Monthly Archives: December 2012

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

Posted on by Dr.Herazy

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.

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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

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Where can I purchase the 3MHz ultrasound machine to treat my peyronies?

Posted on by Dr.Herazy

Where can I purchase the 3mhz ultrasound machine to treat my peyronies?   I couldn't find it here.  rabalar.

Greetings Rahalar,

Please go to 3MHz ultrasound treatment of Peyronie's disease for the information you need.  TRH

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I am in the early stages of Peyronie's disease. What do you suggest I do?

Posted on by Dr.Herazy

Dr. Herazy,

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After doing some research I am convinced that I am in the early stages of Peyronie's disease. Very recently, the skin directly before my penis head has swollen a little on the left side and left a small dent on the right side under my head.

I haven't told anyone. What do you suggest I do?

Keith

Greetings Keith,

First, I suggest that you go to see a urologist who has experience with Peyronie's disease and get a diagnosis of your problem.   Until your diagnosis has been firmly established you are merely guessing and that is not good for you. 

Second, if you are told you do have Peyronie's disease you should begin the largest plan you can sustain for 3-4 months while you attempt to accelerate and support the natural tendency of the body to heal and eliminate the Peyronie's plaque. You can find more information about this process at Start Peyronie's Treatment.  TRH

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Should I change my Peyronies treatment because I am younger?

Posted on by Dr.Herazy

Hi,

www.howtoincreasepenisize.com

I am a young man in my thirties. My torture with Peyronie's started two years ago. Following masturbation I damaged myself at the tip of my penis.  I knew at the time is was a major event and one that would change my life irreversibly for the worse.  It was caused by pulling the foreskin back too far with force.

Following it, I had considerable pain for a year and a half. I went to casualty, multiple doctor's but no-one could tell me what it was. Surprisingly, the first doctor I saw guessed maybe Peyronie's because I had a bit of fibrosis at the tip but it was not a nodule – it was clearly calcification along what I thought was a nerve. It soon circled round the head as a thin band. The pain continued and intensified and after a few operations on the skin, a circumcision was suggested as the only cure.

I had that done and it removed the ring of tissue, but no I just had pain when I came to a climax. The original injury happened just before climax so I hypothesized that it was still the same problem. Gradually the pain turned into Peyronie's with a big nodule just behind the head, neither at the top, bottom, left or right but in the middle. Where I had the pain at the top left, scar tissue was forming. The pain was intense, day in, day out. I am a very fit young man and nothing seemed to stop it, sometimes its subsides but then it comes back to remind me and worse than before.

I have tried pentox with Cialis and also Tamoxifen having gone to a specialist. I am quite well studied and just can't understand this disease. I also tried using a stretching device but that was the worst advice in my opinion and stopped quickly afterwards. I have read studies, have read your book and am interested in what happens to younger men.  No one seems to know. I am 1% of a sample size of 1% of the population – aren't I lucky. I am not giving up, your book makes a lot of sense which is why I started off with your mid plan and have now bought everything I can get my hands on. I do take pentoxyfilline at the same time though as I feel it does help blood flow although it doesn't fix anything.To summarize therefore, at the moment, I have changed my diet (as much as I can), now just started taking everything on your list (although I am still nervous about DMSO but it is a calculated risk) and pentoxyfiline.

Having said that, it is all slowly getting worse. I have days with intense pain and all the time I have some pain. I think your point about digestion is valid as I do struggle with digestion and find it hard to go to the toilet.

I would really like your help. Currently I have a very fibrous penis all throughout. Sometimes it feels better than others but it isn't good. I am a positive guy but I am at my limit. I have a beautiful girlfriend who doesn't mind and I am great at sex, but I can't climax. I don't actually have pain during intercourse but erections are getting harder.

My personal hypothesis is that Peyronie's is caused by a chemical that is released through damage. In my case it is a nerve at the tip of the penis. This chemical went everywhere due to the great trauma and now the scar tissue is just finding where the chemical is. If I can find the inhibitor, I might get my life back.

What are your thoughts? I may be barking up the wrong tree but I need hope. In short, forget my hypothesis, is there anything I should do.  Should I change my treatment because I am younger? Should I take more of one thing and less of another? I am completely open to ideas. Like I say, I think it is beatable at any stage, you just have to find what works for you. I think there are many types of Peyronies caused by many types of things (which is why drug treatments are inconsistent).

