Complication after Nesbit

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Mrhead94

hello everyone,

i'm a 24 yo italian guy. Sorry if my english is not too good...i try to write with the help of a translator. I was opereted for a congenital ventral curvature of about 30° that gave me problems during sex. The tecnique was the classic nesbit with the excission of tunica albuginea and use of permanent suture.

After 1 month i have many problems and a lot of worries about the result:

1) the shape looks like an hourglass, with narrows area, bumps and depressions (too ugly to see)

2) on one of four suture knot i feel an hard formation that seem like a cyst

3) on the suture knot above i feel pain like a puncture

4) there is a residual curvature (it's not a real problem but maybe it's only temporary)

I'm worries about the cosmetic result... I know that is not important like the functional result, but from a psychological point of view is too difficult have hard and durature erection with this problems.

Somebody with the same post-operative cours that can help me ?? (if i am not too clear i can post a picture)

Thanks....
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Hawk

Welcome to the forum MrHead.  I have not had that surgery so I will hope others reply.  You can post a photo but it must be posted here in the surgery photo board: https://www.peyroniesforum.net/index.php/board,47.0.html

We also only allow members that have 5 or more posts to post photos to keep trolls down.  I am artificially increasing your post count so you can post a photo if you like.

Good luck.  I hope you find the support and information you are looking for.

Hawk
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Jack1909

Mi puoi scrivere in privato se vuoi  
31 yrs old
Severe congenital curvature. 3 straightening surgeries
Big lump/stitch w/ left deviation after 2012 surgery
Severe ED after last one in 2014. Still crooked
Slightly improved w/ shockwave therapy
Looks like only one side of my penis works

TonySa

The dissolvable sutures can take up to 6 months to dissolve, so hopefully that will improve,
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Mrhead94

Tonysa they are not dissolvable suture but permanent
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Jack1909

It's such a shame keeping going on....non absorbable sutures on a penis, I wonder if urologists use some logic instead of repeating like robots things they have read on books and literature  
31 yrs old
Severe congenital curvature. 3 straightening surgeries
Big lump/stitch w/ left deviation after 2012 surgery
Severe ED after last one in 2014. Still crooked
Slightly improved w/ shockwave therapy
Looks like only one side of my penis works

Hawk

Jack, they have to be non-dissolvable.  That is the whole point of a Nesbit.   They cinch the long side tight to straighten a curve.  If the sutures pop or dissolve you would snap back to a bend.  So this is a case of a doctor paying attention to the obvious.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Jack1909

You are wrong Hawk, it's a misconception that non abrsoable sutures play any role in keeping the penis straight in the long run. Once the penis heals and gets the new shape..it stays that way. I should have a bend similar to my original one if you were right, cause I made remove every suture I could.


31 yrs old
Severe congenital curvature. 3 straightening surgeries
Big lump/stitch w/ left deviation after 2012 surgery
Severe ED after last one in 2014. Still crooked
Slightly improved w/ shockwave therapy
Looks like only one side of my penis works

Mrhead94

They have to be used if it's a simple plication without excision of tunica albuginea. But in the case of the classic nesbit a lot of study report the same rate of success with the absorbable suture. If i can chase i prefer the absorbable one. But the surgeon tell me that he use the non absorbable after the surgery. I was stupid... So stupid... For trust in him  
Please go to PROFILE then FORUM PROFILE to replace this signature line text with your profile info such as
age, date of onset, symptoms, treatments tried,
relationship status, etc

Hawk

Quote from: Jack1909 on December 07, 2018, 03:32:06 PM
You are wrong Hawk, it's a misconception that non abrsoable sutures play any role in keeping the penis straight in the long run.

Jack, you must be talking about a modified Nesbit.  A standard Nesbit simply sutures the long side and leaves the sutures to act exactly as the non-elastic plaque does to the other side, pure and simple.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Jack1909

I'm honestly tired... From what you are saying people might understand that sutures are fundamental to keep the shape, and they are not. That's a matter of fact. Plus, we are talking about congenital curvature!  
31 yrs old
Severe congenital curvature. 3 straightening surgeries
Big lump/stitch w/ left deviation after 2012 surgery
Severe ED after last one in 2014. Still crooked
Slightly improved w/ shockwave therapy
Looks like only one side of my penis works

Hawk

Well, I guess we disagree or are talking about two separate techniques.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

james1947

This topic ending as an introductory.
Please continue the discussion on the apropriate boards.


James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe ED.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum