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Author Topic: Chapter 2, Excision/Grafting Journey  (Read 10673 times)

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Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #200 on: September 25, 2019, 09:22:10 AM »

Question: I had the excision and grafting surgery on May 10th since then I have developed a ventral curve about 45 degrees the Dr said that it’s from the graft. Naturally being someone obsessed with finding reasons and answers I looked into this. I’ve read that somewhere between 80 and 88% of residual curves after surgery is due to the surgeon not fully inducing a full erection and there by placing a smaller graft in.. my Dr said not the case. However there is a serious enough curve and some waisting right at the graft area.   So the question I have that if the graft starts to soften around a year would it be reasonable to believe that the curve with gradually return to normal as well?   The Dr said we may have to do a Plication somewhere down the road, would that help with the waisting?
Any thoughts??
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #201 on: September 25, 2019, 02:53:53 PM »

Dr Yafi induced an erection after the graft placement and noticed I still had a slight curve so he did 2 stitches of plication right then and there.  My surgery notes I believe are on page 2 of this thread.  I was deemed straight after surgery, and I am still straight now.  I would ask your doctor why he didn’t plicate during the surgery if you were not straight after the graft placement
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #202 on: September 25, 2019, 06:44:33 PM »

He showed me a picture and it was straight, however I think if it wasn’t  erect at its full capacity when it does go the curve will appear.  I may be reaching or even looking for blame but it’s still something I think of.   The second question will the graft soften enough to help straighten out..
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #203 on: September 25, 2019, 07:24:26 PM »

Well you are still only 4 months post op.  That was when I started seeing my length return.  I would give it a couple more months as hard as that sounds to see if it relaxes.  I also did pelvic floor therapy, which I truly believe helped as it relaxed all the muscles of my pelvic floor, which are all muscles connected to the base of your penis
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #204 on: October 06, 2019, 03:08:43 PM »

About to get back on Cialis.  No more chocolate though😂.  Erections have gotten stronger to where I can do more positions with the wife which is nice.  Still dealing with a slight bulge on the side but it doesn’t hinder sex at all.  Still use a ring, so hopefully the Cialis will get rid of that. 
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #205 on: October 11, 2019, 02:40:46 PM »

Orange/mint lozenges MUCH better than chocolate
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #206 on: October 11, 2019, 03:06:01 PM »

5 month post surgery.. using restorex religiously and finally seeing results. Length is back almost to pre Peyronies Disease (was told never getting 100%back but...) still battling a ventral curve tho. I believe it’s getting better slowly but better none the less.  I still have waisting where the graft is and it still is hard.  I’ve been searching for anyone who had this but further down the road.  Will this get softer? I believe that the hardness is what’s creating the curve and the waisting im afraid will create a hinge affect.    Anybody any thoughts?
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #207 on: October 11, 2019, 03:09:22 PM »

Can take up to a year.  I am now at 7 months and still not 100%, but it’s slowly getting better every month.  Hang in there.  Did you have partial excision?  I still have some scar tissue so maybe that is what you are feeling and not the graft?
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #208 on: October 11, 2019, 03:40:21 PM »

Yes the Dr removed a bunch of plaque but he said he left a little because he was worried about the size of the patch being too big.  I think it’s the graft because while using the restorex I can massage and it feels as if I can smooth it out. The problem I think I’m having is, a lot of the plaque was under the urethra and that right where the curve is can really massage it out.  I’m using the restorex for 90 minutes a day hoping it will stretch it out.   I’m just praying it soften up.   The Dr said that if worse comes to worse he can do a Plication to straighten him out but the thought of another surgery 😬
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #209 on: October 11, 2019, 03:56:13 PM »

I had the option to use restorex per dr  Yafi but my length returned naturally so I chose not to go that route.  I believe your graft will soften over time, but not sure since you are doing traction which will constantly stretch it.  I chose to leave mine alone to heal on its own so I’m interested to see how yours ends up.  Good luck man
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #210 on: October 11, 2019, 04:14:44 PM »

I will keep you updated.  I have my fingers crossed.  I’m hoping the graft softening will help with the waistline too. I use a VED as well in hope that will speed up the process as well.
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #211 on: October 24, 2019, 04:22:28 PM »

