I am wondering can my erectile dysfunction be fixed?

I have an erectile dysfunction that I have since teenager and now I am 46 years old. year of 2001 and I went to see the urologist in Framingham, Mass when I used to work in Framingham, Massachusetts and he got me on x-ray and ultrasounds he found that I have a very good blood flows in my penis, good blood vessels but the blood vessels do not hold the blood in and that is why i have problem of getting of erection, and that is why I have an impotence. also I noticed I have an inability keep an erection premature.

I am very healthy I do not smoke, good heart beat, and that does not make any difference. during that time the doctor suggest me to take Viagra. but it causes me headaches and it works. then years later to use Calais that is even better and no headaches. But they cost me lot of money. I am wondering can my erectile dysfunction can be fixed? I am tired of this problem. I am not in depression or anything so I hope you could make some suggestion of what I shall do to fix my an impotence problem.

I am frustrated because many women left me due of this problems and wondering if you could help me with this?
Now I live in Ontario, Canada. I am a Canadian. I worked in USA with NAFTA Visa at that time. Many thanks for your help.

 

Greetings,

Since this website is focused on Peyronie's disease, I only get involved in the erectile dysfunction that is related to Peyronie's disease; it is a very special and unusual kind of ED because of the way that the Peyronie's plaque or scar interferes with how an erection occurs.    It would appear that your erectile dysfunction is related to a blood vessel problem.  What I do would not help your kind of ED.

I suggest you contact a urologist either in Canada or the US who works specifically in this area as a specialty.  You would call the office you are interested in visiting, and ask to speak to the doctor's nurse.  Explain to her what you mentioned in your email about the blood vessels not holding the blood in to create an erection.  She will know if that doctor works with men with this kind of problem.  Don't be satisfied talking only to the receptionist who answers the phone; you want to talk to the nurse who works directly with the doctor.   If she says her doctor does not do this kind of work, then ask her for the name of someone who does do this kind of work, so you can get the kind of help you need.    

However, if I missed something and you also have Peyronies, we can discuss how you might want to try to help both problems.

Please let me know how it goes for you.  TRH

What can I do if my Peyronies was caused by Tri-Mix ED injections?

Hi Doc… I have been using tri-mix injections for the past 12 years for erection problems.  The injections have been a perfect solution for the ED however about a year ago I realized I had hourglass Peyronie’s at the base of my penis near the injection sites.

I’m not sure if the injections caused they Peyronie’s disease but I have stopped using the injections and have been using a mechanical penis stretcher for the past 4 months but it hasn’t helped much if at all… Right now my penis is severely dented at the base on the left side.. It is about as half as thick there as it used to be at the worst part and looks like someone took a huge bite out of it there.

If my Peyronies was caused by ED injections would that be reversible and what would be the best course of action to address my Peyronies?

Thanks in advance for your time.

 

Greetings,

Twelve years of injections into the penis is a lot of injections.  I do not know how you can say that the Tri-Mix injections were a “perfect solution” for your ED if they might have caused your Peyronie’s disease.   That is a terribly high price to pay when there are so many other less dangerous and less offensive options to use for ED. 

Now you have been using for four months a mechanical penis stretcher that can also cause Peyronies.   You are really beating up this tissue that you wish to be healthy.  The penis stretcher will not work to eliminate the fibrous tissue because only the normal and healthy tissue will stretch while the dense fibrous tissue will resist the stretching force.  Simple physics says it cannot work.

You should be doing all you can to assist your body to heal the damage you have done to yourself.  I suggest you read “Start Peyronies Treatment.”

I have Peyronie’s disease and cannot develop an erection, what can I do?

Hi Dr, I have been to a GP and was told i have Peyronies. My penis curves to the left but I cannot have a erection and feeling in my penis is just about null. What do i do to get an erection so at least intercourse is possible ?

Regards…D

 

Greetings D,

There are many reasons a man might not be able to develop an erection.  Penis erection is a complicated process and many things can affect it.  To keep this discussion from being a three hour email, I will limit my response only to the single issue of Peyronie's disease as it relates to ED (erectile dysfunction) or the inability to develop an erection.

During the cold winter months I like to warm up the bathroom before taking a shower.  To warm the room I will turn on a small portable electric heater in the bathroom 30  minutes before showering to bring the temperature up to a toasty temperature.  Sometimes I forget to completely close the door to the bathroom, and this prevents the heat from being trapped in the room.  If I leave the door open just a little, only a little heat collects in the room; if I leave the door wide open, no heat collects in the room.  Most of the time when I make this mistake my wife will close the door for me (after reminding me I made that mistake again), and I will give her a big hug.  But when she does not notice the heater running with the door open I will have take a shower in a room that is cooler than I like.

That little heater does a great job of heating the room if the door is closed.  Closing the door is part of the process of trapping the heat that is created.   In a way, the door is more important to the room warming up than is the heater because the heater could run all day long with the door open and it never would warm the room.

