Medical associations recommend traction devices for treatment of Peyronie’s disease

If you have noticed a bend or curve in your penis that has not always been present you may be suffering from Peyronie’s disease.

Bent road sign representing peyronie's diseaseCommon estimates on the prevalence of the condition range between 1% and 5% of men above the age of 50. Like with many other conditions relating to male genitals the true rate is unknown as many men are too embarrassed to seek help.

Peyronie’s is caused by fibrous lumps, technically known as plaques, that form internally on one side of the penis. Upon erection, this plaque stops the penis from extending to its full length on that side and therefore pulls the penis to that side. While the common result is a bend, the plaque can also cause other deformities such as bulging or depressions.

While medical experts debate the cause, anecdotal evidence suggests that it is most often caused by some sort of injury, with online Peyronie’s disease forums forums filled with stories of men developing the condition a few weeks after hearing an audible popping sound during a rough sexual experience. The theory is that the injury causes an auto-immune response from the body which creates the plaque at the site of the injury.

The Melbourne Bladder Clinic suggests that injecting repeatedly into the same site for erectile dysfunction treatment may also increase the risk in developing Peyronie’s.

While those with mild symptoms may be able to function normally, most with Peyronie’s will experience some adverse such as discomfort, pain and sexual dysfunction. Given that some research suggests that only 13% of men with the condition experienced a full recovery with no intervention, many men will put their embarrassment aside and seek some form of treatment.

Treatment options can be classified into three categories, being surgical, medicines (topical and oral) and stretching.

Surgical

Like for most surgery on our genitals, we at Aussie Penis believe that surgery should be the treatment of last resort. Among other side effects, the most alarming side effect from one of the surgical options called the the Nesbit’s procedure is shortening of the penis. And although we know we shouldn’t really care about penis size, I’m sure there are few of us who would want to make our penis shorter. Unless you are like Keith on this episode of Embarrassing Bodies, who opted for the penis-shortening Nesbit’s surgical procedure to treat his Peyronie’s, but had more than enough length to begin with.

Other surgical options are explored in this information sheet by Queensland urologist Dr Peter Campbell.

Topical and Oral Medicines

These are generally thought to be the least effective treatment. But given that they are the least invasive treatment and there is some evidence that they can at least improve, if not cure, the condition, some sufferers opt for this treatment. See this page for information on the effectiveness of topical and oral medicines.

Stretching

Stretching the penis over as period of time (usually at least months) has been shown to increase the length of the penis. Traction devices such as this one have been used by men for many years to successfully increase the length of their penis. Recently, the medical community has adopted this for the treatment of Peyronie’s disease.

The following is from Better Health Victoria, which was written in consultation with the Urological Society of Australia and New Zealand:

Penile traction device – this has proved useful, along with medical therapy, to lengthen the penis and reduce the curve in the erect state. Studies have also shown that use of a penile traction device may increase penile width, suggesting a benefit in the management of Peyronie’s disease. It has also been used pre- and post-surgery to prevent penile shortening.

Men’s Health Melbourne have even started offering traction devices as part of their treatment services for Peyronie’s disease.

For those looking to buy a device online, water based pumps are also an option with Penomet being a popular option for men with a curvature of 20% or less.

While some doctors and medical associations are open to recommending traction devices for the treatment of Peyronie’s disease, others are a little more hesitant, suggesting that most men do not have the dedication or patience to wear a device every day over the course of months, even though thousands of men have been able to do this with similar devices for the purposes of penis growth and foreskin restoration.

I know that if I am ever unlucky enough to ever suffer from the condition I would certainly be willing to try the traction device treatment before resorting to the more invasive surgical options.

And I won’t be too concerned I manage to grow some extra length as a side-effect.

 

Image courtesy of nuttakit at FreeDigitalPhotos.net

Top eight tips for making your penis larger (or at least how to not make it any smaller)

We all know that penis size doesn’t matter but given the number of spam emails promising you a longer and thicker organ there is clearly a demand, or at least an interest in penile enhancement. While most of these claims are, sometimes literally, snake oil potions, are there any proven methods that can make your penis bigger? Well there are actually a couple of scientifically proven ways to do this. And given that the proven methods are so few, I thought I’d beef up this post with with some other strategies to at least make sure that what you were given does not get any smaller.

