Posts Tagged ‘peyronie’s treatment’

Peyronie’s treatment sensations

Monday, February 15th, 2010

Strange reaction to Peyronies therapy

 Every now and then I get a question about the variety of unusual sensations and reactions that men notice during Peyronie’s treatment, or immediately after, a particular therapy used in Peyronies treatment.  These are the Peyronie’s disease therapies most often associated with this kind of response: 

  1. Genesen Acutouch Pointers
  2. Manual stretching method found on the CD
  3. DMSO PMD formula
  4. Super CP Serum copper peptide ointment

 Most often the sensation is described as a “tingling” or “aching” or “electrical” sensation in or near the area of treatment.  It can be felt during or within the hour any of these therapies are applied.  The intensity can be variable from time to time it is felt; sometimes very mild and hardly noticeable, and at other times enough to wake a person from a sound sleep. Sometimes the response occurs each time the treatment is done, and for other men the reaction occurs every now and then at irregular times.

 If you experience this kind of reaction in the area of your Peyronie’s scar, do not become alarmed. It is common and usually signals some good response to your Peyronie’s treatment as changes are occurring in the condition of the scar.   

 This is not something that has been studied much in the scientific literature since those researchers prescribing drugs or standard medical procedures for PD do not get the kind of reactions and responses that occur while following the Peyronie’s Disease Institute therapy principles.  They do not report this kind of reaction because they do not make the kind of rapid changes that are seen in men using the PDI protocols. 

 Therefore, there is no research that has been done to explain this phenomenon.  It is my theory that these reactions are due to the rapid changes that take place in the tissue in and around the scar material.  During or after a particular Peyronie’s treatment a change may occur in the tension and length of the otherwise contracted scar material of the penis.  These alterations of tension and position of the tissue layers could easily explain the unusual sensations that occur. I find from my own treatment experience, and that of other men who have had improvement in their Peyronie’s disease, that these “moving” or “tingling” or “aching” sensations appear when the scar is undergoing some level of change (improvement).  Many men come to count on the appearance of these changes to herald improvement of their scars from time to time.          

 It is most probably NOT just one therapy or just the one product causing this usual sensation.   It is closer to the truth to say that these sensations are the sum total of all the synergistic efforts that are included in your therapy plan. The problem (a good problem) with using so many of these therapies together is that you will never be able to accurately say which one did the most or least for you.   A synergistic Alternative Medicine therapy plan is a group effort, with all therapies making some contribution to whatever happens to you.

 Please email your questions about Peyronie’s disease treatment to this blog.

Curved Penis and Peyronie’s Disease

Monday, February 8th, 2010

Peyronies bent penis is focus of problem

While the primary interest of Peyronie’s disease treatment is the internal scar tissue or fibrous  plaque material that causes the distortion or curved penis to develop, it is not the primary interest of the man who has PD.  For him, the most important aspect of Peyronie’s disease is the curved penis that plagues him.  For this reason Peyronies is also known as the “bent nail disease.”

Peyronie’s disease causes a curved penis when the fibrous tissue of the Peyronie scar or plaque pulls unevenly or causes incomplete filling within the erect penis.  This can vary in degree or severity from man to man.  For this reason the curved penis does not indicate the severity of the Peyronies problem or success of Peyronies disease treatment.  The true success of Peyronies treatment is based on the change that occurs in the Peyronies plaque or scar.  Once the fibrous scar changes, eventual improvement in the curved penis can be expected in time.

The internal tissue of the healthy penis is flexible and expandable.  This normal tissue is able to allow for a normal erection to develop when blood is trapped inside the organ.

In Peyronie’s disease some of the tissue is not healthy or flexible and elastic.  Specifically, the deep tissue known as the tunica albuginea is not elastic because it replaced by dense and inelastic fibrous tissue that is called a scar or plaque.   As an erection develops the elastic tissue of the tunica albuginea must stretch and expand evenly on both sides, left and fright, and top and bottom, of the penis.  If this cannot happen because an area of the penis is no longer flexible and expandable, then a curved penis results.

