Can’t Find Peyronie’s Plaque or Scar

Help to locate the Peyronies plaque

It is not uncommon for the Peyronie’s plaque to be difficult to locate. Sometimes it even happens that the examining urologist is not able to definitely locate a mass of foreign tissue that he/she is certain is the offending Peyronie’s plaque that is causing the bent penis to develop. First of all, it must be mentioned that if you are expecting to see the scar or plaque on the surface of the skin, you will not. And Peyronie’s disease seldom causes a lump that raises the skin of the shaft. The “scar” of PD is internal, not external – it is never seen, only felt. It is a poor term to use, but the lesion of PD is also called a plaque (which is also a poor term). Generally, you do not have to examine the entire shaft looking for something that feels like a foreign mass of tissue. Your examination should be centered in the immediate area of the concavity of your distortion. By concavity I mean the condition of being curved like the inner surface of a sphere or the depressed area of an indentation. You can also think of a concavity as being the lower bent area on the underside of a rainbow. As far as the Peyronie’s disease is concerned, the concavity if that part of the bent penis that is the inner part of the arch that is formed.

Some men do not have a curved penis, but instead their distortion is that the shaft has small depressions, that look like dents or dings or areas where the surface has been pushed inward. All of these are caused by one or more Peyronie’s plaques immediately below the lowest portion of each depressed area on the shaft. In fact there could easily be one, two or three or more internal plaque formations that are responsible for

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causing a single curve of the penis. For this reason, as one of these scars responds to treatment faster than the others, it can cause the distortion to temporarily appear worse as the scar actually improves. Once you know where to find the scar it is a simple matter to carefully and thoroughly examine all the tissue directly at the lowest area of the concavity of the distortion to find the foreign plaque material that is preventing complete expansion of the shaft.

Peyronie’s plaque easier to find if you have an open mind about it

If your internal scar or plaque is not easy to find, forget about finding a “scar.” Just try to find something – anything – within the mass of erectile tissue of the shaft that feels unlike the other tissue. Find something that is unlike the rest of the tissue. When you find it, mark its location with a marker pen or something that will stay on the tissue for a day or two. Go back each day to that area and re-think what you are feeling. You are trying to see if it becomes easier to make sense of it. It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious only because your expectation is wrong. Really, how could you know what a PD scar feels like if you have never had to do this before? It is a common problem. “Peyronie’s Disease Handbook” is available from PDI and presents great information about finding the PD scar and valuable information about Peyronie’s Disease treatment. If you have any trouble finding your Peyronie’s scar, please write an email to Dr. Herazy at