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well thats where i'm having trouble. Is the pudendal artery located near where the bicycle seat sits?
No--much deeper than that. You can't compress the artery from external pressure on the perineum.
ok, well my one doctor disagrees with that. He says that cycling can put pressure on that artery but I suppose its a moot point as the artery has nothing to do with PD
I don't think the potential cycling/PD issue has anything to do with the pudendal artery.
hey dr. chip, sorry i have been so terrible lately. Working on it i swear, going to get a better therapist.
Having hard time with snapfish--check the id and password XXXXX me?
snapfish.com XXXXXXXX@XXXXXX.XXX, password XXXXX
Got it. Erection full and without bending or angling. No bruising or broken vessels. Skin texture normal. No evidence for PD. And yes--PD does not affect the glans, only the shaft and glans pain is prostatitis, not PD
great, but just to confirm again: even if that pain was to extend down the shaft that happens with prostatitis commonly as well (pain in shaft upon erection), is that 100 percent correct?
Yes--100% correct--the pain can be in the head and the shaft with prostatitis.
any chance you could check a photo to make sure there are no signs of trauma?
Another one?
yes, its just one new photo cause i keep thinking i see a bruise there, but i know in reality there probably is not
Before I look what area?
on the top of my penis, new pic on the snapfish account
No bruise and no broken vessels.
i'm just trying to get my head around what would be the worst case scenario and get myself to realize that wouldn't be that bad. I'm wondering if you can just help me.
You'll have to give me a couple of hours here--have to be off, and then I'll address what you just said.
ok, no worries
Later then
ok, when you are back can you check the snapfish account for a bruise. Sorry, i've just had a rough week. I keep moving the skin around on the right side, and when i move it in one direction it looks like there might be a bruise deep under the skin. But you would see that if there is a bruise way under the skin like that right? And bruises aren't that hidden and there would be signs of it on the surface even if it was small? And i'd see the signs of it without having to stretch the skin?
Just checked again--absolutely no bruise.
ok and you would see even a tiny bruise that originates from the tunica, or that is indicative of tunica damage?
Yes, I would have seen a bruise. And, yes, the procedure in the link could be used in you, and you would have a full erection with a normal angle and not much in the way of shortening.
so that is pretty much the worst case scenario of peyronies? an implant and some mild shortening?
Yes--that would be worst case scenario and even then you'd still have a full upright erection and a normal sex life.
ok- im going to try just thinking to myself that the worst case scenario isnt all that bed and maybe ill get my life back. maybe thats a better strategy .
No way that action would ever damage a flaccid penis.
Hi. I have some sort of skin rash on my chest. Can you just take a look at it and confirm its not skin cancer? Walk in said its a fungal infection and gave me a cream. There is a pic on the snapfish account. Look I have something real this time! So exciting!
Exciting--yes, but cancer????? No--looks like tinea coroporis--merely fungal and not Ebola--not flesh eating.
ok, so definitely 100 percent not anything serious?
Absolutely--and skin cancer, just like PD, doesn't suddenly appear as a rash.
can we do a photo check this morning at the snapfish account?
I can still see the shape of the shaft through the glare.
No bruising, no broken vessels, normal angle and full erection with no abnormal bend. No PD
ok, so there has been no increased curvature and absolutely ZERO change in shaft shape from these photos in comparison to the old ones?
Zero change in shaft shape and no increased curvature.
No problem with just letting water rinse the penis off, but why don't you just use a body sponge from now on to wash your penis and keep your hands off it in the shower?
yes, i will pick one up today. My OCD will probably find something to focus on and decide is a symptom of PD however. But one week without washing is ok right? i mean not that it should be done on a regular basis.
Lots of double negatives in your paragraph.
Simply put--since there has been absolutely no change in your penis in all these months, none of the pains you've had in the penis have been from PD.
ok, and that is because the pain from peyronies is from scar tissue trying to stretch beyond what it can correct? so if the tunica is stretched as far as it normally does (i.e no shaft shape change) then there is no pain? Is that correct?
Correct
just to confirm, you can definitly make out the shaft shape accurately in all the photos i provided today, even the ones with the glare? and you could be 100 percent sure there is no shaft shape change even if you just had those photos?
That's not just to confirm--I stated categorically that I could make out the shaft shape through the glare so don't reask me the same question as though I made a mistake with my statement. Yes--the photos today show me the shaft and its shape clearly enough to be 100% certain there has been absolutely no change.
sorry, i had just thought maybe you were saying that as long as you had other photos and the glare photos it was enough. sorry, have a good day
Same to you
can you just quickly check the snapfish account for a bruise?
Full view of the shaft from all angles.
No bruising, no broken vessels. And I looked at both albums
im not sure the first album loaded up in time. so you saw one album with 2 photos labelled "this one and.." or something like that, and another one with todays date with 11 photos. all flaccid photos. is that correct?
Yes--saw both albums--no bruises.
when i woke up this morning i felt a tingling in the right side of my erection. i took a photo and added it to the snapfishaccount. im worried that it has changed shape really mildly on the right side, where the part that bulges out on the right side just below the head does not go out as far as it used to. so maybe there is no obvious bend but it has subtley changed shape. can you tell me 100 percent for sure that the photo added today is exactly the same shaft shape as the older photos?
