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Welcome to Dr. Landon Trost - Directly answering member questions in the "Medical Professionals" section below the Treatment boards. https://www.peyroniesforum.net/index.php/topic,16512.0.html

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Author Topic: What does a successful Lue procedure 'look like'?  (Read 298 times)

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marmitejim

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What does a successful Lue procedure 'look like'?
« on: June 21, 2022, 09:19:39 AM »

First of all thank you to everyone who helps to keep this forum running - it is a godsend.

I have had Peyronie's disease for about 3 years now which has stablised. I have curvature (upwards) of over 90 degrees and shortening of the penis when erect by about 40%. I have a strip of hard plaque about 1cm wide that runs all the way up the top side of the penis.

I have been referred to Professor David Ralph at University College London and I have had an initial assessment by one of his colleagues where it was agreed that the Nesbit's procedure was not appropriate and that the Lue procedure was recommended.

I then had a follow up call with his colleague where I asked some questions about the procedure and I am due to have the operation 'at some point this year'.

His colleague was obviously rushed for time (probably due to the backlog caused by Covid) and so I was unable to ask all the questions I wished to. Hopefully I will be able to arrange another call with him.

So my question is this; what does a successful Lue procedure 'look like'? By which I mean, what is the shape of the penis when it has healed?

Currently it is bent into a 'C' shape like the attached scribble I have drawn "pre-lue.png".

I am told the procedure involves a single cut horizontally through the plaque (and maybe with some snipping around it). If it is just a single cut then surely the curvature will remain but in two parts? Kind of like a 'W' shape on its end like the attached scribble I have drawn "post-lue.png".

If anyone knows the answer to this or can link me to further information that would be greatly appreciated.
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Peyronie's Disease for about 3 years (June 2022) now stable.
90° curvature upwards. Shortening by 40% when erect. 1 cm width strip of plaque running along the top side.
Age 50. Smoker. Otherwise relatively fit. Lue procedure recommended.

blex

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Re: What does a successful Lue procedure 'look like'?
« Reply #1 on: June 21, 2022, 03:33:14 PM »

The Lue procedure is also called incision and grafting surgery.
As far as I understand, multiple cuts are made to correct the curve and then covered by a graft.
The result should be almost completely straight, I'm sure a W shape like you drew would be considered a failed surgery.
You can search for more information here or on pubmed, i.e.:
https://pubmed.ncbi.nlm.nih.gov/15839925/
Logged
36 years old, married
---
Symptoms since trauma in July 21:
Calcified nodule in septum near glans
Calcified plaque almost circumferential
Pain (flaccid/erect), 45° upwards curvature, hourglassing
---
Nothing helped, looking for surgery now

marmitejim

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Re: What does a successful Lue procedure 'look like'?
« Reply #2 on: June 22, 2022, 09:48:23 AM »

Thanks for the reassurance Blex!
Logged
Peyronie's Disease for about 3 years (June 2022) now stable.
90° curvature upwards. Shortening by 40% when erect. 1 cm width strip of plaque running along the top side.
Age 50. Smoker. Otherwise relatively fit. Lue procedure recommended.
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