Excision & Grafting with Implant- Length

[Jim1961f]

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]

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.

[gandalfasfhaf]

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]

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.

[jwdetails]

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.