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Peyronies Disease TREATMENT Discussion Boards => Vacuum Erection Devices (VEDs) for Peyronie's Disease => Topic started by: LuisFernandez on June 01, 2020, 05:43:45 PM

Title: VED Therapy Log
Post by: LuisFernandez on June 01, 2020, 05:43:45 PM
Hey Friends,

I'm getting ready to start my VED therapy and had a few questions. I want to use this thread to post my therapy progress, thoughts, results, etc.

You can view my introduction post here: https://www.peyroniesforum.net/index.php/topic,13489.0.html

Medical Information

Diet & Lifestyle

VED
My pain has mostly subsided have the slightest of sensation on the bottom nodule and on the middle nodule if i touch it. Even after sex or light masturbation i don't have any more pain or aggravation.

I have a vacurect otc device: https://www.mainspringmedical.com/products/vacurect-otc-custom-model-1002.

Planning to start VED therapy in the next couple of days. Plan on ordering the RestoreX device next month to both save up for it and to give the acute phase a little bit more time.

Old Man has been very helpful and plan to reach out to Hawk, but am also posting this in the public forum just in case.

A few pending questions:


I don't have any other questions as of now, but will update this thread if i do. I will also update when i start the therapy with results.

Images
Vacurect instructions: https://imgur.com/1qfNBQD (https://imgur.com/1qfNBQD)
My penis injury diagram: https://imgur.com/zKpZygM (https://imgur.com/zKpZygM)

Thanks!
Title: Re: VED Therapy Log
Post by: jj21 on June 02, 2020, 04:43:19 AM
I'm subscribing to this post to see your progress.

I'm glad you've started treatment early. That's the one thing I regret.

Best of luck,
J
Title: Re: VED Therapy Log
Post by: TonySa on June 02, 2020, 04:29:41 PM
Be sure to follow the protocol instructions here, NOT the device instructions.
Title: Re: VED Therapy Log
Post by: Pfract on June 02, 2020, 10:07:51 PM
Nicely writen post! i whish you very good luck and i am also going to follow your diary.
Title: Re: VED Therapy Log
Post by: aquintance22 on June 03, 2020, 05:45:19 AM
Hi Luis,

what is the reason for you not training legs in regards to peyronies? Just wondering.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 03, 2020, 12:27:58 PM
Session 1

Ok so yesterday i tried my first VED session.


aquintance22: The reason is because i have pain in my inner groin and even in the right testicle. I try to not aggravate it, i believe kickboxing either caused or further aggravated my injury

Title: Re: VED Therapy Log
Post by: melting on June 03, 2020, 12:42:44 PM
It makes no sense to me to only insert the glans.   
How does that logically have any effect on the plaques not in the cylinder? 

Start with low time and intensity and only slowly probe into longer time and intensity.

Mot training the legs cause of pain makes obviously sense but be aware that the penis blood circulation is also connected to the leg arteries. Having good circulation through the legs helps the penis circulation. Maybe do what you can while monitoring pain, doesn't need to be heavy weights I guess.. just movement.
And yes, any intense masturbation can inflame the tissue. Be smart about it.

GL
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 03, 2020, 01:17:34 PM
Melting,

Thanks for the strong advice, i do really need to stop masturbating. Even though it's gentle, doing it so frequently cannot be helping. Plus, it makes my erections even weaker. Will take this advice to heart.

Will try to place the whole penis in the cylinder next. When i inserted the tip i did feel a strong 'stretch', but i don't see how this can help with the dent i have, which is the main thing i want to fix.

I think i will try some light squats and see if that causes any discomfort.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 03, 2020, 04:01:06 PM
Ok, just got off the phone with the Vacurect manufacturer. I ordered the next largest ring size, that should make it easier to use.
The customer service rep told me that they recommend to start by placing the tip of the penis. But that when pumping, the pump will make its way close to the base of the penis. This is concerning to me because of the tightness of the ring, specially as the penis gets harder and how it might aggravate my two 'lesions' even more.


Title: Re: VED Therapy Log
Post by: TonySa on June 03, 2020, 08:40:30 PM
Masturbation is fine unless it is painful.
Title: Re: VED Therapy Log
Post by: melting on June 03, 2020, 09:30:19 PM
Of course gentle masturbation, if circumcised, best with lube, in a relaxed position, doesn't hurt.
Clenched, tense, raw, possibly stressed masturbation, "death grip", worst case in a hunched position over porn, can mess with the pelvic floor and healthy tissue "rubbing" against hard plaques might increase inflammation.

LuisFernandez, I looked closer at the device. It's made for ED.
The ring constricts the base of the penis on purpose to trap the blood even with lower vacuum and when removing it keeping the rings on to keep the erection.

I think this device might not be applicable for your situation.
You can try the widest ring available, but observe if it creates too much pressure at your base. Good cyclinders can be used without any silicon base, not sure about this one.(you can try without going for too much intensity, if it digs into the skin and pubic bone it wont work without a silicone base) Obviously if you have a nodule near the base you wouldn't want to keep the rings there constricting. (at least not starting out.. once you feel comfortable and are healthy you can increase intensity with the plaques slowly)

Regarding legs, I just wanted to warn about going the extreme other route, doing nothing for them, like only sitting lol. Some rounds on the bike or treadmill are probably enough to get the blood circuit flowing/moving.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 03, 2020, 11:23:37 PM
Melting, thanks for the information. I agree that the vacurect will not work for me. I don't want any sort of extra pressure, specially because i have a nodule at the base of my penis.

