Peyronies Society Forums

Peyronies Disease TREATMENT Discussion Boards => Surgery for Peyronie's Disease => Topic started by: Alex83 on March 22, 2021, 11:21:21 AM

Title: Which surgery is best pour my situation?
Post by: Alex83 on March 22, 2021, 11:21:21 AM
I post regularly these days and read a lot on this forum, and I have come to understand that each case is different and results in a particular surgery.


I had a modified Nesbit 1 year and 3 months ago with permanent stitches for a 60 degree downward and 20 degree leftward CONGENITAL curvature.

I still have a residual curvature of 30 degrees down and 20 degrees to the left.

I have no erectile dysfunction, the stitches are noticeable and do not bother me, I feel them sometimes painful during 2 consecutive intercourse.
I lost 2 cm during my modified Nesbit and I recovered 1.5 cm thanks to the traction.


I have described my situation.I have been proposed for the moment a modified nesbit (my first surgeon), a yachia with absorbable suture (another French surgeon) and a classic plication (Gelman, but it looks like a nesbit with absorbable suture)


What do you think about it ?Is a graft possible ? I really don't want to take the risk of having erectile dysfunctions and losing a lot of cm in length.
Title: Re: Which surgery is best pour my situation?
Post by: Tortão Pra Direita on March 22, 2021, 11:48:03 AM
Do you have narrowing, loss of girth or do your Peyronie keep advancing?
If no (or if you have just a little of that), I think grafting surgery is your best choice.
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on March 22, 2021, 05:21:06 PM
Quote from: Tortão Pra Direita on March 22, 2021, 11:48:03 AM
Do you have narrowing, loss of girth or do your Peyronie keep advancing?
If no (or if you have just a little of that), I think grafting surgery is your best choice.

I do not have peyronie but a congenital curvature, grafting is still the
Best option for you?
Title: Re: Which surgery is best pour my situation?
Post by: Tortão Pra Direita on March 22, 2021, 06:23:57 PM
hum
I've seen STAGE technique being performed for congenital curvatures. There's a guy here on the forum that had this procedure.
I think grafting is a good option too.
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on March 23, 2021, 05:20:29 AM
Quote from: Tortão Pra Direita on March 22, 2021, 06:23:57 PM
hum
I've seen STAGE technique being performed for congenital curvatures. There's a guy here on the forum that had this procedure.
I think grafting is a good option too.

I'm not really considering STAGE with kuehhas, I saw a post from a guy listing all the guys on the forum who had STAGE with Kuehhas :

https://www.peyroniesforum.net/index.php/topic,13556.msg125020.html#msg125020

STAGE is a good option for a first surgery, not a revision surgery.
I also contacted Egydio but he doesn't answer me and I think he still doesn't treat young patients, moreover I doubt a lot about his 6000 surgeries in 20 years of career that he claims to have performed, I find it impossible.

Grafting is an option but I have read guys on the forum opted for an implant after a grafting....
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on March 23, 2021, 06:31:17 PM
Any other guys have an opinion for me?
Title: Re: Which surgery is best pour my situation?
Post by: SCH06 on March 24, 2021, 11:43:08 AM
I am almost in the same situation as you and I am interested to see what others will say
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on March 30, 2021, 04:00:02 PM
I was also wondering if I should opt for a surgery with permanent sutures that are stronger than those used in the first surgery
Or opt for a surgery with absorbable sutures

Because during the first surgery the curvature was present directly after the surgery, it seems that none of the stitches broke because I never had strong pain, I do not know what happened ....

I am very careful about the technique and the material that will be used during my next surgery

Thanks guys!!
Title: Re: Which surgery is best pour my situation?
Post by: Hawk on March 30, 2021, 05:38:38 PM
How old are you?  Its not in your signature line.
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on March 31, 2021, 12:49:45 PM
I am 24 years old, I have no erectile dysfunction except that I have less sexual intercourse than before my first surgery because I am disgusted with the result
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on April 06, 2021, 04:44:13 PM
Guys

I also specify that I have difficulty ejaculating in a standing position contrary to before my surgery, but does this correspond to an erectile dysfunction?
Title: Re: Which surgery is best pour my situation?
Post by: Jack1909 on April 07, 2021, 12:49:16 PM
Obsession is taking over you Alex, you should give your penis and your mind a beak..
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on April 07, 2021, 04:25:32 PM
Quote from: Jack1909 on April 07, 2021, 12:49:16 PM
Obsession is taking over you Alex, you should give your penis and your mind a beak..

I was addicted to the forum but I stopped because I read a lot on this forum and it was not necessarily good.

I've taken the liberty of posting this because this problem of erectile dysfunction standing up  is annoying to me and I remember someone talking about it.

I don't really understand why my questions are so badly perceived when I'm trying to avoid having a second bad experience with surgery.

And what I've learned on this forum is that you shouldn't take the first thing you read as true, I experienced this with a guy here who claimed to be fine after surgery with Gelman when I investigated and learned that he was lying...

I know that my case is not as serious as some here but it is still important because if I make the right choices, I can avoid any future complications and moreover I will be delighted that my posts are useful to other guys

Title: Re: Which surgery is best pour my situation?
Post by: Benjamin62 on April 07, 2021, 04:40:27 PM
If coming to the states is a possibility...
I think you should reach out to Dr. Brian Christine.
He did my Plication with a synthetic graft for hourglassing.
He is at the top of his game and very empathetic.
I'm sure you could set up a telemedicine visit with him.
And thereby getting an expert opinion rather then from us... a bunch of amateurs...
Title: Re: Which surgery is best pour my situation?
Post by: Alex83 on April 07, 2021, 04:59:20 PM
Thank you for your answer!
But as you can see my case is totally different from yours, I don't have an hourglass, and I don't think I'll need a transplant either, and moreover this will be my second surgery.

Thank you for your answer!