s emotional support and patience, and her ability to forgive him while he wrestles with the fears that are connected to Peyronie’s disease. Probably his biggest fear is the losing you because of his reduced sexual ability; no longer being able to provide you the pleasure of sexual intercourse, that you will leave him for someone else. He fears that he will never experience regain the pleasure of traditional sexual satisfaction. He fears that if you do leave him he will never be able to develop a relationship with another woman, and he will be alone in life. He fears being pitied and ridiculed as the man with the deformed and shrunken penis. He fears feeling like less of a man.  It is not really the physical aspects of Peyronie’s disease that drives a man into despair, it is being unprepared for the emotional isolation he feels.  More than ever he needs you but he feels ashamed and embarrassed to be with you, adding to the torment he feels.

From the combination of physical, emotional and sexual problems related to Peyronie’s disease comes a list of common problems and pitfalls that happen to most couples. Since the man with Peyronie’s disease will often shut down emotionally and a state of denial, totally ignoring his problem, the burden to actively learn about and reach out for help will fall to the woman in that relationship. From this reason the Peyronie’s Disease Institute has developed  a special program in which our staff nurse can consult with and advise a woman who needs help dealing with any aspect of Peyronie’s disease.  During a friendly phone call our nurse will answer questions of any sort about Peyronie’s disease (male and female anatomy, sexual difficulties, personal relationship problems, treatment options, or anything else that is on her mind).

Here are a few ideas to consider to help him deal with his penile problems and to protect the bonds of your family:

  1. Continue your usual sex life if at all possible, limiting traditional intercourse only to the extent that his curved penis prevents it.  In case you believe that you cannot any longer engage in intercourse, please know that there are many techniques and ideas that can help you allow entry and increase your ability for traditional sexual intercourse. Few couples are as limited in their ability to engage in intercourse as they assume; usually all they need are some basic ideas and simple instruction. This is such an important topic; please refer to my second book that covers many aspects of this topic at great detail and length, “Peyronie’s Disease and Sex.”
  2. An important aspect of Alternative Medicine treatment of PD is the PDI diet to assist recovery from Peyronies.   This subject is covered in detail in chapter 5 of “Peyronie’s Disease Handbook.”  You can assist his recovery greatly if you can coach him through these dietary ideas, and make it easier to follow if you incorporate these principles into your lifestyle for the time being.
  3. Moral support at this time is crucial.  You will help him, and help yourself as well, if you can offer him encouragement and praise during these rough times.  You will prove your loyalty and earn his admiration and respect when you demonstrate you are not a fair weather friend.  Men commonly refer to their time dealing with Peyronie’s disease as the lowest point of their lives, feeling alone and depressed, offering them all the excuse needed to behave badly.  Just because a man is acting like a jerk does not mean he does not know he is acting like a jerk; he knows his behavior is bad; he just does not care to control his primitive emotions of the moment. This is the time a man needs a friend to offer support and a trusting heart.  Even though he might push you away out of embarrassment and self-consciousness for his reduced physical state, he will soon recognize your acts of steadfast friendship and tolerance as proof you are not going to reject him.  Once he is confident you are not going to run away because of his sexual problems, your man will come around to his old self (and probably better) because you will have proven your love for him to an even greater level than he knew before.  This is how your relationship will grow under the adversity of Peyronie’s disease, by showing your strength and loyalty to him no matter what happens.
  4. Be tolerant and understanding about his reduced sexual interest and flawed sexual ability.  Both of you are afraid of what will happen in the future regarding your sex life together.  The way to make our fears become a reality is to place a lot of pressure on his sexual performance.  Easy does it.  As discussed at length in “Peyronie’s Disease and Sex,” we find that most couples can actually engage in sexual intercourse for a far longer time than they imagine, but stop only because the do not know how to solve get around some of the difficulties of gaining entry with a bent penis; this book explains how to be successful with sex using a curved penis than you could imagine.  In the early stages of Peyronies it is most valuable to continue traditional intercourse for as long as possible.  It is not necessary to stop sexual activity as long as no pain occurs for either partner.  Engaging in sexual activity is good for the physical and emotional health of both partners, as well as beneficial for your personal relationship.  Sex can be the all-important emotional glue that keeps you together, so use sex liberally since PD is really all about sex when you think about it.  If you reduce sexual activity at this time it will only confirm his worse fear that you are no longer interested in him as a sexual person. If traditional sexual intercourse turns out to not be possible due to his curved penis it is necessary to explore, expand and use a greater variety non-intercourse sexual activities and techniques, with the hands, lips and whatever else is mutually agreeable to you as a couple.  Your previous thinking and attitude about sexual activity might have to change to satisfy your unfulfilled physical needs for intimacy.  With an open and honest dialogue you can work these things out.  Again, your helpful and willing approach to sexual problem solving and cooperation only proves your place in his heart as the best possible partner he can have.

Many of the conflicts and stresses a couple goes through when Peyronie’s disease enters their lives are avoidable.  A little understanding, a few suggestions about altered sex techniques, the man having the woman’s side explained to him, the woman having the man’s side explained to her, reading the positive and informative books that are available from the Peyronie’s Disease Institute, and starting an aggressive Alternative Medicine treatment plan to increase his ability to heal and repair the Peyronies plaque can do wonders to reduce stress and misunderstanding between people dealing with Peyronie’s disease.

If the woman would keep in mind that her man with Peyronie’s disease is very much like a scared little boy who is behaving badly because he is scared of losing you, and treat him accordingly, things would improve greatly. With understanding, love and a little compassion you can help that little boy know you are not going to leave him and you will protect your relationship with him.

How can I fix my curved penis when I get erect?

Good day,

I have curve to the left and is causing me serious trouble when I got erected.

How do I fix my curved penis?

Regards

Pongo

Greetings Pongo,

Best bounus online casinos

You can spend a little time and effort reading and learning about Alternative Medicine treatment of Peyronie's disease. I suggest you go to “Start Peyronies Treatment” found at the top of the PDI home page and get busy. You can also read any of the hundreds of answers I have already given to this same question that appears in this Question/Answer section. TRH

765qwerty765

After Nesbit Peyronie's surgery the curved penis came back – now what?

Hi Dr Herazy,

I was diagnosed with Peyronie's disease in Oct 2009. the urologist put me on potaba which did nothing. I then tried neprinol that did nothing. I saw the uro again and he put me oh high doses of oral Vitamin E and said I was to start VED therapy. My penis curve did not improve at all and in fact became worse. I was then also put on pentoxifylline which again did nothing. After no improvement and the curve to my penis being 40 degrees upward he told me the only solution was Nesbit surgery which I underwent out of desperation in May last year 2011. All was fine, my penis was very straight but shorter by about an inch but then in Sept.Oct the same year I began to notice my penis curving up again! Now in August 2012 it is really back to where I was in 2009 with an upward curve of 40 degrees. Very depressing as same curve just shorter penis!

What do you suggest in light of my previous drugs and treatment to try and cure this myself as I am beginning to give up on the uro's and certainly do not want more surgery after the first one failing me! What do you think about this if I order: DMSO, Super CD Serum, Vitamin E unique Oil, stretching video, Scar-X and Acetyl-L- Carnitine? I am in the UK. Hello, please help as I am now desperate and depressed.

Gary

Greetings Gary,

I commend you for your tenacity and strength to continue to work to help yourself in view of all that has happened to you.

It appears that you have now spent some time reading a few ideas presented on the PDI website about Alternative Medicine treatment of Peyronie's disease. It sounds like when you earlier used Neprinol by itself you did not receive any good advice and you wasted that opportunity to do something positive and helpful for your curved penis. That is always the problem when buying Neprinol from people who do not know how to use it correctly.

how to enlarge penis size

Please do not evaluate Neprinol based on using it by itself. In my opinion that is not the best way to use Neprinol. It is a great therapy product but it must be combined within a well balanced Peyronies treatment plan that addresses other aspects of this complicated problem. You did the best you knew how to do, but you just did not receive good information. Neprinol cannot do it all by itself, but then again, no other therapy product can either; they all must be combined for greatest effectiveness.

If you read about the Nesbit Peyronie's surgery procedure and outcomes on the PDI website you will learn that it is not uncommon for Peyronie's disease to return within a few years; sometimes sooner and sometime later, but it will always return. The surgeons do not like to discuss this aspect of their work because it does not do a lot for their business prospects. In this regard I strongly suggest that you consider putting yourself on an aggressive support plan to minimize the potential of fibrous tissue return. The outline that you suggest is not a bad one and could be helpful in your situation. If it makes sense to you, as apparently it does, I suggest you put yourself of this plan you designed and try it for a month to see if it makes a difference in the size, shape, density and surface features of your scars – no plan can be evaluated on paper; it is only by applying it and evaluating how it affects your PD scars will you know if it is actually effective for you.

Please let me know if I can be of help to your effort. TRH

zp8497586rq

What Peyronies treatment would you suggest for a “waist” in the penis?

Dr. Herazy,

What treatment plan would you suggest in treating a waist in the penis? And also, does the penis waist happen because of lack of blood flow to that area?

Thanks

 

Greetings,

When you mention a "waist in the penis" I assume you refer to what is commonly referred to as an hourglass deformity of the penis associated with Peyronie's disease in which there is a narrowed portion of the penis in a small or large part of the circumference of the shaft.   

Treatment for this type of distortion is not much different for this distortion or for any other distortion that is caused by the presence of the internal Peyronies plaque or scar tissue – except in one small aspect I will explain a bit further down.  The very important point I want to make now is that good Peyronies treatment is not directed to the distorted (bent, curved, hourglass, waisted, limp or shrunken) penis, but to the scar itself.   What is wrong with you is not that your penis has a waist formation, but that you have a Peyronie's plaque or internal scar in the shaft that is causing a waist formation.  Do you understand the critical point I am trying to make?  Your problem is not the waist, but what is causing the waist to form.  That is why it is pointless to try to stretch a curved penis with a mechanical penis stretcher because it cannot do anything to remove or reduce the Peyronies plaque.   A case of Peyronie's disease is not a curved penis that will be corrected by forced stretching, like a bent paperclip.  A case of Peyronies disease is one in which internal scar tissue can cause the penis to bend or distort in some way.  For this reason treatment is not so much directed to the kind of distortion but to the reason for the distortion. 

Having explained that, I will say that the gentle manual penis stretching technique developed in a PDI research project a few years back can be modified to suit the type of distortion displayed because with this particular local technique it is possible to focus subtle traction vectors into the specific location and direction of the plaque formation.  We developed unique techniques for bends, twists or rotation, hourglass, bottleneck and combinations of deformities to isolate the fibers that cause those patterns in an effort to stimulate their reabsorption.

This waist or hourglass type of distortion is caused by a circular or collar-like Peyronie's plaque formation that either prevents or restricts the full expansion of the shaft during an erection or allows blood to not collect in a particular area and therefore not expand completely.

My suggestion is that you do a bit of reading at start Peyronie's treatment to see if this makes sense to you, and to begin working to increase your ability to heal the Peyronies scar in the best way possible.  In my opinion the best Peyronie's treatment is the largest and most aggressive you can sustain for a few months to assist natural healing.  Read the PDI website to learn if you agree.  TRH

Questions about straightening a congenital penis curvature

Hi Doc.

buy cheapest cialis

My Name is Tomas and i am a 25 year old male from Sweden. We have spoken on the phone previously but i am afraid that my written English is better then my spoken. I have also, very recently, submitted a question but i am not sure it got registered correctly so i take the opportunity of writing a new one and adding some additional information and text if that is alright with you.

My penis, who i am overall pleased with, have always had a slight downward curved. Probably less then an average banana. It is not Peyronies disease but what you call Congenital curvature. Although this is yet to cause me any problems while having intercourse (i believe some of the girls i have been with have not even noticed it), i can't help to feel a bit self conscious about it. I think it looks unattractive compared to a completely straight penis and since i am quite of the 'ladies man' if i may say so my self, i thought to my self that it's time to get it straight. It would feel really good to just relax and enjoy sex without having to worry about my appearance.

First of all, i have to praise your dedication to the subject. I believe such attitude and respect as yours towards the patients are rare and something i hold in a very high regard.

Now, i know that your programs are generally more directed towards treating Peyronies disease – but i'm also of the impression that it can help a congenital curved penis as well. While searching the Internet, i have stumbled upon countless of alternative treatments but yours is the first which i feel confident might help me and feels “serious”.

So, my question is.

What is recommended for treating a congenital downward curve as effectively as possible? Should you add some supplement or is stretching enough? If so, what program?

And i also wondered what videos are possible to be sent to me by email and how that is arranged. The shipping costs to Sweden was really expensive – and i would also like to keep my little project a secret from my roommates.

Kind Regards
(And sorry for possible bad grammar)

Tomas
Sweden 🙂

Greetings Tomas,

Your English is wonderful and in fact better than some of native English speaking people I sometimes encounter. You are to be congratulated. And thank you for the kind words about the work I do with PDI.

When the Peyronie's Disease Institute Manual Penis Stretching Method was developed and researched in 2006 it was intended to be used for PD, not correction of birth or congenital penis curvature. However, since there are apparently many men like you with a slightly to moderately curved penis they would like to make straighter, we have had perhaps 40-50 men over the years who have used this particular Peyronie's treatment method and have reported success when used according to the detailed instructions found on the CD. What you will find is that on the CD there are several different techniques, a variety of pivot points, as well as different angles and lines of traction to use depending on your particular penis curvature.

In the past I have recommended that these men who want to change a congenitally bent penis use at least Neprinol as the follow the PDI manual penis stretching method. This should work to increase the effectiveness of treatment. A bit more information is available on the PDI website at “Peyronie's Disease Institute Manual Penis Stretching Method.”

The information you want is available only on the CD and has not been made to be downloaded as an attachment to an email. Sorry.

I would be remiss if I would not advise you to be less concerned about the small penis curvature you have. Women are far more tolerant and willing to accept physical variation of the penis than what you would imagine. Attractiveness and beauty are not found in symmetry or sameness of appearance; the value and effectiveness of the penis toward good sex is not found in symmetry or someone's preconceived idea of beauty, but how it is used with kindness, gentleness, a giving spirit, passion and love. Besides that, a bend applies a bit more friction to the vaginal wall for added stimulation. You might be better off curved than straight. TRH

zp8497586rq

Can your Peyronies stretching video help me correct a downward curved penis?

