Medical Peyronie’s Cure is Lacking

Peyronie’s disease cure right under your nose

Everyone wants a medical Peyronie’s cure that is a fast, easy, economical – and, oh yes – guaranteed.  In short, the ideal cure for Peyronie’s disease from the traditional medical viewpoint would be simply to pop a pill or two.  In this way everyone with a bent nail could go about with his life as before, with minimal inconvenience or effort.

Why would I say that this is the viewpoint of “everyone”?   Well, simply because we live in a medical society.  When people think of a “cure’ they think of medicine as it is currently being practiced.   All efforts on the medical industry drawing board are directed toward looking for a drug – oral or injectible – to be the great cure for Peyronie’s disease that has evaded us for over 425 years.   Currently, Peyronie’s surgery is the only treatment that organized medicine makes available to someone with this problem and it is beset by limitations and drawbacks.

Other than the Peyronie’s Disease Institute no other effort has been made to seriously investigate a treatment for Peyronie’s disease outside of the traditional medical model.

This limited viewpoint of looking only for a medication to treat Peyronie’s disease is typical of the medical and drug industries.   The business people who decide how to approach a particular health problem tend to look at these issues from a profit standpoint; they also only look in directions and for treatment approaches that are not only profitable, but which they can control so that their profit is protected.

Since the perfect Peyronie’s drug has eluded the medical establishment, they are quick to say there is no known cure for Peyronie’s disease.   What this statement really means is that there is no known cure for Peyronie’s disease using a drug or medical procedure they can profit from, control, and manipulate.

There is a Peyronie’s cure

What kind of medical quackery and heresy – nonsense – is it to say that there is a cure for Peyronie’s disease?  Actually none.  The body itself, in a fairly high percent of cases, will heal and correct – cure – the Peyronie’s plaque so that the problem does not advance.  Peyronie’s disease eventually leaves without a trace of deformity, pain, scar formation or limited sexual ability for about half of the men who get this problem.  It is said that about in half of the men who develop Peyronie’s disease, within the first 12-24 months the entire problem will just go away on its own.  Does that sound like a Peyronie’s cure to you?  It does to me.

How does the body go about doing this miraculous thing, to rid itself of the terrible curved penis that is the hallmark of Peyronie’s disease, and heal over the mass of fibrous material that is known as the Peyronie’s plaque?  I do not know; no one knows.  But then again, I do not know how my body does the thousands of miraculous and complex things it does every second of every day of my life.  I do not know, as a small example, how my body can take the breakfast I just ate and convert into living tissue.  We are all just wonderful that way, and part of this is demonstrated when a man heals his own Peyronie’s disease.

The Peyronie’s Disease Institute is involved with the use of a wide variety of nutritional and supplemental products that are intended to increase and improve the ability of the body to heal the Peyronie’s scar.  It is really not so complicated or more mysterious than that.

For those who say it is quackery or nonsense to think that a person can improve his ability to heal and function better in life, I ask, “Why it is that a person eats?”

What is the purpose of eating?  To satisfy the taste buds?  No, that is just a side benefit.  We eat, we put nutrients into our body so it can function; the food we take in is fuel to enable life and repair to take place.   By following the ideas of the Peyronie’s Disease Institute about PD treatment, all we are doing is trying to increase the odds and opportunity for the body to heal and repair in a way that is better than what is happening now.  Call this a Peyronie’s cure if you want, but it is no more miraculous than anything else that your body does during the course of an average day.

For more information about the philosophy, click on natural Peyronie’s disease treatment.

Peyronie’s plaque or scar

Peyronie’s plaque or scar central issue

The central issue of Peyronie’s disease is the infamous Peyronie’s plaque, also called a scar. Peyronie’s disease typically occurs in men between 40 and 65 years of age, although a range of 16 to 80 years is documented; some experts say it can occur at any age. From personal communication with a particular man, I was told that his own Peyronie’s disease was started after a dog bite to the groin – at the age of 10. Nonetheless, it is most important to recognize that all clinical signs and symptoms of Peyronie’s disease originate from the effects of the plaque upon the internal tissue layers (tunica albuginea) of the penis.

A developing Peyronie’s plaque appears in response to either micro-trauma to the small blood vessels from a single injury of great force, or multiple injuries of a small force. While there is strong evidence that genetic factors and drug factors also influence the start of PD, it is trauma that is usually considered to be the most likely cause of the Peyronies scar, or plaque.

