Tag Archives: Penis Stretcher

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

Posted on 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.

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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

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Should I change my Peyronies treatment because I am younger?

Posted on by Dr.Herazy

Hi,

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I am a young man in my thirties. My torture with Peyronie's started two years ago. Following masturbation I damaged myself at the tip of my penis.  I knew at the time is was a major event and one that would change my life irreversibly for the worse.  It was caused by pulling the foreskin back too far with force.

Following it, I had considerable pain for a year and a half. I went to casualty, multiple doctor's but no-one could tell me what it was. Surprisingly, the first doctor I saw guessed maybe Peyronie's because I had a bit of fibrosis at the tip but it was not a nodule – it was clearly calcification along what I thought was a nerve. It soon circled round the head as a thin band. The pain continued and intensified and after a few operations on the skin, a circumcision was suggested as the only cure.

I had that done and it removed the ring of tissue, but no I just had pain when I came to a climax. The original injury happened just before climax so I hypothesized that it was still the same problem. Gradually the pain turned into Peyronie's with a big nodule just behind the head, neither at the top, bottom, left or right but in the middle. Where I had the pain at the top left, scar tissue was forming. The pain was intense, day in, day out. I am a very fit young man and nothing seemed to stop it, sometimes its subsides but then it comes back to remind me and worse than before.

I have tried pentox with Cialis and also Tamoxifen having gone to a specialist. I am quite well studied and just can't understand this disease. I also tried using a stretching device but that was the worst advice in my opinion and stopped quickly afterwards. I have read studies, have read your book and am interested in what happens to younger men.  No one seems to know. I am 1% of a sample size of 1% of the population – aren't I lucky. I am not giving up, your book makes a lot of sense which is why I started off with your mid plan and have now bought everything I can get my hands on. I do take pentoxyfilline at the same time though as I feel it does help blood flow although it doesn't fix anything.To summarize therefore, at the moment, I have changed my diet (as much as I can), now just started taking everything on your list (although I am still nervous about DMSO but it is a calculated risk) and pentoxyfiline.

Having said that, it is all slowly getting worse. I have days with intense pain and all the time I have some pain. I think your point about digestion is valid as I do struggle with digestion and find it hard to go to the toilet.

I would really like your help. Currently I have a very fibrous penis all throughout. Sometimes it feels better than others but it isn't good. I am a positive guy but I am at my limit. I have a beautiful girlfriend who doesn't mind and I am great at sex, but I can't climax. I don't actually have pain during intercourse but erections are getting harder.

My personal hypothesis is that Peyronie's is caused by a chemical that is released through damage. In my case it is a nerve at the tip of the penis. This chemical went everywhere due to the great trauma and now the scar tissue is just finding where the chemical is. If I can find the inhibitor, I might get my life back.

What are your thoughts? I may be barking up the wrong tree but I need hope. In short, forget my hypothesis, is there anything I should do.  Should I change my treatment because I am younger? Should I take more of one thing and less of another? I am completely open to ideas. Like I say, I think it is beatable at any stage, you just have to find what works for you. I think there are many types of Peyronies caused by many types of things (which is why drug treatments are inconsistent).

Let me know what you think. I really appreciate your approach and thoughts.

Many thanks,

Steve

Greetings Steve,

Welcome to the large body of men who do not understand Peyronie's disease.  PD is a mass of contradictions and irregularities and this accounts for the ongoing difficulty not only in making a diagnosis, but also treatment.

You ask for my thoughts.  To begin with, several aspects of your story makes it sound like you have an extremely atypical, or not standard, case of Peyronie's disease.

Your 2nd and 3rd paragraphs are very interesting.  Bear with me, but based upon the scenario of the development and progression of your problem as you present it, I can make a different interpretation of your problem.  From a slightly different vantage point I interpret your report differently.  I can see it is possible that your penile problem was not originally Peyronies.  It is possible that you only developed later into Peyronies after the rigors of “a few operations on the skin“, plus a circumcision. Starting a penis problem by pulling the foreskin tightly down tightly during masturbation, a superficial and circular pattern of fibrosis at the tip of penis, and constant severe pain for 18 months are not at all typical of PD; fundamentally, Peyronies is a problem of the tunica albuginea located in the shaft, not in the tip of the penis. Your problem is not even in the usual location for it to be Peyronie's disease.  Furthermore, you do not mention a deep nodule in the shaft and you do not mention penile distortion.  Very little of your initial complaints during the first 18 months of your ordeal sound at all like Peyronie's disease.  It is only later, after you were under medical care and had several penis surgeries for these unusual complaints, when you were probably catheterized several times or used Cialis several times, or were traumatized while using a mechanical penis stretcher, that you started to have complaints more consistent with Peyronies. 

I mention this observation because it is important for you to explore the possibility that you are dealing with a complex problem that could actually be two or more different problems that are superimposed on top of each other.  Perhaps I am incorrect in this regard, but based on what you have reported in your statement I think the case could be made that you initially had a superficial tissue abrasion or tearing that later developed into fibrosis, and only after receiving drug injections into the shaft during surgery or from catheterization after surgery did you develop PD.  Something to think about. 

You ask if you should change your plan because you are in your thirties, which you apparently consider to be younger than average to develop PD.  Based on many years of experience, you are not young to have PD; many men I would with are in their 30s, and 20s; I deal with many sad cases of teenage boys with PD.

Regardless, whatever your age might be, age is not the reason to change your plan. You should change your plan because whatever you are doing is not working; if your current Peyronies treatment plan is not providing benefit or improvement, and you have not changed it by now, then you definitely should change what you are doing.  You did not mention how you are using your medium size plan, or what your individual dosages are, so there is no way for me to suggest how to best modify your plan since I do not know what you are currently doing for yourself.   

The best way to handle this is by working together in direct discussion during a telephone call.  We can get a lot done in just 30 minutes or so if we put our heads together.   Please go to the PDI website to arrange for a telephone call together so you and I can directly discuss your situation in detail.  TRH

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Do you think I need a penis traction or penis extender device?

Posted on by Dr.Herazy

Hi,

About 2 years ago I injured my penis during sex/girl on top slip. I noticed right away the right chamber close to the foreskin was not full. I have been fine up until a few weeks ago. Now I have a constant dull burning sensation in the area. My erect penis is not curved/slightly. But after I ejaculate it cures to the left. I'm am so scared and depressed. I ordered all these supplements from Dr Lin who people think is a quack. But I'm scared to take because there are so many ingredients in them, I have bad anxiety thinking about the side effects.

1.) do you think I need the traction device? I am really broke right now.. Poor I should say.
2.) are the supplements and creams safe you recommend?
3.) can you write out when I should take these, and when to use the creams. I didn't see instructions on the site.

Is this real? I am so depressed.

Thank you,

Christian

Greetings Christian,

You did not say so directly, so I will have to assume that you have been properly diagnosed as having Peyronie's disease. If you have not had that done yet, please do so.

Your description of the injury is very common, and taking about two years for active symptoms of PD to begin is also fairly common. Chances are that as the next year or two passes you will begin to notice more definite bending of your erections as the Peyronie's plaque develops. In regard to your questions:

1. I have no idea what traction device you are referring to. Generally, I take a stand against mechanical penis stretchers because of the injury they can create. Please see Penis extender claims and Peyronie's disease.

2. In over 10 years of working with the various supplements we use to support the ability to reduce Peyronie's disease there has never been a report of any problem more serious than a few days of diarrhea, that can be controlled by simply reducing dosage.

3. All supplements and therapies that you order from PDI come with complete instructions for correct and safe usage.

Peyronie's disease is real and can be a real shock when first diagnosed. Let me know if I can help you with ideas and comments. TRH

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

Posted on by Dr.Herazy

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.”

What can I do about my curved penis?

Posted on by Dr.Herazy

Ive had a bent penis since I was a young man and I've always assumed it was Peyronies, but now I'm not so sure.    I've tried everything I can think of I've tried using stretchers like the Size Genetics device and I'm just about to my wits end.   I just want this gone because I' so embarrassed and ashamed by my penis that I'm scared to talk to women out of fear.  I just need some information and mostly guidance on how to treat this problem that has caused me problems and embarrassment all my life.  If you could guide me and tell me what to do I would be grateful.

 

Greetings,

The first thing to do is to determine if you have Peyronie's disease or not. Please get a medical examination to determine the cause of your problem.  If it happens that you do have Peyronie's disease this website is full of useful information about helping your body to heal and repair as it should do normally.  A good place to start is "Peyronie's treatment help starts here."

The fact that your mechanical penis stretcher did not help you does not tell me anything, because this idea of forced stretching of a bent penis is incorrect.   You cannot forcefully stretch a bent penis to make it straight by using force, if the curved penis is due to Peyronies disease or if it is curved because you were born that way.  Either way forceful penis stretching will not work.   See How to straighten a curved penis

For ideas how to help yourself please see "Penis stretching for Peyronie's disease." 

Lastly, your question is filled with comments about fear and embarrassment because of your bent penis.  I believe you are punishing and  limiting yourself for no good reason.  Women tend to be far more generous and kind than we men; they tend to be compassionate and understanding in ways that men generally have a difficult time matching.  For this reason i believe you are making a greater problem for yourself than is necessary.  You need to understand women better in regard to sexual matters and you need to understand yourself better, as well.  Please get my book "Peyronie's Disease and Sex" that will explain all of this to you and help you see yourself in a better light.   TRH

Would you advise against “hanging weights” from the penis as a way to treat Peyronies?

Posted on by Dr.Herazy

Sorry if you've answered this in the past but I didn't see it on here…would you advise against "hanging weights" from the penis? I'm not sure if this is can be as damaging as extenders but I'd just like to get a consensus before I spend any more money on this penis of mine.

I can see why penis stretchers/extenders might not work but with weights, it is gravity after all.

-Just around the bend

Greetings Just around the bend,

Yes, it is only gravity.  Try telling that to the fellow who has a brick fall on his head. 

Gravity is a universal force of attraction that increases with the mass or weight of an object.   The effect of hanging a grain of rice from your penis is far different from hanging a brick from that same sensitive organ. 

In regard to the idea of hanging something from the penis, this is the essential problem with this strategy of penis elongation:  How do you attach the hanging weight to the penis in order to stretch it?   Unless your penis is vastly different than those I have seen, your penis does not come with a handle or other point of easy attachment for this weight.  There is no good safe way to attach a weight in order to traction the penis.  For this reason the usual strategy is to tighten some type of clamp to hold onto the head (glans) of the penis to produce a traction force. And this is where the trouble starts.  The tightened clamp that is applied to the glans can easily cause blisters or tissue erosion, as well as problem related to decreased blood flow as a result of the prolonged pressure. 

Even if your penis does come with a handle to which you can safely and conveniently hang a weight, what good is that in relation to Peyronie's disease?  When you stretch the penis forcefully you can only stretch the elastic and normal tissue, not the dense and fibrous scar material.   The normal stretchy soft tissue of the penile shaft will stretch long before the fibrous scar, and so all traction force will be absorbed by the normal tissue.  Nothing will happen to the scar material using this strategy.

It seems that most men are naturally interested and want to believe that making their penis larger is beneficial to treat Peyronie's disease.  I have seen too many cases of Peyronie's disease start with the use of hanging weights and penis stretchers to know that this is not a good idea.  Sorry.  TRH

Am I hurting myself by using a mechanical penis stretcher?

Posted on by Dr.Herazy

I’ve been using the X4 Labs extender a little over year now.When I use it I do about 2 hours.I’m still not sure if I should be wearing it straight out or tilted right since my curve goes to the left. I admit I haven’t been as consistent as I’d like to but that’s mostly due to constantly reading that they do more damage than harm and they actually only swell up the penis because it’s injuring it and the swelling gives the effect of enlargement.

I’m not sure 100% but it seems like since I’ve been using this extender my penis has been twisting or rotating. It use to just curve to the left but now, it seems like it’s starting to point down as well. When flaccid, it’s really noticeable…almost a 90 degree twist where i look down and the right side of my penis is centered.

