Recovery After Implant & Peyronie’s Surgery

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.
Implant2025
Posts: 139
Joined: Fri Dec 27, 2024 1:31 pm
Location: DC

Recovery After Implant & Peyronie’s Surgery

Postby Implant2025 » Fri Feb 14, 2025 5:02 pm

I had surgery to correct ED with an Inflatable Penile Prosthesis. Going into surgery I expected to come out with a penoscrotal incision. I also thought I had some congenital curvature but no big deal since it never interfered with sex.

When I woke up my surgeon informed me that I had severe Peyronie’s disease as well as ED. My curvature was 50 degrees up and 45 degrees left. He had to fix the curvature before he could put in the implant, using plication and modeling. I woke up with stitches extending all the way from my scrotum, up the ventral side of my penis to underneath the glans.

Has anyone here on FT had the same combo surgery? I’m wondering how long it will take before I’m healed enough to have sex again.
GM(73) ED for past 10 years. Before: 6.0"L, 5.5"G. After (30 days): 5.5"L, 5.25"G. AMS CX MS pump 18cm/17.5cm on 1/29/25 by Dr Clavell in Houston.

viewtopic.php?f=6&t=25902

ARIMIS
Posts: 1
Joined: Sat Sep 02, 2023 1:08 am

Re: Recovery After Implant & Peyronie’s Surgery

Postby ARIMIS » Thu Feb 20, 2025 8:09 am

Hello.

I am currently implanted with a Coloplast Titan implant with Classic pump (originally implanted September 2023) which failed on 2 February 2025.

I had severe Peyronies Disease with a near 90 degree curvature to the left at base of shaft which contributed to ED.

My original surgeon was able to use the scratch technique and modeling during surgery to disrupt the fibrotic plaque and correct the curvature of my penis to 10-15 degrees. The approach used the place the implant was the Infrapubic approach. (more on this later)

However, as I healed from the original surgery over the last year, the curvature gradually returned to the left to about 45 degrees and buckles the left cylinder at the base when inflated. Yes. I did cycling and modeling exercises during inflation the whole time until the device failed to no avail on correcting curvature.

Recently, the implant failed during use. I’m uncertain as to why it failed, but I suspect a piece of tubing is the culprit, or perhaps the left curvature which caused buckling at the base of penile shaft.

Furthermore, the tubing at the top base of my shaft as a result of the infrapubic approach was very bothersome for me and could be easily seen and felt. When implanted using this approach, a large bundle of tubing usually results due to having to be routed 180 degrees from top of penis shaft base down to the pump in scrotum.

Currently, I am scheduled to have a revision surgery done on 5 March 2025. The surgeon I chose for my revision specializes in treating severe Peyronies disease, and he uses the penal-scrotal approach and a ventral incision to access the tunica/with neuro-vascular bundle separation and lift as opposed to doing a circumcision incision to reduce the risk of vessel/nerve damage to the glans.

Once the tunica is exposed, the penis is artificially inflated in order to identify the fibrotic tissue. The plaque is then carefully marked with a surgical marker and then gentle relief incisions are performed to release the constricted tunica thus restoring length on the shortened side of the penile shaft as opposed to using the plication technique which shortens the longer side of the penis to the equal length of the shorter side thus correcting the curvature.

My surgeon advised me it would take approximately 6 weeks for everything to heal (including ventral incision) and normal sexual activity could resume one I was cleared to do so at that time.

I hope this reply helps.

Personally, I believe your surgeon did well by you to correct your curvatures during the procedure utilizing a ventral incision as opposed to a circumcision incision with could have resulted in loss of blood flow and sensitivity to your glans had things gone wrong. The ventral incision was the safer path otherwise.

Furthermore, the infrapubic approach did not suit my particular body’s anatomy. I’m very lean and the tubing was very visible, bulky, and uncomfortable at the top of the penile shaft. The penal-scrotal approach will be used to completely conceal the bulky painful tubing and better position my pump more discreetly within the scrotum

Good luck on your healing journey and I wish you a speedy recovery and successful outcome! 8-)


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