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[trixmegistis]

Hello I went to the urologist and I think they were wrong it was an assistant to the doctor and the person said she felt nothing to think it was peyronies and gave me viagra..

My main problems are 2:
Hourglassing: This happens completely randomly and my penis looks pinched, but it especially happens when I have to use the bathroom, whether pee or poop, but also randomly throughout the day and is my biggest issue and only one I have no idea what to do about
Some Erectile Dysfunction but not much: I have a lot of anxiety, smoke cigarettes, and am not the healthiest (fitness wise) which all also contributes to Erectile Dysfunction, but viagra seems to be all I will ever need when natural erection isn't enough or isnt happening

I do have a curve to my penis when erect, about 10-15 degrees upward. I also feel a harder than expected vein or something going up the left side of my penis that I didnt notice to tell the doctor about but I don't know if that plays any role in this issue at all but have no obvious feel of plaque. When not erect my curve is more of a twist.. where it twists a little bit to the left. I'm not all that concerned about these small curves though as they are barely an issue in any way.

All that I need is this hourglassing to stop. Taking a hot shower and the hot hands technique seems to help but its more of a way to get it to go away when it comes and doing a daily regiment of the hot hands stuff doesnt seem to reduce it's chances of happening. I heard about the pumps, is this the best way to reduce the hourglassing? What other tips are there? Is there any other syndrome or ailment that is not peyronies that could be causing this? What is strange is that I havent heard many if anyone say they get hourglassing when they need to use the bathroom, which makes me concerned that it is something completely different but exhibiting similar effects as peyronies, especially given that the urologist office said they dont think I have it.. but she was just the assistant so I am not sure if I should find another urologist that might be more attentive and qualified...

Regardless, any recommendations of products or approaches to fixing the hourglassing would be appreciated, thanks.

[TonySa]

I wonder if what you are experiencing is what others refer to as hard flaccid?  If the curves and hourglassing are both new, it may be early peyronies and then you would want to get started w treatments and seeing a specialist fir an ultrasound to confirm the diagnosis. Be sure to check out the survival guide: https://www.peyroniesforum.net/index.php/topic,3180.msg44057.html#msg44057
Great early treatments are Pentox, lie goes nightly PDE5i and VED/traction to reduce the plaque.

[samsung]

I get hourglassing at unpredictable times, but especially while going #2, after masturbation, after traction. So here is one person that gets hourglassing when going the bathroom. You're not unique.

[trixmegistis]

So, does the traction help?

Does anyone else get hourglassing more when they have to use the bathroom?

[kusher]

I just had my appointment with Dr. Ryan Flannigan, a genital reconstruction specialist. I told him I have a straight penis with girth discrepancy due to unilateral dent and narrowing ( left side ).

this issue is affecting the axial stability of the penis resulting in 80% functional penis and 20% partially impaired.

his response to my concerns were similar to all the surgeons I visited in usa, Canada and Europe.

unfortunately non curvature penile deformities has received less attention in the literature.

as of 2019, there is no clinical or scientific evidence and treatment in regards to penile size loss.

pentox, VED etc... these modalities do not target girth issues. at least scientifically.

the only safe way to manage hourglass is pills

[trixmegistis]

I just had my appointment with Dr. Ryan Flannigan, a genital reconstruction specialist. I told him I have a straight penis with girth discrepancy due to unilateral dent and narrowing ( left side ).

this issue is affecting the axial stability of the penis resulting in 80% functional penis and 20% partially impaired.

his response to my concerns were similar to all the surgeons I visited in usa, Canada and Europe.

unfortunately non curvature penile deformities has received less attention in the literature.

as of 2019, there is no clinical or scientific evidence and treatment in regards to penile size loss.

pentox, VED etc... these modalities do not target girth issues. at least scientifically.

the only safe way to manage hourglass is pills

What pills? Also isn't Pentox a pill?

[trixmegistis]

Also, is it possible to get hourglassing without having peyronies? And, what literally causes it? Is it simply a blood flow issue caused by the plaque? The doctor who examined me said they felt no plaques, and I personally have never felt a plaque, so I don't understand how I can have such prominent hourglassing and so often. The closest similar condition I could find is "stim d***" according to some other forum that happens when you drink too much caffeine..