Let me know what you think. I really appreciate your approach and thoughts.

Many thanks,

Steve

Greetings Steve,

Welcome to the large body of men who do not understand Peyronie's disease.  PD is a mass of contradictions and irregularities and this accounts for the ongoing difficulty not only in making a diagnosis, but also treatment.

You ask for my thoughts.  To begin with, several aspects of your story makes it sound like you have an extremely atypical, or not standard, case of Peyronie's disease.

Your 2nd and 3rd paragraphs are very interesting.  Bear with me, but based upon the scenario of the development and progression of your problem as you present it, I can make a different interpretation of your problem.  From a slightly different vantage point I interpret your report differently.  I can see it is possible that your penile problem was not originally Peyronies.  It is possible that you only developed later into Peyronies after the rigors of “a few operations on the skin“, plus a circumcision. Starting a penis problem by pulling the foreskin tightly down tightly during masturbation, a superficial and circular pattern of fibrosis at the tip of penis, and constant severe pain for 18 months are not at all typical of PD; fundamentally, Peyronies is a problem of the tunica albuginea located in the shaft, not in the tip of the penis. Your problem is not even in the usual location for it to be Peyronie's disease.  Furthermore, you do not mention a deep nodule in the shaft and you do not mention penile distortion.  Very little of your initial complaints during the first 18 months of your ordeal sound at all like Peyronie's disease.  It is only later, after you were under medical care and had several penis surgeries for these unusual complaints, when you were probably catheterized several times or used Cialis several times, or were traumatized while using a mechanical penis stretcher, that you started to have complaints more consistent with Peyronies. 

I mention this observation because it is important for you to explore the possibility that you are dealing with a complex problem that could actually be two or more different problems that are superimposed on top of each other.  Perhaps I am incorrect in this regard, but based on what you have reported in your statement I think the case could be made that you initially had a superficial tissue abrasion or tearing that later developed into fibrosis, and only after receiving drug injections into the shaft during surgery or from catheterization after surgery did you develop PD.  Something to think about. 

You ask if you should change your plan because you are in your thirties, which you apparently consider to be younger than average to develop PD.  Based on many years of experience, you are not young to have PD; many men I would with are in their 30s, and 20s; I deal with many sad cases of teenage boys with PD.

Regardless, whatever your age might be, age is not the reason to change your plan. You should change your plan because whatever you are doing is not working; if your current Peyronies treatment plan is not providing benefit or improvement, and you have not changed it by now, then you definitely should change what you are doing.  You did not mention how you are using your medium size plan, or what your individual dosages are, so there is no way for me to suggest how to best modify your plan since I do not know what you are currently doing for yourself.   

The best way to handle this is by working together in direct discussion during a telephone call.  We can get a lot done in just 30 minutes or so if we put our heads together.   Please go to the PDI website to arrange for a telephone call together so you and I can directly discuss your situation in detail.  TRH

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Is the urologist I am seeing for Peyronie’ disease smoking something?

Posted on by Dr.Herazy

Have had PD for two years; mostly on the part of the penis below the outer wall of my abdomen and on the right hand side. Can feel a 3-5 inch long fibroid maybe 1/8 to 1/4 inch wide, again most of it inside my body.  Penis bends to the right at about a 90 angle, but right at the base so I just “straighten it out” and still can have sex, albeit that I have lost maybe 1.5 inches in length. Urologist says every one of his PD patients cured by themselves in a “3-5” year time frame??

1.Is he smoking something??
2. Have tired the “fibroid dissolving” Neprinol/Serracor/Senacor and Varapamil cream for months, kind of early on (8-18 months) ; all to no avail
3. What do you recommend?
4. What do you think of the European “needle puncture” technique to break up the plaque?

 

Greetings,

1.  I cannot comment on the recreational smoking habits of your urologist.  Perhaps the urologist is laboring under some old concepts and information that states most cases of Peyronie’s disease will eventually get better, or he has some very unusual patients.   However, more recent studies indicate it is not true that all cases of PD eventually get better on their own.  Current investigation states that at 5-10 years after onset of PD, approximately 10-15% of men with Peyronie’s disease will experience a variation of symptoms and even gradual resolution, while 40-45% will have continued progression or worsening, and about 50% will be stable or have no further worsening of their symptoms.  Perhaps your urologist was simply trying to make you feel better since he has nothing to offer you in the way of treatment and just wanted you out of the office.

