Would a penis extender help my curved penis?

Posted on April 4, 2013July 21, 2015 by Dr.Herazy

I have a question about using a penis extender to reduce my curved penis.

I have had some moles removed from the top of my penis some time ago. I have a scar from my pubic bone that runs about 2-3 inches toward the head. Recently I have noticed when I have a partial erection my penis is curved upwards. I do not feel anything along the top that would feel like plaque or a bump or anything that shouldn't be there.

Could the scar be causing my curved penis condition? Do you think that a tension device like a penis extender would help my situation?

Thanks
Harold Bridges

Greetings Harold,

Guessing simply because you have an Anglo-Saxon last name, there is a possibility you could be genetically predisposed to Peyronie's disease. Your brief description is consistent with Peyronie's disease. The surgery you describe could have resulted in excess scar formation at the site on the top portion of the shaft where you were cut, causing an upward bend. Many men find that even Peyronie's surgery which is intended to reduce penis curvature will heal with increased scar formation and make their Peyronies worse.

The fact that you, as a layperson, cannot detect a noticeable scar or fibrous mass would not be unusual; many men cannot locate a Peyronie's scar when it is rather obvious to someone trained in this area.

You ask about a penis extender or mechanical traction device being used in your situation. You obviously have not read too much of the PDI website. Many men develop Peyronie's disease after being injured by such mechanical penis stretcher devices. For information about this, please refer to What do you think of a mechanical penis extender for treatment of Peyronie’s disease? and My Peyronie’s disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one? and Penis stretcher: Big problem as Peyronie's treatment

I suggest you get a formal diagnosis of your problem so you know exactly what you are dealing with.

In my opinion, if it turns out you do have Peyronie's disease it would be good for you to attempts to try a brief therapeutic trial of Alternative Medicine treatment to see if you can stimulate a natural healing or recovery as it happens in about 50% of men who develop PD when the problem clears up on its own.

If you have additional questions please let me know. TRH

What can we do for our sex life after Peyronies gave me a 90 degree curved penis?

Posted on March 8, 2013July 21, 2015 by Dr.Herazy

I was diagnosed by Dr. Levine about 7 years ago with Peyronies disease when I was 51 years old. When I told him I did not want to be cut on he politely told me he could not do anything more for me. I have read way too many horror stories about Peyronie surgery. Like I think I read on your website it does not make sense to operate on something that has already shown it is going to heal with an abnormal amount of scar tissue.

What I want to know is what can we do for our sex life after Peyronies has left me this way? My wife and me have had to be very careful about our sex life because my upward curve is close to 90 degrees, so there is a lot we can't do any more. We have learned to be satisfied with limited contact because my bent penis prevents complete entry. I am a lucky guy to have a wife who has stayed with me in spite of all this.

Thanks for all that you do.

Greetings W.,

What I have written many times on the PDI website is that a man should be extremely careful and reluctant to undergo Peyronies surgery because of the increased risk of developing even more scar tissue and a worse case of Peyronie's disease after being cut on. I have warned that before agreeing to undergo penis surgery it is very prudent to first use all of the possible non-surgical and non-drug options possible for at least a year before even thinking about being cut on to remove the PD scar tissue. I am not against Peyronies surgery; I am against hasty and premature surgery as though it is the only option, and as though it is a simple and sure-fire cure for this terrible problem. It is not.

You ask for advice about your limited sex life, but I must back you up a bit and suggest that you might not have a limited sex life if your curve was improved or reduced. This is a good place to start to help your sex life, by working to improve your Peyronie's disease. It sounds like you have not tried to increase or support your ability to get rid of your PD on your own. I suggest that you read How to start Peyronies treatment.

The subject of sexual problems when Peyronies is in the bedroom is huge, and the subject of possible solutions is complicated. There is so much to be said about improving sexual performance and compatibility in spite of a curved penis that must refer you to the book, “Peyronie's Disease and Sex.” I wrote this book a few years back to address this problem that affects most couples who deal with Peyronies; few couples are exempt; sex problems are common and just a matter of degree. What I can tell you since writing this book is that almost all people who read it and follow the ideas in it will improve their sexual ability and regain either a small or large degree of their lost sexual pleasure. As an outside observer in this area I can tell you that I have yet to find a couple whose sex life is not helped by using this book; some to a great degree and some to a small degree but everyone seems to gain something. TRH

What plan do you recommend for someone with a 10 year-old case of Peyronie's disease?

Posted on February 21, 2013July 21, 2015 by Dr.Herazy

Hello Doctor,

I've had a mild curvature to the side, enough for me to be pretty self-conscious but not enough to interfere with intercourse, for about ten years. Extremely rarely does it cause mild pain.

I'm 30, in good health, I haven't used ED drugs, and I haven't tried PD treatment before. What plan do you recommend for someone like me who has had Peyronies for almost 10 years?

