Corporal Fibrosis and Dorsal Artery/Vien Compression

[lasko66]

Hello,

I'm hoping I can explain my situation thoroughly and get some help here..


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I've gone through 2 ultrasound tests with 2 different doctors who are totally independent of each other.

One of them concluded that I have mild presence of scarring that shouldn't affect my erection abilities. Recommended daily Cialis and psychological rehabilitation. I tried this for 90 days with minimal results.

The other concluded that I have moderate presence specifically in the crus and distal area of the shaft. Recommended I cease TRT and do combination therapy of shockwave/PRP. I have not invested in this solution yet for several reasons.

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Now that I've described what information the professionals have given me, I want to provide my own observations from personal troubleshooting methods.

When I use VED, the second half of my shaft has a very hard time inflating. Though I CAN achieve engorgement after several repetitions, it takes far longer for the distal portion to fill out than the rest.

During full engorgement via VED, I am able to feel the sexual sensation that I felt in the past before my erection problems began. I am ONLY able to feel that sensation when I use VED. (this sensation gives me hope)

Immediately after I pump, I observe my dorsal vein. The vein is very noticeable in the proximal and mid-shaft, but seems to disappear in the distal shaft. This is very telling in my opinion.

I admit that my masterbation techniques in the past were very unhealthy, and funny enough, the technique involved me violently gripping the distal portion of my shaft and a "tugging" action rather than a "stroking" action. I also never used lube.

With this evidence, I'm very suspicious that my root cause is going to be related to dorsal artery/vein damage in the distal shaft. Likely they are compressed, closed off, or simply damaged from physical force.

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Now I am working on my solution. I have a supplementation plan:

L-Arginine 3g Daily
CoQ10 300mg Daily
Cialis 2.5mg Dailiy
Propolis 1g daily

Fasting cycle:
2 days - 22hr fast, 2hr feed window
3 days - 16hr fast, 8hr feed window
1 day - regular refeeding
1.5 days - fasted
1 day - regular refeeding
repeat

I am also working on physical manipulation by massaging the borders of the dorsal area in an attempt to 're-open' the vessels.

Keep in mind, my ultrasounds were done under the influence of trimix so the erection issue was not exactly observable...

Is it possible to fix such vascular issues with physical manipulation along with supplementation?

Should I try to pursue penile re-vascularization surgery..?

Does my approach even make sense?

Does anyone else experience Dorsal Vessel problems?

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Hoping this isn't a mess to read,
Thanks in advance!

[lasko66]

I also want to include data from my latest visit. To me it is strange that the left side has significantly less vessel performance than the right side as highlighted by "Left Peak Systolic Velocity"

Nerve Testing: QST

QST Results:
Finger - Vibration: 5; Cold: 20; Heat:34
Glans - Vibration: 7; Cold: 11; Heat:40
R Shaft - Vibration: 4; Cold: 12; Heat:40
L Shaft; Vibration: 5; Cold: 17; Heat:40
QST:abnormal

Duplex Doppler ultrasonography was performed during pharmacologicerection.
Patient was injected with: Bimix, 30-5 20 units
Erection score: erection 4 out of 4
ShaftFibrosis: proximal moderate ; mid-shaft mild ; distal moderate
Right Crus Fibrosis: moderate
Left Crus Fibrosis: moderate
Thickness: dorsal tunical .15 mm; ventral tunical .14 mm; septal .10 mm;
Right Cavernosal Artery: cavernosalartery diameter .11
Left Cavernosal Artery: cavernosalartery diameter .12
Right Peak Systolic Velocity - Value 1: 78 cm/sec ; Value 2: 76.51 cm/sec
Left Peak Systolic Velocity - Value 1: 30.70 cm/sec ; Value 2: 23.32 cm/sec ; Value 3: 24.40 cm/sec

Intracavernosal phenylephrine was needed to achieve detumescense 1 times; Physical stimulation was performed. He achieved an erection that was better than at home. This hemodynamic test revealed normal Gray scale findings including erectile tissue inhomogeneity. This test also revealed normal duplex Doppler findings, with normal peak systolic velocity values and normal end diastolic velocity values. In summary, this test was normal and consistent with normal cavernosalartery function and abnormal erectile tissue inhomogeneity.

[Mikel7]

After reading your posting I would first recommend to never again do any kind of rough masturbation and always use some kind of lubrication. For considering surgery I would say postpone it for a while and try some non invasive things first. You say that with VED you could achieve an erection but that your penis filled in differently. Have you done any preliminary measurements of your penis? Getting a baseline is helpful if in the future you have any changes in size/length. Exercise is an excellent thing you can do that will benefit you in many ways.  The supplements you are using could also help out. The one thing you need to remember with peyronies is that this is a marathon and not a sprint.