Hormone levels and Peyronie's disease- Study

I was highly curious about my flaccid hourglass penis, especially when i go to bathroom to pee, or have a bowel movement my penis just shrinks and creates a hourglass shape! I wonder how the hell hormonal imbalance can cause a tissue change in penis? If the problem is hormones ofc.
Anyone knows anything about this problem, i want to listen his opinion!

Found a 40 paged article, want it to share with similar peoplr like me, i don’t have to time read this article right now: https://www.google.com/url?sa=t&source=web&rct=j&url=https://sigarra.up.pt/ffup/pt/pub_geral.show_file%3Fpi_doc_id%3D25064&ved=2ahUKEwjlgNTZ65_hAhX_AGMBHTlLCikQFjAJegQIARAB&usg=AOvVaw16TDEo27Klrbjo4xdEfA44

Also a little note i found on internet: Autoimmune Disorders:

Some experts believe that autoimmune diseases that affect connective tissues may lead to Peyronie’s disease. If the immune system attacks cells inside the penis, it can lead to inflammation, scarring, and severe curvature.

Anyone have theories about this hourglass when going pee etc.? This symptom occured this year

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Good news, my hourglass problem is gone for few weeks now. Happens a little only on hardcore bowel movements. No problem prior to take a pee. I did nothing to improve. It is good to see some positive changes.

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I think its only temporary. I dont know much about penile anatomy but I think that substances like transmitters or hormones are lacking which are regulating blood flow. I doubt its a real tissue change.