After peonies surgery.

The final frontier. Deciding when, if and how.
Jato1229
Posts: 67
Joined: Wed Jan 29, 2020 12:24 pm

After peonies surgery.

Postby Jato1229 » Mon Jul 20, 2020 10:54 am

Hey guys on May 28, 2020 I had peonies surgery ( graft surgery) I am 8 weeks after surgery with 0 results. Went to see a different doctor he says try the RESTORE X traction devise ( which I ordered ) I believe the only thing that will fix my 90 degree curve will be a strong implant. Question is will the implant doctor want me to stretch a while before the surgery for added length? I lost almost 3in. Thanx in advance

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: After peonies surgery.

Postby Waynetho » Mon Jul 20, 2020 1:27 pm

My doctor said the only thing that has anywhere near 100% effectiveness on Peyronie's Disease curvature is an inflatable penile implant.

I believe most urologists seem to agree with the above statement. Even if you get good erections, if you have curvature that makes penetration difficult or impossible, you may be a good candidate for implantation. Do some consultations with implant surgeons for their opinion on your situation and what they can do for you.
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

TallMark
Posts: 12
Joined: Fri Nov 15, 2019 9:11 pm
Location: Lodi, CA
Contact:

Re: After peonies surgery.

Postby TallMark » Tue Jul 21, 2020 9:30 am

As my ED became worse to the point whereby pills became unreliable, my Nurse Practitioner girlfriend noticed my penis curvature was quickly moving leftward and intercourse was becoming more uncomfortable and difficult. Shortly afterward, she had accepted a promotion and moved to Cedars-Sinai in Southern California, and told me to have my urologist treat my Peyronie’s Disease before I had permanent damage. I did not heed her advice and after her departure, sex was not a priority. About two years later my curvature to the left was at 90 degrees and made my penis grossly curved so much it looked like an “L” when semi-erect and it was painful.
When I was seeing my urologist after an elevated PSA test, I showed him how badly my Peyronie’s Disease had progressed and he referred me to Dr Kadee Thompson at Sutter Urology in Sacramento. She explained that the only way to repair a curvature of greater than 20-25 degrees was with degloving and damaged tissue removal, modeling, and then the installation of an implant. She preferred the AMS 700 CX because it was the most rigid implant made and would maintain a straight penis as it healed post surgery.
She was exactly right and now that I’ve had the implant nine months, I’m glad I listened to her. I can have vaginal and anal intercourse with my new girlfriend as long as I desire and can usually reach orgasm twice. She advised me more than once the only way to properly repair advanced Peyronie’s Disease is via surgery whereby a stiff, rigid model of an implant is utilized. Unfortunately, the disease does rob you of length. Six years ago I was just a bit over 8” fully erect and now I’m less than 6”, but I’m grateful for her knowledge and surgical skill so I can enjoy sex again.
62, 90 degree (left) Peyronies, ED 5 years, AMS 700CX 16cm/1.5cm RTE’s, penoscrotal with modeling by Dr Kaydee Thompson, Sacto Sutter Urology 10/18/2019. Lost 2” from PD~doctor said I should recover some length and straighten as I heal over the next year.

Jato1229
Posts: 67
Joined: Wed Jan 29, 2020 12:24 pm

Re: After peonies surgery.

Postby Jato1229 » Tue Jul 21, 2020 10:14 am

So you went to Sacramento to have it done? Is there any curve at all now?

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: After peonies surgery.

Postby Waynetho » Tue Jul 21, 2020 10:19 am

Jato1229 wrote:Hey guys on May 28, 2020 I had peonies surgery ( graft surgery) I am 8 weeks after surgery with 0 results. Went to see a different doctor he says try the RESTORE X traction devise ( which I ordered ) I believe the only thing that will fix my 90 degree curve will be a strong implant. Question is will the implant doctor want me to stretch a while before the surgery for added length? I lost almost 3in. Thanx in advance


I am curious why the doctor performed a graft without doing an implant? That's like doing half of the procedure. I assume your graft surgery was by way of deglove (they cut the skin around the penis, behind the head and pull it back to the base). I've never heard of anyone removing plaque and grafting the damaged area without putting in an inflatable so it can be stretched out while healing...
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

Jato1229
Posts: 67
Joined: Wed Jan 29, 2020 12:24 pm

Re: After peonies surgery.

