Peyronies Society Forums

Other Peyronies Disease Discussion Boards => Congenital Curvature or Peyronies Disease => Topic started by: fefgeug on March 14, 2016, 09:44:52 PM

Title: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 14, 2016, 09:44:52 PM
Cant wait to get this all sorted. Congenital curve, 50 or 60degrees to the left.
Will let you all know how it goes.

Any advice for type of underwear to wear after surgery.... I was thinking something tight and supportive might be best?
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Pfract on March 15, 2016, 01:14:59 AM
Hope you get it sorted out. For sure somebody will help you out with the underwear question.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: krazylord on March 15, 2016, 02:57:04 AM
As far as I can tell from people in the forum, you are in one of the bests hands in the world for Peyronie's surgery.

Good luck!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: J-A on March 15, 2016, 12:39:11 PM
You will no doubt have a dressing on so nothing tight. I had the incision and grafting technique and had quite a large dressing. Boxers and loose fitting trousers would  be best, I wore tracksuit trousers and they were quite comfortable.


As said below you are in good hands, quite a few of us on here have had surgery with Franklin Kuehhas.

Good luck and keep us updated

JA
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 15, 2016, 12:47:57 PM
Thanks for the replies. I will let you all know how it goes.
8)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on March 15, 2016, 01:08:09 PM
Franklin Kuehhas did my surgery. As has been said, you're in good hands.

Like J-A, I wore track trousers for a day or two afterwards. You'll be bandaged for 10 days or so after surgery.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 16, 2016, 03:55:13 PM
Operation went very well thankfully. Im back at the hotel, feeling great. I have sensation in my glans, so no nerve damage!!!!!. I will keep this updated on my healing progress. Will have follow-ups the next 2 days with Dr Kuehhas.

8) 8) 8)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on March 16, 2016, 05:16:32 PM
Hope it all goes well for you. You're probably still feeling the effects of the anasthetic, so you won't feel too bad.

Take it easy.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 16, 2016, 06:11:04 PM
Thanks Johnb,

I physically feel great, and emotionally i am delighted. I was so nervous, I did start to get feelings just before surgery like "this is madness, I should back out now before something goes wrong". Gladly I didn't.

Shortly after I woke Dr Kuehhas visited me. Before I could even ask he told me everything went very well. He asked me if I wanted to see pictures, which I said yes to. He will show me tomorrow. Cannot wait.

Thanks to you all on this forum for advice and support... you all rock! :)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: krazylord on March 16, 2016, 09:11:48 PM
Woww fefgeug, so glad for you. Being on this nightmare, I get very happy when I see some of us beating it!

Good job!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on March 17, 2016, 02:42:38 AM
Fefgeug;

Glad to hear it, man. Just follow what Franklin tells you to do and you should be fine.

I suspect that the after surgery protocol may be different for your surgery, so I won't give too much more advice.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 17, 2016, 07:57:25 PM
Day 2 update:
Had a follow-up with Franklin. Dressing changed, all looks well. No pain, it was just slightly sore removing the dressing where it was stuck to my glans. Slight bruising just below the glans where the stitches are. The entire penis is wrapped to prevent swelling.
Done a lot of sightseeing, no problems at all. Wearing tight underwear helps to prevent my exposed glans from rubbing.
Further check-up to come tomorrow, I will keep this updated.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 17, 2016, 08:17:35 PM
 Fefgueg ,

That's great news.  I've been following your posts and a success story here and there on the forum is certainly uplifting.  Keep the updates coming.

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 17, 2016, 08:24:56 PM
Thanks jimbruski,
I know I was looking for success stories with a day by day account of everything. There are a few here, and they certainly helped me make the decision to have surgery.
I plan to keep this updated as a way of giving something back to the forum.

Actually, now that you mention success stories, maybe it is worth asking the moderators to created a subforum with peoples stories of beating congenital or peyronies curves.
Just a thought.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 17, 2016, 09:12:37 PM
Fefgeug, 

Not a bad idea at all.  A home for success stories: Moderators........................?