I recently posted a question on here yesterday about not being able to locate a scar, but it seems the characteristics of one are present…Is it possible the scar is so ‘strong’ that when I use the extender everything around this scar which seems like it would be on the left underside of my penis is growing around it??

Greetings,

Thank you for your insightful and honest look at using a mechanical penis stretcher.  A few times a week I hear from men like you who are having the same and similar problems while using their mechanical penis stretchers.  Many hundred men have told me over the years that their Peyronie’s disease started after using a mechanical penis stretcher – not a very good endorsement for something that is supposed to correct Peyronie’s disease.  I agree that the illusion of greater penis size could be caused by swelling and inflammation to the injury you are causing.

I have bought all of the mechanical penis stretcher products available.   Most have poor instructions for general use.  None provide specific information about using the penis stretcher for PD because they cannot do that legally, because they cannot make the claim because they cannot prove it does what they say it is supposed to do.  Remember that all a penis stretcher is supposed to be is a way to enlarge the penis, and they cannot prove they can do that either.   

There are several articles I have written over the years about this subject:  Penis stretcher:  Big problem as Peyronie’s treatment  and  Penis stretching for Peyronie’s disease treatment.

You ask a specific question about how your penis is responding to your use of your stretcher device.  I cannot answer that question.  I advise that you see a urologist and have him answer that question after examining you.  Before you do that, I suggest that you discontinue all use of your stretcher.   TRH 

 

What are your thoughts on Pentoxyfilline for Peyronie’s disease treatment?

Posted on by Dr.Herazy

Hello Doctor,

I’ve been dealing with this crazy Peyronie’s condition for about 18 months. In that time, I’ve visited 4 different urologists. The first was when I first experienced mild pain in the left tip of my penis. The doctor diagnosed it as prostatitis and send me on my way with some antibiotics. A second urologist several months later diagnosed me with superficial vein thrombosis. Finally, several months after that, I was diagnosed by a third urologist with peyronie’s which seemed to appear as long bands of inflammation from the base of the penis to the tip on both sides. I was told surgery was the only option, and was sent on my way.

Not satisfied with the suggested treatment plan of surgery, I decided to surf the web and do my own research. I found a site that promoted Neprinol as the only known cure. So I bought into it. I think I tried 2 full months (9 pills a day). The only result was a substantial hit on my wallet. So I went back to the web and found another site (PeyroniesForum.net) where members talk about various treatment options. The consensus on the site was that Neprinol was in fact a huge scam, and I stopped using them. Members also praised the use of Pentoxyfiline as being an outstanding product for softening scar tissue and alleviating curved penis. So I went back to a fourth urologist and asked for a prescription, but was denied. Instead, i was recommended to try the Andropenis traction device.

I’ve been on the device for 5 full weeks now, but I think I’ve decided to stop. Your website recommends against it, as well as another site. My urologist described it as working in a manner opposite of what a Nesbit procedure would be. For instance, rather than shorten the penis on the site opposite the scar tissue, traction would elongate the scar tissue to correct curvature that way instead. Made sense to me at the time. But now it sounds as if traction does not work because it’s not really stretching the scar tissue, rather only healthy tissue.

So if I stop with traction, I’ll be happy to not deal with that contraption any longer. It reminded me of having my penis in a mousetrap for 9 hours a day. Not to mention I always worried about whether people could see it jutting out through my trousers at work, and despised having to take it off every two hours to relax. That’s not always easy in the middle of a busy work day.

In any case, I came across your web site again. I’ve decided I’m going to give your “Medium” package a try, so I placed an order. I admit I’m very reluctant because you seem to be a heavy proponent of Neprinol, and I’ve heard people state emphatically that the product is a scam. I also ordered your Handbook. It’s expensive, but maybe there’s something in it that I can learn.

I do have a few questions if you wouldn’t mind responding. Today, I have two “knots’ in my penis. One that feels about the size of a dime on the right size near the base of my penis. Another is about the same size, also on the right size, but towards the tip. But my penis bends to the left when flaccid (sometimes 10-20 degrees, sometimes 45 degrees like after masturbation), and I can’t figure that out. That’s seems counter to everything I’ve heard before, that the bend is on the same side as the plaque.  So if you have any insight as to why my bend is to the left when my plaque is on the right, I’d be very interested. Regardless, that leads to my first question, how will I know where to apply the topical treatments? Would I apply to the right side where the “knots” or “bumps” are located, or should I be looking somewhere on the left side for plaque? Or should I just apply the treatment to the entire penis shaft? Maybe directions come with the kit, but any advice you can share would be greatly appreciated.

