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Author Topic: How exactly does Peyroni's cause Erectile Dysfunction?  (Read 1689 times)

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RedWilly

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How exactly does Peyroni's cause Erectile Dysfunction?
« on: November 28, 2017, 05:06:28 PM »

I'm curious as to how this "disease" actually affects erections?

Supposedly I have great blood flow, but scar tissue (not plaque or calcified at all), so why on earth would Erectile Dysfunction be affecting me?

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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #1 on: November 28, 2017, 05:38:51 PM »

Inflammation and/or scar tissue (plaque/fibrosis) may inhibit the veno-occlusive system. This is the system that traps blood in the penis during erection. The inflammation and/or scar tissue makes it difficult for the erectile tissue to squeeze closed the veins that drain the penis. Consequently, blood "leaks" out of the penis during erection. This "leak" can vary from mild to severe and can be caused by scar tissue in the tunica or in the corpora. Sometimes it is hard to see diffuse scarring in the corpora during ultrasound. The "leak" can often be observed during injection and ultrasound to check blood flow, although many men have commented that they are experiencing Erectile Dysfunction but the ultrasound had "good blood flow." This may be because it is hard to see or that the urologist was not skilled. Either way the symptoms or this type of Erectile Dysfunction, known as venous leak, are very characteristic and I have heard many urologists diagnose venous leak without the ultrasound because the symptoms described by the patient are characteristic.

Venous leak, search it in wikipedia.

There are no known cures. Surgeries have been attempted but they all have poor success. Inflammation related to peyronie's will go down and likely improve your erection quality but any plaque involved in the venous leak will likely be permanent. You can use oral medication to help push more blood into your penis. Try generic cialis, tadalafil, from this website: safe generic pharmacy dot com. I use tadalista 10 mg. It is cheap and doesn't require a prescription. Usually arrives in 2 weeks from india. I have Erectile Dysfunction from my peyronie's and it gives me erections that are arguably harder than pre-peyronie's.
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #2 on: November 28, 2017, 06:05:44 PM »

 Thank you very much for your detailed explanation. When I got my ultrasound done they injected me with a medication that induces  and erection.   I am fairly certain I do not have veinois leakage.   I was able to sustain with the injection and in fact needed a Nother injection so that it would go down.  Additionally my  glans  inflate and from my understanding that is not a symptom of leakage.

 That is why my Erectile Dysfunction does not make sense to me. My guess was inflammation in the area was causing weak unsustainable erections.  But I cannot be certain.

 I have been taking medication to help but I’m very concerned that long term use will lead to a diminished ability to achieve erection naturally.

 I am wondering if it has anything to do with the traction device and the VED  I have been using. I am using it exactly as directed but am wondering if that could be irritating the scar tissue.


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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #3 on: November 28, 2017, 06:24:24 PM »

What are your erectile dysfunction symptoms? A mild venous leak can be overcome by the injection. In fact, injections (such as trimix) are often prescribed to patients with venous leak so that they may continue their sex life.

If you have: loss of morning wood, position dependent erection quality, difficultly maintaining erection without constant stimulation, etc. Then you may be experiencing a mild venous leak. The venous leak can be over come by pills and injections.

What did you doctor say about your erectile dysfunction? By the sounds of you asking your questions here he/she was about as useful as the many urologists the members of this website have seen, which is to say... worthless.
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #4 on: November 28, 2017, 06:42:25 PM »

Difficulty achieving and maintaining erections.

Morning wood is at times ok, but most of the time 50% erection when i wake up. Sometimes i don’t have morning wood.

Could it be too much traction / VED?

My glans always inflate however. My CCs when flaccid feel like stiff and less pliabale after a day of traction VED.

I’m able to have sex and masturbate sometimes without help, it just works better when i take a small amount of cialis. I only take about 2.5 mg or half of the daily low dose.

My erections are nowhere near the quality before my injury.
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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #5 on: November 28, 2017, 07:47:25 PM »

There are very few things that could cause your Erectile Dysfunction to form synchronously with your peyronie's disease. It seems to me, after looking into it myself because I have the same thing going on, is that the tissues within your penis have been damaged. The tissues are inflamed and scarred. This has disturbed the erection system producing a mild venous leak. The leak is so mild it is perhaps difficult to detect using ultrasound, especially because there is no baseline (ie. blood flow rates PRIOR to the injury). The best way to detect it is to be the proud owner of a penis in which you had easy to obtain glorious erections and you never worried about maintaining it to suddenly start asking yourself "why the F~@< is my dick not fully torqued?"

