Dr. Herazy,

I began using your small treatment plan about 4 weeks ago with what I feel have been very good results. My upward curvature was most extreme at the end of the penis, but still not very extreme based on what I've read on your site. When I first noticed the problem, the pain was terrible during intercourse but has gotten much less over the course of treatment. I want to thank you for your website as it gave me hope without a sense of over confidence about getting healed. I read both booklets and with some adjustments sex is back to being very, very good although there is still some dull pain.

My question is about locating the scar. While I can definitely tell where painful areas are when erect, it's difficult for me to locate exactly where the scar is when applying PMD. Do you have any suggestions on what it should feel like or will there be any noticeable areas on the skin?  The only thing I can tell is that a good portion of the penis from head to about 3/4 of the way to the base is somewhat harder in the center (like along the urethra.)

Thank you again for your work, and any advice is appreciated.

Greetings,

Most men with Peyronie's disease need help to locate the Peyronies scar.

The painful areas you feel when erect might not exactly correlate to the location of the actual Peyronie's fibrous scar tissue.   You do not want to be treating painful areas; you want to be treating where the scars are located and this will in turn reduce your pain and assist in your overall recovery.

It is a rarity to be able to see an elevated area of the skin that is caused by the internal Peyronie's scar tissue; for the most part, it is a waste of time trying to actually see the Peyronie's scar from the exterior.  The best way to locate the scar material is when flaccid, meaning not erect.

Do not be discouraged if the scar you have is large since it does not seem that the size has much to do with difficulty or time required to eliminate it.  Larger scars can take just as long as smaller scars to treat.

Try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that feels unlike the other tissue.  Find something that is unlike the rest of your penis.  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?  Trouble locating the scar is a common problem.

PDI has much success with the methods we present to you.  Just because your doctor could not locate your scar does not mean it is not there.  And it definitely does not mean that you cannot find it just because he can’t.   As so many men with PD finally come to understand, you must take control of your situation and begin to get well on your own.  A large part of being in control of your treatment is to have a vivid image of the scar physical qualities in your mind.

If you need additional help to locate the offending Peyronie's scar, please contact me directly.  TRH