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From: Admin@DrYew.com on 21 Aug 2006 20:33
This is a real phenomenon. Not sure about the actual etiology. Many do
believe
it is the removal of the prostate, but that's not anatomically very
feasible. The
uretha is secured in place into the pelvic floor musculature. The
bladder comes
down to fill in the removed space where the prostate used to be. Few
things
retract back up into the pelvis. Ask any woman who is older or has had
children.
A more likely cause is the abdominal incision. The skin incision
usually goes
almost to the base of the penis, and underneath, the fascia incision
often goes
even further south. As this heals and scars, the scar often contracts
and
shortens, which is why most scars indent some even as they get thicker.

The reverse of this concept is the rationale behind surgery to lengthen
the
penis by cutting the suspensory ligament to the penis which releases
the
tethering mechanism on the penis in the subcutaneous layers right above
the penis. Another cause is lack of oxygenated blood flow to the
corporal
bodies of the penis, resulting in fibrosis and scarring (and
contraction of the
penis itself). Along with a few other docs around the country, I am
going to start
keeping track of this. Why? Anectodally, there seems to be far less
complaints
of this penile shortening following dVP robotic laparoscopic
prostatectomy. For
those having prostate cancer surgery of any kind, there is some
evidence that
penile corporal fibrosis (scarring) and shortening can be prevented
with daily
use of a vaccum erection device starting 1 month after surgery. If the
constriction
rings are used, this has the added quality-of-life benefit of allowing
resumption of
sexual activity. There is also the suggestion that this
"use-it-or-lose-it" strategy
may speed recovery of natural spontaneous erections.

And finally, unfortunately, probably the most common reason for a man's
perception that his penis is shortening is... weight gain.

===
http://www.DrYew.com
http://www.SanDiegoRoboticProstatectomy.com

Beverley wrote:
> When they remove the prostate they also remove about 1- 1.5 inches (25-38
> mm) of the urethra. (It depends on the size of the prostate.) (Because the
> urethra runs through the prostate.) That tends to allow the penis to slip
> back inside by that amount because of the shortened urethra. The penis
> itself does not actually shrink. Apparently the urethra will stretch out a
> wee bit eventually. I doubt anyone ever gets back their full length.
> Bev
>

From: Beverley on 22 Aug 2006 16:25
I went back to basic some anatomy models and sure enough there's the urethra
running through the pelvic floor. And you are saying it is definitely
attached there. Okay. Thank you. I stand corrected.

The pump (VED) was a tremendous help to us after treatment (EBRT + brachy) .
It seemed as if we were dealing with peyronies for a while, although no
doctor has ever actually said peyronies or even eluded to it. My
understanding is that peyronies often effects men in their 50's and early
60's and, I guess, can be aggravated by PC treatment. I think true peyronies
is caused by calcium deposits. Whereas what you are saying is a combination
of damage caused by lack of oxygenated blood flow and scaring within the
penis and in the pelvic floor, which might be causing something that mimics
peyronies. They think my husband's problem was caused during EBRT (IMRT)
causing some damage (scarring) within the penis. Of course there is no way
to know this for certain.
Bev


