Pictures of Peyronie’s Disease – Curved Penis

What does Peyronie’s disease look like?  Pictures of Peyronie’s disease

Pictures of Peyronie’s disease and the classic curved penis appear at the bottom of this page.  They will educate anyone interested in this terrible problem. Peyronie’s pictures are graphic full male nudity, presented for educational purposes.

Few men ever learn about problem before developing it. Even fewer know the full details of it. Men do not understand the full consequences of PD and degree of penis curvature possible, until it is too late. Thus, there is a tendency to underestimate Peyronie’s disease. Seeing pictures of Peyronie’s disease will clarify the problem.

Without fully understanding Peyronie’s disease, it is easy enough to avoid the image of their bent penis. The uninformed quickly accept the standard medical treatment to do absolutely nothing for PD in its early stages. It is easy to do nothing. They falsely assume non-treatment means Peyronie’s disease is a minor health problem.  Consequently, they do not take Peyronie’s disease seriously enough. Unfortunately, this avoidance allows the PD to worsen.

Importance of pictures of Peyronie’s disease

Most cases of Peyronie’s disease start with a small penis curvature.  It is easy to assume a small problem will stay “just a little curve, hardly noticeable.”  For a lucky few, the distortion starts small and stays small. However, for most the curve starts small and slowly worsens, perhaps more painful, and a bigger problem in life.  For 10-20% of men with PD, the curve or distortion eventually results in total loss of sexual function. At this point, most men resort to surgical correction.  For a discussion, click Peyronie’s disease surgery.

If Peyronie’s disease is causing sexual problems for you, get helpful information.  To learn a better way, click here for “Peyronie’s Disease and Sex.

Peyronie’s Pictures: an Education and Wake-Up Call

It is important to understand and verify the nature of the Peyronie’s disease problem.  Men are shocked to see actual pictures of Peyronie’s disease for the first time.  It can be a real wake-up call.

Do not use these Peyronie’s pictures to make a self-diagnosis. PD is more than a curved penis.  Moreover, pictures cannot guide Peyronie’s disease treatment. These pictures of Peyronie’s disease should encourage prompt medical attention about any recent penis changes that might be PD.  Bear in mind, every man is a unique individual with unique physical characteristics.  These differences even extend to the appearance of the penis in health and disease. For this reason, do not think your penis must look like any of these to qualify for Peyronie’s disease.

Sometimes a normal penis has a curve.  Not all curved penises indicate Peyronie’s disease.  Therefore, only a physician can accurately diagnose this problem.

Understand what you will see

Before viewing these pictures of Peyronie’s disease, please review what causes these dramatic penile curves and distortions.

Peyronie’s disease is an exaggeration of the wound healing process.  Thus, in PD it is common to find one or more flat benign (non-cancerous) fibrous plaques or scars anywhere along the shaft of the penis. Usually there are only one or two scars, but multiple scars do occur.

These scars stop full expansion of the penis during erection.  Consequently, various degrees and patterns of bending and distortion result. Depending on the number, size and location of scar tissue, the penis responds in different ways.As a result, the penis can be curved, distorted, shortened, twisted, and painful, or combinations of any or all of these.

Pictures of Peyronie’s disease showing the erect penis from 5°- 45° are common and sometimes 90º or more. Sexual difficulty and impotency also range from mild to severe, depending on the degree of curved penis deformity.

Sure, the bent penis of Peyronie’s disease gets your attention.  However, PD is really all about the scar below the surface. Without that scar, there is no Peyronie’s disease.  For this reason, PDI puts so much attention on knowing the size, shape, density and surface features of the PD scar.  It is far more important to know about your PD scar, than to take pictures of your curved penis.

Graphic pictures of  Peyronie’s disease

Peyronie's Disease downward penile curvature - unusual
Above, Peyronie’s Disease downward penile curvature. Rather uncommon.
Peyronie's Disease hourglass deformity in lower one-third
Hourglass deformity of Peyronie’s Disease, plus slight penile curvature.
Peyronie's Disease upward penile curvature - common
Upward penile curvature closer to glans (head) – rather common form of Peyronie’s disease.
Peyronie's Disease upward penile curvature closer to glans (head) -<br /> rather common
Above, Peyronie’s Disease upward penile curvature. Very common.
Peyronie's Disease bottleneck deformity with lateral penile<br /> curvature to left - common
Bottleneck deformity of Peyronie’s disease with lateral penile curvature to left.  Rather common.
?
Above, 90 degree Peyronie’s disease bend to right.

