Going to Uro for ultrasound/erect examination

[Blue25]

Finally I have convinced my uro to give me an examination while erect, and despite him not believing in ultrasound to detect scar tissue he finally caved and I have an appointment with him on Thursday. For those who have had this examination before, what should I expect. He is giving me an injection and has told me that it may make things even worse? I'm exhausted from all of this and just want answers. I've gone from thinking I'm getting better to seeing myself worse than I ever was. I posted a while back saying I'm seeing huge improvements and regret it now that I'm back  to where i started. Makes me hesitant to feel optimistic when I see "improvements".

If anyone could help me out and let me know what I should expect that would be amazing.  

[samsung]

Get a color, double doppler. Ask him to use something other than bimix. Ask him to advise you about your risk for priapism.

Most people are fine. I had a 2+ hour erection. Don't expect this but it can happen. If it does, try running lightly in place and getting as angry as you can. Adrenaline brings down erections. Don't worry about this though. Likelihood is low.

As to what to expect, is a slight pinch with needle. Not a big deal like you think. He leaves the room. You get hard on. He comes back, waves ultrasound doo dad around your boner. Takes about 5 min. Make sure he gives you a print out or saves the scan somewhere so you can take to other doctors.

He should tell you the dimensions/size and location of the plaque if you have any.

According to Dr. Eid you cannot tell if a plaque is calcified by ultrasound alone, only by contrast on an x-ray.

It's really not that invasive of a procedure.  

[Blue25]

Thanks. What's the deal with Bimix?

[Blue25]

Apparently it's a drug called edex

[samsung]

Bimix is known to cause fibrosis. But usually only after repeated use to induce erections. But better safe than sorry. If he refuses to do it otherwise, I still might be o.k. with him using it, but there are other options.

[TonySa]

Bimex, trimix it doesn't matter...just be sure to compress injection site 5-10 minutes afterward to prevent any internal bleeding...

[Blue25]

Just got out of appointment he said there was some scar tissue on the side of my dent but it was not peyronies plaque and showed me a comparison between the two. This injection, the edex, took a long time to work and only kept me at a 80 % erextion and didn't go down for an hour. My balls are literally a 10/10 on the pain level. Also my penis feels sore as well. He told me there's nothing to do. But does anyone else know of any ways to reduce normal scar tissue?

[TonySa]

Never heard of normal scar tissue that is not peyronies...where is it located?  Tunica? Corpus cavernosa?

[Blue25]

He drew a picture to demonstrate. The dots on the right side are what we saw in the ultrasound, the left side is what he said peyronies plaque looks like... he said that the deformity I see when half erect is just the scar tissue effecting the way the blood fills me penis and when it gets fully hard it stretches out the deformity. He was very very confident when I kept asking him if it was peyronies and he kept saying no.  

[Blue25]

Sorry the photo is sideways. The side of the drawing labeled "L" is what we saw on the ultrasound, the "R" is the peyronies plaque .

Also I've had this concern for almost 3 years and it is not calcified and there is no permanent deformity when I'm hard still.  

[melting]

This is what leads to a lot of confusion with peyronies.  
Your made really good observations and good that you pressed your doc to get to the bottom of this. Great pic.

Now,.. Peyronies is often diagnosed with a lump that then gets hard/calcified and thus influences the erection(bend or hourglass). The lump, I think, is often an injury that, due to it's bad position inside the penis, stays inflamed and then is encapsulated/calcified by the body. It's basically a "foreign body".
That's what your doc painted as peyronies plaque.

But an injury/cut inside the penis could heal in a way that results in a "typical" scar that you find in other tissues or on your skin. The body will "strengthen" a collagenous tissue to "fix it". The fibers are stronger and less flexible than natural penis tissue.(smooth muscles, Tunica expand to a certain degree resulting in the natural penis erection shape)

Both cases can lead to the same Peyronies symptoms - Bend, hourglassed Penis. The tissue needs to be flexible to expand naturally. It can't cause of the inflexible tissue.

If you had this tissue on your skin you would use skin softening, scar dissolving cremes while trying to restore circulation to it(blood vessels can "grow" into healthy or soft tissue but not into hard scar tissue)

If you have no inflamed feeling in the penis, no soreness, that's good. You can now modulate/stretch the hard tissue while also making sure you get good circulation. So basically if you bend down, you use a device like an extender or a VED to carefully(!) bend it up over time(weeks, months,.. years)
Heat can help while doing that.

I personally am a big proponent of transdermals(signature). So you could apply a transdermal solution that softens/dissolves scar tissue.

What problems do you have right now, pain, inflamed? How is your health?

[Blue25]

So you're saying the side of the drawing that relates to me isn't peyronies Plaque but it's still able to cause some bends? My symptoms are occasional hourglassing when flaccid and also when passing a bowel movement. As I get hard it may or may not hourglass but it seems like it's not getting hard all the way. At full erection my penis hangs down. No big bends or dents when hard tho

[melting]

Yes, I think your doc is right. I understand your doc wont diagnose you with peyronies now.
But obviously the semantics here don't matter that much cause you still have "faulty tissue" in your penis that influences your erection quality.
You can be kinda glad that it's not a big calcified lump of faulty tissue but just some "dotted" scar tissue.

I read your posts. You have to keep doing what helps you and stop doing what doesn't.
Apart from getting the usual prescriptions and diagnostics your doc might not be able to help you any further. It doesn't sound to me like you need some drastic operation.

PF relaxed and balanced. Mind so too. Healthy blood(breath, move and eat healthy) That's the basics.

Now how to solve the faulty tissue.. Good circulation. Heat along with traction, VED can all help if you do it right(whatever that is for you). Note that traction and VED, can aggravate the PF.
Me personally I would everyday "bath" the sites were faulty tissue is in transdermals, especially vitamin C.(link in signature) to soften and "dissolve" the faulty tissue. If it's no big lumps transdermals could get rather easily to the spots.