Can Normal-healing Micro-Trauma Cause Deformity?

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Benraycamp0

@Hawk:

What is the explanation that microtrauma or a non-obvious injury cannot develop a normal healing scar that creates deformity?
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.

Hawk

It if was a "micro" trauma and developed normal healing, it would develop a "micro" scar which would cause no detectable deformity because of the sheer insignificance in volume/size
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

Benraycamp0

@Hawk:

But then we have quite a few men here who do report a signficant, one-time sex injury where pain is felt. Some of these men develop significant deformity which would naturally point to Peyronie's Disease. But that contradicts the point you made: "If you did not have a serious obvious injury, you have Peyronies Disease Plaque, fibrosis, scar tissue".

These men did have an obvious injury, so how can you tell that it wasn't "normal scar tissue", in response to the obvious injury, that created the deformity as opposed to "Peyronie's scarring"? Or do we consider those injuries with pain as insignificant injuries?

Or what I misunderstanding here?

Thanks!
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.

Wilson

Benraycamp0, Hi friend, I fed up to search a right peyronie specialist. Could you describe me a bit about Dr Levine. Is he a good peyronie specialist? What he says related to peyronie - is it treatable or we stuck forever? Is there a point to arrive to his office in order to see him from my backward country, is it worth it? And, what do you think about the positive reviews in medical websites related to him, is it true or not? Apologize for too much curious questions. Sincerely.
Young and regularly thinking about this issue
Peyronie's without curvature since April 2012 due to injury
Almost constant discomfort and Loss of penile sensation
Still fighting - trying to find a top famous specialist

Benraycamp0

@Wilson:

Dr. Levine is certainly one of the best for Peyronie's Disease and Erectile Dysfunction. I think it is unanimous that Peyronie's Disease is a treatable condition, and he takes a relatively aggressive approach early on to prevent worsening (his famous 3-prong approach uses oral therapies, traction, and verapamil injections).

Everyone's situation is different - it's really hard for me to say whether you should try to see him. I know it probably will be costly in your case, but if you do decide to come to the states to see a doctor, you couldn't do better than Dr. Levine. His experience is unmatched for Peyronies Disease and ED. I would personally give him and his team a 10/10 for making my entire visit feel thorough, comfortable and informative.  
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.

Wilson

Benraycamp0, Many Thanks. Exactly, there is almost 2022 year around, not 1906 and such top doctors like a Levine should know the good treatment against this Demon's disorder. I hope, that he knows his business. Sincerely.
Young and regularly thinking about this issue
Peyronie's without curvature since April 2012 due to injury
Almost constant discomfort and Loss of penile sensation
Still fighting - trying to find a top famous specialist

Hawk

Quote from: benraycamp0 on May 17, 2021, 04:08:53 PM
Hawk- But then we have quite a few men here who report a significant, one-time sex injury where the pain is felt. Some of these men develop significant deformities, which would naturally point to Peyronie's Disease. But that contradicts the point you made: "If you did not have a serious obvious injury, you have Peyronies Disease Plaque, fibrosis, scar tissue."

These men did have an obvious injury, so how can you tell that it wasn't "normal scar tissue" in response to the obvious injury that created the deformity instead of "Peyronie's scarring"? Or do we consider those injuries with pain as insignificant injuries?

Or what do I misunderstand here?

One or both of us are misunderstanding each other.  
1. If men have an obvious injury, they will form scar tissue that could cause some deformity even in normal healing.  If it triggers Peyronies Disease, they could experience even greater progressive deformity.

2. Men who never have a hint of injury sometimes develop deformity (most of us).  That canNOT result from normal wound healing since they had no significant wound to heal.

There is nothing contradictory in those two statements.  It is pretty straightforward.
They have to have scar tissue over-running normal tissue.  They have some form of hypertrophic scarring.  Hypertrophic scarring in the penis without a significant injury is usually, if not always, 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

Benraycamp0

Sorry for the topic stealing. I'll be very mindful of that from now on.

Apologies, I guess I'm still missing something even though it is straightforward for you.

On your point 1, given an obvious injury and deformity, how can a doctor know whether it is normal scar tissue or Peyronie's Disease? Would palpable plaque be an indicator? But then there are cases where palpable plaque isn't always present in Peyronies Disease, so how else can one know?
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.

Hawk

I think we pretty much covered that this evening. I will let you summarize  :)  
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

Anbil

Quote from: Hawk on May 17, 2021, 06:29:45 PM
One or both of us are misunderstanding each other.  
1. If men have an obvious injury, they will form scar tissue that could cause some deformity even in normal healing.  If it triggers Peyronies Disease, they could experience even greater progressive deformity.

2. Men who never have a hint of injury sometimes develop deformity (most of us).  That canNOT result from normal wound healing since they had no significant wound to heal.

There is nothing contradictory in those two statements.  It is pretty straightforward.
They have to have scar tissue over-running normal tissue.  They have some form of hypertrophic scarring.  Hypertrophic scarring in the penis without a significant injury is usually, if not always, Peyronies Disease.

I recently had a new injury that went from pain to itching to nothing within 2 weeks. This seems to be normal healthy tunica healing. However the area feels thinner, would this be constituted as normal healing Hawk?  
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

Sebtp1973

Thought I read peyronies is thought to occur in many older men due to their erections becoming less stiff, so the penis can buckle during intercourse, leading to inflammation and scaring.  
57 yrs old.
Pre-Trost treatment, 110 composite curve (75 up, 35 left)
Post-Trost xiaflex treatment, 0-15 degree curve.