Hopefully, these pictures of Peyronie’s disease will help you to understand your situation.  They can motivate you to see your medical doctor.

Click here for more Peyronies pictures.

Peyronie’s Disease Treatment and Russian Roulette

Peyronie's Disease Treatment is Not a Time to Gamble

Standard medical care of Peyronie's disease often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the curved penis  goes away on its own. If it doesn’t go away, we can always do Peyronie's disease surgery.” For the half of the Peyronie's disease cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an "acceptable" level of pain, an "acceptable" degree of penile curvature, or an "acceptable" level of sexual impairment, the outcome of the Peyronie's disease is said to be "satisfactory" and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an "acceptable" outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain "acceptable" level of a penile problem. If you get only as bad as he or she hoped, then your doctor's opinion will be that everything worked out pretty well for you − even if you don't think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

Peyronie's disease treatment can be a gamble if you do nothing for a year or two while your curved penis can worsen.  Peyronie's surgery is also a gamble.

You should find out early in your care if it is your doctor's opinion that a 5-10-20° bend in your penis is a "satisfactory" outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor's opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a "satisfactory" outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor's opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a "satisfactory" outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss Peyronie's disease treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is "acceptable".

If you have PD you should know that the medical profession has a very low standard by which to judge what is an "acceptable" level of pain and distortion for YOUR penis, and what is an "acceptable" level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. Peyronie's Disease Institute thinks this wait-and-see approach is a poor gamble and a bad strategy.

Peyronie's disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie's disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution.

Most would agree that it is better to do all that you can for your Peyronie's disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area. For further discussion, click on Heads You Win, Tails You Don’t Lose.

Standard medical care of PD often is to do nothing for the first year or so. The medical thinking is this: “In half of cases the PD goes away on its own. If it doesn’t go away, we can always do surgery.” For the half of the PD cases that do not go away, the scar and problem either stay the same or get a lot worse. If the PD results in an "acceptable" level of pain, an "acceptable" degree of penile distortion, or an "acceptable" level of sexual impairment, the outcome of PD is said to be "satisfactory" and the wait-and-see strategy is said to have been successful for that individual.

Do you know who judges what is an "acceptable" outcome for YOUR penis? Well, it is not you. That determination is made for you, ahead of time, by someone else. Your doctor is only hoping that you will eventually develop a certain "acceptable" level of a penile problem. If you get only as bad as he or she hoped, then your doctor's opinion will be that everything worked out pretty well for you − even if you don't think so. Can you believe that? Did you know this is how the wait-and-see strategy is justified?

You should find out early in your care if it is your doctor's opinion that a 5-10-20° bend in your penis is a "satisfactory" outcome, and is not worth the trouble of perhaps taking some enzymes and other supplements. You should find out if it is your doctor's opinion that not being able to have intercourse normally − as you have done previously − for the rest of your life is a "satisfactory" outcome, and is not worth the trouble of perhaps doing some exercises and using DMSO with copper and vitamin E. You should find out early if it is your doctor's opinion that a dull ache and throb (maybe even a sharp pain) in your private parts every time you happen to get an erection is a "satisfactory" outcome, and is not worth the effort of perhaps following a nutritional program of MSM, vitamins E and C, Japanese herbs and maybe some carnitine. Carefully read those medical websites that discuss PD treatment options. You will find how common is the opinion that so long as the penis is not terribly distorted and extremely painful, then everything is "acceptable".

If you have PD you should know that the medical profession has a very low standard by which to judge what is an "acceptable" level of pain and distortion for YOUR penis, and what is an "acceptable" level of sexual impairment in YOUR bedroom. Using these standards by which to judge the health and well-being of YOUR penis, the medical profession has determined that this wait-and-see treatment approach makes sense to them. But, does it make sense to YOU? A man with PD should know his doctor is willing to take a chance like this with YOUR penis, when there are many reasonable conservative treatment options — even if they are currently unproven. PDI thinks this wait-and-see approach is a poor gamble and a bad strategy.

