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QUESTION: Hey dr I emailed you last week. Im sorry to bother you again. My penis when its flaccod or semi erect sometimes gets tight in the middle then eventually fills up when i touch it or when I get an erection.  People say its normal and spme say peyronies.. I have no idea what think

ANSWER: Devin:
An hourglass configuration when rigid suggests Peyronie's but you describe something less.  While not normal, it is also not yet Peyronie's.  To settle this, you may want to check with a local urologist.

Since it doesn't last when the penis is rigid, to me it is not Peyronie's.  

---------- FOLLOW-UP ----------

QUESTION: Do you have any idea what it could be?

ANSWER: Devin

The nature of the lesion cannot be determined from the available information provided.

---------- FOLLOW-UP ----------

QUESTION: Im terrified that its peyronies.... I thought it was pretty rare in young guys. Im sorry dr im freaking out about this

Answer
Devin:

Don't freak out.  Whether it's Peyronie's or not, it isn't bothering you much right now and no effect on your sexual performance.  You're freaking out and becoming anxious over this isn't helping.

Without an exam, I can't give you any reliable diagnostic guidance as to whether or not its Peyronie's.  You'll need to see a local physician.

You are correct that peyronie's is uncommon in the younger age groups, but that by itself is no guarantee.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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