In your opinion, what is the best treatment to prevent fibrosis from spreading around the tunica or into the vascular tissue for a Peyronie’s disease patient?

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 as an anti-scarring agent. The current medications that I use for Peyronie’s patients to encourage an increased amount of nitric oxide in the penile vascular tissue include using such medications as Viagra, Levitra, or Cialis on a nightly to every other nightly basis, to encourage nocturnal erections and to increase nitric oxide in the penis as well as an over-the-counter amino acid known as L-arginine. L-arginine is the precursor to nitric oxide and there is some evidence that using this agent could possibly provide more nitric oxide to the penis.