Second, can you share your thoughts on Pentoxyfilline and it’s effectiveness for Peyronie’s. Not sure if I’m spelling that correctly.

Finally, who can I find a coupon code? I noticed when I placed the order for one medium package and one book, that there was a place to enter a coupon code. I did some web surfing to find a code, but was unable. If you can share a code, or apply a n appropriate discount to my order, I’d greatly appreciate that.

Hope you’re doing well. Looking forward to your thoughts.

Mike

Greetings Mike,

Thank you for your informative letter and specific questions.  I will reply with comments and answers in the order of your email.

There is no direct known cure for Peyronie’s disease.  Neprinol is not a cure, but is is not a scam.  In my opinion, after working with many hundreds of men from around the world who are undergoing Alternative Medicine treatment of Peyronie’s disease, I know Neprinol is an excellent enzyme product.   It cannot be counted on as a solo therapy for Peyronie’s disease since none of the products found on the PDI website are by themselves able to change the PD scar or plaque material.  None of the therapies found on the PDI website are good solo therapies – they all must be used as part of a larger plan to support the natural healing process that is the only known form of cure for Peyronie’s disease.   When Neprinol is combined properly and taken aggressively the results can be dramatic.  I do not know how any of the experts on the various Peyronies forums actually used Neprinol when they took it, but many times when I communicate with men about their failure with  Neprinol I learn that they “tried it for a few weeks and it did not work,” or “I took two pills a day and it did not work,” or some similar manner of use that is doomed from the start.   In order to get results from Neprinol it must be used correctly.  If you bought your Neprinol from PDI we warned you not to use it that way; if you bought it from someone who does not know anything about PD you did not get that kind of help so you would know better.  Peyronie’s disease is a tough and tenacious problem to treat.  I am not surprised at your lack of results after using Neprinol as a solo therapy.

Here is a simple example that just occurred to me about Neprinol and PD:   Beans are a great food.  I like beans.  But by itself beans make a lousy chili – it is just beans.  For a good chili you have to add meat, garlic, onions, tomatoes, lots of different spices and a few other items.  It is only by combining the beans with all the other ingredients that you create chili.  None of the ingredients by itself is chili.  It is in using the correct technique (there are rules for bringing the ingredients together, you cannot just throw everything into a pot) when you bring all these things together to develop the magic that becomes a great bowl of chili.  Same with combining Neprinol with the other things your body needs to help it overcome and correct your curved penis and Peyronie’s disease.  

Pentoxifylline is popular with some urologists and not so much with others.  I think that those who actually prescribe pentoxifylline do so because they are tired of dealing with the other drugs that do not work and only use this one because they do not know what else to use.   Perhaps I am being overly skeptical and blunt in my assessment.   Some time back I wrote two articles that might be helpful on this subject, Pentoxifylline, Niacin and Peyronie’s Disease and Pentoxifylline and Peyronie’s Disease Treatment. 

Every month I hear more horror stories about the mechanical penis stretcher devices.    You did not indicate what problems you were having that you wanted not to deal with it any longer, but it usually has to do with pain as well as skin abrasions and blisters, and the fact that it does not work for the large majority of men.

The two plaque or internal scars you have located do not explain your deviation to the left.  My experience is that Peyronie’s plaque are usually multiple.  I suspect that the two you have found on the right are not the only ones that you have.  I suspect you also have one or more plaque on the left that are far more aggressive and instrumental in distorting your penis that those you have found on the right.   Let me know if you need help locating the other scars and I will assist you.   If you can not locate those scars on the left that are causing your distortion pattern I suggest that you apply the therapy at the deepest or lowest point of your concavity on the left. You could apply the DMSO, Super CP Serum and Unique-E vitamin E oil to the entire shaft if you wanted to, but it is unnecessary and wasteful; be as specific as possible.   I trust that the detailed DMSO instructions you received with your order cleared up this point for you. 

