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Author Topic: It looks like surgery is my only option left.  (Read 10446 times)

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LWillisjr

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Re: It looks like surgery is my only option left.
« Reply #50 on: December 31, 2015, 11:11:08 AM »

I may be wrong but doesn t STAGE surgery shorten the long side ? The operation I had (I thought) was the excision and grafting proceedure known as the Edgyio technique. I though these were different. Be careful with acronyms!!!

Yes you must be absolutely careful with surgical procedures. Even surgeons have their own variations of these. And you are actually referring to 3 different procedures. When I get a chance I will update these descriptions on the surgery FAQ's section.

The Stage technique, although very similar to the Egydio technique, is for congenital curvature. The two techniques are very similar, although as congenital curvature doesn't require any graft, it can involve a very minimal shortening.

Jonbinspain.....   Stage Technique is for Peyronies correction. See the link below.


Excision and grafting - Scar tissue on the short side is REMOVED and graft material put in its place. various graft materials  are used from synthetic to natural.

STAGE techinique - Similar to excision but multiple elliptical incisions are made only on the exterior of the Tunica on the short side. Grafting is not required. Their is a description in a post here....   http://www.peyroniesforum.net/index.php?topic=5444.0

Egydio Technique - I haven't researched this much yet. But there is a short descritpion on their web site. It sounds like a modification of the STAGE technique to me.   http://www.acpct.com/#!egydio-technique-peyronies/c1zre

But I do want to make a couple of points here.
1. There are different techniques for different reasons. Even the ACPCT states the the Egydio Technique is one of everal they offer. Some techniques are newer but it is incorrect to state that one single technique is better than the others. Each person's severity and direction of curvature must be considered for the proper technique.

2. No procedure guarantees restoration of length. I know of examples of all these procedures where none to partial length is restored. While all the above procedures address relieving the plaque/scarring on the short side, they tend to restore length but no surgeon can guarantee complete restoration.
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Les - 10 yrs Peyronies Disease free
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Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #51 on: December 31, 2015, 11:36:47 AM »

L. Willis;

Not according to this. ACPCT Center - Treatment of Curved and Bent Penis!stage-technique-curved-penis/c1qiu

It appears that they both involve micro incisions in the outer layer of the tunica based on geometric principles, but with the Egydio technique, which is specifically for the treatment of Peyronies, the incisions are made in the plaque and then covered with a graft before stitching.

Reading further, it seems that the difference is that The Stage technique involves incision in the long side to straighten the penis. The Egydio technique is incision of the short side ( sometimes with excision of plaque ) and grafting to cover the affected areas.

The Stage technique appears to be a much more advanced version of The Nesbitt technique.
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LWillisjr

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Re: It looks like surgery is my only option left.
« Reply #52 on: January 01, 2016, 02:10:47 PM »

The Stage technique appears to be a much more advanced version of The Nesbitt technique.

I agree, thanks.
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Les - 10 yrs Peyronies Disease free
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Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #53 on: January 01, 2016, 02:21:07 PM »

So, going back to what J-A said earlier, and I agreed with, we both underwent the Egydio technique.

I will check this with Franklin Kuehhas, but I believe that this is the preferred method of treating Peyronies, not the Stage technique, which is primarily used for congenital penile curvature.
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gayguy

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Re: It looks like surgery is my only option left.
« Reply #54 on: January 03, 2016, 06:31:48 PM »

Hello Jon, thank you for some great reporting.  I am going for the same egydio procedure as you but here in Amsterdam next week. No talk at all about stretching here. All my doctor says is that after the procedure i need start having sex asap and that will do. Well i am not so sure.The stretching after a month with the Phallosan i understand but could you please explain to me as graphically as possible what the manual stretching is all about or otherwise where i could read about it. I do want to have a  well informed talk with my doctor about it too.
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itsme

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Re: It looks like surgery is my only option left.
« Reply #55 on: January 03, 2016, 09:38:10 PM »

I didnt do the surgery. Egydio told me to keep with pentox n vit e n add colchicine 2 mg. If u raise the colchicine slowly in two weeks u ll not have diarrea. Stratching it with hands five minutes six times in a day. But I never heard about stretching after Egydios procedure on his testimonials. Its a lot of them. Maybe thirty or more. But maybe he request that. I just said I never heard. My stratching is with hands. Pushing the dick head. It was hard to learn lol. I put something under my arm to not get tired n just push it. Being carefull to not strech it too much.
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yyy

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Re: It looks like surgery is my only option left.
« Reply #56 on: January 03, 2016, 10:26:43 PM »

LW

Stage technique is made by EXCISIONS, small and elliptical. Not Incisions, which is typical of a plication surgery
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Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #57 on: January 04, 2016, 01:43:58 AM »

Gay guy;
 
Good luck with trying to have sex after this surgery!  You're gonna be sore, man!  I was in bandages for almost 10 days. No sex for at least 6 weeks is what I was told.

