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Welcome to J Francois Eid, MD - Directly answering member questions in the "Medical Professionals" section below the Treatment boards.
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Author Topic: My Plication Surgery  (Read 1275 times)

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thecrookedone

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My Plication Surgery
« on: August 08, 2022, 08:33:15 PM »

Hello everyone

I have finally decided to go ahead with my plication surgery. The surgery is scheduled for tomorrow and keeping my fingers crossed for a positive outcome.

I'm very nervous about the surgery but having one of the best surgeons in the country to do the plication gives me a lot of hope for good results.

Will keep updating on my progress. 🤞
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #1 on: August 10, 2022, 06:31:26 AM »

Surgery went well.

Circumcision was not done as requested by me. Doctor said circumcision was not necessary, but swelling will take some time to go down without circumcision.

Surgery was carried out by spinal anaesthesia. I was conscious during the surgery.

Right now I'm in the bed at hospital hooked to a catheter. Will probably get discharged in a couple of days.

No pain right now. Penis wrapped in bandages

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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

Alex83

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Re: My Plication Surgery
« Reply #2 on: August 10, 2022, 07:44:58 AM »

Hi,

I wish you a good recovery man ! The hardest part is hopefully behind you!
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24 yo

2020: Nesbit surgery for a 55 degrees downward curvature with DrFaix
Result: Residual curvature of 30 degrees and an inflammatory scar

2021: I am considering a new surgery

I lost 2 cm during my Nesbit, I have regained 2 cm with traction

thecrookedone

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Re: My Plication Surgery
« Reply #3 on: August 10, 2022, 09:15:13 AM »

Thanks Alex. I'm looking forward to a hopefully less painful recovery.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #4 on: August 11, 2022, 01:57:23 PM »

I was encouraged to walk a lot today by the Dr. I experienced mild discomfort and lot of urination during the walk. I'm on painkillers and antibiotics currently. Will remove catheter tomorrow and be discharged from hospital.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

Mikel7

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Re: My Plication Surgery
« Reply #5 on: August 12, 2022, 06:10:49 AM »

Good recovering and keep us posted. It took a lot of courage to be awake for this - I could never do that.
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Lump April 2020, age 61 , Dr Levine 6-26-20,
Dorsal Curve 11-1-20 , Peyronies
Vit E400mg, COQ10, ALCAR, Heat Therapy, Penimaster, Pentox, Cialis, Restorex
had SNHL 7-31-20 - Stopped all Meds because ototoxicity  Heat/traction/VED are working.

thecrookedone

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Re: My Plication Surgery
« Reply #6 on: August 12, 2022, 06:21:03 AM »

Thanks Mikel. I felt the exact opposite. I was afraid of general anaesthesia and jumped and said ok when the Dr said "we will go with spinal , but if you are uncomfortable we can use general anaesthesia as well" . chose spinal since recovery is quicker, no nausea or any side effects and I can start drinking, eating quicker.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #7 on: August 12, 2022, 09:00:37 AM »

Summary of the surgery.

Penis was degloved , tourniquet was applied to root of the penis and artificial erection was induced.

Ventral curvature was noted and point of maximum curvature was identified.

Bucks fascia opened and tunica was exposed. Multiple plication on dorsal aspect by yachia technique with prolene 2-0 and ethilon 3-0.

Artificial correction was induced. Penis is straight and erect.

Bucks fascia was closed with 5-0 ethilon.

Mucosal edges approximated with penile skin by 5-0 monocryl continuous interlocking.

14 FR silicon catheter and sterile compression dressing.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #8 on: August 12, 2022, 12:52:40 PM »

Day 1 :

Catheter was finally removed today at 8am. Experienced some discomfort during removal of catheter but it was short lived. The more I relaxed the easier it was to pull out the catheter. Once it was done i was encouraged to walk around and try to urinate , i couldn't it was uncomfortable.

Chief surgeon came by before discharge to apply the crepe bandage, but unfortunately my penis had retracted too much to even apply the bandage. Doc asked me to get discharged and asked me to apply the bandage when it was possible. He taught me how to wrap it, i however doubt if I will be able to do it myself. He asked me to get in touch with him if I experienced any discomfort or pain or any doubts whatsoever.

Left the hospital at 11am and checked into a hotel close to the hospital to heal and recover for the next week until my follow up appointment with the surgeon.


Settled down in the hotel room wrapped up in nothing but a towel. I noticed some blood stains on the towel and freaked out. Contacted the doctor immediately, he said it is possible to bleed for a day or two due to catheter removal and told me to not pull back the skin of the penis. He just told me to leave it as is.

Finally i was able to urinate at 3pm with some discomfort and some blood. But the amount of blood decreased half way through my urination, i felt better.

Since I'm on blood thinner medication losing blood is a very bad situation for me.

Experienced few drops of bleeding at 5pm. Hopefully the bleeding will stop soon.

