Signs And Symptoms

Can Peyronie’s cause high elevated level of CPK?

Dr. Levine answers: I am not familiar with Peyronie’s disease causing any changes in CPK. This is usually due to muscle related injury, which is not considered a sequalae of Peyronie’s disease.

Read more

My penis does not have a curvature. However, are these symptoms associated with PD — numbness and white spots on the tip of the glans and occasional numbness of the testicles. My erections are also not as stiff.

Dr. Levine answers: These are not symptoms of PD. A change in the sensation of the glans may be due to underlying medical problems such as diabetes which can affect the sensory nerves of the penis. Change in the color or pigmentation of the glans is usually

Read more

Will I obtain benefits if I rub collagenase instead of hydrocortisone on the place I feel the damage?

Dr. Levine answers: If you can obtain collagenase, which to my knowledge is not at all available, it would be absolutely contraindicated to place this agent on the skin as it could cause a significant injury in that area. Injectable collagenase, in time will hopefully be available

Read more

I have an extreme case of PD, upward and back. I have used treatments ranging from Potaba to verapamil alone or with DMSO topically. Any advice you can give for this extreme case of PD and any other steps to consider?

Dr. Levine answers: If you have severe PD which is compromising your sexual function and you have not responded to these topical or oral therapies, I would suggest that you speak to an authority in the treatment to Peyronie’s disease. There is a list of suggested physicians

Read more

I am 23 years-old. I don’t get excited or develop an erection until I watch a porn movie. I have a slight bending towards the right and I feel that my erections are not hard and occur infrequently. Do I suffer from Peyronie’s disease, and is it recoverable?

Dr. Levine answers: This problem sounds more like primary erectile dysfunction, which may have a physical basis, but oftentimes could have a psychodynamic one as well. You might consider stopping masturbation and see if there is spontaneous recovery, but if not evaluation by an Urologist with a

Read more

Can treatment options like injections of verapamil be just as effective if you wait too long for that treatment and the curvature is around 90 degrees?

Dr. Levine answers: This question will be answered in 2 parts. One pertains to the severity of curvature which at 90 degrees is certainly a severe curve and the other is the duration of disease and whether the scarring process is stable or still active. Published studies

Read more

When I am erect only the head of my penis tilts to the right while the shaft remains straight. Is this PD?

This deformity may indeed be a manifestation of Peyronie’s disease. This would be determined by physical examination in the flaccid condition where a palpable scar may be noted towards the end of the shaft below the head of the penis on the right side for you. A

Read more

My erections seem shorter than normal; the penis seems more slender and the head of the penis never gets hard or firm. I assumed I had Peyronie’s disease, but the doctor said there was no hard spot which apparently is typical. I am wondering if there could be another cause such as low testosterone.

Dr. Levine answers:The scenario that you describe may be due to a diffuse scarring disorder involving the outer jacket of the penis, known as the tunica albuginea. Or it may involve the septum between the two erectile cylinders of the penis. Septal lesions are not so well

Read more

As a spouse of a PD patient, what is the best way to approach the “inadequate” mental state my husband experiences — ignore, encourage, be candid, recommend medical treatment?

This is a very important question and I am delighted that you are concerned enough to address it in this website. Peyronie’s disease has been known for many years, but has recently been demonstrated in a proper trial to result in significant depression in the affected male.

Read more