Hi doc!

urticaria treatment

Which videos are you able to email to me and what is recommended for a congenital downward curve?

Regards

Tomas

Greetings Tomas,

The Peyronie's Disease Institute Manual Penis Stretching Method was not intended or tested for correction of congenital penis curvature. However, men with a curved penis that they were born with have reported success when used according to the instructions found on the CD. I have always recommended that they at least take Neprinol while following this manual penis stretching method to increase the effectiveness of treatment. You can find information by clicking on “Peyronie's Disease Institute Manual Penis Stretching Method.” TRH

zp8497586rq

Easy treatment for Peyronie's disease?

hi doc plz tell me the correct and easy way to make it straight i m soo worried doc plz help me!!! guide me with natural and easy exercise in treatment thank you…


Greetings,

Sorry to disappoint you but there is no easy or fast treatment for Peyronie's disease. PD is not that kind of problem.

You seem to be a young fellow who might be inclined to believe the nonsense of some of the bogus websites that promise fast and easy Peyronies cures when nothing like that exists. Mystery herbs from Pakistan or mechanical penis stretchers will not correct the curved penis that is worrying you. Everyone believes that penis stretching will work until they learn it is a painful process that many men cannot do for more than a few minutes and is not effective because having Peyronies is not like having a bent paperclip.

natural cures for herpes

You will have to do some work, maybe even a lot of work, to help and support your body's ability to recover and reabsorb the Peyronie's plaque. It can be done and it is being done daily, but always with effort and time. All you have to do is go to Start Peyronie's Treatment and start learning and reading.

If none of this sounds appealing to you, you can always come back to the Peyronie's Disease Institute website when the easy methods have failed and you might be a bit worse.

Let me know if i can help you in any way. TRH

zp8497586rq

Is it true nothing can be done for penis shrinkage caused by Peyronie’s disease?

I hurt my penis during sex. At first it had a curve but that went away and instead the penis has shortened drastically.  Sex is no longer achievable and a simple act like urinating into a toilet bowl is a problem because the penis has shrunk so much that I cannot point it at the bowl.  I either have to drop my pants or sit on the toilet and push the penis down to prevent it from urinating at 90 degrees.

I live in South Africa and the urologist has said there is nothing that can be done.  Is this true?

Regards,

Wally

 

Greetings Wally,

The statistics found in medical journals and the internet about penis shrinkage related to Peyronie's disease are variable and of questionable accuracy due to the natural of the problem.  As I remember, the published rate of reduction of Peyronies men who experience penile length and/or girth is said to be 25-50%.  However, based on my conversations and email from men with PD I would put that number easily in excess of 75%.   What you report is not at all uncommon.  It is  a consequence of the excess fibrous tissue build up that causes contraction of the deep soft tissue of the penile shaft, and also can cause distortion, such as a curved penis or an hourglass, bottle neck or dent deformity.

When your urologist told you noting can be done for this problem, he/she should have more accurately said there is nothing that medical practice can do to help you.   There is a lot you can do to help yourself.  If about half of the men who develop Peyronie's disease experience a spontaneous remission or self-cure of this problem, then it is obvious that these men are capable of curing their own problem.   PD is cured half of the time without any outside help by the natural healing process of the body.   The PDI concept for treatment of Peyronie's disease is simply to assist or support that same natural healing process by using a combination of vitamins, minerals, herbs and enzymes and other techniques that allow the body to heal better – to increase the odds that you too can care your PD like you should have in the first place.   Your urologist only says there is nothing that can be done to help you, only because he/she does not have a drug to use for that purpose.  "We do it my way, or no way."  What arrogance. 

Probably the best place for you to start looking for information about Peyronie's treatment using Alternative Medicine is from this link from the Peyronie's Disease Institute, "Start Peyronie's treatment."  

Believe me, you would be shocked to learn the number of MDs who contact me from around the world about using Alternative Medicine and the PDI approach to Peyronies treatment when one of them develops PD.    Drugs and surgery are for patients, and when one of them has a bent penis they they suddenly want to be very conservative with what they do.  TRH

Starting to lose hope about Peyronie’s disease

Hello Dr. I'm inspired to read through these posts that your actually spend time with the people on this site. I'm wondering how I go about getting a phone consult with you? I am 46 years old and have experienced a curved penis and diagnosed with Peyronies about 2 years ago. It seems to be getting worse by adding pain and trouble keeping hard during sex. Orgasms are not nearly as intense and I'm not able to 'adapt' for my wife like i could even 6 months ago.

I'm skeptical like many of the men on this forum, but they seem very satisfied that you take the time and attention, and I'm starting to lose hope so i thought i'd reach out.

Thank you

Don
Franklin, TN

 

Greetings Don,

I remember what it was like when I had Peyronie's disease, so it is easy for me to want to help. 

Your skepticism is related to the medical sites who do not know anything about natural Peyronie's disease treatment, have never used it, have never tried to learn anything about it, and yet say it cannot be done.  All we are attempting to do is to increase the odds for natural  healing of PD as it occurs in half of the men who develop this problem.  We are not trying to make pigs fly.  It happens for half of the men who get PD, with a little help why not you?

If you want to schedule some time on the phone to discuss your situation, just scroll down a short distance to look for the picture of me holding a telephone and purchase a small block of telephone time.  I will email you to arrange for a time to discuss your situation.   TRH

What is your recommendation for a Peyronie’s disease treatment?

I have had Peyronies for about 1 1/2 years. It has now progressed to the point where my penis bends down from the base at a 60 degree angle when erect. My sex life has essentially come to a screeching halt.  I would like a recommendation of treatments that I should incorporate.

Best,
Bruce

Greetings Bruce,

The PDI website is loaded with information about how you can go about using Alternative Medicine to increase your ability to heal and repair your Peyronie's disease; all you have to do is look and read.  I suggest you begin reading at Start Peyronies Disease Treatment.

I also suggest that start with the largest and most aggressive plan you can sustain for about three months to determine if your Peyronie's problem will respond to this form of treatment.  Sample plans are shown on the Peyronie's Disease Institute storefront. 

Sex problems are common when a curved penis prevents entry.   You should look at this book for help, "Peyronie's Disease and Sex."   TRH

More questions about Peyronie’s disease and a congenitally curved penis

Hello Dr Herazy,

I posted the congenital vs Peyronies curvature question that you recently answered. Thank you for your in depth answer but I have a couple follow ups regarding one of your response.

You said you've had a number of congenitally curved men that have improved with the manual stretching + enzymes… if there is no scar tissue in the congenital penis curve, and it is instead caused by two differing sizes of the corpora cavernosa chambers, then how do these stretching + enzymes work? What are those therapies actually doing to help straighten the penis? Since they're obviously not helping to break down any scar tissue as there's none there in the first place as with a congenital curve.

The whole pd vs congenital thing is still quite confusing & nebulous to me. Yes, I can recall a curve even as a young child, which points to congenital. A downward curve, like mine, seems to be fairly common among congenital as well. But at the same time my erections have firmed up due to the manual stretching and the curve seems to improve almost daily with the PDI method of penis stretching. Which seems more related to Peyronie's disease. I'm not sure how that would happen if it were congenital unless I'm somehow stretching not scar tissue but the actual corpora cavernosa chambers.

Also, the congenital improvements reported to you. Are the improvements they report mild, small? Is improvement common, rare? Comparable to the more successful PD responses that seem to be quite common with the PDI therapies? And it's that you simply haven't had a large enough sample of men with a congenitally curved penis to use the treatments to say definitively whether they work for them or not as a whole? Any indication they show more difficult to correct than a PD distortion?

Lots of questions, I know. But I think it's important that people in my position have as much info as they can.

Thank you.

A.

 

Greetings again A,

Thank you for your thoughtful follow up questions.

Living tissue (animal or plant) is rather plastic, meaning its shape can be changed within certain limits – the tree that grows around and engulfs the barbed wire fence, African native women who compress their shoulders by forcing them down with brass rings around her neck, young Japanese girls whose feet are compressed by tight binding, ancient Mongolian warriors whose foreheads were flattened to look fierce and warlike, the contortionist whose joints are made preternaturally flexible, even I suppose the old joke about the cowboy whose legs eventually become bow-legged in response to years of riding a horse.  We see around us evidence that otherwise normal tissue can and does change its shape when gentle force is applied over a long time.

It does not take a great amount of imagination to envision also altering and equalizing the small size discrepancy that exists between the right and left corpora cavernosae in men with a simple congenital penile curvature, making it straighter by reducing the internal asymmetry.   Time, persistence and a light touch that does not provoke innate resistance to change is all that are needed.  These changes take place using the PDI process of using gentle manual stretching simply because the method is based on so many examples that occur in nature around us.

My theory is that the systemic enzymes assist the tissue remodeling that occurs during the gentle penis stretching process.  The manual stretching initiates a signal to the brain to change the tissue in question on a cellular level.   The fibrinolytic enzymes on the PDI website would assist that process by remodeling the fibrin of the soft tissue layers as they are being gently stretched.    Keep in mind that tissue remodeling goes on after each and every wound and injury you sustain.  The body is engineered to remodel tissue as part of the healing process.  All you are doing with the PDI technique I present is to gently focus that process to your curved penis.

You ask about “small’ or “mild” curves.  What exactly is your definition of a small curve?  Any man who tells me his curve is small or large, mild or severe, is taken with a grain of salt because what do these terms mean?   What would be a small curve to one man could easily be a large curve to another.  This is part of the difficulty in communicating with people through the written word.  Trying to be as accurate and objective as possible, I usually ask the men I work with for a description of their congenital curve this way: Is your penis curved less than, more than, or about the same as, the average banana?   The answer I am given provides a fairly good idea of what we are dealing with.  For your information, the great majority of men who I work with say their congenitally curved penis is about like a banana.  A few say less, rarely more.

Men do not offer reports frequently or well, offering very limited information about their condition or progress.  I spend a lot of time giving information to men, and receiving only a small amount of information from them in return.   The reports I receive back could be called seldom or rare, and are often limited to “my curve is gone,” "it’s really a lot better,” or “after a few weeks my bend is maybe half gone.”  The terms are almost always broad, general, and not as detailed as I would like them to be.  When I ask for further clarification or details, I seldom receive a reply.  Most of the time when I hear back from a man to whom I provide help, it is to say that there has been improvement; rarely do I hear that the problem did not improve at least to some degree.  Women will tell you that men do not discuss this problem of a bent penis very much; I know this is true.  I think that when a man gets this problem, shall we say “straightened out,” he wants to forget about it and put it far behind him.  The last thing he wants to do is discuss his previous deformity in detail.  TRH

How can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Dr Herazy,

I do not know if I my curvature is PD related or congenital. What are some of the signs that point to a congenital curve versus a PD distortion? It's frustrating because my condition seems to exhibit signs of both congenital and PD. I'm sure seeing a urologist is required to say for sure but even then apparently some will misdiagnose simply because they can't find the scar tissue present in PD. So, even that avenue doesn't seem to be a sure fire way of knowing 100%.

We know that PD is caused by an excess of scar tissue buildup in the tunica albuginea due to physical trauma to that area. But what causes the distortion in the congenital curvature? Is it an excess of scar tissue one is "born with"? If not, what would cause a penis to curve in dramatic fashion (35º- 45º downward) w/o scar buildup? To me that would seem to be an exceedingly rare condition to be born with. I could see a 5º, even 10º curve but 45º is a heck of a curve to be born with. If a congenital curve has no scar tissue, how do the PDI therapies treat it in that case since there would be no scar tissue to heal?

Secondly, if one does have a congenital curve, does the treatment for it change in any way from that of a PD distortion? How successful are your PD therapies at treating congenital curvature and do you even intend on doing a full study on this?

As you can tell, not knowing for certain whether my curvature is PD or congenital, I have quite a few questions regarding the both of them. Please help me make sense of the differences and their subsequent treatment.

Thank you.

 

Greetings,

Thank you for the great question. 

Probably the answer to your question is found with the easiest and most fundamental observation that you can make.   The basic difference between a penis that is bent due to Peyronie's disease and one that is congenitally curved penis is time.  When did you first notice that your penis is not straight?  

If you have always noticed, even as a young boy, that your erect penis is bent then you probably have a congenital curvature of the penis

If you have only recently noticed that your previously straight (or almost straight) erect penis is suddenly curved or distorted in some way, then you probably have a bent penis due to Peyronie's plaque that has altered the ability of penis to expand fully.

Usually, a congenital penis curvature is not accompanied by pain, while a recent case of Peyronie's disease can be painful.   Further, a congenital penis curvature is not accompanied by a palpable nodule or mass of fibrous tissue, while a recent case of Peyronie's disease will demonstrate plaque formation.  This plaque formation is not always easily located, so it can be deceptive to make a diagnosis of PD based solely on the ability to locate this foreign tissue.

In congenital curvature there is no scar material in the shaft.  The curvature in this case is simply due to corpora cavernosa chambers that are not of equal size or dimensions.   Just like you might have ears that are not the same size or shape, or large toes, or thumbs, the body is not always symmetrical.   

I do not have a lot of information about congenital curvature responding to the PDI treatment protocol because men simply do not report this kind of information back to me.  I can tell you that over the years I have a number of men say that the gentle manual penis stretching technique coupled with a good dose of systemic enzymes like Neprinol made a difference with their congenitally bent penis.  TRH

How should I change my penis stretching technique if my curved penis changes from day to day?

Dr. Herazy,

My curvature is downward at about 35º – 45º and in an arcing, banana like shape where the curvature becomes more severe closer to the head. I started the manual stretching in full force about two weeks ago. I do it for 30 minutes a day. I use one finger, my index, fold the penis over it in the opposite direction of the bend at the bend's most severe point, holding it in this position with my thumb. I generally feel a "cold" sensation and slight tingle on the left, underside of the shaft.