Peyronie’s disease usually begins with a small nodule or bump that is found on the top or sides of the penis, just immediately below the surface.  A few weeks to several months to a year later, a small fibrous nodule can expand into a larger irregular scar of variable size, shape, density and surface quality.  These scars can be as long as the penis.  Some appear like a collar to go around the shaft.   Some are one large mass, while others appear to be like small isolated islands of fibrous tissue in many areas.   Scars can be so soft or small, with edges so tapered and vague that no scar can be found.  In a case of Peyronie’s disease when no scar or plaque can be found, it is still assumed to exist when a curved penis develops during erection. .

Normally curved penis

Most men have a straight erection, but some are born with a penis that curves or bends (usually upward).   Just as fingers on the hand or a nose can display a natural bend, or arms can be of different length on the same person, the penis can be bent without the presence of Peyronies.  Typically, the normally curved penis follows a more gradual and arched design, more like a banana.  In Peyronie’s disease the curved penis is more localized and abrupt, like an angulated bend.

When the two primary chambers (corpora cavernosa) of the penis are a different diameter or length, the penis will bend when erect.   The penis will appear straight when flaccid, and on erection it will bend.

This slight penile distortion will not be associated with pain, there will be no trauma in the history, and it will not appear suddenly as does the curved penis of Peyronie’s disease.

Curved penis affects sexual intercourse

It is estimated that 75-90% of Peyronie’s disease couples will sooner or later experience a sexual intercourse problem, in regard to either pain or difficult penetration – or both.   The curved penis of is the primary reason sexual penetration is compromised, and it is also the reason for the pain that can be experienced by either – or both – partner. This is especially so in those cases in which the distortion is so severe it is described as “cork screw” or “cane handle.”

Incomplete filling of the penis with blood during erection can also happen in Peyronies.  This results in an area of the penis, either small or large, that is soft and unable to sustain the rigors of intercourse.  A soft area within an otherwise firm erection presents a weakness and vulnerability of the normally turgid erection.  A weak area of erection can suddenly collapse or buckle during intercourse, causing additional injury to the penile tissue.  This can cause pain, inflammation and additional fibrous infiltration.

It is a rare Peyronies couple that does not deal with some level of sexual difficulty related to penile distortion and reduced firmness of the erection.  The many physical, emotional and social issues of Peyronie’s disease are complex.  For this reason the reader is referred to “Peyronie’s Disease and Sex” for more information about this complicated area of life with a curved penis.

Treatment of the curved penis

It is important to remember that any penile distortion that develops in Peyronie’s disease is not the primary problem of this condition.   A curved penis that appears one night is difficult to ignore, but is only a symptom of the real problem of Peyronie’s disease – the scar. Without the Peyronies scar there would be no curved penis.

This is the reason I advise men who are undergoing Peyronies treatment to focus on the size, shape, density and surface qualities of the scar or plaque to determine if their Alternative Medicine treatment is being effective.  The curvature can improve or worsen as the scar is reduced.

A small scar can cause a large bend, just as a large scar can cause no bend at all if it is balanced and symmetrical.   For this reason a curved penis can worsen as the scar is being reduced or eliminated.   Estimating progress or success of a PD therapy plan is difficult .  A man can have many more scars than he is aware of, and they can be larger than can be detected since they are often difficult to locate and often overlap.

If only one scar is present the curvature problems are direct and easy to understand, although  this is unusual.   However, if multiple scars are present the internal pulling and twisting they cause can be very complicated.   Several scars can interact on many  planes of internal penile tissue.   Any reduction in one or more scar will alter the internal tension and pulling of the tissues, resulting in an altered curvature.  There is no guarantee the curvature will change for the better initially – sometimes it can look worse as the scars become smaller.  This is why I advise to focus all attention to the size, shape, density and surface qualities of the scar while treatment of the Peyronies problem continues.  Realize the curved penis is just a reflection of what is going on with the scar9s) below the surface.

