Hi. Dr. Herazy

My question is regarding the differences and similarities between Peyronie disease and that of scar tissue without a plague, and whether or not treating scar tissue is similar to treating PD. I've been told by 3 urologists that I do not have Peyronie's disease, merely scarring as a result of an injury.

Almost two years ago I suffered the injury to my erect penis during intercourse. It bent awkwardly, causing pain, but I did not show any signs of having suffered a fracture. My original urologist told me I might have bruised it, told me it should clear up in 3 to 6 months, then shuffled me out of the office before I could ask any questions.

Now two years later the pain and curve has progressed to the point of impotency. I believe partly because I suffered subsequent injuries when my wife and I were trying to get pregnant this past winter. Around this time I also woke up abruptly in the night after feeling a tear in my erect penis, causing it to now bend downward with considerable pain without support during erection.

I waited almost a year to see a specialist in my area who is considered one of the best. He is the most recent of the 3 urologist I've seen. I was almost certain he was going to diagnose me with peyronies, but after his examination and an ultrasound he said it is a large scar and not a PD plaque. He gave me Cialis and told me it should clear up in 3 months. I'm really tired of uro's telling me it will clear up in 3 months when it has only become worse.

I hope you can provide your general insights on my condition. I appreciate all you do.

Regards,

Andrew

Greetings Andrew,

Part of the difficulty of answering emails such as yours is that I cannot get a full sense of all the necessary information I need to offer a reply I can feel comfortable with. You did not indicate why the MDs who have examined you thought you did not fulfill their criteria for making a diagnosis of Peyronie's disease. What symptoms or signs of PD do you not present that would have enabled that diagnosis?

I would like to assist you more, but at best all I can do is to suggest that you consider trying a brief therapeutic trial of care to determine if and how much improvement you might be able to make to assist your effort. Treating penile scar tissue can be similar to treating Peyronie's disease since the concept involves helping the body remove foreign fibrous tissue cells. The PDI treatment protocol could assist the removal of scar tissue in some cases; in your case you could simply give yourself a few months of treatment to determine how you respond.

MDs, even specialists, sometimes make mistakes. This could be substantiated by the fact that all three have been wrong about your problem clearing up in three months. Further, sometimes when one MD makes a diagnosis it happens that a 2nd or 3rd MD that is seen for another opinion will only “rubber stamp” what the 1st one said for reasons of not wanting to make trouble within a tight medical fraternity. It happens. TRH