Update from UK

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UI89

Hi,

Just providing an update on my condition and some of the advice from the NHS - maybe this will be useful to other Brits out there as there seems to be a big difference between UK and US treatments... for example....

Today I saw my Uro in person. (Original diagnosis was over phone/photos). He examined and me and confirmed the inevitable.

I had a urine test and he looked at a blood test I had in 2018 and there were no strange sugar levels in either - we discussed the diabetes link. There is also no history of Diabetes in my family.

Pentox is not prescribed on the NHS.
Neither is low dose Cialis for daily use - instead I got a generic Viagra prescription for 4 pills (I believe).

He seemed knowledgeable - I discussed every point on the Survival guide - and he had an answer for all of them.... I think it just comes down to the fact that the NHS don't want to prescribe something that has not been hugely tested??

To be honest, this was what I had expected.

I was given a leaflet which suggested both VED and Traction in the initial stages - but again, no prescription for these unfortunately.

I am on week 3 of VED (SomaCorect - 3 Cylinder etc...) and I have noticed some positive changes so far.
My foreskin, which was previously very tight, can now be retracted when 'erect', this is a bonus.
Ironically my flaccid state is bigger, girthier etc... but my erect state is still 60-70% of what it was (in terms of rigidity and angle)... with hourglassing and a curve at the glands to the left.
I've got photos and will keep a log of course.

I am also doing daily manual traction, sometimes twice a day, with rice sock.

My main focus right now is removing the hourglassing and hopefully ending up with a bit more of a 'solid' erection.
Length would be nice, but I'm trying to stay realistic about that returning!

If anyone would like a copy of the NHS leaflet, I can scan it in and upload here....

Somehow I feel there is more to this disease (in my personal case) than my doctors know so far... blood/urine tests have been inconclusive but I don't feel this is just down to 'trauma'.
I'm trying my best to reduce sugar.

Any thoughts on NHS experiences or UK specialists - I'm open to hearing!
Thanks
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

markdubby

hi i'm in the uk as well and you can find generic brand tadalafil online! its been helping quite a lot, giving me NTE s and erections in the morning. i use traction as well and am starting to see some slight reductions in curvature!
30, ~20-30 degrees right bend beginning of 02/2021. Small plaque under gland on right side of the shaft
04/21 Plaque right side under glans
07/21 plaque by base
10 deg curvature at base + narrowing
1.8 g Citrulline 2-3 g ALCAR, 6-8h daily with PM

UI89

Thanks MarkDubby,
Do you mind sharing a link?
Also are you taking them every day or just when you need to?
Cheers!
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

markdubby

https://www.medexpress.co.uk/

i'm taking 2.5 mg daily (split a 5 mg pill in half). i recently hurt my knee, plan to stop taking them when i can get back to training (running etc) which should get my circulation going strong again
30, ~20-30 degrees right bend beginning of 02/2021. Small plaque under gland on right side of the shaft
04/21 Plaque right side under glans
07/21 plaque by base
10 deg curvature at base + narrowing
1.8 g Citrulline 2-3 g ALCAR, 6-8h daily with PM

sky43diver

My doctor writes a private prescription for 2 months of Tadalafil and I only pay £16. Worth asking your GP. My experience with my NHS urologist was you've got Peyronies and there is nothing you can do about it, which is extremely naive. If he had told me at the time to start VED and traction, I am positive that my bend would not have been so bad.
Fortunately I was able to go private and see an expert in peyronies.
55 years old 5 months post op LUE procedure with Prof Ralph in London to fix 90 degree bend to left. Currently doing Traction and VED to gain back 2 inches lost in length, which is going well. Taking daily Cialis and having great erections and sex.

UI89

Thanks for the replies!

MarkDubby- how have you found taking 2.5mg every day? and do you mind me asking how much you would run normally? I'm doing somewhere between 10-20km a week, or trying to anyway!

Sky43diver - who did you end up seeing privately if you don't mind me asking?

Did either of you have an ultrasound (on NHS or otherwise...) is there any point in it? that is my next appointment...

