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.



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


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