Peyronie's disease treatment with bad odds

The watch-wait-and-do-nothing strategy for Peyronie's disease treatment must sound good only to the surgeon. To PDI it sounds like playing Russian Roulette with very bad odds. In Russian Roulette there is one bullet in a six-cylinder gun; that’s a one out of six chance of losing. In the wait-and-see approach, half of the cases clear up spontaneously; that’s a one out of two chance of losing. Or to put it another way, that’s like playing Russian Roulette with three bullets in a six-cylinder gun. No thanks.

Of course, if the PD worsens so that pain and/or distortion are intolerable, or intercourse is impossible, or impotency results, then surgery can always to taken as a possible solution, although not a good one as you can read in Peyronie's surgery.

Most would agree that it is better to do all that you can for your Peyronie's disease, as soon as you can, using as many of the safe and scientifically grounded options that are known to have some limited success in helping the PD scar heal. If after following an aggressive alternative medical program, such as is presented on this website, there is less than complete repair and healing — as can happen — then surgery can still be used. Yes, you are taking a chance that the currently unproven alternative therapies PDI advocates might not work for you, but the down-side is minimal for the most part. We leave it to the reader to decide which is the greater risk: ignoring the problem, or exploring an uncharted treatment area.    

Peyronie’s Disease and a History Lesson

Peyronie’s Disease and Important Lessons from History

Throughout history, terrible epidemics arise periodically. As we discuss it, you will see there is an interesting application to Peyronie’s disease natural treatment.

Throughout history great epidemics have occurred, killing huge numbers in a given population. Some of these are even given names, like the Black Plague. However, no matter how severe the epidemic, an entire population has never been lost in an epidemic. This is a simple fact that has great importance to Peyronie’s treatment.

That the human race survived the ravages of many deadly epidemics tells us something about ourselves.  It is a commentary about our ability to defend against disease and heal tissue.  To illustrate, in every epidemic there are survivors.  There are those who recover after becoming sick, and others who never even get sick at all.  From this, we learn our bodies, for the most part, do a great job of defending, mending and repairing, even in the face of great health challenges.

Small pox

As an example, a smallpox epidemic will typically kill 30-50% of people who are exposed. On top of that, do you realize that not all people after exposure to small pox will develop the disease?   Or, if they get it, it will be a mild case from which they recover.  Why is that?  Yet, if a small pox epidemic is so bad that 30-50% of a population will die, what about the other 50-70% of people who survive the small pox epidemic? Why do 50-70% survive?  Should it not happen that 80%, 90% or all of those exposed to smallpox die from it?

What is so special about the 50-70% of a population who survive a small pox epidemic?  What do they do, or not do, that allows them to survive?  Simple question, complex answer. Nevertheless, it is easy to assume that the 50-70% who survive have a healthier and more robust immune system; better functioning body chemistry and physiology. Their ability to defend and heal was better than those who did not survive.  All of this perhaps fueled by better nutrition than those others.

There is another way to say it that sounds a little silly. We can generalize and over-simplify. Those who do not have health problems are healthier than those who do sick and die. Some bodies function better to heal, repair and survive than others.  The same is true of any health problem, even Peyronie’s disease.  If your body is working at its highest level, you stand a better chance of avoiding, healing or surviving a health problem. This is where the PDI theory about PD comes in.

Peyronie’s disease 

If up to half of men who develop Peyronie’s disease will heal it in 12-18 months, what about you?  Moreover, what is the best way to assist reversal and recovery for more PD sufferers?  Our interest at PDI is to determine why this reversal of scarring happens in these 50% of PD cases that self-heal.  We think we are on the right track with our efforts.  This website offers our ideas about increasing your ability to heal and repair the Peyronie’s disease scar.

We all have seen from our everyday observations and experience that scarring does not always happen. Sometimes scarring occurs and sometimes not.  At the Peyronie’s Disease Institute, we attempt to create a favorable environment in which PD scarring heals to the best of each man’s ability, maybe even eliminated.  Our effort is to encourage and support the normal healing response of the tissue to injury. Remember:  no epidemic killed everyone. Therefore, we know our body has an amazing ability to repair and heal. History proves this to us.

