Should I go ahead with my Nesbit surgery?

Previous topic - Next topic

0 Members and 1 Guest are viewing this topic.

newg1234

Hi all,

I'm going to try and keep this brief so bear with me while I give a little context. A couple of months ago I saw Dr Ralph due to erection issues (my erections have always been weak, unrigid and never lasted very long). I'm still able to have sex although the experience is less than ideal due to a lack of ability to maintain an erection for sufficient periods of time.

I did a bit of research initially, and thought this might be a suspensory ligament issue, however after seeing Dr Ralph last week and being put to sleep and induced with an artificial erection, the diagnosis is a 20-30 degree downward curve. I've been told by straightening the penis via the nesbit procedure, axial rigidity would improve.

I've been called up just now about a potential surgery date in a few days, I'm wondering what the general consensus around here is on the nesbit. I've seen some posts with many unhappy patients having looked through the forum a bit.

Dr Kuehaus's name keeps comign up and so does the STAGE procedure, unfortunately however I'm not sure if I can get this covered on the NHS whereas the Nesbit procedure would be fully covered. I think it's also too late to get insurance as this is now  declared as a pre-existing conidition. I'm not opposed to paying out of pocket however, is it truly worth paying the cash to avoid the Nesbit procedure and to go ahead with the STAGE?

Any advice would be appreciated.

qwertyman

Newg1234,

For the love of god go for STAGE. As you are well aware we have more than a few cases of failed nesbit plication surgeries recorded not only on this forum but others. Looking at the statistics on the NHS website and others show success rates varying between 70 - 80% usually.

In contrast we've had a huge amount of success stories with Dr Kuehhas, with myself included. You get his aftercare which believe me is important for when you're feeling anxious. The man developed STAGE as a more effective alternative to Nesbit as a direct result of it's lower success rate.

It is a lot of money, but you only get one. Better to do it right on your first shot.

This is coming from a fellow Brit (albeit, Welsh haha) who had considered for many years going through the NHS.

Take care,
Qwertyman.

lessor

Why would you want go for nesbit surgerie(or stage) if you have ED? That surgerie wont fix the erections problems..Have you considered the implant?

JohnWright

newg1234 -- Is there more to your story that you forgot to mention? Surgery is an option to correct a severely curved dick.

Although, I have heard of a surgery where large surface veins on the shaft are rerouted to the interior of the penis -- as an approach to strengthen rigidity. But, this approach is NOT any of the surgeries named in this thread (and I don't happen to know what it is called). Coincidentally, I did have this exact thing done, but it was included in the surgery (plications) to successfully correct a 50+ degree congenital curve.

You have only described having ED and lack of rigid erections and, true, that's bad enough. Can you share what else is going on?

On the Forum, we are not medical doctors and none here are qualified to provide medical advice. But, some can speak from first-hand experience and are more than happy to share ideas about how you should proceed.

There's no stress but you linked ED and surgery in your opening -- which is normally alarming. It will be a more valuable conversation if we know for certain the full extent of what your circumstance is -- and is not.

newg1234

@qwertyman

Thank's for your input, actually your thread was one of the ways I became familiar with Dr Kuehhas. I think my mind is set on getting it done with him. So many positive posts about him and his surgery.

@lessor
According to Dr Ralph, the Nesbit procedure would help improve rigidity. what is the implant surgery you are referring to?

@JohnW
Honestly there isn't much more to it but I'll give you some background. I'm 26 and have had poor erections ever since I can remember, even if I take a couple 100mg Viagra's, they don't help all that much. I think it's a combination of the congenital curve but also the large penis length which is 21-22cm. This has been an issue that I've been dealing with since I was a teenager so surgery wasn't the first option. I've tried ED drugs, I got my testosterone tested, I've been to doctors about it several times so I'm just at the stage now where I just want to have a normal sex life and I've exhausted all other options. I'm keen on hearing any suggestions you might have.

TonySa

I think the alarming part was not having heard of a downward curve being the cause of ED?
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.

JohnWright

newg1234 --

I understand you to say that you have a congenital curve, and extra length which is statistically likely with congenitally curved dicks. Oh, the curse. I've got the length but damn the curve. Personally, I've never read where extra length inherently contributes to any ED issues.

