Nesbit Plication, Circumcision

[ppeterandshirley]

Got to see the visiting urologists who set me up an appointment with the peyronies specialists at his practice in Adelaide Australia [2 consultant fees to pay] Dr John Bolt. He gave me a registration form for the adjoining private hospital. No mention of price, the receptionists says i will be emailed one along with a anesthesiologist's. They want me overnight after the procedure which i assume includes a full anesthetic. Is this usual? Dr Bolt also wants to circumcise me why? I think i am a straight forward case 45 degree upward bend no other symptoms or pain. Any thoughts would be appreciated.  

[Stepone]

I had a nesbit, it worked well, but it will definitely shrink your penis in girth and length.
I later got an implant, best thing ever.
Check out my journal on the Implant subjects.
I would think twice before going for a Nesbit.
StepOne

[samsung]

If you go through with it, there is no reason a qualified surgeon should have to circumcise you. At least as far as I understand.  

[TonySa]

If the doctor wants to circumcise you it's just to make their work easier (or wants more $).  Find a surgeon w the expertise to do the surgery without circumcision.

[jan.schaller1958]

Got to see the visiting urologists who set me up an appointment with the peyronies specialists at his practice in Adelaide Australia [2 consultant fees to pay] Dr John Bolt. He gave me a registration form for the adjoining private hospital. No mention of price, the receptionists says i will be emailed one along with a anesthesiologist's. They want me overnight after the procedure which i assume includes a full anesthetic. Is this usual? Dr Bolt also wants to circumcise me why? I think i am a straight forward case 45 degree upward bend no other symptoms or pain. Any thoughts would be appreciated.

From what I heard the circ thing is supposedly to make the overall surgery heal faster or better or something. But, I had a Canadian urologist  tell me a Peyroines specialist in the San Francisco area (Dr Tom Lue) had ways of doing some of his surgeries without needing a circ. Those are the non-Nebitt surgeries to my knowledge. Id never have a Nesbitt anyway. It's a really old surgery and you always lose girth and length with one and Peyroines causes loss of girth and length anyone. So, it's just adding insult to injury. I'd shop around and get a super-specialist in Peyroines before any penile surgery so you get want you want with the optimal result.  

[samsung]

What nesbit "type" of surgery would not cause loss of length? They are all basically the same, no?

[Benjamin62]

Ok...
they often use a circumferential incision vs a  longitudinal incision (up and down the shaft).
So to be clear.  Have you already been circumcised?

There's a lot of hubbub about this in the forum.  I'll be clear on this.   I had surgery.

The least invasive surgery (easiest recovery) is a 16 dot surgery, with a circumferential cut. That degloves the penis.  I had mine eight weeks ago with DR Brian Christine.   The video is in his YouTube channel.
The Erection Connection #38.

Now. If you have never been circumcised, I can't say which incision they will do.  But you absolutely do not have to have your foreskin removed to correct this curve.

Also... is there some shortening; yes.  But good god... get over it.  I'll take a straight slightly shorter dick over a bent unusable dick all day long.  Seriously. Who gives a hoot.

This has Been discussed over and over again.

You like your foreskin; keep it.  End of discussion  

[jan.schaller1958]

I don't know if it's a plication surgery, but it's not a Nesbitt that Dr Lue put on his website. He's much more advanced than that. His surgery actually adds length (not full restoration of length), but certainly no loss, and corrects the bend. He never mentioned circ in his Journal article so I'm sure that's not necessary or part of it. So forget that, or at least don't let any doc do that. But, you sure don't want to have anything that will cause you to lose length. Peyroines is bad enough. I can't have the surgery because at my age (61). Dr Lue said I'd be running a 40% chance of ED with it. So for me, any surgery is out. I've been lucky and never had ED before or after Peyroines. So for me Xiaflex is the best shot of straightening things out, along with traction.  

[TonySa]

Jan, Dr Lue was my xiaflex doc.  He was very clear surgery would result in loss of length.  He doesn't have a special surgery that does not result in loss of length-as said, all plication surgeries do so.