So i'm just going to cut my losses and get a new one. My doctor said i can pick up a cheap VED for less than 100$ off Amazon. Based on this study: https://pubmed.ncbi.nlm.nih.gov/20438558/ i think this can work: https://www.erecaidpumps.com/osbon-erecaid-esteem-manual-on-sale/

It's only $229. The 3 cylinder Somarect is $530, pretty pricey. I'm leaning toward the Osbon because of the price.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 03, 2020, 11:27:11 PM
Actually Amazon has the Somarect: https://www.amazon.com/Soma-Therapy-ED-SOMAerect-Stf/dp/B00BFVWR2M for $249
Title: Re: VED Therapy Log
Post by: jj21 on June 04, 2020, 02:38:02 AM
I alsio found the soma erect stf here for 200 when I was looking: Soma Erect STF Prescription Grade Vacuum Therapy System | VED Systems (http://www.vedsystems.com/products/prescription/soma-erect-stf/)

I have no idea how legit that site is as i'm in australia and wasnt able to purchase it through them.
Title: Re: VED Therapy Log
Post by: TonySa on June 04, 2020, 06:01:28 PM
I believe it's the same device..,
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 04, 2020, 08:27:28 PM
Ok so i ended up getting a very basic replacement pump: https://www.amazon.com/gp/product/B088K8K3M4/ref=ox_sc_act_title_1?smid=ALBJY1YLBI6OV&psc=1

I think the 2nd VED session did some damage. Even though i was very careful, i noticed a new pea-sized bump on the left side of my penis, which had been fine until now. There was also some slight purple discoloration under my penis but ive seen that before and it might be my natural skin. My erection quality seems to have greatly suffered as well.

I'm going to nofap for a couple of days and let it heal. Good thing is im able to get an erection, just not as full as before. So if my erection quality doesn't improve i will never try VED again. If nofap helps, then i will cut down on masturbation - which might be a cause of my erection quality - and give VED another try.

Will keep this thread posted.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 05, 2020, 03:01:47 AM
Ok so the erection quality seems to be coming back, I canceled the low-grade VED and ordered a Somaerect. Gonna take over a week to get here so i'll resume the therapy then.
Title: Re: VED Therapy Log
Post by: aquintance22 on June 05, 2020, 04:54:48 AM
Yeah man I got in the same situation, where my erection quality was weaker after VED use - also had some red dots / broken capillaries.

Currently healing up from this and hoping I didn't create more damage.
Title: Re: VED Therapy Log
Post by: TonySa on June 05, 2020, 12:20:04 PM
These are classic signs of over pumping and will heal.  When you resume only go to 50% erection to be safe.  I too overpumped initially, it's very common.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 05, 2020, 12:57:35 PM
Thanks, i hope that it heals. The vacurect pump is just bad and not at all for Peyronies.

While i'm able to get erections, they're still not as strong. Prior to using it i was having constant erections and having trouble keeping it down. Now it's lifeless and i have to struggle really hard to get 90% erection.

Will give it a few days and see how things turn out.
Title: Re: VED Therapy Log
Post by: melting on June 06, 2020, 08:16:06 AM
Agree, typical overpumping symptoms. Skin will turn purple due to no fresh oxygen. It's very easy to overpump in intensity and/or time. Especially when the base is constricted too.

Start with the lowest possible time and intensity where you see no adverse symptoms. Do that some days. Go from there.
This is a marathon and no sprint. Improvements happen over weeks not minutes.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 07, 2020, 06:29:59 PM
Ok so thankfully my erections seems to have come back. Particularly after letting my penis rest for a day i'm able to get about 95% erections if not 100%. However, the curve to the left does seem to be getting worse.

This new 'nodule' on the left might be the site of the original fibrosis/calcification. This is interesting because the two main and visible lesions are on the right but the curve is going to the left. So there must be something on the left side affecting blood flow.

Other things i was doing that might have affected this:


Additionally, i think i may have had Mondor's disease. When i was first getting erections after my injury i had a raging erection that would not go away. It was as if blood was trapped in the top middle of my penis. The next day there was a lot of pain on the top middle base, like by the vein. This seems different than other sites. Because of this i'm scarred to try VED again.

Now that part of my penis feels hard, as if following the vein going up my penis. Seems very much like Mondor's disease.

I will consult with my Urologist and see if we can do a scan or something since i never got that done.

Title: Re: VED Therapy Log
Post by: LuisFernandez on June 08, 2020, 05:04:37 PM
Ok so today after taking my L-Citruline and Pentox, and taking a couple of hits of the vape pen i was able to get 100% erection. I'm still thinking i have some sort of vein issue because I also noticed stronger erections after taking Meloxicam (the blood thiner) so I'm wondering if the thinner blood allows the penis to get fuller.

Because of this I'm extremely skeptical of trying VED again, specially if i have an undiagnosed vein issue. The curve and dent is not really that bad so i also don't want to try to overdo it and just leave it alone.

Will keep updating with any changes.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 09, 2020, 12:59:14 PM
Ok so yesterday i was doing some light masturbation and started to use lube. I noticed that the curve upward and the dent on top is getting worse. I decided to try out manual traction, and God did it feel good.

I can see how the skin on my penis was already indented and forming to this curve. Because i'm not circumcised i hadn't really noticed until yesterday. I'm still getting full erections but other changes im implementing NOW:


The only thing i regret is not starting traction earlier, i see the damage and the hardness on the penis shaft. I don't expect things to go back to how it was, but im hoping to at least stop the progression as much as possible.

It seems from there it's going it's going to curve up and there's about an inch or so of hard/dented tissue on the top.

