Where can I find a multi-tube VED to treat Peryronies disease?

I have been diagnosed with Peyronies disease. It came on very quickly.

I work as a consultant. I am 62 years old. Until recently I enjoyed a very energetic sex life. I began to notice around May of last year pain when I acquired an erection.  My penis remained straight despite the pain. I was able to ejaculate and erection was not a problem.

I was on a job. My wife visited me mid October last year.  Then she went home. I had two more weeks until the job ended. I decided to wait until I returned to California and give my penis a chance to heal.  During first sex after two week layoff my penis was bent to the left. I was stunned.  I can feel the hard areas along the left side of my penis. My urologist suggested vacuum therapy.

I bought a device with a large tube that still permits my penis to bend.  I am an engineer.  To me this is just teaching my penis to continue bending. Now I learn there is multi-tube device and suggested therapy.

Where is this mythical multi-tube device ?


John K.

Greetings John K,

I do not endorse the idea if using a vacuum erection device (VED).   You can read this information in Peyronie's disease treatment with vacuum pump (VED).  

Over the years I have encountered too many men who had negative experiences after using the VED, either causing injury that resulted in Peyronie's disease or they noted that the device simply made the penis larger than usual for a few minutes but did not help the actual problem of PD.  The fundamental issue of Peyronie's disease is not the penile curvature weak or erections of Peyronie's disease that get your attention.  The real problem of PD that causes all the other nasty problems that you are experiencing is due to the existence of the Peyronie's scar inside the shaft of the penis.  Using a VED will not get rid of the Peyronie's scar; it will only stretch the tissue temporarily.

As an engineer I am sure you are familiar with the concept of trying to apply traction to a material that has rigid and less rigid areas; the traction force will be absorbed by the less rigid areas and will not allow the more rigid area to be stretched by the traction force.  This is the fallacy of the VED concept to treat Peyronie's disease, as well as the mechanical penis stretcher or extender devices.   This idea was discussed in some depth in a post I wrote called My Peyronie’s disease started after I tried to straighten my curved penis with a penis stretcher, should I use another one?  I would appreciate a comment or two from you concerning the engineering and physics principles that are discussed in this post. 

As far as where you can get a double-walled VED device, I can only suggest that you speak to a urologist who advocates the VED idea. The problem with the double-walled VED is that while it does not allow for the lateral bending of the distorted PD penis (which is good), it also does not allow for the expansion or stretching of the tissue (which is not good on one hand since this is supposed to be how this device is purported to help PD, but is good because it is less likely to injure the penis while it is being used). 

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Overall, it is my opinion the VED is not an effective therapy for Peyronie's disease. Note, that it is not only my idea that the VED is not a great Peyronie's therapy; many urologists are against their use for the same reasons I cite.   Having said that, you will note that makers of the VED and those MDs who advocate the penis pump product for PD will point to a few positive published research reports for the VED.  My answer to those positive VED research reports is the same concerning the thousands of positive research reports for hundreds of new drugs that come out annually.  These hundreds of new drugs, because of the positive research behind them, receive FDA approval each year .  And each year hundreds of them are taken off the market in a year or two after they are proven worthless or injure hundreds of people in the short time they are used.  TRH


How is the Genesen Acutouch pointer used for the treatment of Peyronie’s disease?

Is the Genesen Acutouch pointer applied directly to the the Peyronies scar?  How is it used for the treatment of Peyronies disease?



The Genesen Acutouch pointer pens are applied directly to the skin the over, around and near the Peyronies scar.  They cannot be applied directly to the PD scar because the scar is an internal structure that cannot be reached from the outside surface.  

Each Genesen Acutouch pen set comes with a 260 page manual that explains how it can be used to deliver a very sophisticated level of acupuncture treatment to over 100 common health problems. In addition, as a Diplomate acupuncturist who taught acupuncture principles and technique for many years on the post-graduate level, I have written a seven page set of notes that explains how to use this wonderful instrument to improve treatment results for Peyronie's disease.

I will not discuss how to use the device as a Peyronie's treatment least you get the idea that it should be used by itself to assist recovery from PD.  There is no therapy that I am aware of that is powerful enough or so complete that it can be used by itself to correct this problem. All therapies on the PDI are intended to be used in various combinations to treat Peyronie's disease.  As great as the Genesen instruments are, they should only be used in combination with other therapies you see on this website to support your recovery from PD.  TRH

How do I use the Honso herbs to treat Peyronie's disease?