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: skunkworks on March 17, 2016, 10:43:37 PM
Improvement - Accounts of improvements in deformity or erection. - PDS - Peyronies Society Forums (https://www.peyroniesforum.net/index.php/board,43.0.html)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 17, 2016, 11:39:34 PM
Skunkworks,

Maybe a step above that, to SUCCESS.  What do you think?

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: skunkworks on March 17, 2016, 11:46:19 PM
I don't see the need, success is improvement. I could see the benefit to a stickied thread about surgical success in the surgery forum, but that would be for LWillisjr and Angus to decide.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 18, 2016, 12:08:24 AM
Skunkworks,

Got it.  Thanks for considering!

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 18, 2016, 02:45:35 AM
Yeah I still think a surgical forum for success would be great. Actually, what I looked most for was a day by day account of peoples experience from initial consultation all the way to full recovery. It helps to know what to expect. I know I read all I could find from members who had done this.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 19, 2016, 03:14:57 PM
Day 3 update:

Another follow-up with Dr Kuehhas in his office in the DC towers building in Vienna (stunning views by the way). Dressing was changed again. Slight bruising around the base of penis and scrotum, this always occurs according to Franklin.
Cleared to fly home tomorrow. Dressing will be kept on for the next 10 days, then only a dressing at night for a further 3 weeks. The purpose of the dressing is to prevent swelling and erections.
I have been taking paracetamol, anti-inflammatories, anti testerone and antibiotics.
My glans is a bit sore due to being exposed, but apart from that no other issues and no pain at all.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 20, 2016, 02:24:56 AM
Fefgeug,

Again good news.  That's great to hear.  I hope you continue to heal and return to an active life quickly.

The reason I'm following your post so closely is that I may be looking at surgery if traction and VED fail to produce favorable results.  My uro has already indicated that surgery is my next option but before taking that step I will continue on my course of treatment and visit Dr. Lue in San Francisco in July.  That will undoubtedly be when I know whether I will need surgery.

So keep posting your updates as you continue to heal.  I will be looking forward to reading them and I wish you well.

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 20, 2016, 05:12:06 AM
Day 5 update:

Awoke this morning with a slight erection and some pain on my left side near the base of penis (my stitches are on the right side). Pain was not severe, kind of like a burning stretching sensation, 2 or 3 out of 10. Went to the toilet and urinated and erection subsided.
Note that it was not a proper erection, it was more like the kind of enlargement with the penis still soft that precedes a full erection.
Glans sensation is still great, no issues there.
I managed to have a full shower yesterday, I put a condom over the bandage to keep it dry and used a cock ring at the base to keep the condom tightly sealed.

Not once have I had any regrets or doubts since surgery.

Jimbruski, Im glad to help in any way I can. Good luck.

Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on March 20, 2016, 09:19:40 AM
Fefgeug;

Wait until you see your first proper erection, and it's straight! Quite a sight to behold!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 22, 2016, 08:03:36 AM
Day 7 update:

I am waking each morning with a slight erection which subsides once I urinate. Not a proper erection, it just feels slightly enlarged. Slight pain with these erections, only 1 or 2 out of 10.
I am continuing to take androcur anti-erection tablets until 3 weeks post op.

My glans was quite sore from being constantly exposed and rubbing my underwear. I am now using a loose dressing bandage wrapped over it to prevent rubbing. Huge relief, wearing no underwear with tracksuit bottoms also helps a lot.

The bruising at the base of penis is almost gone, no pain here at all.
Other than that it is just a matter of waiting for things to heal fully.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: james1947 on March 22, 2016, 11:00:01 AM
Thanks for the updates fefgeug.
It helps others that may chose to go on your way.
Wish you fast recovery

James
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 26, 2016, 03:40:29 PM
Day 11 update:

Nothing new to report. No pain, just occasional aching which is not bad. I cannot wait to get the bandage off in a few days and get my foreskin forward, my glans will be like leather soon lol.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 27, 2016, 12:38:20 AM
Thanks for the update fefgeug.  I'm still following your progress.