I also got the the new ring for the vacurect, and it fits a lot better, when i use a lot of lube.
I'm still nervous about doing VED because i don't want to make my erections worse. Having strong erections really helps in hiding the curves and dents. So far i seem to have lost a few centimeters in the last few days. Hoping that nothing is calcified or fibrosis, but there's probably some amount of fibrosis already set.

I can definitely feel this when i do the manual stretching, this also explains the numbness on that part of the penis.

If anyone has any thoughts on VED please let me know, i may try it again with the new ring seeing how manual tractions seems to be really helping. I haven't ordered a new VED device, waiting for the next paycheck.

Thanks.
Title: Re: VED Therapy Log
Post by: melting on June 09, 2020, 03:14:43 PM
You can see how the VED without ring feels on the base/pubic bone and if it seals..

From what I experienced and reading here most people used a variety of means to solve the issue. VED alone might work but some traction and other stuff will help too. It's just about being a bit smart and aware how it could work for yourself and then implement it, observing if it helps or not, even if just a little bit. You could experiment using heat during traction and VED. With infrared light or just a damp cloth(could be more effective). The tissue loosens up considerably with heat. But be aware that it will also lead to more fluid accumulation during vacuum. So shorter sets..
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 09, 2020, 05:34:23 PM
Thanks Melting,

Not sure what happened but i have very bad news. After manual traction and trying out the pump with literally just one pump i am now having extreme ED again. But this feels much different than before, way worse.

I was able to get erections just yesterday, but today the top of my penis feels numb and non elastic when trying to get erect. The blood seems stuck at the bottom and i have the smallest 'erection' i have ever seen. I'm so sad now.

If this doesn't get any better, i'm seriously considering the penis pump implant. I don't want this shortening to be permanent and would rather have a mechanical dick than a much shorter dick.

Will continue to post on this bad situation.
Title: Re: VED Therapy Log
Post by: bustedchubb on June 09, 2020, 06:37:05 PM
Hang in there, man!  I'm in the dumps alot too about it, but it definitely is best to take it day to day.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 09, 2020, 07:16:52 PM
Thanks guys,

Yeah i wouldn't wish this disease on my worst enemy. Ok so very weird, i took a nap and afterward i was able to get an erection. The penis wasn't as numb or 'sore' as before.

I wonder if it was due to the traction, or perhaps the single pump, lack of sleep from last night? The erection was strong, but the curve does seem to be getting worse. The curve going upward is about 15-20 degrees.

So hard to find the right therapy, but it seems that at least traction is not dangerous and all i want is to stop the curve from getting worse.

Title: Re: VED Therapy Log
Post by: melting on June 09, 2020, 10:26:01 PM
You probably did too much, too high of an intensity. Doing too much means you create more problems. Could be for some hours, a day or a lasting problem.
That's why I tell people to start with 5 minutes lowest intensity and work from there. It's different for everyone.

Could be your pelvic floor reacted and you tensed up, bloodflow is impeded, nerves pressed on, you will notice furthest point(glans). If you really(!) overdo it then nerves could be hurt too. Probably not..
You seem to overreact rather extreme from the mind point too. Just be careful and smart without too much stress. Consistency is key. It's a marathon not sprint.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 10, 2020, 02:34:42 AM
Yeah i definitely overdid it, I did not know to only do 5 minutes. All traction studies say several hours.
I went for several hours at a high intensity and with different angles, mostly following the NeoV videos.

Will keep this thread updated.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 10, 2020, 12:59:04 PM
Ok so after going through my history and reviewing things, I think i know what i have and it's not just Peyronies.

Because of my usage of finasteride my penis had shrunk. When i stopped it i believe that my penis started to grow a bit, i noticed extremely good erections and length increase.

However, this caused high-flow priapism - this was basically a semi-erection that did not go away. I had told this to my Urologist, but they weren't too worried because the erection did go away. But in fact i had a hard flaccid for a while which i thought was because of the Peyronie's diagnosis.

So, i believe i have high-flow priapism which caused tissue death on top of my penis leading to this dent and curve. This was not directly caused by Peyronie's i believe.

Here's a study and commentary on some of these cases: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708203/

While it can be possible to resolve the vein issue tissue death is not reversible. One of the therapies for high-flow priapism is in fact Finasteride. So I never should have stopped taking it, crazy right!

This is an extremely rare case and i hope that i can at least help someone else that had this when taking Finasteride. The therapy is different than Peyronies including anti-androgens and stopping erections. Thankfully Pentoxifilline might have stopped some of the fibrosis.

From the traction i must have re-injured this vein as it felt just like the first incident in which i achieved a crazy hard erection that then wouldn't go away followed by pain the next day. Well, the majority of the erection went away but the top middle stayed hard - kind of like a hard flaccid. This is now where the dent is, probably due to tissue death or fibrosis. The next day to top bottom part of my penis and where some veins are really hurt but the pain eventually went away after a couple of days. After that day i just feel hardness in the vein. Because this was from one day to the other I

I can't believe i didn't make a bigger deal out of that incident to my doctors, i was too. focused on the Peyronie's injuries - which would have also been made worse by an expanding penis. DHT suppression causes fibrosis non-expansive tissue formation of the penis which explain also the Peyronie's.

All in all, Finasteride is an evil drug. We should look out for anyone who reports Peyronie's with a history of Finasteride use. VED and traction therapy are NOT the correct approach and will make things worse.

At this point i'm just so confused i wish i would have known this months ago but it's so F^@$!ng hard to put all of this together and knowing what to focus on. In general rule of thumb, if it hurts focus on it and bring it up to your doctors. I didn't.

Anyway, i'm scheduling a visit with my Uro asap. I'm hoping for the best but expecting the worst in that i may now have permanent Erectile Dysfunction due to tissue death.

