Peyronies Society Forums

Read This First => Introduce Yourself => Topic started by: Mrhead94 on December 06, 2018, 05:08:35 AM

Title: Complication after Nesbit
Post by: Mrhead94 on December 06, 2018, 05:08:35 AM
hello everyone,

i'm a 24 yo italian guy. Sorry if my english is not too good...i try to write with the help of a translator. I was opereted for a congenital ventral curvature of about 30° that gave me problems during sex. The tecnique was the classic nesbit with the excission of tunica albuginea and use of permanent suture.

After 1 month i have many problems and a lot of worries about the result:

1) the shape looks like an hourglass, with narrows area, bumps and depressions (too ugly to see)

2) on one of four suture knot i feel an hard formation that seem like a cyst

3) on the suture knot above i feel pain like a puncture

4) there is a residual curvature (it's not a real problem but maybe it's only temporary)

I'm worries about the cosmetic result... I know that is not important like the functional result, but from a psychological point of view is too difficult have hard and durature erection with this problems.

Somebody with the same post-operative cours that can help me ?? (if i am not too clear i can post a picture)

Thanks....
Title: Re: Complication after Nesbit
Post by: Hawk on December 06, 2018, 08:29:13 AM
Welcome to the forum MrHead.  I have not had that surgery so I will hope others reply.  You can post a photo but it must be posted here in the surgery photo board: https://www.peyroniesforum.net/index.php/board,47.0.html

We also only allow members that have 5 or more posts to post photos to keep trolls down.  I am artificially increasing your post count so you can post a photo if you like.

Good luck.  I hope you find the support and information you are looking for.

Hawk
Title: Re: Complication after Nesbit
Post by: Jack1909 on December 06, 2018, 10:08:48 AM
Mi puoi scrivere in privato se vuoi
Title: Re: Complication after Nesbit
Post by: TonySa on December 06, 2018, 10:50:35 PM
The dissolvable sutures can take up to 6 months to dissolve, so hopefully that will improve,
Title: Re: Complication after Nesbit
Post by: Mrhead94 on December 07, 2018, 02:33:34 AM
Tonysa they are not dissolvable suture but permanent
Title: Re: Complication after Nesbit
Post by: Jack1909 on December 07, 2018, 09:02:43 AM
It's such a shame keeping going on....non absorbable sutures on a penis, I wonder if urologists use some logic instead of repeating like robots things they have read on books and literature
Title: Re: Complication after Nesbit
Post by: Hawk on December 07, 2018, 01:24:38 PM
Jack, they have to be non-dissolvable.  That is the whole point of a Nesbit.   They cinch the long side tight to straighten a curve.  If the sutures pop or dissolve you would snap back to a bend.  So this is a case of a doctor paying attention to the obvious.
Title: Re: Complication after Nesbit
Post by: Jack1909 on December 07, 2018, 03:32:06 PM
You are wrong Hawk, it's a misconception that non abrsoable sutures play any role in keeping the penis straight in the long run. Once the penis heals and gets the new shape..it stays that way. I should have a bend similar to my original one if you were right, cause I made remove every suture I could.


Title: Re: Complication after Nesbit
Post by: Mrhead94 on December 08, 2018, 06:45:20 AM
They have to be used if it's a simple plication without excision of tunica albuginea. But in the case of the classic nesbit a lot of study report the same rate of success with the absorbable suture. If i can chase i prefer the absorbable one. But the surgeon tell me that he use the non absorbable after the surgery. I was stupid... So stupid... For trust in him
Title: Re: Complication after Nesbit
Post by: Hawk on December 08, 2018, 06:14:44 PM
Quote from: Jack1909 on December 07, 2018, 03:32:06 PM
You are wrong Hawk, it's a misconception that non abrsoable sutures play any role in keeping the penis straight in the long run.

Jack, you must be talking about a modified Nesbit.  A standard Nesbit simply sutures the long side and leaves the sutures to act exactly as the non-elastic plaque does to the other side, pure and simple.
Title: Re: Complication after Nesbit
Post by: Jack1909 on December 08, 2018, 06:49:58 PM
I'm honestly tired... From what you are saying people might understand that sutures are fundamental to keep the shape, and they are not. That's a matter of fact. Plus, we are talking about congenital curvature!
Title: Re: Complication after Nesbit
Post by: Hawk on December 08, 2018, 07:29:42 PM
Well, I guess we disagree or are talking about two separate techniques.
Title: Re: Complication after Nesbit
Post by: james1947 on December 13, 2018, 07:03:22 PM
This topic ending as an introductory.
Please continue the discussion on the apropriate boards.

James