Live Chat Archive

Thanks for joining. Please be patient while we wait for Dr. Newell to join us. In the mean time feel free to talk amoungst yourselves.

hi duck, maxx and Brad

Hi guys

hey Brian

hello

hows college life without the drinking?

Wasn't that someone else? A new guy?

ah, maybe so... its hard to remember all the screen names

Yea, I remembered because you said you hoped your daughter didn't attend the same college :)

typical father, that's me

keep the party boys away from my baby

Sadly college was ages ago for me too.

i know,I can't even ogle college girls any more without getting a huge guilt trip

That's why I just refuse to feel guilty about anything in life.

any idea how long till the doc gets here?

5-10 minutes at the most. He still has 3 minutes to be on time.

are you going to post this session online again? I am going to have to run in a few

I wanted to ask him what he thinks encourages growth, what part of the organ grows... ala the string from I think Noneone

Okay folks, let's feel free to get going. Try to only have one open question at a time.

hi Dr. Newell

It should be pointed out that Dr. Newell is not a medical doctor, he is a PHD researcher. He is not an MD giving medical advice.

okay, foreget the question about my elbow

Dr.newell, what areas of researc do you specialize in?

I do have a lot of experience in Sexual Dysfunction research.

Dr Newell, what results can be seen for someone using this type of device if they have a minor case oy peyronies, compared to someone who does not?

would peyronies inhibit growth possibility, i guess is my question...?

Yep good question

dwduck: Trials have already shown us that patients can change curvatures from 10-45% of the original curvature. Whether mild or severe. Peyronie's does not inhibit growth, it inhibity expansion of penile tissue during erection only.

In addition, the traction used to treat peyronie's has been proven to increase length and girth so it does the opposite to inhibit growth.

did trials include those without peyronies?

So, once a plaque has formed, there is a theoretical maximum to which the scarred tissues can grow?

No, they did not. The entire trial population had peyronie's disease, but all patients experienced increases in length and girth.

shield: the actually IRB-reviewed trial we conducted was strictly on Peyronie's Disease patents

patients*

Growth of plaque is not fully understood. It does grow initially and then seems to stabilize.

I am not familiar with the plaque isse, how is it related to tissue growth?

What is your understanding of DMSM? and other "formulas" for eliminating plaque?

The plaque is not related to tissue growth, it is a stable mass like scar tissue. That prevents expansion of part of the erection.

There are a number of gels and creams "formulas" for Peyronie's Disease only verapamil cream has any value but it is not deemed significant enough to pursue.

Hi none

hello

what are some limiting factors in terms of the possible growth that one can expect to see throughout their lifetime?

Chemicals from gels and creams have not been proven to penetrate the plaque, this is why they do not work.

hello all

certainly

dwduck: We do not yet know what the limits of growth are.

Hi Girth

No problem, i'm working on it as we speak! :)

We know that patients hit a plateau after about 6 months and should take a break. Further enlargement is possible after that, but we don't know how repeatable the process is.

I have a few PD related questions that were sent to me prior to the chat.

Go ahead and submit them.

How how many degrees correction do you typically see by means of traction device usage and/or Verapimil injections?

Clinical trials, which are the best information we have, shows 10% to 45% of original curvature.

Okay, got it.

With FS use, as the curve improves, does he see dissolution of the plaques especially if they are in the chronic phase, or does he just see the tissue around the plaque stretch to compensate without the plaque dissolving?

great question

Sorry guys one moment.

Patients have noted that the plaque does fracture and separate (sometimes) during treatment. It does not disappear completely but no longer prevents erection after treatment.

Okay great

For PD patient's who have PD caused ED, does he typically see restoration of erectile function as the curve improves?

Hi Jenna

Generally yes. It depends on wheather the ED is due to the peyronie's alone or other causes. We do believe that penile traction improves sexual function and 2 trials are being planned to study this as we speak.

Hi Brian, I haven't been here in a while.

Okay thank you

Hi sniper

Dr., I notice that my body tenses up during sex, whereas I should probably feel relaxed. Is there anything you can speak on about this?

yeah! sniper, hey bro

Hi guys

hey snipe

Hows everything going

Hi Pro

dwduck: Everybody's reaction to sex and orgasm is different. Despite the song that says relax before you want to #$%^&*

Sorry for the bleep, it should have been c-u-m

Hi all, useful that this is on right now cos I was looking for advice regarding best exercises for girth and where these can be found online?

Pro: Newell is probably not THE best source for that info, but if you post on the forum I'm sure you can get some good links :)

The best is penile traction.

oh sry I didn't check what was going on b4 logging in

ok np

I guess it might be appropriate to rename to "IntermediateLurker"

haha

I have a question courtesy of ThinMan

Does the body react to the unnatural force applied by a stretching device by strengthening or thickening the outer longitudinal layer of tunica?

Dr. Newell, Im 50 and Ive had peyronies for 3 years, Im having some problems with keeping erect....Sex is okay but Im up and down during.....Ive had my testoserone levels checked and the Dr. says for my age Im where I should be.....Do you advise taking testosterone to raise levels....

There's not enough research to know which specific tissues in the penis react to the traction. Since the entire penis gains length and girth it figures that all tissues are expanding and growing.

:)

Understood.

duck whatever it says in my profile was regards to use of the extender...ok now a question for the doc, do you have any advice on how a user can reduce the stretching effect that occurs to skin itself?

sniper: I don't offer medical advice. However there are problems associated with higher than normal testosterone levels. Personally I would not be doing this.