Do not be discouraged by the curved penis of Peyronie’s disease.  Instead, stay focused on your plan for effective Peyronies treatment.  Learn more about Peyronie’s disease treatment.

If it is not Peyronie’s disease, what is it?

Tuesday, January 19th, 2010

Peyronie’s disease treatment to be successful must be directed to the correct condition.

While I spend a good part of my day communicating with men about Peyronie’s disease treatment, I also am asked frequent questions by men who are unsure if they even have Peyronies.

One of the common vexing questions is, “If that lump or bump on my bent penis is not Peyronies disease, what else could it be?”

The truth of the matter is that it is difficult to answer this question because it often just opens up a large door of possibilities since many conditions can cause a penile lump.  This, of course, starts many questions about a curved penis.  To prevent the eruption of a long list of questions from this one particular question, I will not go into much discussion about the various problems and conditions that can be mistaken for Peyronie’s disease.

The real value of this kind of list of possible conditions that can cause,  contribute, or be associated with or confused with a bump or lump on the penis is one of simple recognition.  If you already recognize you have one or two health problems that you personally have been dealing with or one or two health problems that are present within your family history, then seeing it mentioned in this list will alert you to the possible connection between these two your penile problem and this other problem.

This list is not meant to be an education about any of these problems, just a way to offer possibilities other than Peyronie’s disease.

Conditions that sometimes can contribute to, cause, or be associated with  lumps and bumps within the penis, but not Peyronie’s disease, are:

  1. Congenital curvature of the penis – you were just born that way
  2. Penile dorsal vein thrombosis
  3. Local trauma
  4. Acute penile fracture
  5. Alcohol Abuse
  6. Diabetes Mellitus
  7. Tertiary Syphilis – a structure known as a Gumma, that develops late in the progression of this sexually transmitted disease
  8. Scleroderma
  9. Gouty tophi or nodules – important if you have a history of gout, or that you notice your penis nodules get worse during a bad episode of gout

10. Metastasis of cancer to the penis – very rare

11. Chordee with or without hypospadias

12. Ventral curvature secondary to urethral instrumentation

It is important that Peyronie’s treatment is directed toward the correct problem.  If you are unsure about the cause of your lump, bump or penis curvature it is important that you have your physician examine you for a competent medical examination.  After that, review the PDI website to learn as much as you can about the Alternative Medicine treatment of Peyronie’s disease.

Peyronie’s Treatment and Cialis

Monday, January 4th, 2010

Peyronie’s and Cialis (Tadalafil) and PDE5 inhibitors

Peyronie’s and Cialis are both on the rise – no pun intended, and there is a reason for that.

Cialis it is not a Peyronie’s treatment; Cialis is used to treat erectile dysfunction (impotence).   But some MDs use Cialis in Peyronies treatment because they think it will help the patient achieve a stronger erection  since Peyronie’s disease often is associated with erectile dysfunction.   This practice is is coming close scrutiny because Cialis and all the other PDE5 inhibitors like it can actually make Peyronies worse when it causes a very extreme erection that the body is not built to handle.  This can cause damage to delicate tissue and more Peyronie’s scar formation.

Peyronie’s and Cialis Usage

Every man with Peyronie’s should know each package of Cialis contains information warning that men with Peyronie’s disease should use Cialis with great caution because of possible side effects that include damage to the penile tissue that can actually cause Peyronie’s disease if you do not already have it.

MDs write orders for their patients with Peyronies and Cialis is a commonly prescribed drug.   The MD will explain that the Cialis will increase the blood flow to the penis and this is beneficial to Peyronie’s disease.  I think this is nonsense.

