Is the urologist I am seeing for Peyronie’ disease smoking something?

Have had PD for two years; mostly on the part of the penis below the outer wall of my abdomen and on the right hand side. Can feel a 3-5 inch long fibroid maybe 1/8 to 1/4 inch wide, again most of it inside my body.  Penis bends to the right at about a 90 angle, but right at the base so I just “straighten it out” and still can have sex, albeit that I have lost maybe 1.5 inches in length. Urologist says every one of his PD patients cured by themselves in a “3-5” year time frame??

1.Is he smoking something??
2. Have tired the “fibroid dissolving” Neprinol/Serracor/Senacor and Varapamil cream for months, kind of early on (8-18 months) ; all to no avail
3. What do you recommend?
4. What do you think of the European “needle puncture” technique to break up the plaque?



1.  I cannot comment on the recreational smoking habits of your urologist.  Perhaps the urologist is laboring under some old concepts and information that states most cases of Peyronie’s disease will eventually get better, or he has some very unusual patients.   However, more recent studies indicate it is not true that all cases of PD eventually get better on their own.  Current investigation states that at 5-10 years after onset of PD, approximately 10-15% of men with Peyronie’s disease will experience a variation of symptoms and even gradual resolution, while 40-45% will have continued progression or worsening, and about 50% will be stable or have no further worsening of their symptoms.  Perhaps your urologist was simply trying to make you feel better since he has nothing to offer you in the way of treatment and just wanted you out of the office.

Actually, if you think about it, it is interesting to note that your urologist’s comment that “every one of his PD patients cured by themselves” goes right along with the PDI treatment concept that I have constantly preached since 2002.  Your urologist confirms that it is his/her experience that men cure their own Peyronie’s disease in a certain number of cases. Even the current concept of 10-15% of men recovering spontaneously support the PDI treatment idea.  All that the PDI concept of treatment of Peyronie’s disease attempts to do is to support, promote and increase that very same tendency to recover naturally from PD that your urologist told you about.  This is really a simple and natural thing that PDI is attempting to do:  make sure  a man who wants to get rid of his Peyronie’s disease is equipped with everything he needs to function to the best of his ability to get eliminate his  Peyronie’s scar. If all men – or 10-15% of men – get over their PD without any problem, what do you think you can do to get over yours?  Well, PDI has worked on this problem for a long time and has some very good answers to that question.  Read about it here.

 2.  Your use of systemic enzymes and Verapamil cream, in my opinion, and based on over 10 years of experience in working with men who have this problem,  is not likely to be successful in eliminating your Peyronie’s disease. This narrow-base approach is far too limited to be successful against a problem as stubborn and complex as PD.  Of course I am committed to the ideas and concept of treating Peyronie’s disease you find on the PDI website.  In my experience it is far more effective to aggressively and faithfully use a wide variety of different Alternative Medicine therapies delivered all at the same time, over a long period of time, to increase and support your natural immune response to the foreign fibrous tissue in your penis.

3.  I recommend that you use the largest and most aggressive PDI treatment plan you can sustain for 3-4 months while you attempt to support your natural ability to heal and eliminate the foreign fibrous tissue from the shaft of your penis.  The PDI large plan tends to get the best results, while the PDI medium plan is the most popular; of course you can modify any of these plans any way that appeals to your understanding of your situation.  Any of the model plans you see on the PDI website can be modified to be smaller or larger, or contain a therapy you prefer, based on your knowledge of your particular situation. If you need help in this area please let me know.

4.The European “needle puncture” technique to break up Peyronie’s plaque is called the Leriche technique or needle plication.  Please see “Leriche Technique for Peyronie’s Surgery,” and “Does any Urologist Perform a Needle Aponeurotomy for Peyronie’s Disease?”

Lastly, your method of forcefully straightening a 90 degree bend so you can have intercourse should not be used.  There is a good chance you are injuring yourself and causing the developing of additional scar formation by stretching your tissue in this way.  I strongly suggest that you do not do this.  Perhaps you could get some good information and helpful ideas from my book, “Peyronie’s Disease and Sex.”    TRH


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