Current update, nothing really new to report.  8 months on I am still straight.  I have gotten all my length back.  I still have a slight bulge on the side, which I hope resolves, and await my visit with Dr Yafi in December to discuss that.  It still reminds me, as does the remaining scar tissue, that I’m still “disfigured” from this condition.  It has become my new normal.  Regardless of what you do (Xiaflex, traction, VED, surgery, implant) the end result is still that this condition has disfigured you.  It is how you react and what you do that determines the outcome, as well as the realization that you will never be what you were.  I’m happy with what I’ve done, despite the Xiaflex setback, because had I not gone through that I would’ve never known if it worked or not.  I am happy with where I am and especially happy I connected with Dr Yafi.  If the slight bulge never goes away, that’s yet another hurdle I need to overcome.  I won’t stop trying to improve my situation.  I hope none of you do as well
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #212 on: October 25, 2019, 07:27:02 AM »

That is fabulous news, I am so happy for you. I hope and pray for the same results..  I continue to do the stretching because of the ventral curve that appeared after surgery. I believe it’s the graft itself creating this because the slight hourglassing I have is exactly where the graft is and is the weak spot, I’ve read in some post the “wobble spot”. I also regained a lot of length back and the girth above and below the graft is fantastic, it’s the graft area I believe is the issue.  I also read in these pages that during surgery if the correct size graft isn’t used, well the description of the results are scarily close to what’s going on here.  I am optimistic that once the graft softens the strength and hourglassing will stabilize.  I can live with a curve. The Dr suggest that we “may do a Plication to straighten but I read with any hourglassing that would be bad”.  Anybody any thoughts?
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #213 on: October 27, 2019, 02:29:07 PM »

I had excision and grafting surgery May 10th of this year for multiple plaques and a serpent curvature with 2 bad indentations a ventral curve at the midpoint of the shaft and a lateral curve under the gland.  Since the surgery everything is (I’d say) 75% corrected. However I have developed slight hourglassing and another ventral curve right at the grafting site.  I e been using restorex religiously followed by VED it seems to working I’ve gotten all my length back and good girth above and below the grafting site. After using VED it seems to help however I have a question. Has anyone had this situation?  I was told that over time the graft itself will soften (I can feel the graft is still hard but can be softened with massage. Will the graft soften enough to help the hourglassing and at that site seems a little unstable will that regain some strength. Somewhat solid again? 
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #214 on: October 27, 2019, 02:44:15 PM »

I have a slight bulge and my dr told me it can take over a year to get somewhat back to normal for some men.  The fact I am still straight and back to pre peyronie’s length, as well as able to have sex, I am happy with my decision.  In your case juice I would also hold out hope that things should get better with time.  It is a graft and not scar tissue, so I suspect it will relax over time.  I am not doing traction, or VED however, so I’m not informed enough to know how that will affect your healing
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #215 on: October 27, 2019, 02:57:02 PM »

I always heard (and the dr suggested) that traction was the way to go and VED will also help with the cause.. have you heard differently? I find it hard to find someone that used it after surgery.  And definitely have not found someone that experienced something similar..
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #216 on: October 27, 2019, 04:00:08 PM »

My dr was not opposed to it but said it wasn’t necessary.  I chose not to risk any further damage by maybe incorrectly doing traction, and I regained all my length regardless.  Not saying you shouldn’t do it, as it is a personal choice
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #217 on: November 11, 2019, 08:12:52 PM »

I was told that the graft will soften over time, (up to a year) question: will the soften help with curvature? Will it maybe help with the waisting (hourglassing)?  I believe or hope that it’s the grafting that is causing both.  I backed off the traction simply because restorex states you use it for 12 weeks I’ve been doing it since May. 
John
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #218 on: November 11, 2019, 08:57:43 PM »

Hate to ask for pics, but I am seeing Dr Yafi in a few weeks and I can ask.  I don’t believe a graft should cause hourglassing and not stretch, but I don’t know
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #219 on: November 22, 2019, 01:44:12 PM »

Not much to report.  Still have a bulge on left side, still straight.  Seeing Dr Yafi in 2 weeks.  Eager to hear what he says almost 9 months post surgery.  Will show him my pics to get advice on any next steps.  With that being said, I think after that visit I will report any advice from Dr Yafi and probably end this thread as I don’t think it elicits anymore responses.  I hope this long thread will help at least one person going forward.  If so, I’ve accomplished what I wanted.  To help others going through the same thing
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #220 on: December 05, 2019, 02:51:28 PM »

So I’ve been cleared via Dr Yafi.  Don’t really have to see him anymore unless something happens, which he said shouldn’t.  The bulge on the side is a result of my grafting, as it wasn’t put on really tight to allow for expansion.  Had it been put on tight it could have been restricting and may have affected length.  He did say that the added girth of my bulge should be a benefit, especially to my wife.  Am I back to normal?  Nope, but I’m straight, have added girth, all my length back, and no more pain or numbness.  I would say that is a success.  Dr Yafi should definitely be added to the list of doctors on this forum
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #221 on: December 05, 2019, 03:13:19 PM »