Putting the curve aside for a moment, here are some things that can effect ED:

-Do you have other health issues / challenges / diseases / conditions?
-What about your overall sense of well being and confidence?
-What is your diet like today? And for the prior five or so years?
-Do you take any medications and/or supplements?
-What is your exercise and/or sports routine?
-What about masturbation habits and severity of practice? Do you use porn?
-How's the emotional health of your intimate relationship?
-Any childhood traumas related to sexuality?
-Are there sources of stress in your work or personal life?
-Is workaholic an issue?

I'm not saying you have to answer these kinds of questions to us. But, these are all known factors that can contribute to ED -- and it's not an exhaustive list.

lessor

Be carefully with this, i ve never heard about a peyronies surgerie can fix ED, maybe it could worse it.

I meant penile implant.. but i said be carefully because you could end to having two surgeries  and I really doubt nesbit can fix ED and if you go for that route and it cant fix your ED then you would need another surgerie (because pills work for you? Or injections?) and deal with the length lost more scarring..

I am not inventing this the best urologist say when you have peyronies without ED that is, with good erections so stage, nesbit and those stuff are ok
But if you have peyronies with ED these surgeries arent a good option probably, and urologist they will tell you to go through the implant to fix both, pyronie and ED

Honestly if I were you would not go with nesbit or stage if you have ED, and with pills you dont have good erections, you will only lose size and you will still having ED, most likely




TonySa

For an implant surgery I'd go w Dr Andrew Kramer.  He has many surgery videos on you tube.
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.

newg1234

@johnW

-Do you have other health issues / challenges / diseases / conditions?
Nope, really healthy overall.
-What about your overall sense of well being and confidence?
Pretty good, nothing to write home about but no depression or anything like that,
-What is your diet like today? And for the prior five or so years?
I eat very well, primarily plant based (for a few months now), prior to that it was a bit worse but a lot better than many of my peers.
-Do you take any medications and/or supplements?
None.
-What is your exercise and/or sports routine?
Weight training 3x a week
-What about masturbation habits and severity of practice? Do you use porn?
I do know, however I did give the whole no porn/masturbation thing a go for around 7 months. It made a difference in arousal levels.
-How's the emotional health of your intimate relationship?
Pretty good although I'm single now.
-Any childhood traumas related to sexuality?
nothing like that
-Are there sources of stress in your work or personal life?
not really
-Is workaholic an issue?
Nah, I'm generally quite relaxed.

To give a bit more clarification, even when my penis is at it's hardest and i'm fully aroused, it's still very unstable and will not stay without being stimulated. It's not an issue of not getting erections, its more that the erections that I do experience are not great to say the least. Viagra does help get me to my hardest but it's still not a good erection if that makes sense? Dr Ralph seemed to suggest that because of the length combined with the curve, my penis is unable to support itself properly.

JohnWright

Alrighty then -- sounds like you're otherwise pretty darn healthy.

About Dr Ralph -- what kind of Dr is he? By any chance, not a urologist but a male sexual health specialist? And, has he already ruled out any kind of heart problem or penile cavernosa leakage?

kusher

Why nesbit when there is a better option? I had 2 nesbit and they both epicly failed. I did my stage surgery last month and my package now is straight. If u wanna do nesbit then go to joel jelman in USA or Anthony Bella in canada. Other than that u should pass. I did 2 nesbit cuz I didn't know about this forum and Kuehhas. U have to be thoughtful  
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, etc

rich68

I agree with the others. I think I would take a step back from potential surgery and get a second opinion. Dr Ralph is one of the top penis experts in the UK but there are other things to try first given that your main complaint was erectile dysfunction rather than a curved penis. Firstly, could the problem be psychological at all? (It's not always obvious and in my opinion the effect can be huge). Secondly, erectile dysfunction which does not respond to viagra/cialis has been alleviated with shockwave therapy.

You could also just start off with a VED to see if it helps.

Have you tried cialis by the way? Some people respond to one drug and not the other.

newg1234

@johnw

According to this website, Dr Ralph is a Uroandrologist with a speciality in Genital and urethral reconstruction, however i've come accross some posts on this forum which don't have a very good opinion on him. My personal experience was that he seemed like a nice enough guy although inattentive at times and didn't make me aware of the risks in regards to the Nesbit procedure.