1. Don’t get yourself circumcised
While it may be too late for many Australian men, if you have been lucky enough to escape the knife up to this point you should make sure you continue to avoid the procedure. (If you are one of the unlucky ones don’t despair – check out number 2 below.)

The obvious effect that circumcision has is to physically reduce the size of the flacid penis. It is self evident that if you cut of part of your penis you will have, well, less penis. As comedian Will Anderson quipped on the television show Good News Week, in response to a proposed Californian bill to make circumcision illegal, “what man is going to look down and say gee, I think I want to make this smaller”.

While many Australian men think that this effect is only on flaccid penis size, there is evidence to suggest that there is also an effect on erect penis size. An Australian study has shown that a circumcised penis is on average 8mm smaller than an intact (uncircumcised) one. This is thought to be due to the restrictive skin on a circumcised penis ‘tethering’ the glans and inner parts of the shaft during an erection. In addition the erect girth also becomes smaller as you lose the double layer of skin just below the glans.

2. If you have been circumcised, restore
While medical evidence may be scant, there is strong anecdotal evidence that undergoing natural foreskin restoration can increase penis size. By natural foreskin restoration I am referring to the process of applying tension to the remnant foreskin over a long period of time to trigger a process called mitosis, whereby the skin cells multiply. The end result is that the remnant foreskin grows in length to have a similar look an function to a normal foreskin.

There are two reasons why this can also have an affect on penis size. The first is the reversal of the tethering effect (outlined in point 1 above). It stands to reason that if the tight foreskin caused by circumcision can make the penis shorter by tethering it to the body then loosening that skin will release it and allow it to grow to its full potential during an erection. Note though that this effect is often only experienced by men who were unfortunate enough to receive a very tight circumcision, and those who restore from a more generous base may not experience any increase in length.

The second is the theory that the frequent tension causes mitosis not only in the foreskin but also in the penile shaft.

Many many report increased length of around 1 inch as a result of foreskin restoration. My personal experience is that I started with an average penis length of 6 2/8 inches, and after almost completing the restoration process my length is still 6 2/8 inches. However, I did only first measure myself after 3 months into the restoration process.

3. Stop smoking
Did you really need another reason to stop smoking? Well apparently a study has shown that men who stopped smoking experienced an increase in size. Or more accurately their penis size reverted to the normal size it would have been if they had never started smoking.

4. Start jelqing
I must admit, this is one I have actually tried. It sounds like an attractive proposition: stroke your penis every day (umm..that’s what I do every day anyway) and it will grow. But the ‘stroking’ is more intense than my usual efforts. The idea is to force blood up from the base to the glans to cause minor damage to the vessels. I won’t describe it any more than than in case I get it wrong. Which would be likeley because it is such a complex process. From warm-up wraps to warm downs, stricts regimes of sets and reps with various levels of hardness, different grips, days on and rest days. I tried my own regime at each bathroom break and I decided that after three months that if I had even one millimeter or growth then I would continue. My total gains were 0mm.

5. Traction devices
While the skeptical general public usually laughs off the suggestion that any device could make your penis longer it seems that the medical and scientific community is now saying that these traction devices might actually work. Similar to foreskin restoration, the devices work by applying tension over a long period of time, which induces cell growth. Read more on one of the more popular traction devices here.

6. Penis pumps
While traction devices have some scientific backing, the efficacy of the penis pumping devices is less certain. While some studies have shown an increase others have shown no change. They work by creating a vaccum around the penis which causes an engorging of the penile blood vessels. Over time (and again, six months is usually required) the vessels can grow, resulting in an increase in length. Penomet is one of the more popular brands.

7. Diet and exercise
If improving blood vessels can result in increased size, then perhaps diet and excercise can acheive the same thing? Sounds plausible to me but I am yet to find any solid evidence to suggest that diet and excercise can do anything other than improve the strength of your erection (which is not a bad thing anyway).

8. Lose weight
This is another one that falls under the category of getting your penis size back to what it naturally should be. As you gain weight around your pubic area (to get technical, the mons pubis), the growing area of fat can effectively ‘swallow’ the base of your penis. It’s pretty simple really – the more that gets buried in this layer of fat the less you have to show. If you needed further incentive to finally lose weight perhaps this is the reason to get you started!

Eight is an unconventional number for any ‘top’ list.  I had intended this to be a ‘top ten’ list but simple could not find enough methods with any sort of legitimacy to make the cut. If I have missed anything though please add them as a comment below.