Actually, if you think about it, it is interesting to note that your urologist’s comment that “every one of his PD patients cured by themselves” goes right along with the PDI treatment concept that I have constantly preached since 2002.  Your urologist confirms that it is his/her experience that men cure their own Peyronie’s disease in a certain number of cases. Even the current concept of 10-15% of men recovering spontaneously support the PDI treatment idea.  All that the PDI concept of treatment of Peyronie’s disease attempts to do is to support, promote and increase that very same tendency to recover naturally from PD that your urologist told you about.  This is really a simple and natural thing that PDI is attempting to do:  make sure  a man who wants to get rid of his Peyronie’s disease is equipped with everything he needs to function to the best of his ability to get eliminate his  Peyronie’s scar. If all men – or 10-15% of men – get over their PD without any problem, what do you think you can do to get over yours?  Well, PDI has worked on this problem for a long time and has some very good answers to that question.  Read about it here.

 2.  Your use of systemic enzymes and Verapamil cream, in my opinion, and based on over 10 years of experience in working with men who have this problem,  is not likely to be successful in eliminating your Peyronie’s disease. This narrow-base approach is far too limited to be successful against a problem as stubborn and complex as PD.  Of course I am committed to the ideas and concept of treating Peyronie’s disease you find on the PDI website.  In my experience it is far more effective to aggressively and faithfully use a wide variety of different Alternative Medicine therapies delivered all at the same time, over a long period of time, to increase and support your natural immune response to the foreign fibrous tissue in your penis.

3.  I recommend that you use the largest and most aggressive PDI treatment plan you can sustain for 3-4 months while you attempt to support your natural ability to heal and eliminate the foreign fibrous tissue from the shaft of your penis.  The PDI large plan tends to get the best results, while the PDI medium plan is the most popular; of course you can modify any of these plans any way that appeals to your understanding of your situation.  Any of the model plans you see on the PDI website can be modified to be smaller or larger, or contain a therapy you prefer, based on your knowledge of your particular situation. If you need help in this area please let me know.

4.The European “needle puncture” technique to break up Peyronie’s plaque is called the Leriche technique or needle plication.  Please see “Leriche Technique for Peyronie’s Surgery,” and “Does any Urologist Perform a Needle Aponeurotomy for Peyronie’s Disease?”

Lastly, your method of forcefully straightening a 90 degree bend so you can have intercourse should not be used.  There is a good chance you are injuring yourself and causing the developing of additional scar formation by stretching your tissue in this way.  I strongly suggest that you do not do this.  Perhaps you could get some good information and helpful ideas from my book, “Peyronie’s Disease and Sex.”    TRH

Genesen Acutouch Pointers

Posted on by Dr.Herazy

Genesen Acutouch non-needle acupuncture: easy and effective at-home treatment

Genesen Acutouch pointers come with a 168-page manual written just for the layperson to use this professional grade equipment for doing acupuncture without needles

Acupuncture is one small part of a 5,000 year-old oriental healing tradition. It is performed by inserting fine needles into the skin to stimulate or sedate specific treatment points on the surface of the body. Two main reasons people today who would like to try acupuncture do not do it: the cost and the needles. The availability of the remarkable non-needle Genesen Acutouch professional grade acupuncture equipment has changed all that.