Good luck,

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 28, 2016, 05:53:46 AM
Day 13 update:

Still no issues. Healing well. Full sensation in glans. I cannot wait to get this damn bandage off in 2 days time and have a look. Its needs a good wash too, feels itchy.
Still occasional semi erections which are midly painful, around 2 or 3 out of 10.
The glans is now almost back to normal after the irritation of being exposed for the first few days. I continue to wrap it with a loose gauze to prevent rubbing. I remove it to urinate. This is a real pain when in a public place always having to use the cubicle.
I will update this when the bandage comes off.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 29, 2016, 10:10:03 AM
Day 14 update:

Noticed slight bleeding this morning from below the frenulum. Sent photos to franklin, he said it was fine.
I asked could I remove the bandage today instead of tomorrow. Today is 13 days post op. He said it is okay to remove.
I carefully unravelled the bandage, dreading what I might see. I was afraid I would see black necrotic tissue or something.
Got the bandage fully off, everything is nice and pink. The was a tiny cut at the frenulum causing the bleeding but it is ok now.
There was a lot of dead peeling skin all over, I carefully washed with warm water. I then soaked in the bath for half an hour and removed as much dead skin as I could.
It feels weird not having the bandage.
Anyway, I am very happy, the stitches are fully healed, most of them dissolved in the bath. Around 3 stitches remain. I finally have my foreskin back over my glans, it is such a relief.
I will continue to let it heal for now with twice daily bathing.
I will need to place a bandage around the penis at nighttime for the next 3 weeks or so.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: K.Bouter on March 29, 2016, 10:53:40 AM
Happy all is fine fefgeug. Your posts are a big help for me!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on March 29, 2016, 11:36:02 PM
Great news fefgeug.  I'm glad all is looking positive for you!

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 01, 2016, 06:52:38 AM
Day 17 update:

Everything is healing nicely. I am showering twice a day to keep it all clean, all the dead peeling skin is now gone.
It is a huge relief to be able to move the foreskin forward over my glans again. There is a slight build up of fluid in the foreskin just before the incision line, Dr Kuehhas assures me this is normal for the first week after removing the permanent bandage. The foreskin seems slightly shorter, this may be because of the fluid build-up though.
I am continuing to wrap the penis at night using self-adhesive dressing. Any erections I get with the dressing on are not painful, just a mild pressure feeling. Without the dressing erections can be quite painful depending on the strength of them. I try to shake these erections off to prevent putting too much pressure on the sutures.
The penis seems nice and straight. I can feel the sutures, there is a group of them around 1/3 of the way down the penis on the right side, slightly nearer to the top than bottom. The second group is around 2/3 the way up, also on the right side more towards the top of the penis.

A tip for anyone who is keeping their foreskin:
After being exposed for 2 weeks my glans had developed a lot of hard skin and some areas were quite raw and painful. I used KY jelly (a personal lubricant, water-based, perfume and colour free) on the glans as a lubricant and moisturiser. It also helped pull the foreskin back over the glans. The results were amazing. Within 2 days all dead skin was gone and the glans felt nice and soft and has full sensation.

Also, the dressing that Dr Kuehhas gave me for night dressing did not last long (I used a lot of it to wrap around the exposed head when the permanent bandage was on). I found it impossible to locate in the pharmacy, I did manage to find a close equivalent although it is not as wide. I ordered it online at the link below, this is the exact same one that DR Kuehhas provides. Delivery to europe is around 3 days, best to order it well in advance of when you need it. I thing 2 rolls of 20m will be needed to dress the penis at night for 3 weeks. (using around 1.5m per night for 21 nights = 31.5m)

https://www.farmaline.ie/health/order/hartmann-pehahaft-10cm-x-20m-latexfree-1-item/ (https://www.farmaline.ie/health/order/hartmann-pehahaft-10cm-x-20m-latexfree-1-item/)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 03, 2016, 02:03:04 PM
Day 19 update:

Only 1 or 2 stitches are left, there is one on the top side of the penis which is tender to touch. I am still getting slight erections which are mildly painful.
I am sleeping fine, the bandage at night holds everything straight so there is no pain with nocturnal erections.
There is a small patch on my foreskin on the right hand side that is numb. It is just below the incision line. It doesnt bother me really, sensation may return in the future.
My foreskin also appears slightly shorter than before.