[jan.schaller1958]

Jan, Dr Lue was my xiaflex doc.  He was very clear surgery would result in loss of length.  He doesn't have a special surgery that does not result in loss of length-as said, all plication surgeries do so.

Tony, this was the surgery I consulted Dr Lue about. https://www.ncbi.nlm.nih.gov/pubmed/29644164 Other Kaiser urologists do it too. It cuts the plaque and uses an alloderm graft. I was told by a Kaiser urologist who does these it can add up to a half inch to inch of length, but never causes shortening. When I saw Dr Lue about it, he said because of my age, 61, the surgery would run a 40% risk of ED, which is obviously unacceptable odds. So, hence the Xiaflex recommendation. I think this is the surgery he suggested 5 years ago, but I rejected it then unfortunately. It might have helped.  

[samsung]

If it added 1/2 in. in length and never caused shortening, this forum wouldn't exist.

[jan.schaller1958]

If it added 1/2 in. in length and never caused shortening, this forum wouldn't exist.

Samsung: I'm just relating what my Kaiser urologist told me. I copied Dr. Lue's journal article and took it in with me when I saw him. He said, ,,Oh, I do that surgery myself. You can gain back a little length, maybe 1/2 an inch to an inch (1-2 cm roughly) but not all the lost length". They cut the plaque, straighten out the penis and that cut plaque restores a little length and straightens the penis. Then they use an alloderm graft. There's certainly no shortening. Why would anyone have any surgery that caused a shortening of the penis, unless you had a 90 degree angle? That wouldn't make any sense. I went from a pre-Peyroines length of 8 inches (20-23 cm) and straight as an arrow, to a mere 5.5-6 inches (14-15 cm) and an hourglass deformity and upward bend of 30 degrees with Peyroines at age 56 (when I look at the ages of people here, I'm lucky if didn't happen earlier in my life). Dr Lue said that surgery would carry a risk of 40% of getting ED so I'm not, unfortunately, going to have it. Just Xiaflex injections.  

[Stepone]

I had the Nesbit surgery in 2015 and my urologist actually wrote in an email to me, that I would not lose any length and that I would gain girth and some length.
I was so interested in getting my penis straightened from a 90 degree bend and hinge and a pre injury length of nearly 8", that I agreed to the surgery.

Yes the surgery fixed the bend and it gave me a slight upward curve, but it was now at 6" and at 4.5 in girth.
It took a lot of psychological care on my part to accept my new shorter length, but I should have never had that surgery.

Had I been told about implants, I would have gone with the implant, but implants were never discussed with me.

My implant surgery in 2019 has given me at least given me 7" in length and over 5" in girth. I am very happy with what I have now. No regrets about my implant surgery.

StepOne

[samsung]

Jan, I'm not saying you're lying. You seem like a good guy. You are relating what the doctors told you. I'm just saying I need proof. Dr. Eid told me that any graft weakens your penis. I've never read of anyone on this forum having that extra tunical grafting and them coming back here with before and after photos.

So until a bunch of people do a show and tell I'll continue to believe those docs are full of crap.

[jan.schaller1958]

Jan, I'm not saying you're lying. You seem like a good guy. You are relating what the doctors told you. I'm just saying I need proof. Dr. Eid told me that any graft weakens your penis. I've never read of anyone on this forum having that extra tunical grafting and them coming back here with before and after photos.

So until a bunch of people do a show and tell I'll continue to believe those docs are full of crap.