I do not know if my condition is congenital or Peyronie's disease.  I've had the curvature as long as I can recall but at the same time as a child I was very active with many falls. I was kicked squarely in the groin at about age 6 or so and around this time had an odd habit of resting my penis against my stomach with the aid of an underwear band because it felt more "comfortable" to me than simply letting it hang naturally. About 6 years ago I saw a prominent urologist who didn't say whether it was Peyronies or congenital. He took a brief look at me and suggested the "solution" was to operate. Made no mention of cause. Drive through care. So, I do not know if if my curvature is congenital or the result of an injury during childhood.

With that said…my question falls back on the manual stretching. I've noticed some change. The first is a more firm erection. That I'm thankful for. The second is more perplexing. The curvature seems to, for lack of a better word, "morph" seemingly every day or two. When I began the stretching, though my curvature is in a general arcing, banana like shape that does not have an incredibly "sharp", direct deviation, it does indeed have a visibly discernible, tangible point where the curve begins in full effect. When I began the stretching this point was about 1/3 of the way down from the head. As I've continued with the stretching the curve seems to change it's "starting point", so to speak. Some days the curve seems to begin in earnest midway down the shaft. Other days almost near the base of the shaft. Other days back toward the top, near the head. Is this normal when stretching and if so, should I continue to stretch at the original point of most deviation? Or should I adapt my stretch to where the curve seems to be on that particular day? Or should I stretch multiple areas of the penis during each individual stretching period to target all areas at the same time?

Currently the manual stretching is my only therapy. I will be adding a med or large plan soon.

Thank you for your response and all you're doing for men with this condition.

– A

 

Greetings A,

Congratulations on seeing good changes in your curved penis after just two weeks. 

I suggest that you use more than one finger to increase or broaden the size of the fulcrum over which you are gently stretching the shaft; you might even use your thumb as a broader base.  I am concerned that you did not mention that you experience the familiar and desirable deep dull ache that is associated with effective penis stretching while applying a very gentle and variable fulcrum of traction to the involved tissue.  For this reason I suspect there might be something you are doing incorrectly with the technique.  I suggest that you again carefully watch the penis stretching technique CD and pay special attention to the instructions how to design and apply the various stretches. 

Strange that the urologist would not give you a diagnosis, but would discuss surgery as your only option and do it so early in your relationship.  My unsolicited opinion is that this kind of conduct and focus on cutting would not bode well for you.  Not to say you might not need surgery – that could be, and who am I to say since I did not examine you? – but I would be at least a little suspect of such an overly eager and thoughtless surgeon. From my experience in this regard, good surgeons are very selective and tend to be reluctant to operate, but are gifted when they do; eager surgeons are that way because their lack of skill and experience makes them hungry.  Too bad for the patients who encounter them.  

Based on feedback I receive from the field of men I work with, I know that the PDI gentle manual penis stretching technique definitely assists the process of Peyronies disease reversal and does help to some degree those men with a congenital curve.  In this latter case, persistence is needed and a light touch as well to make the tissue changes that are required.

Many men I work with who have Peyronie's disease after a month or two following a PDI treatment plan will notice improvement of the quality and duration of their erections.  This makes sense based on the improved vein closing that should take place when the scar material becomes smaller as a result of Peyronie's treatment.   So this particular comment you make in your report in some way suggestions you might have PD;  I do not know if this improved erection response would occur if your problem was purely congenital.

The variability of the curvature you report is interesting.  I hear back many stories like yours about slow but variable curve improvement over time, but not with as much detail as you have given me.  Thank you for that.  A even more common finding that is parallel to what you are reporting is the variability of the size, shape, density and surface features of the Peyronies plaque while undergoing PDI treatment.   I hear a lot of these reports, and this is always encouraging.  I suspect that certain common and mundane changes in your diet or activities of daily living cause your penis to display an increase or decrease of curvature.  By this I mean that there are many factors at play that influence the penis tissue as it is changing; it is not only the gentle manual stretching that affects these tissues of the body.  You probably should read chapter 5 of "Peyronie's Disease Handbook" to learn more about this.   Additionally, I suspect as your tissue responds to your stretching technique you will gradually notice that the curve pattern will smooth out into a flatter shape as you continue this work.  I suggest that you do a tracing of your curve every few days (and date each one) to see if you can detect a pattern of improvement.  Curves and angles are next to impossible to remember over time; having a tracing will document your progress and make it easy for you to note what you are working to accomplish when you might otherwise become discouraged.

I suggest that you use a fulcrum point based on the condition of curved penis each particular day; stretch as you find the curve each day, not how it was two weeks ago.

You are incorrect to use only the stretching work by itself.  You will get much better results when you incorporate other supporting therapies into a cohesive plan that supports healing and repair.   TRH

My Peyronies disease is worse after a series of Verapamil injections, what can I do?

Dr. Herazy,

I spoke with you some time ago about a treatment for Peyronie's disease. I have had my problem for 15 years. Until a few years ago I never even heard of PD. Doctors simply told me to give it time and see if it would go away. They didn't even tell me what it was.  When I finally was told of PD I tried verapamil injections and it made the problem worse (another large scar along the injection areas).  I do not have a curvature just two large scars and it causes pain and lack of elasticity. I would like to start a program(vitamins and Neprinol), plus the diet mentioned in the book.  Can you please recommend a starting course of action?

I am also very large(6'8" about 260 lbs) not heavy just tall. Regarding the diet, does the lack of meat intake include fish? I am not sure how my body will take such dietary restrictions.

One last thing, my scars never seem to change shape or texture like you mention in the book.  They are very solid.  Due to the length of time I have had this problem and the non changing scars, does this mean I need to manage my expectations?

Thank you!

Alex

 

Greetings Alex,

While the medical profession is supposed to discuss and explain everything about the diagnosis, treatment and prognosis of the condition for which treatment is being given, many doctors do not offer this basic level of care.   They rush in and rush out, don't they?  The kind of poor care you received for your Peyronie's disease is all too common.  

Your response to your verapamil injection series is not uncommon. Most often verapamil is injected in 5-10 different areas of the penis each time, over 8-12 different office visits; if this is true a man can receive up to 120 different injections into a rather small area of the shaft.  Repeated injections of any kind of drug when delivered into a small area of the shaft is traumatic to the tissue and can easily cause a scar response because it is just like any other injury that happens to the penis.  I have counseled with many MDs who wanted help when they developed Peyronies disease; as a group they all reject the idea of any kind of injections into the penis because they know it is traumatic to tissue, regardless of what drug might be injected.

There is no approved drug treatment of Peyronie's disease, so any time a doctor prescribes a drug it is an experiment.  Thus, many doctors have given up using drugs that do nothing, and resort to the old "give it some time while you do nothing and let's see what happens" treatment.  In the meantime a man gets worse and wastes valuable time and opportunity during which he could do many different things to try to increase his natural ability to heal and repair like the 50% of men whose PD just goes away on its own.  This is where the PDI treatment concept comes in.  All we suggest is that a man with PD attempts to increase his natural ability to eliminate his PD by using a wide variety of different natural therapies.  To start I suggest you review the information at "Start Peyronie's treatment," found toward the the top of the PDI home page.  

I speculate that your penis is straight because your two scars are balanced and causing equal stresses within the shaft, preventing you from having a curved penis when erect.   Still they cause after all these years pain and lack of elasticity, which is associated with the dense fibrous tissue irritating the soft tissue of the shaft. 

Yes, you can use fish as a protein source as suggested in the PDI diet.

I cannot comment with certainty about your scars not changing shape or density because I have not examined you.  However, you admit you have not formally determined the exact size, shape, density or surface features of your scars;  you are relying on your memory to judge if your scar has changed, and this is never as accurate as it needs to be when dealing with Peyronie's treatment.  For these reasons I take the position that you do not know with certainty if your scar is actually static or not.  Since so many men, and myself, have personally noted that their PD scars do change size, shape, density and surface features in response to changes in body chemistry, that you could be mistaken in regard to your scars.  This is exactly the reason it is critical that each man with Peyronie's disease clearly knows these various physical features of this scars so he can use this information to determine his immediate response to the self-administered treatment we suggest.  

Please let me know how I can be of help to you.  TRH 

Dilemma: I can’t find anyone who is skilled and has successfully performed Peyronies surgery

Hi Dr Herazy,

I have Peyronies disease, I have tried all sorts of oral medications to no affect. It has been over 2 years and I know psychologically I buried my head in the sand. It has caused major problems with my wife. The curvature is nearly at right angles making it nearly impossible to have sex. I still have sexual desire but that is about it.

I know the only way forward is surgery. My dilemma is finding someone who is not only skilled but has successfully performed this surgery.

I live in Sydney Australia if you can refer me to someone that I can see I would be greatly appreciated

Warm wishes,

David

 

Greetings David,

It appears to me you have not read much information available to you from the Peyronie's Disease Institute.

Why do you assume the  only option available to you for your Peyronie's disease is surgery?    If 50% of men who develop PD experience a spontaneous or natural  healing of their PD ("it goes away on its own"), why do you believe that your body would not be able to heal if you were to give yourself the best opportunity to recover by really concentrating your effort in that direction?   Many men have done just that.  Many men who I work with have had their Peyronies  problem for longer than just two years.  Many have had PD for 5-10 years, or more.  some get great recovery and reversal of their curved penis and reduction of the Peyronie's plaque, and others have only slight improvement.  The results are variable because each man conducts his plan a little differently and some do it better than others.

It should tell you something – it should ring out loud and clear – why are you having trouble finding anyone in your country who is skilled and successful in performing Peyronie's surgery.   When Peyronie's surgery goes bad, it can be a real catastrophe.   Since you have PD you already demonstrate the tendency and ability to create too much scar when you penis is injured.    Surgical work on this very same tissue can result in an even greater amount of scar formation.   This is the reason why I have so many MDs who contact me when they develop PD; they want nothing to do with surgery when it is their penis on the line.  Once you have been operated on, there is no way to truly reverse the effects of the first surgery.   Please be very careful who talk to about this kind of surgery and get a clear understanding of the kind of results they say you should expect. 

This is an article I wrote you might find helpful:  Peyronies surgery:  Finding a surgeon.

I suggest you spend time reading some of the ideas about working with Alternative Medicine to support your natural healing potential.  TRH

Any comments why my curved penis went away but I still have lost 3 inches?

Hello.  I am a 59 yo male who had a Peyronies episode 2 years ago…. curved penis… pain followed with erection.   The curve went to the left…but all of that has gone away.  BUT lost about 3 in in length.  Any thoughts on this?  Still can get erection, not a problem.  But miss the lost 3 in….BTW my name is John…and i live just over here in Elgin IL,  not to far from you in Palatine.  If you can help please let me know…Thanks

Greetings John,

Lost length is a very common part of having Peyronie's disease, perhaps even more common than curvature and distortion. 

You ask for my comments on your current situation.  You still have Peyronies disease, but more than likely your arrangement of internal Peyronies plaque is balanced and does cause incomplete filling of the penis chambers during erection, hence no curved penis.  It is also my opinion that you could develop curvature again if your internal scar changes so that it pulls in a different way.  Many men can go for years with a particular pattern of penile distortion, assuming that it is how their PD will be and then suddenly find themselves with a worsened distortion.  This is why you cannot assume  your straight erection will always be straight.  For this reason you would be wise to start treatment to correct as much of your problem as you can while you are straight.  I probably should also comment that lost length can and does return when men work to correct their Peyronie's disease.  Some men get it all back, and others only part of what was lost; it varies from man to man.   The return of lost length occurs when the fibrous tissue build up of the contracted scar material is reabsorbed by the body.  TRH

What are your thoughts on Pentoxyfilline for Peyronie’s disease treatment?

Hello Doctor,

I’ve been dealing with this crazy Peyronie’s condition for about 18 months. In that time, I’ve visited 4 different urologists. The first was when I first experienced mild pain in the left tip of my penis. The doctor diagnosed it as prostatitis and send me on my way with some antibiotics. A second urologist several months later diagnosed me with superficial vein thrombosis. Finally, several months after that, I was diagnosed by a third urologist with peyronie’s which seemed to appear as long bands of inflammation from the base of the penis to the tip on both sides. I was told surgery was the only option, and was sent on my way.

Not satisfied with the suggested treatment plan of surgery, I decided to surf the web and do my own research. I found a site that promoted Neprinol as the only known cure. So I bought into it. I think I tried 2 full months (9 pills a day). The only result was a substantial hit on my wallet. So I went back to the web and found another site (PeyroniesForum.net) where members talk about various treatment options. The consensus on the site was that Neprinol was in fact a huge scam, and I stopped using them. Members also praised the use of Pentoxyfiline as being an outstanding product for softening scar tissue and alleviating curved penis. So I went back to a fourth urologist and asked for a prescription, but was denied. Instead, i was recommended to try the Andropenis traction device.

I’ve been on the device for 5 full weeks now, but I think I’ve decided to stop. Your website recommends against it, as well as another site. My urologist described it as working in a manner opposite of what a Nesbit procedure would be. For instance, rather than shorten the penis on the site opposite the scar tissue, traction would elongate the scar tissue to correct curvature that way instead. Made sense to me at the time. But now it sounds as if traction does not work because it’s not really stretching the scar tissue, rather only healthy tissue.

So if I stop with traction, I’ll be happy to not deal with that contraption any longer. It reminded me of having my penis in a mousetrap for 9 hours a day. Not to mention I always worried about whether people could see it jutting out through my trousers at work, and despised having to take it off every two hours to relax. That’s not always easy in the middle of a busy work day.

In any case, I came across your web site again. I’ve decided I’m going to give your “Medium” package a try, so I placed an order. I admit I’m very reluctant because you seem to be a heavy proponent of Neprinol, and I’ve heard people state emphatically that the product is a scam. I also ordered your Handbook. It’s expensive, but maybe there’s something in it that I can learn.

I do have a few questions if you wouldn’t mind responding. Today, I have two “knots’ in my penis. One that feels about the size of a dime on the right size near the base of my penis. Another is about the same size, also on the right size, but towards the tip. But my penis bends to the left when flaccid (sometimes 10-20 degrees, sometimes 45 degrees like after masturbation), and I can’t figure that out. That’s seems counter to everything I’ve heard before, that the bend is on the same side as the plaque.  So if you have any insight as to why my bend is to the left when my plaque is on the right, I’d be very interested. Regardless, that leads to my first question, how will I know where to apply the topical treatments? Would I apply to the right side where the “knots” or “bumps” are located, or should I be looking somewhere on the left side for plaque? Or should I just apply the treatment to the entire penis shaft? Maybe directions come with the kit, but any advice you can share would be greatly appreciated.