Thanks again,
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

markdubby

it's fine, i usually take it at night. if im having a few drinks i might skip a dose due to low blood pressure. if i'm working from home all week i might up the dose to 5 mg. i wake up with strong erections and these are really good as they help blood flow to the penis and remodelling the scar tissues in your sleep. i dont have any erectile disfunction yet.

you should look into getting a penimaster pro however, i think its the main treatment that makes a change
30, ~20-30 degrees right bend beginning of 02/2021. Small plaque under gland on right side of the shaft
04/21 Plaque right side under glans
07/21 plaque by base
10 deg curvature at base + narrowing
1.8 g Citrulline 2-3 g ALCAR, 6-8h daily with PM

UI89

Cheers! I guess with lockdown, now is a good time for traction over many hours....
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

sky43diver

I saw Professor David Ralph in Harley Street London. Was fortunate to be covered by insurance.
55 years old 5 months post op LUE procedure with Prof Ralph in London to fix 90 degree bend to left. Currently doing Traction and VED to gain back 2 inches lost in length, which is going well. Taking daily Cialis and having great erections and sex.

Eric_C

Hi Chaps,

Another UK guy here. I've just booked an appointment with Dr Christopher Anderson, apparently he was on some UK TV medical show (embarrassing bodies?) - never watched it myself, but my GP recommended him to me, he's local.

I've just started suffering with increased indentations on either side of my shaft where before they were minimal. I have had periods of low sex drive recently, so no sex or masturbation etc due to a relationship ending abruptly and sending me on a bit of a downwards emotional roller-coaster for a couple of months. In my opinion, the increased time in a flaccid state may have allowed this worsening to occur. My sleep hasn't been that great and I've not been taking tadalafil regularly so there could be an ED connection here too.

The indentations are the worse they've ever looked hence why I got on the case of a doctors appointment tout suite.

UI89 - I tried everywhere to get Pentox but no-one would prescribe it to me in the UK, so I eventually gave up. There was also a type of gel but it's only available in America, and they outright refused to send me any. I have heard of a Verapamil (sp?) gel - I think I will start to make inquiries about getting some of that. I had an ultrasound whilst flaccid in 2019 but it didn't show jack. everything appeared normal but I without a shadow of a doubt had Peyronie's.

Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

Hawk

Quote from: Eric_C on March 23, 2021, 08:39:56 AM
There was also a type of gel, but it's only available in America, and they outright refused to send me any. I have heard of a Verapamil (sp?) gel - I think I will start to make inquiries about getting some of that.

Topical Verapamil has been long established to be worthless and a gross waste of money.  It was a hot topic over a decade ago.  It was often administered through iontophoresis. Studies showed the same slight improvement with iontophoresis with or without the Verapamil.  Patients were given topical Verapamil for about 10 days before surgery. Analysis of penile tissue showed NO penetration of the Verapamil into the tissue.
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

Eric_C

Quote from: Hawk on March 23, 2021, 11:47:40 AM
Topical Verapamil has been long established to be worthless and a grange waste of money.  It was a hot topic over a decade ago.  It was often administered through iontophoresis.  studies showed the same slight improvement with iontophoresis with or without the Verapamil.  Patients prior to surgery were given topical Verapamil for about 10 days prior to surgery,  Analysis of penile tissue showed NO penetration of the Verapamil into the tissue.

Ah, I see. Thanks for that. That's a shame. It was a good while ago that I researched the more recent American gel - I can't remember what its name was, but there will be a fair bit about it on this site if anyone is interested.  
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

UI89

Hey Eric_C

Yup no chance of Pentox in the UK I feel... unless someone has a private hook-up.

