How to select a Peyronies Disease Institute treament plan

Suggestions to help you decide how to start Peyronie’s treatment

Read these descriptions to learn which one applies most closely to your situation.  You don’t have to follow a PDI plan or you can start with any plan you choose, or you can modify any of these plans.   keep in mind that the more aggressive your treatment plan the better the results tend to be.  You can create your own plan based on the ideas found in the “Worksheet to build and modify a Peyronie’s disease treatment plan.

Small Peyronie’s plan: 

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  PD less than 12 months
   Mild to moderate curved penis
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   Under 25 years old
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   Generally good health
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   No to little problem with intercourse
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   No to little use of Viagra, Cialis, Levitra, statin drugs for cholesterol, or Propecia

Medium Peyronie’s plan: 

   PD between 12-24 months
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   Mild to moderate curved penis
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   Any age
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   Generally good health
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   Mild, moderate or occasional problem with intercourse
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   Moderate to heavy use of Viagra, Cialis, Levitra, statin cholesterol drugs, or Propecia

Large Peyronie’s plan: 

   PD longer than 24 months
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   Moderate to severe curved penis or bottleneck or hourglass deformity of any degree
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   Over 60 years old
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   Generally poor health or complicated medical history
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   Moderate to severe problem with intercourse, or ED that prevents intercourse
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   Moderate to heavy use of Viagra, Cialis, Levitra, statin cholesterol drugs, or Propecia

6 thoughts on “How to select a Peyronies Disease Institute treament plan

  1. Dan says:

    I had urethroplasty surgery 6 weeks ago. Except for the urethra obstruction, I was ‘sexual-wise’ perfectly normal: good erection, straight penis, and at least once a week erection. After the surgery I have a bend in my penis toward left (15-20 degrees) and the penis does not get straight up anymore. The surgeon mentioned in his 1 month report when the catheter came out that I have signs of Peyronie’s disease. I am 63 years healthy athletic man. What can (or can not) your program do for me?

  2. Dr.Herazy says:

    Greetings Dan,

    No one can predict the response to any treatment or surgery, lest of all Peyronie’s disease which is unpredictable in so many ways. Health and disease are such complex matters.

    Based on my experience when someone follows the PDI Alt Med treatment approach faithfully and aggressively, the results can be surprising. Since 2002 I have done this work with others after Alt Med helped me with my Peyronie’s disease. In that time for every 8-10 men who report moderate to marked success over their Peyronie’s disease I get one report of failure. Not bad for a condition as difficult to treat as PD. Perhaps half of the men who get Peyronie’s disease will get rid of it without treatment — it self-heals via the immune response. By following our unique protocol of combining various natural Alt Med therapies many men do a better job of self-healing in many cases. If half the men heal their own PD problem, why not you? All we are trying to do is to get your body better supplied with the necessary nutrients and perform certain procedures so your body can do a better job of correcting your Peyronie’s disease.

    Check a few pages on the PDI website and see if it makes sense to you. TRH

  3. J. Mejia says:

    Dr. Herazy, I have been diagnosed with Peyronie’s Disease, I have an hourglass shape near the base of the penis with a slight curvature to the left. I noticed the symptoms about 15 months ago. At the moment my urologist has prescribed the use of a vacuum pump and taking zinc and magnesium.
    I’m 59 years old in decent health. I’m just not sure which plan to go with between the “Medium” or “Large”. The Large identifies Hourglass shape in its description while the medium does not. Would the “Medium” be an option for my Peyronie’s Disease?

  4. Dr.Herazy says:

    Greetings J,.

    Either plan is appropriate for Peyronie’s disease treatment, regardless of the kind of distortion you have. Peyronie’s disease with a resultant bottle neck, hourglass, indentation or curvature deformity have all responded to the various plans found on our website.

    The difference between the small, medium and large plans is how intense and varied you wish your treatment plan to be at the start of care. Generally, the more complex and long duration the Peyronie’s disease problem is, and the more weak and run down the patient, the more appropriate a larger plan becomes. Having said that, anyone can use a large plan and benefit from it since a more diverse prescription of nutrients, enzymes and various therapies will more likely benefit the Peyronie’s problem.

    Please let me know if I can assist you in any way with your Peyronie’s disease treatment plan. TRH

  5. Dennis says:

    Dr. Herazy, I am 55 years old, in good health, fairly athletic and take no medications other than an inhaler (Dulera) to help with very slight asthmatic symptoms that are related to allergies. I was diagnosed about 3 years ago with Peyronie’s Disease. It seems a little better now than before. I had the FDA approved XIAFLEX collagenase clostridium histolyticum injections during the first year of the Peyronie’s disease, and this seemed to help some, but due to insurance policy restrictions, I have not tried to get the same treatment again (although I’m thinking about it). I still have an hourglass mid way with slight curvature to the left. I’ve never taken Viagra, Cialis, Levitra or other ED drugs, and my wife and I have pretty good sex. I just know it could be better if my penis were normal (girth from mid way to tip is smaller than before PD and length seems a little less). I would appreciate your advice on whether I should try the injections again or try one of your plans, and if so, which plan. If you recommend the large plan, I’d like to know if I should order it or the newest one (Alternate Large Plan – with Neprinol & Handbook) and what the Neprinol does. Thanks!

  6. Dr.Herazy says:

    Greetings Dennis,

    My estimation is that a second Xiaflex injection is not worth the risk. Your first Xiaflex injection for your Peyronie’s disease left you being only “a little better,” leaving you still with an hourglass deformity, reduced girth and a curvature. You took a chance and you did not encounter many of the serious side effects that occur (tissue erosion, pain, numbness, migration of the Xiaflex to other areas of you body). I learn of more and more men whose Peyronie’s disease is no better or even worse after a Xiaflex injection. I maintain the potential for great injury is not worth the small amount of improvement that might occur. Second efforts usually compound the problem.

    Peyronie’s disease is sometimes corrected by the body’s ability to heal; up to 50% of men who develop PD will naturally eliminate or cure it through the natural healing process with no outside help. What we do on this website with Alt Med is to support. promote or encourage that natural healing. A good effort can result in some rather nice changes in PD in a fair percent of cases when men follow the instructions we provide. Since 2002 I have seen that 8-10 men report moderate to marked improvement of their Peyronie’s disease when using the PDI concepts for every one report of failure. It takes time and effort to get this done, but I work with men daily who are helping their body’s self-healing of Peyronie’s disease.

    I have a personal preference of the Standard Large Plan, as opposed to the Alternate Plan which has more books and videos in it. Please review the information on this site which shows you how to do many things to help your body heal your Peyronie’s disease. TRH

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