It seems that TEP is catching on in the U.S.

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GaussRifle

Good news ! I just checked ..... It seems that TEP is catching on with the doctors in USA. There is a video on YouTube doctor doing TEP with implant in the us just posted in 2021. The doctor restored almost his original length . Viewer discretion is advised. https://youtu.be/_nWLCp34umo


Shrunken dick, this is a video by dr clavell, so it seems he may have stopped doing sliding and does TEP now for length.

Note by Admin: This video is NOT TEP.  Misidentifying it as TEP caused confusion in the conversation that follows.
26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.

Hawk

 I watched this video, and my first impression is that it was nowhere near as radical or revolutionary as I expected. Making relief incisions in plaque during an implant is nothing new. It seems this is a difference in degree and not a difference in the type of surgery.   In the case of this one video, he only lengthened one cavernosa to match the other. He did not address any loss of size from Erectile Dysfunction or general atrophy, nor did he aim to increase length or girth above the original natural size. He did not address any possible loss in the longest cavernosa.

Do not get me wrong. I am not knocking the procedure at all. I am just clarifying what it is and what it isn't. There also seems to be some clear risk of nerve damage.

Logic would say that no matter what the procedure is IF you straighten a bent penis to make it straight then you had to equal the length in both cavernosa. That is true with excision and grafting, it is true in manual molding, it is true whether you call it TEP or whether you call it plaque relief incisions with an implant. So if the penis is equally straight in all three, then the length gain has to be equally restored in all three. Now, if you are making incisions around the entire tunica to lengthen even the longest cylinder, that is a different matter but is NOT what this video shows.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

GaussRifle

Yes, I understand your point and had the same doubt in mind. What he did was curve correction and not true lengthening. Curve correction equates to making the shorter side equal to the longer whereas true lengthening would be lengthening of both sides simultaneously.

My guess is, there is a reason Dr. Clavell dint refere to this as TEP and simply called it relaxing incisions. Maybe the patient only lost length on the end that was corrected or lost very little length on the other side and did not really feel like restoring that.
TEP should be similar from what I know with the difference being make many more smaller staggered cuts instead of directly making relaxing incisions at the plauqe only along with repeating the cuts circumferential on both planes to lengthen both sides simultaneously.  
26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.

Hawk

Dr. Eid made relaxing incisions at the base of my shaft when he installed my implant.  He first inflated the implant and saw there was still some minor tilt (10 degrees or less), made the incisions, and reinflated to check for correction.   All this was done through what is now a totally invisible vertical incision on the scrotum raphe.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Hawk

In my opinion, considering that any great surgeon can give you presurgical gains with an implant, I would never consider the extra rehab and risk required for a TEP.  

I am not sure how short my penis would have to be and how much increase I would have to be promised in writing to do a TEP.  Keep in mind that I gained about 1/2" over my presurgical length with just an implant and a few relief incisions :
I was open less than 20 minutes.  
My nerve bundle was not touched.  
I was cycling in 3 days.
O was having intercourse in 21 days.
I gained 1/2"

I don't mean to make it sound like a pleasant walk through the park because it was not.  That is why I just don't think I would opt for the additional downside of a TEP to gain a possible, additional 1/4" or 1/3"/ (1 cm).


WAIT!

PS:  My wife of 51 years just told me she is leaving if I cannot do something to make my penis 1/4" longer.  ;)
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

dannys1s1

Hi Hawk,

I agree with the points against TEP as you raised when we are attempting to gain 1/4 "but on the other hand in my situation, Dr. Eid committed to a 5 1/2" penis after implant while with TEP, and just after 10 weeks,  I now have 6" length with the very real possibility of more to come.
As I mentioned in the post of my Journal today, all of the extenuating issues I am still encountering may ultimately render the decision in favor of a TEP to have been a mistake despite the size gain I am seeing. The jury is still out on this for me for now.
Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Hawk

Danny,  My goal is to try to reason through this with the best information we can get. I think you made a good decision for yourself. Based on myself and a few others, the evidence I have is that Dr. Eid underpromises. He presents a very worst-case scenario that will leave patients pleased when they exceed expected outcomes. If worse comes to worst, he still meets expectations, and they are not disappointed.

For example, he promised me "just under 6 1/2".   He also told me that because I had previous abdominal surgery that he would likely have to make a second incision in my lower abdomen to place the reservoir.   He did NOT make a second incision, and my penis measures between " 6 7/8" and 7". I would call that just under 7" a full half-inch more than he promised. If you read Merrix's journal or other journals by Dr. Eid's patients, you will find this to be a common scenario. We cannot, of course, be certain that would have been true in your case. However, if it were, you would be at the same length you are now. Your advantage is that you will likely gain even more, but we have to ask the question of how much more does a TEP really add. Without that answer, men cannot make a sound decision that fits their goals and expectations. If you end up at 6 3/8", that could represent 7/8" gain, or it could represent more like a 3/8" gain over an implant alone. Some men would think neither of those gains is worth it. Some would think either of those gains is worth it, and some would be right in the middle. That's why your great long-term reports are so valuable to so many.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

dannys1s1

Hawk, I agree with all of the points you raise and only time will tell if I ultimately made the best choice for myself. I will keep updating my journal as time goes on.
Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Hawk

We know for sure, Danny, that you are likely to gain at least some size over an implant alone.  There is little doubt that the final result will be every bit as good or better.  The burning question for the next guy in line is whether the result justifies the journey.  Once the result is achieved we are always glad we are there.  I guess the real question is if it was undone would we choose the same course if we had it to do again?

In the final analysis that will probably end up being as much a philosophical question as a medical question.    
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

shrunken_dick

29 year old. I was taking 400 Mg spironolactone to treat hair loss. Xanax withdrawal in combination with spironolactone shrunk my penis from 6" to 4".
I am seeking information about the sliding technique.

GaussRifle

26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.