Injury 4 months ago, short background:
1st urologist did only do ultrasound of bladder.
2nd urologist did ultrasound of penis and found a calcified 3mm lump in septum, MRI found nothing, said he couldn't help beyond painkillers.
3rd urologist (three weeks later) did another ultrasound, couldn't find calcification, but only a 1-2mm scar/thickening of septum
He told me this will heal on its own, but prescribed hydrocortisone cream 1% to use for 1-3 months to soften the tissue.
What are your thoughts about this? Since using the hydrocortisone, left sided shooting and radiating pain appeared.
Before I used diclofenac 2.23%, which helped with pain, but he told me wouldn't help with my condition.
Also tried Hirudoid, which did nothing for me.
Just to make sure I have understood it correctly - were you told to apply hydrocortisone cream to soften the calcified plaque or for some skin issue? Hydrocortisone, Hirudoid and Diclofenac are three different substances used to address different problems
My understanding of hydrocortisone is that it is normally prescribed for skin rashes or the like. I doubt it would penetrate deep enough to affect anything subcutaneously.
If you explain your specific problem and what you are trying to address that might make it easier for others to help you.
My bad, sorry for being unclear:
I have a palpable lump in the septum (middle between corpus cavernosum) near glans, after an injury.
I tried Hirudoid, cause it was mentioned here, did not hurt, did not help.
Uro #2 did US, told me I had a calcification, nothing but waiting could be done. He mentioned Diclofenac for pain, so I tried that.
Uro #3 did US, told me I had no calcification, but a scar/thickening. He said this will heal on its own, but Hydrocortisone would accelerate healing by softening the scar.
So in short:
I was told to apply hydrocortisone cream to soften a non-calcified plaque, which another urologist told my was calcified. I do not have any skin problems or similar.
I share your understanding of hydrocortisone, hence the question, though I would gladly prove him right.
Hi, that helps, thanks for clarifying.
I doubt hydrocortisone will do much for your plaque if it is subcutaneous, as it should be if it is Peyronies Disease, so I would not bother so much about that. If you are in pain, Diclofenac might help you with that though.
It is interesting that the views of the uros you're seeing are so different but it is hard for anyone on the forum to argue with them as we do not have insight into your specific case or what kind of 'lump' you have.
Just to confirm, have you been diagnosed with Peyronies Disease? What kind of injury did you have that caused the lump?
These two points are important before you start with any treatment yourself in terms of supplements and/or traction.
Yeah, I visited Uro #3 again and he confirmed that he was sure about the calcification.
Said hydrocortisone wont hurt, so I will alternate it with diclofenac for now.
No, I have not been confirmed. Doctor said there was a scar, but in the septal location it couldnt be peyronies (or IPP as it is known here).
While I doubt that this is true, I also read Dr. Trosts differentation between the broad and narrow definied peyronies and likely am in the broad (not "true") category.
So I stay away from traction/ved and take it easy on the supplements.
Low-Carb also wont hurt, in fact it has already cured my heartburn.
Thank you for your input!
Hydrocortisone cream can permanently thin the skin. Be careful.
Quote from: blex on December 01, 2021, 03:50:13 AM
Yeah, I visited Uro #3 again and he confirmed that he was sure about the calcification.
Said hydrocortisone wont hurt, so I will alternate it with diclofenac for now.
No, I have not been confirmed. Doctor said there was a scar, but in the septal location it couldnt be peyronies (or IPP as it is known here).
While I doubt that this is true, I also read Dr. Trosts differentation between the broad and narrow definied peyronies and likely am in the broad (not "true") category.
So I stay away from traction/ved and take it easy on the supplements.
Low-Carb also wont hurt, in fact it has already cured my heartburn.
Thank you for your input!
Any progress with using Hydricortisone?
It got worse, but I don't think that's related to the cream.
Started a new multimodal treatment today (ESWT, US, EMDA) and will switch to heparin cream by my new doctors recommendation.
Short Update:
Asked my current Dr. (see here (https://www.peyroniesforum.net/index.php/topic,17722.msg151958.html#msg151958)) about hydrocortisone. He said he prescribed it before, because it sounded logical, but it didnt help or even make it worse.
He now grecommends Heparine Cream.
Thanks for the update!
Is this Heparine cream similar to contractubex?
Contractubex contains Heparine so yes I guess it is similar.
Hirudoids active substance is a heparinoid too.