How much length did you lose from surgery and how did you cope with it?

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MiddleAgedMan

Considering surgery and the associated risks vs benefits. Plication seems safer, but the loss of length concerns me a bit. I'm currently about 6" on the long side, 4.5" on the dorsal side with the plaque, so I expect my post-op length to be about 4.5" max, which is quite a big loss of length. Although I'm fairly certain length isn't a big deal for having good sex (and my wife definitely doesn't care about it), I still find myself hesitant to go from average to very short. Those of you who had surgery, and especially plication, how much length did you lose and what was your pre- and post-op length? Also, did you find the sutures after the plication bothersome - it's hard to imagine what it might feel like but the thought of knots inside your penis sounds uncomfortable, maybe it isn't?
Diagnosed in 2019 initially ventral indentation, hourglassing w/ slight rightward curve
In 2020 developed dorsal curvature, ~70 deg
Tried traction (PMP), VED, heat, vitamin E, no change
Modified Nesbit surgery Dec 2022, <10 deg

GaussRifle

Do you have hourglassing that affects stability ? If so if you ever do plication, please consider extra tunical grafting along with plication. https://youtu.be/dmdi2s_L9Uw. That being said, before you proceed to plication or even think about it. Make sure that you have tried RestoreX for 6 months atleast along with daily 5 mg cialis. If that doesn't improve your curve sufficiently , consider Xiaflex with traction. Please only then consider plication and that too, if you have no ED issues at all.  
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.

MiddleAgedMan

Quote from: GaussRifle on April 28, 2022, 09:16:22 PM
Do you have hourglassing that affects stability ? If so if you ever do plication, please consider extra tunical grafting along with plication. https://youtu.be/dmdi2s_L9Uw. That being said, before you proceed to plication or even think about it. Make sure that you have tried RestoreX for 6 months atleast along with daily 5 mg cialis. If that doesn't improve your curve sufficiently , consider Xiaflex with traction. Please only then consider plication and that too, if you have no Erectile Dysfunction issues at all.
Hi, I'm in the UK where the RestoreX isn't sold and Xiaflex unavailable, but using the PMP and will see how far that gets me before I go down the surgery route. I have a small indentation forward of the bend but it doesn't affect stability and don't have any ED issues.
Diagnosed in 2019 initially ventral indentation, hourglassing w/ slight rightward curve
In 2020 developed dorsal curvature, ~70 deg
Tried traction (PMP), VED, heat, vitamin E, no change
Modified Nesbit surgery Dec 2022, <10 deg

GaussRifle

You can definitely arrange someone from the US to ship restoreX to you. RestoreX alone os the best tool in your non surgical arsenal. Even I can volunteer. Anything to help people get out of this hell.
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.

thecrookedone

hi i just underwent plication. although its too early to say anything. currently im not happy with my length loss. i was probably little over 15 cms on the longer side and little over 13cms on the shorter side. now it appears that im only around 10 cms post surgery.

i guess my penis is still in retraction / i measured wrong. im going to wait and see if i can do some traction afer a few months

what was your outcome ?
Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.

Plication Surgery - Aug 2022

TallyHacker

I do check "unread posts since last visit," so, I'll probably see your post(s) in reply or follow up, but, since I'm post-op, two weeks, now, I might have some valuable feedback as I await the eventual final form - length, etc. - of my penis, after surgery that included plication.

The doc saw me, post-op, the same day as surgery and said that he'd had to do some plication, just below the head of my penis, which he'd not expected, and said that, in my case, it meant that I'd probably have up to 10% of bend, remaining, after healing. He'd already told me that there would be loss of length with the procedure, overall, but declined - I'm sure it's the second most common question, after "Will I be able to have normal intercourse, again?" - to predict how much it would be.

I was 7 inches + 7/8th's of an inch (my wife thinks my specificity as to the exact (former) length was funny).

