General

Is there any data from the pilot study performed by Dr. Levine on traction therapy with respect to patient’s response tracked during the 6-month study?

Dr. Levine answers: During the course of the study, patients were seen on a monthly basis and assessed for changes they noted. Overall what appeared to occur was that a few patients had measurable improvement after 1-2 months of therapy with a minimum of 4-6 hours a

Read more

I had surgery (temporalis fascia graft) last summer. My penis is approx 3 inches in length. Before Peyronie’s it was 7 inches. I still have the curve and use the Fastrack traction and soma pump. Using both has improved the use of the traction device because it enlarges the gland tor the device to hold onto the penis. However, after a month of using it about 2 hours a day, I have noticed that the plague seems softer but my penis still has a bend and continues to be short. Will this improve with consistent use?

Dr. Mulhall answers: The suggestion is that the traction device gives the greatest benefit to men with PD who use it for at least 4 hours per day for at least 6 months. You are in a slightly different population as you are using it after plaque

Read more

I am 25 years old, I have noticed my flaccid bend and have noticed hard plaques mainly on sides but sometimes the whole shaft seems hard when flaccid, my penis had gone a yellow color and I am finding it very difficult to get erections. When I do they are not rigid, my flaccid keeps going really small and thin then it is largely like rubber. My whole penis feels like rubber even when erect, I seem to be losing size will I get it back considering I am only 25.

This does not seem like a Peyronie’s problem, as Peyronie’s does not result in change in penile color or in a shape change in the flaccid condition. The condition you described sounds like what is sometimes called a “hard soft-on”, where excessive vascular tone causes constriction of

Read more

After a physical exam including a chemically induced erection, I’ve been told by my urologist that the next step is a Corpora cavernosagram to determine the cause of my peyronies. Is this a common procedure in diagnosing peyronies? Can sonography be used instead?

The preferred approach to evaluate the patient with Peyronie’s disease is to perform a dynamic duplex ultrasound during which the initial scanning of the penis will determine if there is scarring in the corpora cavernosa and to identify calcification of the plaque if it is there. The

Read more

I have had PD for 10 months, with onset of curvature for 1 month and painful erections for 2 months. The curvature is 45 degrees dorsally and only at the end of the penis. The erections are strong, except for the distal third which is somewhat compromised. I am wondering whether my progression time line is faster than what I have read. I am 55 and I am worried that my condition will get worse or will it stabilize as it currently exists.

Dr. Levine answers: The presentation of Peyronie’s disease is variable from patient to patient; some patients notice a very rapid onset and progression, while others have a gradual onset. For most, the deformity will stabilize within 6-12 months, but repeated injury could prolong this process. If the

Read more

I am 50 years old and recently diagnosed with Peyronie’s. I’ve been to 2 urologists, tried Potaba (stopped; too many side effects) and using verapamil gel at night. Surgery was also recommended. I’ve done some research and have seen the Extender. Does this work? I’m getting mixed reviews. I have a 30-40% downward curve.

Dr. Mulhall answers: You didn’t mention how long you have had PD, which is an important factor in your prognosis. Potaba is in my opinion (based on currently available medical evidence) worthless. It is an expensive and poorly tolerated placebo. Even less effective is verapamil gel. There

Read more