Five years ago, at age 50, I had surgery to straighten curvature, but indentation near the base remained and hinging/buckling has increased to the point that penetration is no longer feasable. I am being re-evaluated by my urologoist/surgeon soon, and am wondering if 2nd surgeries are common and if they can correct the indentation so that the hinging and buckling will no longer occur and intercourse can become possible again.
Perhaps one of the other members with more knowledge about surgery can chime in, but my guess is that an implant would probably be the only thing that could improve hourglassing and erection quality. Replacing the scar tissue that causes hourglassing would probably involve another graft and I don't know how well those are designed to stretch and expand like normal tunica tissue (my impression is they don't).
A few members here have had implants and are pleased with the results. Implants are usually only recommended for Peyronie's patients if they cannot achieve erection at all (even with Viagra or Cialis) or if their curvature is so severe as to preclude intercourse at all. If buckling is an issue, you might be a surgical candidate.
-Skjald
John Alexamder,
I'm pretty much in agreement with skjald. Second surgeries aren't all the common, but they are necessary at times. If you erection quality/hinging is to the point of preventing penetration, then you would be a candidate for an implant. I only recommend surgery after all other channels are exhausted. But seeing that you already have had one surgery, then I'm assuming you are to that point already. Several guys on the forum are quite pleased with their implants.