Also: Do the plans include instructions for maintenance therapy once the scar has faded?

Thank you.

Ron

Greetings Ron,

The problem with a Peyronie's disease situation like yours is one of instability and vulnerability to re-injury. I see it happen often: A man with a nuisance kind of problem he can live with will suddenly have an accident during sexual activity and make his PD worse. With even a minor curve the penis is more likely to suddenly bend while thrusting than a straight shaft. A curved penis , even when mild, is an accident waiting to happen; the problem is that you have no way to know when that accident might happen and how bad it can be. In my opinion the reason for you to do something about your PD is based more on prevention of this kind of problem, rather than being self-conscious.

Please go to Suggestions to help you decide how to start Peyronie's treatment. You will see a lot of help there for yourself and it will put things into perspective for you as you decide how you wish to proceed. Based on the protocol outlined in the chart I think the age of your condition supersedes the fact your problem presents with only a mild curve at this time.For this reason it would seem appropriate that you begin using a large level treatment plan for Peyronie's disease.

Complete instructions are included for the use of all therapies that are ordered. Some men follow a maintenance program and some do not; usually the maintenance program consists simply of a low dose of systemic enzymes.

Please let me know if I can help you in any way. TRH

Does Bill Clinton have Peyronie’s disease or a curved penis?

Posted on February 13, 2013July 21, 2015 by Dr.Herazy

Not every curved penis is Peyronie's disease

To offer a definitive and accurate answer to the question “Does Bill Clinton have a curved penis or Peyronie’s disease?” would require the presence of several pieces of clinical information determined by direct medical examination:

1. History of pain while erect, or less commonly pain while flaccid, or both
2. A mass or nodule of foreign scar tissue located below the surface of the penis shaft, detected by manual palpation or ultrasound examination
3. Structural deviation of the shaft of the penis during erection, (bending or curvature, hourglass, bottleneck, rotation or torque, or indentation deformity)
4. Erectile dysfunction, either total or partial, caused by the internal Peyronie’s scar material interfering with the pneumatic mechanism that creates a normal erection

Since none of the above information has been presented in any factual way, the curious public has only to rely on hearsay and innuendo. Taking the sketchy information and various unconfirmed newspaper reports as credible, the only safe conclusion at this time is that former President Clinton does not have Peyronie’s disease.

A diagnosis of Peyronie’s disease can be complicated. Peyronie’s disease is not determined solely on the presence of a curved penis, any more than the absence of penile curvature indicates a man does not have Peyronie’s disease. Simply because a penis is curved does not support the conclusion that the cause is Peyronie’s disease, especially when the presence of the curvature is solely based on the observation of a layperson.

However, whether Mr. Clinton has Peyronie’s disease, or even a curved penis, cannot be confirmed in any meaningful way at this time due to the legal maneuvering and sealing of many court documents in which this question has been apparently asked and answered under oath. As such, the presence or absence of a curve in Mr. Clinton’s penis is apparently known, but is not currently available for the public record.

Whether or not Bill Clinton, the 42^nd U.S. president, does or does not have a bent penis, and is consequently assumed to have Peyronie’s disease, became an important political question during two different sex scandals in which President Clinton was famously involved.

The first, in 1994, centered on the sexual harassment suit that Paula Jones filed against President Clinton for conduct that was said to have occurred in 1991 at the Excelsior Hotel in Little Rock Arkansas. Her lawsuit was eventually dismissed on the grounds that she failed to prove damages as a result of her encounter with Clinton. When Jones appealed the dismissal Clinton agreed to a $850,000 out-of-court settlement.

The second, in 1998, became known as the Lewinsky scandal. This high profile sex scandal centered on the extra-marital affair between President Clinton and a 22-year-old White House intern, Monica Lewinsky. Eventually the scandal resulted in the impeachment of President Clinton by the U.S. House of Representatives and a subsequent acquittal on all impeachment charges of perjury and obstruction of justice by the U.S. Senate after a stormy 21-day trial.

Both of these women hoped to prove that Mr. Clinton was sexually active in their presence by offering that they saw a “distinguishing characteristic” of his private anatomy, suggested by others to be some degree of penile curvature.

However, the public record regarding Mr. Clinton’s alleged bent penis has been purged from their testimony. Because the Jones and Lewinsky cases involved a sitting U. S. president, all testimony and affidavits that would quickly answer this question about Peyronie’s disease were sealed by court order and remain so. Detailed review of Monica Lewinsky’s August 6^th and August 20^th grand jury testimony, released on September 21, 1998 reveals no questions asked or answered about his penis. Detailed review of Paula Jones’ testimony during her deposition to the U. S. Senate on February 17, 1998 also reveals no questions asked or answered Mr. Clinton’s penis.