PDI treatment theory

History tells us that not everyone becomes ill and dies during an epidemic. The stronger and healthier bodies operate better to stay healthy and recover.  PDI works with the theory to heal the PD scar, do a series of simple and straightforward things to improve your tissue health and immune response.

Perhaps, if you work a bit to increase your ability to repair and heal your problem, you might  avoid Peyronie’s disease surgery.  Wouldn’t that be nice?

Organize Peyronie’s Disease Treatment

How to organize Peyronie’s disease treatment

Keep a few things in mind if you want to organize a Peyronie’s disease natural treatment plan.  Mainly, be sure to keep treatment balanced among the therapies used.

Closely follow the detailed treatment information in the form, “Outline for Natural Self-Treatment.”   This is the double-sided paper supplied with every first order from PDI.

Usually, it is best to organize Peyronie’s disease treatment around one of four PDI existing plans. They have been used thousands of times over the last 20 years.  Hence, they are balanced and effective.  When enlarging a plan, it is important to expand what is already there, not distort it.

Balance therapies between three groups

There are three large and distinct groups of therapies used. (See below.) When selecting which therapy to increase, it is important to to alternate between members of “Group 1” and “Group 2” therapy products.  Seldom is it necessary to change much about “Group 3” therapy products, although it is done as needed.

Do not increase therapy products only from one large group.  For example, increasing only the MSM, Acetyl-L-Carnitine, PABA and L-Arginine (Group 1 members) is a mistake.  It will keep the plan from being balanced and effective.

Use this outline to help you decide exactly which therapy product to increase:

    1. “Group 1” – any enzymes in the plan, such as:
      1. Inflamazyme
      2. Neprinol
      3. Serretia
      4. Nattokinase 1500
      5. Fibrozym
      6. Bromelain 5000
    2. “Group 2” – any internal support therapies in the plan, such as:
      1. MSM
      2. PABA
      3. Acetyl-L-Carnitine
      4. L-Arginine
      5. Coenzyme Q10 (Ubiquinol)
      6. Quercetin-Bromelain – do not increase to more than a total of 4/day
      7. Scar Free and Scars-Adhesions homeopathy
      8. Vitamin E – do not increase to more than a total of 2-3/day
      9. Vitamin C
    3. “Group 3” – any external therapies in the plan, such as:
      1. Moist heat – local application usually applied for 5-10 minutes immediately prior to any external therapy
      2. Gentle manual stretching
      3. DMSO, with vitamin E and Super CP serum
      4. Ultrasound
      5. Genesen Acutouch pens

General information

Organize a Peyronie’s disease treatment plan selectively. It is not necessary to use each one of the products to create or modify a Peyronie’s disease treatment plan. Which therapies – and number of therapies – finally selected is an individual choice. One therapy – any therapy – is better than none; two are even better, three even more so, etc.

The average number of therapies used in a treatment plan is about 9-10.  Generally, the larger the therapy plan, the greater its effectiveness. Organize Peyronie’s disease treatment accordingly. Our experience is that those who try to do the least get the least. No one can predict how a person will respond to any plan. Consequently, “You usually get out of it what you put into it.”

Additionally, information about Peyronie’s disease treatment is also available in the “Peyronie’s Disease Handbook.”

Brief guide to create your Peyronie’s treatment plan:

  1. Be aggressive. Think in terms of overwhelming your problem and supporting your tissue health in a broad area. Picture this as a war plan.  For example, attack from as many directions and levels as possible to assure your success in battle. Attack on schedule, as planned.  Do not slack off.
  2. Diversify. Use some enzymes (Group 1), internal therapies (Group 2), and some external therapies (Group 3). Use them all.  Mix it up.  Organize Peyronie’s disease treatment outcome this way, and results should improve. As an aside, there are many who report better treatment results when they place emphasis on the enzyme group.
  3. Educate yourself. Read about the various therapies to understand the purpose of each in a Peyronie’s disease treatment plan. Determine which are the most important to you.
  4. Get personal. Think in terms of what you know about your own health and body. Try to select those options that address your individual needs.
  5. Discuss your ideas with your doctor. Do not exclude your doctor from your decision-making process. Keep him/her informed and listen closely to all advice you are given.