TDix, that is awesome news Congratulations!!!
It’s such a relief to know that someone has fought back and beaten this horrible affliction.  Thank you!
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #222 on: December 05, 2019, 05:21:49 PM »

Thanks Juice, I wish you nothing but success as well.  If you need anything from me (advice, experiences, recommendations) let me know
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #223 on: December 05, 2019, 05:43:25 PM »

Thank you and absolutely I will!.   I went to the Dr yesterday and he told me I was way ahead of where I should’ve been considering the operation I had, so that helped a lot.  The grafting area needs to heal on its own now so he instructed me to stop with the traction and ved..  which I already did.   Hopefully the graft will soften and everything else will strengthen naturally.  I have high hopes to join you in the win column!!
Thank you again
John
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #224 on: December 05, 2019, 05:58:15 PM »

I am sure you will.  We have to be proactive, as you have been.
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #225 on: January 30, 2020, 12:24:20 AM »

So here I am almost a year after surgery.  I fear I may end up with an implant.  The bulge where my graft was placed seems to have gotten larger during erection, and it causes somewhat of a hinge effect during intercourse, not that I’m having much of it at this point.  Waiting to hear back from Dr Yafi as to my options.  I am still glad I had this surgery.  It regained my length, gave me extra girth, and straightened me out.  This latest development is yet another obstacle to tackle
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #226 on: January 30, 2020, 07:36:53 AM »

T, I’m sorry to hear this, you and I seem to be starring in the same horror movie. I am a few months apart with the same surgery and unfortunately the same results. I didn’t develop a bulge, I developed a hourglass deformity center shaft that created a 45 degree ventral curve again. I don’t see my dr again until May, and (like you I’m sure) I have been reading everything in sight and can’t see any Rosie future.  Let me ask, do you still have strong erections? Are you taking a 5mg daily dose to help?. The reason I ask is because I do and I have strong natural erections still however being that I feel like quazimoto  what good is it. I am petrified of the idea of having the implant and even more so another surgery.   
You are not alone so stay in touch maybe if one of us hear something it just may help the other stay sane.
John
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

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Re: Chapter 2, Excision/Grafting Journey
« Reply #227 on: January 30, 2020, 02:13:06 PM »

I get erections.  I wouldn’t say they are as strong as before surgery, even with Cialis
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #228 on: February 03, 2020, 02:29:54 PM »

Scheduling another visit with Dr Yafi to discuss my issues.  Was with my wife over the weekend and even she mentioned how the graft site has gotten larger.  Never in a million years did I think I would possibly need an implant, but I think that will be my next and final journey
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

2Oldfords

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Re: Chapter 2, Excision/Grafting Journey
« Reply #229 on: February 03, 2020, 06:37:52 PM »

   Juice, I had the same surgery 13 months ago. I now have an hourglass defect. I get natural erections just fine but can't use them to do the deed. My Dr. put in a large graft and I thought given enough time this would heal and go away. I think it is some better but not enough. I will have a implant before it is over.
    Not trying to dash your hopes just being real.
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Age - 63
Peyronies of unknown length of time
70 Deg curve 10-11 o'clock
first 2 uro's offer for xiaflex and referral
incision/grafting 12/18/18

Juice

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Re: Chapter 2, Excision/Grafting Journey
« Reply #230 on: February 03, 2020, 06:46:53 PM »

If the erections are still good (mine are) is it an option for a surgery for the hour glassing (Hinge) and curve?  I am so afraid to think implant yet..  recently singled and mentally destroyed
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55 yrs old. Diagnosed Peyronies Disease Dec 2017 battling with it a bit longer.  Failed xiaflex, Gainswave, PRP..   underwent Excision and grafting May 10th 2019 with Dr David Peters. StonyBrook NY..

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #231 on: February 03, 2020, 07:01:39 PM »

I’m trying to prepare mentally for the whole implant discussion.  I feel that is all I have left as far as options.  I did all I could, but I feel that will be my next and only option
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

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Re: Chapter 2, Excision/Grafting Journey
« Reply #232 on: February 04, 2020, 07:31:18 PM »

   I am resigned that an implant is what will fix this once and for all. With the slight reduction in sensation after the degloving procedure I don't want to take the chance of another surgery making that worse. An implant will not need to mess with those tissues again. I know an implant can be installed badly but with the doctors recommended on this forum I have confidence that that surgery will be fine.
   Best of luck
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Age - 63
Peyronies of unknown length of time
70 Deg curve 10-11 o'clock
first 2 uro's offer for xiaflex and referral
incision/grafting 12/18/18