@kusher

Definitely will be opting for STAGE procedure with Dr Kuehhas

@Rich
Both Viagra and Cialis do help in that most of the time they ensure I am 'fully erect' however, my full erection is still not rigid. Correct me if i'm wrong but there are quite a few posts that I've read on this forum about people having much stronger and better erections after having the STAGE surgery done? Or were they referring to other types of surgery?

To those of you who got in contact with Dr Kuehhas, do you have an email you would suggest reaching out on? I sent an email on the 31st and unfortunately I still haven't received a response

mst

QuoteI sent an email on the 31st and unfortunately I still haven't received a response

What e-mail adress did you use to write the message to Kuehhas?  


mst

That is correct

Just wait. I am in touch with doctor for a month and I am waiting for response too.

I sent him the message on Friday and I don't have the response yet.
I think he is on some kind of holidays because he  has always responded quickly.

Edit: I think I am right because in Austria there was All Saints' Day just 4 days ago.  

kusher

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, etc

newg1234

Morning all,

Just a little update on my situation...

So I got a response from Dr Kuehhas and things seem very promising! I sent him over the pictures taken in the artificial erection test and he says:

"it seems that you have a mild congenital penile curvature. this can lead to an axial instability of
your erect penis. once you try to penetrate your penis might kink and you will loose blood from your penis because
it is pressed out of the penis during the kink.
this is unfortunately quite common and many urologists do not see this as a problem.
straightening the penis is definitely a good option to overcome this problem."

he also added " the base is thinner than the rest of the penile shaft, that contributes to the problem...
the curvature worsens the axial instability...
fixing the curvature will definitely make a huge difference."

all in all, I'm feeling really happy so far that I reached out and got everyones opinions on here - definitely helped the decision making process. I'm about 99% sure I'm going to go ahead with the STAGE after I have my consultation next week.

qwertyman

That sounds about right. I remember with my curve, although my erections were strong, it got weaker the further up the shaft because the blood wasn't filling out as effectively as it would with a straight penis.

Now when I get an erection it's crazy how much more "full" it feels and looks, the erection stays for much longer too and are easier to get. Definitely had a slight increase on girth which is always good.

In the meantime I would recommend taking up cardio exercises to help with your blood flow.

Qwertyman.

DN

I am very confused, you need to clarify with everyone, most importantly your doctors on what you require to become fully erect. If you are requiring 100 mg viagra then you are pushing the limits of the drug. What are the viagra and cialis doses you require to get fully erect? 100 mg viagra is severe erectile dysfunction. Combine your severe ED with curvature and poor axial rigidity and you are in the implant zone. To quickly note the pros and cons of your surgeries:

implant pros
no more ED
no more rigidity issues
straight
little to no length loss
no risk of further peyronie's progression

implant cons
pump to achieve erection
pump in scrotom
revision surgeries required in future

nesbit/straightening pros
straight penis

nesbit/straightening cons
possible ED complications
susceptible to future peyronie's
possible loss of length

Of course it is up to you but there is no guarantee that the straightening will fix/cure/reduce your ED and in many cases will make it worse. It may improve your axial rigidity. Consider implantation as an alternative, search the FT implant forum, many people in your situation have been implanted and are very happy.

newg1234

Hey guys, it's been a little while since I posted and I'd like to give you all an update. So... well.. I just had the STAGE surgery done with Dr Kuehhas today and it all went very well, I'm sure i'm not the first to say this but I highly recommend him as a Dr as the experience has been exceptional so far.

On to the details; I feel like maybe I didn't explain myself very well when I first made this post, so I'll give it another shot. I have a 30degree downward curve that's slightly rotated. I also have a base of the penis that is quite a bit smaller than the shaft and this is on a 21-22cm penis, with this combination of conditions, it would cause a kink a few inches upwards from the base which would cause significant axial instability, almost like it was acting like a joint rather than an erection. After consulting with Dr Kuehhas, he mentioned that dealing with the curve will help the stability to a significant degree, then following it up with pumping the base penis with a device after a few months of healing. Happy to give progress on the results as time goes by, I'm considering potentiall creating another thread with a better title, thoughts?

JohnWright

Congratulations on a positive experience -- so far. Keep it up!

Yes, please, start a new thread with a timely subject line.

Cheering you on!

John

DanP

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, etc