I got Tadalafil easily from the Link Mark posted above.
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

Eric_C

Hi UI89,

Yes it's frustrating isn't it. Ironic, since the Depuyter's UK board do prescribe/endorse it i think (Depuyter's is a related condition). Very frustrating. I would have liked to have at least given it a go. I do know of people in the UK who managed to obtain a prescription for it. They felt that it didn't really help them and they became immuno-suppressed - which certainly would not be advantageous in today's climate with the viral pandemic.  
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

markdubby

the penimaster pro is helping me more than anything at the moment i think. i would reccomend it. i only got a new phone last week so dont have a proper report on curvature improvement yet, but i definitely gained girth, erection quality and i think recovered some of the length lost.
30, ~20-30 degrees right bend beginning of 02/2021. Small plaque under gland on right side of the shaft
04/21 Plaque right side under glans
07/21 plaque by base
10 deg curvature at base + narrowing
1.8 g Citrulline 2-3 g ALCAR, 6-8h daily with PM

UI89

Hey Mark,

PMP is next on my shopping list actually... waiting for pay day.
How do you find wearing it under your clothes? hoping to make use of all this time working from home to get the hours in.

Cheers
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

markdubby

you get used to it, luckily living alone and working from home i am just wearing it naked half the time. i never leave the house with it on.

theres a bit of a learning curve to using it and putting it on properly but i almost dont notice it anymore!
30, ~20-30 degrees right bend beginning of 02/2021. Small plaque under gland on right side of the shaft
04/21 Plaque right side under glans
07/21 plaque by base
10 deg curvature at base + narrowing
1.8 g Citrulline 2-3 g ALCAR, 6-8h daily with PM

UI89

Fair play, I think my housemate would be alarmed if he saw me in that haha.
Hoping it will be easy to wear under baggy clothes.
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

Eric_C

I would definitely like to try traction at some point, but my tissues don't feel robust enough for it right now. They didn't respond to VED well, and i doubt they would respond to traction too well at the moment either.  
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

Bobinlondon

Hi Uk People,

Bob here.  I have been on the forum for quite a while and tried most things.  Unfortunately without much success.  Am now thinking about a Nesbit or an implant once Coronavirus makes operations possible again.  Currently attending UCH under Dr A N Christopher.

Info.  The cheapest viagra and cialis I found were at https://www.menschem.co.uk/  You used to be able to get extra discount with codes GIVEME10 and GIVEME15.  I don't know if they still work but worth trying.  (not sure about capitalisation)

I have a source for Pentox that you can get in the UK so if interested send me a direct message.

I might sell my Restorex and VED as they have not worked for me but not sure yet.

Lets see if we can help each other over here.

Best wishes, Bob



69 yrs old
Peyronies Disease + ED for 6 years. 90-degree sideways bend
Tried VED, diets, Pentox, Restorex plus electrical stimulation, DMSO without success, 
In a long-term relationship. 
Implant by Dr Christopher 22cm Titan July 2022 no RTEs.

UI89

Hey Bob,

Sorry to hear you are not having much success.
Thanks for the link - good to know!

Cheers
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

Eric_C

Hi Bob,

Sorry to hear you're not having much luck, me either really at this stage. I was mild, but now it's getting worse.

I'm looking into traction, if I decide I like the Restorex, I'll drop you a message.

Cheers.
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

Mr man

Some of you guys above have mentioned how difficult it is to obtain Pentoxyfilline. I posted a request for a supplier in this site. A kindly member replied.

Have ordered, and have to say the product and service is excellent. Here is the link.

https://goldpharma.cn/
Latest routine. Started l-lysine 3mg daily, l-proline 5mg daily. Increased vit c intake. Accompanied with almost daily vacuum therapy. Pumping to 100% Exercise caution! Made good progress. L arginine supplements and prescribed potaba are helping.

omgpleaseno

To all those who have said that Pentox and Cailis aren't available on an NHS prescription for Peyronies, I suggest that you change your GP. I had a conversation with my GP, following me seeing a Urologist (privately) and now have these two drugs on repeat prescription. I do have diabetes though, whether that is a criteria for prescribing?
Aged 50, Type 1 diabetic
Upward bend (>40 deg) in my erect penis about an inch before the head since Jan '21 (very rapid onset).
Diagnosed Apr '21
Taking Pentox (400mg TDS) and Cialis (5mg daily) from Apr '21
Ubiquinol, L-Arinine, L-Carnitine

UI89

Next Update,
I had another appointment with my Urologist - 3 months on.
Unfortunately I have not been able to get an ultrasound on the NHS yet - presumably due to Covid etc...

