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Quote from: BrooksBro on March 19, 2011, 06:35:21 AMI encourage you to read through the thousands of posts in the surgery section, perhaps starting here. http://www.peyroniesforum.net/index.php/topic,911.0.htmlPatient satisfaction with excision and grafting is poor. My memory is the satisfaction is something less than 50%.
Quote from: jackp on March 20, 2011, 07:29:02 AMsolomonCan you give us the link to the European Urology web site that claims 100% success. What I have found out over the years is it is sounds too good to be true then it is not. My 2 cents worth. Jackp
Quote from: solomon on March 22, 2011, 11:07:28 PMYou would have to have a reasonable amount of faith in a surgeon who can successfully reattach a penis.I imagine that they would have a good level of English so you don't have to ask your Polish maid.I'm still interested to know the significance in the invasiveness of this type of treatment for Peyronies Disease as opposed to the grafting technique.Is this something they are still doing? Is it a treatment that is also dependent on the amount of curvature for example or other factors?
QuoteFurther experience with this technique may indeeddetermine whether it is useful for more severe defomitysuch as bottle neck deformity or where there is fullthickness plaque involvement of the tunica.
Quote from: solomon on March 23, 2011, 12:17:09 PMI have emailed Dr. Barbara Darewicz via the hospital (the link email: ([email protected]) didn't work).
QuoteThis is a new and interesting technique which showshow to approach the Peyronie's disease plaque frominside the tunica albuginea. The technique seems easyto perform and reproducible and I believe that many ofus Urologists will use it in the future.
QuoteIn an alternative approach, Darewicz et al. [35•] reported on a new intracavernous excisional correction technique for dorsal Peyronie's plaque. After an intraoperative artificial erection is obtained, the authors enter the tunica albuginea with a 3 cm incision parallel to the plaque at a distance of approximately 5 mm from the edge of the lesion and away from the neurovascular bundles. After carefully separating the plaque from the corpus cavernosum by finger dissection, the authors cut the plaque from the underside and closed the tunica. Sixteen patients (mean age 50.2 years) with only dorsal plaques (0.5×2 to 1.5×4 cm) and penile angles between 30 and 60° underwent this procedure 81.25% of the patients complained of impaired sexual activity preoperatively, with a mean International Index of Erectile Function (IIEF)-5 score of 15.1]. At the 12-month evaluation, apart from two patients who had impaired intercourse because of the recurrence of curvature greater than 20°, there was no evidence of residual plaque, no pain with erections, no loss of sensation, no reduction in penile length, and all had significant improvements in IIEF-5 scores. The investigators concluded that because this procedure does not require mobilization of the neurovascular bundles, the chances of sensory loss are substantially diminished. Application of this procedure for lateral and ventral curvature is speculative at this time.