As a result of the court enforced silence on this subject the public does not know what these two women said about what they saw. The Washington Times has reported that several sources with close ties to the Paula Jones case indicated that in her sworn affidavit she alleges Mr. Clinton’s displayed a distinctly angled bend of his erect penis.

Even if it was widely known that both women said Mr. Clinton has a bent penis, this isolated information does not definitely prove that the former president has Peyronie’s disease; it would only mean that his penis is curved.

However, the New York Times newspaper has reported that on October 3, 1998 a detailed genital examination was conducted on Mr. Clinton by the chief of urology from the National Naval Medical Center, Capt. Kevin O'Connell whose interest was to specifically rule out Peyronie's disease. The New York Times has reported that Dr. O’Connell, as a result of this examination would testify if given the opportunity, that Mr. Clinton does not suffer from Peyronie’s disease. But this information is also under a court seal, so the best that can be done currently is to speculate.

Some normal penises are curved while other normal penises are straight; just part of the normal variation that exists between men that makes us all unique. When those court documents are finally opened and made public, few of us will be around to care about the private parts of President Clinton.

Upward 40 degree curved penis with Peyronie's disease, 22 year-old thinks sex is over and mentions suicide

Posted on February 5, 2013July 21, 2015 by Dr.Herazy

I am 22 years old, i was messing around with a girl (not having sex) but, she got turned on and thrusted down on me and her pelvic bone hit on the end of my erect penis and it hurt momentarily and i thought nothing of it and went on with business. When we finally had sex the next week and i felt smaller but just shrugged it off to a bad day. Then it still seemed to stay smaller and it began to hurt.

After 2 months of it hurting when i got an erection and noticing a bend in the middle i scheduled an appointment with a Urologist and wasn't too worried because i figured no matter the cost it would be fixable and i have an upcoming deployment so i would have the money to pay for any reconstructive surgery (which i looked up and found out there is nothing to fix it!).

I went to the urologist appointment and he said real quick it was Peyronie's disease and explained what i injured, to take vitamin E and just it will heal but i'll lose length and girth and will be more liable to injure it further in the future then he abruptly left the room and that was it.

The past week since my visit i have been scouring the internet and becoming very depressed and have been contemplating suicide ( seen another 22 year old post similar which made me feel as i should ask for help also) i have a 40 degree upward bend, the top of my dick when flaccid has a hard feeling to it, sort of a elongated lump. I feel about 3/4 to an inch smaller and much thinner. Also weaker erection but, that has started since the diagnosis which i believe is more mental that actual physical condition. But just a quick prelude, when having sex with girls for the first time i've always been shy and would struggle to hold an erection the first time or two until i was comfortable. Had a good sexual relationship with the girl before and was almost always ready to go no problem, and then that ended and after finally having confidence in my sexual self, i hurt myself and feel i'm ruined forever.

Greetings young man,

No, you are not ruined forever. You are only ruined if you allow yourself to be ruined. But, you are too good for that; you have already proven that you are too good to allow Peyronie's disease to ruin you because you have already started to take steps to take care of yourself and to learn about this ugly problem. You have already showed me in your email that you will be one of those who survives Peyronie's disease one way or the other.

However, it sure as hell is true you are deeply scarred; you are also confused about this mystery condition that came out of the blue to hit you when you weren't looking; you are also shocked at how little the medical profession has to offer you; and you are also upset at the cold and indifferent way the urologist treated you. When you put all these powerful negative emotions together it can rattle your thinking and put you mentally and emotionally off-balance for just a little bit. Because of this you have allowed yourself to think about suicide for maybe the first time in your life. How do I know you are feeling this way? I experienced something similar when I developed PD in 2002. In fact the majority of the thousands of men I have communicated with about PD have felt just like you, and have thought many of those same black thoughts. When you have a lousy medical experience with Peyronie's disease like you did – just like almost all men do – you can understandably have an almost identical emotional reaction – just like almost all men do. The difference is that only a few men are honest enough to talk about it.

What you must do now is get busy to help yourself because you already know there is very little help for you from the medical side. Most MDs are rather indifferent to the plight of the men they diagnose with Peyronie's disease. In your reading and investigation of the PDI website I am sure you have come across the information by now that is repeated many times about 50% of men who develop PD getting over it (spontaneous remission of Peyronie's disease) without any outside help at all. The message of the Peyronie's Disease Institute is that you always have the option of improving your odds of recovery by supporting your natural ability to heal PD like those lucky guys who do it naturally. In fact, you could be one of those men and you just do not know it at this time. There is much you can do to support the natural tendency of the body to always do the most it can to heal and recover to the best of its ability.

