Fibrosis around neurovascular bundle - experiences?

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hope794
Posts: 278
Joined: Wed May 30, 2018 7:59 am

Fibrosis around neurovascular bundle - experiences?

Postby hope794 » Fri Oct 16, 2020 5:54 am

Hello guys! Once again i'm here looking for your experience and wisdom :D

Long story short, i would like to undergo a surgery that will probably use "grafting" technique to remove fibrosis caused by Peyronie's Disease.

Unfortunately, my fibrosis extends on the dorsal area of the shaft, where the neurovascular bundle lays. I suspect that my ED is caused by fibrosis attacking the neurovascular bundle in some points, so i would like to ask if someone here had a similiar situation (grafting the dorsal area of the penis, where the fibrosis "attacked" the neurovascular bundle) and how did the surgeon manage that situation.

I've seen many videos on youtube where top notch surgeons "isolate" the neurovascular bundle by pulling it a little bit far from the penis. What if some fibrosis is there and "traps" the bundle?

Finally, i would like to know from guys who underwent grafting procedures if they lost sensations with the grafting.

Thanks everyone!!!
26 yo from Italy.Peyronie's disease probably since 2015.Since then,penis bends of about 20-25°. PD keeps progressing. Moderate ED since 4 years and things getting worse.From pornstar-like to depressed, but still fighting for a solution.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Fibrosis around neurovascular bundle - experiences?

Postby Waynetho » Fri Oct 16, 2020 8:08 am

Well first of all, the NV bundle rides on top of the tunica albuginea, so fibrosis in the tunica shouldn't pose a problem for a skilled surgeon to isolate the bundle. There's always a risk in doing so however as that is the life of your glans being worked on. One wrong move and the head is for all practical purposes, useless. Still the the procedure is performed successfully, probably thousands of times per year. Is it possible to "trap" bundle under fibrosis? I don't know for sure but I'd be doubtful.
64yo, married 43 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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