When you received your order you were given information about the use of a discount code for subsequent orders.

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

 

Peyronie’s Disease and Phimosis

Posted on by Dr.Herazy

Phimosis treatment and Peyronie’s disease

There is a lot of discussion these days about how the sellers of the mechanical penis stretchers say they can be used for treatment of Peyronie’s disease. Any reader of this forum knows that PDI has taken a position against these awkward mechanical devices because of countless conversations and emails from men who report to PDI that these stretchers have actually caused their PD or worsened the PD problem if it was already present.

There is another way to that is better and safer to correct the distortion and bent penis of PD. It is to use the PDI Gentle Manual Penis Stretching Technique © instruction CD to actually make significant improvement in the curved penis that is caused by the Peyronie’s plaque. For confirmation how this might work for Peyronies disease, one has only to look at how the medical profession advises a man to help himself when he has a condition of the penis called phimosis.

Phimosis is a fairly common condition of the penis in which the prepuce or foreskin is too tight or small for it to be completely pulled back or retracted over the head of the penis. Most of the time this condition is detected in early childhood, but sometimes persists into adulthood. In the adult with phimosis, since the foreskin cannot be easily pulled back over the head, oil and dead tissue cells collect between the head and foreskin and results in the collection of a smelly white cheese-like accumulation called smegma. During sexual activity the skin can become irritated and painful because of the forced friction and movement of the otherwise tigh

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t skin. To correct this problem the medical profession has a simple solution that should be kept in mind by anyone with Peyronie’s disease.

Phimosis treatment shows how to manage Peyronie’s disease

There are two basic ways to stretch the foreskin or prepuce when phimosis is present:

  1. Gently pull back on the foreskin when erect, so that its opening feels tight around the head without feeling real pain. Hold this position for a few minutes, and repeat a few times at one session. Do a few sessions per day. This stretching can be made easier if you first soak in a warm bath.
  2. Gently pull the foreskin forward over the head to create extra tissue in front of the head. Then, with the foreskin forward and the two little fingertips inserted into the foreskin opening, hold each side of the foreskin further open and gently pull out and away on each side of the opening you have created so that the opening is larger than usual. Continue stretching the opening with the tips of the little finger until it feels like you have stretched it to a comfortable limit and is never painful. Hold for a few minutes and repeat a few times during a session. This is also done best after soaking in a warm bath for a few minutes.

Continue stretching the prepuce or foreskin for a while longer once you develop to the diameter foreskin opening you want.

Peyronie’s treatment can also be done by stretching that should be easy, gentle and done in a relatively short time. Heavy weights, tight clamps that abuse the tissue, and months of treatment are not necessary. All of this is best accomplished with the PDI Gentle Manual Penis Stretching Technique ©.

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Penis Stretcher: Big problem as Peyronie’s Treatment

Posted on by Dr.Herazy

Question safety and effectiveness of mechanical penis stretcher

I closely monitor all aspects of Peyronie’s disease treatment.  On July 27, 2010, I received the following news release from the Food and Drug Administration.  This information is of vital importance to any man who has Peyronie’s disease and has considered using a mechanical penis stretcher for this curved penis problem.

Please carefully read the last sentence of the last paragraph of the FDA release since I will discuss that sentence in particular:

News & Events

FDA NEWS RELEASE

For Immediate Release: July 27, 2010
Media Inquiries: Erica Jefferson, 301-796-4988
Consumer Inquiries: 888-INFO-FDA

Federal Agents Seize FastSize Extenders and FastSize EQM Erectile Quality Monitors
Unapproved devices are adulterated and misbranded; safety and efficacy not established

At the request of the U.S. Food and Drug Administration, U.S. Marshals today seized $346,954.43 worth of FastSize Extender devices and FastSize EQM Erectile Quality Monitor devices, as well as component parts used in the manufacture of the FastSize Extender. The FastSize Extender and the FastSize EQM Erectile Quality Monitor are manufactured and distributed by FastSize, LLC of Aliso Viejo, Calif.

