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Author Topic: Comparing Surgical Options - Plications versus other procedure  (Read 147 times)

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BrettC

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I am considering asking about the surgical solution.  I am hearing there are two types - plication and another method that uses skin grafting.  I hear the plication can result in a length loss up to 2cm (close to an inch), but is a little less invasive and done as outpatient surgery.  Another method includes going in and scraping out the plaque and then adding a skin graft to patch everything up.  This method is more invasive, requires an overnight stay in hospital, but will not result in the loss of length.  Although I hear it does impact feeling sometimes. 

Any thoughts or advice here?  Anybody have experience with one or the other? 
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49 years old
Diagnosed just under 1 year
Xiaflex treatment pending... trying supplements, traction, and anything I hear about

TDix

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Re: Comparing Surgical Options - Plications versus other procedure
« Reply #1 on: July 29, 2020, 05:56:09 PM »

I had excision and grafting as well as two stitches of plication.  It definitely straightened me out from 50 degrees to straight.  I was numb for a good 5 months but that went away.  I ended up losing rigidity beyond my graft however so I am having an implant
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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

TonySa

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Re: Comparing Surgical Options - Plications versus other procedure
« Reply #2 on: July 29, 2020, 06:31:14 PM »

I think you summarized it pretty well.  Do you have a good surgeon to consult further?
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Benjamin62

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Re: Comparing Surgical Options - Plications versus other procedure
« Reply #3 on: July 29, 2020, 06:46:47 PM »

I had Plication. Totally successful... some loss of length... but the condition itself can cause loss of length.  45 min day surgery... fairly painless recovery... be cause there is no cutting into deep tissue.  Whatever route you take. Get a surgeon who dies like 75-100 a year... no time for a newbie
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BrettC

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Re: Comparing Surgical Options - Plications versus other procedure
« Reply #4 on: August 01, 2020, 02:53:49 PM »

Thanks everybody.  I definitely will seek out someone who does these procedures a lot.  I am expecting some loss of length. How much typically do people find? 
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49 years old
Diagnosed just under 1 year
Xiaflex treatment pending... trying supplements, traction, and anything I hear about

TonySa

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Re: Comparing Surgical Options - Plications versus other procedure
« Reply #5 on: August 01, 2020, 09:53:56 PM »

Your length at best will be the length of your shorter side.
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.
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