nesbit then nesbit then STAGE - 2 years update

[kusher]

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[Alibaba]

First, lets make sure everyone understands what S.T.A.G.E. surgery is. I take issue with any surgery that shortens the penis such as Plication, Nesbit, Stage,  which are all variations of the same thing. The exception is Stage may not leave such a thickened area as Nesbit or Plication........ Maybe. Think of it as if you wadded up a section of your shirt and stapled it together.  You won't like that wadded up section, but that is how these surgeries work to shorten the longer side. (w/o staples, they use surgical thread). S.T.A.G.E. is an acronym for Superficial Tunica Albugina Geometric-based Excision which is the name of the surgery.  Basically it is a modified version of Nesbit. In Nesbit, the Doctor uses sutures like a shoe lace and then pulls it tight to wad up the long section of the penis and hold it in place so it's length is shortened to match the short side to correct the curve.  I've never experienced it but in my personal opinion, I think it has to create a thick area of tissue plus the permanent sutures on one side will be an annoyance and place for plaque to grow in the future due to poorer blood circulation in the tissue that is constricted from the sutured area.  This is just my opinion from the mechanical aspect.  S.T.A.G.E.  is a modified Nesbit where incisions are made on the long side and then sutured together to shorten the long side. These surgeries are opposed to the sliding technique or graft surgery that ADDS to the short side and makes it as long as the long side so you do not lose length other than what tissue shrinkage you might have from scaring. A wise doctor likely allows for that but it is patient specific not knowing how much your body scars. Looking at old surgery scars can help figure that out. Some people make a lot of scar tissue, some little. Depends on how your body tries to repair itself and when it considers itself repaired. In both, there is the issue that scar tissue is very dense and tends to not have as good of blood flow because it is dense and new veins do not tend to proliferate scar tissue as well as your normal birth born tissues. This can lead to fibrosis. Nesbit is fast and cheap. Grafting takes a lot of time and expensive plus has a higher risk of graft rejection and infection (due to long surgical time mostly).S.T.A.G.E. falls in between in cost and time it takes to do the surgery.  The links here show and explain S.T.A.G.E..   Both are by KUEHHAS of the vein ligation fame that has created so many horror stories including a few who committed suicide when they learned it did not work. To date, I still only know of 3 people who claim vein occlusion or ligation worked for them, but back to topic:   https://www.urotoday.com/images/stories/conferences/wmsm/wmsm_kuehhas_poster_superficial_tunica.pdf  You can expand the page to view, read and look at pictures.  A simpler version by the same doctor can be seen here:  https://www.acpct.com/stage-technique-port.   A warning: The results shown by Kluehaus are MUCH MUCH better than those in other test studies. He states 99% result in no curve after time but studies show around 30% still have curvature problems. Here is F.E. Kuehhas study from Vienna.  https://www.ncbi.nlm.nih.gov/pubmed/24165039?dopt=AbstractPlus   . In this study, note that 2/145 patients  (1.4%) still had curvatures of 30% and required further surgery. This is the same position you are now in after 2 surgeries kusher.  Keep in mind, as with most of his surgical procedures, his study is also his own work, rather than many surgeons trying the same technique. Most of his patients are YOUNG men. Young men heal better and in my experience reading implant surgeries for years, the younger guys have much better results nearing the awesome scale compared to older patients who heal slower and have more scar tissue and such to try to correct. Of note to many that often is not considered. The longer your penis, the more tissue they are going to have to wad up and sew together to make it straight. The more curve you have, the more tissue will have to be drawn up in a wad to make it straight. The less curve or the shorter your penis, the less it will take.
  You ask an opinion of which I have many.  Maybe too many.  I've passed them out for 60 years like an ATM machine.  . First, is these issues rarely to never get better on their own. Almost always, penile issues get worse as years go on and get harder to fix or can be fixed only partially.  Being young is a big big plus but not always an affordable option.  My suggestion would be to go see Dr. Eid.  My reason is that he uses a technique that makes small incisions when he puts in an implant that helps reduce a curve.  Hawk can explain it better than me.  
  kusher, you deserve a big hug for the $#it you have gone through already.  Many hugs and hoping you find a plan that will remedy the issues. Going with an experienced doctor with a proven track record other than his own created story is an excellent first step.  Doctor Kramer is also congenial and has a good record but I am not familiar with his technique for your issue.  Another, correct me anyone here if I am miss remembering, is Walsh on the West Coast (Washington state???).  Cheers buddy and please keep us all informed, if not so some of us can help you, but also so your experiences can help others.  

[kusher]

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[Alibaba]

I think the proper implant will help with girth. Either gain some or at least hold where you are at.
An implant will help with rigidity.
An implant will give you an erection on demand.
An implant can be pumped up however hard you want it to be. The more pumps the harder.
Considering what you have gone through already, I would think it might help stave off more issues in the future such as more scaring and plaque development. A lot of that depends on how healthy you, your penis are and remain and genetics.  If your erections are unstable in rigidity, I would think that puts you at a certain level of risk of injury and having to deal with another round of this.  Cheers man.  

