I guess the expert on this would have to be Dr. Goldstein since he’s a urologist. You might want to consider flying out to see him unless Dr. Jacobs can refer you to a good Urologist in NY who is up to speed with PFS.
First though I wonder if you could get an ultrasound done on it for the time being just to be sure its not something that needs to be taken care of now. If not, you’ll have the results anyway. Maybe your parents could arrange it at their hospital?
Not to keep harping, but since I went on DHT gel my penile tissue looks alot healthier. Im still shrunken up but definately has helped with the pain and that rubbery fiberous feel to the tissue.
btw - I seem to remember a few other guys who said they had an hourglass like shape form. I think this might have had more to do with overall penile tissue health (hopefully) than blockage. Maybe those who had this will respond as to how it resolved.