Lastly, for help with questions or problems, send an email to info@Natural-Health-EducationLLC.com

Heads You Win, Tails You Don’t Lose with Natural Peyronie’s Treatment

Heads You Win, Tails You Don't Lose with Natural Peyronie's Treatment

Logic and scientific basis for natural Peyronie's care

Questions?
Peyronies disease treatment forum blog of the Peyronie’s Disease  Institute, with Peyronie’s desease cure discussion
Learn the latest and best Natural Peyronie's treatment

Anything you do for your Peyronie’s disease – even if what you do is to do nothing – is a choice and a calculated gamble.

Peyronie's Disease Institute's opinion is that it is smart to use the best of what is known and available while the truth about PD is still being debated. If what you do makes a difference to your Peyronie's disease, look what you gained. If your Peyronie's disease natural treatment effort does not help your PD, you did not harm yourself and chances are the various therapies at least benefited your overall health and well-being.

Commentary:  Standard medical "wait-and-see treatment" of Peyronie's disease, click Peyronie's Disease and Man Whose House is on Fire.

This website offers a base of information to create a personal treatment plan with reasonable possibility to improve your opportunity for success, based on the synergy of using multiple therapies yet with minimal risk since none of these treatments are inherently dangerous. With so many simple, safe and sensible things that often work, even though none of them have full scientific proof and acceptance, you have a reasonable chance to increase your tissue’s ability to heal and repair your PD. Even if these therapies do not help your PD, there is only remote chance any of them could do harm. This is not true of medical therapies. Peyronie's Disease Institute uses therapies that are refinements of substances normally and naturally found in your tissues – vitamins, minerals, enzymes, and amino acids. None of the therapies we propose are foreign or invasive in nature.

If you are successful in supporting your health sufficiently, and your tissue responds by healing your PD – you win. If you are not successful in supporting your health sufficiently or early enough to adequately make the changes or improvement in your PD as you hoped – you don't lose. There are no known side-effects to the elements of this treatment plan, and you improved your eating habits, improved your nutrition input, exercised more, probably removed some plaque from your arterial walls, probably lowered your blood pressure, probably noticed that your blood circulation was improved and your hands and feet are not cold as they were before, and probably witnessed general improvement in your overall health or elimination of your curved penis – you don't lose.

To read success stories, click on Peyronie's disease treatment testimonials.

Peyronie's treatment and your odds for success

If after following an aggressive and scientifically based alternative program of care your PD does not respond, as can certainly happen, then Peyronie's disease surgery can still be performed. It seems logical that the PDI approach to managing PD is a safe way to use the time that the average MD would suggest that you do nothing to help yourself. Most conservative thought would be favorable to spending a few dollars and reasonable effort to reduce the need for an eventual surgical procedure. The person with a cold takes vitamin C to increase the function of his immune response, and expects to shorten the time he is ill. The person who has a broken bone and takes a calcium supplement, or the person who is anemic and takes some extra iron, or wants to build up some additional muscle tissue and takes some extra protein, is thought to be sensible and intelligent.

The Peyronie's Disease Institute tactic of aggressively using widely acceptable nutritional information and science in a Peyronie's disease treatment plan is not much different. These measures have been reported to improve the ability of the body to heal and repair PD in certain studies — and could increase the odds you could be in the 50% group that eventually recovers from Peyronie's disease.

Peyronie’s Disease Surgery

Surgical Peyronie’s treatment has many limitations

The Peyronie’s Disease Institute is not against Peyronie’s disease surgery.

The Peyronie’s Disease Institute is against the abuse of surgical treatment of Peyronie’s disease. Considerable surgical risk exists for any man with PD who has an operation to attempt correction of penile distortion.  Adverse outcomes and worsening of the original problem are associated with even a small incision (or injection) made to a penis that already has demonstrated the tendency to create excess Peyronie’s scar formation.

