Which type of Plication Surgery is most effective at minimising length loss?

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Ukguy1234

Since I am still in the acute phase, this isn't something I am wishing to rush into and neither is my surgeon.

However, I was wondering if anyone knew what was generally considered the most effective type of Plication surgery, particularly one that minimises length loss?

I am aware that "Excision & Grafting" is another type of surgery that can be appropriate for some but given it seems be reserved for more severe cases , with a greater tendency to result in erection problems, I am more interested in the "Plication" methods.

My research so far has presented the following:

Nesbit Procedure

Oldest and most established technique.
Removes small ellipses of tunica albuginea on the longer side, then sutures closed.
Highly effective at straightening but often causes some penile shortening.
Least effective at minimising length loss.

Yachia Procedure

Makes a longitudinal incision on the long side, then closes it transversely.
Shortens the convex side without tissue excision.
Preserves more tissue than Nesbit but still carries risk of shortening.
Moderately effective at minimising length loss.

16-dot (Lue) Plication

Places multiple plication sutures without excising or incising tissue.
Less invasive, quicker recovery, lower complication risk.
May have a slightly higher chance of curvature recurrence compared to excisional methods.
Most effective at minimising length loss.

Would be great to also hear from Anyone who has had any of the above surgeries, to weigh in with their thoughts.
34
In a relationship
Diagnosed with Peyronies
Symptoms started Jan 2025
Fibrous Bands, Lumps, Dents
0.5cm Lost Length, 25-30° Upward Curve
Started Restorex Traction July 2025
Pentox, Acetyl L-C, CoQ10
Taking a break from this website. Good Luck all.

strive111

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tek

Today i was watching an urology webinar.Greek urologists were discussing the surgery options for peyronies.
Among others it was common opinion that the leghth that is acceptable after a surgery is 11cm especially if the patient is 60+ years old.

So their conclusion was to perform Plication if the expected legth is going to be 11cm+
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