I have not measured, yet, 'cuz, if what I've got is all I get, then it's certainly shorter than that, but, I don't know enough about the progression of the healing and when it's definitive. For all I know - yes, I could read on this board, deeper into the subject, but I'm not I'm kind-of done doing deep research into every aspect of this disease, the options, surgery, etc., at present - as with many surgeries, the true healing is really measured in months, and, for all I know, at the moment, I could continue to see improvement in length and firmness for all of that time.
12/19-tiny hardness,~dorsal/middle shaft, 1/2 down length). 1/20-erection pain. 3/20-diagnosis by urologist, confirmed Peyronies Disease. 4/20-fracture during intercourse; much worse-plaque along length,>curve. 8/20-stable, 90degrees. Age 60, 22 yrs. married.No ED

MiddleAgedMan

My understanding is that the length loss is worse right after surgery but can improve a bit once it's healed, so fingers crossed things will improve for you - please let us know how it goes! I've decided to go ahead with plication, after speaking to my doctors who generally don't recommend incision and grafting unless the length loss would be catastrophic. I've also changed from PMP, which didn't seem to have any effect with the amount of time I was able to dedicate to it, and am now doing VED with the SomaErect device (as recommended by my doctor). i haven't done any measurements and only been using it for a few weeks, so can't really tell but it does seem to help with girth which is positive. Given my curvature (70+) the plication won't attempt to make my penis fully straight, but to make it "functionally" straight, so 20-30 deg bend which is within the normal range (and more or less what I had before Peyronie's, which wasn't a problem for intercourse). We'll see how it pans out but i think I have come to terms mentally with losing some length, as it would still be prefereable to the curvature I have right now that makes intercourse quite difficult and restricted.  
Diagnosed in 2019 initially ventral indentation, hourglassing w/ slight rightward curve
In 2020 developed dorsal curvature, ~70 deg
Tried traction (PMP), VED, heat, vitamin E, no change
Modified Nesbit surgery Dec 2022, <10 deg

TallyHacker


I'll let you know.

It's encouraging that additional length may come, eventually, with additional healing.

I may or may not know a whole lot more, after my follow-up appointment, on Tues., of next week.
12/19-tiny hardness,~dorsal/middle shaft, 1/2 down length). 1/20-erection pain. 3/20-diagnosis by urologist, confirmed Peyronies Disease. 4/20-fracture during intercourse; much worse-plaque along length,>curve. 8/20-stable, 90degrees. Age 60, 22 yrs. married.No ED

john.doe.550

Quote from: MiddleAgedMan on October 05, 2022, 04:24:51 AM
My understanding is that the length loss is worse... I've decided to go ahead with plication...,

Good for you, MiddleAgedMan! Wishing very much success to you.  
Age: 65. Peyronies Disease in MAR 2019. 90 dgree upward curve.. Immediate &  severe. Xiaflex, APR 2019 to early 2021, slow but minor improvement through 2021. Incisional corporoplasty surgery completed in late 2022.

Muttley

Hi MAM,
I hope that thigs are going well for you. Would you mind sharing an update please?
Late 50s
Nesbit Procedure July 2023 which was successful
Official diagnosis 12/2021: Bend at the end @70 degrees upwards/@35 left

MiddleAgedMan

Just got an appointment for surgery next week - last minute cancellation, as I was expecting to have to wait for another year with current NHS waiting lists! I'll share an update of my progress after the surgery.
Diagnosed in 2019 initially ventral indentation, hourglassing w/ slight rightward curve
In 2020 developed dorsal curvature, ~70 deg
Tried traction (PMP), VED, heat, vitamin E, no change
Modified Nesbit surgery Dec 2022, <10 deg

beaulieu1008

60 years old. Peyronie disease since 2020. Upward curve 30 degrees. Thick calcified plaque, dorsal, just beneath glans. 2cm wide, 1cm long. No ED. Except soft glans.

MiddleAgedMan

Answering myself here - it seems as expected that the length after surgery is about the same as the length of the side with the plaque, which was about 13 cm (5.5"), so that's where I'm at currently. Weirdly, the loss of length doesn't bother me at all, finally having a straight penis again is such a relief that an inch here or there doesn't matter much.  
Diagnosed in 2019 initially ventral indentation, hourglassing w/ slight rightward curve
In 2020 developed dorsal curvature, ~70 deg
Tried traction (PMP), VED, heat, vitamin E, no change
Modified Nesbit surgery Dec 2022, <10 deg

Indenialguy

I'm glad you're happy buddy. The truth there is no woman on the planet can tell the difference between a 6 inch penis and a 5 inch penis, an inch is so tiny in the grand scheme of things that it really doesn't matter.

Hopefully this is the end of this nightmare for you 👍
32 yo UK
Engaged with two young children
Injured 2017, healed
RE injured Sept 2022
Chronic flaccid pain since 2nd injury
Starting 5mg cialis daily, trying to obtain pentox online

Possible hard flaccid, possible Peyronie's, possible nerve damage