In my case it was failed intercourse 3 times. Got hard, pulled it out, went to put it in.... soft.

I've been on cialis ever since. I did check the other day, went off for a few days and yes I could get erections but I fear they are of poor quality and I might fail, or injure my penis having sex with a poor erection.

The flaccid situation you have sounds like "hard flaccid" it's a weird condition, not a lot of medical research but it seems to be related to injury and contraction of the penile tissues. Many of us with peyronie's will experience it. Many note it goes away.

I take higher doses of cialis to ensure my erection quality is the best it can be and to avoid having sex with a reduced erection because it could be injured again.

DN
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #6 on: November 28, 2017, 08:18:08 PM »

it Can’t be leakage. There’s not a cure for that and I’m only 27. I highly doubt it.

Could it just be like inflammation?

It seems a little better after i pop some anti inflammatory.
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #7 on: November 28, 2017, 08:33:15 PM »

I lost my erection last night but am able somewhat to keep one during masturabtion with good stimulation.
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suicidecomingsoon

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #8 on: November 28, 2017, 08:47:17 PM »

After much reading, Erectile Dysfunction when peyronies or whatever can occur for various reasons, but in the end it all comes down to being a problem in the arteries or venous leak.

And this is because when peyronies or fibrosis occurs the plaque can prevent the veins from being punctured or crushed when you have an erection (provoking venous leak) something similar can happen with the arteries, avoiding plaque, crushing the tiny arteries that enough blood reaches the penis causing erectile dysfunction (which also causes venous leak because with little erection the veins are not punctured properly causing the blood to be lost), it can also happen that the smooth muscle or the corpora cavernosa are damaged, either by fracture in the corpora cavernosa or something else (which also provokes venous leak, since the blood will not remain in the penis, since the veins are not crushed)

At the end of all this we can come to the conclusion that with Erectile Dysfunction venous leak is always present in greater or lesser proportion. If your venous leak is mild the injections can do the trick to get more blood and keep the veins trapped, and the same can be applied with the pills, in case your venous leak is bigger this will not work

If you can not keep an erection without stimulation while you are with a girl or watching porn it is not a normal thing
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LWillisjr

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #9 on: November 28, 2017, 09:02:28 PM »

I'm curious as to how this "disease" actually affects erections?


RedWilly,
Don't rule out your mental state of mind. You may not have anything wrong physically. I has having some difficulty for awhile. I was worried about Peyronies, what to do, would things get worse, etc. etc. etc. This can have a great effect on your erection quality. I know it did for me.
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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #10 on: November 28, 2017, 09:04:38 PM »

I will state emphatically: the fact that you are 27 has absolutely nothing to do with your ability to have venous leak.........

That logic is like saying: I can't have peyronie's disease because I'm only 27 and there is no cure... but you have that right?

Some men are born with venous leak. Some men develop venous leak. One of the ways to develop venous leak is via injury that damages the erectile tissues and function.

If you don't think you have the most likely cause then you could investigate other causes:

get your testosterone tested early in the morning
go to a pelvic floor specialist and see if they think you have pelvic floor dysfunction
quit watching porn and masturbating for 2+ months

If you investigate these other common causes and still have erectile dysfunction then it would seem you are experiencing a mild/moderate venous leak that can be overcome with injections/pills.

Yes it could be inflammation... the inflammation could cause the venous leak. If the inflammation goes down your erectile dysfunction will improve because the venous leak will improve. However, if the inflammation causes fibrosis formation then your venous leak could be permanent. If you "lost your erection" you aren't taking enough cialis... If you can get an erection but lose it without "good stimulation" sounds like classic symptom of venous leak. I'm not here to scare you, I'm not here to bring you down, I'm not here because I like telling people bad news. I'm here because I have studied this crap way too much and I have learned a lot. Many men are living in silence and ignorance about their issues because they don't want to or don't have the ability to investigate thoroughly. Unfortunately urologists are no help for us young men, they want to give us cialis/viagra and get us out of their offices because they can't help us and they know we're freaking out.

Are you getting cheap cialis? If you aren't getting dirt cheap cialis go to safe generic pharmacy dot com and get tadalista 10 or 20 mg and split them. Works great for me.
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #11 on: November 28, 2017, 10:29:41 PM »

When you say fibrosis what exactly do you mean?

