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Author Topic: Implant or Incision and Grafting  (Read 1136 times)

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Barnaby

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Implant or Incision and Grafting
« on: April 24, 2017, 05:34:39 PM »

Hi

I was a member here a while back but TBH I started to suffer depression and anxiety re my Peyronies, left the site, and tried to ignore the problem. It wasn't a good idea but haven't been here for a while.

I have around a 60 degree upwards curve and I've decided I would like it sorted. I've had it for around 5 years. Long enough.

I looked at the London Andrology site and they suggest my condition is treatable. It will hurt me financially so I want to make the right decision.

I have a couple of questions

Grafting
I don't want to lose length so looked at the grafting treatment. They say of this approach " instead of excising, it is preferable to perform a relaxing incision on the plaque – this is the so called incision and grafting procedure and our preferred approach. This does not result in any damage of the erectile tissue and at the same time corrects the penile curvature completely, whilst restoring the penis to original length"

This appeals to me but the rate at which erectile dysfunction occurs has been quoted elsewhere at around 15% of cases. Is this right and if it does occur could it be overcome with either an implant or viagra or similar?

Implant
Does this reduce length in Peyronies the same as the Nesbit procedure? The site suggests not and seems to say it can restore lost length. Other sites say it reduces length in the same way as Nesbit. I'm confused.

I can get an erection so they might not do an implant anyway?

Excuse my ignorance but I'm getting a bit anxious again and would love some advice if possible.

Thank you kindly for any help you can give me
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Old Man

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Re: Implant or Incision and Grafting
« Reply #1 on: April 24, 2017, 07:31:28 PM »

Kert:

Strongly suggest that you locate a post by JackP who is now deceased. A link to his blog at the bottom of his posts reveal his history of using VED therapy BEFORE HIS IMPLANT SURGERY. He and I worked up the protocol for using the one cylinder VED therapy as well as the three VED therapy protocols. He claims to have regained most of his lost dimensions prior to his surgery. He also used the implant model (three piece unit AMS LGX700 model) which restored those dimensions.

The VED protocols listed in the VED board section of the home page index explain the amount of pressure to use with VED therapy as well as holding times and the time limit for daily therapy sessions.

Old Man
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Peyronies Disease @ age 24, Prostatectomy 1995. Started VED therapy 1995, Heart surgery 2004.

Barnaby

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Re: Implant or Incision and Grafting
« Reply #2 on: April 25, 2017, 04:23:41 PM »

Hi and thank you for the advice.

I did try a VED but found it painful and difficult to use. I gave up and returned it a couple of years ago. I have an appointment at the London Andrology Clinic this week so will ask their opinion as to my next move.
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takesix

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Re: Implant or Incision and Grafting
« Reply #3 on: April 26, 2017, 03:06:55 AM »

the choice of an implant is independent of the type of procedure used for curvature correction. the implant itself (if implanted correctly of course) does not affect length if you are talking about before and after surgery instead of comparing to pre-peryonies measurements which do not factor in the fibrotic changes that remain uncorrected by just an implant.

its the surgery technique itself that matters in terms of length gain/preservation.

but with an implant, I think some surgeons might be more willing or open to even more invasive techniques like circular grafting (increase in length compared to even pre-peryonies measurements), longitudinal (ditto but for girth) or variations such as the sliding technique due to perceived higher risks of ED.



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Barnaby

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Re: Implant or Incision and Grafting
« Reply #4 on: April 27, 2017, 06:40:13 PM »

Thank you for your help. I saw the Doc today and he recommends either a Nesbit which he says I have enough length for. It apparently won't affect y erection although in recent years this hasn't been as reliable as in my youth. Though it's useable for sex currently he thinks it might decline in the next few years and Viagra might become less useful for remedying that. I'm 62.

Alternatively he suggested and implant along with grafting to correct the peyronies while preserving length for my less than 100% robust erectile situation which would keep most of my length and would "futureproof" my performance.

Insurance won't cover this and it's very expensive. I can just about afford it but need to be sure it's right for me.

I don't know how I feel about having an artificial erection and I don't know how discreet it would be or how I would get sexually stimulated with an implant. I mean does the stimulation come from the pumping up or do you get horny as usual before the pump?

Sorry if that's a really silly question but I can't get my head round it.
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lessor

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Re: Implant or Incision and Grafting
« Reply #5 on: April 27, 2017, 06:47:28 PM »

hey barnaby check Franktalk, is a forum of implants, there is a lot of information about them
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Barnaby

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Re: Implant or Incision and Grafting
« Reply #6 on: April 27, 2017, 07:04:50 PM »

Thank you for the link. I will give it a good read. I came across a site were implants were knocked quite a lot by a few people which sort of worried me. Are the concerns people have legitimate ? Basically they say that you always lose length with an implant and that the bulk in the scrotum is uncomfortable. You have to tell your dentist, if it goes wrong your stuffed etc.

I'm also really curious about how you get sexually excited unless you pump?

So, I'm pretty confused. I've read some people raving about about implants but also some horror stories from people who really regret having them  :-\

I'd really like to hear from some folk who have had this op and their real-life experiences of it.

I'm sort of panicky at the moment.
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JayGould

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Re: Implant or Incision and Grafting
« Reply #7 on: May 21, 2017, 03:29:36 AM »

I would get the implant no doubt. I wouldn't even bother with any other surgery for Peyronie's. None of them seem to work well honestly. Also, you're 62, you're going to have ED issues in the near future anyway.
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