"Admin(a)DrYew.com" <JYewMD(a)gmail.com> wrote in message
news:1156206813.826656.279020(a)h48g2000cwc.googlegroups.com...
> This is a real phenomenon. Not sure about the actual etiology. Many do
> believe
> it is the removal of the prostate, but that's not anatomically very
> feasible. The
> uretha is secured in place into the pelvic floor musculature. The
> bladder comes
> down to fill in the removed space where the prostate used to be. Few
> things
> retract back up into the pelvis. Ask any woman who is older or has had
> children.
> A more likely cause is the abdominal incision. The skin incision
> usually goes
> almost to the base of the penis, and underneath, the fascia incision
> often goes
> even further south. As this heals and scars, the scar often contracts
> and
> shortens, which is why most scars indent some even as they get thicker.
>
> The reverse of this concept is the rationale behind surgery to lengthen
> the
> penis by cutting the suspensory ligament to the penis which releases
> the
> tethering mechanism on the penis in the subcutaneous layers right above
> the penis. Another cause is lack of oxygenated blood flow to the
> corporal
> bodies of the penis, resulting in fibrosis and scarring (and
> contraction of the
> penis itself). Along with a few other docs around the country, I am
> going to start
> keeping track of this. Why? Anectodally, there seems to be far less
> complaints
> of this penile shortening following dVP robotic laparoscopic
> prostatectomy. For
> those having prostate cancer surgery of any kind, there is some
> evidence that
> penile corporal fibrosis (scarring) and shortening can be prevented
> with daily
> use of a vaccum erection device starting 1 month after surgery. If the
> constriction
> rings are used, this has the added quality-of-life benefit of allowing
> resumption of
> sexual activity. There is also the suggestion that this
> "use-it-or-lose-it" strategy
> may speed recovery of natural spontaneous erections.
>
> And finally, unfortunately, probably the most common reason for a man's
> perception that his penis is shortening is... weight gain.
>
> ===
> http://www.DrYew.com
> http://www.SanDiegoRoboticProstatectomy.com
>
> Beverley wrote:
> > When they remove the prostate they also remove about 1- 1.5 inches
(25-38
> > mm) of the urethra. (It depends on the size of the prostate.) (Because
the
> > urethra runs through the prostate.) That tends to allow the penis to
slip
> > back inside by that amount because of the shortened urethra. The penis
> > itself does not actually shrink. Apparently the urethra will stretch out
a
> > wee bit eventually. I doubt anyone ever gets back their full length.
> > Bev
> >
>


From: Beverley on 22 Aug 2006 16:30
Sorry, the word is alluded not eluded.
I hate when I do that sort of thing!
Bev


"Beverley" <beverly.brown28(a)verizon.net> wrote in message
news:iLJGg.4899$E_.4190(a)trnddc06...
> I went back to basic some anatomy models and sure enough there's the
urethra
> running through the pelvic floor. And you are saying it is definitely
> attached there. Okay. Thank you. I stand corrected.
>
> The pump (VED) was a tremendous help to us after treatment (EBRT + brachy)
..
> It seemed as if we were dealing with peyronies for a while, although no
> doctor has ever actually said peyronies or even eluded to it. My
> understanding is that peyronies often effects men in their 50's and early
> 60's and, I guess, can be aggravated by PC treatment. I think true
peyronies
> is caused by calcium deposits. Whereas what you are saying is a
combination
> of damage caused by lack of oxygenated blood flow and scaring within the
> penis and in the pelvic floor, which might be causing something that
mimics
> peyronies. They think my husband's problem was caused during EBRT (IMRT)
> causing some damage (scarring) within the penis. Of course there is no way
> to know this for certain.
> Bev
>
>
> "Admin(a)DrYew.com" <JYewMD(a)gmail.com> wrote in message
> news:1156206813.826656.279020(a)h48g2000cwc.googlegroups.com...
> > This is a real phenomenon. Not sure about the actual etiology. Many do
> > believe
> > it is the removal of the prostate, but that's not anatomically very
> > feasible. The
> > uretha is secured in place into the pelvic floor musculature. The
> > bladder comes
> > down to fill in the removed space where the prostate used to be. Few
> > things
> > retract back up into the pelvis. Ask any woman who is older or has had
> > children.
> > A more likely cause is the abdominal incision. The skin incision
> > usually goes
> > almost to the base of the penis, and underneath, the fascia incision
> > often goes
> > even further south. As this heals and scars, the scar often contracts
> > and
> > shortens, which is why most scars indent some even as they get thicker.
> >
> > The reverse of this concept is the rationale behind surgery to lengthen
> > the
> > penis by cutting the suspensory ligament to the penis which releases
> > the
> > tethering mechanism on the penis in the subcutaneous layers right above
> > the penis. Another cause is lack of oxygenated blood flow to the
> > corporal
> > bodies of the penis, resulting in fibrosis and scarring (and
> > contraction of the
> > penis itself). Along with a few other docs around the country, I am
> > going to start
> > keeping track of this. Why? Anectodally, there seems to be far less
> > complaints
> > of this penile shortening following dVP robotic laparoscopic
> > prostatectomy. For
> > those having prostate cancer surgery of any kind, there is some
> > evidence that
> > penile corporal fibrosis (scarring) and shortening can be prevented
> > with daily
> > use of a vaccum erection device starting 1 month after surgery. If the
> > constriction
> > rings are used, this has the added quality-of-life benefit of allowing
> > resumption of
> > sexual activity. There is also the suggestion that this
> > "use-it-or-lose-it" strategy
> > may speed recovery of natural spontaneous erections.
> >
> > And finally, unfortunately, probably the most common reason for a man's
> > perception that his penis is shortening is... weight gain.
> >
> > ===
> > http://www.DrYew.com
> > http://www.SanDiegoRoboticProstatectomy.com
> >
> > Beverley wrote:
> > > When they remove the prostate they also remove about 1- 1.5 inches
> (25-38
> > > mm) of the urethra. (It depends on the size of the prostate.) (Because
> the
> > > urethra runs through the prostate.) That tends to allow the penis to
> slip
> > > back inside by that amount because of the shortened urethra. The penis
> > > itself does not actually shrink. Apparently the urethra will stretch
out
> a
> > > wee bit eventually. I doubt anyone ever gets back their full length.
> > > Bev
> > >
> >
>
>