Genesen Acutouch pointers

Genesen pointers provide easy and effective non-needle at-home treatment by the layperson The Genesen Acutouch instruments are sometimes called Acutouch pointers or Genesen pointers because of the way that they are used during treatment; they are simply pointed toward an area on the surface of the body. To receive the benefit of acupuncture treatment it is no longer necessary to be concerned about pain, bleeding or fear of needles.   Just point the tips of the Genesen touch pointer and let them do all the work.  
The Acutouch pointers are ideal for both the professional acupuncturist and the layperson for several reasons:
1.    Acutouch Pointers are totally safe because they do not penetrate the skin and bleeding cannot occur. The instrument uses only natural atmospheric infrared, magnetic and ionic energy.  It provides a simple, non-invasive, self-administered treatment that is totally unique in both traditional and Alternative Medicine because it uses no artificial or external power source, with no wires and no batteries to replace – it is totally mobile.
2.    This instrument produces a wide treatment area. The tissue area that is affected by the galvanic energy field of the Acutouch pointers is huge compared to an acupuncture needle.   The treatment area of an acupuncture needle is about the width of a human hair; the treatment area of the Genesen Acutouch Pointer tip is one inch or 25 mm. For this reason a person only needs to be roughly close to an acupuncture point for the Genesen device to be effective. Experts and novices get similar results using it for this reason. This instrument has such a wide area of impact or effectiveness, and it tells you when you are on the correct treatment area, that you cannot make a mistake with it.
3.    Your Genesen pointers will last a lifetime because it has no moving parts, it will never wear out, and it has no external power source. This is certainly space age technology you can hold in your hands today. It operates on an infinite supply of natural atmospheric energy, providing the home user with a compact, portable and convenient response to more than 220 ailments, injuries and conditions.
4.    Effectiveness of point stimulation. The Genesen Acutouch instrument is manufactured to ISO9002 standards; the product carries CE certification as a Class 1 medical device. It causes penetration of chi to pass down through the gold tips (coated in 20 microns of 24K gold for optimum hygiene, performance and response) into the body to a depth of 25mm (1 inch).
Most people do not realize there are many methods to effectively stimulate acupuncture points; pressure, heat and electricity are just a few different ways that are commonly used instead of needle stimulation.  With the recent development of the Genesen Acutouch pointers everyone can safely and easily stimulate various acupuncture points on the body, and do it with just as much accuracy as a highly skilled acupuncturist.
By following the simple instructions that come with this equipment it is now possible for a layperson with no formal training to perform a rather sophisticated acupuncture treatment without encountering any of the problems and limitations of traditional needles. The Genesen pens (they are often called this because each one looks very much like a ballpoint pen) will indicate to the user when an active acupuncture point has been located and if it is in need of treatment. It is this aspect of the Acutouch pointers that make them so easy to use and effective even in the hands of a total novice.

Genesen pointers are fun and easy to use

There are several great reasons anyone who is interested in Alternative Medicine would use Genesen Acutouch at-home therapy in place of traditional needle acupuncture.
  • Safety – no needles involved
  • Results – the three forms of naturally occurring energy focused by the Genesen pointers spread out an inch wide and penetrate an inch deep into the tissue to stimulate every acupuncture point for treatment
  • Cost – with professional acupuncture office visits costing anywhere from $75 to $200 each, the Genesen instruments will pay for themselves after just a few uses.
  • Convenience – treat yourself or family members in the privacy and comfort of your home at any time of the day or night, as often as you like  
  • Ease – simply look at the pictures in the 160 page instruction book and place the pointers on those same areas of the body. The Genesen Acutouch pointers will tell you if you are on the correct or not; if not, simply move to another spot until the pointers indicate you have located the correct area for treatment.
The Genesen Acutouch instrument was invented by a South Korean engineer, Chi Kyung Kim, in 1999. It carries several international patents and earned him awards from the governments of several countries.  The Acutouch pointers use a combination of 1200-G focused magnets; a pinpoint far infrared beam (between 6 and 14 micrometers) that is focused down the length of the hexagonal barrel of the device; and a negative ion emitter in a ceramic powder chamber. These three energy sources are tuned to precisely merge at the gold plated point of each Acutouch device. The gold pointers of the device direct this composite of natural energy into the body, stimulating the body’s inherent ability to regulate and heal itself.
Acupuncture is not one thing. There are many styles of acupuncture and many ways of stimulating acupuncture points. Some of the best acupuncture treatments are those provided without traditional needles, using innovation and the ability to respond to the needs of the individual. The Genesen pointers allow you to do just that kind of self-care treatment. You can hold in your hands a truly revolutionary treatment device like the Genesen Acutouch pointers even as a layperson and deliver an effective acupuncture treatment, without the costs, problems and limitations of traditional needles to those you love.

Do you have a suggested protocol for ultrasound treatment of Peyronie’s disease?

Posted on by Dr.Herazy

I ran across comments on your site regarding the use of ultrasound therapy. Do you have a suggested protocol for intensity, frequency (1 vs 3.3) duration, etc?

