ULTRASOUND, DOPPLER to confirm Peyronie's

[0x5555]

i am seeing Dr Buckley.According to my GP he has experience with this{I HOPE} What is your reasoning for leaving it alone? Any thoughts on meds? Bad timing here,cause i just started dating a nice woman. lets just say the sex has been average by my standards at best and am afraid this will hurt the relationship. Anyway , we were adult enough to talk about it ,but it still sucks!!

Sorry that I didn't see your question.

Peyronies means there was some sort of damage to your penis, hence scar tissue/inflammation.  I know that in my case if I'd left things alone there is probably a good chance I would not be having the problems I am having.  It's very hard but if you can go 6 weeks without you have a better chance of recovery IMHO.  The question is would you rather have a fun 6 weeks with this girl and spend the rest of your life regretting it?  Definitely if you feel any pain leave it be.

[wishwill]

Hi

I have an indentation on the left down side of my penis. I took the erect photos of my penis to show the indentation to my urologist. He is a Professor in andrology and said that it is not peyronie but I couldn't understand this indentation look and the pain that I feel on my left side of my penis. Additionally I have an slight curve on the upper side. He made a physical hand examination and called that in order to say " Peyronie" There have to be a scar tissue but I am not sure that it is the exact requirement to diagnose peyronie. My penis is extremely sensitive to touches. I used pentox and COQ10(Ubiquinol) format in low dosages and pain decreases. I am really confused my urologist is an expert but I have an indentation and pain in my penis. Is there anyone who knows the ultrasound procedure. I don't want to take an injection for ultrasound

Any help is highly appreciated  

[jackp]

wishwill

Sounds like multipoint peyronies or hourglassing.

Yes do a color doppler (ultrasound) it is not painful. The shot is less than a mosquito bite. It is not painful at all. That way you will know for sure if you have peyronies.

Jackp
http://jackp-penileimplant.blogspot.com/  

[Old Man]

wishwill:

Just read your post about whether or not it is peyronies disease or not. Most uros and other men's health doctors are not experienced enough with the symptoms of Peyronies Disease to be really qualified to diagnose it.

I have had Peyronies Disease for over 58 years now with bouts of it coming and going seemingy at will with or without any kind of treatment or therapy. It was only after I had a radical prostatectomy for cancer that I was finally treated by a lady uro who was very qualified in Peyronies Disease. She immediately stated that I had a classic case, etc.

If you have indentations in the shaft at any point, tenderness to the touch of your hands in your penis and pain either with or without an erection you have the very early stages of Peyronies Disease. I am not a doctor but have all those years of personal experience under my belt with Peyronies Disease and its nasty and very variable symptoms. In addition, I am a counselor with the American Cancer Society in my home town and my personal uro sponsors me in that capacity, so I have to know my "stuff" when it come to ED, Peyronies Disease and prostate cancer.

Anyway, don't hesitate like Jack says, see the best uro of male sex therapist you can find that is qualified to diagnose and treat Peyronies Disease. Anything you can in the early stages will reap much benefit for you in getting relief from the symptoms. As yet, there seems to be no cure, just therapy that helps with the symptoms.

Keep up the good work on the forum by checking out any and all posts that show interest to you in finding something that will. There are many posts dealing with just about any subject matter dealing with what our members are either trying or going to try for help, etc.

Old Man  

[agent0]

can a doppler ultrasound or a MRI detect corporal fibrosis? (flaccid)

[agent0]

can a ultrasound or mri detect corporal fibrosis flaccid?

[Skjaldborg]

Since ultrasound can be used to detect scar tissue on the tunica while flaccid, I imagine that it would be able to detect anomalous tissue in the corpora as well. To some extent it depends on the skill and experience of the tech doing the exam as well as the skill of whoever reads the results.

-Skjaldborg

[wishwill]

I had an ultrasound procedure without injection (ultrasound in flaccid) Doctor couldn't see any plaque. I read that the common procedure includes injection but I don't have an erection problem so doctor think it isn't necessary to inject. Do you think it is necessary to inject to evaluate the plaques. Please write if you have a real information about the situation.  

[james1947]

wishwill

I had an ultrasound in flaccid state. The doctor didn't see one of my plaques until I have directed him where exactly to test and he find it.

Until you will get additional answers, I am proposing you to read two topics under "Open Questions or General Comments (that won't fit under any other topics)" board that have a lot of information on the subject. The topics are:

ULTRASOUND, DOPPLER to confirm Peyronie's
PEYRONIE'S Symptoms & Confirmation « 1 2 3 4 »

James

[LWillisjr]

Dr Levine is one of the leading specialists for Peyronies Disease. And his standard testing includes an ultrasound in both the flacid and erect states. I also do not have a problem with achieving an erectoin unless there are 2 other guys in the room with an ultrasound wand and a bottle of gel in their hands. So yes, and injection in this case was required to achieve an erection.