Postby Jato1229 » Wed Jul 22, 2020 11:29 am

Yes that was the surgery. I wasn’t ready for a implant and he told me the surgery was 85% Success rate. He lied. Now I guess I have no Choice but to get the surgery.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: After peonies surgery.

Postby Waynetho » Wed Jul 22, 2020 1:42 pm

Jato1229 wrote:Yes that was the surgery. I wasn’t ready for a implant and he told me the surgery was 85% Success rate. He lied. Now I guess I have no Choice but to get the surgery.


Usually they take the opportunity while degloved to do the corporotomies right there and run the reservoir up and the pump down from the same degloved access. Waiting for a later date to do the implant surgery requires either penoscrotal or infrapubic incision and it could have been avoided by doing it during the one surgery. One surgery for everything is a lower infection risk than two separate ones.
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

Jato1229
Posts: 67
Joined: Wed Jan 29, 2020 12:24 pm

Re: After peonies surgery.

Postby Jato1229 » Wed Jul 22, 2020 1:53 pm

I didn’t wanna use that surgeon for a implant. I should of just went with the implant FIRST. Since surgery it’s extremely hard to have a orgasm.

TallMark
Posts: 12
Joined: Fri Nov 15, 2019 9:11 pm
Location: Lodi, CA
Contact:

Re: After peonies surgery.

Postby TallMark » Thu Jul 23, 2020 7:28 pm

Jato,
Yes, I had the implant surgery done by Dr. Kadee Thompson at Sutter Sacramento in their surgery center located on Capitol Avenue. Dr. Thompson advised me that because of my advanced stage of Peyronie’s Disease, she would have to deglove my penis whereby she makes a full circumference incision just below the glans and pulls down the skin of the shaft. This exposes the plaque or collagen scarring that has restricted the expansion of an erection and pulls it to one side...in my case 90 degrees to the left. She then cuts out the restrictive scar tissue, breaks your penis to the opposite side (this is called modeling) and then installs the very stiff AMS 700 CX implant.
I had the surgery about nine months ago and I have healed completely straight, however the Peyronie’s Disease cost me a little over two inches in length. Because of her skill, I have every bit as much sensation as I ever have and I can engage in intercourse to the point whereby I make my partner sore!
I put off having the surgery because I had lost interest in sex. It was just too painful to achieve an erection and my penis looked like a fleshy “L” when it became even slightly erect. According to Dr. Thompson, the implant is an integral part of successful Peyronie’s Disease surgery.
62, 90 degree (left) Peyronies, ED 5 years, AMS 700CX 16cm/1.5cm RTE’s, penoscrotal with modeling by Dr Kaydee Thompson, Sacto Sutter Urology 10/18/2019. Lost 2” from PD~doctor said I should recover some length and straighten as I heal over the next year.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: After peonies surgery.

Postby Waynetho » Thu Jul 23, 2020 9:04 pm

TallMark wrote:Dr. Thompson advised me that because of my advanced stage of Peyronie’s Disease, she would have to deglove my penis whereby she makes a full circumference incision just below the glans and pulls down the skin of the shaft. This exposes the plaque or collagen scarring that has restricted the expansion of an erection and pulls it to one side...in my case 90 degrees to the left. She then cuts out the restrictive scar tissue, breaks your penis to the opposite side (this is called modeling) and then installs the very stiff AMS 700 CX implant.


TallMark, so between your excision and graft, and your implant installation your doctor did two separate incisions? One circumferential deglove for the graft and another penoscrotal to do the implant?

Did the entire implant go in through the penoscrotal incision or just the pump. I've seen video of a doctor accessing the corpora through the deglove to install the cylinders but if I'm not mistaken there was still a small incision in the scrotum (not the penoscrotal junction) where the doctor installed the pump.
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


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