How should I do penis stretching with two different deformities?

I have Peyronie's disease with a downward curvature when erect. I have watched the PDI gentle massage video and it states that you should attack the biggest curvature first, ok. But here is a problem, when the penis is flaccid, ie not erect, I also have an hour-glass deformity figure. The hourglass figure is not there when fully erect at all, but it does make it harder to apply gentle massage technique when flaccid. So should I try to attack the hour-glass figure first or not?


If you are correctly applying the gentle manual PDI penis stretching technique to a flaccid penis that demonstrates a hourglass deformity you should not have any trouble holding or maintaining the correct contact. You are doing something wrong.

In your question you used the word “attack” twice.

In the one-hour video I know I did not use that word once, because the emphasis is always about how light and gentle the contact and minimal the traction is when applying this special penis stretching technique. I hope you are not being too aggressive with this method of treating Peyronie's disease, and that you are carefully applying the specific instructions just as they were carefully presented to you. For you to be having a problem holding a contact for an hourglass deformity tells me you are not doing the work correctly.

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In the video spent a lot time explaining the method will not work if you are too aggressive and heavy-handed when you use it, so please be careful how you apply it. Actually, I encourage you to sit down and watch the CD again to be sure you are doing it correctly.

Regardless how you might be using unnecessary and counter-productive force, I can advise you that you should be applying traction not to correct the hourglass deformity since you report that it is only present when you are flaccid, or non-erect. Your gentle penis traction should be applied to correct the downward bent penis carefully following the instructions given in hour long video for this kind of deformity.

Also, you do not mention doing any other form of Peyronie's treatment, such as vitamin E and C, systemic enzymes, PABA, DMSO, etc. If you are only using the PDI gentle manual penis stretching technique by itself you are making another mistake. Please contact me if you have any questions or need something explained in greater detail. I am concerned how you are working to correct your Peyronie's disease and want to assist you in any way I can. TRH


What Peyronies treatment would you suggest for a “waist” in the penis?

Dr. Herazy,

What treatment plan would you suggest in treating a waist in the penis? And also, does the penis waist happen because of lack of blood flow to that area?




When you mention a "waist in the penis" I assume you refer to what is commonly referred to as an hourglass deformity of the penis associated with Peyronie's disease in which there is a narrowed portion of the penis in a small or large part of the circumference of the shaft.   

Treatment for this type of distortion is not much different for this distortion or for any other distortion that is caused by the presence of the internal Peyronies plaque or scar tissue – except in one small aspect I will explain a bit further down.  The very important point I want to make now is that good Peyronies treatment is not directed to the distorted (bent, curved, hourglass, waisted, limp or shrunken) penis, but to the scar itself.   What is wrong with you is not that your penis has a waist formation, but that you have a Peyronie's plaque or internal scar in the shaft that is causing a waist formation.  Do you understand the critical point I am trying to make?  Your problem is not the waist, but what is causing the waist to form.  That is why it is pointless to try to stretch a curved penis with a mechanical penis stretcher because it cannot do anything to remove or reduce the Peyronies plaque.   A case of Peyronie's disease is not a curved penis that will be corrected by forced stretching, like a bent paperclip.  A case of Peyronies disease is one in which internal scar tissue can cause the penis to bend or distort in some way.  For this reason treatment is not so much directed to the kind of distortion but to the reason for the distortion. 

Having explained that, I will say that the gentle manual penis stretching technique developed in a PDI research project a few years back can be modified to suit the type of distortion displayed because with this particular local technique it is possible to focus subtle traction vectors into the specific location and direction of the plaque formation.  We developed unique techniques for bends, twists or rotation, hourglass, bottleneck and combinations of deformities to isolate the fibers that cause those patterns in an effort to stimulate their reabsorption.

This waist or hourglass type of distortion is caused by a circular or collar-like Peyronie's plaque formation that either prevents or restricts the full expansion of the shaft during an erection or allows blood to not collect in a particular area and therefore not expand completely.

My suggestion is that you do a bit of reading at start Peyronie's treatment to see if this makes sense to you, and to begin working to increase your ability to heal the Peyronies scar in the best way possible.  In my opinion the best Peyronie's treatment is the largest and most aggressive you can sustain for a few months to assist natural healing.  Read the PDI website to learn if you agree.  TRH

What can I do about a "waist" or narrow part of the penis that comes and goes?

