Opinions Sought Traction?, Role of Cialis with Pento?

[cfwabq55]

I'm new to Peyronies and still have a bit of denial about all this.  I'm 58, good health and it has gotten worse in the past 9 months.   I have seen a specialist and have received the following advisement:
--"Gold Standard" for the Seattle Urology Practice I dealt with is surgery solutions.  I asked whether there is consideration to trying lower invasiveness treatments and then escalation up to surgery to reduce risk (whigh is a common medical strategy" and received a fuzzy answer.  
-- Basically the answer was this urology  proactice observes best results come from surgery and recommends it right-off for my condition.
-- Surgery is probably less costly than an 8-12 rounds of Verapamil  injections  with physican's stated estimate of $600 per treatment with hospital charges
-- Some benefit is found with oral Pentoxifiline  COMBINED WITH Traction.  
This doctor gave me a  prescription  for Pentox with a handbill on traction devices and a 30 day supply of Cialis.  The instructions were sketchy and unenthusiastic for the 2 drugs plus traction trial --  "Don't feel you have to buy the most expensive traction device."  

To me, a conservative approach might be along this thinking:
1.  Initiate combined use of Pentox (oral plaque drug) with traction (maybe a couple of months)
2.  Add Verapamil injections if step 1 results are insufficient  (continue traction and judge progress after a couple more months)
3.  Add Surgery if more treatments are needed

Where you folks may help my (and others') understanding is concerning the following.
Q1?   Is  there a treatment benefit for adding Cialis to the "Pentox+Traction" send-off from my first consultation?   Being on erection enhancing drugs is only a source of frustration when the bend "derails" onto the wrong track – does it help the traction benefit.
Q2?    I've seen $200 to $400 "twin rail" traction devices which would fail the metal detector check at the airports, for sure.  Some of these devices with the encircling base and two rails to pull tug on the head seem to claim they can put a corrective bend on the undesired penis bend?  Has anyone developed opinions whether this is a good claim?
Q3?  The "twin rail" devices claim they may be worn under clothing.  My first reaction is  cleansing laughter!   This might be a good way to be detained and questioned as a sex offender  --  can anyone substantiate whether it is feasible to wear any of the traction devices at work?
Q4?  I see an inexpensive Vacuum tip traction attachment which appears to be a heavy film (woman's diaphragm) shape item that slips over the penis head like a short, tight condom but leaves a towing attachment clip exposed.  This seems to be elastically anchored below your kneecap to anchor the traction elastic down the thigh.  Any users response to this?  This would seem ideal to attain the multi hour treatment by being able to go out in public.  You might enhance your reputation of endowment without seeming to be a public (pubic) nuisance and not risk blinding short persons on public transit carriers?   Humor aside, do any of you have experience with these garter type traction devices for Peyronies treatment?   It would seem these might be wearable and reach the 3+ hours per day beneficial treatment threshold in recent discussion.

THANKS  cfwabq55

[IhatePD]

cfwabq55,

I originally purchased the Penimaster Pro which has the strap type noose securing the penis behind the glands. I found it was uncomfortable and based upon Jonbinspain's suggestion, I found a acuum type attachment - Vac3 Extender from autoextender.com. It is much more comfortable and allows me to wear it 7-9 hours a day, although I don't wear it more than 2 hours at a time. I was nervous using the strap device as I felt it was crushing my penis right behind the glands and I have some plaque located there.

They also have a strap type to just use the Extender and attach the other end to your leg or around your shoulder but I haven't tried it. I use the 2-rod type attachment and wear gym shorts or baggy sweats around the house and it is not noticeable. I have not worn it outside the house and probably wont.

Other on this site have used the strap attached to their leg to create traction and use it in public. I am just uncomfortable trying it. I use mine at home working, reading or watching sports. autoextender.com also sell the complete device which I have since I travel between work and home and have one in each location.

[LWillisjr]

I don't understand the "hospital charges" with the Verapamil injections. My doctor did them right in the exam room during a regular visit in his office.

[james1947]

cfwabq55

I will not quote what your urologist told you but from what he told you I can understand that you need:
To find urgently a Peyronies expert
* Surgery is not advised in the acute stage and from what you are writing you are still there.
* Surgery is not "Gold Standard" for the Seattle Urology Practice.
* Surgery is the last option and not the first to treat Peyronies.
* VI treatment is much less than surgery.
* All Peyronies experts advising first oral treatment (at least Pentox and low dose Cialis) combined with VED or traction.
Find a Peyronies specialist, sooner better!!!

Welcome to the forum
James

[skunkworks]

1.  Initiate combined use of Pentox (oral plaque drug) with traction (maybe a couple of months)

This for 6-12 months. Additionally some sort of coq10 supplement, and acetyl carnitine daily.

Surgery is last last resort.