I have Peyronie's and I'm interested in trying the Honso herbs. How are these herbs used ? Are they used as a tea or just consumed ? I've had Peyronie's for several years now and want to try these.

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The Honso herbal supplements are taken as a tea, with complete instructions included with each order telling you the best way to use this ancient product. TRH


Questions abouty protein intake in a Peyronie’s treatment plan

Dr. Herazy,

I bought and have been reading your "Peyronies Disease Handbook" (which I think is excellent!) and am focused right now on modifying my diet per your advice in Chapter 5—-Diet and PD.

I have two questions:
1. When you make the suggestion to eliminate or reduce the intake of "meat", are you talking mostly about red meat or are you saying to also eat less chicken, fish, lean pork, other types of seafood, etc.?

2. I notice that most of the foods to eliminate are high protein types and the ones to add hardly have any protein at all. It looks like the same can be said about bad fats, which makes a lot of sense to me and will make my cardiologist happy with these changes in my diet. But in your opinion is it OK to add or keep additional sources of high protein foods not on the list that are low in bad fats and have mostly good fats, such as salmon, tuna, chicken without the skin, etc.?

The protein question is especially interesting to me because I developed my PD when I started doing a lot of protein shakes with muscle builder and fat burner type additives at my gym and also used protein shakes as meal substitutes at home. Your thoughts on these two questions asap would be greatly appreciated as I want to move forward as quickly to get accustomed to my diet before starting the enzymes and rest of my treatment plan.

Thanks for all that you are doing to help people like me and giving us hope!




Greetings Scott,

Thanks for the kind words about PD Handbook; I get a lot of compliments about both books. 

I appreciate you trying to do this correctly.  The more disciplined and exact you are the better the PDI treatment plan will work for you.

Red meat is especially important to be reduced in your diet if you can manage it.  Some people so suffer physically when they eat a low protein diet that they give up entirely to treat Peyronie's disease.  I find most people have a better tolerance of fish and chicken protein sources.  So do your very best to greatly reduce red meat, and cut back moderately on chicken and fish, as a general rule.  The world will not come to an end if you eat either red or white meat protein but you are going to get better results the stricter you can be, OK?   TRH 

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

Dr. Herazy,

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



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

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

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

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

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

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

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

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Do you think I should try the enzyme supplement Neprinol for my Peyronies?

My question is really more confusion over the past year of having Peyronie's disease while using Topical Verapamil cream. My urologist wants me to keep using it and I have lost faith. I would ask your patience, and for you to read my experience because I do not know if the "new" curvature I have now is just due to active Peyronie's fibrosis or if it was somehow affected by the Verapamil.

If you envision what a moderate erection of a normal penis would look held down by clothing and "worn" to the left of the testicles, when my penis was erect it maintained a similar curvature. I assumed this was my "curse" for being aroused so often every day from the ages of 8 to 18. The curve never caused me pain or any sexual issues, and though would have wished it straight, it was nothing I would have sought treatment for. If not for pain that developed during erection under the left side of my glans, I would never have heard of Peyronie's Disease.

My Urologist is not a proponent of surgery except in extreme cases, so he prescribed me Topical Verapamil 15% (PD Labs). The confusion I have is that he wants me to keep using is and I think it is a waste of money.

During the first 90 days of use, my penis' curvature changed drastically. At first I thought that this was due to the Verapamil therapy, but now that it is clear that it was not becoming straight, but rather just curving even more drastically to the left from a different point. The downward curve is gone (a good thing I suppose) but replaced with this almost 90 degree curve to the left about 2.5 inches from the tip.

My Urologist wants me to keep using the Topical Verapamil, but I think that it is a waste of time and money and if it DID effect me, it only facilitated a worsening of the curve. I now have to have "help" to have intercourse with my wife of 27 years! By now we should know where things go and how to put them there, but this has messed that all up! I have minor to no pain, but it is emotionally screwing with me. She thinks it's no big deal, but I'm sorry. It is to me.

Do you think I should try the enzyme supplement Neprinol?



Sorry to hear of your problem, not only with having Peyronie's disease but for your experience of worsening while taking Verapamil. 

