Is implant my only option ?

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dave1211

Hi guys,

I've been a long-time lurker on this forum, and I've been suffering from what I believe is Peyronie's disease for several years. For a long time, I didn't have the courage to see a doctor, but I finally did last year and thought I'd share my experience.

My main issue is complete erectile dysfunction. During my first visit, the doctor examined me and said I had severe phimosis, which he believed could be contributing to the problem. I underwent a partial circumcision, but unfortunately, it didn't improve my condition.

Next, he performed an ultrasound on my scrotum and found a low degree of varicose veins. I also had blood work done, which showed that my testosterone levels were quite low. I started TRT, and while it slightly improved my erections, I still wasn't able to maintain them.
I was also prescribed 10 mg of Cialis along with Nolvadex. These medications helped a bit, but my erections were still not hard enough or long-lasting enough for penetration. Eventually, the doctor told me that the issue is psychological.

In addition to ED, I experience extreme numbness. I'm currently in Dubai and don't know of any other good doctors in the area. I'm 34 years old and honestly at a loss about what to do next. My erections are almost non-existent, I have no morning wood, and very little sensation in my penis.
33M with suspected long-standing Peyronie's. Severe ED, minimal erections/no morning erections,penile numbness. Partial circumcision for phimosis. Low T on TRT with mild response. Cialis/Nolvadex limited benefit. Mild varicocele. Based in Dubai

Ukguy1234

Quote from: dave1211 on Today at 09:37:30 AMHi guys,

I've been a long-time lurker on this forum, and I've been suffering from what I believe is Peyronie's disease for several years. For a long time, I didn't have the courage to see a doctor, but I finally did last year and thought I'd share my experience.

My main issue is complete erectile dysfunction. During my first visit, the doctor examined me and said I had severe phimosis, which he believed could be contributing to the problem. I underwent a partial circumcision, but unfortunately, it didn't improve my condition.

Next, he performed an ultrasound on my scrotum and found a low degree of varicose veins. I also had blood work done, which showed that my testosterone levels were quite low. I started TRT, and while it slightly improved my erections, I still wasn't able to maintain them.
I was also prescribed 10 mg of Cialis along with Nolvadex. These medications helped a bit, but my erections were still not hard enough or long-lasting enough for penetration. Eventually, the doctor told me that the issue is psychological.

In addition to ED, I experience extreme numbness. I'm currently in Dubai and don't know of any other good doctors in the area. I'm 34 years old and honestly at a loss about what to do next. My erections are almost non-existent, I have no morning wood, and very little sensation in my penis.

I also had severe phimosis when I was younger and had to get a circumcision to fix it. I also had a varicocele that with operated on to reduce it. Neither of these things directly correlate to Peyronies. They are separate issues.

I notice you haven't mentioned any deformity, curvature, plaque, scar tissue, lumps or indentations...What makes you suspect you have peyronies specifically? Did your Urologist diagnose you?

With regards to your ED, I'm surprised that Cialis hasnt done anything for you. It might be useful to have a Penile Doppler Ultrasound, which analysis bloodflow and can identify any contributing structural issues.

As a final point, never be too ashamed to see a doctor. Its a mistake far too many men are still making and a stigma that had no place in the modern day.
Diagnosed
Symptoms Jan 25
1cm Lost Length
25-30° Upward Curve
Multiple Plaque Bands, Lumps, Dents
Started Restorex July 2025 - Zero results so far
RestoreX Ukguy1234 Journal

Mikel7

I'm sorry to hear about what you are going through. For your testosterone replacement I question if your Dr really knows how to treat your low T. I had to go through several Dr's before I found a knowledgeable one who knew just what tests to perform. It is not your total testosterone that should be looked at. It is the free testosterone that is the liquid gold. Also has your estrogen levels and prolactin checked as both of these will cause ED.

Seeking out a new Dr if you have to is not fun. Don't give up hope!! You will find a solution if you don't give up. Implants are successful if you can find a high volume surgeon. :)
Lump 4/2020, age 63 , Dr Levine 6-26-20, Dors Curve 11/2020, Peyronies
Vit E400mg, COQ10, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
SNHL 7/2020 - Stopped all Meds because ototoxicity  Heat/traction/VED are working. CPPS Diagnosis - Stable :)