Penis question (not perverted I promise!) - page 3

I thought I had seen a lot of things to do with err...boy's bits through the course of my working life....it turns out I haven't. One of the docs on the weekend asked me to cath a young fella...piece... Read More

  1. by   JohnnyGage
    Originally posted by baseline
    Uh Johnny, its possible a little more experience at foreplay would prevent this problem for you!
    Not me! I suffer from what we call "Iron Spike Syndrome."
  2. by   baseline
    Originally posted by JohnnyGage
    Not me! I suffer from what we call "Iron Spike Syndrome."
    BWAAAAAAHAHAHAHAHAHAHA:roll :roll :roll
  3. by   caroladybelle
    Actually I heard that it was the overripe banana syn.......

    Alright, alright - I'll be nice.

    Johnny Gage,
    There is an old southern belle phrase:

    "Empty wagons rattle the loudest"
  4. by   theofour
    It totally amazes me how little information there is and how little research is being done on this subject. "Peyronie's Disease" is the name for those of you who do not know. It seems to be caused by a fibrous plaque that develops on and in the Tunica Albuginea that surrounds the Corpora Cavernosum of the penis.

    There are two cavernosa, one for each side. When an erection occurs the incoming arterial flow is assisted by the relaxation of the smooth muscle tissue in this area. This is caused by an increase in the amount of Prostaglandin and Nitric Oxide within the penis. Part of a normal erection is caused by physical stimulation and is initiated by nerve function from the base of the spinal cord. The rest is a result of mental imagery and stimulation by the Limbic region of the brain. As the incoming arterial flow exceeds the outgoing venous flow an erection occurs due to the expansion of the Corpus Spongiosum within the Corpora Cavernosum. The erection also causes partial occlusion of the outgoing veins due to the pressure of the Corporus Spongiosum against the outflow vieins thereby facilitating the erection.

    In Peyronie's disease the fibrous plaque that builds up detracts from the normal elasticity of the Tunica Albuginea and so inhibits the particular surface where it is located from expanding and stretching properly. This is what causes the bending. It is similar to placing a piece of tape on the side of a balloon and then trying to blow up the balloon. The tape will cause a distortion of the normal expansion of the balloon.

    The term "Disease" is misleading. It is more of a condition. It is not contagious. Its causes are still speculative with most leaning toward injury during sex. It is also possible that there is a genetic component involved. The plaque, it is speculated, is a result of the internal healing process carried to extemes. It is similar to and seems to be caused by the same type of plaque formation that is found in Dupuytren's Contracture of the hand.

    I know most of this information because I have this condition. I first noticed a slight curvature to the left when i first began to masturbate at the age of 12. I thought it was because I was using my right hand so I switched to my left. Left handed masturbation has become a habit ever since even though I am right handed. This slight curvature that I had never presented a problem and I was able to have normal sexual intercourse until I was 50. i received only one comment from one girl in all that time that her vaginal wall on one side was hurting slightly due to my curvature.

    The problem has become dramatically worse in the last four years with the bend increasing to between 45 to 60 degrees. This makes normal sex impossible and causes a great deal of pain. The plaque also has begun blocking the incoming blood flow to the left side of my penis. Now i am embarassingly bent, penis girth has decreased and ED symptoms are coming on strong. "If" I can get an erection, it is horribly bent and then I cannot maintain it for long due to the pain.

    I finally got over the embarassment and went to a urologist who confirmed the plaque and sent me to one of the only specialists in this area of the country, Dr. Lawrence Hakim. (google his name) he is doing experimental treatments using injections of interferon alpha 2B. I am going for a Duplex Doppler Penile Ultrasound (DDPU) next month. This should definitively diagnosis the condition and if it is Peyronie's then the Interferon treatment will be started.

    Unfortunately these treatments using Interferon are considered to be experimental and have not been approved as a treatment by the FDA for Peyronie's disease so the insurance company does not want to cover them. I will be fighting tooth and nail and penis with the insurance company to try to have this treatment covered. if I have to pay out of pocket it will cost me between $9000 to $13,000. One way or another I have to have it done...either that or forget about sex, masturbation and orgasms for the rest of my life!
    Last edit by theofour on Sep 27, '09 : Reason: spelling
  5. by   Batman24
    Quote from theofour
    It totally amazes me how little information there is and how little research is being done on this subject. "Peyronie's Disease" is the name for those of you who do not know. It seems to be caused by a fibrous plaque that develops on and in the Tunica Albuginea that surrounds the Corpora Cavernosum of the penis.

    There are two cavernosa, one for each side. When an erection occurs the incoming arterial flow is assisted by the relaxation of the smooth muscle tissue in this area. This is caused by an increase in the amount of Prostaglandin and Nitric Oxide within the penis. Part of a normal erection is caused by physical stimulation and is initiated by nerve function from the base of the spinal cord. The rest is a result of mental imagery and stimulation by the Limbic region of the brain. As the incoming arterial flow exceeds the outgoing venous flow an erection occurs due to the expansion of the Corpus Spongiosum within the Corpora Cavernosum. The erection also causes partial occlusion of the outgoing veins due to the pressure of the Corporus Spongiosum against the outlow vieins thereby facilitating the erection.