No, there's no change when I compare it to the previous photos--no change at all.
ok, with the photos with the glare (i dont know what is causing that) but can you still see if there is increased leftward curvature from the side angle photograph today? or does the side angle photo not give you view of leftward or rightward curvature when there is a glare?
Well, one side angle photo doesn't give me the right view to look for a leftward curve
you had told me before that you could see increased leftward curvature by looking at the side angle. do you mean that you could determine if there is increased leftward curvature by comparing old and new side angle photos?
No, I never said that specifically because you've never given me just a single lateral photo.
here is the conversation where you said that:Can you determine upwards or downwards curvature by just the top down angle and not the side angle photos? Or do you need the side angle photos to determine that?
Expert
Thursday, July 05, 2012 6:34 PM EST
Thursday, July 05, 2012 6:36 PM EST
Thursday, July 05, 2012 6:39 PM EST
Well, now it's like your putting me on the stand. Remember you use a lot of wording in a lot of your questions. Basically I can tell an up or down and side to side angle change from a photo that looks at the penis from above but a single lateral photo only shows the up and down angle.
sorry, didn't mean to put you on the spot, but anytime there is confusion over what has been said that gets my anxiety up a whole lot.
The fullness of any erection is only from the total blood content and has nothing to do with the tunica.
The new photos show an erection that is just as full as in the older photos and there is no change in the curvature, either up and down or side to side.
ok, so does the tunica just have to do with length and shape?
Yes
ok, so would you say this is true:if the erection is as long as it normally is and the same shape then you can 100 percent say that the erection does not have peyronies if it is the same as in all other photos, even if the erection itself isn't 100 percent as hard as it sometimes is?cause sometimes i feel that the erection is harder than at other times, but you always say it looks the same in the photos, so that must be because the tunica is as full as it normally is correct?
PD wouldn't cause an intermittent difference in the fullness of an erection.
no, i just mean that if sometimes the erection isn't as hard as at other times you can still accurately determine if there has been any change in shaft shape so long as the length and width are the same (i.e the tunica is just as full as it always is).I'm just trying to clarify that you can still tell if there has been shaft shape change if some of the erections in the photos feel to me to be a little less hard, because that would have to do with blood supply in other areas and not the tunica
Look closely at my last answer--it was a direct and complete answer to your previous question. You seem to wander about with the follow up questions and go back things we've covered before. Any near full erection will show any change in angle and shaft shape.
i'm not really clear as to whether it does or not.An intermittent difference in fullness of erection is not what i'm asking about.I'm asking about if we can determine that in a "near full" erection the tunica is just as full as in a "full" erection if it appears to have the same length and width, therefore we can conclude that a "near full" erection can accurately show there is not difference in the tunica or shaft shape just as well as a "full" erection can. The reason for this is that what keeps the "near full" erection from being a "full erection" is blood in other areas of the penis, not the tunica, at least as it concerns the difference between the level of fullness in the photos in the snapfish account, which appear to be the same to you, but sometimes have varying degrees of hardness to me.Does that make sense?
You really need to look carefully at the questions you pose. You don't seem able just to post a simple, precise and--very important--short worded sentence and that's where the confusion occurs because there's just to many points in the one question for me to easily answer and not leave you worried. Take a few minutes and try to ask that last question again and don't let it run for more than one line.
i'll try:If I have an erection that does not feel 100 percent hard to me, but in the photos appears to you to be as full in length and width as previous photos does that mean 100 percent for sure that the tunica is as full as in the other photos?Does that then mean that the reason the erection feels less hard to me is because there might be less blood in other areas of the penis, i.e the head, veins near the skin etc.?If that is correct can we 100 percent conclude that you seeing a photo of an erection that might feel less hard to me, but appears to be the same length and width in the photos to you is definitely equally as good at allowing you to notice any shaft shape changes (as it concerns the tunica and peyronies disease) as photos of an erection that feels 100 percent harder to me would?Sorry about this, I swear i'm trying
I know you're trying but that wasn't much better--a big paragraph instead of a one liner and really that's also the reason you get so worked up because you overanalyze a very simple subject over and over.
Please, for now, let it go after this answer and get back to me on another page later.
I can tell any change when the erection looks just as full as the previous erections even if the erection doesn't feel as full to you.
ok, so basically even if the erection doesn't feel as full to me, if it looks just as full in length and width to you that is 100 percent as accurate at letting you know if there has been shaft shape changes in comparison to ones that might not feel as hard to me?so then wouldn't it mean that the decreased hardness I'm feeling would only have to do with there being less blood in areas of the penis other than the tunica? I.e the head or little veins or something?
Stop, please--I just answered the same question. And please don't tell me I didn't. Go back and read what I said and let's close this page.
yes, but there is often confusion there. Can't you just give me a quick "yes, that is all 100 percent correct?"I will accept after thatI don't think it is unreasonable to get confirmation statements considering there has been miscommunication before
OK--yes your last statment is 100% correct. And there wasn't a miscommunication here--you just didn't take time to consider what I said and realize that it did answer your question. Not trying to be hard on you here, but you sometimes won't just take a deep breath and let things go for a few hours.
Experience: Over 20 yrs of Family Practice