[Alibaba]

kusher, scar tissue which you undoubtably have after 2 surgeries often shrinks with could contribute to you losing size. Lack of erection quality also contributes to size loss. The surgeries you had also can contribute to it.  Go here:  https://www.peyroniesforum.net/index.php/topic,12314.msg113877.html#msg113877  for a simple pictorial explanation.  An implant would likely stabilize you where you are at least.  

[kusher]

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[Alibaba]

I do not do sports. Too old, but I work on a farm and construction and it does not keep me from doing anything I want. At first it is tender like your other surgeries. For a while you are aware of it as you want to avoid bumping it into things like when it was tender, but all passes over time. The number one thing to learn is to properly deflate, especially if you do sports. The Boston Scientific one is softer all the time than the Coloplast Titan. I had an LGX before, but it is not as stable and did not work out for me plus the huge pump valve block and my testicles did not get along. With either brands, you will be swollen, even a little bit for a few months and that will make sports a bit touchy till it lays down better. All this can be managed with looser clothing. There is a journal on here by Merrix. He swims, plays tennis, racket ball, lifts weights. Read his journal. It is well written and explains the stages he went through very well.  Again, I say that learning to deflate well is very important to get a great flaccid but a stiff implant will be important to help you maintain where you are. A Titan will soften up more the longer you have it and the more you use it. That is the number 1 complaint and I maintain that not deflating it enough and giving it time are their issues. Below is mine deflated last week to answer another person's question. You can see it is quite limp. Hard, it can be so stiff you cannot move it and even partly inflated, it is so strong you cannot squeeze it to reduce it's girth at any point. The pump can be felt just like your balls by anyone feeling to see what is in your sack.  I like the Titan pump because it worked straight out of the box and it is much smaller than the LGX pump and more in a shape of what should be there. One reason I explained things as far as I did in my first post to you is so others had the information too. Cheers.  

[Jack1909]

Account yourself lucky if you work on pills. I would say go for an Implant only if It was a permanent solution and unlucky is not. You are in your early 20s and I bet you would pump it up more than 1,2 times per week upon which durability studies are done. You will end up to replace it in a couple of years and the surgery will be even trickier.

you take cialis, how many mg?

[kusher]

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[Alibaba]

Stem cells are promoted for many things but I think it is like all the supplements that have the disclaimer at the bottom of the page stating is has not been revued or approved by the FDA.  I had stem cell treatment and I think it was of no use. About $7000 per treatment U.S.A. . The study was discontinued because it appeared to provide no benefit. In my opinion, a master indicator when things are starting to go down hill is when you stop having night time woodies. I think nocturnal erections are very important to penile health and mine deteriorated when I quit waking up in the morning to a tent. You and a couple others were on my mind last night one time I woke up. I was discussing in my mind scar tissue, grafts and wobble or instability.  I assume the type of graft would make a difference. I wondered if scaring over time would thicken the graft and decrease instability.  Maybe someone who has had a graft for a long time could give some insight. Saying that, it also brought to mind the tendency for some scar tissue to shrink. Your V.E.D. might be of benefit there to help reduce hourglassing.  Besides Cialis, you might want to try some of the other meds too. For some reason, some have better results with one than another. I take the Cialis because that is what I am prescribed and knock off meds are getting harder to get here in the states.  Viagra worked fairly well for me despite the blue color. Levitra gave me the best erections but very bad lower back pain. Everyone reacts a bit different. Glad you have set a course of direction. Glad you are straight. Despite any issue remaining, straight IS

[Alibaba]

Stem cells are promoted for many things but I think it is like all the supplements that have the disclaimer at the bottom of the page stating is has not been revued or approved by the FDA.  I had stem cell treatment and I think it was of no use. About $7000 per treatment U.S.A. . The study was discontinued because it appeared to provide no benefit. In my opinion, a master indicator when things are starting to go down hill is when you stop having night time woodies. I think nocturnal erections are very important to penile health and mine deteriorated when I quit waking up in the morning to a tent. You and a couple others were on my mind last night one time I woke up. I was discussing in my mind scar tissue, grafts and wobble or instability.  I assume the type of graft would make a difference. I wondered if scaring over time would thicken the graft and decrease instability.  Maybe someone who has had a graft for a long time could give some insight. Saying that, it also brought to mind the tendency for some scar tissue to shrink. Your V.E.D. might be of benefit there to help reduce hourglassing.  Besides Cialis, you might want to try some of the other meds too. For some reason, some have better results with one than another. I take the Cialis because that is what I am prescribed and knock off meds are getting harder to get here in the states.  Viagra worked fairly well for me despite the blue color. Levitra gave me the best erections but very bad lower back pain. Everyone reacts a bit different. Glad you have set a course of direction. Glad you are straight. Despite any issue remaining, straight IS major progress. Cheers man. Keep us posted how things go.