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Author Topic: Implant surgery after failed incision and grafting  (Read 210 times)

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MarkDS

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Implant surgery after failed incision and grafting
« on: July 11, 2019, 01:37:00 PM »

I’m still early days into my recovery from an incision and grafting surgery.  It’s been 9 weeks, but I have gone from a 100 degree curve to a post op 40 degree curve.  I have also lost length due to the graft becoming totally hard and rigid.

I have a follow up with the surgeon in a few weeks, but just want to understand my options, before further discussion with him.

So, how can an implant help?  Can I have the previous graft removed?  Will the implant help to straighten my erection, and can it restore my ore op length?

I’m 46 and frightened of further surgery, as things just keep getting worse.
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Hawk

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Re: Implant surgery after failed incision and grafting
« Reply #1 on: July 11, 2019, 02:19:41 PM »

Look at the top of the implant board.  You will find an index of journals with brief descriptions.  You will see some that mention bends corrected by an implant.   Do yourself a favor and put the time in to read some of those journals.  It will be an education.

Few things are more important than getting a very good surgeon.
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Roddy

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Re: Implant surgery after failed incision and grafting
« Reply #2 on: July 11, 2019, 02:37:36 PM »

Hi MarkDS

Interested to know what way your curve is and is it from Peyronies or Congenital?

I had Congenital Curvature in a downward fashion. Then as I entered my mid 40s and my erection strength was not as good as before, I found I could have sex in more positions easier - but was a double edged sword as it turned out. I damaged my penis and a plaque formed (strangely enough on the underside which bent it down even more). Consequently, I had an excision of the plaque and grafting of the space left over. It was a disaster. I was left with a penis 1.5-2 inches shorter and the graft failed within weeks. The end result was even more horrific looking than pre-surgery. Not only did I have a 90 or more degree bend down the way again (like a banana) and 2 inches shorter, but also my penis now had a very obvious chunk out of it on the left side (indentation) just before it took a dive south. Even masturbating with this thing was a challenge.

Mr Mike Fraser, out of Glasgow Royal Infirmary, performed implant surgery on me on June 3rd this year and I’m now the proud owner of  a Coloplast Titan implant. Sure the 5 weeks have been a monumental struggle in the early 3 weeks, but like everyone else, I’m coming out the other side now and things are looking and feeling good. For the first time in my whole life I have a straight(ish) dick.

So I have been there with the whole excision and grafting and while it maybe great for some, it was a disaster for me and made my situation much worse. If I’d found Mr Fraser earlier, and jumped straight to implant as he has since said he would have done, I’d have been over a year in a better place.
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Aged 47, congenital curvature and then Peyronies onset, excision and grafting not successful,
Coloplast Titan implant on June 3rd, 2019
Dr. Mike Fraser - Glasgow

Roddy

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Re: Implant surgery after failed incision and grafting
« Reply #3 on: July 11, 2019, 02:41:02 PM »

.... and like Hawk has just said, the journals on here are an education and have helped me no end. The fact you are also from the UK, where access to a leading expert surgeon is more difficult, in addition to the fact that you had excision and grafting, makes my journal very relevant to yourself.
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Aged 47, congenital curvature and then Peyronies onset, excision and grafting not successful,
Coloplast Titan implant on June 3rd, 2019
Dr. Mike Fraser - Glasgow

Chiefy

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Re: Implant surgery after failed incision and grafting
« Reply #4 on: July 11, 2019, 04:32:20 PM »

MarkDS, I'm where you are.  Failed incision and grafting, but I can no longer get an erection whatsoever.  Doc now says an implant is my only option.  I too lost significant length, based on stretch test, after having been told this procedure did not result in a loss of size.  One of the things you should consider is traction or vacuum as you weigh your options, as there's a lot of evidence doing so can restore you to pre-surgery length.  I've only been at it for a week, and have seen no improvement yet.  It takes a couple months as I understand it.  Go slow at first. 
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MarkDS

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Re: Implant surgery after failed incision and grafting
« Reply #5 on: July 11, 2019, 05:48:21 PM »

Thanks for the replies. 

I have been using VED, but this is really aggravating my circumcision scar, which is still quite painful, particularly the underside.

I also think I have a new lump, which I hope is not a new plaque.

I feel lost at the moment. 
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TDix

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Re: Implant surgery after failed incision and grafting
« Reply #6 on: July 11, 2019, 06:09:09 PM »

Hey Mark, did you look into Dr Garaffa?
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45 yrs old, 2 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Roddy

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Re: Implant surgery after failed incision and grafting
« Reply #7 on: July 11, 2019, 06:13:23 PM »

Just read your other 70ish posts on the forum, Mark. You too have been through the ringer with this bloody terrible disease. I also noticed you’ve had incision rather than excision. Sorry for not reading your first post properly.
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Aged 47, congenital curvature and then Peyronies onset, excision and grafting not successful,
Coloplast Titan implant on June 3rd, 2019
Dr. Mike Fraser - Glasgow

MarkDS

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Re: Implant surgery after failed incision and grafting
« Reply #8 on: July 11, 2019, 06:40:55 PM »

Hey Mark, did you look into Dr Garaffa?

Yes, had a quick look.  I have an appointment with my GP next week.  I’m going to ask him what my options are, if anything is available on the NHS, and if so, can I choose who to be referred to
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