In the past 3 months, unfortunately things have got worse.
I now have a ~30 degree curve upwards - with a dent just below the glans on the left, which is not filling out at all.
- Curve at glans pointing left has stayed fairly constant - ~30 degrees left.

I have upped my Cialis intake to 5mg per day, I feel this has helped girth a bit, but on length - I am still down 1" or so.

Urologist basically asked what I wanted to do and said we could talk through surgery options. As I still feel I am relatively early on into this disease, I am planning on re-assessing in 6 months and seeing what state I am in then (with appointment with uro then).

I have been using PMP belt every day - work in education - so can barely get away with this (Long shirts etc...) - but not sure the belt is really helping me that much, the device seems much more extreme in terms of pressure.

I went for my first run in months yesterday and when I got back I had an ache/pulsation(?) in my penis which lasted a few hours - occasional shooting 'pain' but nothing awful.
Has anyone had this?? Good or Bad?

Thanks!





31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

JamieKer56


Hi All,

I've just read this thread.

I'm also in the UK and have experienced some of the same issues and experiences.

I wander if we could start off a thread for Peyronies People in the UK (if that's allowed).

It might be helpful for everyone.

Just a thought

Jamie
Age 56. First noticed Peyronies Disease Oct 20.
Referred to specialist Feb21; first appointment April 21. Have mid-shaft hour glass pinching. Have pronounced bend to right plus downwards.
Currently using VED. No medication as not prescribed by urologist

RichardWilson99

The point of the forum is for free flowing information across all barriers.  I don't see any reason for just UK people to discuss all peyronies related things.  I could see posting about doctors/insurance related things pertaining specifically to the UK.  However, let's not fragment this forum because of geography :)

31/Single
Injury Nov 2019, bend 15deg, loss of erections, dent and hard-flaccid
VED, cialis 5mg on/off
EQ medium (with pills), no NTE.  Lost 1+ inches length, lots in girth. Some loss of sensation. Considering implant to restore full sexual function

sky43diver

Totally agree, I have learnt most from across the pond. Many thanks US friends.
55 years old 5 months post op LUE procedure with Prof Ralph in London to fix 90 degree bend to left. Currently doing Traction and VED to gain back 2 inches lost in length, which is going well. Taking daily Cialis and having great erections and sex.

Nolte94

Quote from: JamieKer56 on July 02, 2021, 02:42:04 PM
Hi All,

I've just read this thread.

I'm also in the UK and have experienced some of the same issues and experiences.

I wander if we could start off a thread for Peyronies People in the UK (if that's allowed).

It might be helpful for everyone.

Just a thought

Jamie

This idea is as selfish as the Brexit.
26 years old, first symptoms since August 2020, 45° bend to the left, hinge effect and pain at the beginning
‐---
Daily Tadalafil
Traction with PMP
VED with one cylinder
Acetyl-L-Carnitine, Tensiologes, Coq10 and healthy food
----
Only 5-10° left 🥳

GaussRifle

Hahahahah.... shots fired.
26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.

cdub

Your politics aren't needed on the forum Nolte94.
Age: 43
Large Indentation 3/16/20, lead to Penile Microfracture on 6/26/21.  Still suffering from large indentation, some wasting on other side of penis and large nodule when erect in center of penis (dorsal). Penis is straight & erections are good

Pfract

Quote
The point of the forum is for free flowing information across all barriers.  I don't see any reason for just UK people to discuss all peyronies related things.  I could see posting about doctors/insurance related things pertaining specifically to the UK.  However, let's not fragment this forum because of geography :)

I second Richard's opinion! Keep it funny, but keep it civil guys.

