General

Can PD explain why I have always had very little sensations in the skin of the penis? I have been going to different doctors for years about it, and now a urologist told me it might be related to PD. Is this a known phenomenon?

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.

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I am 23 years old, and I think I have Peyronie’s. I have a significant bend and three inflamed soft scars on the right on the side of my shaft. The bend is about 45 degrees to the left and very apparent upon erection. However, I do not have any pain when I get an erection and the lumps are soft, not hard. I have been pretty stable with the condition for three years, but I am trying to find an alternative way to treat this. I have taken Potaba with no success. I am currently on vitamin E and I am noticing no difference. I read up on the serrapetase, nattokinase and bromelain for dissolving scar tissue. Is there anything I can do to help this condition?

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

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I do not know if I should see an urologist. I have erection problems. I still get nighttime and morning erections. However, I have trouble during intercourse. My erection points straight down. If I pull it to stand up, there is tension.

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

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I have been experiencing Peyronie’s disease for the last 6 months or so. Currently, the bend is about 30 degrees. The scar is on the right of upper part of penis, leading to curvature towards right side. Continuous pain is associated even when it is flaccid. When erected, it remains the same and becomes more precise at the point of scar. When once in a blue moon the pain is not present, I feel sexual desire. Otherwise it is not that much intense. Moreover it has been superimposed by severe depression. Would you suggest something to get around it? Especially pain associated with it as it has made my life miserable.

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

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I am a 45 year old man. I have had Peyronie’s disease for about a year and a half. It bothers me more than I can express. The glans is smaller now and it is embarrassing in daylight. I know it must sound trivial, given the true horrors in the world, but making love is one of the things I was really good at. Can you help me?

It does appear that you now likely have stable Peyronie’s disease, and at this point, evaluation by a Peyronie’s expert would be in order. During this evaluation, complete evaluation would be necessary, as well as inducing an erection in the office, so as to visualize the deformity.

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I experience premature ejaculation and in addition, when I urinate it flows out in different directions. Could PD be the cause of both of these effects?

Dr. Levine answers: It is unlikely that Peyronie’s disease has any direct effect upon ejaculation or upon your urinary flow. Premature ejaculation is a relatively common problem in adult men and should be addressed by your urologist. There are some unapproved medical therapies using SSRIs as well

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I was diagnosed in 2000 with PD. My original doctor suggested I let time pass and see what happens. Luckily, I listened to others and went to a specialist. I was treated with medicine for a year and the pain eventually went away. About 3 weeks ago, I began noticing a burning pain, but it had come from time to time as I healed, but I have no other problems. My question is, can the pain that I am feeling now be the result of some remaining scar tissue loosening, or am I headed for another bout of PD?

Men have reported an early episode of Peyronie’s disease which resolves only to be followed anywhere from months to years later by a full blown expression of PD. Clearly further evaluation will be necessary with examination and possibly ultrasound. Should you not have any significant deformity and

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I appear to have an unusual form of PD. I was diagnosed by my Urologist as having PD at the base of the penis near the scrotum. I do not have deformity or bend, but I do have a soft end to the penis. Why is this occurring?

Dr. Levine answers: Peyronie’s disease is frequently associated with erectile dysfunction. Most of the time it will be a generalized reduction in rigidity, but sometimes it can be associated with what is known as “distal softening.” This can involve the area beyond scar or just the glans.

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