The overuse and abuse of Peyronie’s surgery should be suspected when the treating doctor does not follow reasonable and conservative guidelines to consider a patient a surgical candidate.   A good surgeon will know that a man with Peyronie’s disease should fulfill these basic points before suggesting surgery:

  1. Severity, the most important indicator. The deformity must be severe enough to seriously interfere or stop sexual intercourse.
  2. Adequate time for healing and spontaneous recovery must be given. Usually thought to be from 12-18 months from the time of onset of PD.
  3. Non-responsive to a fair trial of medical therapy. In practice, many doctors attempt only one form of medical treatment.  When that fails the patient is told surgery is the only other option.  It appears that doctors know the poor results achieved by medication to make a difference with Peyronie’s disease that they are quick to want to skip this step and proceed to the operating room.   When vitamin E is offered as a therapy option, it is done so reluctantly and with little hope for success.  Further, no instruction is offered for the correct use of vitamin E, or information about the eight different members of the vitamin E family.  Since no real help is offered to assure that the patient will use vitamin E correctly, it is no wonder that so many men fail.   There is a large body of information available that can assure a man is more successful with vitamin E therapy for his Peyronie’s disease.  Using the correct type of vitamin E, and using it correctly in conjunction with other forms of therapy that work synergistically with it, would only increase the chance of success.
  4. Stable and unchanging scar.   This can mean changing for the better or worse. Since so few doctors, and the men with PD, even locate the PD scar, it is doubtful that this criteria is seriously considered.

For information about the Leriche surgery technique for Peyronie's disease.

Risks of Peyronie’s surgery

Surgery is not a Peyronie’s cure. Because of the unique anatomy and physiology of the penis, the risks of surgery to this area are a little different than other tissues.

  1. Additional scar formation and possible worsening of PD.  Because any man attempting a surgical correction of PD who already has massive scarring, must expect more scarring to develop as a result of that surgery. It is a known fact – seldom discussed with a PD patient before surgery – that surgery for PD will result in more PD, sooner or later.
  2. Loss of penis size. Extensive scar tissue that is severe and persistent enough to cause a deformity serious enough to justify Peyronies surgery, represents a large mass of internal scar tissue. Surgery will remove a large and irreplaceable loss of connective tissue and loss of elasticity of the tissue that is not removed. If it is not bad enough that surgical correction and return of sexual function cannot be guaranteed because of the possibility of complications, every surgical candidate must understand that there will always be a loss of length and diameter of the penis.   Many men tell me that this secondary consequential loss of penis size is hardly discussed before surgery. Most men learn about the loss of penis size after it is too late.
  3. Incomplete straightening, no change, or worsening of the original PD deformity.  Loss of elasticity, additional scarring, and damage to the veins of the penis that can occur as a result of surgery, can also reduce or prevent correction of the original PD problem.
  4. Loss of sensation.  Due to anatomical location of important sensory nerves of the penis, PD surgery can slightly, or greatly, or totally, reduce skin sensation and  pleasure associated with sexual activity.  Temporary reduction of sensation is very common, and permanent sensory loss is less common.
  5. Loss of erection strength.  Surgery cannot help but alter both the inflow and/or outflow of blood to the penis.   By disturbing the pneumatic mechanism that creates an erection it is not uncommon for men to report either loss of erectile rigidity (hardness) or inability to maintain an erection (impotence) – and sometimes both.

If a surgeon has been attempting to get you to undergo PD correction surgery, and you were told the surgical outcomes are “good,” I strongly suggest you get a very clear and detailed explanation for what the surgeon means by “good.”  You might think “good” means that you will be perfect again, that your PD will be gone, that you will feel like a teenager.  The surgeon might be thinking that “good” means only a one or two inch loss of length, only a 50% chance of loss of penile rigidity, only a 50% loss of skin sensation, and restoring your curve from 90 degrees to only 30 or 40 degrees.   It is not an easy thing to determine how to straighten a curved penis.

If your surgeon tells you these things are not true, and that surgical results are “excellent” you might want to ask him what he means by excellent.  If he says you are worrying too much about such a safe and simple operation, ask the surgeon to put that in writing.  Ask the surgeon to guarantee that the surgery will not result in impotence, loss of skin sensation, that you will have a completely straight penis, and that your Peyronie's penis will never return.  You will not get that guarantee because no one can say what will happen to you as a result of PD surgery.

This blog post is not anti-surgery.  This blog post is all about getting a clear and honest idea about reasonable expectations after Peyronie's surgery.  It is my experience that most men are led to believe that their surgery results will be far better than the surgeon and reality can deliver.

Keep in mind that what is good for the surgeon might not be good for the man with Peyronie’s disease.

