General

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

Does penile cancer also produce the plaque like growths in the penis shaft like Peyronie’s disease?

There are rare penile cancers known as fibrosarcomas that can present with a thickened scar-like mass in the shaft of the penis. They tend to not involve the tunica jacket of the penis, but rather occur within the vascular tissue of the penis. Physical examination by a

Read more

How long is the inflammatory period of Peyronie’s before a hard plaque can be detected?

The acute phase of Peyronie’s disease is variable from patient to patient and may not include any pain. In addition, the onset of a painless palpable plaque may be the first indication of Peyronie’s disease with subsequent or even immediate onset of deformity. Some patients will present

Read more

When I get an erection, on the left side of my penis there are 2 very visible band or lumps that are palpable, less than 3 cm, that appear to be in the erectile tissue, that span across the left side of the shaft which become bigger and harder when I get an erection and smaller as I am flaccid though still being visible. Sometimes they ache especially when I get an erection and touch them but the pain subsides when flaccid. They are sometimes very hard almost like they are calcified when erect. My physician said this was scar tissue and could be removed with surgery. I have no bend. Is it possible to see the plaques that are present in Peyronie’s disease? Could this be Peyronie’s disease?

Dr. Levine answers: This is an unusual presentation, but it does sound that your situation is consistent with Peyronie’s disease. Peyronie’s disease results in scarring of the jacket tissue of the penis known as the tunica albuginea. The scars which are also known as plaques are palpable

Read more

Are there any foods or drinks (coffee, tea, alcohol) that PD sufferers should eliminate? Are there any food or drinks known to help the condition?

At this time, there are no recognized foods or beverages that may trigger Peyronie’s disease or that can improve the condition. Although several drugs have historically been suggested to cause Peyronie’s disease, including beta blockers, such as propranolol or possibly Dilantin, a treatment for seizure disorder, none

Read more