[George999]

Plaque is a generic term that describes something you can feel that doesn't belong there.  That can be scar tissue which DOES show up on ultrasound, or it can be inflammation like the lump you feel with a pimple or a severe bruise, and that will NOT show up on ultrasound any more than a pimple would show up on ultrasound.  - George

[agent0]

yeah my uro said my scar tissue isnt showing up on my ultraosunds because its too small but he said its deep and it could be "septal". im hoping that its the cause of my numbness. so i sit everyday waiting for xiaflex to come out so it can give me back my sensitivity and nerves.

[Mark4]

Hi guys, I have a quick question.
Is it possible for the ultrasound to don't see the scar tissue?

I went to my urologist today and he made an ultrasound looking at the entire shaft, but he couldn't find anything.
Is it possible that the scar is too small? He also looked at the septum, etc.
I have hourglassing, but not in the erect state.

Mark.

[agent0]

Hi guys, I have a quick question.
Is it possible for the ultrasound to don't see the scar tissue?

I went to my urologist today and he made an ultrasound looking at the entire shaft, but he couldn't find anything.
Is it possible that the scar is too small? He also looked at the septum, etc.
I have hourglassing, but not in the erect state.

Mark.

hmm i had the same thing happend, but my uro could feel the scar tissue

[LWillisjr]

It certainly seems that if the area could be felt, that it would show up on the ultrasound.

[Blacksammi]

I had an ultrasound last week with injection for erection.at the Australian Centre for sexual health. The impression I got was that the ultrasound not only showed actual size and thickness of the plaque, but also which areas of the plaque had calcified. It also enabled measurement of bend and blood flow analysis on both sides of the penis.

In my case, the bend had decreased from 55 degrees four months ago to 40 degrees now. He doubled the rate of Trental to 1600 mg/day. Blood flow to both sides was good. Plaque (Main) was 4cm long and 4mm thick, but only a small central portion had calcified. Second plaque( small, with both plaques on the underside between the urethra and main cavernosa) had virtually disappeared, and it is certainly hard to feel by hand now.

Things seem to be progressing and I certainly am more hopeful of my prospects.

Blacksammi

[George999]

Things seem to be progressing and I certainly am more hopeful of my prospects.

Always good to hear good news like that!  I think a major factor is that you now have a doc who knows what he is doing on your case.  - George

[james1947]

Blacksammi

Good to hear newses like that and encouraging also.
Pentox works
Wish you to continue to improve like that.

James  

[Blacksammi]

All you guys support and advice has made a huge difference to me and I appreciate it so much. Thankyou for your words of encouragements - worth gold....

From having constant suicide thoughts many times a day even on antidepressants during the initial period, I have felt huge support here from all.

I do agree that finally having a good Uro who knows what he is doing has made a big difference, I also acknowledge the work done by my GP in initially prescribing Trental 400 even when the Uro would not. Starting early on it, I believe, has contributed to the improvement shown so far. There still seems a long way to go though.  But my best friend has pancreatic cancer for 2 1/2 years after being given 3 months. He tells me to think myself lucky with 40 degree bend....he says he has nothing to bend!!

It's all relative, isn't it!
Blacksammi

[james1947]

Blacksammi

Please post your uro name and other information regarding him as replay to:
Peyronie's Doctors – Locations and forum opinion - Open for Comment - Peyronies Society Forums
Or send me a PM regarding him
We are hungry to know about competent Peyronies doctors. It will help other Peyronies sufferers.

James

[rich68]

I found the following article which clears up some of the confusion about ultrasounds (I couldn't find it mentioned on this forum):

US Imaging in Peyronie's Disease Kalokairinou K, Konstantinidis C, Domazou M, Kalogeropoulos T, Kosmidis P, Gekas A - J Clin Imaging Sci
(also at US Imaging in Peyronie's Disease )

It confirms that a standard greyscale ultrasound will detect both calcified and non calcified plaque (scar tissue) in the flaccid state. However, the authors suggest that if there is palpable plaque which is not detected by the ultrasound, then the scan should be repeated in the erect state.

They go on to say that an hourglass appearance is "not necessarily associated with a calcified plaque but can be the outcome of a circular albuginea lesion" and is "better identified after pharmacologic induction of an erection". Perhaps this explains why several posters have had ultrasounds which came back negative.

They also say that MRI is at least as sensitive as ultrasound and even better for noncalcified plaques at the penile base.

Colour Doppler ultrasound provides information on penile arterial inflow and venous outflow (it measures the speed and direction of the blood).

Duplex Doppler combines the standard greyscale ultrasound and the colour doppler to investigate blockages in the blood flow.