Greetings,

There seems to be a rash of great interest lately in using ultrasound treatment for not only Peyronie’s disease but also Dupuytren’s contracture.  I suppose this is the way the internet works.

Yes, I have a detailed protocol for using the ultrasound machine for the particular problems of Peyronie’s disease and Dupuytren’s contracture that is being sold on the PDI and DCI websites.  This protocol is specific for this particular machine, and would not necessarily apply to other ultrasound units.   Further, this set of treatment guidelines will probably change over time as our research with ultrasound continues.  For these reasons I hesitate to share the specific ideas with others who do not have such a unit.  They might not know how to adapt my protocol to their machine, and they would be outside of the loop when later changes are made to improve these treatment instructions.

I can tell you, however, that I strongly advise against the use of the 1MHz frequency ultrasound machines for treating PD and DC; the 3MHz is preferred. 

There is a great difference of effects from ultrasound on living tissue when delivered at higher (3MHz) and lower (1MHz) frequencies.   The reader might need to be reminded that 1MHz and 3MHz are not brand names or model numbers an ultrasound machine.   Many companies make a 1MHz US machine, and a few that make a 3MHz US machine.  These two terms, 1MHz and 3MHz, refer to frequency or rate of sound vibration that a particular US machine will produce.   The terms mean that at 1 MHz, the sound is being produced at 1 million cycles or sound waves a second, and at 3MHz the sound is being produced at 3 million cycles or sound waves a second. 

There is three times the amount of sound waves created in a 3MHz machine compared to a 1MHz machine.  The higher number of sound waves get “jammed” as they enter living tissue.  Thus, the higher rate of sound does not  penetrate very deeply into the tissue, so they remain near the surface where they create heat, since they tend  to be unable to penetrate deeper down.   The greater the number of sounds waves of a 3MHz US machine is more powerful and faster, but this greater amount of sound also prevents the sound from going down into the tissue -which is exactly what we want to treat Peyronie’s disease or Dupuytren’s contracture.

Ultrasound therapy is just sound that is directed into the body to shake the cells at extremely fast speed that will heat them up.  The sound produced at this high frequency cannot be heard, and it cannot travel through air; it can only travel through solids and liquids. Most therapeutic US machines are made to generate sound at 1MHz.  These one million sound waves are created each second and can be driven deeply into the tissue (several inches) where they bounce around and create heat by producing friction between the cells the sound waves strike against. In addition to producing heat, this cellular vibration also increases metabolism of the cells, especially the healing process. That is how and why US therapy works.

For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture.   TRH

What have been the results of ultrasound therapy for Peyronie’s disease?

Posted on by Dr.Herazy

So, what have been the results of the ultrasound therapy for Peyronie’s disease?  Any breakdown in tissue?  What is the protocol — daily, weekly?  Does improvement happen over a certain period of time or “therapy” sessions? How long is each session?

Greetings,

Ultrasound has been heavily researched in the general area of how it affects living tissue.    See these internet discussions  http://cnx.org/content/m16192/latest/  and http://en.wikipedia.org/wiki/Therapeutic_ultrasound and http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1265028759369  (go down to page 34) to name just a few. 

Since the initial research in the early 1940s there has been a growing body of good science that proves ultrasound has definite therapeutic tissue effects, especially the effect of tissue cavitation.  But it is necessary to extrapolate this information to the problem of Peyronie’s disease, because no one has taken the time or spent the money to see if it applies to Peyronie’s disease.   Having written that, I have had perhaps over the years had 6-8 people report to me at different times that they used US for their PD or DC and that they thought it was helpful.  This is certainly not scientific, for sure.  But if you and I waited for something truly scientific to be conducted by a drug company or the medical research department of a university concerning non-traditional treatment being used for Peyronie’s disease or Dupuytren’s contracture, we would spend a lot of time sitting on our hands while our conditions worsened.  Because I have explored and rationalized so many of these different concepts through, especially the basic concept of synergy and applied it to PD and DC therapy, there are perhaps well over a thousand men and women whose problems have been eliminated or improved in various degrees.  By being proactive and using common sense many people have been helped.

 I am working now with an idea that the men and women who will be using ultrasound therapy for the PD and DC problems can be used to assemble raw data about the therapeutic effects they experience.  Not exactly sure how I will eventually go about doing this, but perhaps I can make it happen.