It is healing really well. When I first removed the bandage my penis was sore when i moved it around, as if it was bruised inside. This has improved greatly. I still have to treat it gently, but it is getting better every day. I have only 3 more days on anti-erection tablets (androcur). I am looking forward to seeing my first proper erection after that. I think it takes a week or 2 for the androcur to wear off.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on April 04, 2016, 02:51:29 AM
Fefgeug,

Again, great news.  Can't wait to hear about your feelings as soon as the androcur wears off.  Keep the posts coming.  I'll more than likely be looking at surgery one day so it's been great to follow your post-op.

Just curious, which procedure did you have done?

Regards,
Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 04, 2016, 03:41:29 AM
Hi Jimbruski,

I had a congenital curvature to the left. I had STAGE procedure.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 06, 2016, 06:22:50 AM
Day 22 update:

All stitches on my foreskin are completely gone, I can rub the area now with no pain whatsoever. The swelling on the foreskin is gone. My foreskin is slightly numb just below the incision line but Dr Kuehhas assures me this is normal and will improve. It doesnt bother me, the glans has full sensation.
My foreskin seems to be a bit tight around 1 inch below the incision (this would be the tip of the foreskin when it is covering the head. It is getting dry, irritated and cracking a bit. I am rubbing scar cream into it to see if that helps.
I just took my last androcur tablet, now let the fun begin lol.

Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 07, 2016, 06:39:39 AM
Day 23 update:

The scar cream has really helped. Just a few days ago it was hard and painful to retract my foreskin, it is now soft and easy to retract. The cream I have been using is specially formulated to reduce scars.... it is a mix of cocoa oil and coconut oil and vitamin E among others.
It is now easy to manipulate my penis with no pain. Previously when taking it out to urinate I had to be very gentle when handling or bending it. It is almost back to normal now.
I am continuing to wrap it at night in self cohesive bandage, I will start traction therapy next week.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: K.Bouter on April 07, 2016, 09:44:59 AM
Hey fefgeng,

I am so glad to hear everything is fine. It must be a very exciting for you. In the next 2 weeks you can probably see the result with your own eyes!

I have one question, what is the oil that you are using? Is it widely available in shops or is it difficult to find?
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 07, 2016, 12:24:18 PM
Hi K.Bouter,

I am using "Palmers cocoa butter formula with vitamin E"
Here is a picture of the bottle: https://uk.palmers.com/cocoa-butter-formula/6-cocoa-butter-formula-lotion.html (https://uk.palmers.com/cocoa-butter-formula/6-cocoa-butter-formula-lotion.html)
It is available everywhere, just google it.

Best of luck in your healing 8)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 11, 2016, 05:35:42 AM
Day 27 update:

Not much new to report. I have been off the androcur 5 days now, still no proper erections. The Dr recommends I still try to shake off erections, it will take a few weeks for full erections anyway.
The scar is fully healed with no issues.
No pain, just slight tenderness when touching the main shaft.
I will start traction therapy in 2 days as recommended.
The bandage really helps at night to keep the penis stretched and also to support erections and prevent bending. There is no pain with erections when bandaged. Without the bandage I can feel pressure on the stitches and slight discomfort.
I am really missing sex. I dont have much sexual urge due to the androcur, but sex and orgasms were such a large part of my life that it is weird without it. Here's hoping the androcur wears off soon. It is impossible to find information about the length of time to wear off after only 3 weeks using it.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 13, 2016, 07:59:13 PM
Day 29 update:

I started traction today. I am using the male edge pro extender and am really happy with it. I bought this extender last year thinking it might correct my curvature. During my research I found this forum and found that the only way to correct congenital curvature was surgery. I used the device for 2 weeks last year before deciding on surgery, I stopped using it in case it gave distorted results on my pre-op consultation. But I do have experience using it which helps.
Dr Kuehhas recommends the Phallosan Forte, and it is supposed to combat a lot of issues that strap-type extenders like the male edge have. It uses vacuum to attach itself to the glans compared to a compression loop or strap on the other devices. However, having read reviews on the Phallason Forte I discovered many people have a lot of issues with it. There are many examples on this forum. So I decided to stick with what I know, and the fact that I already had the male edge was a bonus.
When I first used the male edge last year I had a lot of issues with pain and cutting off circulation to the glans. I discovered the best way to attach the comfort strap:

1. First wrap the supplied 50mm cohesive gauze on the area just below the head and allow it to extend onto the glans about halfway.
2. Then place the comfort foam ring over the gauze. The gauze provides grip and prevents the foam from sliding up over the glans.
3. Then use the strap in the normal way, being careful not to clamp the penis too tight.
4. Keep a close eye on the glans, ensuring it does not turn blue. It is normal for it to feel a little cold, but as long as it is nice and pink all is ok. Test occasionally by pinching the glans and ensure when you release it it looks white but quickly turns pink again. If the glans appears blue this means no blood is entering it, ie the artery is constricted. Equally dangerous is where the penis appears red but doesnt go white when pinched, this indicates the veins are constricted.
5. Set the tension around 1000g, checking occasionally. I find that the strap does tned slide up the penis slightly during use and the tension subsequently drops. I just increase the tension, remember it is better to have the strap on the loose side rather than too tight.
6. Every 30 mins or so disconnect the strap from the tension rods (leaving the strap attached to the penis) and massage the head to provide relief and fresh blood flow. 

I was expecting a lot of pain initially, so started off with light tension. After a few minutes I realised that I could increase the tension to between 1000 and 1200 grams with no issues. No real pain, just a pressure feeling. I did a total of 2 hrs this morning and 1 hour this evening.
I measured my penis when stretched in the extender. It was previously over 18cm, it now measures around 16.5 cm. Taking into account that my penis will have retracted from the medication I should regain this 1.5cm quickly.

I have no pain after using the traction (just a litle tenderness) and am really happy with how things are progressing.

I am looking forward to full erections returning.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 15, 2016, 04:00:59 AM
Day 31 update:

I had my first poper erection today. It was not completely full but very close. There was no pain if i held it pointed straight up.

And it was perfectly STRAIGHT!!!!!!!

I am using the male edge extender for around 3 hours per day on low tension, no issues at all.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on April 15, 2016, 07:39:08 AM
A sight for sore eyes, isn't it!  😊
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 15, 2016, 07:44:45 AM
Yes Johnb, I am really happy. I can't wait to use it.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: K.Bouter on April 15, 2016, 07:53:43 AM
So happy for you fefgeug! Was this with or without the nightbandage on? I only get full erections during the night, during the day its not even close to a full erection at this point of time.

Again, congratulations! Awesome news.  :)
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 15, 2016, 08:06:30 AM
It was this morning without the bandage. Thanks for your support.
It was not a full erection but the biggest I have seen so far.
My previous erections were very small and not straight.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jimbruski on April 16, 2016, 01:10:08 AM
WOW fefgeug that is really cool.  I'll bet you are happy.  And thanks again for taking us along on your journey.  It makes surgery easier to accept as an option.

Jimbruski
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 16, 2016, 07:32:20 AM
Thanks Jimbruski.
I have had no regrets from surgery. I had a couple of minor irritations like tight foreskin, etc but overall no problems. My incision scar is fully healed, my foreskin in intact and back to normal. I am so glad I had this surgery and cannot wait until I get to use my new penis.
If you are considering surgery, contact Dr Kuehhas. Flights are cheap nowadays.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Dieter on April 19, 2016, 03:58:52 AM
hi guys!

i have also a congenital curvature and i am kind in despair. some time ago i went to a clinic in munich to see what i can do about my curvature. the urologists there want me to undergo the nesbit method but honestly i dont know if this would be a good idea. i was told about too many side effects.....

