Traction in semi-erect state?

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DariusG

Are you supposed to use a traction device (I have Andropeyronie) in a flaccid or in a semi-erect state?

If you use it in a semi-erect state, the glans becomes more engorged - will this help to improve blood flow to the glans of the penis during normal erections, and help to overcome a flaccid glans due to Peyronies during intercourse?

Thank you
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Benraycamp0

Strictly use traction in a flaccid state. Never when semi-erect or erect.
Traction during a flaccid state might help with soft glans over time if it being caused by plaques blocking bloodflow.
26 years old. 20 degree upward curve with slight clockwise twist. Symptoms onset Dec 20.
Dr. Levine says it's not Peyronie's Disease but a slow healing wound. Saw him Mar 21 and May 21.
Traction (PMP) and supplements per Dr. Levine's recommendation.

DariusG

Hey Ben, I appreciate the response. Is that a fact that it should not be used in the semi-erect state? I am just trying to understand for my own knowledge.

Also it looks like you said you have a slightly upward curvature and have possibly visited Dr. Levine. Do you have a current treatment plan to help the upward curvature?

That is the way mine is right now as well - the plaque is just on the border of the shaft and the glans.

Thank you!
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Benraycamp0

You really just want to avoid having any form of an erection while doing traction. A slightly semi erect penis is probably fine if it happens while doing traction, but if that is building to a full erection it is best to release tension on the traction device until the erection subsides. You definitely don't want to make it a goal to be partially or fully erect while doing traction.

Yep, Dr. Levine is my doctor! I do have a 20 degree upward curvature and slight clockwise twist. Dr. Levine doesn't believe my case is Peyronie's Disease, but some sort of slow healing wound. So he suggested basically leaving it alone. I'm seeing him again next week for a check up (even though he didn't think it was necessary lol).

He couldn't palpate any plaques or see any issue via ultrasound, but I am considering doing traction again a bit after my check up with him. Even if I bring down the curve 30-50%, I'd feel a bit better just because its probably safer for
sex. Definitely the best way to help with any curvature is traction via RestoreX or PMP - Dr. Levine prefers PMP since he likes low tension, long hours. But RestoreX is also a solid device and Dr. Trost has seen great results with it.

26 years old. 20 degree upward curve with slight clockwise twist. Symptoms onset Dec 20.
Dr. Levine says it's not Peyronie's Disease but a slow healing wound. Saw him Mar 21 and May 21.
Traction (PMP) and supplements per Dr. Levine's recommendation.

orriw

Sorry to crush this tread with another question, but you mentioned Slow healing wound Ben.
Maybe i have the same issue. What else did Dr. Levine tell you about it? I have a slow healing for maybe 2-3 years now in that case. It's hard to believe but if i have Peyronies Disease my case is not very symptomatic. Did he tell you what you can do to improve healing`?
26y, injured at 21 :/

Reinjured late 2019 when having sex with weak errection.
No curvature, but rotation of the base to the left about 30degrees
Main problem: chronic flaccid pain.

Trying different stuff now

Benraycamp0

@orriw:

He didn't mention much about it other than "slow healing wounds" should resolve with time. He believed the distinction with Peyronie's plaques and "slow healing wounds" is the former never goes away and is generally fairly severe disease. When I asked him whether a "slow healing wound" deformity will go away, he said he has seen it happen but it might not. But he didn't think in my case that I should see any worsening and the pain should completely subside (which it did for me).

From my conversation with Dr. Trost regarding Dr. Levine's diagnosis, he mentioned that in his clinic that he tries to make a similar distinction using subtypes of Peyronie's Disease. He mentions injury, genetic, and some combination of Erectile Dysfunction and age as the 3 main subtypes of Peyronies Disease (these are mentioned on his site). Genetic Peyronies Disease is what he considers "true Peyronie's Disease".  In Dr. Trost's experience, "true Peyronie's Disease" is quite severe and rare.

As far as what to do to improve healing, Dr. Levine had nothing much to say other than to take Vitaflux (basically a supplement, you can look up the ingredients). He said I can do traction to possibly help the deformity and gain length, but its completely up to me and not necessary considering my curvature isn't bad. I only hope that he's right that my condition won't become worse over time unless I somehow re-injure myself.
26 years old. 20 degree upward curve with slight clockwise twist. Symptoms onset Dec 20.
Dr. Levine says it's not Peyronie's Disease but a slow healing wound. Saw him Mar 21 and May 21.
Traction (PMP) and supplements per Dr. Levine's recommendation.