Re the traction. Apparently it's to stretch the new grafted tissue. It can retract if no stretching is done. The gentle manual stretching I was told to start after 2 weeks. Traction after 4 weeks.
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yyy

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Re: It looks like surgery is my only option left.
« Reply #58 on: January 04, 2016, 10:24:45 AM »

Gayguy

If I were you I would avoid to have a surgery with a physician advising sex asap.

It's really dangerous! but good luck
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gayguy

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Re: It looks like surgery is my only option left.
« Reply #59 on: January 05, 2016, 04:51:55 PM »

Well to be fair to the physician sex asap means as soon as possible not immediately after the operation. So i guess as soon as most of the healing has taken place and most of the pain has gone. But the gentle manual stretching to be started after two weeks i can understand and it will continue for about two weeks until the other stretching with the mechanical machine starts. My question is: is there anything to be read on the internet explaining IN DETAIL how the gentle manual stretching phase is to be done or do i just use my imagination.
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Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #60 on: January 05, 2016, 05:24:43 PM »

I was told to stretch until it felt uncomfortable but not painful, if that helps. But, be guided by your own surgeon.
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Frank55

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Re: It looks like surgery is my only option left.
« Reply #61 on: January 06, 2016, 06:48:12 AM »

Jon,

How are you finding the usage of the Phallosan device? I watched their video and it looks kind of awkward (though I suppose all the traction devices are to an extent.)

The feature that surprised me was the penile positioning when the device is being used. Looks like the stretch goes to the side. I thought a traction device always stretched to the front, if you know what I mean. Looks like that is an incorrect assumption.

Also, how many hours per day are you wearing it? How will you know when you can decrease/eliminate your usage?

Thanks,
Frank
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Single and 58 yrs. old - first peyronies symptoms Fall 2015
Had grafting surgery by Franklin Kuehhas in June 2016 - complete failure
Borderline Erectile Dysfunction possible but not taking drugs, shots or using VED
Now evaluating options for next step

Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #62 on: January 06, 2016, 07:20:58 AM »

Frank;

I'm using it. IMO, it's nowhere near as easy to locate or to wear as claimed. Having said that, it's advantage over the traditional loop or noose type systems is that it doesn't severely restrict blood flow.

At the moment my usage varies. I'm only 6 weeks post surgery and so there is still some pain from the grafted areas, especially when they're being stretched. Some days are easier than others. I usually try to do 5-6 hours a day, even if it's in 1.5-2 hour shifts.

Yes, it is located to the side (either)  it still stretches the tissue through tightening the belt.

It has gotten easier to locate now that I'm more used to it, but it's still uneccessarily fiddly, IMO.

To conclude, it's far from faultless, but for extended daily use its still probably the best bet as you can wear it 4 hrs+ without a break, which you can't do with the traditional devices.
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Frank55

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Re: It looks like surgery is my only option left.
« Reply #63 on: January 07, 2016, 06:32:37 AM »

Jon,

Is that how many hours (5-6) the Doctor suggested? I'm asking because I work full time, and probably could not do that many. I'd be more in the 2 - 3 hours per day range.

Despite the more discreet appearance, I doubt I could wear the Phallosan to work. Too distracting.

Think I'm going to book a preliminary consultation (through Skype) with Kuehhas' office, by the way. Just trying to think through the details.
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Single and 58 yrs. old - first peyronies symptoms Fall 2015
Had grafting surgery by Franklin Kuehhas in June 2016 - complete failure
Borderline Erectile Dysfunction possible but not taking drugs, shots or using VED
Now evaluating options for next step

Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #64 on: January 07, 2016, 07:29:11 AM »

Frank;

Supposedly, you can wear it while you sleep. Personally, I wouldn't feel comfortable with that right now. The most I've managed without a break is 3.5 hours. Maybe I'll be able to do more as my healing progresses.