[TonySa]

The plaque is not always palpable, unltrasound is usually much more accurate in identifying plaque.  One can have only hourglassing (w or w/o loss of length) and no curve from peyronies.  All the treatments helpful for peyronies will help regardless of whether you have a curve or hourglassing. 

[trixmegistis]

The plaque is not always palpable, unltrasound is usually much more accurate in identifying plaque.  One can have only hourglassing (w or w/o loss of length) and no curve from peyronies.  All the treatments helpful for peyronies will help regardless of whether you have a curve or hourglassing.

Do you think if I asked them to switch me from Viagra to Cialis that it would fix my hourglassing with just that? I'm afraid to do traction or VED thus far as there are a lot of bad stories, and the only treatment I currently do is hothands but not very often and the mildest of by-hand traction, and working on not flexing my kegels/PC muscles. I just want to stop getting hourglassing randomly throughout the day and maybe for it to hang more naturally downward

[program4004]

Yeah I have that too. Way less than I did before. It's mostly when I have to pass a stool. But it was really bad before. But now I get erections fast and stuff. Functionality is good. And can masturbate easily, no pain. But if was so much worse man. But yeah I get hourglassing when standing, it's not super noticable. I still haven't seen a doc yet to get an ultrasound evaluation or MRI. MRI can really see fibrosis well. Also from what I've seen and studies, Cialis is better for treating penile fibrosis by far. Viagra is mostly used for in the moment sex. Cialis will keep the blood flowing through a certain time period, I think it has a longer life than Viagra. Anyways, just keep having erections, I'd recommend heat therapy and weekly masturbating just be gentle, don't jerk it like it owes you money lmfao. By the way heat and time is what helped me the most. Traction works if you have scarring on the tunica, idk if it works for the corpus cavernosum

[redbullmaster]

If you have hourglassing pills wont work for that, for the Erectile Dysfunction yes keep taking them for that.
Did you have Erectile Dysfunction before the hourglasing and have you always had an upwards cure or is this new as well.

Have you injured your penis that you can remember?

When your erect how bad is the hourglassing or only when it's  flaccid?

Lots of men have found VED or traction has helped with there hourglassing.
But it's not normally a quick fix, you talking maybe 6 months or so to get good results.
Obviously everyone is different and your case may not take as long or could take longer.

As long as you follow some basics safely advice you should be fine doing the treatment.
But as I say this, there have been some members who have had poor or bad experiences trying these treatments.

So I understand not wanting to make the symptoms worse than they are, but I don't remember reading about anyone penis healing itself with out some sort of help.

Not saying you should or shouldn't do treatment, only you can decide on that for yourself.

[Hawk]

There is a lot of misinformation and lack of understanding in this thread of discussion.  Here are the basics.  Hourglassing is simply plaque (scar tissue).  If it is not scar tissue from normal healing of a significant injury then it is scar tissue that over-ran normal tissue so that IS Peyronies Disease.  There is nothing different or more complex about hourglass deformity than any other Peyronies Disease plaque.  It is simply typical Peyronies Disease plaque that formed in a specific pattern.  (Generally, the scar tissue is a narrow band that extends in a ring around a portion or all of the girth rather than a narrow band that runs the length of the penis.

As Tony said, any drug that has a positive effect on Peyronies Disease by softening or preventing plaque is just as effective on an hourglass deformity as it is on a curve deformity.

Small studies have shown that traction does help hourglass deformity and loss of girth in general.  There is absolutely no reason to think that a VED would not help hourglass deformity especially with the 3-cylinder Soma Correct that allows more expansion on the narrow section of the penis than on the normal girth portion of the penis.

Finally, anything good for the penis in general, such as erections, night-time erections, increased blood flow from L-Arginine, etc is good for preventing the advance of any plaque.

[trixmegistis]

If you have hourglassing pills wont work for that, for the Erectile Dysfunction yes keep taking them for that.
Did you have Erectile Dysfunction before the hourglasing and have you always had an upwards cure or is this new as well.