I'm also scared that I may not be eligible for a penile implant which was the last solution. I'm devastated but also hopeful and hoping to get correct diagnosis and treatment for this ASAP. But as noted in the study with tissue death the Erectile Dysfunction will probably persist.

I did get an erection yesterday, with work, that's all i want at this point. But honestly i can't believe my luck and the complexity of my case. In some instances I wish i didn't research so much into things and over-do it, but at the same time i may not have been able to find the root cause.

Anyway, wish me luck guys and keep this case in mind for future reports of Finasteride use.
Title: Re: VED Therapy Log
Post by: TonySa on June 10, 2020, 11:45:58 PM
Wow, I agree finisateride is an evil drug.  Interestingly enough one case of priapism in the study was due to trazadone at night for insomnia.  Please keep us posted how it goes.  Why do you fear an implant may not be an option for you if the ED is not reversible?
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 11, 2020, 05:18:00 AM
Hey,

Ok so i went to the emergency room to get checked out because the pain was becoming more acute. It seems i got a small hematoma at the base of my penis. It seems this was caused by the single vacuum pump. This is why the vacurect says not to place it at the base of the penis. Again, vacurect is not a good device for Peyronie's.

This should resolve on its own in a few days, but I'm not sure that it's causing my worsening ED. The traction probably did cause some further inflammation at the plaque side which is in the dorsal (top) side of my penis.

My next appointment with my Uro is not for another month, but they will be able to review the ultrasound and hopefully provide more insights. The on-duty ultra sound technician did not see any plaque and only noticed the hernia.

I'm not sure that i ever had priapism, but i'm not sure what the first episode of very erect penis followed by pain the next days. The pain felt exactly the same as today's pain but more acute. So i'm thinking i also got a hematoma then. I did not notice any purple spots so i'm not sure.

I told the on-call urologist (which is a student of my main urologist) about my finasteride theory. He said he had never heard of that but how physiologically it makes sense. I really believe stopping finasteride caused penis expansion because that's when these problems really started. If it wasn't expansion it was erection quality. I must have gotten used to poor erections during finasteride. I got so excited when i got that post-finasteride erection i tried to get as hard as possible which is when i felt this hematoma-like pain that time.

Tony,

The reason i'm concerned with priapism is because of the amount of scar tissue that quickly forms. Specially inside the corpus cavernosa, so it makes the implant surgery much harder and in some cases impossible. I really want to keep that option open so that's why i went to the emergency room since my Uro couldn't see me for a month.

Melting,

Thanks for your advice, i need to learn more about how the pelvic is involved. It was weird how i took a nap and then was able to get an erection. I don't think i did any nerve damage, although i may have been holding my glands too long as i see and feel some soreness there.

So, i don't think the traction caused the hematoma but it might have caused the inflammation of the plaque site which caused ED. Will keep posting as i do more testing and see if my Uro has any more insights.

For now i'm going to lay off vacuum not even one pump for now. I will still order a very basic pump with a gauge. I am a little concerned how easily i got a hematoma i wonder if i have some underlying disease like sickle cell disease but i doubt it, since that would have probably been caught earlier in my life.

If i do traction it's going to be super super gentle, i really need to take to heart how this is a marathon. I'm hopeful because i did very recently get an erection.

I'll see if i'm able to get a natural erection in the coming days, certainly no masturbation.

Otherwise plan on keeping a low-carb diet and some fasting, keep taking pentox, cialis, and l-citruline. I will also be taking naproxen for the hematoma pain for the next week or so. Will try to relax as much as possible.

Thanks everyone, will keep this log updated with progress.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 12, 2020, 07:51:14 PM
I went to another Urologist today, he said there is a small plaque no evidence of fibrosis yet.
However, after doing some research i've concluded that l-citruline has actually made my condition much worse. It is not specified in any literature and recent studies conclude that it promotes inflammation and makes the soft tissue inelastic. This is exactly what i've been feeling.

I'm a little angry at my doctor for giving me this. It's probably part of some 'standard protocol' for ED, but why don't they research it before they recommend it.

Needless to say today was the last day i'm taking that. I hope and pray that it gets out of my system soon. Furthermore l-citruline actually hurts the veins and vascular systems. This is why i can't use VED or traction. Ugh, wtf.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 13, 2020, 05:14:21 AM
BTW, take my thoughts on l-citruline with a grain of salt. The research on that seems mixed, some doctors and papers seem to recommend it in the case of ED.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 13, 2020, 05:19:42 AM
Regarding l-citruline, here are some papers that I'm going through but would love to have another pair of eyes to interpret them:

* https://www.sciencedirect.com/science/article/abs/pii/S0022534705676161
* https://www.nature.com/articles/3900872
* https://youtu.be/-UDAcaOY6Gw?t=432
* http://tau.amegroups.com/article/download/28824/25275

Title: Re: VED Therapy Log
Post by: projectpd on June 14, 2020, 02:20:10 PM
* https://www.sciencedirect.com/science/article/abs/pii/S0022534705676161
nothing really on citrulline as an agent in itself - something about iNOS increase by injury , which they assess the level of iNOS by analyzing the citrulline to arginine ratio.
"iNOS inhibition causes a greater erectile response in the rat, suggesting that iNOS may alter the vascular tone in the penis. "

but regarding iNOS, check out this much more detailed study: https://doi.org/10.1016/j.cardiores.2003.12.006

"3.1 Intensification of aging-related fibrosis in the arterial media by iNOS inhibition"
"evidenced both by the increase in ROS and an intensification of fibrosis when iNOS activity is inhibited. "

"Conversely, there are reports that suggest iNOS expression helps suppress collagen deposition and oppose fibrosis, while iNOS deficiency increases collagen content in atherosclerotic lesions, enhanced production of NO suppresses the development of atherosclerosis.51,52,53 "
https://www.nature.com/articles/3900872

those doesn't seem consistent with it. At least it's obvious the overall picture about NOS is a lot more complex.  I wonder if the iNOS inihibitor,  aminoguanidine, in the sciencedirect link one, worked through some other mechanisms..