I have scar tissue that apparently still has blood flowing to the area... it was a rigid area in the doppler on the left base.

I'm paying 100+- for 15 pills. But I think I just need a good rest from traction and VED for a while... Or just stick to one or the other... I think I'm just putting unecciary stress for months on end.

I went to USC Urology and they said after the doppler I def. do not have venous leak... How possible is it they were wrong?

Kaiser refuses to give me one...
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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #12 on: November 28, 2017, 11:45:06 PM »

Fibrosis, plaque, scar tissue... it's all the same. Peyronie's is an excessive inflammatory condition often the result of an injury. During the inflammatory period of Peyronie's the body will respond by producing fibrosis/plaque/scar tissue on the damaged tissue. Often the penis will go through an extended period of inflammation and plaque formation long after the initial injury, either due to continued injury or enigmatic chronic inflammation.

Your underlying confusion is a common problem for patients and doctors, what is the association between peyronie's and erectile dysfunction. Considering that I have the same issue as you, poor erection quality following peyronie's that is overcome by cialis, I have posed this same question now to 4 urologists, most notably Dr. Lue, Dr. Gelbard, Dr. Rafjer. I will try to describe each doctor's responses:

sh!^^y urologist (no US): yes it feels like you have peyronie's, what you describe sounds like venous leak. I can't help you. 30% get better, 30% get worse, 30% stay the same.

Dr. Lue (flaccid ultrasound): you don't have venous leak because the pills work for you. I will not perform doppler ultrasound because it won't show anything if the pills work for you. Your peyronie's will not produce permanent Erectile Dysfunction. Your Erectile Dysfunction is just due to inflammation.

Dr. Rafjer (no US): it's complicated, you're healing, just give it time take the cialis and the rest of your pills, we just have to see how this will manifest itself in you and then we can move on from there. I have seen patients recover completely.

Dr. Gelbard (no US): your plaque is fairly mild and you still have a lot of elasticity in your flaccid penis, that is good. I suspect your Erectile Dysfunction is a mild venous leak. The leak doesn't have to be permanent, it may just be caused by inflammation. I will do a doppler ultrasound for you after a year if you're still having problems.

I should note that I have average testosterone (total T = 648), no noticeable pelvic issues, and I do watch porn but I always have that hasn't changed and it never stopped me before.

So what's our problem? the medical field can't tell us. However, we know that peyronie's can cause venous leak and we know we have peyronie's. And we know the erection issues started with the peyronie's....

I get ~100 10mg pills for ~100 dollars on the site I sent you.

Ultimately, whatever the cause is, doctors don't seem to have a solution to "cure" it so we're left with popping pills perhaps forever.
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QuackAttack

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #13 on: November 29, 2017, 09:46:56 PM »

Based on conversations I have had with my URO during doppler ultrasound exams, Peyronies reduces blood circulation. If you have poor blood circulation, you have difficulty getting an erection or keeping one. I don't feel like I have ever lost erection quality and my URO has said I have excellent blood flow. However, I believe my erections are much stronger after traction and VED.
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PeetyPeet

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #14 on: November 30, 2017, 04:00:26 AM »

I just wanted to comment on the expression 'venous leak' as I feel it is a very broad term and it's meaning is not consistent across urologists / academic texts.

Venous leak - or 'Corporal Veno-Occlusive Dysfunction' - to give it it's technical title, refers specifically to the inability to compress the emissary 'outflow' veins which run beneath the Buck's Fascia. This compression only occurs when the corpus cavernosum is sufficiently engorged to press against the Buck's Fascia thereby compressing the emissary veins and preventing blood outflow.

By this definition anyone with organic Erectile Dysfunction, whatever the initial cause, is technically suffering to a greater or lesser extent with venous leak. In the case of peyronies, the fibrous plaque on the tunica albuginea causes the T.A to tighten, preventing full engorgement and expansion of the corpus cavernosum and thereby outflow veins are not sufficiently compressed.

Having said that, in practice, clinicians appear to see venous leak as excessive outflow even when the corpus cavernosum is engorged to a point when one would normally expect outflow to be minimal. According to one urological registrar I have seen a typically sign of 'classic' venous leak is an initial full erection which subsides almost as quickly as it became rigid.

