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

Greetings Dr. Herazy,

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

Greetings G.H.

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

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

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

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

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

What are the best two choices to treat Peyronies?

 

Hi again.  Between PMD DMSO, Super CP Serum and Unique E oil what are the best two choices to treat Peyronies?   How do I go about using them?    Monty

Greetings Monty,

You are asking a question no one can answer.  You must apply these therapies to yourself to learn exactly which is most effective for you.  The PMD DMSO is always used because it will bring the other two deep into the tissue; therefore the choice is between the Super CP Serum and the Callisto oil.  Because of the low cost, most men use all three of these.

From your question it is obvious you are trying to approach Peyronies treatment from a minimal standpoint, and this is doomed for failure.  You must treat PD treatment aggressively and with a broad approach.   Also, using only external therapies (PMD DMSO, Super CP Serum and Unique E oil) only is also not a good idea; you must also use internal therapies (vitamin E, vitamin C, MSM, PABA, acetyl-L-carnitine, etc.). 

How any or all of them is actually used is provided when you receive your order.  You are given everything you need to be successful.  TRH

 



How can I get on the offensive after penis fracture surgery?

Hi doctor,          

How can I get on the offensive after penis fracture surgery I had two months ago. I don't acquire any scar tissue that could result in Peyronie's disease.  Is there anything you can recommend for me so soon after surgery that might help me prevent excess scar tissue from forming?  James

Greetings James, 

I suggest you consider using a PDI small plan along with Omega T in your situation to assist your tissue to heal with minimal scarring. With this approach you will supply many of the basic nutrients to your tissue  to heal your injury in this way.  At least you will have assurance that you will reduce the degree of damage if in fact some scar develops.  TRH

 

 

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What can PDI do for my 20 year old Peyronie’s disease?

hi, what can your method do for me and my 20 year old pd that started because of a sex accident?  bill


Greetings Bill,

Thanks for the question.

Since you have given me no details of your problem, I can only answer with generalities. The longest standing PD case with which I have been involved was a fellow who had it for 12 years. You see, most of the men I work with are usually in the 18 month to 3 year time range with their Peyronie's disease.  I think this is so because the average person who has dealt with PD for several years tends to just give up on himself and his situation, and assumes there is nothing out there for him.  The MDs eventually convince them to stop trying to get help because they do not have any drug for Peyronies treatment, and that is a shame.

Folks like you usually are not looking for help and answers – unfortunately.  But in the early phase of PD, a guy will really burn up the Internet wires looking for answers to his unsettling predicament. Having explained all that, it is my opinion that based on the favorable changes in the 12 year PD problem I worked with, and several others in the 3-8 year range I have worked with, your 20 year old problem stands as much a chance to improve as these others.

A long time ago I learned to never doubt the ability of the body to heal.

Many men, and myself, were able to get back all lost dimensions and eliminate any detectible scar formation, so I know it can be done. I assume you have just started to look at the large PDI website. Bear in mind what we propose is really different in the past in two important ways:
1. Synergy – grouping several therapies together at the same time.  If you are like most men who go the medical route, you probably used synthetic vitamin E for a short while and then did some POTABA or verapamil drug use later.  PDI approach is different because we advocate a combined treatment approach with many Alternative medicine therapies.
2. Quality and quantity of Alternative Medicine
most men do not appreciate the need to hit these two factors fairly hard. I can guide you in this respect to perhaps a better conclusion than you had in the past. In addition to a few vitamins, we also propose several other concurrent therapies for your PD that you have not used. These are very important to achieve the desired end result. The more you do, the stronger your synergy, the greater your odds for some success.  If you want to broaden your thinking about Peyronie's treatment with natural methods see natural Peyronie's treatment.

If you want some help to do this right, and I assume you do, send some specific questions about treatment.  PDI has a different website from anything else you will find anywhere because we have a reasonably optimistic attitude and track record with this problem, and because we actually know and care about men who have this lousy problem. I am retired now from active practice, and since overcoming and curing my own Peyronie's disease, I have pretty much devoted myself to this cause in appreciation and gratitude for the gift that was given to me.

