Would Peyronies definately always show up in a doppler/MRI?

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Asdf1234

Hi I'm just wondering if Peyronies would always show up even if it was in the stable phase? Like if it had flared up years ago would plaques or fibrosis alway show up in the scans? The reason why I'm asking is because the docs have told me no Peyronies from the scans but I keep thinking they are missing something
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Hawk

If I were in a contest to give the right answer my guess would be - Yes.  The stable or active phase has Little to do with whether plaque shows.  That is totally dependent on simply having enough plaque to register.  That would not require much plaque.  
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Asphyxia

What if i do an mri without getting a injection for erection?
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Hawk

Asphyxia, that depends on what they are looking for.  An erection is required to show blood flow and venous leakage on a color dopple.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Asdf1234

Well the mri was done without an induced election which I thought was strange. However they told me no Peyronies as there are no plaques. I've just got off the phone to the top professor in Ed and Peyronies in the uk and explained my symptoms. He told me it sounds like Peyronies and now wants to repeat mri and do an NPT test. Now after 2 years and 3 doctors telling me no Peyronies the top doc said it could be Peyronies. It doesn't make sense.
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postrocker

I will do a doppler with an induced erection next Monday.
Let's see...
37yo
Congenital curvature plus injury during sex - dec.2019
Curve to the left increase plus pain ~35degrees - nov.2020
Pentox (400mgx3) + Cialis (2.5mg/day) + supplements - dec.2020
Traction - jan.2021 onwards (curve now ~22/25degrees)

Asdf1234

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postrocker

Doc could not see a plaque, said I had a greater curvature than the one I have (probably because he only used half of the content of the injection). So, of course, my erection wasn't 100%. Probably a waste of money, I would say.
No priapism, erection ended in around 1,5-2 hours.
I plan to redo it, with a different doctor, in 2022.
37yo
Congenital curvature plus injury during sex - dec.2019
Curve to the left increase plus pain ~35degrees - nov.2020
Pentox (400mgx3) + Cialis (2.5mg/day) + supplements - dec.2020
Traction - jan.2021 onwards (curve now ~22/25degrees)

Bud luck

I got the doopler test and they didn't find anything. Meanwhile, I have a dent/narrowing/hinge on the left low part of my shaft, where the Trimix injection was injected 14 months ago. I'm been doing everything on the book to get rid of the problem and the  problem still there
My first symptoms started early in 2019
I tried Traction device, Pentofixiline, Q10, TRT, L-Argenine, cialis
I have narrowing/dent/hinge on the left side of my shaft
My ED is getting worse
Had a PRP shot Aug 2021
I have a girlfriend
Age 46

Juan

I think unless it's very very very clear, I mean very clear the injury, a standard radiologist will not see anything.
I did 4 doppler with standard radiologists and none of them saw nothing. Went to a specialist in penis and saw starting fibrosis etc.
39 yo. Onset Oct/20. 25º dorsal bend 1cm before glans + high erection angle.
Pentoxifiline 400x3. Tadalafil 2,5. Vit E, D3, K2. Zinc.Omega3. Ubiquinol. ALCAR.
Traction with PMP.

Asphyxia

My urologist says he wont prescribe anything without mri showing something, do you guys also depend on imaging results for prescriptions or do you get them regardless?
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Juan

By the time the doppler shows something will be late to start.
Go another uro that hear your symptoms.
39 yo. Onset Oct/20. 25º dorsal bend 1cm before glans + high erection angle.
Pentoxifiline 400x3. Tadalafil 2,5. Vit E, D3, K2. Zinc.Omega3. Ubiquinol. ALCAR.
Traction with PMP.

Asphyxia

What do you mean it will be late,  I thought peyronies can be tackled at any stage, unless calcified, or is a late stage less likely to heal?
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Tortão Pra Direita

I don't know.
But I know doppler is best done while the patient has an erection.
It's more difficult to "read" a doppler result if it was done in a soft penis.
This is why top peyronies specialists have the equipment to exam your penis in their own clinic. They induce an erection by injection and scan your penis.
1993 born. Brazil.
Peyronies since Sep 2019.
Penis developed curvature, lots of plaque, loss of size and axial rigidity. Severe peyronie.
Mar/21 TEP + Titan Touch 20 cm + 1.5 RTE.

Surgery done by Dr. Marco Tulio Cavalcanti, in São Paulo.

