Implant with Peyronies

[BadLuck]

What happens to the existing plaque that is present before the implant procedure?  Is it removed?  Does the surgeon "move it out of the way" to install the implant tubes?  Can one of the experts shed some light on this?

Thank you!

[Hawk]

Plaque is NOT in the cavernosa plaque is part of the tunica surrounding the cavernosa where the two cylinders are placed.  Rarely there is a narrowing of the cavernosa chambers, but that is not typical.   If you have minimal plaque with minimal deformity (dents, minor curve less than 30 degrees), nothing needs to be done.  If you have a major curve, then something will have to be done. Surgeons use a wide range of methods to deal with this, and various surgeons tend to rely on their specific routines.  

They range from minimal manipulation of the plaque by simply using a rigid inflatable Titan implant and manually remodeling the plaque with their hands and the inflated implant.  If that is not sufficient, they may make some relief incisions in the plaque along with the remolding.  This is quick, relatively non-invasive, and gets you off of the surgical table in way less than an hour.  This lessens the chance of infection. Dr. Eid is one surgeon who has straightened a literal 180-degree bend with this method.

Other surgeons want to do an excision and grafting, which by itself is often a 3-hour surgery.  I think this is pointless for a man who needs an implant because of ED anyway.  It increases risk factors and increases much longer recovery at home.  

[Godisreal]

So will girth be restored with an implant? It should right? Since the skin is stretchable, or how does that work?

[Hawk]

There is no guarantee of complete size restoration with an implant.  A great surgeon will typically give you some length restoration.  Typically, a Titan implant will immediately fill out dents or hourglass deformities.  It will positively ensure you will never have any buckling.

A smart patient will consider it his job to do all he possibly can to restore his size before an implant.  The larger the implant you start with, the better you are.

I would never have an implant from a surgeon who was not willing to measure me before surgery, document my presurgery size, and promise at least the minimum size I can expect coming out of surgery.  Most will not promise you any increase over your presurgery size, but at least you have some confidence you are not coming out smaller with no documentation of your pre-surgical size.  Less experienced surgeons are too cautious about oversizing and, as a result, error on the side of under-sizing.

[BadLuck]

"A smart patient will consider it his job to do all he possibly can to restore his size before an implant.  The larger the implant you start with, the better you are."

I am assuming you are referring to VED as well as traction?  If so, for how long before the implant procedure should this be done?

Thanks for the reply.

[Hawk]

I am assuming you are referring to VED as well as traction?  If so, for how long before the implant procedure should this be done?

Yes, I am referring to VED and traction. I think the sooner, the better.  What you are asking me is can a man gain more size with traction and VED in 12 months than he can in 6 months?  Can, a man, gains more size in 6 months than he can in 3 months?  I think the answer is - That it varies with the man and his conditions.  If he really never lost size, he will gain little.  If he has many years of scarring he will likely gain back less of his loss.  I also assume that most gains are experienced in the first few months with smaller gains after that.

I have known read of two men who claim to be at their all-time largest size ever after surgery.  Both were with Dr. Eid, but that is out of dozens of accounts, and it was men who had lost little to nothing before an implant because they got an implant very soon after the onset of issues or did not have Peyronies Disease.  The extensive journal of one is at the top of our Implant Board.  It is Merrix.  It is hands-down the most comprehensive implant journal on the internet. I read every word prior to my implant and I highly recommend it.  He did NOT start out with an easy recovery.

[SW01]

Wow. My exact worries. I had peyronies bend. At surgery about 30 to 35 degrees. Hourglass in the middle of my penis. Plaque about size of my thumbnail about an inch above my fat pad.

Titan implanted. Straight penis. No hourglass. I could not find any plaque.

I also wondered where plaque went. I could not find it after my implant. No more hourglass.

Titan fixed it all. Find a good doc and if you have peyronies make sure they use a titan.

Had a revision that had nothing to do with the titan. Now with an ams 700. The new surgeon assured me that after a year with titan I was good if he did the ams. He was right.

A year with ams. Happy and all is good. If you want pictures etc see my prior posts.

[SW01]

Oh. With ams after a year. Still no hourglass and cannot find any plaque.

My initial surgeon who implanted titan did nothing but put the titan in and a bit of modeling. No scratching. No nothing.

Revision doc did nothing but remove the titan completely and install an ams 700.

I got my or records and went over them to make sure what was done to me. Basically a titan was implanted to take care of all my peyronies issues. All of them.

Find a good doc though.

[Hawk]

SW01I suspect that when your surgery was first done the surgeon did some incisions in your plaque to break it up.  You should ask for your surgical notes.

[SW01]

I did go back and reread my op notes.

Initial implant. The doc inflated me and I still had curvature.

He performed aggressive modeling.  Nothing else noted.

Revision. Just removed titan and installed ams700.

Still happy. The