Peyronies Society Forums

Peyronies Disease TREATMENT Discussion Boards => Surgery for Peyronie's Disease => Topic started by: Barnaby on April 24, 2017, 05:34:39 PM

Title: Implant or Incision and Grafting
Post by: Barnaby 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
Title: Re: Implant or Incision and Grafting
Post by: Old Man 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
Title: Re: Implant or Incision and Grafting
Post by: Barnaby 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.
Title: Re: Implant or Incision and Grafting
Post by: takesix 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.



Title: Re: Implant or Incision and Grafting
Post by: Barnaby 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.
Title: Re: Implant or Incision and Grafting
Post by: lessor on April 27, 2017, 06:47:28 PM
hey barnaby check FT, is a forum of implants, there is a lot of information about them
Title: Re: Implant or Incision and Grafting
Post by: Barnaby 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.
Title: Re: Implant or Incision and Grafting
Post by: JayGould 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.
Title: Re: Implant or Incision and Grafting
Post by: Larry on July 12, 2019, 05:16:10 PM
Quote from: Old Man 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

Great advice.  The Coloplast Titan is a great implant for severe Peyronie's Disease.  It can help straighten your shaft and gain girth for sure and POSSIBLY length.  If your Peyronie's is not severe, I recommend the AMS LGX which regains lost length and girth and will help straighten Peyronie's. :)

Larry
Title: Re: Implant or Incision and Grafting
Post by: MarkDS on July 19, 2019, 07:59:49 PM
I had incision and grafting around 10 weeks ago, and for me, so far it has been a complete disaster.

I have a residual upward curve of 40 degrees, bend to the left of 30 degrees, hard graft, loss of length of around 1 1/2 inches, ED which isn't being helped with tadalafil daily, and loss of feeling.

I've only managed to have sex once...just

Ic I had know the outcome pre op, I would have just gone for an implant, or lived with the 100 degree upward curve; as at least I could just about mange sex, and I had no pain.

Sorry to be such a downer...having a bad night 😢
Title: Re: Implant or Incision and Grafting
Post by: 2Oldfords on July 20, 2019, 08:17:41 AM
   I had the excision/grafting surgery 12/18/18 to correct a 70 deg curve with strong erections. It did that and now I'm straight. I have a straight dick that is hourglass shaped so bad I cannot get the last half to get hard enough for penetration. Peyronie's was reactivated from surgery. Also from where I was de-gloved for the procedure I still have some irritation around the circumcisional cut. Now my only choice is to get an implant. The decision to have the grafting instead of implant was made due to the fact I was able to achieve strong erections. If I where having difficulty getting hard without the use of Viagra, I would give some serious thought about the possibility of needing to have surgery on my dick twice? Double the expense, downtime and discomfort?
    I thought I had made the right choice, getting an implant was never even an option. If someone had told me to go that route at that time I doubt I would have. Having a pump up peter just would not have been possible for me mentally at that time. Well the time has changed.
    This forum has helped take the stigma of having a pump up peter away. I am anxiously awaiting the time when I can have an implant and get on with the rest of my life.
   Good luck with whatever decision you make. Wishing you the best.
   



Title: Re: Implant or Incision and Grafting
Post by: MarkDS on July 20, 2019, 08:43:32 AM
Sorry to hear your story 2oldfords.  Very similar to mine.

I wish I had gone for an implant, as think it would have been corrected with no loss of length and less surgery.

The I know age isn't necessarily a factor, but I didn't expect this at 46.

Keep strong everyone
Title: Re: Implant or Incision and Grafting
Post by: Larry on July 21, 2019, 08:47:04 PM
QuoteI'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.

The implant will NOT affect how horny you get AND I had premature ejaculation before the implant... not anymore and I decide when I quit... even if I have an orgasm I decide when to quit.  The LGX is what I have but for people with severe Peyronie's, as you have, the Coloplast Titan is recommended.  Good luck.  I would be happy to answer any further questions you may have. :)

Larry