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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Dr. Levine answers: Probably the best noninvasive test today is to have an evaluation by an urologist who is familiar with Peyronie’s disease to determine whether there is evidence of a palpable plaque or scar in the tunica. To confirm whether this is PD, a surgical biopsy
Read more →Dr. Levine answers: This is a good question which addresses a complex problem. Men who are born with congenital curvature or chordee typically have ventral, downward curvatures, but may have lateral or even dorsal curvatures. Depending upon the hardness of the erection and the pressures being placed
Read more →Dr. Levine answers: Peyronie’s disease is a disorder of wound healing with unclear cause. Typically when it occurs, it will be associated with a lump, occasionally pain and deformity. Natural history studies have suggested that about 50% of men who come to see a physician will worsen
Read more →Dr. Levine answers: This is a good question. For the man who develops acute onset of PD, the typical findings are pain in the penis, either followed by or preceded by the presence of a palpable nodule or lump, which is then followed by a shape deformity
Read more →Dr. Levine answers: Loss of sensation is an unusual complaint for men with Peyronie’s disease. But your situation may be because the deformity interferes with stimulation of the area on your penis which is important for sexual arousal. If indeed the curvature is responsible for the diminished
Read more →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 →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 →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 →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
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