When I developed Peyronies back in 2002 I also used topical Verapamil.  I used it for six months and my condition slowly worsened,  just as you report.  I assumed then, just as I do now, that the Verapamil was not responsible for the worsening but was totally ineffective to reduce the scar structure and allowed my distortion to increase while taking it. 

I cannot comment on the appropriateness of topical Verapamil treatment in your case.  That is a discussion you should have with the treating doctor who prescribed it for you.   Perhaps his insistence in continuing this drug is more so based on his lack of having anything else he feels he can offer you in good conscience, rather than an overwhelming confidence and belief that it will eventually assist you. One of the articles about Verapamil from the PDI website that might give you helpful information is "Peyronie's Disease and Verapamil."

You ask if you should "try" Neprinol as a possible treatment for your Peyronies problem.  

Neprinol is definitely the most popular enzyme we sell in our  Alternative Medicine lineup, but we never – ever –  suggest it should be used alone to treat Peyronie's disease simply because the problem is too difficult and stubborn.   As good as Neprinol is as a systemic enzyme, from my experience it is almost always necessary to use a few other therapies in addition to Neprinol to create the desired tissue changes.   Neprinol works best used when it is an essential part of a good therapy plan.  When I was actively treating my Peyronie's disease many years ago I took Neprinol, along with Nattokinase and Fibrozym (but with greater emphasis on Neprinol) as the systemic enzyme part of my larger treatment plan.   I do not think you must do it this way to be successful, I did it just to cover my bases and to keep my tissue as saturated as possible with these enzymes.

I think Neprinol is so important for a successful Peyronie's treatment plan that I have a large and detailed discussion of this important subject in my book, "Peyronie's Disease Handbook".

While Neprinol might be a great systemic enzyme, the men I counsel about their PD who get the best results use more have many other things going for them than just Neprinol.   It is most important to approach your problem from as many different directions at the same time as possible to create synergy.

Some men report just OK results with just one therapy used against PD, but more men report better results when they take multiple therapies.  That is what the whole therapy concept of synergy is all about:  the more you do, the larger your plan, the greater the likelihood of promoting a favorable change in your metabolism that enables you to reduce the Peyronie's plaque that causes the cured penis that is at the heart of PD.    The idea is not to “treat the scar” as a medical doctor would do, but to “treat the man who has the scar” so that his body can heal what is wrong with it.   This is a basic idea that is fundamental to Alternative Medicine that presents a major shift in thinking for most medically indoctrinated people.   For this reason, as good a single therapy as Neprinol might be,  I do not recommend for  anyone who desires  good Peyronie's treatment results to use just Neprinol – or just any one product – but several therapies to create the desired synergistic effect. 

There are several special techniques I have worked out over the years for taking Neprinol to increase its potential benefit; it does not work to its maximum benefit if you take it like a vitamin.  After working with thousands of men about their Neprinol usage these special techniques for using systemic enzymes make them more available to you so they will do you the most good.   All of this information is provided when you receive you order from PDI.

PD is a tough and terrible thing to happen to a man.  It takes dedication and persistence to overcome it.   Good luck to you.  Let me know if I can help you in any way.  TRH


What is the dosage of therapy that will improve my Peyrnonie’s disease?

I am taking a combination of Neprinol, Vitamin C and Vitamin E. Can you advise me of a good number of each to be taken per day? I am currently taking 6 Neprinol per day, 3,000 mg of Vitamin C and 800IU of Vitamin E per day. Is this a safe amount that will effect Peyronies disease?


As I write repeatedly in these commentaries, there is no way to know ahead of time if any therapy plan is going to be effective for any particular person's Peyronie's condition or what dosage will work for you.  This is why it is essential each plan should be as varied and aggressive as possible, and that it is followed faithfully each day.  Because you will be able to monitor the size, shape, density and surface features of your scar before therapy begins and as it continues you will know whether your plan is working.  If it is working, you continue following your plan. If it is not working, you slowly increase the dosage of your plan until you begin to notice changes in the scar.

It is essential that you not just take your various supplements, but that you "work" your plan.  The PDI concept of determining the dosage of Alternative Medicine to treat Peyronie's disease is based on a simple system followed to prescribe drugs in medical practice. 