When you are ready to do something good to help yourself, let me know.   TRH

Is the reduced penis size typical of Peyronie’s disease?

Dear Dr. H.,

I have had peyrones for about 2 years.  In that  time my penis has gotten noticeably smaller, shorter, and skinnier.   At first it looked like it did (flaccid) when I was a 10 year old kid!   And when erect, it is also smaller and bent.  Is this decrease in size a typical part of my peyronies condition?

Thank you for your response and God Bless you for all your work.

Again, thank you,

Joel

 

Greetings Joel,

Most men who develop Peyronie's disease begin to notice some reduction in penis size between the 6th to the 12th month.  Since everyone seems to follow a slightly different timetable for these changes this is only a guess based on information from 100s of men.  Some men experience size reduction sooner and others are later. Penis size reduction is caused by widespread thickening and contraction of the tunica and other soft tissue of the shaft that no longer can expand when the penis is filled with blood during an erection.  

This variation is also true for amount of lost erection size; some men more and some men less loss.  I have also noticed that some men lose more length than girth, and others lose more girth than length.  All of this variability is common for the way Peyronie's disease is inconsistent in so many ways. 

Loss of  penis size is a very common part of the process.  It seems that most men complain of losing 1 to 1-1/2 inches of length and about that same loss girth or circumference.   I do not recall anyone saying he has lost more than 2 inches of length, although it might only be that someone who has lost this much length is reluctant to admit to it.    TRH

 

 

If I can’t find the Peyroinie’s plaque where is DMSO gel applied?

Dr. Herazy,

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

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

 

Greetings Randy,

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

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

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

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

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

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

THANK YOU

BOB

Greetings Bob,

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

Did you ask the urologist what kind of success rate he has with this prescription?  Did you ask the urologist about what response and reactions you should expect while you are taking POTABA? I would be interested to know his response.

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

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

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

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

The Peyronie’s Disease Institute has offered PABA to its visitors since 2002 for treatment of Peyronie’s disease without a single report of inability to use it because of gastric problems.

Is there someting I am missing about Neprinol?

Dr. Herazy,

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

Greetings, 

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

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

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

Does anyone know the best treatment for Peyronie’s disease?

Does anyone know the best treatment for Peyronie's disease? I want to know how do I cure myself in the fastest way I can before this problem ruins my life and pushes me over the edge.  My doctor does not seem to care at all how this problem is affecting me.  He actually told me to do nothing for six months, and then he would decide if I needed surgery. I really need to know how to get back to feeling like a normal man again.

Greetings,

Before I give you the best and most honest answer I can, I want you to know that I had Peyronie's disease and cured myself of it in 2002.   That is how this website got started and how all of this information was put together.  When I first developed Peyronies I felt really terrible inside just like all men do when they lose this part of their lives.  I know how rotten and scared you are feeling because I felt that way and so did hundreds of men I have worked with over the years.  Many of us, just like I did, were thinking the same terrible black thoughts you are thinking right now.  You cannot let yourself lose control of who you really are and what is really important in life.  You must not let PD win over you because you are more than just a penis, and you are stronger and more important than this problem.

Every week I get emails and phone calls from men from around the world who are making improvement with their PD scars and their curvatures.  Some get a little help, some get a tremendous amount of help, but almost everyone who works hard and follows a few simple ideas about Peyronie's treatment earns some level of improvement of this PD. 

You will not know if you can help yourself until you decide to try.  Right now you are letting PD control your thoughts and feelings, and this is not good.  You are making the mistake of allowing yourself feel like a PD victim.  Just because your MD did not spend time talking with you and did not have answers for you does not mean you cannot take care of yourself.  You can be in control of your situation if you make that decision.  It all comes down to deciding to be bigger, stronger, tougher and more determined than your PD.  Once you do that you will be in control of your feelings and you will get busy helping your body eliminate your Peyronie's plaque to the best of your ability.   TRH

Peyronie’s treatment safety issue when applying moist heat

Hi Dr. Herazy,

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

 

Greetings,

Peyronie's treatment safety should be your first concern.  To reduce possibility of excess heat being applied to penis and testicles you should:

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

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

Thank you for your observation.  TRH