A similar mechanism happens in the penis to develop an erection.  Blood is continually being pumped to all parts of the body, sometimes more and sometimes less depending on activity and needs of the body, but all parts of the body have a continual supply of fresh blood.  The penis has a much different kind of blood vessel arrangement than other parts of the body because it can almost immediately trap the blood that is being pumped into it.  When this happens it is like the bathroom with the door closed, or like a balloon that has been tied off.   

When Peyronie's disease happens, a mass of fibrous tissue called a plaque or scar develops within the layer of the penis known as the tunica albuginea.  This scar is not supposed to be there; it is not a normal thing, and the fact that it is there within the tunica albuginea very often makes it difficult or impossible for the veins of the penis to trap blood.  You might say that the veins have valves within them, and the fibrous plaque prevents those valves from closing.   When the valves do not close, the blood is not trapped and no internal pressure is built up that is associated with an erection.   This inability to close the valves of the veins might affect just a small part, or a large part, or all of the penis, causing a small, large or the entire penis to be soft or not erect.

The solution for this problem is not to pump your body full of drugs to make an artificial and temporary erection, because this does nothing for what is really wrong with you (plaque in the tunica albuginea) and it might cause other health problems as a side effect.  The solution is to eliminate, if possible and as much as possible, the plaque that prevents the valves from closing that causes the penis to be soft or flaccid (not erect). 

To learn how to help your body eliminate the Peyronie's plaque or scar please review the information at "Start Peyronies treatment."   TRH

Is there a connection between using Cialis and Peyronies disease?

Is there a connection between using Cialis and Peyronies disease? The reason being is because I had no signs of the disease developing. I woke up one morning to find the scar/plaque on my penis when I went to the bathroom. Overall I took about 13 pills over 6-7 weeks, only taking one at a time. My doctor examined me and confirmed that I have it but did not offer anything solutions or why it happened. He did say he was surprised that it just came on as fast as it did which was like overnight for me.  I know my body and I was completely surprised.

Greetings,

Cialis is a member of group of drugs called PDE5 inhibitors, used to treat symptoms of erectile dysfunction (ED). Other members are Viagra and Levitra.

Yes, there definitely appears to be a connection between using Cialis and Peyronies disease.   Over the years I have encountered many men whose Peyronie's disease started after using just one dose of a PDE5 inhibitor.  There are many lawsuits pending in this regard.

Here are a few of the posts I have written about this subject over the years: Peyronie's disease plaque, Viagra, Cialis, Levitra and blood supply, and Peyronie's disease treatment and Viagra, Cialis and Levitra; there are others if you look further on the website.  TRH

What are the chances my Peyronies will stabalize soon?

i am a healthy 50 yr old who has been diagnosed with Peyronie's disease about 14 months ago.  I've had a dent about 1 inch from the base approx.2 inches long during erection.  I thought it was stabilizing but seems to be getting slightly worse, moving towards the head.  I now think I'm starting to get some ED.  No treatment except vitamin E.  Starting to stress,what are your suggestions on treatment?   What are the chances this will stabilize soon?  Should i expect this to get worse?  Are the ED drugs (Viagra) a good idea to use?

Greetings,

You are asking several questions, most of which are answered many places within the PDI website.  I suggest that if you wish to learn more about PD you spend a little time reading what is here for you.  I will go through the questions and points you raise in order.

What looks like movement of the indentations is more likely the result of changes in the internal scar tissue, causing different patterns of pull on the tunica albuginea and layers of fascia within the shaft.  There is a wide variation of development of Peyronies, so be aware that your particular situation might be different from others you read about.  for many men these small but accumulative changes of the PD plaque or scar causes deformity changes over a period of many years.

There are two probable ways you could be experiencing ED at this point:  Physical – from the growth or contraction the PD scar material causing the internal valves of the veins of the shaft to remain open, thus preventing development of internal hydraulic pressure that creates an erection.  Sometimes this is a widespread problem affecting the entire shaft, and sometimes a local problem causing dents or bottleneck deformities.  Emotional – you are, as most men feel, angry, confused, scared, and/or embarrassed about what is happening to you.  The emotions have a great impact on the development of the erect state.

Using vitamin E by itself is almost no treatment   Vitamin E as a Peyronie's treatment is a great therapy, very essential, but it must be combined with other therapies to get the right kind of tissue response you are looking for.  

Treatment is the most thoroughly discussed subject on this website.  See "Introduction to Alternative Medicine treatment of Peyronie's Disease," and "Guide for Peyronie's Disease Treatment," and many others.

The PDE-5 category of drugs (Viagra, Levitra, and Cialis) can cause problems due to excessive erection development, resulting in over-inflation and possible tearing of internal tissues of the shaft.   See "Peyronie's Disease Plaque, Viagra, Cialis, Levitra and Blood Supply"  and  "Peyronie's Disease Treatment and Viagra, Levitra and Cialis" and many others.

Far better to learn about Alternative Medicine treatment of Peyronie's disease, take control of your situation, stop feeling so helpless and reduce your stressful state.  If you have specific questions about treatment please let me know.     TRH