You admit that you are a shy person. Many times shyness comes from insecurity and lack of confidence that are rooted in past childhood issues. There is nothing like being naked in front of someone for the first time to test your self-confidence and personal comfort. Now that PD is an issue these insecurities and self-doubts are challenged even more. This is a vitally important and complex subject that is central to the negative emotions that so many men feel when they first deal with Peyronie's disease. I want to say many things to help you with this subject but my time and space is limited. I strongly encourage you to get one of the books I wrote that I think will help you greatly, “Peyronie's Disease and Sex.” There are so many helpful topics covered in this book that I am confident will help you think your way through your self-doubts. Hopefully reading it will guide you to the other end of the problem at which time you will feel differently about having Peyronies disease. If it does happen that you continue to have thoughts of suicide it is important that you talk to someone you trust for help and advice.

At the end of your email you said”…I hurt myself…” Actually, that is only partially true. The truth is that you put yourself in a dangerous situation and you allowed someone else to hurt your penis. This happened because you did not know any better because you and 99% of the men in the world do not know about Peyronie's disease until they developed it. If men do not know about PD, you can imagine that women are even more ignorant of it. Therefore, it is likely that in your life you will never meet a woman who understands how dangerous it is for a man to be jammed and smashed down by her when he is erect. You know; she never will. Therefore, it is not up to you to deliver any lecture about PD and sex safety. But, it is up to you to be smart; do not ever again allow a young lady to get that close to you when you are erect when she could duplicate that kind of injury. You must select a different range of safer sexual positions in which you are more in control of sexual activity, or at least learn to hold on to her waist so that you can limit how far back she can move to avoid a similar injury.

Please contact me again if you need help of any kind and I will do all that I can for you. TRH

My Peyronie's disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?

Posted on February 4, 2013July 21, 2015 by Dr.Herazy

Winter 2010 I used a penis extender for around 1.5 months (4-6 hours each day or less), where I probably made an injury on the left side (too hard penis with too hard stretch), just below the glans.

I realize now that I probably have had congenital curved penis all my life.

When my penis is rock hard, it curves 30-40 degrees to the left. I think it was less before Winter 2010 when I started using the penis extender.

I wonder if it could have been possible that I didn't injure the penis, but bigger curve at the glans is due to longer extension on the right side compared to the left side (because of scar tissue on the left side) ?

Seriously, I didn't think so much about the curve before, so the curve might only have been congenital before this likely injury. I went to an urologist in May and he indicated that I maybe have had a little injury on the tunica albuginea (which makes the overall curve bigger).

In December I started to use an extender again, with the use of XXXXXX, said to work specifically for PD. I stopped after 34 total effective days (9 h each day) as I have read some studies where they have used Verapamil injections before usage of an extender. In one study the curvature went from 30 to 0 and lengthened with 1.5 cm 🙂 I stopped using the extender 10 days ago.

Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed? Because it is speculated that some of the reasons the lengthening is shorter with PD, is because of the plaque. I have just started to use DMSO and SSKI (both topical), and will start to use Serrapeptase and Nattokinase as well. I see on this site that you also recommend Neprinol and some copper + +.

I have another question, so I may have to call you for more clearance; when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?

Peyronies disease is not just having plaque, but also having one side shorter than the other. It is then vital to use an extender so the shortest side can catch up the longest side, right?

I`m 31, which package do you recommend to me?

Greetings,

First of all, I removed the name of the penis stretcher product from your email because I think all of them are dangerous, as you have already shown us by reporting you injured yourself with one. I wish to not promote these contraptions in any way. The name of your particular device is not important because none of them are different from the others in any important or meaningful way. All cars are fundamentally the same because all have a motor, seats, windows, wheels and a steering wheel; in that sense they are all identical in their basic design. The same can be said of penis stretchers. They all have a clamping device that holds the penis at or near the head, a base that is held against the pubic region, a pair of extendable threaded rods that lengthen the device while it is worn on the penis, a book of instructions that tells you what to do if you develop blisters and skin erosion while using the extender, and surgical wool and antibiotic ointment to keep you from hurting yourself further.

You are a rare man. I have communicated with very few men who are able to wear a penis extender device for more than a short while; some could not wear one for even 10 minutes. I have worked with many men who told me they could only put it on only one time and threw it away because of pain and apparent injury. Many of those men who persisted in spite of the pain and superficial tissue erosion caused by these stretchers soon developed Peyronie's disease. Some men put a penis stretcher on only one time for 30-60 minutes and then never again because they next day they have signs of early penis injury, and later demonstrate full blown Peyronie's disease.

