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 wellRead more →
Signs And Symptoms
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 andRead more →
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.Read more →
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 thereRead more →
It is generally believed that PD becomes stable somewhere between 12-18 months after its onset. Many patients in my practice stabilize within the first 6 months but rare patients continue to have pain for up to 2 years. It is not likely that the penile pain beingRead more →
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 toRead more →
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 biopsyRead more →
I am 38 and have a 30-degree ventral and 45-degree left curvature with moderate to severe pain and discomfort. I do not recall a time when I did not have this curvature and therefore believe I have a congenital curvature rather than Peyronie’s disease. It appears that men with congenital curvature rarely experience pain. Is it normal to have pain with congenital curvature, and is it possible and/or likely to have Peyronie’s disease and congenital curvature?
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 placedRead 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 worsenRead 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 deformityRead more →