A Peyronie’s plaque on the cellular level initially consists of fibrin threads deposited in a massive network throughout an area of injury within the tunica albuginea of the penis. Peyronie’s plaques, or scars, later combine the dense threads of fibrin connective tissue with reduced and fragmented elastic connective tissue fibers, as well as excessive amounts of type III collagen material, which happens to be specially inclined to excessive scar development. In about one-third of chronic cases of Peyronie’s disease, calcification of the plaque can occur over time. For more technical information about the Peyronies plaque, please go to http://peyronies-disease-help. com/ peyroniespathology.html

The curvature of the Peyronies penis is due to the fact that scar tissue does not stretch as easily or as fully as healthy normal tissue. The normal tunica albuginea is composed of elastin fibers and collagen, although the site of scar tissue from Peyronie’s disease is composed mostly of collagen. This difference in composition of these two tissues is what causes a bent penis to develop during erection.

Eventually as one or more Peyronie’s plaques develop into a mass of hardened tissue in the delicate tunica albuginea, it results in variable pain and penile distortion that most often takes the form of a bend or curve; sexual function is often reduced as a result of direct or indirect affects of Peyronie’s disease, also. The penile curvature of Peyronie’s disease is caused by the dense inelastic scar, or plaque, material that shortens the involved side of the tunica albuginea layer that covers the corpora cavernosa of the penis. In approximately one third of patients, the scarring involves either the top or bottom portion of the penis shaft, occasionally both. The lateral sides of the penis can also be affected by Peyronie’s plaque development, if that area experiences injury.

Peyronie’s plaque not easy to find sometimes

In some men the Peyronies plaque is easily found on manual examination, in others it is found with difficulty, and in some men no Peyronies plaque is ever located. It can be frustrating to have a wicked penis distortion, and still not be able to locate the Peyronie’s plaque.

To locate the plaque or scar material a light and inquisitive touch is most effective. Do not be heavy-handed, or press down into the deeper layers to find the Peyronie’s plaque material, because it is found just below the surface of the skin. And, oh yes, you will never directly see the plaque or scar, since it is not on the surface of the skin, but below. Make peace with the Peyronie’s plaque and do not hate it, just determine how to assist your body to remove it.


To learn about using Alternative Medicine to increase your ability to heal and repair the Peyronie’s plaque, a good place to start is the PDI website at http://peyronies-disease-help.com/ treatmentintroduction.html

Penis Stretching for Peyronie’s Disease Treatment

Penis Stretcher in Peyronie’s Disease Treatment

Here is a post that I recently entered on a Peyronie’s disease forum, in response to a man’s comment that he wore a particular penis traction device for three months and noticed no change in his condition.

Greetings estep32002,

I have read your post about the penis stretching or penis traction device for Peyronies treatment.

Previously, I have written to this forum in the negative about these penis traction devices. I have done so because of repeated communications I receive from men who have Peyronie’s disease, who tell me of their lack of success. They tell me of their inability to wear these penis stretcher devices because of built-in design flaws, and their experience of being injured by these stretchers. All that I learn tells me they do not help Peyronie’s disease as the sellers say they do.

Actually, I think you are somewhat unusual in your ability to have worn or used one for three months. Men tell me they cannot stand to put one on for longer than a half hour. They say they get bruised and develop sores after a few minutes or a few hours of use.

One fellow recently told me he wore his expensive model for ten minutes and never put it back on again. Another poor guy admitted to me he has three of them sitting in a drawer, and they all hurt him badly. He thought if bought a better and more expensive one, he would eventually find one that he could use. Three stretchers later, no such luck.

If you could wear such a device long enough to actually stretch the soft tissue of the penis, that does not mean the more rigid and more dense tissue of the Peyronies plaque would also stretch. When I was first introduced to the idea of using a penis traction device to treat Peyronie’s disease, it did not make sense to me. I figured that the only thing that could eventually happen – if all went well – would be that the penis would be larger, but it would still exhibit the PD plaque with the related curvature that it causes. Let me explain.