Second, can you share your thoughts on Pentoxyfilline and it’s effectiveness for Peyronie’s. Not sure if I’m spelling that correctly.

Finally, who can I find a coupon code? I noticed when I placed the order for one medium package and one book, that there was a place to enter a coupon code. I did some web surfing to find a code, but was unable. If you can share a code, or apply a n appropriate discount to my order, I’d greatly appreciate that.

Hope you’re doing well. Looking forward to your thoughts.

Mike

Greetings Mike,

Thank you for your informative letter and specific questions.  I will reply with comments and answers in the order of your email.

There is no direct known cure for Peyronie’s disease.  Neprinol is not a cure, but is is not a scam.  In my opinion, after working with many hundreds of men from around the world who are undergoing Alternative Medicine treatment of Peyronie’s disease, I know Neprinol is an excellent enzyme product.   It cannot be counted on as a solo therapy for Peyronie’s disease since none of the products found on the PDI website are by themselves able to change the PD scar or plaque material.  None of the therapies found on the PDI website are good solo therapies – they all must be used as part of a larger plan to support the natural healing process that is the only known form of cure for Peyronie’s disease.   When Neprinol is combined properly and taken aggressively the results can be dramatic.  I do not know how any of the experts on the various Peyronies forums actually used Neprinol when they took it, but many times when I communicate with men about their failure with  Neprinol I learn that they “tried it for a few weeks and it did not work,” or “I took two pills a day and it did not work,” or some similar manner of use that is doomed from the start.   In order to get results from Neprinol it must be used correctly.  If you bought your Neprinol from PDI we warned you not to use it that way; if you bought it from someone who does not know anything about PD you did not get that kind of help so you would know better.  Peyronie’s disease is a tough and tenacious problem to treat.  I am not surprised at your lack of results after using Neprinol as a solo therapy.

Here is a simple example that just occurred to me about Neprinol and PD:   Beans are a great food.  I like beans.  But by itself beans make a lousy chili – it is just beans.  For a good chili you have to add meat, garlic, onions, tomatoes, lots of different spices and a few other items.  It is only by combining the beans with all the other ingredients that you create chili.  None of the ingredients by itself is chili.  It is in using the correct technique (there are rules for bringing the ingredients together, you cannot just throw everything into a pot) when you bring all these things together to develop the magic that becomes a great bowl of chili.  Same with combining Neprinol with the other things your body needs to help it overcome and correct your curved penis and Peyronie’s disease.  

Pentoxifylline is popular with some urologists and not so much with others.  I think that those who actually prescribe pentoxifylline do so because they are tired of dealing with the other drugs that do not work and only use this one because they do not know what else to use.   Perhaps I am being overly skeptical and blunt in my assessment.   Some time back I wrote two articles that might be helpful on this subject, Pentoxifylline, Niacin and Peyronie’s Disease and Pentoxifylline and Peyronie’s Disease Treatment

Every month I hear more horror stories about the mechanical penis stretcher devices.    You did not indicate what problems you were having that you wanted not to deal with it any longer, but it usually has to do with pain as well as skin abrasions and blisters, and the fact that it does not work for the large majority of men.

The two plaque or internal scars you have located do not explain your deviation to the left.  My experience is that Peyronie’s plaque are usually multiple.  I suspect that the two you have found on the right are not the only ones that you have.  I suspect you also have one or more plaque on the left that are far more aggressive and instrumental in distorting your penis that those you have found on the right.   Let me know if you need help locating the other scars and I will assist you.   If you can not locate those scars on the left that are causing your distortion pattern I suggest that you apply the therapy at the deepest or lowest point of your concavity on the left. You could apply the DMSO, Super CP Serum and Unique-E vitamin E oil to the entire shaft if you wanted to, but it is unnecessary and wasteful; be as specific as possible.   I trust that the detailed DMSO instructions you received with your order cleared up this point for you. 

When you received your order you were given information about the use of a discount code for subsequent orders.

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

 

What are your thoughts about Peyronie’s disease after second prostate biopsy?

I never had a problem with my penis til the last year. I am 63 yo, WM who has had two prostate biopsies over the last 6 yrs…each biopsy came back negative. After this second biopsy I notice my cock bends towards my tummy when erect and that it has lost about 3/4 of a inch…this is substantiated by my wife. Also, I have trouble obtaining and maintaining a erection even with the use of ED drugs.  Please help with your thoughts.

Thank you,

Peter Martin

Greetings Peter,

Your upward distortion and lost of penile length suggest the possibility of Peyronie's disease.  I suggest you have yourself examined to see if that is true or not.  I also suggest you go to a urologist different than the one who did the biopsies to assure a more non-biased and straightforward discussion.

Many men with Peyronie's disease develop it as a result of repeated catheterization associated with prostate surgery and biopsy.  Please refer to "Possible Peyronie's Cause:  Catheter and Cystoscopic Trauma."   Much abuse to the shaft and urethra can and does take place during these procedures and this could lead to Peyronies disease developing; since this traumatic effects tend to accumulate, all the more so.  

Further, repeated use of ED drugs (PDE5 inhibitors like Viagra, Cialis and Levitra) can also lead to a curved penis.  For more information you should read "Peyronies and Viagra" and "Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply."

There are some good things that Alternative Medicine can offer you in the way of Peyronie's treatment.  Please read the PDI website for information on a way out of using more drugs and procedures that can make your problem worse than it is now.   TRH  

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

Would PDI penis stretching technique help a congentially curved penis?

I've had a genetically caused curved penis all my life, but as far as I know, i don't have Peyronies scaring. Would your your penis stretching technique help my condition?


Greetings,

Please see my prior response to a similar question at, Stretching a Congenital Curved Penis.

In the last several weeks I have heard from a few more men who also have moderately bent penis they were born with – congenital curvature of the penis.  All have found improvement,e specially those who use Neprinol as part of the plan of care.   TRH

Is there a treatment to improve my Peyronie’s curved penis?

My pain and scar are gone.   However the curvature remains.  Is there a treatment to improve the curvature?  Thanks.

Greetings,

I am happy for your apparent progress over Peyronie's disease, although I think you are assuming too much. 

When you ask this kind of question it tells me that you think of your scar and curved penis as two separate things.  That is not the case.  The scar and curvature are directly related; the scar is causing the curvature, and without the scar you would not be bent.    The very best treatment, and the one that makes most sense to improve your curvature is to get rid of the cause.  In this case, the treatment to improve the curvature is to get rid of your Peyronie's scar.  

While I am sure you are correct that you have noticed reduction of your scar, and perhaps you are not even able to find your PD scar any longer, in order for your shaft to still display a curvature there still must be some remaining scar material present within the tunica albuginea.   Sometimes the scar that remains is so greatly reduced or perhaps deeper than you can easily locate, but something must be causing the penile deformity that you still exhibit.   If you did not have some Peyronie's plaque or scar still in the penis, there would be no explanation for the curvature. 

I suggest you stay on your treatment plan to get rid of your bent penis.  Perhaps vary your treatment a bit while still following the basic outline that brought you the significant reduction of the scar, so that you can totally eliminate the remainder of it and completely reverse your curvature. 

If you need help modifying your current plan to clean up the last part of your scar please send me the complete details of your current Peyronie's treatment plan and i will be happy to make a few suggestions to improve what you are doing.  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.   

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 Marital Aides.     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

Will the PDI Manual Stretching Technique help a congenital penis curvature?

My penis has a bend in it which is approximately 45 degrees to the left and upward. Its been this way as long as I can remember, Im now 50 years old. I have had no problems with sex and have two children. My wife is starting to have some issues, so I want to know if its Peyronies or something that Im born with. Will the stretching techniques be good for me or is there something else I should try?


Greetings,

There are a few things I do not understand in your question.

It is not fair to either of us to ask if you have Peyronie's disease based on the information you have presented.  Besides, I really do not understand what you mean when you say you have had a 45° bend for as long as you can remember.  Are you saying you believe you were born that way or are you saying that you have had a curved penis for a very long time?  

When you say your wife is starting to have some issues, what do you mean?   Are you having sexual difficulty because of reduced ability to achieve an erection?   Difficulty making penetration?   Reduced size issues that often are a part of Peyronie's disease?  You will have to be more specific.

The PDI gentle Manual Penis Stretching Technique was first tested on men with PD, not congenital curvature issues.  However, I have now hard back from men with congenital curvatures who have reported positive responses; some small and some great.    TRH   

Can I use the PDI manual penis stretching technique to cure my curvature?

Hi  Doctor,

I have a normally bent penis with a downward curve.  I have it from when I was a child.  There is no pain, just normal curve 30 degree.   Can I use the  PDI manual stretching CD to cure my curvature ??

 

Greetings,

Many men have a curved penis from birth; it is part of what makes you a unique person.

I have had reports from men who have used the manual penis stretching technique to safely and permanently change their normally curved penis.  You can read more about the CD that explains in detail how to use this special technique at Peyronie's Disease Institute Manual Penis Stretching Method©

Keep in mind that your bent penis is a normal condition for you, even though it is 30 degrees.  Your improvement might be less than complete straightening, or it could be complete, there is no way to know ahead of time until you try it.   Please let me know how it goes for you.  TRH 

Why Is My Penis Curved?

How to straighten a penis

What a terrible shock to realize, “My penis is curved.” 

But then you must ask, “How did that happen, and what is going on down there?  And the most important question to Google, “How to straighten my penis?”

Of several causes of a curved penis, the most common and difficult to deal with is Peyronie’s disease.  

Peyronie’s disease is a condition that occurs in about 6-10% of men over the age of 40 (although it can affect teenagers and men in their early 20s) in which a dense and thick mass of fibrous tissue, called a Peyronie’s plaque or scar, is found within the tunica albuginea layer of the penis.  The presence of this fibrous nodule or band  under the skin of the penis prevents the normal expansion of the chambers of the penis during an erection.  This causes the erection to be curved, bent, hinged, or to take on an hourglass or bottleneck distortion.

Please visit Peyronie’s symptoms to view the Peyronie’s pictures of curved penis to determine if you might have this condition.  It is always advisable to have a complete examination by a physician to make an accurate diagnosis of Peyronie’s disease.  Do not think you can self-diagnose this problem.

The problem of Peyronie’s disease is not that you have a curved penis; the penile curvature is just the outward appearance of the actual problem that is found below the skin surface.  The real problem is the Peyronie’s plaque found deeper in the tunica albuginea causing incomplete filling of the penile chambers.  For this reason any treatment that is only directed to making the penis straight, without removing the PD plaque, will not be successful.

If a man knows he has Peyronie’s disease he should also know the problem is that his body produced excessive scar tissue or plaque in response to a small injury or inflammation of the deep penile tissue layer.  While the Peyronie’s Disease Institute does not take a position against Peyronie’s surgery, we feel too many men resort to penis surgery far too soon before trying conservative treatment.   Our objection to Peyronie’s surgery is that when a surgeon cuts that same tissue that has the plaque material in it puts stitches into it, what prevents additional scar formation from occurring?  The very real chance that more scar tissue will result is the reason many urologists and surgeons take a position against all Peyronie’s surgery.

Peyronie’s Disease Institute has educated men since 2002 about the use of Alternative Medicine to assist the body to heal the Peyronie’s plaque.  Fifty percent of men naturally recover from Peyronie’s disease without any help or outside intervention.  Our approach is to assist each man to increase his chance to heal naturally like those in that lucky 50% group. So if you are one who has said in shock, “Why is my penis curved,” and “How to straighten your penis,”  now you know. 

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

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 claiming that penis extender devices can correct penile curvature. Any man who faces penis surgery because of Peyronies wants to believe this is true. For this reason the penis extender companies are offering hope to these men at a time when they are most vulnerable.
Penis extender is an advertising term used for a mechanical device that was originally designed and intended 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; any change these devices make are rather temporary.

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 pe

buy soft cialis

nis 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.
zp8497586rq

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 them 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.

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.

Disorders of the Penis besides Peyronie’s Disease

Penile conditions, other than the curved penis of Peyronie’s disease

There are additional problems of the penis that can develop while a man treats his Peyronie’s disease.  There are not many additional problems, but all can complicate your life more than you need at this time.

Priapism

Priapism is a persistent, often painful erection that is not associated with sexual activity and is not relieved by orgasm, lasting from a few hours to a few days.  In priapism blood enters the penis but does not leave, thus the erection is maintained.   The more common causes of priapism:

  • Penile injections, as verapamil, collagenase, steroids or interferon-alpha-2b
  • Drugs, such as anesthetics, antidepressants and blood pressure medications
  • Alcohol or drug abuse, especially cocaine
  • Spinal cord disease
  • Injury to the genitals
  • Blood diseases, including leukemia and sickle cell anemia

Rapid treatment for priapism is important, even without Peyronie’s disease present, because a prolonged erection can result in tissue destruction by reducing blood flow and lead to scar formation. Treatment involves removing trapped blood with a needle placed in the corpora cavernosae, as well as treating any underlying medical condition or substance abuse problem that might be present.

Balanitis

Balanitis is an inflammation of the foreskin, or skin covering the head of the penis.   Symptoms are redness, swelling, itching, rash, pain and a foul-smelling discharge in the area of the foreskin.   Balanoposthitis is a similar condition in which the glans (penis head) and foreskin are inflamed and present similar symptoms.   Both problems can occur in men or boys who are uncircumcised (foreskin has not been surgically removed).  If an uncircumcised male does not wash under the foreskin regularly, then sweat, debris, urine, dead skin cells and bacteria will collect under the foreskin and cause irritation.    Other common causes include:

  • Infection – local or systemic infection with candida albicans, the yeast responsible for thrush, can result in an intensely itchy and scaly rash.  Several sexually transmitted diseases (STD), gonorrhea, herpes and syphilis can also produce balanitis in addition to their unique infections that affect other parts of the body.
  • Dermatitis/allergy Dermatitis is any inflammation of the skin often caused by contact with an allergen or irritating substance. Sensitivity to even a small amount of certain chemicals in  soaps, detergents, perfumes and spermicidal preparations can cause balanitis.
  • Diabetes – When a diabetic has glucose (sugar) in the urine, this can be trapped under the foreskin and acts a rich breeding medium for many bacteria.

