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Author Topic: Reversal Surgery  (Read 4828 times)

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Nate34

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Reversal Surgery
« on: March 26, 2010, 03:34:17 AM »

Hi,

I had the nesbit plication surgery 4 years ago.  2 sutures were placed in the side of my penis to try to correct my curvature.

I am strongly considering returning to the surgeon and asking him to surgically remove the sutures, as they have bothered me consistently since the original surgery. 

I would like to know your opinions on if I should proceed with getting these sutures removed, or if the risk is too great.  Also, has anyone else been unsatisfied and therefore had them removed?     Your opinions / comments are appreciated.

Nate34
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LWillisjr

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Re: Reversal Surgery
« Reply #1 on: March 26, 2010, 09:40:01 PM »

Nate,
What was your degree of curvature prior to the surgery? I would assume by removing the sutures you are ready to return and cope with the curve you started out with.

Also, what is it about the sutures the bother you? feeling, pain, etc? I'm not aware of anyone raising this issue before of invetigating surgery reversal.
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Traction/MEDs/Injections/Surgery 2008
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jackp

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Re: Reversal Surgery
« Reply #2 on: March 27, 2010, 09:23:15 AM »

Nate

Find a very good Male Sexual Function Specialist, of which there is very few.

The only option I see if you have the surgery reversed would be an implant,
especially if you have any form of Erectile Dysfunction,  it will straighten the curve also. Dr. Milam has an article on it coming out in The Journal Urology later this year.

Good Luck on your journey.

Jackp
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Nate34

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Re: Reversal Surgery
« Reply #3 on: March 27, 2010, 05:57:18 PM »

lwillisjr,

I would say that the degree of curvature before the surgery was between 30-40%.  The curvature would decrease some as I became more hard and more erect.  Since some type of indention randomly appeared on the left side of my penis back in 1999, I have 'hung' or curved to the left when flacid and partially erect.  It began to bother me more and more as the years passed, as I felt awkward not hanging straight in my underwear.  I also was self conscious of the curvature which affected my dating life and becoming intimate with girls.  That is what convinced me to finally see a urologist in 2006 in Houston that specialized in these type of issues.

I went through with the surgery in September of 2006, and the feeling of the 2 sutures inside me has annoyed me ever since the surgery.  Also, probably a bigger issue that was a side effect of the surgery is that I now have very little sensation in the right side of my penis that the sutures are in now.  Therefore, it is very difficult for me to get much pleasure or have an orgasm now when having intercourse, foreplay, etc.  I really wish I had just left things alone and not had the surgery.  The curvature gradually came back over the first 18 months after surgery, leaving me in basically the same condition I was in before the surgery with about a 30 degree curvature.  Only now, I have lost 40-50% sensation and have these annoying sutures inside there as well.

Needless to say, surgery was a bad decision on my part.  I know this surgery has been successful for people on here and they have been happy with the results.  I am just not one of those people.  I am looking for any way I can return myself to my condition prior to the surgery, which is full (or close to full) sensation and no sutures inside me.  I'll deal with the curvature, as it looks like it is something I should have accepted in the first place and never pursued surgery.

Nate34
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LWillisjr

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Re: Reversal Surgery
« Reply #4 on: March 28, 2010, 10:51:00 PM »

Nate34,
Sorry to hear you have some less than desireable side effects as a result of the surgery. It's odd you have some decreased sensation as most of the nerves run in a bundle along the top of the tunica. So hainvg sutures in the side of the tunica would seem a low risk. But all that doesn't explain your situation nor does it help.

If there was some nerve damage, then it is possible that trying to remove or reverse the procedure could cause more damage. I definitely would seek out a male sexual specialist and consult with him/her as to your options.

Les
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Developed peyronies 2007 - 70 degree dorsal
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Nate34

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Re: Reversal Surgery
« Reply #5 on: March 29, 2010, 05:14:50 PM »

Any idea how to find a male sexual specialist in my hometown area?  (Houston, TX)

Is there a professional term describing this type of doctor so that I know what I'm looking for? 