* https://www.nature.com/articles/3900872
"Most tissues can oxidize the guanidine nitrogen of L-arginine to form L-citrulline and NO. NO is rapidly oxidized to the stable, inactive end products nitrite and nitrate. The enzyme that catalyzes this reaction in cells and neurons is termed nitric oxide synthase (NOS).23"
that doesn't suggest citrulline would help form NO, but I've read somewhere else that citrulline is also converted to arginine...

* https://youtu.be/-UDAcaOY6Gw?t=432
that doesn't seem to talk about citrulline. discounts a list of oral treatments, describes interferon injections, verapamil injections, chlostridium injections (xiaflex), surgery (some gruesome pics in there mind you! ) . very inaccurate by omission as there are obviously unmentioned types of treatments that have been tried, and finishes with the conclusion "surgery is the gold standard".

* http://tau.amegroups.com/article/download/28824/25275
that looks like a more reasonable overview type article. This one references 3 studies involving citrulline and says evidence is sparse, and possibly most relevant in the cute phase. Maybe I'll have a look through those references.
Title: Re: VED Therapy Log
Post by: melting on June 15, 2020, 03:05:12 PM
L-Citrulline is helpful in supplementing NO which helps facilitate an erection.
Inflammation is a natural part of the 'body mechanism' which it goes through all the time. 
For example building muscles involves inflammation. So does an erection, especially prolonged ones.
When everything is in balance it's no problem. It's dealt with during sleep, recovery basically, and you can start again next day.

If you havee a constant state of stress, like not sleeping enough etc. or overtraining or rough prolonged sex then chronic inflammation can happen.
Same with an unhealthy diet. Just from reading your posts it seems you're in some sort of 'overdrive'/stress. An existing problem like peyronies or ED is harder to deal with then or can get worse.

So L-citrulline, might not help you right now as it is involved in inflamation processes. But it's not a bad supplement itself.(finasteride is mostly bad and you hear it all the time on mens health type forums in different contexts)

If you're in an inflammatory state you should 'cool' that state down first. Healing, relaxing, sleeping, eating, no inflammatory actions(hard masturbation, intercourse, stretching, VED etc.). That's all IMO.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 21, 2020, 11:15:01 PM
Ok,

After some scary traction results things seem to be somewhat back to where i was a couple of weeks ago. Not yet trying VED, but i did get a new cheap pump: https://www.amazon.com/gp/product/B088GXDLCF/ref=ppx_yo_dt_b_asin_title_o00_s00?ie=UTF8&psc=1

While the standard ring does not fit, it came with a ring that's shaped like a mouth. This mouth adapter is thick yet flexible. It provides a good amount of space between the pump and my pelvis. It also keeps my penis straight without constricting bloodflow.

Also it comes with a gauge and a release valve. It seems like it'll be a good way to start VED therapy if/when i'm ready to try it again.
Title: Re: VED Therapy Log
Post by: melting on June 23, 2020, 08:39:25 AM
Just start everything with low intensity and low time and go from there.
Title: Re: VED Therapy Log
Post by: LuisFernandez on June 23, 2020, 03:53:03 PM
Ok today i felt compelled to try out a VED session after letting my penis rest for a while.
I tried my new cheap device with very low intensity reaching about 30% erection max.

Things seemed to have gone well. Blood flow seems to have improved and could feel my penis a bit fuller and easier to get an erection afterward.

I'm following the Old Man protocol for 1 cylinder. I will certainly start to add this to my routine. I'm also purchasing a RestoreX. I wonder if there's any protocols or experience from people using both.

Title: Re: VED Therapy Log
Post by: LuisFernandez on June 23, 2020, 06:06:25 PM
In regards to l-citruline, this is my take.

I believe the mechanism that promotes inflammation is nitric oxide synthase (NOS). This is the process of the body making nitric oxide. Thus l-citruline is the end format of the synthase process, which can inhibit the synthase process thus helping *reduce* the inflammation process.

Just my own personal theory on this subject.
Title: Re: VED Therapy Log
Post by: TonySa on June 23, 2020, 09:36:31 PM
Good news Luis on VED!
Title: Re: VED Therapy Log
Post by: melting on June 25, 2020, 08:36:02 PM
NO itself is no problem in healthy amounts. It's part of a functioning penis, an erection and the body. Of course if it's out of balance, like too much erections then it might turn into a problem.

QuoteI'm also purchasing a RestoreX. I wonder if there's any protocols or experience from people using both.
I used VED and traction same day for months.
I think Pumping AFTER Traction is the way to go.

When you pump fluid will be drawn into the skin layers(it will go back after some minutes or hours) and when you then apply constriction like the headpiece of traction it will cut/'deform' into the skin easily.

I liked stretching the tissue with the extender and then "filling in" the created stretch with blood/expansion via the VED.
I sometimes used a heated up pump(with a heating pad) for a short time to heat the tissue and then use the extender.(heated tissue is easier to stretch)
Title: Re: VED Therapy Log
Post by: LuisFernandez on July 03, 2020, 11:55:24 PM
Thanks for this advice Melting. I have integrated this process into my therapy.