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #233 on: February 06, 2020, 12:16:56 AM »

Dr Yafi contacted me to send a picture for evaluation.  Will see where this goes
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #234 on: February 07, 2020, 06:16:20 PM »

Seeing Dr Yafi on Monday.  The quickness at which he wants to see me makes me almost positive I will need an implant.  Now for a weekend of building up the strength to hear that news
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

Frank55

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Re: Chapter 2, Excision/Grafting Journey
« Reply #235 on: February 08, 2020, 07:48:33 AM »

Thanks for these updates TDix. Disappointing to hear after your initial reports of what appeared to be a successful surgery. Please let us know the details of Dr. Yafi's comments.
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Single and 58 yrs. old - first peyronies symptoms Fall 2015
Had grafting surgery by Franklin Kuehhas in June 2016 - complete failure
Borderline Erectile Dysfunction possible but not taking drugs, shots or using VED
Now evaluating options for next step

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #236 on: February 09, 2020, 04:15:09 PM »

Tomorrow is the day I hear my fate.  I kind of already know what I’m going to hear, and it scares me.  I know a lot of guys here tout implants, and if that is the ultimate recommendation I am building myself up to hear that.  So many emotions in that, as I would be saying goodbye to natural erections.  Yes, mine aren’t strong enough, and the hope of getting back to a rock hard erection has faded as the months have gone on, but the finality of making a decision to say goodbye to a natural body reaction is weighing on me.  Never, ever did I think this would fall on my lap at 46.  If that is indeed the outcome tomorrow I will need all of your support in this major life decision of mine.
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

pfract

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Re: Chapter 2, Excision/Grafting Journey
« Reply #237 on: February 10, 2020, 12:50:34 AM »

I understand the emotions... the fear. We are here for you man.. A few implantees as well. Fear not and good luck!

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #238 on: February 10, 2020, 03:05:56 PM »

Just got out of Dr Yafi’s office.  Had two other doctors with him.  He knew I was anxious, so he spent some time calming me down.  We went over my pictures and all my issues.  He wanted first and foremost to assure me that my surgery was not a failure.  I am straight, I have better girth, and my length returned.  He said all of those things are positive.  The bulge at the graft site is not a blowout of the graft.  I have a defect under the graft that seems to engorge more than the rest of my penis.  Looking at the pictures he said I have a nice erection, but the concern is the rigidity of it.  He wants to try some different options.  He laid all of them out.  I could have a revision surgery, but advised against this as it would more than likely cause nerve damage over an already healed area.  He also said we could try VED, but said a lot of guys do t really like them and some use them incorrectly.  Did not say we wouldn’t try that.  What we are going to try, is full dose Viagra first to see if I can get a fully rigid erection with that.  He is also prescribing me a gel that you can put into the tip of the penis to induce an erection as well.  The final option is an implant.  He said it is on the table, but wants to see if any of these other things work.  Said not to rush into an implant decision.  We more than likely will hit that option, but wants to exhaust all others first
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

pfract

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Re: Chapter 2, Excision/Grafting Journey
« Reply #239 on: February 10, 2020, 10:33:02 PM »

Now that seemed like a very good appointment to me! Took the time to listen to you, and showed you your options on top of that. Nice! Don't ignore daily cialis for a while as well...  Way better than taking Viagra as needed!

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #240 on: February 11, 2020, 04:57:53 AM »

Thanks pfract.  Dr Yafi also gave me his personal email (I’ve been going through the hospital one).  Said I shouldn’t need to drive all the way out to his office to get these questions answered.  I’m curious to see how the Viagra works.  I thought me being on Cialis wasn’t working, but it appears I am simply on a low dose (7.5mg daily).  Want to see what 100 mg of Viagra does.  Not too excited about putting gel up my urethra, but am willing to try it out.  My wife has already set a day to take it for a test run, so that is also a positive as we haven’t been that close. 
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers

TDix

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Re: Chapter 2, Excision/Grafting Journey
« Reply #241 on: February 15, 2020, 03:22:52 PM »

Attempted to try out the Viagra last night.  Took 100mg at 8pm on an empty stomach (which was a b*tch at that time of night), but didn’t get to do anything until around midnight.  Didn’t work.  Think it was too far from when I took it.  Gonna have to plan things out better.  Planning intimacy seems to be harder than I thought
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46 yrs old, 3 yrs diagnosed, 3 shots of Xiaflex resulting in hematomas/burst dorsal vein or fracture at tip, excision/grafting surgery March 26th successfully performed by Dr Faysal Yafi, pelvic floor therapy with Laureen McVickers
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