i read a lot of stuff about dr kuehhas and the stage technique in this forum but i dont know if i should see him... would it be worthy to make an appointment with him? it seems that the stage technique is better than nesbit... or am i wrong? would you recomend him/ the stage technique?

maybe you can give me an advice what i should do because honestly i dont know....

thanks!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 19, 2016, 04:13:38 AM
Hi Dieter,
Do not get a nesbitt. You will have pain, length loss and loss of sensation and erectile dysfunction.
The nesbitt procedure basically takes chunks out of the longer side, leaving you with length loss and scarring and nerve and vein damage.
The stage technique is different in that it only shortens the outer layer of the penis. Imagine both sides of the penis have erectile musle called the corpus cavernosum. Surrounding this is a layer called the tunica albuginea. The stage technique takes small sections out of the tunica albuginea and stitches the gap closed. This then holds the corpus cavernosum straight. Because the corpus cavernosum is not cut there is minimal loss of length , no scarring. Also, the nerve and vascular bundle is moved aside before the incisions are made, so there is no loss of length or ED.
It is beyond me why doctors still recommend nesbitt.
Also, you will have no issues with Dr Kuehhas, he is a genius and is very caring and understanding.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on April 19, 2016, 10:56:12 AM
Dieter;

Franklin Kuehhas did my surgery too. I had The Egydio technique for The near 90 degree curvature that resulted from Peyronie's disease.

Dr Kuehhas is Austrian. You can see him in either Vienna or London. He's not cheap, but you have only one penis, so if you have decided on surgery you can't do any better, IMO.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: redbullmaster on April 19, 2016, 11:34:25 AM
People need to be careful talking about how you lose less or no size with the Stage, than the Nesbit.

That's not true, both surgery's cut the longer side so that it matches the shorter side.

The Stage is suppose to has less compactions than the Nesbit, that's it.

Unless you have a surgery which adds a graph to the shorter side. (which the Egydio does I believe)
Think you need to have a peyronies with an extreme cure, for this surgery.
Don't think this surgery is for congenital curvature?


If you have the Nesbit or Stage surgery, measure the shorter side of your penis, after your surgery that's the size your going to end up with.


Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Jonbinspain on April 19, 2016, 11:46:33 AM
The main difference is that The Egydio technique does not involve cutting the 'long side' relaxing incisions are made in the 'short side'  Sometimes, if the condition of the plaque requires it, a partial excision and graft is also used. 
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 20, 2016, 03:55:31 AM
The length loss with STAGE is very minimal, with nesbitt it is quite large.
Please do your research on both procedures. This and other forums are awash with horror stories from the nesbitt procedure, from ED, numb glans, pain etc.
I have not yet come across a failed STAGE case.
The final length after stage will equal the length of the penis if you physically straightened it when erect (something that you should not do due to risk of injury). But if you imagine bending it straight, this will be the final length. Some recovery of length is achieved with traction. Also, note that in congenital curve, the usable length is only the length of the short side. The longer side is abnormal which causes the bend. Stage simply corrects this abnormality.
The reason the EGYDIO technique for peyronies lenghtens the short side is because the short side in this case has the abnormality.

And can people PLEASE stop recommending the nesbitt, especially if you haven't had it done. It is a neanderthalic procedure with a high rate of complications. Show me one case of major problems with stage anyone?
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: redbullmaster on April 20, 2016, 08:24:20 AM
No the length loss is the same with both operations.
Not sure where you think this magic length comes form with the Stage operation.

Its science if you shorten the long side, the penis will only be as long as what's left behind. 

You can use traction with the Nesbit as well. 

If you want to say the Stage is a safer operation the the Nesbit, due to less risks that's fine I think.

But bear in mind the Stage is a newer operation, so it may be a bit premature to say it's so much better than the Nesbit.

As I imagine there's tens of thousands more people who have had the Nesbit operation, than the Stage.
So there's Less of a pool to pull long term results from.

Also there's not many surgeons doing the Stage and your paying a lot of money for there services.