Treatment of balanitis depends on determining the underlying cause, improved hygiene and perhaps  circumcision if the balanitis cannot be controlled in any other way.

Phimosis and paraphimosis

Phimosis is a medical problem in which the foreskin (prepuce)of the penis is so tight, preventing it from being pulled back or retracted from the head of the penis.  Paraphimosis is a medical emergency in which the foreskin is stuck, after being rolled back or retracted, and cannot be slid back to its usual position over the head of the penis.

Phimosis is most often observed in children, and may be present even at birth.  When it occurs in an adult male it is usually caused by an infection of the reproductive tract, or scar tissue that formed as a result of injury or chronic inflammation of the prepuce.   Phimosis can also be caused by balanitis when it causes the foreskin to the scarred or tight around the head of the penis.  Immediate medical care is required if phimosis makes urination difficult or impossible.

Paraphimosis is a medical emergency because serious complications can arise if it is not treated. Paraphimosis may occur after sexual activity, a nocturnal or typical daily erection, or after trauma to the head of the penis, leading to pain and swelling, and impair blood flow. When extreme, this reduced blood flow can result in death of the penile tissue (gangrene), making amputation of the penis necessary.

Treatment of phimosis may only require gentle manual stretching of the foreskin repeated daily over a period of time.  Circumcision is often used to treat phimosis.  When the phimosis has gone on a long time the prepuce sometimes adheres to the glans.  When this happens, a surgical procedure called preputioplasty is used to separate the foreskin from the glans.

Treatment of paraphimosis focuses on rapidly reducing the swelling of the glans and foreskin, using ice and pressure applied to the head of the penis. If these simple measures are unsuccessful, an injection of medication can be used to drain the inflammation and blood from the penis, or small cuts in the foreskin are made by a surgeon to release the prepuce from behind the glans.

Penile cancer

Penile cancer is a rare form of the disease.  While the exact cause of penile cancer remains unknown, certain risk factors for cancer are known, including:

  • Phimosis – Tight foreskin that is constricted and difficult to retract, discussed above.
  • Uncircumcised penis – Men who are not circumcised are at higher risk for cancer of the penis.
  • Smegma – Natural oily secretions from the skin of the prepuce can accumulate if not cleaned daily.   If allowed to collect under the foreskin, this results in thick, cheesy white, bad-smelling substance, known as smegma.   Smegma by itself is irritation to the prepuce and lead to inflammation and a host of other problems.
  • Human papillomavirus (HPV) infection – More than 70 types of  human papillomaviruses can cause warts (papillomas).   Only a few of these HPVs infect the reproductive organs and the anal area, being passed as a STD from one person to another.
  • Smoking –Cigarette smoking brings many cancer-causing chemicals into the blood stream  that affect more than the lungs.
  • Psoriasis treatment – The medication and ultraviolet light used to treat can cause penile cancer.
  • Age – Penile cancer occurs most commonly in men after age 50.

Common symptoms of penile cancer are sores or unusual growths on any area of the penis, abnormal discharge from the penis, and bleeding.  Surgery or radiation is commonly used to remove the cancer from the penis.

Since 2002 PDI has advocated Alternative Medicine Peyronie’s treatment options to avoid any of these complications that compromise penis health.

Fix Penis Curvature

How to straighten curvature of penis

For most, the main focus of Peyronie’s disease treatment is primarily to fix penis curvature or whatever distortion might exist.  However, this is not the best goal to have when you want to get fix your bent or curved penis.

The primary goal of Peyronies treatment should be elimination of the internal scar (Peyronie’s plaque material) that causes a curved penis to develop in the first place – not to fix penis curvature.  Although the most obvious aspect of Peyronie’s disease is the curved penis, it is not the actual problem.  Using penile curvature to determine success of any Peyronie’s disease treatment is unwise and counter-productive since it is not the real problem.

Healthy internal tissue of the penis is able to fill, trap and expand as blood enters it for a normal erection to develop. In Peyronie's disease one or more areas of a layer of tissue known as the tunica albuginea develop a dense and inelastic fibrous scar tissue or Peyronie’s plaque.  During a normal erection the slightly elastic tunica albuginea will stretch and expand evenly in all directions.  But when a man has Peyronies disease expansion is limited because the tunica albuginea contains fibrous tissue, resulting in a curved penis.

Peyronie’s disease usually begins as a small internal nodule or band of fibrous tissue on the top or sides of the penis, within the tunica albuginea.  A few weeks to a year later, this fibrous nodule can develop into a larger irregular plaque of variable size, shape, density and surface quality.  The Peyronie’s plaque can be as long as the penis and sometimes surrounds the penis, creating an hourglass indentation around the shaft. Some are one large mass, while others are small isolated islands of fibrous tissue in many areas. Scars can be so soft and small, with edges so tapered and vague, that no scar can be found.  When no Peyronie’s plaque or scar can be found it is assumed to exist when a curved penis develops during erection.

Peyronie’s disease causes penile curvature because the inflexible fibrous tissue of the Peyronie plaque prevents incomplete filling as an erection develops or by pulling unevenly on those same internal tissues.  The location and degree to which this poor filling and internal tug-of-war takes place is different from man to man, and so the bends and distortions are also different.  At times a small internal scar can cause a great amount of distortion and poor erection quality, just as a large scar can cause very little problem.  In other words, the scar size does not determine the degree of problem that is observed.  Sometimes as a Peyronie’s plaque or scar increases or decreases, the distortion can get either better or worse; many times the degree of penile curvature does not indicate the severity of the Peyronies plaque or the success of Peyronies disease treatment.  For this reason, the true measurement of success of Peyronies treatment should be determined by the reduction of the Peyronies plaque or scar.  Once the fibrous plaque material reduces in size, shape, density or surface quality, only then can improvement of the curved penis or reduced erection strength be expected in time.

Fix penis distortion by treating the Peyronie’s plaque

A curved penis that suddenly appears one day might be difficult to ignore, but it is only a symptom of the real problem of Peyronie’s disease that lies below the surface – the fibrous scar in the tunica albuginea.  Without that Peyronies scar there would be no curved penis; because it is the cause of the distortion it should be the only way that treatment success is determined.

Evaluating progress of a Peyronie's therapy plan can be difficult, if not impossible, if only paying attention to a curved penis.  A small scar – or a scar that is getting smaller – can cause a large penis curvature.  A large scar – or a scar that is getting larger – can cause no bend at all if it is balanced by other scars that are applying a symmetrical force.  Making matters more complicated, a man can have many more scars than he can locate because the often overlap.  Thus, it happens that a curved penis can worsen as the scar is actually being reduced or eliminated.

When only one scar is present the curvature problem is direct and easy to understand, although this is uncommon.  More commonly multiple scars cause internal pulling and twisting that create complicated distortions that can worsen as the scars become smaller.   Several scars can interact on many planes of internal penile tissue.   Any significant reduction in one or more scar will alter the internal tension on the tissues, resulting in an altered curvature.  Because there is no guarantee the curvature will improve initially, 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 Peyronie’s plaque structure below the surface.

Do not be discouraged as you try to fix the penis curvature related to Peyronie’s disease.  Instead, look for changes in the size, shape, density and surface qualities as you continue your Peyronie’s disease treatment.

Penis Stretcher: Big problem as Peyronie’s Treatment

Question safety and effectiveness of mechanical penis stretcher

I closely monitor all aspects of Peyronie’s disease treatment.  On July 27, 2010, I received the following news release from the Food and Drug Administration.  This information is of vital importance to any man who has Peyronie’s disease and has considered using a mechanical penis stretcher for this curved penis problem.

Please carefully read the last sentence of the last paragraph of the FDA release since I will discuss that sentence in particular:

News & Events

FDA NEWS RELEASE

For Immediate Release: July 27, 2010
Media Inquiries: Erica Jefferson, 301-796-4988
Consumer Inquiries: 888-INFO-FDA

Federal Agents Seize FastSize Extenders and FastSize EQM Erectile Quality Monitors
Unapproved devices are adulterated and misbranded; safety and efficacy not established

At the request of the U.S. Food and Drug Administration, U.S. Marshals today seized $346,954.43 worth of FastSize Extender devices and FastSize EQM Erectile Quality Monitor devices, as well as component parts used in the manufacture of the FastSize Extender. The FastSize Extender and the FastSize EQM Erectile Quality Monitor are manufactured and distributed by FastSize, LLC of Aliso Viejo, Calif.

The FastSize Extender and the FastSize EQM Erectile Quality Monitor are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements. The seizure warrant was issued by the U.S. District Court for the Central District of California.

The FastSize EQM Erectile Quality Monitor device was promoted to measure penile axial rigidity (intercavernosal pressure) and to aid in the diagnosis of health related issues such as diabetes, high blood pressure, and heart disease. The FastSize Extender device was promoted to gain length, girth, and overall penile health improvement and to correct penile deformity caused by Peyronie’s disease. Because the devices are intended to diagnosis, cure, mitigate, treat or prevent diseases, they are subject to the regulatory authority of the FDA. The devices do not have approved applications for premarket approval for these uses.

During a recent inspection of the FastSize LLC manufacturing facility, inspectors noted significant deviations from cGMP regulations. Additionally, the devices are not properly listed with the FDA as required by law, and the firm failed or refused to furnish materials or information regarding the devices to federal inspectors as required under the Medical Device Reporting regulation.

Three important issues come to mind about this penis stretcher:

1.    Seizure of more than a third of a million dollars worth of property is a serious action for the FDA to take.  It indicates they acted in accordance with strong evidence against the FastSize Extender manufacturer to immediately stop any further sales of this product.  This is not just a slap on the wrist over a difference of opinion or a minor offense; this suggests the FDA encountered a major problem with the FastSize Extender.  Perhaps they had reason to think they would not be cooperative or forthright if they were otherwise simply asked to stop selling this device to the public.

2.    Although the news release does not go into detail about the deviations from current Good Manufacturing Practices problems encountered by the FDA inspectors, it could possibly do with sanitation or material and assembly quality issues.  None of this should make anyone feel good who has used this product in the past.

3.    The first sentence of the second paragraph, in which the FDA says. “…The FastSize Extender…are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements…” caught my interest.  I wanted to know more about what these “other things” might be.  For this reason I called the FDA spokesperson who wrote this FDA news release, Erica Jefferson,  to learn what she did not report concerning these “other things” that were a problem with the FastSize Extender.  I specifically asked her in a telephone conversation about details concerning the safety of this product and what is called efficacy (the ability to produce the desired result) meaning, the ability of the FastSize Extender to reduce the penile curvature of Peyronie’s disease.  In an email on 7-28-10 Ms Jefferson replied to me:

Dear Dr. Herazy,

Thanks for your call. So, I checked in with our compliance folks and as the release points out, the FastSize Extender has no approved application for premarket approval in effect (pursuant to 21 U.S.C. 360e(a) of the Federal Food, Drug, and Cosmetic Act), thus, there is no assurance that the device is safe and effective for its intended uses.

Regards,

Erica

Erica V. Jefferson
Press Officer
Office of Public Affairs
U.S. Food and Drug Administration
office: 301-796-4988
cell:  240-753-3047
fax:  301-847-3536
email: Erica.Jefferson@fda.hhs.gov

So, apparently these “other things” are the fact that in spite of the extensive advertising about how great the FastSize Extender is to treat PD, the manufacturer has no proof that it is safe or effective.  No additional details were available about the safety issues.

If the manufacturer actually had any data or information to prove the FastSize Extender was safe or that it had efficacy (effectiveness) to treat Peyronie’s disease, you can rest assured they would have completed the necessary applications for premarket approval from the FDA.  It is reasonable to assume that they did not complete the required forms because they could not prove the safety or the ability to help treat Peyronie’s disease.

Mechanical penis stretcher not a Peyronie’s treatment

For years now this blog has addressed the problems of these mechanical penis stretching devices.  To read a past blog about this subject, go to Peyronie’s disease and the penis stretcher.   Many men have told me their PD started after they injured themselves with a mechanical penis stretching device; therefore, it does not make sense to me that this same device could actually help PD.

Please keep this FDA news release in mind the next time you see one of those slick ads promoting a mechanical penis stretcher.  It looks like the government is starting to crack down on these folks.

Let me know what you think about this FDA announcement, and let me know your experiences with a mechanical penis stretcher.

Peyronie’s Treatment and a Crying Baby

Peyronie’s disease treatment requires a variable approach

Peyronie’s treatment is a lot like caring for a crying infant.

If you have never had to care for an infant it is necessary to understand that, regardless of what the adult might think about solving the problem of a crying baby, it is the baby who will ultimately determine how a situation is handled and a problem is solved.

The adult might have a certain idea in mind to stop a baby from crying, but to be successful the solution must be in agreement with what is wrong with the baby. It is the baby who will eventually dictate how the problem should be addressed because the baby has needs that must be met, regardless of any adult preconceptions

  • If it is a wet diaper that makes a baby cry, what good is it for the adult to feed the baby?
  • If the baby is frightened, what good is it for the adult to change the baby’s diaper?
  • If the baby wants to eat a lot, what good is it for the adult to feed the baby only a little?

The wise adult will listen to the baby and watch for clues, and act accordingly.

Peyronie’s disease treatment

What was said of the baby is also true of your treatment of the Peyronie’s disease plaque.

  • If you think a high price mechanical penis stretcher will somehow solve your curved penis like straightening out a bent paperclip, I can assure you that your penis is not a paperclip and will not respond like one.
  • If you are convinced that taking vitamin E for a few weeks should help your Peyronie’s problem, but you are actually deficient in MSM, acetyl-L-carnitine, PABA and systemic enzymes, then you will be disappointed.

To be effective, your Peyronie’s treatment must be directed toward what your body needs to heal and repair the Peyronie’s plaque.  In other words, to be successful your Peyronie’s disease treatment philosophy must be correct and directed toward what is actually wrong in your body.

Monitor Peyronie’s plaque to guide treatment

If you know the exact size, shape, density and surface characteristics of each of your PD scars, you will know when your treatment is being effective because one or more of these findings will change as you alter your treatment plan.  Without this exact information about your scar you are only guessing if your treatment plan will work.

