fade3W wrote:Waynetho wrote:Fibrosis is scar tissue, living fibrous tissue. Plaque is what happens when that damaged area becomes hardened and calcified when the body starts to replace the scarred tissue with a boney type material that's primarily calcium. I'm not sure of the mechanism that determines whether damaged tunica becomes a fibrous scar or a calcified plaque but I had the soreness and pulling for months before the soreness went away and then months or years more before I noticed a flat 0.8" diameter plate of plaque in the place that previously was sore.
Thank you for that explanation. I’ve had Peyronies for about a year (very rapid onset, current curve arrived in ~5 days) and I’m going for an ultrasound next week to get a better look at it. The bump has not changed in size though it does become inflamed occasionally, not larger, just more pronounced.
Is it easier to implant with fibrosis or plaque?
Clavell seems to have an impressive technique when it comes to Peyronies. Looks very effective but quite invasive!
I don't think it's easier or more difficult depending on plaque or fibrosis. I think what's important is to what extent the damage and curvature as far as difficulty or extent of surgical correction. If there's an extreme curve (I won't quote degrees), the doctor may choose to excise (not incise) and graft, or may model after inflating implant. The doctor may also choose to plicate the long side if the bend is extreme enough (this will cause the penis to be shorter as a result). One true sign of a good surgeon is when they don't use a "cookie cutter" approach on ALL patients and do the same exact procedure every time. Each patient is different, has different issues, different anatomy and the extremity of their issues will vary. Each patient should get a surgery tailored to their specific issues and anatomy.
If the doctor feels it is necessary to plicate the long side to straighten a curve, depending on its location it may be necessary to do a circumcision (not the procedure that the Jewish call "bris" but a circumferential incision around the penis) and deglove to expose the penis without the skin, to complete the repairs. If the surgeon decides that the patient's curve needs to be corrected by cutting out the damaged fibrosis or plaque and inserting a graft, they will almost certainly deglove the penis. Degloving may be done by cutting over the old circumcision scar (usually a darker ring of skin on a circumcised penis) so the resulting scar is hidden, but some surgeons may deglove from the base or right behind the glans.
For many examples I've seen here and from various surgical videos on YouTube, the surgeon chooses not to use the invasive deglove, excision and grafting procedure, instead choosing to simply install the implant and then model the inflated penis while the patient is on the table and sedated. I see this procedure as somewhat a brute force method to release the damaged area - breaking the plaque free from the tunica to allow the penis to inflate without curving. Despite this brute force approach, I feel it is far less invasive and for many men it works very well at correcting curve as well as some hourglass deformities. The inflated cylinders also help too. My surgeon did not excise and graft my penis. He just inflated it and then bent the shit out of it to break loose the plaque and I ended up as straight as I was before PD set in, as a result.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0