I think a lot comes down to the surgeon who's doing the operation,
So if Dr Kuehhas did the Nesbit operation, your have a good result.

Would you have a noticeable better result if you had the Stage with him?
Probably not.

For the record I've had both, the Nesbit done on the NHS and the Stage with Dr Kuehhas private. 

Needed the second operation because the curve came back with the Nesbit.
Due to the advice on here I went to Dr kuehhas for the second operation.

I still have a slight curve after the Stage.








Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: K.Bouter on April 20, 2016, 11:23:04 AM
According to this article:

The STAGE Technique (Superficial Tunica Albuginea Geometric-Based Excision) for the Correction of Biplanar Congenital Penile Curvature - Kuehhas - 2013 - The Journal of Sexual Medicine - Wiley Online Library (http://onlinelibrary.wiley.com/doi/10.1111/jsm.12346/abstract)

The mean loss of penile length in the STAGE surgery is 0.7cm (range 0.3cm-0.9cm), this seems like a much significant length loss than the Nesbit surgery. If this is because of the surgant or the better technique, we will of course not know. For myself, I won't know how much length I lost. The surgeon took a picture during the surgery and it seems no length was lost at all. Now I have completely straight erections that are heavily retracted. I can only tell my final result later :)

I advice all people to go talk to a surgeon that does Nesbit and one that does STAGE (Dr. Franklin) and choose the method they prefer themself (another option is not do a surgery at all if you aren't convinced). To me, STAGE is a far superior technique because of the reasons fefgeug mentioned.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: redbullmaster on April 20, 2016, 11:50:07 AM
Your penis bends because one side is shorter than the other.
To get it straight, the long side is shortened to match the short side.

If you have the Nesbit or the Stage surgery and the end result is a straight penis.
You will have lost the same amount of size regardless of which surgery you had done.

Try straighten a bent banana, you only going to get it as long as the short side.

For the Nesbit to loss more length means the surgeon made the shorter side shorter. 

The reason I'm trying to make this clear is the psychological loss of penis size to a man, can have a huge impact on him.
Men who have the Stage surgery need to know there penis will be shorter than before Peyronies kicked in.
If you have Congenital, Your penis length will be the the short side.

I'm not arguing the stage isn't a safer surgery, but I do think its a surgery in its infancy .
Once other surgeons start to offer it, you may not get the same results that you get with Dr Kuehhas.

But please stop trying to sell it on you wont loss more length with this surgery.

That's just fantasy and wishful thinking, I don't care how good a surgeon Dr Kuehhas is, he cant make a penis grow out of thin air.



 
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: DanP on April 20, 2016, 03:58:31 PM
Redbullmaster I agree with you. I think it is important to have good surgeon. It's very important. Dr Kuehhas is very good expert in this field. If somebody else does stage results might not be good... Because of skill of doctor for example. I think this is because Nesbit fails so often... Because nobody specialize in curvature treatment.

I had stage with dr Kuehhas and I must say I am very happy with result.
I can recommend him strong.
I think you should go and visit him dieter. Munich is not far from Vienna. I had surgery in Vienna.
And you should not worry about aftercare he will support you. This was my impression. What is the impression of other members of forum?

Redbullmaster are you not happy with result of aurgery? Why don't you go back and ask for evaluation? I was always in touch with dr Kuehhas for follow up. ...

I think everybody need to see different surgeon before decision is made. I felt good with my decision and it proofed to be right. At the end we only have one penis and we should take care of it!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Dieter on April 21, 2016, 09:09:26 AM
hi guys! first of all thanks for your replies. after reading your posts i was thinking a lot about what am i going to do next ... and actually i took the decision to contact dr. kuehhas... first of all i think it would be good to have a face to face conversation with dr kuehhas and actually he is an expert in his field... and this was an important factor for my decision.....  i think experts have more experience and knowledge about their field area than doctors who have no field of expertise.... i also want to take the chance to talk with dr kuehhas in a personal conversation about all my doubts, fears, problems, etc... and last but now least: munich is not too far away from vienna ...... hope to get an appointment soon..... and hopefully he can answer all my questions and help me...  i will keep you informed guys!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on April 26, 2016, 04:21:46 AM
Day 42 update:

My erections are coming good and strong now. They still dont come as easy as before, but every day is better. Yesterday I managed a gentle masturbation. There was no pain except when I orgasmed there was a slight pain when I held my pc muscles and the erection became super strong. But what an orgasm, I nearly passed out.
I am having no pain at all when moving the penis, using traction or during erections, except as I said during orgasm. A little over a week ago my erections were slightly painful so things are improving day by day, I reckon this time next week I will be able to have an orgasm with no pain.

I am having no issues at all, the stitches are all well healed, my glans is nice and soft and full sensation. I do notice a very slight curve during erections, but Dr Kuehhas has said this is normal at this stage. Anyway after being 80 to 90 degrees curved, to go to less than 5 degree is fine with me.

I am continuing traction, around 2 hours per day. I have gained 0.5 cm in the last 2 weeks, I am now only 1 cm shorter than before.

I am looking forward to intercourse very soon.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: notmeplease on May 18, 2016, 05:18:25 PM
Hi fefgeug,

I'm wondering if finally your banana is totally straight after the surgery with Dr. Kuehhas. I'm thinking about performing this surgery...
Another question: it is easy to pee during the whole process? How many days off do we need after performing this surgery?

Thank you!
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on May 19, 2016, 02:25:33 AM
Hi, all straight and going well. I was able to masturbate after 5 weeks, quite painful during orgasm. Agter 6 weeks i had gentle sex, it was ok but slightly uncomfortable. Now after 9 weeks I can have sex with no issues.

You need around 1 week off if your job is not too physical. It is easy to pee, but being uncircumcised my glans got a bit irritated and sometimes the urine came out at an angle. I used a loose dressing around the glans to prevent it getting sore, this had to be removed to urinate.

If you follow the directions given by Dr Kuehhas and the additional advice on this thread and others you will have no problem. Looking back it seems like a lot of effort, but at the time I was so focused on correcting my problem that I was so dedicated to doing everything right.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: Dieter on May 19, 2016, 08:56:00 AM
sorry for not writing earlier but i was kind of busy... i just want to tell you that i had an appointment with dr kuehhas. i was kind of nervous and thinking a lot if this was the right decision but guys you know what.... it was the best decision i took concerning my illness. he really is a very kind doctor with an incredible patience. he was answering all my questions without getting unfriendly. he also told me about the difference between stage and nesbit and that for me STAGE would be the best option. think he is an expert on his field!  i made also an appointment for an operation with the stage method... keep your fingers crossed! i´ll keep you up to date.
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: agony on January 10, 2017, 06:03:25 AM
I wonder why you guys are not talking with corporal rotation ..it is also a good method without a loss of length and ED
i had a 45 degree curvature and contacted Dr Osama Shaeer who devised this method and hopefully will meet him coming april..
PLease advice me if I am taking  a wrong turn
Title: Re: Having surgery this week, STAGE with Dr Kuehhas
Post by: fefgeug on March 05, 2017, 05:30:06 AM
Hi, sorry for the lack of updates.
Anyway, it's been almost a year since my surgery. Everything has healed perfectly. All stitches are fully dissolved. My sex life is great and I have no issues whatsoever. I have actually forgetten what it was like to have a curved penis.
When fully erect my penis is perfectly straight. On a semi-erection, it still tends to hang left slightly. There is no pain whatsoever.
Regarding penis length, I am the same length as before. I know people find this hard to believe. It is true that my penis was shortened on the longer side, but shortening the longer side has simply evened it up. In other words, although one side of my penis was longer, in effect it is the same usable length as it was bent. It's hard to describe. Imagine a penis that sticks out 7 inches dead straight. Now imagine an 7.5inch penis that moves out to the right and curves back to the left. The distance from pubic bone to tip in a straight line is still 7 inches in both cases.
I am eternally grateful to Dr Kuehhas for all he has done, and would highly recommend him to anyone.