Just as a chain breaks at its weakest link, a penis that has a Peyronies plaque in it will primarily stretch from the normal, healthy tissue. The normal tissue will stretch sooner and farther than the plaque material can respond to the stretching force. Think of it this way: A roll of toilet paper tears at the perforations because that is a point of weakness in the paper. Here’s another example: Remember when automobile tires had inner tubes? Remember what would happen if you blew it up with air, if it had a weak spot in the rubber wall of the inner tube? Sure. The weak part would bubble up or swell up because it was weaker than the normal strong part. The weaker part would stretch under pressure before the strong part of the rubber had a chance to stretch.

In Peyronie’s disease stretching the weaker tissue is the softer normal tissue, while the stronger tissue is the plaque that contains all the dense fibrous materials. When someone with PD stretches his penis, most or all of the lengthening will come from the more flexible and weaker tissue, not the scar tissue. The scar will not be altered because it cannot participate in the stretch, because the traction force is used up by the normal tissue.

When I ask these traction device makers a few simple questions exactly how their penis enlargement products can help Peyronies, I never receive answers back from them. I ask about the pain and tissue erosion created by the pressure that is applied to hold onto the penis head, and again I get no reply. I think this says a lot

There are safer and more effective ways to stretch the penis, to reduce the PD plaque material, than applying a mechanical appliance that smashes down on the glans to hold the penis. Peyronie’s disease is a complicated and stubborn problem to treat. I have been personally involved with PD for about seven years now, since having the happy experience of developing a pretty nasty case of it. In that time I have learned a lot and helped many men along the way. My advice is to be very careful with these mechanical penis stretcher products. TRH

What I did not mention in that Peyronie’s disease forum response is that the safer and more effective way to stretch the penis was developed by me while working with 10 men who I knew who were customers of the Peyronie’s Disease Institute. If you are interested in learning about this gentle and effective way to treat your Peyronies, go to http://peyronies-disease-help.com/penis-stretching.html

Peyronie’s plaque and fibrin

Peyronie’s disease plaque and fibrin

The tissue changes that occur in Peyronie’s disease are unique in regard to the Peyronie’s plaque that develops.

In a November 2005 abstract account, Kenneth D. Somers and Dawn M. Dawson, of the Department of Microbiology and Immunology, Eastern Virginia Medical School, Norfolk, Virginia, and Department of Pathology, Cleveland Clinic Foundation, Cleveland, Ohio, reported on their findings concerning the tissue changes that occur in Peyronie’s disease.

To begin this explanation, they remind us that Peyronie’s disease is actually a pathological fibrosis, or a situation in which there is excess fibrin tissue located in a small area to the degree that it becomes a problem for the body. In the case of Peyronie’s disease, this fibrosis also is associated with an excessive deposit of collagen in the same area of the fibrin plaque or scar.

Although the cause of Peyronie’s disease remains unknown, they tell us, injury or trauma has long been thought to be the inciting event. To determine if this is true, they looked at the cellular structure of the Peyronie’s plaque or scar to get an insight into the cause of this condition.

Materials and methods they used

Small samples of plaque tissue was taken from 33 patients with Peyronie’s disease, and control tissue and nodular tissue was taken from the penis of eight patients with Dupuytren’s contracture; both groups of tissue were analyzed for collagen staining, as well as fibrin and elastic fiber structure and distribution.

Their results

As a result of this study they found abnormally stained collagen in 97% of the samples, disrupted elastic fibers in 94% and excess fibrin deposition in 95% of the samples. These same findings were not found in the normal scared tunica albuginea of control patients who did not have Peyronie’s disease. The presence of abnormal fibrin accumulation in Peyronies plaque tissue was detected in a special chemical analysis, while this abnormal fibrin was not found in skin tissue samples from the same patients.

Their conclusions

Their conclusions from this study is that the fibrin deposits in Peyronies plaque tissue is consistent with the theory that repeated minor injury or single major injury to the tunica albuginea results in fibrin being deposited in the tissue spaces at the site of trauma to start this condition.

PDI therapy concept

Peyronie’s Disease Institute has taken the position that it is this excess fibrin deposit within the excess collagen formation that can be safely and easily removed by the use of a battery of systemic enzymes that are specific for foreign fibrin protein in the body. When combined with other known methods to increase the healing response of the immune system against Peyronie’s disease plaque, it is possible to reverse the abnormal tissue found in the tunica albuginea and therefore eliminate the cause of pain and penile curvature associated with Peyronie’s disease.