Okay, thanks

ProLurker: We have not noticed any tissue damage or adverse effects to the skin or other tissues from stretching.

Pro: Do you do jelqing as well, or just use the extender?

only the extender I am uncircumcised and the is more skin appearing over the top of the penis ( a bottle neck effect)

alot of people experience this

to help I pull the skin bacvk before attachment to the device

which is sensible imo

but I am not sure whether there is anything else that can be done

Normally the foreskin expands to accomodate the enlarged penis and glans. A bottle neck effect - non stretching of the penis on erection is more of a surgical issue.

no no i just mean skin over the end of the penis when flaccid

all fine when erect

Dr. Ive been stretching for 2 months now and behind the head where the foam pad rests, Im getting bumps...Do you think that is from irritation and nothing to be worried about?

<(===== the ( is the tip of the gland then there is this excess

best way i can explain it lol

my conern is that this is growing at a faster rate than the tissue and penis

so in time it might end up like this <<<(======

sniper: You are stretching too agressively if you are getting bumps behind the foam pad and that you should use post stretching creams or something of that nature to soothe those tissues before continuing to stretch. Normally with up to 8 hours a day we do not see this effect.

ProLurker: We've not seen cases of extreme growth of the foreskin before. So it's not really an area I can advise in.

oh ok

Dr. have you seen men with peyronies that are having good results from using the traction device in the correction of their curvature and length?

sniper: Earlier in the chat we spoke about medical trial patients who got documented changes in curvature over 6 months. One patient as much as 45% correction.

All patients in the trial felt that the results they got were worth the time and cost of the treatment.

In your experience what would you say was the most effective level of traction to maintain when stretching?

Was that Dr. Levines trial?

Pro: No one level is appropriate. We found that increased traction over an extended period of time was the mechanism that produced results.

sniper: Yes this was Dr. Levine - a medical paper on the trial authored by Levine and myself is now available.

ah...what in that case would you advise to patients who rach the maximum 1500g in that case?

The treatment protocol is designed to get you to 1500g in approximately 6 months. At that point treatment should stop for at least a month or two before starting over again.

starting at the minimum?

Yes, that is correct.

interesting I didn't know that

ty

I have a couple questions that frequently come up on the forum.

1) Is there any reason to believe it's unsafe to have sexual intercourse soon after removing the traction device?

1) No, unless there is any kind of tissue damage from incorrect use of the device that might then expose you to infection.

Thanks

There have been suggestions on a few forums that ejactulation a few hours before or after the device can effect cell division is that untrue?

2) It's a common myth that ejaculating after completing a day's treatment of the extender device or after completing a jelqing routine, etc. somehow diminishes results?

yep same thing I was asking

edit: before or after USE of the device

Ejaculation would not add or detract anything from the tissue expansion process. This is from a medical point of view.

is mitosis (assumed to be) the growth mechanism?

We do believe that cellular mitosis may be the mechanism that creates growth. We know this works in bone material.

what other possibilities could be responsible? it doesn't seem to "stretch out longer", but actually "grow"---correct? if it was plastic deformation of tissue, then one would assume the girth would actually decrease. which leads me (not a doctor) to think it's actual "growth"

The answer to that is: Absolutely. Stretching with length and girth must mean additional tissue is produced.

Hi iwant

hello

thanks for your answers :) (and thanks for quoting Frankie Goes to Hollywood's 'Relax' )

didnt wanna interrupt the convo

You're welcome, not everyone in the room got that.

no problem, if you have a question you can fire away anytime

thank you

What are your thought on the development of surgery particularly skin grafs for girth enlargement

I am not in favor of surgical options, I think they are too invasive and too likely to have complications. This can lead to more scar tissue. You really need an expert surgeon to pull this off.

Dr. men with peyronies... do you find any problems that they encounter as they age that differ from men without peyronies?

I am not aware of any specific problems other than calcification or hardening of the plaque which makes the bend more extreme if it is not treated.

Treatment like with the traction device?

sniper: Traction device, verapamil injections, surgery are all current treatment options.

There is a book on current treatments available as a PDF on the APDA website - it is also available from Amazon Kindle.

Okay , thanks....

Dr. Newell, why is it that using a traction device results in improved erection quality?

Girth: Trials are being planned at Columbia and baylor Universities to study this effect. It has been observed that erectile function and quality improves after traction therapy. Studies will hopefully determine why this is.

Hi charl

interesting, thank you

It also seems to be working for patients who have had radical prostatectomy.

Hey Dr., is it logical in an effort to correct PD to 'angle' the device away from the curvature, or even extend one side of the device beyond the other? Or would this be deemed unnecessary?

Our experience from the trial is that the angle didn't matter. It is the tension or the stretching that achieved the correction.

To get the right tension you want to make sure the device is fitted properly.

did you not find in testing that the side of the shaft that is longer causes the device to sit unevenly...by this I mean the traction reduces on one side because it is longer and can stretch further

No. We found that the tension on a flaccid penis was applied evenly. Shortness on one side or the other tends to only happen during erection.

that's intseresting because I have a slight curve to the left...not peyronies and over time the right side of the device will slip and lose traction slightly

it is hard to remedy this

Hey guys, we have to end the chat for now because Dr. Newell has another appointment

Thank you everyone for your time and questions. Perhaps if there is enough recurring interest we can do this on a weekly basis.

In the future we may do a mailout to the database prior to the chat so tha more people can be aware of it.

Thanks for stopping by guys :)