This is how your medical doctor fine-tunes the dosage of the drugs he/she gives you:   Your dosage is started based primarily on your age and body weight for that particular drug – everyone starts at about the same dose, but it will change based on response to the drug.  You take the drug as prescribed, you return in a week or two and your doctor asks you questions and examines you to see if your symptoms have changed.  If your symptoms have been reduced to your doctor's satisfaction, your dosage is kept the same.  If your symptoms are the same the dosage is either increased or you are given even more drugs.  You now taken an increased drug dosage as prescribed, you again return in a week or two and your reduction of symptoms is determined.  If your symptoms are now reduced your dosage is kept at this higher level.  If your symptoms are the still same the dosage is once more increased or you are given even more drugs.  This goes on until your doctor thinks your symptoms are under control.  This is how medicine is generally prescribed. 

You can use the same method to determine how many and which of your different therapies to use to change the size, shape, density and surface features of your Peyronies plaque and hence to reduce the curved penis that the scar causes.

As you take the dosage of the Alternative Medicine therapies you are using you monitor the size, shape, density and surface features of your Peyronie's plaque or scar, just as a doctor would.   If your scar shows improvement (smaller, softer, a different shape, more difficult to locate or you have signs of the scar "falling apart," you keep dosage the same.  If your scar is the same size and shape, just as hard and just as easy to locate, you slightly increase the dosage of what you are taking or you add new therapy to your plan.   You compare your scar every 10-14 days, looking for positive signs of scar reduction.  This pattern of increased therapy continues until you find that your scar has begun to improve.

You do not just start popping a predetermined number of pills each day hoping that you get better.  You monitor your scar for positive scar changes and you are fully aware what it will take to make it happen.  This is PDI method of Peyronie's disease treatment.  

The Neprinol, vitamin E and C dosage you are taking is very common, and might even be a little low in regards to Neprinol.  Please refer to the notes and detailed instructions you were given about taking Neprinol when you received your order from PDI.

If you have specific questions about altering your Peyronies treatment plan please contact me directly.   TRH

How long until I see any improvement with my Peyronies problem?

I'm 18 years old and I have PD. I think I had it for 2-3 years, really not sure. It curves up from my pelvic bone to the middle and curves down from the middle to tip. So it kind of looks like an arch or rainbow. It also looks really dark, I'm white Italian and it shouldn't be really dark like that.

I really don't want to go to the doctors, I asked to go to the urologist but kept getting questioned why. I came to the conclusion that I'm probably not going to go so I want to help myself.  I want to buy "Vitamin E: Unique-Oil – 1 oz pump bottle", "DMSO – PMD DMSO Gel", and "Super CP Serum".  I been using vitamin e capsule gels and using the gel inside as a moisturizer with baby oil for the past few days.

I want to know how to use the vitamin e properly for your mixture. Do I mix them all together and put it on? Do I use them one at a time? Do I have to be flaccid? Do I use after shower I get out of shower and leave on overnight? Also, how do you rub it in and for how long? Will the box definitely be "Discreet Shipping" even if I don't buy a plan and just those 3 bottles?

I live with my parents and my brothers, sister and my friends are constantly over so I don't want anyone to see the box if I don't get it first. I can just tell my mom the stuff is for my scar and my face because I used to use the capsule gels for that.

Also, how long do you think until it fixes it and how long until I see any improvement? I want to get with a girl and embarrassed to get close to her because of it.

Thank you


Greetings young man,

You need to get over your embarrassment and seek out a medical opinion and have your condition formally diagnosed. 

Why are you mixing vitamin E with baby oil?   Please use the products as instructed when you receive your order from PDI; all products come with complete and correct instructions for use to treat Peyronie's disease. 

Using only DMSO, vitamin E oil (Unique E) and copper peptides  (Super CP Serum) is a very limited and lopsided approach to good Alternative Medicine treatment; good treatment usually demands both internal (PABA, vitamin C and E, systemic enzymes), as well as external therapies.

Yes, all products received from PDI come discreetly boxed, with no outside identification that would embarrass you.  However, inside the box we freely identify and discuss Peyronies disease.

There is no way ahead of time to tell you how long it will take to recover from your PD, or even if you will do so.  It is a very difficult problem to remedy. Get your parents involved in your treatment so you are not doing this alone and you are able to mount the kind of aggressive treatment that is usually most effective. TRH 

Must I accept there is no cure for Peyronie’s disease?

Hello Dr. Herazy,

I've had Peyronies since I was 14 years old. There was a blunt trauma, I was too young and shocked to address the issue and chose to ignore it.