Currently I'm:
* Heating up a heat pad, wrapping it in a shirt, and heating up my penis
* Applying the RestoreX device - currently 10-15 minutes total 3x a day
* Using VED 1x a day - experimenting with cheap VED and Vacurect

I'm not really happy with either cheap VED or Vacurect. The cheap VED keeps my penis straight but the sleeve that came with it is too tight. The mouth adapter is great, but it keeps getting sucked into the cylinder making it ineffective.

The vacurect is just hard to use and my penis does not stay straight as it goes in. I want to buy a SomaErect but don't have money for it yet. Will continue to use cheap VED and Vacurect and make the best of it until i can afford SomaErect.

I may increase VED to 2x a day depending on how things go.

For what it's worth, after a few days of using RestoreX i have seem an improvement in length. SPL is now around 7'2 which is up from my original 7' pre-peyronies. No change in girth, but i never really had a girthy penis to being with. Erection length also seems to have slightly increased. Haven't seen too much of a change on the dorsal curve though.
Title: Re: VED Therapy Log
Post by: melting on July 05, 2020, 07:15:36 PM
Yeah lots of people selling and shilling for "medical" VED devices for BS prices on nasty advertisment laden sites.
https://matadorcore.com/products/augusta-medical-soma-erect-vacuum-pump <- what a dumb joke for example. 300 dollar lol
While the really cheap ones are bad quality...

There's a mid priced segment that will work too. But you have to find your size etc.
For example check: https://thickwall.co.uk/shop/penis-pump-kits/starter-kits/
These work perfectly fine and I had a thickwall never failing for many years. You can use them right on the skin.
Not sure how and if they ship to US. Im sure there are manufactures in the US too with similar quality.
And you have to find the correct size which you have to research yourself for which is correct.
Title: Re: VED Therapy Log
Post by: LuisFernandez on August 27, 2020, 01:49:22 AM
Hey so I haven't updated my VED log for a while. That is because i wasn't using it for a long time. I was using just traction with RestoreX.

First of all, i decided to go all in with traction given that my EQ has improved. Now I am taking a bit more Cialis every day. Some days I'll take 10mg instead of the standard 5mg. I suspect that eventually this will start failing but mentally i'm prepared to get the implant.

Anyway, my erections have been pretty good recently.

So, with RestoreX i'm seeing some significant gains even from my pre-Peyronie's length. I used to be 7 inches erect length and now i'm able to hit 7'5 erect length. This is slight bone pressed. When i measure right on top of the penis i get slightly less maybe about 7'4 or so.

The curve has also reduced significantly, but not completely gone. I also still have an indentation on the bottom left of my penis.

So, with that i've been doing a lot of research into penis enlargement (PE.) I believe that every Peyronie's sufferer should get into PE. I believe one can stop losses and make gains if you get started early enough.

My personal goal is 9 inches, but I know it'll take a long time and my EQ may fail before i get there, but we'll see.

So, with that research i think that VED to get rid of dents and increase girth is the way to go. There's so many success stories from the protocol from Old Man and Bathmate.

I only have the Vacurect, i've stopped using the cheap VED i got just because it does not ever create a good seal.

I'm now doing VED every day for no more than 20 minutes and never hit 100% erection (yet?)

I plan on ordering the SomaErect device in the next couple of months and I believe it provides the best mechanism for getting rid of dents. I also want to get into hanging and all day stretching (ADS.)

Check out videos by TotalMan and Good Looking Loser for great tips.

I'll keep posting about my Penis Enlargement (PE) journey good luck to everyone.
Title: Re: VED Therapy Log
Post by: Timewilltell on August 27, 2020, 06:08:07 AM
Glad to hear about your improvements. I just would suggest that you take any penis enlargement procedures very carefully. There is enough reports from users of its effects that it clearly has some benefits but it has its hazards and it is not exactly a guarantee of infinite gains. You are probably going to put on only an inch past your initial length but everyone reacts differently.

I would recommend aiming for something like 8 inch length and 5.5/6 inch girth. Your average pornstar is only between 7-8.5 inches in length. Hell, even at just 5.5 girth some girls will struggle and will require lots of foreplay and lube.

At 9 inches length you would need to be very careful about ramming the back of a woman's vaginal canal when pushing towards a climax for either of you. She might like that sensation but only when completely aroused. It will quickly turn to soreness after she climaxes and will diminish the possibility of multiple sessions.
Title: Re: VED Therapy Log
Post by: peter123 on August 27, 2020, 08:40:17 AM
Quote from: bustedchubb on June 09, 2020, 06:37:05 PM
Hang in there, man!  I'm in the dumps alot too about it, but it definitely is best to take it day to day.


helps being 43 too instead of half that age
Title: Re: VED Therapy Log
Post by: sky43diver on August 27, 2020, 10:36:49 AM
9 inches 😳 Do you want to be a porn star, otherwise what is the point. Not sure what else you are going to do to gain another 1.5 inches.
Title: Re: VED Therapy Log
Post by: LuisFernandez on August 27, 2020, 06:36:15 PM
So from what I understand from the PE forums and success stories is that 2 inch gains is possible. Not many people reach it, but i do believe that it is possible.

It seems that the process is the same reason why the RestoreX device works so well. That is by doing heavy traction with weights and then passively healing in an elongated stretch. It usually takes years, but I do believe that it's possible.

The concept is the same as elongating your earlobes or any other part of your body, beside bone.

Now I highly doubt I'll ever reach that length but I'll sure try. I'm motivated by the good results i've gotten from the RestoreX so far.
Title: Re: VED Therapy Log
Post by: Timewilltell on August 27, 2020, 09:22:17 PM
I am not saying it is impossible. It does happen for some but from what I have read the results vary from person to person. If you really want to then give it a try. Do be very careful though. There are a lot of success stories but there are also stories of people who push too hard too fast and destroy their erection quality.