Dr. Herazy,

I have a waist in my penis that comes and goes. It shows up at different times more than others. I can't figure out why it won't stay consistent. It make me uncertain how to treat it. But, at the point of the waist it tends to “slinky” or hinge left. I guess that's the weak circumference making it do that. Is there a remedy or stretch that can build that back up? please help.



It sounds like you are describing what is called an hourglass deformity often associated with Peyronie's disease. I suggest you go to a urologist who has experience with this problem for a complete examination so you can know for sure what you are dealing with. Please do this for yourself.

The rest of this reply will assume you have been diagnosed with Peyronies disease.

Peyronie;s disease is not a static condition; it changes from time to time, sometimes it seems like the condition of the Peyronie's plaque or scar changes daily. I am not positive this is true, but I am convinced that the internal Peyronie's plaque that causes all distortion in this condition, including an hourglass deformity such as you are describing, is caused by the presence of the fibrous scar within the penis shaft.

It is my theory based on a great amount of communication daily with men who have Peyronie's disease that to change frequently the scar responds to minute changes in the blood chemistry, specifically the pH of the blood (the acid-base balance of the blood). Many things influence the pH, but probably nothing as much as our diet. For this reason I have devised a special Peyronie's disease diet that is described in detail in chapter 5 of “Peyronie's Disease Handbook.” If you follow this diet you will likely be able to control this frequent change in the condition of your bottleneck deformity.

To eliminate the hourglass deformity entirely, and to make your penis straighter and more stable during intercourse, you need to support your body's ability to reabsorb and eliminate the Peyronie's plaque that is causing all your problem. To do that please go to Start Peyronie's Treatment on the PDI website.

An important part of that protocol to treat Peyronie's disease is to use a safe and effective gentle manual penis stretching technique that was developed in a research project conducted by PDI in 2006; it is very effective. Mechanical penis stretchers are proven unsafe and practically impossible to use for most men.

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

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Are your treatments effective for Peyronie's disease with an hourglass deformtiy?

I have the hourglass form of Peyronie's disease. The hour glasses is right at the base of my penis. In 15 months I have lost more than an inch in length. The specialist I saw indicated my scarring was severe. He also used the word very thick. He recommended injections to the penis. Although he sounded more skeptical then confident. My scarring is on both sides and the top of my penis. Like I said all scarring started at the very base.

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Are your treatments effective for this type. I am at a total loss as to what to do. My wife of 32 years And I have gone from sex 4 X a week to almost not at all.

I cannot believe how this has affected me emotionally.


There is much you can do to help yourself; do not lose hope and confidence in your body's ability to remove this problem. The treatment outlined by the Peyronie's Disease Institute is intended to restore and support your natural ability to remove the Peyronie's plaque like the 50% of men whose PD goes away naturally.

Many MDs will not consider delivering injections into the Peyronie's plaque because repeated injections into such a small area, usually over a series of 12 office visits, represents another form of injury. Usually 8-20 injections are given at a single office visit to a small area where the scar is located, and this is done at 12 different office visits. This represents a lot of pin holes created in a very small area of delicate tissue. For this reason injections can cause Peyronie's disease, regardless of the drug being used, simply because of what the needle does to the delicate penile tissue.

There does not seem to be any difference in response to Peyronie's disease that causes an hourglass deformity, or an bottleneck deformity or a curve or dent or twist or combination of any of these. Regardless of how the Peyronie's plaque affects the appearance of the penis, it all comes down to helping the body remove the foreign fibrous material. Please look at use of any of the suggested therapy plans to see which one makes most sense to you.

Many men are wracked by the emotional aspects of Peyronie's disease. I suggest you read “Peyronie's Disease and Sex.” TRH


How do you treat a penis "waist" or hourglass deformity?

Dr. Herazy,

Are you familiar with what Urologists call a “waste” in the penis? If so, how do go about treating it?


I believe you are mistaken. There is no urological term “waste” that refers to the penis. I am not aware of any; all medical text I reviewed did not contain that term; a Google search of the Internet for variations of “penis waste” did not bring up anything.

You are probably referring to a “waist” formation around the penile shaft that is just another way of describing an hourglass deformity. This penis “waist” occurs in Peyronie's disease as an indentation around part or all of the circumference of the shaft that resembles a narrow waist formation.

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Like any other penile deformity, an hourglass formation is treated by attempting to eliminate the cause of it – the Peyronie's plaque. The hourglass form is created when the plaque either pulls from inside the shaft causing a depression on the surface, or if it keeps the local veins of the area open and thus prevents blood from being trapped in the penis and the local area does not fill with blood. Treatment is to eliminate the plaque as described in the PDI website. TRH