Peyronie’s Disease Treatment with Neprinol

Peyronie’s treatment – Neprinol for Peyronie

Neprinol is a very well researched systemic enzyme therapy that is used for Peyronie’s disease treatment. Since the curved penis that is so common in Peyronies is such a common problem with no effective medical treatment, Neprinol is a much needed Alternative Medicine tool against this problem. Neprinol works to break down and eliminate the offending Peyronie’s disease fibrous plaque material that causes the bent penis for which Peyronies is so well known. Neprinol contains a high concentration of nattokinase, serrapeptase, bromelain and Coenzyme Q, and related co-enzyme factors. Confusion exists about Neprinol because it is actually a high potency combination of several different systemic enzymes, rather than just a single enzyme like so many other products.

These are the basic highlights about Neprinol as it relates to Peyronie’s disease treatment:

1. The nattokinase and serrapeptase in Neprinol are in much higher concentration than in the separate pills containing just nattokinase and serrapeptase. Therefore, a lower dose of Neprinol is needed to reach a higher level of these two enzymes, as when lower concentration enzymes are used separately.

2. Taking Neprinol makes taking separate doses of nattokinase and serrapeptase unnecessary, although some men still take Neprinol plus additional nattokinase and serrapeptase products to diversify the sources and varieties of these enzymes. PDI sells a separate nattokinase product call Nattokinase 1500 and a separate serrapeptase product called Fibrozym. Both of these great products can be used successfully in Peyronies treatment. But, Neprinol has more of these same enzymes in it than these separate enzyme products.

3. Dosage of Neprinol – like most other Peyronies treatment products – is based on ability of that product to make a positive change in the condition of the Peyronies plaque or scar. While the bottle of Neprinol might say to take six capsules daily, the effective dose for each man will be different. After working with PD treatment since 2002 I know that some men respond with a dose of four capsules of Neprinol daily, while others might take 20 for the same results. There is no magic dose of Neprinol. It is something than must be determined by continual trial until a favorable change is noted in the condition of the Peyronies scar material. Safety is always an issue, so it is necessary when anyone is taking more than six Neprinol daily to take a period rest from this therapy, by simply stopping usage for several days every few weeks.

4. A single bottle of Neprinol is comparatively expensive for a few reasons: the bottle is three times larger than the average enzyme product, (Neprinol comes in a bottle of 300 pills, while the separate Nattokinase and separate Fibrozym enzyme products often are sold in bottles of 100) and each Neprinol pill contains a more concentrated dose of nattokinase, serrapeptase, bromelain and coenzyme Q than are found in any other enzyme product. Besides, PDI sells Neprinol through our sister-site, Natural Complementary Medicine Products, for $135 a bottle of 300, the best price on the Internet. Neprinol represents a better value in the long run since you would need to take fewer or them, and the bottle is simply larger so you buy fewer of them. For more information about Neprinol go to http://www.natural-complementary-medicine.com/index.asp?PageAction=VIEWPROD& ProdID13

5. For a $10 discount we offer for Neprinol, just type in the discount code word “Neprinol” in the appropriate discount offer area, bringing your cost down to $135 for the Neprinol 300 size.

To read more about the use of Neprinol and other systemic enzymes in Peyronie’s disease treatment, go to the Peyronie’s Disease Institute discussion about systemic enzymes at http://peyronies-disease-help.com/treatmentenzymes.html

Neprinol and Peyronie’s treatment

Because Neprinol is heavily promoted for Peyronie’s treatment, some men develop the mistaken idea to only use Neprinol in their Peyronies treatment plan. I advise against this. Not because Neprinol is not an effective way to reduce foreign fibrin from the Peyronies plaque and scar material, but because Peyronies disease is such a stubborn problem to treat successfully. PD almost always requires large and complex treatment for a considerable length of time. I rarely hear of cases in which Neprinol does more than reduce penis pain associated with Peyronie’s disease. But when it is combined with other effective forms of Peyronies treatment, the results can be dramatic.

Effectively treating Peyronies is all about doing all that you can to create synergy with multiple therapies designed to increase your ability to heal and repair the Peyronies plaque or scar. It is never as easy as popping a few pills – even as great as Neprinol – and getting the kind of results we all want.

Please send your questions about Neprinol and Peyronie’s disease to “Ask Dr. Herazy…”

Peyronie’s disease treatment to bring back lost length and girth


Here is a very brief but informative email exchange about Peyronie’s disease treatment I had just today with a man who I know has a fairly advanced case of PD.

