Excision & Grafting with Implant- Length

This is for the guys who experience an onset of curving or bending of their penis. PD is a frustrating condition which often creates significant emotional and mental distress. It overlaps several other sexual function conditions.
Jim1961f
Posts: 7
Joined: Wed Aug 30, 2023 10:03 pm

Excision & Grafting with Implant- Length

Postby Jim1961f » Fri Sep 08, 2023 8:11 pm

Hey all!

I posted this in the Implant section, but will post it here as well..

I’m scheduled for E&G and an Implant next month. Due to Peyronie’s, I have about a 70’ bend. I have definitely lost some length, which Dr Karpman wasn’t very optimistic about getting it back with the implant. I didn’t think about it at the time, so I’ll ask you…

If the plaque is removed and grafted (with cadaver tissue) why can’t lost length be recaptured? It would seem to me that replacing hard plaque with soft tissue would allow for renewed length.

Any info would be appreciated and helpful.

Jim

jwdetails
Posts: 70
Joined: Thu Oct 12, 2023 4:43 pm

Re: Excision & Grafting with Implant- Length

Postby jwdetails » Fri Mar 01, 2024 5:34 pm

Hi, great question. I originally would have chosen to get a plaque incision/excision with my original implant however wasn't offered or the knowledge about it. Ultimately, things got smaller even with the implant until I was able to gain some length with the second procedure.

With the plaque excision with implant, my most recent surgeon made it seem that you likely will never get back the original length you had before the peyronie's and ed started - but you can get pretty close. He was really aggressive about cycling, using a vacuum device both before and after surgery. Outside of the expertise of the surgeon in these types of cases, I think your own investment in optimizing the result is very improvement.
62 year old with 37 year old wife, ED+PD got Coloplast Titan 22 cm no RTE in 2019 with Dr. Irwin Goldstein => pump failure, now revised with plaque excision/tunical expansion to Coloplast Titan 26 no RTE in 2022 by Dr. Darshan Patel. :D

gandalfasfhaf
Posts: 53
Joined: Fri Jun 16, 2023 10:04 pm

Re: Excision & Grafting with Implant- Length

Postby gandalfasfhaf » Thu Jul 18, 2024 7:54 pm

Did you end up getting grafting/excision with implant to improve length?

I've lost about 2 inches from really bad peyronies, looking to regain as much as possible before an implant

wolfpacker
Posts: 1122
Joined: Thu Dec 12, 2013 10:16 pm

Re: Excision & Grafting with Implant- Length

Postby wolfpacker » Thu Jul 18, 2024 8:03 pm

The penis shrinks over time if it's not regularly extending fully through erections (nocturnal and otherwise). If you had such a constructing placque, presumably it didn't allow your penis to ever extend to its full size during the time you had it, causing overall shrinkage.
Early 30s with ED for years from penis enlargement stretching and jelqing. Implant by Dr Eid on 24 June 2021 with a Titan 24cm with +1cm RTE on one side and -1cm cut off on the other side

My journal: viewtopic.php?t=17202

jwdetails
Posts: 70
Joined: Thu Oct 12, 2023 4:43 pm

Re: Excision & Grafting with Implant- Length

Postby jwdetails » Tue Sep 03, 2024 12:37 pm

gandalfasfhaf wrote:Did you end up getting grafting/excision with implant to improve length?

I've lost about 2 inches from really bad peyronies, looking to regain as much as possible before an implant


Yes - I wasn't made any promises but doctor did a very good examination and even MRI prior to surgery to assess how "restricting" the plaque itself was. He made it very clear on multiple instances that long-standing ED with Peyronies can lead to length loss that you can never get back. At the time of the surgery, removed the hard plaque which was restricting and then placed implant with my new length. It made it more tricky since I aiready had an implant but overall was happy with the improved result which ended up about f 1" length gain after aggressive cycling and vacuum after my prior implant.
62 year old with 37 year old wife, ED+PD got Coloplast Titan 22 cm no RTE in 2019 with Dr. Irwin Goldstein => pump failure, now revised with plaque excision/tunical expansion to Coloplast Titan 26 no RTE in 2022 by Dr. Darshan Patel. :D


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