From: NICK on 22 Aug 2006 21:06
Beverley wrote:

> I think true peyronies is caused by calcium deposits.
> Whereas what you are saying is a combination of
> damage caused by lack of oxygenated blood flow
> and scaring within the penis and in the pelvic floor,
> which might be causing something that mimics peyronies.

From my wife's "Taber's CYCLOPEDIC MEDICAL DICTIONARY"

Peyronie's disease [Francois de la Peyronie, Fr. surgeon,
1678-1747] A dorsal deformoty or curvature of the penis
caused by fibrous tissue within the tunica albuginea.

When the distortion of the penis is severe, the affected
individual may experience erectile dysfunction or pain
during sexual intercourse.

TREATMENT: In many cases the contracture is mild, and
those patients do not required treatment. When pain is
present for more than 12 months, hoeer, or when the
deformity is severe or interferes with erectile funciton,
surgical repair of the defect may prove helpful.

From: Beverley on 22 Aug 2006 23:16
Peyronie's is far more common than most men want to think it is. Also it is
not always the badly deformed "bent rod" and can be found in milder forms.
Most men have a natural curve even in their teens, this curve can become
more prominent as they age but is still not considered to be Peyronie's
Disease.

Peyronie's actually takes many forms and can prevent the corpus cavernosum
and the corpus spongiosum from filling with blood in areas or the entire
length of the these cavernous regions. PD can happen as a result of an
injury or it can just sort of happen without any catalyst other than
possible age. They say it often goes away naturally within 5 years. And most
of the time is left untreated because it is not really a problem or painful.
Bev


"NICK" <CALIFORNIA_CHIEF(a)PEOPLEPC.COM> wrote in message
news:1156295204.046556.205310(a)i42g2000cwa.googlegroups.com...
> Beverley wrote:
>
> > I think true peyronies is caused by calcium deposits.
> > Whereas what you are saying is a combination of
> > damage caused by lack of oxygenated blood flow
> > and scaring within the penis and in the pelvic floor,
> > which might be causing something that mimics peyronies.
>
> From my wife's "Taber's CYCLOPEDIC MEDICAL DICTIONARY"
>
> Peyronie's disease [Francois de la Peyronie, Fr. surgeon,
> 1678-1747] A dorsal deformoty or curvature of the penis
> caused by fibrous tissue within the tunica albuginea.
>
> When the distortion of the penis is severe, the affected
> individual may experience erectile dysfunction or pain
> during sexual intercourse.
>
> TREATMENT: In many cases the contracture is mild, and
> those patients do not required treatment. When pain is
> present for more than 12 months, hoeer, or when the
> deformity is severe or interferes with erectile funciton,
> surgical repair of the defect may prove helpful.
>


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