From: XXXXX, XXXXXXXX [mailto:XXXXXXX@XXXX]
Sent: Friday, September 04, 2009 10:52 AM
To: herazy@sbcglobal.net
Subject: QUESTION

Hi Dr. Herazy,

I have noticed decrease in length and girth.  Can this be brought back to original size?  Can the remedies you recommend help change this back?

What do you suggest in terms of remedies or therapies?  I look forward to hearing from you.

Thanks,

XXXXXXXXX

Greetings XXXXXX,

Men note partial or complete recovery from lost dimensions when using:

1. General Peyronies treatment from the PDI when applied in an aggressive and faithful way often brings back a good part of lost dimensions, sometimes complete.

2. PDI Gentle Manual Penis Stretching Technique© video. This is a very direct way to stretch the Peyronies plaque material and reduce the contraction that causes lost length especially.

3. The Erektor external penile support device when used with some regularity during intercourse.  See the link at http://peyronies-disease-help.com/impotence-erectiledysfunction-erektor.html

Regards,

Theodore Herazy, DC, LAc
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Peyronie’s disease plaque fibrin patterns

Peyronie’s plaque is the heart of the problem

Peyronie’s disease is an abnormal collection of fibrous pathological tissue in the deep tissue layers within the substance of the tunica albuginea and the Peyronies plaque; it is also characterized by excessive deposition of collagen within that same plaque material. Even thought the cause of Peyronie’s disease remains unknown, direct injury or repeated small trauma is most often thought to be the two most likely inciting events eventually resulting in Peyronie’s disease.

Materials and Methods

To understand the onset and cause of the Peyronie’s disease plaque or scar tissue that is always present in every case of PD, it is necessary to follow a simple approach that examines for the presence of collagen, elastic fiber, and fibrin content within the PD plaque material and evaluate its distribution.

Peyronies plaque or scar tissue specimens were taken from 33 Peyronie’s disease patient volunteers, and control penile tissue samples and nodular tissue samples were taken from eight patients with Dupuytren’s contracture (a related and similar problem of the hand). These samples were analyzed to determine collagen staining characteristics, and patterns of elastic tissue distribution. In addition, plaque tissue from another 19 Peyronie’s disease patients, control tissue and nodular tissue from Dupuytren’s disease were also analyzed for fibrin in these same samples.

Results

Abnormally stained collagen was found in 32 of 33 plaque specimens (97%), disrupted elastic fibers in 31 of 33 plaque specimens (94%), and abnormal fibrin deposits were also found in plaque tissue from 18 of 19 patients (95%). None of these abnormalities were located in normal or scared tunica from control patients.

Conclusions

These findings of fibrin deposits in Peyronie’s plaque tissue is consistent with the concept that repetitive injury and disruption of the small blood vessels and capillaries of the area results in fibrin deposition in the tissue space and has served to provide insights into the pathophysiology of Peyronie’s disease.

Peyronie’s Syndrome

Peyronie’s disease defies classification

Technically, Peyronie’s syndrome is not the correct way to refer to Peyronie’s disease.  Actually, calling it Peyronie’s disease is not correct, either, but more on that later.

First, the term Peyronies syndrome.   A syndrome refers to a group of several essential and clearly recognizable clinical signs, symptoms and characteristics of a health problem that often occur in association or together.  In the situation in which a syndrome occurs, the presence of one feature, sign or symptom would alert a doctor to the possibility a particular syndrome was present, so he/she would automatically look for other features, signs and symptoms that normally occur with it.  If those additional findings are detected, then  a diagnosis of that syndrome could be made.

Peyronie’s syndrome is not a valid term because the characteristics, signs and symptoms of Peyronies are actually too few, and they do not usually form a tightly bound set of features that suggest this particular health problem. The few symptoms and signs associated with PD are actually vague by usual medical standards. Since there are typically only three such standard features or clues associated with Peyronie’s disease  (penis pain, penis curvature, presence of the common Peyronie’s plaque or scar), this set of presenting characteristics is not large enough or strongly suggestive of the condition, hence syndrome is not a good term to use.

Peyronie’s syndrome is not a disease, either

Then we come to the term Peyronie’s disease, which is not all that accurate either.  A disease refers to any condition that causes extreme pain, significant organ or system dysfunction, social problems, and even death, and is usually acquired through direct or indirect transmission or communication from one person to another.  Of course, there are many definitions and ways of looking at what constitutes a disease, but that is generally acceptable in most cases.