An erection is created when blood is TRAPPED inside the penis, causing the spongy tissue to fill up and expand with about 2-3 tablespoons more blood than is normally in the penis.  This additional 2-3 tablespoons of blood become TRAPPED inside the penis, just like when you blow up a balloon and tie a knot at the end of the balloon.  Sure there is more air inside the balloon, but it does not circulate freely – it is stagnant air. And the additional blood also does not circulate freely in the penis.  That is why the penis is darker when it is erect – the blood does not have much oxygen in it, making the tissue darker.  This just goes to show how little many MDs think about what they are doing when they write a prescription.

Cialis is a popular erectile dysfunction drug, but it does not make sense to use it for treatment of Peyronie’s disease. When a man goes to his doctor for his Peyronie’s and Cialis is prescribed, he should understand the reason for the prescription does not make sense.

Cialis and Peyronie’s Connection

While I hate to spoil the fun for those whose sex life is enhanced by Cialis, but over the years I have had a disturbing number of men inform me they now have Peyronies and Cialis use was the cause.  Any of the PDE5 inhibiter drugs (Viagra and Levitra are others) can increase pressure within the penis that  can be greater than normal.  Injury to the tissue can lead to Peyronie’s disease.

If it were possible to take a drug that would allow you to lift a truck above your head and keep it there for an hour, should you do it?  That would be an interesting, and very impressive to the ladies, but is that reason enough to subject your body to the potential risk that would be involved?   The fact is that the body is not built to be used that way.  Lifting a great amount of weight causes internal pressure on tissue and organs that were not meant to bear that kind of weight.  Great injury would occur to internal organs, your spine, knees, hips, shoulders, blood vessels, and so on.  The same relationship exists between Peyronies and Cialis, and the rest of these PDE5 inhibitors.

All of this is so unfortunate because there are far safer methods for Peyronie’s disease treatment.

The increased occurrence of Peyronies and Cialis use also increasing is not a coincidence.  There is a reason that more and more men are getting Peyronie’s disease at the same time that more and more men are using Cialis and the other PDE5 inhibitors.

Biggest Peyronie’s disease treatment mistake you can make

Monday, April 20th, 2009


What’s the biggest fundamental mistake I see men make while trying to treat their Peyronie’s disease?  This is a good question, because if you are making this mistake it could be sabotaging your success right now.  

Men with Peyronie’s disease say they want to recover.  They all say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, additional ideas or strategies that often make a difference, I get a different reply from these same men.

As we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, if it is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this list of five reservations, the one that always interests me the most is #3, the one requiring that any PDI treatment must be “guaranteed.”  I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing. 

I had some dental work the other day to extract a badly cracked tooth.  I asked the dentist if he thought he could get the entire tooth with roots out of the socket.  He said, “No, I can’t say that. I just don’t know ahead of time.  If that root breaks off, you will need a dental surgeon to have the jaw opened to remove that nasty little root.”  Did you ever notice that when you get some work done by your dentist, he asks you repeatedly how numb you are?  Your dentist does this because he/she has absolutley no way to guarantee the exact effectiveness of a simple Novocain shot. You must be asked continually how much numbness was created, and how much pain you are having, because someting as simple and direct as a Novocaine shot represents an unknown outcome, with no guarantee.     

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he presribes for you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.       

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.  

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.  when it comes to guarantees, caveat emptor, buyer beware.  

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is easy, fast, guaranteed, inespensive or convenient.  It is tough work because Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

A half-hearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement. 

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.    

If you are truly serious about correcting your Peyronie’s disease, you must be ready to commit to  work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  Without true commitment and dedication to the task, it is almost impossible to succeed.

To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the heading, “Ask Dr. Herazy…”    TRH

 

Largest Peyronie’s disease treatment mistake

Sunday, February 15th, 2009

What’s the biggest fundamental mistake I see men make while trying to treat their Peyronie’s disease?  This is a good question, because if you are making this mistake it could be sabotaging the success of your Peyronie’s disease treatment right now.

Their mistake is that they will only undergo an Alternative Medicine treatment of Peyronies if it is guaranteed.   They never stop to think or realize that no doctor in his right mind will guarantee any form of treatment, especially Peyronie’s disease.

