Peyronies disease with no palpable plaque

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Lostand Looking24

I would like to know more about peyronies disease with no palpable plaque whatsoever. My penis feels identical on both sides when flaccid and semi-erect. When im fully erect the curved/indented spot is actually softer than the rest of my erection, rather than more firm or like a plaque.

Are there other guys like this?

I've been told different things by doctors, one being that the plaque is still new (it's been almost a year now since this onset, so I'm doubtful of that), another being the plaque is very tiny, but I also am doubtful that such a small plaque could cause curvature and indentation, and another being that the plaque could be in the deeper layers than normal.

I've also had a flaccid ultrasound which showed extremely healthy tissue. Of course flaccid ultrasounds aren't good for finding plaque, but the overall tissue is extremely healthy I was told.
 
23
Symptoms at 22
Diagnosed
Curve to the right that fluctuates between 20-30 degrees and indentation. Indent is exactly where the curve is.

Sonic

I've been to two different urologists in my country who specializes in Peyronies sugery and both told me I have no palpable plaque but I was still diagnosed due to my narrowing on the right side.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

Lostand Looking24

Quote from: Sonic on March 15, 2024, 11:07:31 AMboth told me I have no palpable plaque but I was still diagnosed due to my narrowing on the right side.

What do you think causes the curve in cases like mine and yours? To me plaque causing the curve makes perfect sense, but if nothing is palpable, why is it curving? What is there that that is stubborn enough to not expand, causing the healthy tissue to be forced to curve around it?

Sure a non-congenital curve like mine and yours with no palpable plaque would be called peyronies disease. But putting the term peyronies to the side, what is the physical, literal thing that causes the curve if it isn't a plaque/scarring that is significant enough to be felt?

Even if there is a small plaque, small enough that it is not palpable, how would that cause a 20+ degree curve? Mine is also 20 degrees. I can understand a borderline unnoticeable curve of 5~ degrees occurring from a non-palpable plaque, but not 20 degrees and up.  
23
Symptoms at 22
Diagnosed
Curve to the right that fluctuates between 20-30 degrees and indentation. Indent is exactly where the curve is.

blackstone

31, Tight uncomfortable erections, Hard- Flaccid (shrinkage in flaccid state), bend to the right, some ED.

Current protocol: Traction + VED+ Daily cialis (2.5-5mg), L-citruline.

Lostand Looking24

Quote from: blackstone on March 16, 2024, 12:57:53 AMIt could be peyronies in the septum

I'd never heard of that and wasn't aware it was a thing. Interesting.

I wonder if that could cause a curve to either the left or right though, as the septum is between the two corpora in the middle.
23
Symptoms at 22
Diagnosed
Curve to the right that fluctuates between 20-30 degrees and indentation. Indent is exactly where the curve is.

LWillisjr

Quote from: Lostand Looking24 on March 16, 2024, 07:42:48 AMI'd never heard of that and wasn't aware it was a thing. Interesting.

I've been studying peyronies for 16 years, and I have never heard of this. I don't think it is "a thing".
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

BentKnob

Quote from: Lostand Looking24 on March 15, 2024, 07:42:55 AMI would like to know more about peyronies disease with no palpable plaque whatsoever. My penis feels identical on both sides when flaccid and semi-erect. When im fully erect the curved/indented spot is actually softer than the rest of my erection, rather than more firm or like a plaque.

Are there other guys like this?

I've been told different things by doctors, one being that the plaque is still new (it's been almost a year now since this onset, so I'm doubtful of that), another being the plaque is very tiny, but I also am doubtful that such a small plaque could cause curvature and indentation, and another being that the plaque could be in the deeper layers than normal.

I've also had a flaccid ultrasound which showed extremely healthy tissue. Of course flaccid ultrasounds aren't good for finding plaque, but the overall tissue is extremely healthy I was told.


This is my exact situation.
 
35 years old
Married & open relationship
In 2023 Peyronies caused by repeated micro trauma, first noticed in April 2024
20°-30° curvature to left
Finasteride 10 years
ESWT
SOMAcorrect, RestoreX
Tadalafil, Acetyl-L-Carnitine, CoQ10, Vitamin D3 & K2

BentKnob

Quote from: Lostand Looking24 on March 15, 2024, 11:41:22 AMWhat do you think causes the curve in cases like mine and yours? To me plaque causing the curve makes perfect sense, but if nothing is palpable, why is it curving? What is there that that is stubborn enough to not expand, causing the healthy tissue to be forced to curve around it?

Sure a non-congenital curve like mine and yours with no palpable plaque would be called peyronies disease. But putting the term peyronies to the side, what is the physical, literal thing that causes the curve if it isn't a plaque/scarring that is significant enough to be felt?

Even if there is a small plaque, small enough that it is not palpable, how would that cause a 20+ degree curve? Mine is also 20 degrees. I can understand a borderline unnoticeable curve of 5~ degrees occurring from a non-palpable plaque, but not 20 degrees and up.

Yes, I don't understand this either.
35 years old
Married & open relationship
In 2023 Peyronies caused by repeated micro trauma, first noticed in April 2024
20°-30° curvature to left
Finasteride 10 years
ESWT
SOMAcorrect, RestoreX
Tadalafil, Acetyl-L-Carnitine, CoQ10, Vitamin D3 & K2

Lostand Looking24

Quote from: BentKnob on September 21, 2024, 06:00:31 PMI don't understand this either.

At the time of me writing those posts it wasn't palpable, but it has become palpable since. I think it can take time for it to become palpable. For me it took around 10 months or so from the onset of any symptoms  
23
Symptoms at 22
Diagnosed
Curve to the right that fluctuates between 20-30 degrees and indentation. Indent is exactly where the curve is.

BentKnob

Did you have an ultrasound at a later date? And if so did it show up the second time?

I've been examined twice.

Both doctors felt a lump but the ultrasound came back clear.

I was told afterwards that I do not have peyronies.

This was frustrating.  
35 years old
Married & open relationship
In 2023 Peyronies caused by repeated micro trauma, first noticed in April 2024
20°-30° curvature to left
Finasteride 10 years
ESWT
SOMAcorrect, RestoreX
Tadalafil, Acetyl-L-Carnitine, CoQ10, Vitamin D3 & K2