Hawk

Late does not mean it can't be treated but clearly, the sooner in the process you treat it the less damage is likely to occur.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Asphyxia

My urologist sent me for MRI without erection injection, im worried it will be a false negative and then urologists will rely on the MRI results more than on the symptoms i describe and i wont get prescriptions, they already deny peyronies almost completely merely because of my age
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Hawk

Did you push this concern with him?  Drs. are usually not too interested in what patients find on the internet but if you mention that you are aware of hundreds of men younger than you who have been diagnosed with Peyronies Disease by respected urologists recognized for their specialty in penile surgery and Peyronies Disease.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Asphyxia

Well, the urologist didnt even offer to do a thing because he couldnt feel a plaque, i even asked: if this is peyronies, what can possibly be done for fixing the curve, just to test him, he said nothing can be done, only reason i even got the MRI appointment was because i insisted, continued to insist to get pentox and i mentioned that im aware of the side effects, he said pentox wasnt originally made for peyronies, but we need to see first how things go with the mri, at this point i just gave up on trying to talk to him.
Decided to wait for MRI, realized that MRI might show false negative and then i thought, well thats the 3rd urologist that wont treat me whats the point of going to the 4th, now im reconsidering.

I just hope the MRI wont backfire on me with urologists pushing me out of the room by saying MRI is good  :o
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Tobyg

I have 2 fibroses, and they don't show up on the Doppler ultrasound. that study is useless. there is one called elastography, it is expensive I did not
32 years,injured at 25.
Slight curve, narrowing and retraction in flaccid and semi-erect.
Loss of sensitivity due to peyronie and circumcision  moderate erectile dysfunction, pain.
I improved the pelvic floor with kinesiology.
Frequent urination.

Hawk

A Doppler Ultrasound is definitely NOT worthless.  It IS effective in seeing plaque and tracking blood flow and venous leak if done properly
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Tobyg

My last 4 ultrasounds were done in 2 different places with good professionals and it shows that my penis works correctly and has nothing, and my penis is deformed, it is erect badly, I have 2 hardened areas (where I had fibrosis), etc.
the ultrasound will be effective for something else, for Peyronie I'm 100% sure not.
32 years,injured at 25.
Slight curve, narrowing and retraction in flaccid and semi-erect.
Loss of sensitivity due to peyronie and circumcision  moderate erectile dysfunction, pain.
I improved the pelvic floor with kinesiology.
Frequent urination.

Hawk

How do you explain the hundreds of men here who had Dopplers that found Peyronies Disease plaque?
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Asphyxia

How do you explain having peyronies symptoms yet imaging finds nothing, even after multiple attempts?
Age:23. Onset of symptoms: september 2020.
Curve mostly semi erect about 60 degrees, slight pain
Tried short & prolonged fasts, keto,carnivore, traction and most of the supplements.
Severe digestive issues, probably an autoimmune disorder

Tobyg

I never said that the Doppler couldn't find plaque on the penis.
it is ineffective and unnecessary for 2 reasons:
1) As he said "Asphyxia", your penis can malfunction, and the ultrasound does not find plaque, (my first ultrasounds did show plaques), it means that the technology does not provide all the information about this disease, that's why I say that perhaps the "elastography" give that information, I do not know.
2) what is the use of having ultrasounds? If you have plaque ... there is no cure, if it does not show plaque and your penis malfunctions it is not credible.

It only serves to make you bitter about the diagnosis.
it's only a business for doctors
32 years,injured at 25.
Slight curve, narrowing and retraction in flaccid and semi-erect.
Loss of sensitivity due to peyronie and circumcision  moderate erectile dysfunction, pain.
I improved the pelvic floor with kinesiology.
Frequent urination.

Kickler

Tobyg, have you considered that for some people a proper diagnosis is important to see whats going on?? like, you want to observe the development over time, see how things are progressing. whats the point of having tests to find out about cancer?? yolo right
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Asdf1234

I've had 2 dopplers and a flaccid MRI. I spoke to Professor Ralph who is apparently the best in the uk for Erectile Dysfunction and Peyronies disease. He has told me nothing has been found and the mri was unremarkable. He said if I had Peyronies then the mri would have picked it up however small the plaque was. I have asked to do another one with induced erecrion and getting it start of next month. I told him as soon as I stand up the blood just leaves my penis and it just goes soft instantly and he doesn't have a medical explanation for that. He said my Doppler showed good venous occlusion so it's not a leak and venous leak is very rare for anyone to get that unless they had from start. It has been put down as psychological Erectile Dysfunction and I'm now at a sexual therapist. Countless doctors have told me I have nothing physically wrong with me and if I did then something would have shown either from examination or scans but I keep pushing on.
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Tobyg

kickler: yes, to diagnose it can be useful, if plaque is found, although I was diagnosed before the ultrasound, just by doctor's review. So for development it doesn't make sense, at least for Peyronie, I did 10 ultrasounds, for what? to tell me that I am cured when I still have the same symptoms.
I don't know about cancer.

Asdf1234: I have been told that circumcision has many benefits and ruined my functioning and sensitivity (I have information on this). I also heard that about the psychological problem many times, to get rid of the problem because they don't know how to solve anything.
32 years,injured at 25.
Slight curve, narrowing and retraction in flaccid and semi-erect.
Loss of sensitivity due to peyronie and circumcision  moderate erectile dysfunction, pain.
I improved the pelvic floor with kinesiology.
Frequent urination.