Since Peyronie’s disease seldom causes extreme pain, and sometimes no pain at all, it does not fulfill that requirement.   Since the genitourinary system of which the penis is only a part continues to function, and the penis continues to carry urine and oftentimes is still capable to function sexually, it does not fulfill the requirement of loss of function.  While having a bent penis plays havoc with the man who has it, and the woman or women he is sexually active, it does not affect society as a whole, the way actual diseases like the flu or measles, syphilis, tuberculosis or alcoholism do.  Peyronie’s disease is not fatal, except to some couple’s sex life, so it also does not fulfill that part of the requirement.  And lastly, this problem is not communicated or transmitted from one person to the next; you cannot catch Peyronies.

When referring to Peyronie’s disease it is more accurate and fair to use other terms like “condition,” or the more descriptive terms that follow in this list.  These are more clinically accurate names that have been collected and were taken from the PDI website:

  1. Indurato penis plastica
  2. Chronic cavernositis
  3. Fibrous sclerosis of the penis
  4. Fibrous cavernositis
  5. Fibrous plaques of the penis
  6. Penile fibrosis
  7. Penile fibromatosis
  8. Penile induration

This list of descriptive terms was taken from the PDI website at  http://peyronies-disease-help.com/peyroniesoverview.html where the basics of Peyronie’s disease are discussed at length.  If you wish to learn more about this condition, called Peyronie’s disease, please review this additional information.  But whatever you do, do not call it Peyronie’s syndrome, OK?

Peyronie’s Plaque

Peyronie’s Disease Plaque or Scar

There is much confusion and lack of information concerning Peyronie’s disease, especially the elusive Peyronie’s plaque or scar .

It is truly amazing that for a male health problem that according to some surveys affects up to nine percent of the adult population, practically no man ever hears about Peyronie’s disease until the day he is given the diagnosis.  It is no wonder that no one has ever heard of a Peyronies plaque until he has one.  It is this shock – that a “mystery” condition that comes out of the blue, a condition for which there is no known cause and no known cure can suddenly wreck a man’s life – that contributes to the lack of information about Peyronies.  While feeling totally confused and shocked upon first hearing about Peyronie’s disease and the scar or plaque that accompanies it, prevents a man from asking all the standard questions and retaining the information he is told when he receives this diagnosis.

With such bad news pouring into his ears, and so many questions rolling around in this brain, it is no wonder that a man can leave his doctors office and not remember much of what he is told  about Peyronies.

In addition to this shock of learning he has Peyronies, most medical doctors do not like to manage cases of Peyronie’s disease, and therefore do a bad job of it, further adding to the common situation in which a man will not understand the basics of this problem – like the Peyronies plaque.

We all know Peyronies disesae is called the “doctor’s nightmare” because of the problems associated with dealing with men who have this problem.  With no known cause or cure, the doctor comes off looking like a dummy for not having more clear information or help for his newly diagnosed Peyronies patient.  Adding to the negative atmosphere for the doctor in dealing with a Peyronies patient, the doctor also knows there will be hard feelings that will arise later when the PD patient develops additional penile curvature, reduced sexual performance, and frequent marital problems.  All of this happens while the doctor can only stand by as his Peyronies patient deteriorates over time. The doctor is often held responsible for these problems since he did not offer any help to his patient.  None of this is fair, but this is how it happens.   For these reasons many doctors try to get a man out of the office as quickly as possible, and often without sufficient time to ask questions or adequate explanations to prepare a man for the future.

In this atmosphere of minimum time and minimum information, the shocked Peyronies patient does not understand or recall basic facts about Peyronie’s disease.  For example, the fundamental problem of PD pivots around the presence of one or more masses of fibrous material located within the covering of the substance of the penile shaft, called a Peyronies plaque or scar. Many times a man who has had PD for many years will no absolutely nothing about his  Peyronie’s plaque.

Peyronies Plaque is elusive

Another common situation exists in which the doctor cannot find a Peyronie’s plaque, and neither can the man who owns it.  Each week I receive several emails asking me, “Since my doctor examined me and could not find anything, and I cannot see a scar, do you think I really have Peyronie’s disease?”