Penis seems to have retracted too much inside. No bandage yet. It's free and open. Doc said it's ok, once I start to get erection then I can apply the bandage. Fingers crossed 🤞
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #9 on: August 14, 2022, 05:56:10 AM »

Day 2 :

Blood in urine had stopped. Did not have any erection last night and hence couldn't apply the bandage. Doc had asked me to apply an ointment to get help the foreskin healing. I could not do it since the foreskin was swollen. Headed to the doctor's clinic and he applied it and asked me to wait until the swelling goes down. Before I tried anything else.

He also said I can resume my normal work and travel. However I'm not sure about it.

Day 3 :

No erections last night, no bandage. Still on painkillers and antibiotics. Unable to pull back my foreskin to check on glans but right now it appears swollen. Not sure if my lack of erection is a good thing or a bad thing. Everyone here seems to have had some nocturnal erection, I'm not sure why it's not happening in my case. Very anxious 🤞

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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

joavyer

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Re: My Plication Surgery
« Reply #10 on: August 15, 2022, 01:49:53 AM »

I had swelling at the glans for a few days after it retracted.
However, the swelling around my circumcision glans is still there and pretty big, even after 18 days. The doctor said it's to be expected, so just passing by my experience.

Regarding erections, I think I started having the first ones at either 3rd or 4th night.
Initially they were so uncomfortable and painful, that I was waking up every 60 minutes at night, and going straight to the bathroom and either washing my face with cold water to give myself a shock in order to drop the erection, or straight up put my penis under cold water (the glans only), again to shock it and drop the erection. Then go back to bed and repeat when the next erection wakes me up. So I was waking up every hour or so. This lasted for a couple of nights, before I was able to sustain a whole night without going to the bathroom
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thecrookedone

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Re: My Plication Surgery
« Reply #11 on: August 15, 2022, 07:25:13 AM »

Hope you recover soon joavyer !

With circumcision swelling takes time to go down. U might feel comfortable wrapping it up with a gauze if your doctor allows it. Check with him. It helps me.

Day 4 :

I was bleeding a lot yesterday. I was terrified since my underwear was soaked in blood. Maybe it was because I have been without a bandage and there was abrasion. I went to the emergency and cleaned up the blood. Doc managed to get a bandage going for me and I'm using it till now. We managed to get a few tests to confirm the bleeding was not from the blood thinner. It wasn't. The sutures were also fine and the doc was able to pull the foreskin back and examine the glans without any pain and discomfort for me. He said that's a good sign. 😀

I'm unable to see the glans yet since I'm not circumcised and the foreskin is still swollen. Doc said the absorbable sutures will take sometime to dissolve. I hope I don't encounter anymore bleeding issues.

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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

chrisaaa7

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Re: My Plication Surgery
« Reply #12 on: August 15, 2022, 01:54:51 PM »

I’m glad the doctor said everything looked well. May I ask who your surgeon was ?
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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

thecrookedone

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Re: My Plication Surgery
« Reply #13 on: August 15, 2022, 11:37:48 PM »

My surgeon was Dr Rupin Shah. He is from Mumbai, India.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #14 on: August 19, 2022, 10:47:53 AM »

Day 7:

Swelling has reduced on the foreskin, still a good week or two away for it to go down completely. Able to pull foreskin partially to reveal glans.

Had my erection today. Penis appears very short. I don't know if length loss was high. Penis seems retracted. Doc said give it some time to heal and wait for the 8 weeks timeline to get over. Penis is deviating to the left and down

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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #15 on: August 27, 2022, 11:53:27 AM »

2 weeks :

Foreskin continues to get better. Glans is swollen. Experiencing mild dull pain in the penis. Not much erections over the last couple of nights. I have resumed my work part time. Will try to post a few pics in the next couple of days
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #16 on: September 04, 2022, 02:13:48 AM »

Just wanted to share updates.

Foreskin swelling is down

Glans swelling is down

Able to pull foreskin back by hand without much discomfort
Glans does not come out on its own during erection. Haven't tried to pull it out either. Still little scared about doing that

No pain. No bleeding. Mild itching and burning is there sometimes. But manageable
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #17 on: September 12, 2022, 04:34:30 AM »

one month update :

Healing is coming along well. internal sutures for the foreskin have dissolved partially, i think it will take another 4-6 weeks to fall off completely.

measured my erect penis at 3.5 inches only. im a bit worried since i feel either i have lost so much length or i have not measured it correctly prior to the surgery or penis still in retraction

does anyone have any thoughts ? will try to post an erect pic soon

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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #18 on: September 20, 2022, 11:53:45 AM »

Internal sutures for foreskin are still healing. Had a mild bleeding episode 5days back.
Sharing pics
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #19 on: October 06, 2022, 10:44:42 PM »

Guys i managed to find an old picture. Probably a decade old.
This was taken on my bed. I was lying on back and took the photo from the camera. The image has been rotated to a standing position. Can anyone help me with guessing the degree of curvature and possibly the size.

