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.

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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 is good data that the verapamil never penetrates through the skin into the plaque. Surgery is reserved for men who have had PD for at least 12 months and have been stable for at least 3 months. [For further advice on the traction device see answers to questions in the treatment section.]

Previous 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?
Next 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?
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