The FastSize Extender and the FastSize EQM Erectile Quality Monitor are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements. The seizure warrant was issued by the U.S. District Court for the Central District of California.

The FastSize EQM Erectile Quality Monitor device was promoted to measure penile axial rigidity (intercavernosal pressure) and to aid in the diagnosis of health related issues such as diabetes, high blood pressure, and heart disease. The FastSize Extender device was promoted to gain length, girth, and overall penile health improvement and to correct penile deformity caused by Peyronie’s disease. Because the devices are intended to diagnosis, cure, mitigate, treat or prevent diseases, they are subject to the regulatory authority of the FDA. The devices do not have approved applications for premarket approval for these uses.

During a recent inspection of the FastSize LLC manufacturing facility, inspectors noted significant deviations from cGMP regulations. Additionally, the devices are not properly listed with the FDA as required by law, and the firm failed or refused to furnish materials or information regarding the devices to federal inspectors as required under the Medical Device Reporting regulation.

Three important issues come to mind about this penis stretcher:

1.    Seizure of more than a third of a million dollars worth of property is a serious action for the FDA to take.  It indicates they acted in accordance with strong evidence against the FastSize Extender manufacturer to immediately stop any further sales of this product.  This is not just a slap on the wrist over a difference of opinion or a minor offense; this suggests the FDA encountered a major problem with the FastSize Extender.  Perhaps they had reason to think they would not be cooperative or forthright if they were otherwise simply asked to stop selling this device to the public.

2.    Although the news release does not go into detail about the deviations from current Good Manufacturing Practices problems encountered by the FDA inspectors, it could possibly do with sanitation or material and assembly quality issues.  None of this should make anyone feel good who has used this product in the past.

3.    The first sentence of the second paragraph, in which the FDA says. “…The FastSize Extender…are misbranded and adulterated because they, among other things, are unapproved and were manufactured under conditions that did not meet current Good Manufacturing Practices (cGMP) requirements…” caught my interest.  I wanted to know more about what these “other things” might be.  For this reason I called the FDA spokesperson who wrote this FDA news release, Erica Jefferson,  to learn what she did not report concerning these “other things” that were a problem with the FastSize Extender.  I specifically asked her in a telephone conversation about details concerning the safety of this product and what is called efficacy (the ability to produce the desired result) meaning, the ability of the FastSize Extender to reduce the penile curvature of Peyronie’s disease.  In an email on 7-28-10 Ms Jefferson replied to me:

Dear Dr. Herazy,

Thanks for your call. So, I checked in with our compliance folks and as the release points out, the FastSize Extender has no approved application for premarket approval in effect (pursuant to 21 U.S.C. 360e(a) of the Federal Food, Drug, and Cosmetic Act), thus, there is no assurance that the device is safe and effective for its intended uses.

Regards,

Erica

Erica V. Jefferson
Press Officer
Office of Public Affairs
U.S. Food and Drug Administration
office: 301-796-4988
cell:  240-753-3047
fax:  301-847-3536
email: Erica.Jefferson@fda.hhs.gov

So, apparently these “other things” are the fact that in spite of the extensive advertising about how great the FastSize Extender is to treat PD, the manufacturer has no proof that it is safe or effective.  No additional details were available about the safety issues.

If the manufacturer actually had any data or information to prove the FastSize Extender was safe or that it had efficacy (effectiveness) to treat Peyronie’s disease, you can rest assured they would have completed the necessary applications for premarket approval from the FDA.  It is reasonable to assume that they did not complete the required forms because they could not prove the safety or the ability to help treat Peyronie’s disease.

Mechanical penis stretcher not a Peyronie’s treatment

For years now this blog has addressed the problems of these mechanical penis stretching devices.  To read a past blog about this subject, go to Peyronie’s disease and the penis stretcher.   Many men have told me their PD started after they injured themselves with a mechanical penis stretching device; therefore, it does not make sense to me that this same device could actually help PD.

Please keep this FDA news release in mind the next time you see one of those slick ads promoting a mechanical penis stretcher.  It looks like the government is starting to crack down on these folks.

Let me know what you think about this FDA announcement, and let me know your experiences with a mechanical penis stretcher.