Most men say they want to recover from their Peyronie’s disease.  They say they will do anything to get their lives back in order again.  I hear it all the time.  Yet, when I suggest things to do, such as additional ideas or strategies to follow that often make a difference, I get a different reply from these same men.

When we communicate, I often hear and see a lot of indecision and lack of commitment to getting well.  What I really see in my dealing with a wide variety of men is that they want to get over their Peyronie’s disease, if it is:
1.  Easy
2.  Fast
3.  Guaranteed
4.  Inexpensive
5.  Convenient

Of this above list of five reservations, the one that always interests me the most is #3, wanting to know if the Peyronie’s disease treatment ideas of PDI are “guaranteed.”

When I hear this question, I ask myself, “What in all of medicine can be realistically and honestly guaranteed?” and the answer is absolutely nothing.

I had some dental work the other day to remove a badly cracked tooth.  I asked the dentist if he could guarantee if he could get the entire tooth and roots out of the socket.  He said, “No, I can’t.  If that root breaks off, you will have to go to the dental surgeon to have the jaw bone opened to remove that nasty little root.”  Because he could guarantee the exact effectiveness of the Novocain shots he put into my jaw, he had to continually ask me how much numbness was created and how much pain I was having.  He asked, because he did not know, because even something as simple and direct as a Novocain shot represents an unknown outcome.  You see, a dentist cannot guarantee the effectiveness of a simple Novocain injection.

I doubt you can find an MD alive who would guarantee that the high blood pressure prescription – or even an aspirin – he gives you will work.  Since this is a Peyronie’s disease forum, I doubt you can find a surgeon alive who would guarantee before surgery that your curvature would be straightened, or that your Peyronie’s disease would not return in a few years.   No doctor guarantees any outcome of treatment for a specific tissue response because the body does not operate that way.

Yet, because of all these goofy advertisements that surround Peyronie’s disease, you and I are all bombarded with “guarantees” of how effective a secret herb from India is to “cure” the Peyronie’s plaque.  Especially bad are all the mechanical penis stretchers that “guarantee” to reverse a bent penis.  These mechanical penis stretcher companies are a great lot.  They come and they go.  They offer a simple solution, but from my observation and reports I get every day, most men simply cannot use these stretchers for more than a day or two before giving up because of the pain they cause.

One of the surest signs of a phony setup in Peyronie’s disease treatment is when you see a guarantee of results offered.

Sorry to say, nothing about ANY Peyronie’s disease treatment from any source is
easy, fast, guaranteed, inexpensive or convenient.  It is tough work.  Peyronie’s disease is one tough problem, and it is most stubborn to treat.  That is why there is no formal Peyronie’s cure at this time. The trick in treating Peyronie’s disease successfully is that it requires you to personally be more stubborn and tenacious than your problem.  It takes a made-up mind, with a high level of commitment to be successful over Peyronie’s disease.  If you truly have one of those determined minds and you are prepared to do some serious work to help yourself, you are far closer to success with your Peyronie’s disease treatment plan.

A half-hearted effort will get you nothing – I can guarantee you that!   You must approach your treatment plan knowing it will not be easy, and any good progress will take time and dedication.  Dig in for the long road, and you will avoid discouraging yourself.  On the other hand, you must also be realistic in your expectations concerning how long it will take to see results and your anticipated degree of eventual improvement.

You need to remember you are working to make yourself healthier and stronger so you can correct your own Peyronie’s disease problem, you are not looking in vain for a Peyronie’s cure.  It’s as simple as that.

If you are truly serious about correcting your Peyronie’s disease, you must be ready to work hard to strengthen your immune response.  Give your body the time and opportunity it needs to heal like the 50% group whose Peyronie’s disease corrects on its own.  To help you put your plan together, I would be pleased to answer your questions about Peyronies treatment.  Please write your question to me under the PD Blog heading, “Ask Dr. Herazy