Still, even if you are capable of reaching that goal, I just caution you to think about any women you would sleep with. Porn and certain parts of culture do fetishize big dicks but the reality of actual sex with a big dick is not what is portrayed in porn. I am going to assume you are heterosexual and emphasize that at 9 inches you very easily are ramming the back of the vaginal canal. You need to accompany increases in length with a proper girth. However, if you push girth too far it just becomes uncomfortable for a partner. Too big either way and you will actually make sex feel bad for a lot of potential partners. Some will like it but many will not. Even the ones that do like it, you better get really good with your hands and mouth to properly warm her up before you even think about penetration.

Don't push it too far. An 8 inch penis is already in the 99.99 percentile for length. Danny D, a famous porn star, is only 8.5 inches. Grow a bit but focus on erection quality and being able to read and give pleasure to your partner. Having a big dick is great for boasting and aesthetics but there is a definite upper limit for what 99% of women actually prefer having inserted into them. Your sex life would improve most from improving erection quality, increasing your stamina, and becoming a more attentive and giving lover than it will from having a 9 inch penis.
Title: Re: VED Therapy Log
Post by: TonySa on August 27, 2020, 09:24:04 PM
No Peter, (re earlier post) one can be as devastated and grieving Peyronies Disease regardless of their age.  No one has stronger claims on their pain compared to others.
Title: Re: VED Therapy Log
Post by: TonySa on August 27, 2020, 09:26:03 PM
Time, I actually would say Luis' goal is impossible.  Studies show traction on men w their own normal size usually gained nothing and only a few up to 1/2 inch.  (Regaining lost size is possible tho.)
Title: Re: VED Therapy Log
Post by: Timewilltell on August 27, 2020, 09:37:24 PM
TonySa,

I agree with you. Most scientific studies and urologists will say that penis enlargement is not real. The only medically recommended process for elongation is a surgery that pulls some of the erectile tissues in the perineal area forward. Still, the way they talk about results within penis enlargement communities makes it hard to dissuade people who are really into that community. They will point to posts about individual success and believe that is possible for everyone.

As a lot of online discussions show, it is hard to contest people when they have adopted a viewpoint. I was just hoping to meet him at his assumptions and try to demonstrate the possible repercussions without contesting what he believes to be true. I figured it would be easier to illustrate the sexual disadvantages of a 9 inch penis than it would be to convince him that it isn't possible.
Title: Re: VED Therapy Log
Post by: jj21 on August 27, 2020, 09:59:47 PM
Luis - That's great progress - i'm also seeing results using the 3 chamber VED.

How long have you been using the restorex? And for how long each day ?

I'm looking at purchasing one soon.

I am very happy you're seeing results!
Title: Re: VED Therapy Log
Post by: LuisFernandez on August 28, 2020, 06:53:45 AM
Peter,

So for the hard gainers apparently in 2 years you see 2 inch gain in length and 1-1/2 gain in girth. Personally i've only gained 1/2 inch in length and no girth gains. I've only very recently re-started with VED.

I can understand how one can feel suicidal, i felt that way when i started to go down in length and girth and couldn't get my dick hard.

Check out the success section on forums like PEGym.

A few videos, these people sell things so keep that in mind:

Time,
Personally I don't do things for a woman, but for myself. I don't think it's good to care what a woman thinks about my body. Good or bad. It's just not healthy. This is why i do this for myself, not for anyone else.

I wouldn't recommend my kinds of goals to other people. But in general i think OldMan's VED protocol, the RestoreX protocol, and a no-tension (for stretched healing) with something like Penimaster Pro i would totally recommend.

jj21,

Thanks! Yeah seeing this results has really helped me mentally. So i'm following the standard RestoreX protocol. I'm using a CVS "pea" heat pad. I throw it in the microwave for 1.30 minutes and warm up for a couple of minutes. I attach the device and due to my dorsal curve i usually start at the first curve position and gradually click down as time progresses. I keep the heat pad on top of my penis so that it covers as much of it as possible during the session.

I usually do 60-90 minutes per day. I try to do one session in the afternoon and two late at night.

Next, i'll be adding all day stretching (ADS) with the penimaster pro or something similar. I'm still doing research on what device to get. Then I'll get the 3 chamber VED just because the vacurrect is ok for now.

The ADS is to combat the turtling that you get from using the RestoreX and improve the healing process in general. For peyronie's i would recommend doing ADS since it's what supplements like l-citruline and cialis try to mimic.
Title: Re: VED Therapy Log
Post by: Timewilltell on August 28, 2020, 03:41:26 PM
Luis,

I was just asking you think about the mechanics of intercourse and to be considerate of the pleasure and experience of any future partners but if that isn't your focus then good luck and be careful.

Don't poke an eye out when you go running with that thing.
Title: Re: VED Therapy Log
Post by: TonySa on August 29, 2020, 10:17:16 PM
Makes since Time, it's great your reaching out to help others here!
Title: Re: VED Therapy Log
Post by: jj21 on August 30, 2020, 02:09:53 AM
Great stuff Luis - We can turn our peyronies disadvantage into an advantage and end up with a bigger stronger penis as well as a healthier state of mind!

How long until you saw results with the restorex ?

Thank you,
J
Title: Re: VED Therapy Log
Post by: LuisFernandez on August 30, 2020, 03:14:20 AM
JJ21,

I agree, i think the best success stories like NeoV, Melting, and more were able to accomplish this. It takes work and dedication, but it's possible IMO. I hope that eventually the curve goes away and i'm able to say that i've recovered.

