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Augusta Med System info for Australians
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 1 
 on: Today at 09:28:23 PM 
Started by Whyhellothar - Last post by tiagofil
Well I've read this from author Benjamin A Sherer, Laurence A Levine:
Quote
Peyronies Disease patients with more severe disease (dorsal curvature >60⁰, hourglass deformity,
penile hinging, and/or extensive plaque calcification) are candidates for plaque incision
and grafting (PIG) or partial plaque excision and grafting (PEG) 72,83 . To qualify for a
grafting procedure, it is critical that patients have good preoperative erectile function
(adequate rigidity for penetrative sex with or without use of PDE5-i’s) preoperatively 84,85 .
Compared to TAP, grafting procedures have higher rates of postoperative ED, likely due
to disruption of the tunica albuginea and underlying corporal tissue. In the largest
contemporary series of grafting procedures, rates of postoperative ED range from 20-
32% 86-89 .

Don't they check erection quality before... or maybe just mild or nondetected ED gets postoperative ED later? Who knows most of these studies have small followups anyway (12-18 months after).

Still it was misinformation on my part, since postoperative ED seems to be also a possibility in plication technique. The main difference seems to be Plication more shortening, Grafting less sensitivity and more recurrent curvature, maybe because they start with more curvature anyway (>60 degrees) and hinge effect, etc

Edited to add: the best surgeons like Levine and others may have different personal experiences, here they're just reviewing the literature and various studies. But it has to be seriously considered.


 2 
 on: Today at 07:35:41 PM 
Started by HelpABrotherHeal - Last post by Tsanchez12369
The whole penis is stretched, it’s just part of the penis is buried inside the body so you can’t see it.

 3 
 on: Today at 07:16:09 PM 
Started by HelpABrotherHeal - Last post by HelpABrotherHeal
It should be stretching the internal portions of the penis as well.

There are traction devices that can do that??? Or is it just cuz it starts pulling it out further or something?(that sounds like a dumb question but I’m tryna think of how that could work)

 4 
 on: Today at 06:40:06 PM 
Started by TheTollundMan - Last post by TheTollundMan
Mine found no abnormalities :(

Not consistent with my symptoms. It was done while flaccid.

 5 
 on: Today at 06:16:07 PM 
Started by Whyhellothar - Last post by LWillisjr
I had excision and grafting with no issues. First I have heard that there is a loss of erection quality. Dr. Levine told me that my erection quality should be the same before or after. Excision and grafting doesn't directly have anything to do with the mechanics of obtaining and maintaining an erection. The risk is where the plaque is. The most risky being if you have an upward curve. This would indicate the plaque is on the top of your penis and that the excision/grafting would involve manipulating the nerve bundle which runs along the top of the penile shaft from base to glans.

 6 
 on: Today at 06:02:15 PM 
Started by swiss - Last post by LWillisjr
Dr. Levine is my doctor. He doesn't have a prescribed protocol. Just that the longer you can wear a traction device he feels you get more benefit from it. The spring loaded rod type traction devices you need to take a break every 2 hours.

The last time I spoke to him he was recommending the Phallosan Forte type device because it is a little easier to use and you can wear it longer.

 7 
 on: Today at 05:48:43 PM 
Started by TheTollundMan - Last post by LWillisjr

Edit: How is the SIZE of the plaque determined?

Some doctors will do an ultrasound. From this they can determine the location and size of the plaque.

 8 
 on: Today at 05:36:24 PM 
Started by Byre - Last post by james1947
The topic is locked.
Please continue the conversation on specific boards


James

 9 
 on: Today at 05:34:50 PM 
Started by hope794 - Last post by james1947
The topic is locked.
Please continue the conversation on specific boards


James

 10 
 on: Today at 01:46:34 PM 
Started by matteo92 - Last post by matteo92
Quote deleted by moderator! Read the forum rules!
Your posts are moderated for continuing violations of the forum rules!


yes 10 minutes total, for five times from flaccid to full erection keeping it for 2 minute once you achieve maximum erection

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