For more information about this vital process for successful Peyronie’s disease treatment, go to “Peyronie’s Disease Handbook.”

Why is My Penis Curved?

Might not need to straighten your penile curvature

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

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

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

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

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

Straighten your penis sometimes unnecessary

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

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

Straighten Your Penis

How to straighten your penis naturally and gently

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

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

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

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

Using Alternative Medicine to straighten your penis

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

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

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

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

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

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

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

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.

Channel Blockers and Peyronie’s Disease

Peyronie’s disease and Verapamil

Calcium channel blockers, or calcium antagonists, are a class of medications as well as natural substances (D-glucaric acid) that disrupt calcium ion conduction along what are known as the calcium channels of the body.

While some doctors use calcium channel blockers to treat Peyronie’s disease, there are researchers who have evidence that these very same calcium channel blockers can actually cause Peyronie’s disease.  This shows how strange and up-side-down is the world of Peyronie’s disease treatment.

The most widespread prescription use of calcium channel blockers is to reduce elevated blood pressure in patients with essential hypertension, particularly elderly patients.  Calcium channel blockers are notably effective to reduce large blood vessel stiffness, a common cause of elevated systolic blood pressure in geriatric patients.  They are also used to control and reduce rapid heart rate, prevent spasms of brain blood vessels and reduce chest pain due to angina pectoris.

Calcium channel blockers, or calcium antagonists, also treat a variety of conditions, such as Peyronie’s disease, high blood pressure, subarachnoid hemorrhage, migraines and Raynaud's disease.

All tissue of the body requires oxygen, and the heart muscles in particular need oxygen to pump blood.  The faster and harder the heart pumps blood, the more oxygen it needs. Heart pain occurs when the amount of oxygen available to the heart muscle walls is inadequate for the work load of the heart.  Calcium channel blockers dilate the large arteries that supply blood to the heart muscles, and thereby reduce the pressure within those arteries. This action reduces the stress on the heart muscles and reduces the need for oxygen at the same time, thus reducing angina pain. In similar mechanism, calcium channel blockers reduced elevated blood pressure, and slow the rate at which the heart beats in a condition known as tachycardia.

Peyronie’s treatment with verapamil

One type of calcium channel blocker known as a phenylalkylamine calcium channel blockers, is called Verapamil.  It is used in the treatment of Peyronie’s disease because it is thought to be effective in disrupting the calcium ions found within the Peyronie’s plaque, thus slowing or reversing the development of the offending plaque material that is the cause of the notorious Peyronie’s curved penis.

Peyronie's disease is a complex health condition without a known cause that affects nearly 4-6 percent of the worldwide male population.  It is best characterized by the development of internal fibrous plaque material below the surface of the penile shaft that results in curvature of the penis, as well as pain.  Peyronie’s disease typically on average at age 54, yet men of all ages (from 16 to 80) can and do  develop it for reasons that are not consist or clear.

Some medical doctors prescribe a topical gel of the calcium channel blocker, Verapamil to be applied once or twice daily over the area of the Peyronie’s plaque.  Since it is thought that calcium channel blockers change the way that calcium is bound within the plaque, that it might slow or reverse the development of Peyronie’s disease.  While this form of treatment has not proven especially effective, and has fallen out of general favor, other medical doctors attempt a more direct route of administration by injecting Verapamil directly into the plaque material of the penis.  This can be a rather painful treatment, and is often given in series of 12 to 20 injections over time.  Verapamil injections have not proven to be especially effective, either, yet remain on the list of medical therapies because it offers some avenue of treatment for both patient and doctor who do not have much medical treatment available for this troublesome and persistent problem.

Danger of Verapamil injections into the Peyronie’s plaque

In addition to the problem of inconclusive results and lack of support within the medical community for the use of Verapamil drug injections as a Peyronie’s disease treatment, there is also the vexing problem of trauma to the delicate tunica albuginea by repeated piercing of these multiple injections.

While there is still debate if calcium channel blockers actually cause Peyronie’s disease in healthy men, as well as if it can be used to treat Peyronie’s disease in those men who have it, the use of verapamil appears to be reducing if only because of discouraging clinical outcomes.

The Peyronie’s Disease Institute has maintained since 2002 that it makes sense to attempt to restore and support the natural healing ability of the body to correct Peyronie’s disease as occurs in about 50 percent of men who develop this condition. Read how you can use many Peyronie’s disease natural treatment options to help your body heal and repair without risk or danger of unnecessary drugs or surgery.

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.

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.

My Penis is Curved

How to straighten a penis

What a shock when you realize, “My penis is curved.  How did that happen, and what is going on down there?"  And the most important question to Google, "How to straighten my penis?”

While there are several other causes of a curved penis to suddenly happen, the most common one, and the most difficult one to deal with is Peyronie’s disease.   Peyronie’s disease is a condition that occurs in about 6-10% of men over the age of 40 (although it can affect teenagers and men in their early 20s) in which a dense and thick mass of fibrous tissue, called a Peyronie’s plaque or scar, is found within the tunica albuginea layer on the inside of the penis.  The presence of a nodule or band of fibrous tissue under the skin of the penis will prevent the normal expansion of the chambers of the penis during an erection.  This causes the erection to be distorted resulting in a curve, bend, hinge, hourglass or bottleneck distortion.

To assist you to determine if you have PD, please visit Peyronie’s symptoms and check out some of the Peyronie’s pictures of curved penis.  It is necessary for anyone who thinks he might have Peyronie’s disease to go to his doctor to have a complete examination so an accurate diagnosis can be made. Do not make the mistake to think you can self-diagnose this problem.

It is important to remember that the problem of Peyronie’s disease is not that you have a curved penis.  The problem is actually the Peyronie’s scar that is present within the deep tissue of the tunica albuginea causing incomplete filling of the penile chambers, resulting in the curved penis that got your attention.  For this reason any treatment that is directed solely at trying to make the penis straight without removing or eliminating the PD plaque will not be successful.

While the Peyronie’s Disease Institute does not take a position against Peyronie’s surgery, we feel too many men resort to penis surgery far too soon before trying conservative treatment.   If a man knows he has Peyronie’s disease he should also know the problem is that his body produced excessive scar tissue or plaque in response to a small injury or inflammation of the deep penile tissue layer.  What does he assume will happen to that same tissue when a surgeon cuts that same tissue and also tugs on it, stretches it, and put stitches into it during the course of Peyronie’s surgery?  There is a very good chance that more excessive scar tissue will result.  This is why many urologists and surgeons take a position against all Peyronie’s surgery.

Since 2002 the Peyronie’s Disease Institute has educated men about the use of Alternative Medicine to assist the body to heal the Peyronie’s plaque.  Fifty percent of men naturally recover from Peyronie’s disease without any help or outside intervention; the problem just goes away on its own like any other health problem should.  Our approach is to assist each man to enable his body to heal naturally like those in that lucky 50% group.

So if you are one of us who has said in shock, “My penis is curved,” you now know what to do about it.  Learn more about Peyronie’s disease treatment with Alternative Medicine. Another good source of information is the Peyronie’s Disease Handbook.

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.

Penis Surgery to Treat Peyronie’s Plaque

Peyronie’s surgery from correction to amputation

It is not uncommon for a man to learn that he has Peyronie’s disease and to have his doctor immediately recommend penis surgery to attempt to remove the Peyronie’s plaque or straightened his curved penis.

When faced with even a mild degree of penis curvature someone might think that penile surgery is the only treatment option.   It seems to me from my perspective in talking to a dozen men each week about their history with Peyronie’s disease that many of them are given strong pressure to have surgery far too early in the process.

It seems they are not being told that many who undergo penis surgery end up with numerous side effects like pain, numbness or loss of all sensation of the penis, additional loss of length and girth greater than their PD gave to them, greater curvature than their PD gave to them, and total impotence or inability to develop an erection.   I frequently communicate with men who have more pain, distortion and loss of sexual ability after penile surgery than before it.

In a desperate effort to satisfy their sexual partner, and under false expectation of how easy and safe the surgery will be, men sometimes make matters worse with Peyronie’s disease surgery.  Worse yet, it often happens that a man will have a second Peyronie’s surgery to correct the errors and problems created by the first Peyronie’s surgery – only to have even greater problems after the second surgical attempt.

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

Peyronie’s surgery to the extreme

The worse case of failed Peyronie’s disease surgery I ever spoke to occurred sometime in 2006.  I received a phone call from a man who asked if I guaranteed the treatment we present in the PDI website.  I told him that no medical procedure or therapy is ever guaranteed – even aspirin.  I said there is no such thing as a medical guarantee provided anywhere in the world because of the complexity of human physiology.  I asked him why he was interested in a guarantee.  He said he was desperate for something to help his terribly curved penis that had gotten progressively worse after each of three separate penis surgeries.  He said he was scheduled to have his fourth penis surgery in two weeks, but he would cancel that surgery if I could give him a guarantee that the PDI process would correct his problem.  I told him I was sorry that I could not make such a guarantee, and said I doubted his surgeon was going to guarantee the next operation.  He corrected me.  He told me that the next surgery was going to “fix’ his problem because the next operation was for the surgeon to amputate – completely cut off – his penis!

He went on to explain that his penis was now just a tiny two inch mass of twisted scar tissue; he had no feeling in his penis; for the last two years when he urinated he would get his abdomen wet; his wife was long gone and he felt that suicide was his only other option, so having his penis cut off made sense to him.

I was shocked.   Just as I was starting to explain that I could not guarantee his results at this late stage in his problem I heard a click, and the phone was silent.  The entire conversation took less than five minutes, but it was the most powerful discussion I have ever had with any of my Peyronie’s men.  I will never forget the empty and desperate tone of his voice.

Penis surgery for a man who already has Peyronie’s disease presents a greater risk than for someone who does not have a Peyronies problem:

  1. High degree contracture due to fibrous tissue buildup, resulting in greater curvature than prior to surgery.
  2. Greater chance for numbness or total loss of sensation, or Peyronie’s pain,
  3. Greater chance for impotence.

Start with conservative Peyronie’s treatment, then penis surgery if necessary

I am not saying that a bad outcome will happen to all men who have Peyronie’s surgery, but it can and does happen so the possibility should be clearly kept in mind before rushing into surgery.    Every day I hear from men who tell me their doctor on the first visit suggested penis surgery to “correct” their Peyronie’s disease.

It is my opinion that it is safer and wiser to take a more conservative route of care using the Alternative Medicine form of natural Peyronie’s treatment options that have been presented here since 2002, before considering surgery.

How to Straighten a Curved Penis

Penile curvature and Peyronie's disease

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

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

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

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

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

Lifelong curved penis

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

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

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

Straighten a curved penis due to Peyronie’s disease

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

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

Difficulty Finding the Peyronie’s Plaque

Peyronie’s disease plaque

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

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

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

The mystery of Peyronie’s disease

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

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

Location of Peyronie’s plaque suggested by penile curvature

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

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

Peyronies plaque is elusive

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

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

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

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

1. Small – it cannot be found

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

3. Deep – it cannot be reached easily

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

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

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

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

Curved Penis and Peyronie’s Disease

Can a curved penis be normal?

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

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

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

Causes of a normally curved penis

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

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

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

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

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

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

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

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

Peyronie’s Disease and Masturbation

Masturbation prominently factors into Peyronie’s disease.   A man will either cause his own Peyronie’s problem when he abusively or violently masturbates , or later as he attempts to cope with the growing sexual frustration and limitation created by  the curved penis of his Peyronie’s disease.

Masturbation is the self-stimulation of the female or male genitals to arouse sexual pleasure, usually to the point of orgasm or sexual climax.  It is commonly performed by touching, stroking, or in some way pleasurably stimulating the penis or clitoris until orgasm occurs.

Peyronie’s disease intersects with masturbation in particular for several reasons:

  1. Older boys and men of all ages can injure themselves during rough masturbation rituals with the potential to lead to Peyronie’s disease, especially if genetically predisposed to develop PD.
  2. Men who are unable or too embarrassed to expose their deformity to their sexual partner often resort to masturbation to release sexual tension, and perhaps in a negative mindset will be abusive to themselves.
  3. Men who are unable to engage in sexual intercourse because of severe penile distortions can receive masturbation from them partner as a way to share sexual pleasure, serving as a substitute for traditional intercourse.
  4. Women who are denied sexual intercourse because of a partner’s severe penile distortion or erectile dysfunction related to Peyronie’s disease can be masturbated as a way to share sexual pleasure, as a substitute for traditional intercourse.
  5. Women who are denied sexual intercourse because of her partner’s emotional and physical withdrawal, thus isolated from the man with Peyronie’s disease, can use masturbation to release sexual tension while he is working out his own problems.

General masturbation comments

At one time or another or all life long, just about everyone masturbates – male and female.  It is an extremely common behavior, even among people with access to sexual intercourse and other erotic outlets with a partner. While in one national study 95% of males and 89% of females reported they have masturbated, those who reported they had never masturbated admitted they would be reluctant to admit it if they did – thus these numbers are probably low.

For young children masturbation is a normal part of youthful exploration, often becoming the first sexual act. Most people continue to masturbate in adulthood, and many do so throughout their lives.  The most common explanation given why people limit or avoid masturbation is the shame and guilt that arises from religious and societal pressure.

Once regarded as a perversion and sign of a mental problem, masturbation is now seen as a normal, healthy sexual activity that is pleasant, fulfilling, acceptable, and safe. Masturbation is only considered a problem under certain circumstances:

  1. Directly or indirectly inhibits sexual activity with a partner.
  2. Causes significant distress if done compulsively and uncontrollably, against the greater desire of the individual to stop.
  3. Interferes with daily activities of life.
  4. Compulsively done in public or at socially inappropriate times.

No longer considered as being harmful, masturbation is thought to improve sexual health and interpersonal relationships, if after learning what is personally pleasurable this knowledge is shared with a partner.  Especially in the situation of Peyronie’s disease many partners use mutual masturbation to develop and refine techniques for a more satisfying sexual relationship, when more traditional sexual outlets are not an option.

