General

I have been experiencing Peyronie’s disease for the last 6 months or so. Currently, the bend is about 30 degrees. The scar is on the right of upper part of penis, leading to curvature towards right side. Continuous pain is associated even when it is flaccid. When erected, it remains the same and becomes more precise at the point of scar. When once in a blue moon the pain is not present, I feel sexual desire. Otherwise it is not that much intense. Moreover it has been superimposed by severe depression. Would you suggest something to get around it? Especially pain associated with it as it has made my life miserable.

Dr. Mulhall answers: In a recent study conducted by Dr. John Mulhall, more than 50% of men with Peyronie’s disease had moderate to severe depression. This is supported by information collected in the APDA poll. Thus, your feelings are not uncommon. We recommend that you see a

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I am a 45 year old man. I have had Peyronie’s disease for about a year and a half. It bothers me more than I can express. The glans is smaller now and it is embarrassing in daylight. I know it must sound trivial, given the true horrors in the world, but making love is one of the things I was really good at. Can you help me?

It does appear that you now likely have stable Peyronie’s disease, and at this point, evaluation by a Peyronie’s expert would be in order. During this evaluation, complete evaluation would be necessary, as well as inducing an erection in the office, so as to visualize the deformity.

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I experience premature ejaculation and in addition, when I urinate it flows out in different directions. Could PD be the cause of both of these effects?

Dr. Levine answers: It is unlikely that Peyronie’s disease has any direct effect upon ejaculation or upon your urinary flow. Premature ejaculation is a relatively common problem in adult men and should be addressed by your urologist. There are some unapproved medical therapies using SSRIs as well

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I was diagnosed in 2000 with PD. My original doctor suggested I let time pass and see what happens. Luckily, I listened to others and went to a specialist. I was treated with medicine for a year and the pain eventually went away. About 3 weeks ago, I began noticing a burning pain, but it had come from time to time as I healed, but I have no other problems. My question is, can the pain that I am feeling now be the result of some remaining scar tissue loosening, or am I headed for another bout of PD?

Men have reported an early episode of Peyronie’s disease which resolves only to be followed anywhere from months to years later by a full blown expression of PD. Clearly further evaluation will be necessary with examination and possibly ultrasound. Should you not have any significant deformity and

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I appear to have an unusual form of PD. I was diagnosed by my Urologist as having PD at the base of the penis near the scrotum. I do not have deformity or bend, but I do have a soft end to the penis. Why is this occurring?

Dr. Levine answers: Peyronie’s disease is frequently associated with erectile dysfunction. Most of the time it will be a generalized reduction in rigidity, but sometimes it can be associated with what is known as “distal softening.” This can involve the area beyond scar or just the glans.

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Can a condom that is too tight, which was left on while asleep cause an hourglass deformity? Could this hourglass shape be the beginning of PD?

Dr. Levine answers: It is unlikely that the condom itself could trigger PD, but if during sexual activity there was trauma to the penis this is the more likely cause. Hourglass deformity is not typically an early onset type of deformity associated with Peyronie’s disease. Usually there

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Although we are careful, my wife is experiencing difficulty with yeast infections. My PD curvature is about 90 degrees. Is PD the cause of this?

Dr. Levine answers: A 90-degree bend typically will result in significant compromise the ability to perform penetrative sex. It is also possible that it will put significant pressure within the vagina causing female discomfort. The development of yeast infections, I would not think is directly due to

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