General

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

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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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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?

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

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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

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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

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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

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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.

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