Have you injured your penis that you can remember?

When your erect how bad is the hourglassing or only when it's  flaccid?

Lots of men have found VED or traction has helped with there hourglassing.
But it's not normally a quick fix, you talking maybe 6 months or so to get good results.
Obviously everyone is different and your case may not take as long or could take longer.

As long as you follow some basics safely advice you should be fine doing the treatment.
But as I say this, there have been some members who have had poor or bad experiences trying these treatments.

So I understand not wanting to make the symptoms worse than they are, but I don't remember reading about anyone penis healing itself with out some sort of help.

Not saying you should or shouldn't do treatment, only you can decide on that for yourself.

So have I injured my penis that I remember? No but I was sexually abused for like 6 months when I was like 9 which I think started this all, and both the hourglassing and the curve has been there since I can remember.

When I am erect there is no dent/hourglass/pinch at all, just an upward curve about 2/3rd the way up the shaft, when not erect hourglassing comes occassionally, like I said especially when I have to use the bathroom, but could be when anxious, when cold, or just completely randomly. However, always there seems to be a slight dent when flaccid but almost not noticeable most of the time, which is when I consider it to be "hourglassing" when it becomes extreme, seemingly due to blood flow not getting to that area, which is also why I thought Cialis might be better than viagra as you take it (afaik?) every day and it lasts throughout the day, which I would assume would fill the dent more consistently

[trixmegistis]

There is a lot of misinformation and lack of understanding in this thread of discussion.  Here are the basics.  Hourglassing is simply plaque (scar tissue).  If it is not scar tissue from normal healing of a significant injury then it is scar tissue that over-ran normal tissue so that IS Peyronies Disease.  There is nothing different or more complex about hourglass deformity than any other Peyronies Disease plaque.  It is simply typical Peyronies Disease plaque that formed in a specific pattern.  (Generally, the scar tissue is a narrow band that extends in a ring around a portion or all of the girth rather than a narrow band that runs the length of the penis.

As Tony said, any drug that has a positive effect on Peyronies Disease by softening or preventing plaque is just as effective on an hourglass deformity as it is on a curve deformity.

Small studies have shown that traction does help hourglass deformity and loss of girth in general.  There is absolutely no reason to think that a VED would not help hourglass deformity especially with the 3-cylinder Soma Correct that allows more expansion on the narrow section of the penis than on the normal girth portion of the penis.

Finally, anything good for the penis in general, such as erections, night-time erections, increased blood flow from L-Arginine, etc is good for preventing the advance of any plaque.

I don't understand how the hourglassing can be the plaque itself. It only presents itself sometimes to any noticeable/significant degree, my understanding was that it was the lack of blood flow/fill to the area due to the plaque which causes the 'dent' appearance, which is why I thought cialis would help, since it would more consistently fill the dent with blood flow, also on the plaque, the urologist I saw said she felt no plaque at all, but didnt care at all either to do an ultrasound or any further investigation, and I know that if I have peyronies, then there is plaque, but maybe since she couldn't feel it it is minor. I also believe it is minor because about 60-70% of the time my penis looks pretty much normal. I'm perfectly okay accepting a slight upward curve when both flaccid and erect but the dent that can become incredibly obvious and significant depending on some random factor at any time of the day is what I am wanting to correct as it is a huge issue for me causing self-conscious anxiety holding me back from dating and sex because I don't want it to happen

[Hawk]

First of all, penises come in all shapes and sizes.  If your full erection is "pretty much normal" then stop stressing.  If you are concerned about this progressing then take the recommended accurate objective measurement of length and girth.  Check it once a month to make sure you are not losing size.  I suspect you are fine the curve is likely just your natural shape.  The cavernosa are one open body so it is unlikely that blood is not filling part of the cavernosa.  Plaque prevents stretching (like tape on a balloon).  When inflated that area does not stretch and creates a deformity.  That, however, does not come and go.

Relax and do not obsess over this.

hourglassing

Started by Blake247 Vacuum Erection Devices (VEDs) for Peyronie's Disease

Flaccid Hourglassing

Started by jj21 Open Questions or General Comments (that won't fit under any other topics)