The best test for venous leak is a cavernosography, where an erection is artificially induced using caverject and a dye is injected into the penis to monitor blood flow.

I had a caversonography back in 2005-6. Alas, my memory is hazy. Before an erection was induced, a tube was inserted into my penis at the base and this continually circulated dye around my penis. One could see via live feed the contrast dye moving around the penis. Once a reasonable erection was achieved the dye stopped flowing out and was contained in the penis. Conclusion: I did not have leak.

When it comes to a doppler ultrasound, my understanding is that it is good at detecting hardened tissues or plaque, particularly on the tunica albuginea, and it can also measure inflow if the gun is placed on the perineum. It isn't so good at measuring outflow however.
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RedWilly

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #15 on: November 30, 2017, 10:52:14 AM »

PeetyPeet, can the Doppler still detect outflow?

They said i was fine aside from the scar tissue and i literally couldn’t get rid of the erection at the time.

It’s just organic erections are difficult for me on almost all occasions.
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PeetyPeet

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #16 on: November 30, 2017, 12:01:15 PM »

Okay so I just did a little more reading.

Yes, Doppler Ultrasound can detect outflow by monitoring diastolic blood pressure. This the bottom number on a blood pressure reading and is when your heart is at rest between beats. During a full erection, if your diastolic blood pressure is higher than expected then this would suggest excessive outflow, or 'venous dysfunction' as the experts say.





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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #17 on: November 30, 2017, 01:11:43 PM »

I now recognize why all 4 of my urologists would not do anything to check my erection function. If its useable with 5-10 mg cialis then they probably aren't going to see anything. Not that they could do anything even if they did diagnose you with venous leak!
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james1947

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #18 on: November 30, 2017, 04:37:03 PM »

Quote
Not that they could do anything even if they did diagnose you with venous leak!
Except:
1. Very complicated venous leak surgery with very low positive outcome :(
2. An implant with very high rate of success :)

James
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Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe Erectile Dysfunction.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
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DN

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #19 on: November 30, 2017, 05:14:54 PM »

Agreed

1. I personally wouldn't do it due to low success rate
2. Probably not recommended for someone who can have good sex with 5-10 mg cialis or 25 mg viagra.

However, if you get bad curvature and still have Erectile Dysfunction then an implant would be a worthwhile consideration.
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james1947

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #20 on: December 03, 2017, 08:17:41 PM »

I agree with DN
Quote
...someone who can have good sex with 5-10 mg cialis or 25 mg viagra
Don't need any surgery :)

James
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Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe Erectile Dysfunction.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

RachelThorpe

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #21 on: February 08, 2019, 06:04:31 AM »

Erectile dysfunction is inability to keep and achieve erection. If a man is not able to get an erection is become a big trouble while having intercourse. Some men with Peyronie’s disease can develop erectile dysfunction. In case of peyronie’s disease, scar tissues called plagues are formed on male reproductive organ. These plagues reduce the flexibility of the organ and causes it to bend because of insufficient blood flow towards it. In such condition it is difficult to occur erection.
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Monty

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #22 on: February 10, 2019, 03:45:51 AM »

I got Erectile Dysfunction long before i got Peyronies Disease.
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67 UK, Erectile Dysfunction from 2011, unable to get full erection, Peyronies Disease from  2015 acute bend to left, VED & hand traction + 50 mg Sildenafil every other day, or when i'm feeling lucky, forum member November 2017. Fav Film&Song, TheGoodTheBadThe Ugly. A Day in the Life

Bubba dawg

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Re: How exactly does Peyroni's cause Erectile Dysfunction?
« Reply #23 on: February 10, 2019, 07:30:18 AM »

I guess Peyrones can be added to this list. Although I don't think it has caused me Erectile Dysfunction. Has caused me mental problems which will effect Erections


https://familydoctor.org/condition/erectile-dysfunction/


Erectile dysfunction can be caused by:
diabetes (high blood sugar)
hypertension (high blood pressure)
atherosclerosis (hardening of the arteries)
stress, anxiety, or depression
alcohol and tobacco use
some prescription medications, such as antidepressants, pain medicine and medicine for high blood pressure
fatigue
brain or spinal-cord injuries
hypogonadism (which leads to lower testosterone levels)
multiple sclerosis
Parkinson’s disease
radiation therapy to the testicles
stroke
some types of prostate or bladder surgery.
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