General

Dr. Mulhall answers: The conventional wisdom has held that men with combined impotence (erectile dysfunction, or ED) and Peyronie’s disease are ideally treated with a penile implant (a plastic device placed within the penis that can be inflated for sex and deflated after sex). This paradigm has

At this point there is no recognized best treatment to prevent fibrosis from spreading within the tunica albuginea or into the vascular tissue of the penis for the man with PD. Recent research from California has suggested that increasing the amount of nitric oxide (NO) can act

Peyronie’s disease involves the jacket tissue which surrounds the vascular tissue of the penis. This jacket is known as the tunica albuginea and remains below the skin and subcutaneous tissues. Peyronie’s disease therefore does not affect the penile skin in any way. Therefore, any changes happening on

Dr. Mulhall answers: Not understanding the exact cause of the condition makes it very difficult to develop new treatments or a cure. However, at this point in time there are a number of centers in the world (mainly the USA) that are investigating the cause of Peyronie’s

Penile oxygenation is indeed crucial to maintain good vascular health within the penis. This is why we believe that men have nocturnal erectile activity. These erections occur due to a spontaneous reflex which happens anywhere from 2 to 7 times per night. This will in a sense

At this time there is no clear evidence to show that Viagra enhances penile health on the long-term. The other PDE-5 inhibitors, including Levitra and Cialis, have also been shown to improve blood flow into the penis and there is some suggestion that long-term use of any

Dr. Mulhall answers: No. Men with sensory problems in their penis need neurologic evaluation using tests such as somatosensory evoked potentials to define if there is a physical nerve injury.

There have been 2 reports on young men with Peyronie’s. These studies evaluated a large series of men and found that up to ten percent of those with Peyronie’s disease are under the age of 40. Therefore, this process can present in men anytime from his teens

This sounds like a chordee and if indeed it is a new downward curvature, there may also be a component of Peyronie’s. Usually, this type of deformity requires surgical correction although there have been some recent reports of success with downward curvature using external traction therapy with

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