The therapeutic effect of ultrasound is not to break any tissue down, but simply to increase metabolic activity of the tissue being treated so that natural healing and repair is accelerated.  In so doing this, the net effect is often a breakdown of foreign and abnormal cells, and their eventual removal as part of the desired healing process. 

Treatment with ultrasound at this time is advised to be done three times weekly, for ten minutes each session; this might change over time as our research and comparison of results gets started.  The exact protocol we propose is provided with each ultrasound machine we sell on the PDI and DCI websites, so that each person is doing the therapy the same and in a safe and effective manner.For information about the unit we sell, see ultrasound treatment of Peyronie’s disease  and  ultrasound treatment of Dupuytren’s contracture. 

Ultrasound treatment, following the standard PDI and DCI guidelines that directs all 14 therapies  that we suggest,  is not proposed as a stand-alone or solo therapy; ultrasound therapy is only one part of a large, diverse and balanced treatment protocol.  Anyone who uses only ultrasound therapy to treat these two problems is not following the DCI and PDI concept. As such, when applied correctly the therapeutic benefits will typically develop gradually over time.  TRH

How should I change my Peyronies treatment plan to get better results?

Posted on by Dr.Herazy

Dr. Herazy,

I have been using the following and not seeing many changes. I’m wondering what I should increase.

Externally: Super CP Serum, Vitamin E then DMSO 3 x day

Internally: 2 Neprinol, 1 Quercetin/Bromelain and 1 Acetyl-L-Carnitine 3 times daily between meals
1 Ascorbplex 1000mg and 1 Unique E 400mg 2 times day with meals

I will also order the ultrasound unit to go with the treatment.

Thanks for your help.

Michael

 

Greetings Michael,

You need to tell me when you are taking these products and if/how they are being used during the day.  I can at least tell you that your  plan is rather limited and light compared to those who get good results with their Peyronie’s disease treatment plans.   I suggest that you set up an appointment to have a telephone discussion with me soon to get you on the right track.  TRH

Is a rubbery ring after masturbation an early case of Peyronie’s disease?

Posted on by Dr.Herazy

After some vigorous masturbation I felt like my penis had puffed up around the circumference so I stopped. That very day I noticed this had made a very soft and rubbery circle (and another half circle as well), encircling my penis, (prominent mostly on the sides) almost like I squeezed it too hard.

I’ve had no pain except for the discomfort that one time masturbating, all seems well now. And I have no curvature etc..

It is not noticeable when completely flaccid. but during a semi erection (when the penis is soft but still somewhat engorged) I can see a “ring” under the skin around the shaft. It is not movable with the veins

Anyways, I have had this for 2 weeks… I have no pain or erect curvature. Great erections… Just this thin soft/rubbery thin stringy thing that isn’t hard or obstructive.

Do I have Peyronies disease? Does it ever present this way early on?

 

Greetings, 

No, not much of what you describe sounds to me like early Peyronies disease.   It sounds like not much more than some inflamed and swollen tissue that should clear up in a short while.  If it does not start clearing up soon, say in another two weeks, I suggest you have it looked at by a urologist.  

However, let me put you  on notice, my friend, that any masturbation technique that is aggressive enough to cause that kind of tissue swelling and inflammation two weeks later might just as easily have caused Peyronie’s disease. In this sense I think you were lucky this time.  But, you might not be so lucky next time.  I have a feeling that you masturbate with some frequency, and perhaps even with some degree of aggressiveness.  This might be the reason your rubbery ring has persisted; I suspect you are continuing to masturbate  even though you have this bruised tissue ring problem.  While it is not my intention to tell you to stop masturbating, I definitely do want to caution you that you should reconsider how you are masturbating (and how often, since this gets back to the issue of being abusive to the delicate tissue of the penis shaft. 

Please lighten up and enjoy a slower and more gentle experience.  Peyronie’s disease is a terrible thing to happen to a guy.  You do not want to be the man who brought it on himself in this way.   

For additional information please see Is there a connection between masturbation and Peyronie’s disease? and Can masturbation cause Peyronie’s disease?  and  Is it beneficial to achieve erection and masturbate in the early stages of Peyronies disease?   TRH