    In Peyronie's disease the fibrous plaque that builds up detracts from the normal elasticity of the Tunica Albugiea and so inhibits the particular surface where it is located from expanding and stretching properly. This is what causes the bending. It is similar to placing a piece of tape on the side of a balloon and then trying to blow up the balloon. The tape will cause a distortion of the normal expansion of the balloon.

    The term "Disease" is misleading. It is more of a condition. It is not contagious. Its causes are still speculative with most leaning toward injury during sex. It is also possible that there is a genetic component involved. The plaque it is speculated is a result of the internal healing process carried to extemes. It is similar to and seems to be caused by the same type of plaque formation that is found in Dupuytren's Contracture of the hand.

    I know most of this information because I have this condition. I first noticed a slight curvature to the left when i first began to masturbate at the age of 12. I thought it was because I was using my right hand so I switched to my left. Left handed masturbation has become a habit ever since even though I am right handed. This slight curvature that I had never presented a problem and I was able to have normal sexual intercourse until I was 53. i received only one comment from one girl in all that time that her vaginal wall on one side was hurting slightly due to my curvature.

    The problem has become dramatically worse in the last four years with the bend increasing to between 45 to 60 degrees. This makes normal sex impossible and causes a great deal of pain. The plaque also has begun blocking the incoming blood flow to the left side of my penis. Now i am embarassingly bent, penis girth has decreased and ED symptoms are coming on strong. "If" I can get an erection, it is horribly bent and then I cannot maintain it for long due to the pain.

    I finally got over the embarassment and went to a urologist who confirmed the plaque and sent me to one of the only specialists in this area of the country, Dr. Lawrence Hakim. (google his name) he is doing experimental treatments using injections of interferon alpha 2B. I am going for a Duplex Doppler Penile Ultrasound (DDPU) next month. This should definitively diagnosis the condition and if it is Peyronie's then yhe Interferon treatment will be started.

    Unfortunately these treatments using Interferon are considered to be experimental and have not been approved as a treatment by the FDA for Peyronie's disease so the insurance company does not want to cover them. I will be fighting tooth and nail and penis with the insurance company to try to have this treatment covered. if I have to pay out of pocket it will cost me between $9000 to $13,000. One way or another I have to have it done...either that or forget about sex,masturbation and orgasms for the rest of my life!
    Thank you for all the info. My guess is the young male patient in this situation does siffer from the same condition and as he hasn't run into any issues as of yet so he hasn't had it looked. When or if it becomes a problem in later years I'm sure he will. I know one guy that had it. Sex is such an important part of life it is sad this isn't covered. I hope the FDA approval ultimately gets approved. Good luck to you.
  6. by   theofour
    Thank you for your understanding. It amazes me that treatment for Duypuytren's Contracture is covered but treatment for Peyronie's is not. They both seem to be caused by the same underlying cause. The only differnce is the appendage that it affects. I guess the insurance companies feel that sex is not a necessary biological function but use of your hand is.
  7. by   rnffemtguy
    Quote from Agnus
    Since we are on the subject. I have a clinincal question.
    Yesterday a nurse told me she tried to remove a foley from a male patient. He happened to have a metal implant. She could not get the baloon to deflate. When she drew back with the syringe the sides of the cath just collasped.
    She asked a male collegue to help. He threaded a stylet from a dobhoff up the baloon port and broke the baloon. (Personally I would have cut the end of the ballon port and allowed the water to drain by gravity. To me his actions were dangerous, outside of the standard of practice, outside the scope of nursing.)
    Anyway does anyone have an idea why the nurse could not get it to empty with the syringe?
    I'm curious also, was it a seed implant used to treat prostate ca?, or a different implant maybe used for tx of peyronie's or ed? I'm pretty sure that using the stylet isn't a good idea, risk of injuring the bladder, risk of infection, the list goes on, I was taught and have read in several texts that if the baloon can't be deflated with the syringe to cut the catheter and let the baloon deflate by gravity......
  8. by   morte
    Quote from rnffemtguy
    I'm curious also, was it a seed implant used to treat prostate ca?, or a different implant maybe used for tx of peyronie's or ed? I'm pretty sure that using the stylet isn't a good idea, risk of injuring the bladder, risk of infection, the list goes on, I was taught and have read in several texts that if the baloon can't be deflated with the syringe to cut the catheter and let the baloon deflate by gravity......
    ....and i was taught to NEVER, EVER, cut the cath......in this particular case pullling back on the syringer wasnt getting any result EXCEPT colapsing the cath....which implies to me the obstruction/problem is distal to that point...so why would the liquid in the balloon drain out by gravity??
  9. by   rnffemtguy
    Good point morte, if the obstruction is distal I suppose the only way to deflate the baloon would be to drain it while it's still in place because as you said by cutting it still would not be able to drain by gravity. Just to clarify I didn't mean cut the entire catheter, just the baloon inflation port, that way the rest of the catheter still remains intact allowing urinary drainage even if the baloon doesn't inflate. In any case I would consult the MD before doing anything including inserting a stylet or cutting anything. Anybody else have any ideas/thoughts?

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