Initially, my erections were not greatly diminished. There was a curvature of about 30 to 35% to the left and slightly downward. Erections lasted a little less long and were slightly harder to produce. Urine did not pass as forcefully as it had before.

Now I am 31, erections are much harder to produce, are never full and have significantly less duration. At times there is a slight pain in the penis after ejaculation and urine passes much slower than it use to. I would place the curvature at 40 to 45% and in a more flaccid state. It is very depressing for me because I have only experienced sex with this condition and as it worsens I avoid it and relationships. Surgery sounds horrible and signing up to a treatment plan has me concerned about developing conditions or side effects from the treatments, as I have a lot of life to live.

Is there any hope? Must I accept that there is no cure and what ever options are available will involve sacrifice or long treatment plans?

Suffering Guy


Greetings Suffering Guy,

Apparently you have not spent much time reading the vast amount of information about natural Peyronie's disease treatment available on the PDI website.  

When I developed PD in 2002 I began my treatment with the premise that there is a cure for Peyronie's disease – various authorities will report that from half to 20% of men who develop this problem will undergo a spontaneous remission in which it just goes away on its own.  In other words, the body corrects the problem of the internal plaque or scar tissue in the tunica albuginea, and the scar and the curvature just go away.  that sounds like a cure to me. 

When you read on the medical websites that "there is no cure for Peyronie's disease," what they really mean is that there is no prescription drug available from a pharmaceutical company that has FDA approval to eliminate the plaque in the internal tunica tissue.  While it might be true that "there is no cure for the common cold," does that mean that everyone who has a cold will continue to keep the problem and will eventually die from it?  No.  With rare exception (the very young, the very old, and those who are very weak with severe illness), anyone who develops a cold will cure it usually in a little less than a week.  That is what the body is designed to do to cure itself.  

Certainly, there are some conditions (cancer, multiple sclerosis, Alzheimer's disease, etc.) that are more difficult and more rare to overcome, but for the most part there are a large number of health problems that the body is fully capable of self-repairing.   Where exactly is it written that every case of Peyronie's disease is permanent and beyond the ability of the body to eliminate? I have never read that anywhere, and as I mentioned earlier every authority states that a fair number OF PD cases reverse themselves for complete elimination.   If that is true then the question should be asked, "Why hasn't your body eliminated your PD?"  

For the last 10 years I have spent every day with that question on my mind.  I have developed some ideas and strategies I have seen over and over again that will increase a man's ability to get rid of his own Peyronie's disease.  You can read about a few of these Testimonials of Peyronie's Disease Institute. 

There is not much I can do to reduce whatever level of sacrifice or time is required for your body to reduce your Peyronie's plaque to the best of your ability.  I hope you think enough of yourself, and are willing to do some work, to bring about your best level of recovery.  If you have any questions about using Alternative Medicine to treat Peyronie's disease please let me know.   TRH

Why are two different vitamin E products made available?

Why are 2 different Vitamin E sources (400/400 and Gamma E) suggested in your therapies?  What are the differences? Would only 1 suffice in an effort to help manage costs?


Your question about the reason for the two different types of vitamin E to treat Peyronie's disease is a common one.  Thank you for bringing it up again.

I cannot put an entire detailed answer to your question in this reply. Let me just comment that the Maxi-Gamma vitamin E is used because it provides a higher ratio of the Gamma type of vitamin E that is helpful in healing and removing scar tissue.  The other vitamin E product, Factor 400/400, is a balanced vitamin E providing all eight types of vitamin E that does not emphasize the Gamma type the way the other one does.   When used together they complement each other and work nicely to provide an excellent and highly concentrated source of vitamin E that will assist your body to correct your Peyronie's disease to the best of your ability. 

To get the full answer and to learn more about vitamin E in a Peyronies treatment plan, go to Vitamin E for Peyronies treatment

Sure, if you used only one type of vitamin E it would manage costs.  But, which one to use?  I do not have a clear answer on that one because I can make a good argument for both of them as being the one you should use if you were going to only use one. 

If you must use just one, then I suggest you experiment a bit by using one of the products in your overall plan to see how you respond, and then use the other one to see if you respond differently to it.  Of course, this is how I suggest that anyone approaches any of the therapies to see if it should be included in a therapy plan.  TRH