It seems the prolonged pressure from the head clamp causes local tissue anoxia (oxygen starvation) deep within the penis tissue; this is probably what happened to you. When there is a lack of blood circulation in the penis caused by smashing it down with the clamp of the penis extender, blood circulation is cut off and a lack of oxygen occurs where the head is compressed. This is very much like what happens when a tourniquet is worn too tight or for too long – the lack of oxygen caused by poor blood flow will kill tissue. Any good boy scout or soldier learns that even if your arm or leg is severely cut you must periodically release the tourniquet – even if hemorrhaging starts again – so that fresh blood can deliver oxygen into the injured limb. If this is not done the entire limb can become damaged and gangrene can develop. But you report in one area of your email that you wore yours for 4-6 hours daily for six weeks, and you state later you wore another penis stretcher for nine hours daily for 34 days. That is incredible. If you were a boy scout you would have flunked the first aid class for leaving the “tourniquet” on for far too long. No wonder you developed PD.

You state your congenital penis curvature is now worse than it was before you started using your first penis stretcher; your bent penis now curves 30-40 degrees to the left, more than before using the stretcher. You think that the solution to the problem caused by the first penis stretcher is to use a second penis stretcher. I do not agree with your thinking, and I will explain why later.

Please think about this statement I am about to make because it is very important in helping you to understand why you have injured your penis, and why I feel you are going about treatment in a totally wrong way: If you have Peyronie disease, your problem is not that your penis is bent, dented or otherwise distorted; your problem is that you have dense scar tissue within the tunica albuginea layer of the penis that as a secondary factor is causing your penis to be curved, dented or otherwise distorted.

Think of it this way. If you cut yourself shaving, what is the actual problem? Is your problem the blood running down your chin? Or is the problem the hole in your skin that as a secondary factor is allowing blood to leak out of the blood vessels and run down your chin? Certainly the blood gets your attention, but it is not the problem. If you did not have the hole in your skin the blood would not be running down your chin. If I was to offer you a way to wipe your face clean, it would not address the real problem which is the hole in your skin. If I was to offer you something that would help you heal the hole in your skin rapidly you would not have to worry about the blood running down your chin. Certainly when your penis is bent it gets your attention, but it is not the problem.

I emphasize this point because I believe you are seeing Peyronie's disease as being a curved penis, when it is not. Peyronie's disease is a soft tissue condition of the penis in which a fibrous plaque of scar tissue develops excessively for some reason (congenital predisposition, nutritional deficiency, trauma, chemical or hormonal imbalance, drug side-effect, or a combination of some or all these) in the tunica albuginea, which in turn prevents the even and symmetrical expansion of the erection and a few other nasty symptoms.

You ask, “Is this something you recommend? To remove the plaque first and then start using the extender after the plaque has been removed?” The answer is simple: No. If you did something to remove the plaque first, you would not need to use an extender because you would not have Peyronie's disease. With no plaque in the tunica albuginea you would not have a curved penis and there would be no point in using the penis extender unless you are one of those men who believes stretching on the penis will make it bigger – and that is an entirely different topic.

You also ask, “…when the plaque diminished, will it leave an empty area in the flesh, maybe making the curvature worse and the penis shortened?” The short answer is again, no. As a longer explanation: When a pregnant woman delivers a baby, does her abdomen stay stretched out? When a weight lifter stops exercising, does he develop empty areas and voids where the larger muscle tissue used to be? When you over-eat and your stomach and abdomen expand and bulge out, does it stay that way permanently? No, to all of that. All our body tissues are elastic (even bone to a very minimal degree), allowing the removal of unneeded or foreign tissue cells that are eliminated and healed over in the best way the body can accomplish under the circumstance. The body always attempts to return to the most efficient and normal state it can whenever and however possible. In the case of Peyronie's disease the body will attempt to reabsorb the strands of fibrous tissue and heals the tunica albuginea to the best of its ability. In about half of the men who develop Peyronie's disease this attempt at self-repair and self-healing is successful. In the approximate other half, the condition is not healed and becomes more or less permanent.

This tendency of the body to always attempt to return to normal (homeostatis), or self-heal, is the basis of the PDI concept for eliminating the Peyronies disease scar. By presenting to the tissue a wide variety of helpful and supporting vitamins, minerals, enzymes, and naturopathic modalities like moist heat applications, DMSO, gentle manual penis stretching (which is vastly different from your mechanical penis stretching concept), ultrasound and acupuncture therapy, we attempt to support, promote, stimulate and accelerate that ability of the body to eliminate the Peyronie's scar that works in 50% of men and fails in the other 50%. What PDI attempts to do is really not so far fetched or bizarre. We only attempt to assist and promote a natural process that is successful in 50% of men when they eliminate their PD scar without any help from anyone. We are not trying to make pigs fly. The PDI concept of helping PD correction is one of working with the man who has PD so he can do a better job of what he failed to do in the first place.

Another question you pose is, “PD is not just having plaque, but also having one side shorter than the other. Ii is then vital to use an extender so the shortest side can catch up the longest side, right?” You ask that question as though having plaque and having a shortened side of the penis are two separate and distinct problems. I get the impression you believe that the shortened concave side of penis curvature happens independent of the plaque, when that is not the case. It is the presence of the dense fibrous scar that shortens the side of the penis in which it is located, and not the other way around.