With RestoreX i was able to see results about a month into it. I've only been at this for less than two whole months. Really encouraging results.
Title: Re: VED Therapy Log
Post by: jj21 on September 01, 2020, 10:03:04 PM
Very encouraging Luis, I'm one month into the 3 cylinder VED protocol and I definitely recommend it - i'm seeing improvement in ED and girth, although minimal it is still encouraging.

I will be purchasing a restorex in the next few months!

Thanks again!
JJ
Title: Re: VED Therapy Log
Post by: LuisFernandez on September 06, 2020, 07:39:02 PM
Ok so i'm figuring out how to get the most out of my Vacurect pump. It has helped me me re-gain some of my girth and i have seen some early hints that it's getting rid of a dent on the dorsal distal part of my penis.

These days what I'm doing is taking Cialis 5 or 10mg. Then get a full erection. Then slide the vacurect from the top but don't allow the vacurect to get to the bottom of my shaft as i pump.

I try to pump as much as i can while focusing the vacuum on the dent on top. I'm going to about 110% erection with the pump. I'm also doing some jelqing with the ring. basically i use the ring to create a good pump and before the vacurect gets to the base i jelq with the vacuum and the constriction ring. I use a lot of water based lubrication while i do this.

I know it's a bit dangerous but i've been doing it for about a week and already seeing some good results.

Will continue to update this log.
Title: Re: VED Therapy Log
Post by: TonySa on September 07, 2020, 12:57:33 AM
Good results...until disaster.  Never pump beyond 100%-and that's risky-and ABSOLUTELY NEVER jelquing or prepare for worsening Peyronies Disease and ED!
Title: Re: VED Therapy Log
Post by: LuisFernandez on September 07, 2020, 02:13:29 PM
Thanks for the concern Tony. I would not recommend what i'm doing to anyone else, unless they're 100% mentally ready to get an implant which i am.

I'll be posting any updates and changes, good or bad here.
Title: Re: VED Therapy Log
Post by: LuisFernandez on September 24, 2020, 07:40:33 PM
A minor update.

I've continued to use the Vacurect VED device for the past few weeks. Girth seems to be slightly increasing but I haven't seen any big noticeable change in the dents.

I've also been getting an edema (swelling of the skin) which is annoying. So, i'm now doing some clamping with a full erection.

Basically I get a full erection, then put on the clamp. I only leave it on for 5 minutes with about 3 sessions per day. I stand up for even more pressure.

I then *gently* do counter curve pressure. Erections have been strong so far and no edema side effects.
Title: Re: VED Therapy Log
Post by: TonySa on September 24, 2020, 10:58:02 PM
PE techniques such as jelquing can damage the penis, cause Erectile Dysfunction and Peyronie's! 
Title: Re: VED Therapy Log
Post by: peter123 on October 11, 2020, 06:48:58 PM
Quote from: TonySa on June 10, 2020, 11:45:58 PM
Wow, I agree finisateride is an evil drug.  Interestingly enough one case of priapism in the study was due to trazadone at night for insomnia.  Please keep us posted how it goes.  Why do you fear an implant may not be an option for you if the Erectile Dysfunction is not reversible?


you are what, 70 years old? try going bald at 20, THAT is evil. finasteride is a god send for young men who get disfigured like this. you dont know what you are talking about
Title: Re: VED Therapy Log
Post by: LuisFernandez on November 29, 2020, 09:35:47 AM
Haven't updated this for a while. I've really started to like using my Vacurect in the shower. I just got a bathmate that i'm now using in the showers. However it's not optimal for my ED/Peyronies Disease because you can't pulse pump. I do like the pump it gives you and coupled with Cialis i was able to have some good sex.

I've been focused a lot on traction and continue to experiment and progress there. Though slowly, haven't had much gains since the initial .75" gain.

For pumping i have an idea which i will try. First i will get this programmable pump: https://ctc-company.com/product_info.php/digi-pump-p-37?cPath=54

And basically program a version of the old man protocol into it. I will also get a few cylinders from either LA pump or Leluv: https://www.lapump.com/product/penis-enlargement-cylinders

I can get cylinders that mimic the soma erect. This should be good for ED, Peyronies Disease, and enlargement.

Will keep this post updated for progress.

My girth hasn't really changed much from the 5.1" but it it slowly improving since the incident.
Title: Re: VED Therapy Log
Post by: LuisFernandez on December 06, 2020, 09:01:27 PM
I got my DP-4000 and had my first session with it. Hooked it up to my computer and created my first program for it.
Basically i just did 5 sec 2hg, then 30 sec 5hg, then 10 sec 6hg and just cycle that. Going to keep playing around with it.

Right now i'm using my bathmate still for when i know i'll have sex and plan to use the DP-4000 for when i won't. This is because i like the bathmate post-usage pump.

I had to get a custom fitting for the DP-4000: https://www.amazon.com/gp/product/B00EJRKMCQ/ref=ppx_yo_dt_b_asin_title_o01_s00?ie=UTF8&psc=1 so that i could use it with my LeLuv cylinder: https://www.amazon.com/gp/product/B00MV8QV16/ref=ppx_yo_dt_b_asin_title_o02_s00?ie=UTF8&psc=1

I'm currently using the 1.75" diameter cylinder which i pack except for where the dents are. Hopefully this will help me pop out those dents.
I'm not doing clamping anymore simply because pumping is more convenient, and also my ED makes my erections not so reliable to just plan to do clamping.

Next, I'm getting serious with DMSO and ordering everything I need so will keep posted about results.