Masturbation can contribute to sexual dysfunction in Peyronie’s disease

Men who habitually masturbate in ways that are not common with a sex partner – employing mechanical measures that produce an unusually intense stimulus, stroking with great pressure or unnatural friction, resulting in soft tissue damage of the penis – can become so accustomed and dependent on that particular level or type of stimulus that partner-sex becomes insufficient for sexual arousal and leads to retarded ejaculation.  When a man experiences this sexual dysfunction he finds it difficult or even impossible to climax during more conventional partnered sex.

Michael A. Perelman, PhD, clinical associate professor of psychiatry, reproductive medicine, and urology at Weill Cornell Medical College in New York City and the president of the Society for Sex Therapy and Research states, “Any man experiencing any sexual dysfunction should ask himself if he’s masturbating in ways that produce sensations that differ from those he gets from his partner’s hand, mouth, or vagina.  If so, then he should consider what he could say to her to make the stimulation more similar — and how he could change the way he masturbates to make it feel more similar to what his partner does.”

Safe masturbation in Peyronie’s disease

Generally, the best and safest masturbation you can enjoy by yourself or with a partner is that which is most like vaginal stimulation.  This can be as simple as using the hand in a fist to surround the erection while applying upward and downward stroking, oral stimulus, or sex toys that feel like a vagina.   This kind of masturbation is therapeutic once the Peyronie’s curvature has been corrected and more traditional sexual encounters can be enjoyed once again.

Lastly, because penile injury is thought to be a prime cause of Peyronie’s disease, it is mandatory that all masturbation be gentle and well lubricated to avoid worsening of an already bad situation. For more information, click on “Peyronie’s Disease and Sex.”

Peyronie’s Symptoms

Do I have Peyronie’s disease?

When someone asks about Peyronie’s disease symptoms they usually want to know if they have Peyronie’s disease.   This is a diagnosis that is not always easy to make, since the actual signs and symptoms of Peyronie’s disease can be tricky at times.

In order to answer this question it is first important to remember that a symptom is something a person feels or experiences inside, meaning it is subjective. A symptom is what someone experiences as a result or during an illness, injury or disease.  Symptoms can include chills, Peyronie’s pain, shaking, shivering, nausea, or dizziness.  Symptoms are reported by the patient to help a doctor diagnose a problem.

In the case of Peyronie’s symptoms the only subjective finding would be the penile pain that can be variable; pain can be felt constantly, only when erect, only when non-erect or only when flaccid.  In addition this pain can be extremely mild, very severe, or something between. Because the Peyronie’s pain is not always present – and is sometimes totally absent – it is not always a reliable way to make a diagnosis of PD.

You might say a sign is the opposite of a symptom.  A sign is an outward or obvious physical indicator or manifestation of illness, injury or disease.  In this way it is said that a sign is objective, since it is always something that another person can detect, measure in some way or see that helps to make a diagnosis.  Some common signs are rapid pulse, elevated body temperature, low blood pressure, bleeding, a rash or open wound, bruising, to name but a few.

In the case of Peyronie’s disease, there are only a few signs or outward findings that are used to make a diagnosis.  These signs can be just as variable as the Peyronie’s pain, such as the elusive Peyronie’s plaque or scar, a curved penis or some other distortion, and impotence or  reduced sexual ability.  Because each of these Peyronie’s signs are also not always present – and can be sometimes totally absent – it is not always a simple or easy thing to make this diagnosis.

Very often only a few Peyronie’s symptoms and signs are available to make a diagnosis, with perhaps the most common being some type of curved penis or distortion.

Click here for more information about Peyronie’s disease.

Penis Doctors or Peyronie’s Doctors? – Take Your Pick

Doctors who specialize in Peyronie’s disease

When you think about going to a “Peyronie’s specialist,” you should understand a few things that could make all the difference in the world to you.  You should also know that Alternative Medicine is your safest and most logical approach to Peyronie’s treatment – more about that at the end of this article.

Each month I am asked for the name of a few Peyronie’s doctors; someone who specializes in the treatment of Peyronie’s disease, in a particular part of the country or a specific city. My answer that I do not know of any such doctor always seems to be a surprise.   Often a follow up question is posed in which I am then asked for the names of penis doctors, and again I give the same answer.

For anyone interested in finding a Peyronie’s doctor, first consider that Peyronie’s disease is known as “the doctor’s nightmare.”   Notice, the name is not “a man’s nightmare,’ or “a curved penis nightmare,” or “a patient nightmare,” but “doctor’s nightmare.”   This suggests how much doctors in general do not like dealing with Peyronie’s disease.  The average doctor does not like to deal with the diagnosis and treatment of Peyronie’s disease, as well as the many valid complaints and exaggerated demands of both the men and women who must live with this problem.  Frankly, we men with Peyronie’s disease are often a royal pain in the butt for an MD to deal with.

Peyronie’s specialists

Most often it is the urologists who come closest to the idea of being penis doctors or Peyronie’s doctors.  But even they often want to avoid the many frustrations and long explanations that are a part of working with men who have Peyronie’s disease.  I guess that 99.4% of men who are given a diagnosis of Peyronie’s disease have not once ever heard of it before it is dumped on them.  That this condition exists is a total shock to the man who first learns he has the problem. And just like the denial phase of someone who learns of the death of someone, there is a denial phase when first being told that the reason for the penile curvature, pain, or strange lump is an interesting thing called Peyronie’s disease that has no known cause and no known medical cure – other than Peyronie’s surgery.   This news creates a lot of denial issues in the patient that the doctor must take the time to explain away.

It is said that no one is happy while dealing with Peyronie’s disease.  Another reason the doctor is not happy is because he or she has no standardized or accepted form of medical treatment to rely upon.  Generally, there are four three basic approaches for managing this problem medically:

  1. Offer no treatment, but simply monitor the progression of the problem. Suggest the patient come back in six months to determine if the problem has deteriorated enough to warrant the risks of surgery.
  2. Offer the patient to either “try verapamil or cholchicine or POTABA for a while, although I have not had much luck with any of them, or you can always use some vitamin E if you would like.”   This kind of low key and unenthusiastic recommendation is based on the fact that none of these approaches work, and the doctor knows it.  The MD is put in a tough position because he or she cannot help PD, and this is a known fact from the start.  Talk about a negative situation that only gets worse as the penis shrinks or sex becomes difficult as a curved penis develops.
  3. Suggest surgery right away.
  4. Go home, ignore it, and try to learn to live with it.

These four options all seem wrong to the thinking patient. Yet, the doctor feels obligated to offer some kind of treatment when none actually exists, and he knows ahead of time that the patient will be upset when nothing helps.  Long explanations, distrust, and complaints will follow over a few office visits until the patient figures out the doctor really has no Peyronie’s disease treatment. The doctor knows ahead of time he will look incompetent and non-caring no matter what he does.  Hence the term, “doctor’s nightmare.’

For all these reasons only a few medical doctors have focused on Peyronie’s disease treatment.  Some of those who work in this area of urology are:

Thomas Lue, MD – Los Angeles, CA
Culley Carson, MD – Chapel Hill, NC
Lawrence Levine, MD – Chicago, IL
Martin K. Gelbard, MD, Los Angeles, CA
Sudhakar Krishnamurti, MD – Hyderabad, India

These doctors are essentially using the same drugs as any general practitioner or urologist, with perhaps maybe the surgery they perform being different in some cases.   You need to understand that while these doctors can be called Peyronie’s specialists because they hold themselves out to being more interested in or spending more time in the area of Peyronie’s disease treatment and diagnosis, there is not that much different they can offer than the doctor down the street in your town.  The great difference with these doctors is the number of people they see who have PD, so they will have more experience in this area.

For this reason when some calls to ask about a Peyronie’s doctor, I suggest they just contact a local urologist they have confidence in and stick with him.

Since there is no accepted standard medical treatment for Peyronie’s disease, and so many doctors suggest not doing anything for the first 6-18 months, I strongly suggest that a person consider building up his own ability to heal and repair the Peyronie’s plaque or scar.  Information can be found at natural Peyronie’s disease treatment.

Peyronie’s Disease Vitamin E Therapy

Peyronie’s disease vitamin E treatment and other nutrients

There are many important nutrients – vitamin, mineral and amino acids – that should be used to improve and support the ability of the body to heal and repair the Peyronie’s plaque and help reverse the curved penis it causes.  However, since starting this work in 2002, I have never heard of a medical doctor prescribe any supplement other than vitamin E.  I think this says a lot about what MDs know about Peyronie’s disease vitamin therapy; their knowledge is limited, focused only to the obvious, and tends to not go beyond what everyone else is prescribing.

Vitamin E and Peyronie’s disease

The standard Peyronie’s disease vitamin E recommendation of the medical profession is to “get some vitamin E, and take no more than 400 IU a day.”  Occasionally the dosage will be doubled to 800 IU daily of vitamin E by some doctors who think outside the box a bit.  This is important to remember because vitamin E is essentially the only non-drug Peyronie’s disease vitamin E treatment that is suggested to a man with Peyronie’s disease.

Vitamin E is available in both a synthetic form and a naturally occurring organic form.  Which form you decide to use ultimately determines how much can be taken safely.  There are eight different members of the vitamin E family.  Four are known as tocopherols and the other four are tocotrienols.  The most widely found vitamin E member is gamma tocopherol, which assists the elimination of nitrogen free radicals, as well as being an effective anti-inflammatory agent.  Tocotrienols are primarily found in the skin and subdermis where they protect against UV and free radical damage. Tocopherols are found in the major organs.  A balanced diet – very difficult to achieve these days – contains all eight members of the vitamin E family.

Because of costs and chemical stability,  and because early research proposed it was the only member of the family to have biologic benefit to man, most vitamin E supplements contain only alpha tocopherol.  This means most men on Peyronie’s disease vitamin therapy as prescribed by their medical doctor will receive only one of the eight members of the vitamin E family.  Since the early days of vitamin E research (not so long ago in the 1950s) it has been proven repeatedly that the complete vitamin E family, stressing gamma tocopherol and tocotrienols in their natural and unesterified form, accelerate wound healing and minimize scar formation.   For this reason I am most insistent that men using Peyronie’s disease vitamin E treatment use a high quality vitamin E product that is heavily slanted toward gamma tocopherol and all the tocotrienols, like Yasoo Health’s Factor 400/400.

If you are concerned about vitamin E safety issues, please read Peyronie’s Disease Treatment and Vitamin E that answers all dosage and safety questions.

The body is like a house

In order to build a solid house and have it operate well, it is necessary to have a wide variety of components available during the construction phase and during the long maintenance phase when the house begins to need help in the form of repairs.

During the construction phase, many problems would develop if all the builder had to work with were roof shingles, or just windows, or just doors.  A wide variety of components are needed to make a good house – lumber of various widths, thicknesses and lengths, concrete, plywood, along with nails, dry wall, electric wire, and so many other hundreds of different things.

During the maintenance phase, many replacements and repair items are needed.  If the home owner only had nails, or furnace filters, or pale yellow paint to work with, it would not help a bit if the problem was a leaky roof, a squeaky door, or a leaky faucet.

It makes sense that a wide variety of replacement and repair parts are needed for all the parts of a house.  It also makes sense that a Peyronie’s disease vitamin therapy program has to also be broad and diverse.   How does it make sense that all the problems of Peyronie’s disease are solved with just vitamin E?

Peyronie’s disease vitamin, mineral, and amino acid treatment

Peyronie’s Disease Institute uses a variety of different nutrients to satisfy the many needs of the body to have all the needed supplies to heal and repair the scar tissue in the best way possible.

Look at the list of different products that are suggested for use in the large Peyronie’s treatment plan.  The list is long because the process is complicated.   Of course, even the large plan does not contain all the nutrients that could be recommended to heal and repair the Peyronie’s plaque; PABA, acetyl-L-carnitine, quercetin, bromelain and herbs to stimulate the process are just some of the additional therapies that can be used.

Your house is large and complicated, but it is nothing compared to the body. When the body develops Peyronie’s disease it just does not make sense to attempt to fix it with vitamin E only.  That would be like trying to fix a broken window with a screw driver.   The screw driver might be a useful to remove some glass from the window frame, but other tools – and glass – will be needed for the repair to be done correctly.

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

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

Send This Page To A Friend

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.

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.

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) -<br />
            rather common
Peyronie’s Disease upward penile curvature – common
Peyronie's Disease bottleneck deformity with lateral penile<br />
            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 situation better, and motivate you to see your medical doctor. Please review the section, Peyronie’s Disease Treatment, to determine how to incorporate the aggressive use of multiple conservative measures to treat your PD.

Click here for more Peyronies pictures.

Peyronie’s Treatment Help Starts Here

Peyronie’s Treatment Right Now

Every day I talk to men who have taken control of their Peyronies disease situation and are helping their curved penis when nothing else has helped them. They do all of their Peyronie’s disease treatment with the information found only on this Alternative Medicine website and “Peyronie’s Disease Handbook.” 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.”

If you are interested in a direct, safe and effective Peyronie’s treatment technique for penile curvature that was researched and developed by PDI, click on stretching curved penis.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own.  If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

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

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.

 

 

Three simple steps for Peyronie’s help:

1. Learn about your Peyronies problem. You were told  next to nothing about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for information about what you can do to help your Peyronie’s disease.   Get clear and concise information from a doctor who had Peyronie;s disease.  I put my personal experiences and how I recovered from PD in a book I wrote called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also 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. These products and plans are found at Peyronie’s treatment products.   All plans can be modified, by subtracting or adding, to suit your personal Peyronie’s disease treatment philosophy.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your Peyronie’s disease natural treatment products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

Peyronie’s Disease Institute cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with any “foreign” therapies you might decide to use on your own. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, like how to use vitamin E or the best advice about those mechanical penis stretchers.   I will be happy to help you in any way that I can.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also 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. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

PEYRONIE’S TREATMENT STARTS LIKE THIS

Peyronies Help To Use Right Now

Every day I talk to men who are have taken control of their Peyronies disease situation and are helping their PD when nothing else has helped them. They do it all of this with the information found only on this site.

What we propose at PDI is not so earth shattering or extreme in concept. We simply try to help you figure out why your Peyronie’s plaque did not heal or self-correct like the 50% of men whose Peyronie’s disease goes away on its own. If half of the men naturally “cured” their own Peyronie’s desease, why not you? That is all we are attempting to accomplish with our therapy concept. It is really not so far out as some of the other things you find on the Internet.