To solve the problem of Peyronie's disease the body must eliminate the mass of dense fibrous scar in the tunica albuginea. You cannot eliminate that tissue by stretching or pulling on it. How do I know that? Simple laws of physics governing our universe explains why stretching a penis with a PD scar will not influence that mass of inelastic tissue.

We all have heard the expression many times, “A chain will break at its weakest link.” We all intuitively understand what that means. When a stretching or traction force is applied to a series in which there are stronger or stiffer areas as well as weaker or more flexible areas, the weaker or flexible parts or areas will give way, break down, fail or somehow give up before the stronger parts or stronger areas. In war: when the enemy attacks, the weaker part of a battle line will give in before the stronger part of a battle line. Toilet paper and postage stamps: when the paper is pulled the area of paper that has been weakened by the small perforation holes will tear before the non-perforated paper has a chance to tear. Tires on a car: the softer the tire, the more it will absorb the vibration energy of a rough ride, and the harder the tire the more it will pass the energy of a rough road to your body. There are countless examples of the idea that a weaker, thinner or more flexible area will absorb energy before a stronger, thicker or more rigid part is able to do so. This is why a chain will break at its weakest link. What does this have to do with Peyronie’s disease?

The PD scar is thicker and stronger than normal skin and corpora cavernosa tissue of a penis. When a traction force is applied to the penis, the normal elastic corpora cavernosa and skin tissue will absorb the energy of the traction force as it stretches out before the inelastic scar tissue has a chance to stretch – the scar will not get a chance to get stretched because the healthy penis tissue will absorb the energy as it stretches first. Don’t believe me? Do this experiment. Find three rubber bands– two that are thin and stretchy and one that is thicker and heavier than the two thin rubber bands. Loop these three rubber bands together in a series, placing the two thin stretchy rubber bands at the ends and the thick heavy one in the middle. Now hold this series of rubber bands at the two ends and pull on it so you are stretching the whole thing out to make them all longer. Notice that all movement and stretch is coming from the two thin stretchy rubber bands that are at the ends, and no movement or stretch is taking place in the thick rubber band in the middle. Only when you stretch so far that the two thin rubber bands are near their breaking point and are ready to snap, will the thick rubber band in the middle begin to move a little. If you continue to pull, one of the thin bands will break before the thick band has stretched only a small amount. This will happen every time. Thus, when you pull on a flaccid penis that has Peyronie’s disease you cannot stretch the thick fibrous scar tissue because the normal elastic skin and deeper corpora cavernosa tissue will absorb the traction force to do all the stretching just like the thick and thin rubber bands looped together.

In Peyronie's disease any apparent inequality of length is caused by unequal expansion of the corpora cavernosa due to the presence of the dense fibrous scar material within the tunica albuginea. The dense and inelastic scar prevents full expansion of the erect penis, and perhaps only a minor amount of actual contraction of the tunica albuginea. When I work with men who have been successful in reducing or eliminating the their PD scar material their curved penis returns partially or completely back to normal depending on how much scar elimination occurs. I am told for some the scar elimination is complete and for others only partial; when I treated my own Peyronie's disease in 2002 it was complete elimination of the PD scar. No mechanical penis stretching is done and no mechanical penis stretching is needed. In 2006 a research project was undertaken during which we devised and perfected a gentle manual penis stretching method that works completely unlike and contrary to the concepts presented in the mechanical penis stretchers. Additionally, I find that lost penis length and girth that occurs is a result of fibrous infiltration of the tunica albuginea and this often improves to the degree the body is successful in its attempt to remove this foreign fibrous tissue, owing to the natural tendency of the body to heal itself when given the opportunity.

Your last question about what Peyronie's treatment plan I recommend for you is the most difficult and also easiest one to answer. Since I am not your treating doctor I can only advise you as I advise all other men who come looking for help in starting self-treatment. I suggest you use the largest and most aggressive plan of treatment that you can sustain for at least 3-4months while you follow the PDI concepts of Peyronie's treatment that supports and encourages your body to eliminate this terrible scar material. If you decide to do so, you might use the gentle manual penis stretching technique as part of that effort.

I appreciate your hard work, earnest effort and sincere desire to rid yourself of your Peyronie's disease. You are like many men I deal with daily. I commend you for not accepting your problem and encourage you do all you can to heal your problem. If I can help you in any way, please let me know. TRH

Is having a penis with a congenital twist really rare or fairly common?

Posted on January 29, 2013July 16, 2015 by Dr.Herazy

Hi, Dr. Herazy.

I'm wondering if your treatment program might help me improve my penile torsion–my penis has a counter clockwise rotation some 45 degrees. I'm 40-years-old and married.

One more thing–is having a penis that twists in one direction or another really rare or fairly common?

