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Welcome to J Francois Eid, MD - Directly answering member questions in the "Medical Professionals" section below the Treatment boards.
https://www.peyroniesforum.net/index.php/topic,17819.0.html

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Author Topic: Surgery with incision and graph  (Read 810 times)

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Luker11

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Surgery with incision and graph
« on: June 05, 2022, 03:37:49 PM »

Hi Guy’s,
I’m 34 and the doctor diagnosed me peyronie 15 months ago. I did only xiapex with no results.
I would ask you a suggest. I need surgery cause my peyronie deasise. I had a curvature about 60º and my penis is shorter and so much strict. Do you know if Gelman does incisions on the plate with grafts?
Who is better for this surgery? Gelman or Lue or someone else?
I have to go from Italy on purpose to do that.
Thank you so much
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chrisaaa7

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Re: Surgery with incision and graph
« Reply #1 on: June 06, 2022, 05:19:15 PM »

Hello, from what I have read on this forum, German does do this surgery and he is one of the best.
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M 21 Los Angeles

Saw Urologist at USC who handles Peyronies alot and he does not believe I have it. Symptoms: soreness in flaccid state, glands do not engorge, 2 very small. indents, slight girth loss( last 2 might be mental),Erectile Dysfunction for 2.5 years

chrisaaa7

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Re: Surgery with incision and graph
« Reply #2 on: June 06, 2022, 06:44:44 PM »

Sorry auto correct, I meant to say Gelman
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M 21 Los Angeles

Saw Urologist at USC who handles Peyronies alot and he does not believe I have it. Symptoms: soreness in flaccid state, glands do not engorge, 2 very small. indents, slight girth loss( last 2 might be mental),Erectile Dysfunction for 2.5 years

Luker11

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Re: Surgery with incision and graph
« Reply #3 on: June 12, 2022, 10:07:44 AM »

Thankyou. Anyone jnow or have personal experience about this type of surgery? Maybe is it Christine the best for this specific practice?
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Benjamin62

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Re: Surgery with incision and graph
« Reply #4 on: June 13, 2022, 10:22:35 AM »

I had Plication with synthetic graft for your glassing with Christine in Feb 2020.   He’s a skilled surgeon with a high degree of compassion.  All fixed
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Luker11

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Re: Surgery with incision and graph
« Reply #5 on: June 15, 2022, 01:15:34 PM »

I had Plication with synthetic graft for your glassing with Christine in Feb 2020.   He’s a skilled surgeon with a high degree of compassion.  All fixed

Do you think is better Christine or Gelman? Do you have a mail of Dott. Christine. I wrote on his form in the website but nobady answer.
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Luker11

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Re: Surgery with incision and graph
« Reply #6 on: June 15, 2022, 01:17:43 PM »

I had Plication with synthetic graft for your glassing with Christine in Feb 2020.   He’s a skilled surgeon with a high degree of compassion.  All fixed

Why did you choose Christine and not Gelman?
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Benjamin62

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Re: Surgery with incision and graph
« Reply #7 on: June 16, 2022, 07:15:09 AM »

I chose Christine because I needed a synthetic graft for hour glass as well as Plication.   At the time he was the only one that did that.   Plus closer to me.  Both are great surgeons
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Bill2020

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Re: Surgery with incision and graph
« Reply #8 on: June 16, 2022, 06:01:20 PM »

Thank you for sharing Benjamin62.

Could you please tell me the degree of your curve and how much length you lost?
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*45 y.o.
*25° lateral curve
*Lost about 2cm in length and some girth
*2 sessions of PRP - made things slightly worse
*Currently taking Tamoxifen(low dose), L-Carnitine, COQ10, Vitamin E, Cialis (daily 5mg) and TRT

Luker11

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Re: Surgery with incision and graph
« Reply #9 on: June 20, 2022, 05:54:53 PM »

I chose Christine because I needed a synthetic graft for hour glass as well as Plication.   At the time he was the only one that did that.   Plus closer to me.  Both are great surgeons

I had today a call with Prof. Gelman. I understood he is more confident with plication then the incision with graph. What do you think about. Why do you choose graph syntetic and not swine one?
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Pfract

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Re: Surgery with incision and graph
« Reply #10 on: June 21, 2022, 12:32:51 AM »

Hey Luker11.... I don't think i remember hearing much if anything bad about Dr. Gelman. You can always make a few searches online or check websites like   https://www.healthgrades.com/ for information on him (possibly?) and what others have to say.

As for the choice of material it is normally always up to the Doctors choice and his preference/confidence level. Here are some links you may find interesting.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477030/ - Biologic versus Synthetic Mesh Reinforcement: What are the Pros and Cons?

https://dentalworld.hu/comparison-of-bone-graft-substitutes/

https://pubmed.ncbi.nlm.nih.gov/19863858/ -  Peyronie's surgery: graft choices and outcomes

https://pubmed.ncbi.nlm.nih.gov/28258933/ - Contemporary Review of Grafting Techniques for the Surgical Treatment of Peyronie's Disease


Luker11

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Re: Surgery with incision and graph
« Reply #11 on: June 21, 2022, 04:34:22 AM »

I really appreciate your help. I’m going to check the link. let me ask you a clarification: do you not hear very well about Prof. Gelman? did I get it right?


Hey Luker11.... I don't think i remember hearing much if anything bad about Dr. Gelman. You can always make a few searches online or check websites like   https://www.healthgrades.com/ for information on him (possibly?) and what others have to say.

As for the choice of material it is normally always up to the Doctors choice and his preference/confidence level. Here are some links you may find interesting.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477030/ - Biologic versus Synthetic Mesh Reinforcement: What are the Pros and Cons?

https://dentalworld.hu/comparison-of-bone-graft-substitutes/

https://pubmed.ncbi.nlm.nih.gov/19863858/ -  Peyronie's surgery: graft choices and outcomes

https://pubmed.ncbi.nlm.nih.gov/28258933/ - Contemporary Review of Grafting Techniques for the Surgical Treatment of Peyronie's Disease
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Pfract

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Re: Surgery with incision and graph
« Reply #12 on: June 21, 2022, 09:58:00 PM »

Yes, that is correct. I only heard about his name but i have no idea about his practice nor patients of him, from memory.

Benjamin62

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Re: Surgery with incision and graph
« Reply #13 on: June 22, 2022, 09:18:38 AM »

Thank you for sharing Benjamin62.

Could you please tell me the degree of your curve and how much length you lost?


I had 90 degree down turn.  I’d say I lost 3/4”.  But the condition itself robs length.  So can say the surgery alone cause it.   But what good is a bent shaped penis anyway
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Luker11

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Re: Surgery with incision and graph
« Reply #14 on: July 12, 2022, 02:31:39 PM »

Sorry I don’t understand. How is your penis after the operation compared to before peyronie came? I need to understand better, I’m thinking to do the surgery before the end of the year.
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