The fat is, there is never an EXTERNAL scar or plaque in Peyronie’s disease; it is always an internal mass that conveniently is known as a scar, but is not a scar in the usual sense.  PD “scars” or plaques are quite variable.  Some men have an obvious scar and others cannot find one if their life depended on it.   Ultimately, it is there and you should try as many different tactics as you can to find your scar(s) because having a good knowledge of your scar situation will help your treatment effort.  Hint:  Try to think in terms of your scar being much larger than you have previously imagined, so mentally expand the size of the scar that you are looking for.  Meaning, if you were looking for a “pea” before, start looking for a “postage stamp” or a “thumb nail” size structure.  This information should change your methods and what you can detect when trying to locate your Peyronies plaque.

A Peyronies plaque or scar can be quiet variable; some men have an obvious plaque and others cannot find one if their life depended on it.   Often, when a scar is not found, but there is still pain and bending or any kind of recent penile distortion, a diagnosis of PD is still made.  This is so, because it is the Peyronies plaque or scar that is causing the pain or bending is either:

1. So small – it cannot be found

2. So very soft – it blends into the other tissue and cannot be detected

3. So deep – it cannot be reached easily

4. So large and flat – that the edges are not determined, almost like something that is so close to you that you do not see it because you are looking far away

5.  The doctor’s lack of ability, experience or concern when he does the examination – that he simply misses what is actually there if he was better at this kind of thing – yes, I know, it is difficult to imagine but it is true.

Usually, when a scar is NEVER found it is because of a combination of two or more of these factors – deep and small, or soft, large and flat, or deep, soft and doctor error, and so on.

I often suggest that men try this:  forget about finding a “scar.”  Just try to find something – anything – within the mass of erectile tissue that does not feel like the other tissue pf the shaft.  Find something that is unlike the rest of the tissue.  When you find it, mark its location with a marker pen of something that will stay on the tissue for a day or two.  Go back each day to that area and re-think what you are feeling.  You are trying to determine if it becomes easier to make sense of it.  It could be that you have an unreasonable expectation of what a “scar” should feel like, and you are missing what is really rather obvious.  Really, how could you know what a Peyronie’s plaque feels like if you have never had to do this before?  It is a common problem.

Let me know your experiences and problems in locating your Peyronie’s plaque. Take this chance to tell others your experiences and problems with this elusive tissue.

Peyronie’s desease

Peyronie’s disease misspelled commonly – Peyronie’s desease

Peyronies disease is commonly misspelled as Peyronie’s desease. There is so much basic informtion that people lack concerning this problem that even the name is confusing to some. Other than Peyronies desease, the most common way I find people referring to this problem is to shorten the name and avoid the apostrophe and just call it peyronies, without even capitalizing the first letter, and peyronie, by dropping the final letter altogether.

Just as a basic review, it is important to know that Peyronie’s disease is most well known for the Peyronie’s plaque or deposit of fibrous tissue (also called a scar) that develops within the deeper layers of tissue of the penis.  This fibrous material often, but not always, will cause distortion of the erect penis and pain.

This Peyronie’s plaque or scar material itself is benign, meaning it is always non-cancerous. It is a common fear among men when first learning they have Peyronies desease to wonder if it could develop later to become something more serious.  This is not the case.  You can rest assured that Peyronie’s disease will not develop or progress into a worse or life-threatening condition – Peyronie’s disease is bad enough.  It does not need any help to make a person’s life miserable all on its own.

Peyronie’s disease typically occurs in men around their mid-50s, but men – even teenagers who are still working through puberty – can develop it.  The cause of Peyronie’s disease and its natural progression or development are not well understood because the course of the disease is so variable.  In my experience while researching Peyronie’s desease and in discussion with hundred’s of men every years concerning all aspects of this problem, it is rare to find two cases that share a remotely similar history or course; each case is unique in small and large ways.  This great variability is what makes this condition so difficult to diagnose, treat, and live with.  While many researchers believe the Peyronie’s plaque often develops in response to some type of trauma, either minor or significant, that results in localized bleeding within the internal tissue of the penis.

Sexual problems associated with Peyronie’s desease can also be variable, since there are such physical and emotional differences among couples, to say nothing of the variability of sociological factors that also can disrupt a couple’s physical and emotional relationship. The goal of Alternative Medicine Peyronie’s treatment is to keep a man and woman who deal with this problem as happy and whole as possible.   Peyronie’s disease surely affects all the people whose life it enters, even if you happen to spell it Peyronie’s desease.

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