Thanks
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

john.doe.550

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Re: My Plication Surgery
« Reply #20 on: November 02, 2022, 12:50:45 AM »

crookedone, Looks like you're on a good road for recovery.  Wishing maximum results for you. Thank you tremendously for sharing these intimate details and photos. This is very helpful to the obviously active, as well as the "quiet," forum members.   
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Age: 63;  Peyronies Disease diagnoses: MAR 2019;  Onset: Immediate & severe;  Treatment: Xiaflex, APR 2019 to early 2021, slow & steady improvement w/ notable Xiaflex improvement through 2021. Incisional corporoplasty scheduled for late 2022.

LWillisjr

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Re: My Plication Surgery
« Reply #21 on: November 02, 2022, 08:47:30 AM »

Well, clearly this is an excessive curve. I would estimate between 90 to 100 degree curve. Hoping your recovery goes well and will be interesting to compare a post surgical picture.
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Developed peyronies 2007 - 70 degree dorsal
Traction/MEDs/Injections/Surgery 2008
66y/o  14 years Peyronies free
My History

thecrookedone

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Re: My Plication Surgery
« Reply #22 on: November 05, 2022, 11:57:31 AM »

Hello everyone. I'm almost at the end of my 3 months timeline and got the green light to go ahead with masturbating. I'm currently single and hence the self help situation.

I found it quite difficult to pull back my foreskin. It was tight but not impossible to pull back. I felt like in hindsight a circumcision might have helped but i have no way of knowing for sure.

My penis was sore and painful for upto 6 hours post masturbating. I didn't need any painkiller but was constantly feeling dull pain. The penis also appears to curve to the left mildly.

Trying to my ved pump to help with blood flow and erection quality. My doctor has cleared me to use it long back but i held back due my bleeding concern from my use of blood thinners. Will try to post pics soon. If anyone has any input on using ved kindly do share, it will be helpful in my recovery.

Thanks
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

thecrookedone

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Re: My Plication Surgery
« Reply #23 on: November 07, 2022, 11:30:21 AM »

My loss of length seems to be very high. I'm straight but really disappointed with the length loss. I really do not know if any traction or ved would help at this point. Any inputs guys ? I have absolutely no motivation to continue to do this anymore.

https://ibb.co/J52gzDs
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

HeadsUp

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Re: My Plication Surgery
« Reply #24 on: November 12, 2022, 05:50:56 PM »

You've come so far, don't give up hope yet!

I saw this quote - "Penile traction therapy has been shown to reduce postoperative loss of penile length" in this online article (from National Library of Medicine):

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226694/

I haven't had the procedure done yet, but I plan to use traction therapy afterwards.  It seems it does suggest a lengthy program, but I'm retired and have the time.

Again, don't lose your motivation!
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62 Years Old
Peyronie's onset: Jan/Feb 2022; Diagnosed June 2022
Main symptom: upward curve (plaque on top), unsure of degrees (probably between 45-75 degrees)
Initial treatment: Pentox 400 mg, 3x/day - NO LONGER, NOW RESTORIX

thecrookedone

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Re: My Plication Surgery
« Reply #25 on: November 13, 2022, 10:48:42 AM »

hey headsup

thanks for your positive thoughts. it is a roller coaster of emotions but given the severe curvature i had i feel like i have made it out without much complications as so many have had. im very grateful for that. my surgeon did a very good job. i feel i did have a higher expectation regarding length post surgery. anyway there are a few things i can do to improve from here on and move fwd that i intend to get better and focus on that. i have done almost everything i can to better my situation im glad i took that chance to make myself straight. will keep updating on progress :)

thanks
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

Ascend

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Re: My Plication Surgery
« Reply #26 on: November 13, 2022, 11:19:39 AM »

Seems like you lost a bit of length. Personally I’m done with penis strechers. To much effort and time and unsertain results. But if you got the time and motivation perhaps give it a try. Have you tried to measure it?
Me and my wife have had great sex the 1.5 years of my peyronies, and she won’t mind the shortening.
Logged
40 years.
Peyronies started in may 2021. No pain
Upwards curve approx 60°

L-Carnitine, L-citrulline, Q10
6+ hours / day stretching with andropenis (September-November) Then penismaster pro. 0° change in curvature. Plication 11/11 2022. Recovering

thecrookedone

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Re: My Plication Surgery
« Reply #27 on: November 24, 2022, 06:08:13 AM »

Guys i seem to be having a lateral curvature to the left probably around 30 degrees i guess.  My initial curvature was down 80-90 % and mild to the left around 15%.
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Age : 36

Congenital Penile Curvature. Ventral. 80-90 degrees.
Low Testosterone
Erectile Dysfunction
Low Libido

Plication Surgery - Aug 2022

Sonic

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Re: My Plication Surgery
« Reply #28 on: November 24, 2022, 08:02:38 AM »

Got any pics? I know your curve was congenital but point of Plication regardless is to make one straight.

If you have ended up with 30 degree lateral curve the surgeon has done a terrible job imo.
Logged
28 years. Started to develop a rightwards curve in June 2020.
narrowing on right side and about a 20-25° curve to the right.
Weakened erections and instability due to narrowing.
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