Leriche Technique for Peyronie’s Surgery

Peyronie’s disease surgery with Leriche method carries risk

The Leriche technique is a new surgical treatment of the stable phase of Peyronie’s disease.  At this time 10 cases are reported in the literature, and they were followed for only three months post-surgically.  While many more Leriche surgeries have taken place, primarily in France, they have not been reported in the literature for review. For this reason any man considering this technique must realize not much historical data has been collected to prove the effectiveness of this new procedure to reduce the curved penis of Peyronie’s disease, or evaluate for complications.  If a man wishes to volunteer to be one of the first for a new surgical approach, this would be that opportunity.

It is important to remember the Leriche technique is a different kind of penis surgery, but it is surgery nonetheless.  In all other Peyronie’s disease surgery techniques – like Nesbitt – there is ALWAYS more scarring that occurs as a result of surgical intervention.  In this new technique patients are operated on an outpatient basis under local anesthesia, after identification of the Peyronie’s plaque is made by ultrasound examination.  In the Leriche technique multiple tears (plication) of the PD plaque are made with an 18 gauge needle almost as though the surgeon was trying to shred the plaque, with the idea that it will be enlarged, spread out and flattened.

Leriche surgery by comparison to the Nesbit technique is minimally invasive, and solely for this reason might have a better range of outcomes. It is suggested following the Leriche surgery that the patient must engage in early and daily sexual activity for at least one month to obtain a good outcome.  Early reports suggest 30 percent of men who undergo the Leriche procedure are cured; however this opinion is based on limited post-surgical follow up of three months.  Another 50 percent gain sexual function after two or more additional Leriche surgeries.  For the 20 percent of men who do not respond well to the Leriche approach, the technique will not interfere with additional surgery or penile implant.

Time will tell how truly effective the Leriche technique is for correction of the Peyronie’s problem.

Penis surgery always carries risk

Most other types of Peyronie’s surgery are performed on an outpatient basis under general anesthesia, and can last up to two and a half hours. A second doctor, a plastic surgeon, may be needed when specialized grafting techniques are used. Surgery for Peyronie’s disease is a major event to a very sensitive part of the body with a large nerve supply, so there is never an easy walk in the park no matter what kind of surgery is performed.

Martin K. Gelbard, MD, world-renown Peyronie's disease expert, states, “Unfortunately, surgery does not offer a cure for Peyronie’s disease. The scarring in men with deformity severe and persistent enough to warrant an operation represents an irreversible loss of connective tissue elasticity. Though surgical restoration of sexual function can be both effective and reliable, potential candidates need to understand the compromise inherent in this approach.” Compromise means that after surgery some degree of the old problem and limitation usually remains, and new problems (more scarring, reduced sensation or numbness, new bends, more pain) will occur in spite of the best effort of the Peyronie’s disease surgeon.

Every surgical procedure has risk; none are totally safe or foolproof.   No Peyronie’s disease surgery can restore the penis to its former condition. Some surgery shortens the penis more than others. Some are more effective in straightening curvature. Every surgery carries the risk of less than perfect straightening, and sometimes the curvature is worse after corrective penile surgery because excess scar formation can occur from the trauma of surgery. Lastly, surgical side-effects are possible resulting in loss of rigidity (hardness) or inability to maintain an erection (impotence), due to permanent surgical alteration of blood flow in the penis, pain greater than before surgery, as well as permanent loss of sensation (numbness) that makes sexual pleasure a thing of the past.

Please keep this in mind:  You have PD because your body made a foreign scar in your penis as an over-reaction process – usually to some type of trauma.  Any surgery – like the Leriche technique – involves cutting holes into and tearing the internal tissue of the penis.  This kind of trauma often results in more scars in a man who has already shown he is capable of creating excess scar formation after any level of injury to the penis.

What will probably happen is that the researches will find 6-12-24 months after the Leriche surgery that men will develop more scars, like they do after other penis surgeries when done to men who already make too much scar material after injury, and the technique will fall out of favor.

Please ask a lot of questions and be very slow to submit to penile surgery if you already know you make more scar than the average man.  For this reason it might be worthwhile considering using a more conservative Peyronie’s disease natural treatment with Alternative medicine.