Hello Headsup,
unfortunately, I'm qualified to provide answers to some of your questions.
#1 matter: assure you are through the initial (and often painful) phase with assured stabilization before heading to surgery. I waited two years prior to scheduling plication surgery to assure conditions were stable. One minor benefit, aided in part by daily modeling (physical therapy), is minor but noticeable
plaque reduction. It wasn't so difficult to put the surgery off because peyronies is not life threatening.
With a talented surgeon, yes you are a candidate with 60 to 70 degree upward bend. One of our forum members was like me. He was 90 degrees and his plication surgery produced enviable results. My upward bend is even greater than 90 degrees and I'm anticipating a very good result from plication scheduled at November's end.
The surgeon that will perform plication informed me that scar tissue is not removed. Specifically, he said, " the scar tissue will be in you following the surgery. It's not like the
plaque sits on top and outside the elastic tissue. It's actually tissue that changed texture." He went onto say that if removed, then: 1) a hole is made in a unique elastic tissue is cut that won't stretch as originally intended if stitched and for which there is not an attractive substitute. Some surgeons will remove some
plaque and this requires replacement filler material within the penis and exterior tissue patch material that is not as elastic as it needs to be.
Scars are fine to very fine. They may / may not fade to visual perception. No one I know that completed plication indicate long term discomfort related to scars.
Many surgeons use dissolvable sutures. A smaller number do not. Yes, non-dissolvable will remain inside you. They're not removed. Some patients reported being able to feel non-dissolvable sutures. Most patients say non-dissolvable sutures is not uncomfortable. However, a few report one or two sutures are routinely annoying. I'm going with absorbable sutures.
There are posts in our forum about length loss. Reported length loss ranges from 1/4 inch to 1 inch. Loss or lack of loss is based on many factors. One of the major factors relates to exactly how the surgeon performs the plication. There's some variation in plication application. Another major factor is whether the penis is straight or not. One benefit by waiting for two years and continuing to model is a minor increase in length despite what the
plaque originally took from me. I anticipate coming out pretty close to my original length when plication is completed. Two additional notes to share: 1) If you want to have good sex again without concern for additional damage caused by bend, then some loss is okay (this is echoed by someone I trust that completed plication and enjoys sex as much as i do), and 2) My surgeon said, "Don't worry about that."
You shared that "If I was told my penis would be .5" to .75" shorter but almost straight (with no lingering discomfort) after plication, I'd sign up for it tomorrow. Am I missing something?" No, you are not missing something. Of course, any surgery with general anesthesia carries risks. These potentials were on my mind for quite awhile. Now that there's been no sex for more than 2 years and the urge remains strong, I am ready to accept these risks. Losing length concerned me, too. Again, after no sex and no decrease in sex drive, I'll accept losing a little bit of length. Simply, I encourage you to assure you're condition was stable long enough.
You shared that "there is no hour glassing or additional bends... just an upward bend about 2"-3" from the tip." Like you, I have no hour glassing and am quite straight left to right. The difference between our morphologies is my curve is a like a backward capital letter "C" beginning at pubic area abdomen with head touching abdomen near navel. My surgeon anticipates a very good result with plication (and I trust him).