Do these three simple things to get started right now:

1. Learn about your Peyronies problem. You were told nothing, or next to nothing, about Peyronies disease by the doctor who gave you the diagnosis. You are on the internet right now looking for answers, so get them in a special book I wrote, called “Peyronie’s Disease Handbook.” This book gives you all the information about day-to-day treating and living with Peyronie’s disease you will need. The information found in this book is different in many ways than the information on our website; there is no duplication of information between the book and the website. Another book that will help you tremendously is “Peyronie’s Disease & Sex” that covers all aspects of this complex subject. Get help through education.

2. Start the most aggressive therapy plan you are comfortable following so that you will get your best results. If you are interested in doing all that you can to help yourself, then perhaps you could consider using what is called the “Large (Best) Plan” for personal treatment. The “Medium (Better) Plan” is perhaps the most popular of the three plans. There is a “Small (Good) Plan” that is also 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. These products and plans are found at http://peyronies-disease-help.com/buy.html All can be modified, by subtracting or adding, to suit your personal thinking about Peyronie’s disease treatment.

Or, you can design your own therapy plan using the information found on this website. You do not have to use any of these model plans, they are only examples – but they make sense and they have helped hundreds of men improve their Peyronies plaque and reduce the bent penis of Peyronie’s disease.

3. Stop being discouraged. Sign up for the Peyronie’s Disease Treatment Forum blog and get motivated, inspired, educated and reminded that everyday men around the world are actually beating their Peyronies problem using the Alternative Medicine methods of the Peyronie’s Disease Institute.

As you will soon see, the PDI website is full of exciting and helpful research information about Peyronie’s disease treatment you have never seen before. You will also see this site is different because it gives you the answers you have been looking for. But you must work along with the PDI guidelines in order to get the kind of results you will read about.

We strongly suggest you get all of your therapy products and supplements from PDI. The products we use have been selected after years of experimentation because they are special, and a prime reason for the results our customers receive. The PDI therapy concept and strategy are built around the therapy products available from PDI, and no others. Peyronie’s Disease Institute only uses what are called “pharmaceutical grade” products, which are of a higher quality and purity level, and pass rigorous tests to guarantee that what is on the label is contained in each capsule. Time and again we see that when men switch over to PDI products and follow our instructions, good things start to happen. Our therapy products have been used successfully in hundreds of treatment programs. Most people understand that it is a poor time to experiment and sample bargain products while they are attempting to repair a serious health problem like Peyronie’s disease.

With over 31,000 nutritional products available on the worldwide market, this subject is confusing. Many of them – more than you would believe – do not contain what they are supposed to contain. They have far fewer – or none – of the nutrients you need to do the big job in front of you.

PDI cannot answer your questions or help you with your therapy plan if we do not have knowledge, experience or confidence with “foreign” therapies. On the PDI website we clearly state, “Sorry, but due to the volume of emails PDI receives and with limited hours available in a day, we can only answer questions from PDI customers. Purchase your therapy products only from PDI so you have full access to the vast experience and careful assistance available to our customers. If you purchase inferior grade or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

Please email me any questions you might have about treatment of PD with Alternative Medicine, I will be happy to help you in any way that I can. info@peyronies-diseae-help.com.

Curved Penis: Bent penis of Peyronies disease prevents sexual intercourse

Penile Curvature of Peyronie’s Disease

Peyronies curved 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 internal Peyronie’s scar tissue is the most important element of PD, Peyronie’s disease is known as the “bent nail disease.”   It is the bent or curved penis that is the most noticeable aspect of this problem.  The presence of the penile curvature often allows sexual difficulty to develop.  Besides looking strange, the penile distortion also causes problems by preventing sexual penetration from taking place, as well as by acting as a weak area on the shaft that allows sudden buckling to occur.

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

The curved penis of Peyronie's disease can break a marriage because it prevents sexual acitivity in 25-30% of cases.

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.

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.”  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 about all the problems of intimacy that occur when a curved penis interferes with sexual activity.

Normally curved or bent 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 ears that are not the same size, the two primary chambers of the penis can be a different size – resulting in a normally curved penis. 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 the possibility of using effective natural Peyronies treatment under your doctors supervision.

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 to the treatment of Peyronie’s disease 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%.

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.

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.

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.

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?

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.

How an Erection is Affected by Peyronie’s Disease

Peyronie’s Disease Stops Normal Erection Mechanics

Send This Page To A Friend

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.

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.

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.

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.

Curved Penis and Peyronie’s Disease

Peyronies bent penis is focus of problem

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

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

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

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

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

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

Normally curved penis

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

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

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

Curved penis affects sexual intercourse

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

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

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

Treatment of the curved penis

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

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

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

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

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

Peyronie's Disease Treatment with Neprinol

Peyronie's treatment – Neprinol for Peyronie

how to learn Chinese online

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…”

zp8497586rq

Peyronie's Symptoms

Peyronie's disease symptoms

Peyronie’s disease symptoms can be extremely variable.  In fact, one of the things that make these  symptoms so difficult to put together into a diagnosis or Peyronie's symptoms is the different presentation of this problem from one man to another. For this reason, Peyronie's disease treatment is difficult.  Even pictures of Peyronie’s disease that show what the condition can look like, are also variable.

This is why the Peyronie’s Disease Institute has worked for almost a decade to determine the best possible way to diagnose and treat this problem that often eludes effective care.

Because of the wide variety of Peyronie’s symptoms, Peyronies treatment can be variable when using Alternative medicine.

Peyronie’s symptoms of importance

The onset of Peyronies disease symptoms can be sudden or slow, but most often will appear in less than a month after direct injury, sometimes taking just a few days to appear when injury is found to be the cause of onset.

The severity of Peyronie's symptoms can also be variable. Some men do not even know they have the problem because their Peyronie’s symptoms are so mild, while other men experience alarming Peyronie’s symptoms that they are unavoidable and shocking.

Two most typical Peyronie’s symptoms:

Distorted or curved penis

When the penis is erect, it is very common to have the Peyronie’s symptoms of a deformity or distortion caused by the presence of internal fibrous or “scar’ tissue within the tunica albuginea of the curved penis. The penis may be:

  • Bent, or curved, upward, the most common deformity, or bent down or to one side; not often in will bend down
  • Distorted into an “hourglass” appearance, with a narrow band around the erect shaft that is complete or partial
  • Distorted into an “bottleneck” appearance, in which the base of the penis remains fairly well erect and normal for the individual, but the area above and away from the base remains small and non-erect
  • http://homeequityloanss.com
  • Distorted into a “hinge,” “dent,” “ding,” “niche” effect, in which the penis when erect has a small but distinct area of non-filling making it appear to have a small portion that remains soft and non-erect.

Any of these Peyronies symptoms of curvature or other deformity may gradually worsen during the first six to 18 months. After a certain point, which is variable from man to man, the distortion will no longer worsen.

Pain as a Peyronie’s symptom

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

Some men do not have any distortion or bend of the penis, or pain, making these two common Peyronie’s symptoms not totally reliable as a way to diagnose Peyronie’s disease.

Other common Peyronie’s disease symptoms

Scar tissue under the skin surface

The scar tissue, also known as a plaque, associated with Peyronie's disease can 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. Some of these are smooth or rough, with even or irregular edges. Some men can easily find their Peyronies scar and with other men it is never located even by a doctor.

Less common Peyronie’s disease symptoms

  • Distortion or bending while flaccid
  • Difficulty achieving or maintaining an erection (erectile dysfunction)
  • Loss of penile size by either shortening of the penis, or loss of girth or circumference, or both

For a more comprehensive discussion of Peyronie’s disease symptoms, go to the PDI website at Peyronie's disease natural treatments.

zp8497586rq

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©.

zp8497586rq

Peyronie’s Disease and Sex Safety Concerns

Safety with a curved penis

Couples are always concerned if they can safely engage in sexual activity, especially during the early phase of Peyronie’s disease treatment.

The short answer is, YES.   Sex is good on may levels for you as individual people and as a couple, so go for it. You can and should engage in as much sexual activity you are comfortable with and desire, during treatment and in spite of your Peyronie’s disease.

The longer answer is, YES, but you must be careful and cautious in exactly how and what you do during sex.   Careful, gentle, non-stressful sex is certainly the safe and smart goal fore care of the erection. As the owner of the Peyronie's curved penis, it is important to stay in control of yourself, and your partner should do the same, without becoming so carried away that you injure yourself further.  You are the only one who is going to suffer further if you bend or jamb yourself during sex, so it is your ultimate responsibility to be careful.

If any sexual activity or position causes ANY amount of pain or distress to either of you, it should be stopped.  Pain is your signal that something is wrong.  Do not do anything further to even slightly injure your penis while you are spending all this time, effort and money trying to get well.   Figure out other ways to enjoy sex without generating a pain response, and you will do fine.

Slow and careful does not mean dull.  It should mean more passionate sex, taking more time doing what feels good, all based on better communication between the two of you.

Please make sure that you do not attempt sexual entry too early, if she is too dry or otherwise unprepared for intercourse.  If you usually do not need to use any external lubrication (water-based lubricant like K-Y jelly), it is simply a smart thing to start using it now. This is a vital step to prevent further injury, since a second injury could be catastrophic.

Do not use positions and techniques in which the man does not control movement and activity.  Rear-entry sex positions are usually safer to use since they allow the man more control, but caution is still needed.

"Peyronie's Disease and Sex"

The topic of sex in relation to Peyronie’s disease is immense.  When I began writing my first PD book, I intended to combine the topics of Peyronie’s disease treatment and sex all in one book.  When it became apparent how large this sex topic is, I simply decided a separate book would have to be written; it eventually became “Peyronies Disease and Sex.”

Any questions about sex and Peyronie’s disease?   Send them along at the heading on the right column, “Ask Dr. Herazy…”

Peyronie’s Disease Treatment: Early Changes to Look For

Early signs of response to Peyronie's treatment

This post is about an interesting question I am asked from time to time about Peyronie’s disease treatment.  I thought it might be of interest to you.  The question is asked something like this, “When people finally get some positive changes in their Peyronie’s disease, how does it usually show up?  What usually happens first?  I want to know what I can expect, although I know we are all different.”

Well, usually – not always – as a man continues with a sufficiently large and aggressively applied Peyronie’s disease treatment plan from PDI, he will notice at first some small and TEMPORARY changes in the size and density of his scar.  The temporary nature of the change does not last long.  As treatment continues the changes and improvement become permanent.  Usually the scar itself will change before there is a noticeable change in the penis curvature or his ability to develop an erection.  This scar change will take place maybe during months 2-6 of the treatment cycle, although I have worked with men who see changes in the scar after just a few weeks of a PDI plan.  This fast response is the exception and not the rule, so do not plan on that kind of response although it does happen.

The initial and temporary improvement in the Peyronies plaque or scar will not last very long, maybe just a few days or so, and then it will often go back to how it was before – maybe even worse.  I wish I could say why this happens – it just does. Soon a pattern will develop in which there is improvement, regression, improvement, regression, back and forth, etc.  What happens over time is that you will notice that the amount of improvement will be greater than the regression, and the improvement will last longer than the regression.  You will likely see the pattern shifting slowly in favor of improvement – it will last longer and it will be greater than the regression.  Just like the stock market – it goes up and it goes down – but the general trend and pattern is that it slowly comes gets better.  This is how I have seen most every case of Peyronie’s disease improve.

Just as the Peyronie’s plaque changes, a little while later it is common to see a change in the curvature. The initial change in the penis curvature is not always improvement, however.  My curve worsened just after my scar showed some real strong progress for the first time.  I kept in mind that the Peyronies plaque was getting better, so I did not let the change in the curve upset me.  I kept working to reduce the scars I had and in time the curve I had also eventually improved.

Peyronie’s plaque and pick-up-sticks

Ever play “pick-up-sticks” as a kid?   With the complex interplay of sticks lying across each other, removing one stick makes three or four other sticks shift a bit.  I think the same happens in Peyronie’s disease.

How many plaques or scars do you have?  If more than one, then the dynamics are made even more complicated.  If you have only one scar (kind of unusual) then you have one scar that could be influencing 2-3-4 different planes of connective tissue within the corpora cavernosa of the penis that it is attached to.  It is not difficult to understand that if a part of a scar is changing, or one of four scars is disappearing, it could cause alteration of the tensions and angles of pull – as the scar is INCREASING or DECREASING in size – that could cause a change in the curve – to make it INITIALLY better or worse.  So in this sense, an increase in your curve is only seen as a bad thing if you know FOR A FACT that your scar(s) are increasing in size, shape or density. Over time, as the plaque continues to soften and reduce in size, and as the internal pull and tension created by these plaque begins to normalize, the curve should begin to straighten.  Continue monitoring yourself as you work aggressively, and you should see this positive pattern of recovery play out for you.

A worsening of the curve is acceptable if the plaque is improving.  As far as treating your condition and monitoring progress, the condition of the Peyronie’s plaque is far more important to monitor than a curved penis; plaque changes size, shape and density characteristics, and even seem to move, and so the plaque or scar tissue exerts control over the curve; the curved penis is just a reflection of plaque activity – good or bad.  A smaller plaque can create a larger curve if it is in the wrong place or is pulling or pushing in some strange way. It might make you feel sick to see your curve get worse, but ignore the curve and keep checking the condition of the Peyronie’s disease  plaque.  How do you check your plaque?  Go to review information about  my book, at Peyronie’s Disease Handbook

Whenever someone sends me an email reporting that he is seeing improvement in his plaque or bent penis, I warn him that it will not initially last very long and that his problem will surely return for a short while.  I can almost guarantee this pattern.  Come to expect it; count on it.  It is just the way it goes, so do not be discouraged or disappointed when it happens.  In a short time, you will see the pattern develop that will tell you that good things are finally happening.  Just stay with it.

How long it takes for the improvement to become permanent is also variable (just like everything about Peyronie’s disease).  Once you get your plan fine-tuned and working well for you, most of the time it takes 6-12 months or more for the progress to level off and become as good as it is going to be.  That does not mean that in 6-12 months or so you will be cured or completely well.  It just means you will be as good as you are going to be, in spite of your best effort.

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.

zp8497586rq