Samsung, yeah I'm not saying you are lying either. You too seem like a nice guy. I'm just relating what my Kaiser urologist told me a few months ago about Dr. Lue's alloderm surgery. I never considered a Nesbitt. That's a really old surgery based on a simple concept: you shorten one side of the penis so it sort of matches the opposite side and straightens out the penis. It sort of makes sense, but the price you pay is length. So unless you are going from a 7.5 or 8 inch penis at surgery, who can afford or want to lose length? Yeah, I can see being willing to go from like 7.5 to 6, which is actually a little above average in the non-Peyroines population anyway. But, if Peyroines stole 2 inches from you to start, you'd be nuts to agree to lose any more length by any surgery.
Dr Lue's tunical grafting technique doesn't mention lost length from the procedure (it's got photos of the op in the article), but the 40% risk of ED in a guy my age (61) made it  a no-go for me, as far as Dr Lue was concerned (I fortunately never had ED from Peyroines, so I sure wouldn't want to add that problem on from a surgery). Again, what attracted me to investigate the surgery from the beginning was the possibility of regaining length.  

[jan.schaller1958]

I had the Nesbit surgery in 2015 and my urologist actually wrote in an email to me, that I would not lose any length and that I would gain girth and some length.
I was so interested in getting my penis straightened from a 90 degree bend and hinge and a pre injury length of nearly 8", that I agreed to the surgery.

Yes the surgery fixed the bend and it gave me a slight upward curve, but it was now at 6" and at 4.5 in girth.
It took a lot of psychological care on my part to accept my new shorter length, but I should have never had that surgery.

Had I been told about implants, I would have gone with the implant, but implants were never discussed with me.

My implant surgery in 2019 has given me at least given me 7" in length and over 5" in girth. I am very happy with what I have now. No regrets about my implant surgery.

StepOne

StepOne,

I never had a 90 degree bend, which is pretty extreme, but a Nesbitt always costs you length. You can get that off of Wikipedia. I hear you when you say 6 inches seems short (I was the same 8 inches as you pre-Peyroines) and going to a mere 6 is a heartbreak. But, than you have to keep in mind 6 is actually above average in the non-Peyroines population anyway. So. It's not that bad.

But pump implants never made sense to me. My Kaiser urologist said sure, they work, but the corona doesn't get erect, as it ordinarily would, so that sounded pretty lousy to me. Plus the idea of having some mechanical device in me just sounds unappealing.  

[Stepone]

Well sadly I never looked at Wikipedia, I just trusted what the 4th urologist told me. The first 3 told me there was nothing they could do.
And yes 90 degree bend with a hinge made sex impossible, which made me all the more desperate.
I was also having a difficult time in keeping erections, which should have told them to discuss an implant too.
But having an implant does not prevent you from your corona from getting erect. If your corona becomes erect now, it will continue to become erect.
It seems like there is a lot of misunderstandings concerning implants, just as there is with a lot of surgeries.
You should read some of the journals of people on this site that had implants. Reading their journals and chatting with others on this site finally gave me the courage to go to surgeon that specialized in implants.
StepOne

[Benjamin62]

Samsung and others.
I had surgery with Dr Brian Christine (he learned his technique from Tom Lue)... I had the Extra Tunical grafting you guys are talking about and that is directly referenced in that article. ET graft is used to remedy hour glassing... simple and straightforward.  He did Plication and the ET graft.
Video is on his YouTube channel "The Erection Connection, Episode 38".
I spent over a year researching this subject and surgeries.  There is NO surgery (that a urologist is going to do)that  is going to  lengthen the penis.
In fact... the key is to accept the new normal.  Peyronies by its very nature will alter the appearance, length and girth.  By the time you get out of the active stage.  The damage is done... the goal of any Plication or excision surgery is to get a functioning penis for intercourse.  NOT to make you feel like you're Long John Silver.
Yes, I lost some length... and honestly. Who cares!  I have a straight erection... and considering how bleak I felt with the bend.   I'm a happy guy...

[TonySa]

Ok, I think I understand the confusion.  Plication always results in loss of length at least to the length of the shortest size.  Excision and grafting does not need to result in loss of length.  Conceivably, the shorter side could regain its lost length (thus the gain).  However the gain would never be beyond the length one started with.  Of course the downside to grafting is the increased risk of ED, but if sex is not possible without it may be worth it if you couldn't live w the decreased length from plication.