Since I presented with PD about 6 years ago, I have observed a profound change in the appearance of my flaccid penis. What use to hang several inches outside of my body has shriveled up and retracted, and now resides close to my pubic hair. In addition, many of the veins and capillaries that once were plainly visible on my erect penis seem to have disappeared; some of those capillaries or small veins were very painful prior to their apparent demise. My flaccid penis often feels colder than it once did. Are all of these symptoms consistent with PD, or could other medical pathology be responsible for these changes? If so, what might they be?

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Dr. Mulhall answers: The plaque that occurs with Peyronie’s disease is a scar and scars contract, so all men with Peyronie’s disease have some degree of contraction of their penis in both the flaccid and erect state so loss of penile length and stretchability is common. The vein and color changes are not due to the Peyronie’s disease itself although some men complain of them. Men with Peyronie’s disease often (understandably) become very focused on their penile appearance and start a regimen of daily inspection of their penis, which leads to frequent complaints about features that are naturally present on the penis.

Previous 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.
Next What is the best and the most accurate test to evaluate any scarring or scar tissue in the tunica to determine whether it is considered PD? Do you recommend chronic use of small doses of Viagra as an anti-fibrotic regimen? What do you think about using Trental in conjunction with nightly use of Viagra?
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