UI89

Just getting back to Peyronies - went on another run last night and had the same tingling/ache - anybody else had this before ?
I'm wondering if it is to do with 5mg Cialis intake?
Running about 10km/6miles

Cheers
31 yrs old- physically fit, eat healthy
Sep 2017, notice occasional painful erection.
Jun 2020, Notice a small hard lump near base
Jan 2021, 20% curve & Hourglassing at base
Scheduled for Ultrasound,
On S.Guide supplements + VED + Manual Traction

Nolte94

Quote from: UI89 on July 05, 2021, 10:33:09 AM
Just getting back to Peyronies - went on another run last night and had the same tingling/ache - anybody else had this before ?
I'm wondering if it is to do with 5mg Cialis intake?
Running about 10km/6miles

Cheers

I've experienced this feeling after sport, too (for example riding with my mountainbike, total body workouts and running). But my curvature has improved since I do PTT, taking Tadalafil and doing more sport and pain has gone away.
26 years old, first symptoms since August 2020, 45° bend to the left, hinge effect and pain at the beginning
‐---
Daily Tadalafil
Traction with PMP
VED with one cylinder
Acetyl-L-Carnitine, Tensiologes, Coq10 and healthy food
----
Only 5-10° left 🥳

Eric_C

Quote from: RichardWilson99 on July 03, 2021, 03:14:36 AM
The point of the forum is for free flowing information across all barriers.  I don't see any reason for just UK people to discuss all peyronies related things.  I could see posting about doctors/insurance related things pertaining specifically to the UK.  However, let's not fragment this forum because of geography :)

As grateful as we all are for the existence of this forum, it is unfortunately a reality that a lot of things are different for you over there. We don't have the same medical system, often drugs, services and terms use different names. There are many differences.

Geographic Sub-forums might not be a bad idea. Might help encourage peer support too. I know I feel damn alone with this condition and suffer in silence.  
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps

jj21

I use to get pain from running - it was my penis moving in awkward positions (up n down) which would flare up the pain from peyronies.

Cialis daily was great for my ED and NTE - no idea why its not prescribed in the UK - there is also a generic version available which makes it much cheaper. Before generic I use to buy it off the net - I found sometimes you will get a batch that is a bit under-dosed. The study on Cialis in regards to peyronies I believe was 5mg per day which suggested it could reverse peyronies (don't quote me on that I read it a while ago).

I also had an undiagosed hernia which use to cause pain in my scrotum and strangely enough it was very close to where my dent was so after running n doing weights I would feel that pain too.

Hope that helps anyone.  
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

FlatteningTheCurve

Hi all,

I've been living in the UK since early 2021.

About Cialis - I have seen people at London Andrology and one of their Peyronies Disease specialists helped me get referred to him through the NHS. They prescribed Cialis to me straight away, think I pay £10 for roughly six weeks supply. No idea why it is not prescribed throughout the NHS.

That said, before seeing London Andology outside the NHS, I was referred to a specialist through the NHS by my GP. That guy basically said the same things as was initially shared on this thread 'you've got Peyronies Disease, nothing we can do about it'. No prescriptions, no surgery, nothing. So maybe it varies between urologists?
Early 30s, diagnosed with Peyronies in 2017 after trauma during sex. ca 15 degrees upward curvature. Restorex, VED, 5mg Cialis, Pentox, L-arginine, Coq10, Propolis, Vitamin E. Underwent 12 rounds of Verapamil injections 2021-22

jj21

Remember the general consensus here has been that a lot of Urologists do not want to deal with peyronies disease. They rush you out of the office.

My first urologist just told me there nothing you can do about it and quickly rushed me out of the office.

Second one specialised in transgender surgery - he prescribed me Pentox and cialis daily and did the ultrasound and recommended the VED.

Third urologist specialised in peyronies and started ESWT and was actually interested in healing the disease.

** my mistake in my comment above I meant to say the Cialis study showed 6 months usage may reverse FIBROSIS not PEYRONIEs - MY ERROR.  
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Eric_C

Guys, there's a bit of confusion here, but thank you for sharing your experiences. It's frustrating isn't it how people don't want to deal with this condition they just want you out.

It's Pentox that's hard to get in the UK. I was refused it by an uneducated uro who clearly had not kept abreast of developments in the Peyronies Disease world. When I finally managed to get a Pentox script I feared taking it due to covid and people reporting more colds on Pentox.  
Age: 40
Intermittent Hard-Flaccid
Peyronies Disease since April '19
Was hourglass only for 2 years, but now slight bend to the right.
ED seems getting worse. Intermittent Cialis helps