Anbil

Quote from: Benraycamp0 on May 17, 2021, 10:05:31 AM
@orriw:

He didn't mention much about it other than "slow healing wounds" should resolve with time. He believed the distinction with Peyronie's plaques and "slow healing wounds" is the former never goes away and is generally fairly severe disease. When I asked him whether a "slow healing wound" deformity will go away, he said he has seen it happen but it might not. But he didn't think in my case that I should see any worsening and the pain should completely subside (which it did for me).

From my conversation with Dr. Trost regarding Dr. Levine's diagnosis, he mentioned that in his clinic that he tries to make a similar distinction using subtypes of Peyronie's Disease. He mentions injury, genetic, and some combination of Erectile Dysfunction and age as the 3 main subtypes of Peyronies Disease (these are mentioned on his site). Genetic Peyronies Disease is what he considers "true Peyronie's Disease".  In Dr. Trost's experience, "true Peyronie's Disease" is quite severe and rare.

As far as what to do to improve healing, Dr. Levine had nothing much to say other than to take Vitaflux (basically a supplement, you can look up the ingredients). He said I can do traction to possibly help the deformity and gain length, but its completely up to me and not necessary considering my curvature isn't bad. I only hope that he's right that my condition won't become worse over time unless I somehow re-injure myself.

I'm in a similar situation I guess, minus having a good urologist. I'm not sure if I have a slow healing wound or peyronies.

It has all the features of early acute peyronies, did Dr Trost give you any advice on what to do to prevent a slow healing wound from becoming peyronies?
Onset of pain in March 2021
Progressed to loss of girth to dent under the glans left side

Been doing daily heat,traction,pentox,ved,cialis since initial onset of pain

Currently still experiencing pain and dent unchanged

cdub

Bump.

I'm curious about doing traction in the semi-erect state.  For me I've been getting myself sligtly erect before I attach my penis to the PMP glans chamber.  I feel that this filling out of my glans helps my penis sit better inside the chamber and I don't slip as much.  So is anyone doing this?  Is it common to get your penis in a slightly filled out state before traction?  Or is it best to do traction in the flaccid state only?  Do not fill out or semi erect the penis beforehand?  If one feels they need to do this then maybe they just need to readjust what size diaphragms they are using?  My problem is my flaccid is not very big and especially the glans is small I think.

I use the medium diaphragms and sluices along with a Split Adapter.  Maybe I should consider using the small size diaphragms and sluices with or without the Split Adapter instead?
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

FlatteningTheCurve

I have been told by several specialists that traction while erect, and presumably even semi-erect, increases the risk of tearing the tissue as it is more rigid and thus more prone to injury than flaccid state. So in order to avoid any unnecessary risks, I would only do traction while flaccid.

Sometimes during traction I find that it is difficult not to get an erection, but then I simply take a break and then get on with it when flaccid again. But that's just my take on it.
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

cdub

Thanks,

I'm still playing around with my PMP settings even after 4 months in!  I'm determined to keep going.  

What works for me is looking like 2-fold.  Either of the two options.

1. Work myself up to semi-erect or erect and attach the glans chamber.  Wait until the erection has gone down substantially or all but dissappeared.  Then start the stretch with the PMP.  In this case I'd be using the Yellow (medium) sluice & diaphragm along with the smaller split adapter.

OR

2. Use the Green (small) sluice & diaphragm along with the larger split adapter (more narrow diameter) and suck the glans in when completely flaccid.  Then proceed with the PMP stretch.

In both instances I would not be stretching in the erect or semi-erect state.  Mostly just typing this out for my own reference.  Thank you for your help!
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

Xavier99

For me I have almost 2 common flaccid penises.. one is almost shirinkage that's harder tissue and smaller.. the other is softer and hangs a bit lower. I'd say it's about a 50/50. Both measure totally differently as the softer is bigger.. are either of those ok to use in PMP?
35 yrs old
Onset 05/01/20 diagnosed 05/14/20. Taking Pentox, trental, multivitamin, Zoloft & Tylenol
Traction was painful and made it worse
Lateral plaque by glands 20 degrees left/ narrowing
Lost about 2cm length

cdub

Xavie99,

You should be able to use the PMP in either flaccid state.  You'll just have tool around with it and see what works for you (right size diaphragm/sluices w/ or w/o split adapters, stretch time, etc.).  For me I think the best for me is to get myself semi erect, that helps my glans fill out and then pull the glans into the chamber.  Put the screw into the end of the chamber and wait a minute or 2 for that semi erection to deflate then begin the stretch with PMP.  I just don't have a very large glans so entering the chamber in a flaccid state makes it hard for my penis to stay locked in during the stretch.  Otherwise, I find I slip too much even with the small diaphragm/sluice and an added split adapter.    
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