Thanks for any advice.

Very best–Chris

Greetings Chris,

Since you do not mention having Peyronie's disease I will assume that your twisted shaft is a condition you have had all your life, or a congenital twist that is simply the way you are. I mention this because it could also be part of the deformity pattern that develops as a result of Peyronie's disease, since many men note this finding along with a curved penis and loss of size that results from the presence of the Peyronie's scar. When I had Peyronie's disease back in 2002 I also had a torque or twist in the shaft; mine was also counterclockwise, and it was resolved along with the 35 degree bend to the left, upward 10 degree bend, and loss of size when I was able to heal the PD scars that were causing that mess.

But I assume your twist is unrelated to PD and is only something that makes you the unique and wonderful guy that you are. For information about how some men are born with a different looking penis please refer to How can I tell the difference between Peyronie’s disease and a congenitally curved penis?

Previously I have described how many men have used the PDI gentle manual penis stretching technique to partially or completely reverse congenital penis curvature and bends. Please refer to Will the PDI Manual Stretching Technique help a congenital penis curvature?

It is not I often learn of men who have a congenitally twisted or torqued shaft; most often it is congential curvature that is mentioned. Further, when twisting is mentioned I believe the amount is not often as much as our 45 degrees. However, when it comes to these kinds of variations of the penis there is a tendency for men to not broadcast this information. I would suspect that it is more common than generally spoken about. For these reasons I will say that your situation is not all that common, but certainly not rare.

I would suggest that if your torqued shaft is presenting a problem to your sexual function that you could consider a brief therapeutic trial of maybe three months or perhaps more using this PDI protocol to see if you can reduce the degree of variation you have. TRH

Comments about Peyronie's disease measurements and difficult or painful sexual intercourse

Posted on January 16, 2013July 21, 2015 by Dr.Herazy

Hi doctor,

I saw a picture of a individual on your site with Peyronies where the claim was, he was 45 degrees. It didn't seem to me like his curved penis was 45 degrees, obviously there's more than one way you can measure.

I always believed the side with the curve is the side you measure. The problem is that when measuring Urologists can do it differently because there is no set standard. Its like penile length measurement,some doctors/researchers will press the ruler to the pubic bone, but others will only touch the ruler lightly to the abdomen. When measuring girth some measure at the base, some in the middle. Some researchers /doctors stretch the length only with some doing it once,others a few more times & elongating it ,others use pharmaceutical induced erection.

The bottom line is that a congenital curve or Peyronies curve (if it doesn’t hurt) doesn’t matter if its 0 degrees or a 1,000 degrees if intercourse can be done without pain for both parties.

Bill

Greetings Bill,

Often I will notice that the person will only estimate the degree of penis curvature, and usually on the exaggerated side. Actually, while the degree of curvature is of course important to know and record, it is really much more important and significant to know the size, shape, density and surface features of the PD scar that is causing the curvature. You see, the curved penis is just a result or secondary factor to the real problem of Peyronie’s disease – the Peyronie’s plaque. Too much time and attention is paid to the secondary problem (the bent penis) and not enough to the cause (PD scar). I can certainly understand why the curved penis and distortion get so much attention from people, but being all engrossed only in the curvature does prevent a man from focusing on the actual problem and how to treat it correctly.

I have worked with men who swear they cannot penetrate with a 10 degree bend, and other men who say that their 60 degree bend only slows down penetration. The problem of penile distortion and resultant difficulty of sexual intercourse is a complex problem, that is made so because human emotions and motivation are a part of the equation. Many times the amount of difficulty of penetration, or pain during intercourse, with a couple who must deal with Peyronie’s disease is due to lack of natural lubrication and lack of preparedness of the female partner; if she is tense and fearful that she will hurt him, she is less likely to be relaxed and fully sexually stimulated to produce the level of natural readiness for that makes penetration easy. If you are interested in this subject because of some difficulty with sex now that you have Peyronies, please see my book “Peyronie’s Disease and Sex.”

Your last comment is quite true. Most men would not care or do much about their Peyronie's disease if they could still have intercourse without a problem.

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TRH

I have Peyronie's disease. Is there anything i can use or do to lessen the pain when getting an erection?

Posted on January 11, 2013July 21, 2015 by Dr.Herazy

Hello Dr Herazy,

About 3 months ago i had a vasectomy done, and to try and “clear out the system” i was masturbating a lot more then usual. Over time I began having throbbing pain from the shaft of the penis which would pulsate towards the tip when getting an erection, i don't recall this pain prior to the surgery or frequent masturbation. But it seemed as though it had worsened and after a self examination i noticed a BB sized ball towards the bottom of my shaft, so i made an appointment with my urologist.