Thanks again for your help and input.
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chiguy

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Re: Reversal Surgery
« Reply #6 on: March 29, 2010, 05:37:47 PM »

There is a doctor in New Orleans named Wayne Hellstrom. He works on peyronie's issues with Dr. Levine. Woodman goes to a guy in Houston, but not sure of the name.
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LWillisjr

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Re: Reversal Surgery
« Reply #7 on: March 29, 2010, 08:19:21 PM »

I'm finding that outside of the U.S. the term for male sexual specialist is Andrologist. But I don't find the term used as much in the U.S.  You might try a search for a Dr. of Andrology in your area or a Urologist specializing in male reproduction issues. The problem with the term Urologist is that it is applied to a doctor specializing in in the urinary system.

Andrology  Show Spelled[an-drol-uh-jee]
–noun
the study of the functions and diseases peculiar to males, esp. of the reproductive organs.


u·rol·o·gy  Show Spelled[yoo-rol-uh-jee]
–noun
the scientific, clinical, and esp. surgical aspects of the study of the urine and the genitourinary tract in health and disease.
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Developed peyronies 2007 - 70 degree dorsal
Traction/MEDs/Injections/Surgery 2008
65y/o  13 years Peyronies free
My History

BrooksBro

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Re: Reversal Surgery
« Reply #8 on: March 30, 2010, 06:33:15 AM »

Any idea how to find a male sexual specialist in my hometown area?  (Houston, TX)

I suggest you see:
Dr. Larry Lipschultz
Baylor College of Medicine
6624 Fannin, Suite 1700
Appointment:  713-798-4001 (#4, #1)

He is the chief of the division of male reproductive medicine & surgery.  Dr. Levine mentioned Lipschultz in one of his lectures with regards to a slight difference in verapamil injections. 
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diminishedhope

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Re: Reversal Surgery
« Reply #9 on: April 02, 2010, 05:33:30 PM »

As guy with almost no sensation left in my penis, I do sympathsize with your dilema. I agree that any surgery is a risk of losing even more sensation/nervation.
Here is why;
In my non-professional understanding of penile anatomy I understood that there is one system of nerves for and throughout the skin of the shaft and foreskin. And another system of nerves for and throughout the two corporeal bodies (erectile champers) and these have their final outermost and most dense plexus in the glans (they are the only nervation for the glans). This is one factor that is reason for post circumcision sensation to be normal in the glans but greatly diminished in the remaining foreskin. The skin of the shaft is cut free of the foreskin, the foreskin is cut again leaving a portion of its' length still intact to the neck of glans, that length depending on patients preference, and the remaining foreskin is then joined to the skin of the shaft with sutures etc. In doing this the nerve pathway from his brain to his remaining foreskin is interrupted by lost tissue and joined again to "hopefully reinervate" with similar tissue to once again connect the brain to the foreskin. The same loss of nerve connection from brain to tissue happens with many injuries to our bodies. Most all surgery techniques used for medical treatment of live patients is chosen carefully to avoid severing as many nerves as possible. Incisions that follow a nerve's pathway alongside are used rather than incisions that cross over the nerve's pathway.
In any case where nerves are cut the nerves must reconnect (reinervate) by sprouting new pathways to "bridge over" the cut. This takes time, usually months to years before the connections are fully bridged over. During this healing time any further injury to the nerve repairing "bridge" means that this bridge project will have to be cancelled and a second bridge is then started to replace the injured bridge. So any incision in a healing area can interrupt the reinervation process.

I suggest waiting patiently for your nerves to regenerate, it takes time. I've had lots of personal experience with waiting for the nerves to heal/regenerate. I found a forum about neurology issues that seems very resourceful. I'm not sure if I can post links so I guess that'll have to do for now.   
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Long time sufferer of penile problems; Recurrent Priapism, nerve damage/numbness, plus 4yrs with Peyronies Disease
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