I think they would recommend a minimum of 3 hours daily. Maybe an hour in the morning, two at night?  But, discuss it with Kuehhas if you see him. He's quite open to answer any questions or doubts before you commit to surgery.
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LWillisjr

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Re: It looks like surgery is my only option left.
« Reply #65 on: January 08, 2016, 07:10:36 PM »

Let's be clear that we are only talking about the Phallosan device. The traditional traction devices should not be worn more than 2 hours at a time.
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Les - 10 yrs Peyronies Disease free
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kuaka

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Re: It looks like surgery is my only option left.
« Reply #66 on: January 10, 2016, 10:52:31 AM »

Absolutely.  Any hard physical traction device which anchors with a strap and saddle should NOT be worn more than 2 hours without a break.  Sleeping in such a device is extremely risky too...
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Frank55

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Re: It looks like surgery is my only option left.
« Reply #67 on: January 11, 2016, 07:35:44 PM »

Jon,

What were your first few days after the procedure like? Level of discomfort/pain?

Also, when were you able to get back to your regular level of activity? And do you continue to be pleased with the outcome (at least thus far)?

Lot of questions, I know. Thanks again for your patient answers.

Frank
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Single and 58 yrs. old - first peyronies symptoms Fall 2015
Had grafting surgery by Franklin Kuehhas in June 2016 - complete failure
Borderline Erectile Dysfunction possible but not taking drugs, shots or using VED
Now evaluating options for next step

Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #68 on: January 12, 2016, 01:53:35 AM »

Frank;
Pain was minimal. There is discomfort as you're in bandages. I was prescribed strong  painkillers but didn't need them. I just took 500mg paracetamol. The anesthetic stays with you for a few days and I slept quite a bit.

Thus far still pretty pleased. It's taking time to heal and I'm still a bit sore around the head. Aesthetically, you can still see the surgical wound. I will be asking Franklin about these things when I see him in about 10 days. Erections are still dead straight. I haven't got my old size back yet, but I'm getting there.

I haven't taken him for a 'test drive' yet, although I feel as if I could. But then it's still only 7 weeks since surgery, so I'll be a little more patient.

As a postscript, I had a good look underneath the head this morning. There are still tiny scabs on the suture holes, so I guess it's going to still be a bit sensitive.
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gayguy

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Re: It looks like surgery is my only option left.
« Reply #69 on: January 13, 2016, 02:04:26 PM »

So today was Day 1, the day i had the egydio procedure done here in Amsterdam with prof Meuleman. I first noticed a pea shaped painless nodule in my dick in the summer/august of 2014 which had grown to be larger painful/ and nasty 'shape shifting' 75 degree alien by January 2015 and a painless but none the less stable awkward thing by the end of May 2015 . The crew in the hospital was ever so sweet. The procedure started at 10 am and was finished by 12.30pm. I was the second one to be done that day and I think a third person was due after me. Woke up from a relaxed deep sleep all bandaged up with a catheter a warm electric blanket, a cheese sandwich and orange juice feeling great.  Shortly afterwards the doctor came by for a visit and answered my questions which weren't many. At 3pm feeling fine, i was discharged and i left with my brother, the bandages and the catheter to go back home. Tomorrow at 11am i will walk to my GP's office and the GP will permanently remove all of the bandages and the catheter and then i will get my first view. No pain as of yet: 7pm and i haven't touched the pain meds: celecoxib and the paracetamol. Monday i have a talk again with the prof/dr Meuleman to evaluate how things are going. Cheers to you all. I am off to my Brussels sprout dinner.
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gayguy

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Re: It looks like surgery is my only option left.
« Reply #70 on: January 14, 2016, 02:38:46 PM »

Day 2 Didn't sleep much last night because of the bandage and catheter discomfort. The GP took them off today and now i am free of it all. Early morning erections were very painful for a few minutes but that is all with no further discomfort. My manhood looks very small today not in any way to which i am accustomed. No pain meds for the moment as i prepare to go to bed for the night.
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Jonbinspain

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Re: It looks like surgery is my only option left.
« Reply #71 on: January 15, 2016, 02:18:34 AM »

Gay guy;

Som pain will come. Mine was tolerable, but you will be feeling the effects of the anasthetic for a few days too.

I was told no exercise for 2 weeks. Bandages stayed on ( these are to prevent post operative swelling) for 10-11 days in my case. Manual stretching when you went to the toilet - to the point of discomfort, but not pain! Stretch 10 times. Traction via Phallosan Forte after 4 weeks. I was also prescribed 5mg of Cialis daily.
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