Well I just had that appointment today and after a short physical exam by him he indicated that the BB sized ball was plaque/scar tissue and that i have Peyronie's disease. He has prescribed me Verapamil gel and is advising me to take Vitamin E UI pills, but he was up front letting me know this may not cure my problem. Now like most men i immediately came home and did further research, but all i'm finding are most men talking about the “extreme curvature” to their penis. And in my case its the pain when getting an erection that i'm more concerned about but i cant find anything that relates directly to that. Let me also point out that although i have a slight natural curve to my penis that i've had for years i do not have anything extreme going on in that area.

So my question to you is there anything i can use/do to lessen that pain when getting an erection? Now that i've located the plaque it seems to be radiating from that area. It has become very frustrating when trying to be intimate with my wife as i focus more on getting that pain when developing an erection then trying to enjoy the intimacy. Any help/suggestions would be greatly appreciated!

Thank You,

Johnny J

Greetings Johnny J,

Sorry to learn of your problem and the pain you are in. Please follow the advice and direction of your doctor. I agree with him that a course of topical verapamil and vitamin E by itself is seldom successful. This is why I developed the Peyronie's Disease Institute to explore and develop an alternative medicine approach to treating PD. As another option, I suggest you spend some time reading the PDI website to determine if this alternate approach that seeks to increase your natural ability to heal, repair and eliminate the Peyronie's plaque makes sense to you. A good place to start is Natural Peyronie's Treatment Options.

Frankly, when I communicate with men who start Peyronie's disease treatment I am told that pain usually goes away in a few days. Pain during an erection seems to be rather easy to control with the therapies in any of the treatment plans you might select.

You need to understand that Peyronie's disease is a process that takes time – sometimes up to 18 months or so – to fully develop all levels of symptoms and signs of this problem. In fact, I have many times communicated with men who find that their problem continues to develop (deteriorate) well into the 2nd or 3rd year. Do not assume that your condition will remain the same as it is right now. If you have no particular curve associated with your Peyronies problem at this time, be grateful because some men start out with a wicked curve. However, it is a rare case of PD that does not eventually display some level of penis curvature or distortion. If you do not have at this time any aggravation of your fundamental naturally curved penis, it will probably not stay that way. It is just a fact, so be prepared.

Whatever you and your wife decide is the appropriate level of intimacy at this time, please be sure to be careful so that you do not exacerbate your Peyronie's disease. Do not stop having sex; have sex in a gentle and sane way so that you do not cause further injury to your penis. You were abusive and overly aggressive with your masturbation to the point that you developed PD. Do not repeat that mistake by making your PD worse. It can be done and it can be a nightmare you do not want to visit. Use additional sexual lubrication during intercourse and select those techniques that avoid the possibility of accidental slipping out and jamming/ramming the penis that would injure it further.

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Let me know if I can help you in anyway. TRH

What can I do to make my congenital penis curvature better?

Posted on January 11, 2013July 21, 2015 by Dr.Herazy

Hi doctor,

I think I have a natural penis curvature or I was born with a bent penis to the left side by about maybe 35 degree max. I already asked a urologist and after checking me he told me to not do surgery and told me that I do not have a scar tissue or anything. After I did some research on the internet I found that there is some exercise that can help to fix my bent penis and also some people talk about using vitamin E cream mixed with Cetaphil moisturizer. So please just let me know if this can help or not. And if not, what can I do to get better in this case? Thank you in advance and hope to hear from you soon.

Greetings,

As I have written many times in this blog, men have changed their congenital penis curvature using the methods described on this website. I do not think that applying a moisturizer lotion mixed with vitamin E is capable of making significant tissue changes that would be required to alter a 35 degree curved penis. Applying topical lotions that are intended to make the skin soft are far too superficial to accomplish what you have in mind.

You did not describe the exercise that you have in mind to correct your curved penis. This would be key, I believe, because there are many ways to influence the tissue in most areas of the body by stretching the tissue. As far as the penis is concerned, however, you must be very careful about being too aggressive and causing injury to this delicate tissue. From my experience the penis stretching programs I see on the internet are far too abusive to consider doing. For example, many cases of Peyronie's disease have been started by mechanical penis stretchers and jelqing. In response to these abusive methods, several years ago I worked with a group of men through PDI to develop what I call the PDI gentle Manual Penis Stretching Technique that uses a very light but sustained traction to stretch the penis tissue over a period of time when accompanied by a wide variety of internal and external therapies that assist this stretching process. I get back good reports from those men who use a broadly diversified and gentle approach to correcting their penis curvatures.

Please review a few posts to give you a better idea about what this method can do for a bent penis that started from birth, Will the PDI Manual Stretching Technique help a congenital penis curvature? and Could Peyronie treatment plans still possibly help my congenital curvature? and Can my congenital penis curvature be fixed by surgery or is there some other way to get help?

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I ask that you investigate this methodology to see if it makes sense to you. TRH