Implant and grafting for peyronies

The final frontier. Deciding when, if and how.
Bbob52
Posts: 37
Joined: Sun Nov 04, 2018 6:28 pm

Implant and grafting for peyronies

Postby Bbob52 » Mon Nov 30, 2020 6:00 pm

Has anyone with peyronies had the plaque removed and grafts placed while being implanted?
Were you still able to get an erection around the cylinders? Was there a lot of pain?
35 year old. Implanted by Dr. Hakky 4/29/19. Coloplast Titan 22 cm, no RTE, genesis pump

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

Re: Implant and grafting for peyronies

Postby hope794 » Mon Nov 30, 2020 6:13 pm

Great question Bob!!! Following this post..

ANOTHER QUESTION: DOES the glans engorge if you get grafted? (Obviously im talking to the ones which had glans engorgement before the surgery)
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: Implant and grafting for peyronies

Postby Waynetho » Mon Nov 30, 2020 6:52 pm

hope794 wrote:Great question Bob!!! Following this post..

ANOTHER QUESTION: DOES the glans engorge if you get grafted? (Obviously im talking to the ones which had glans engorgement before the surgery)

Hope794, to answer your question, yes - the glans should engorge after graft surgery as long as the doctor is skilled with mobilizing the NV bundle (neurovascular bundle) at the top of the penis. This supplies the nerves and blood-flow to the glans of the penis. To a degree, the spongiosum underneath the penis also supplies blood to the glans since they are both part of the same structure - an erectile body called the spongiosum, within which the urethra is located.

As long as no damage to the NV bundle occurs when it's mobilized for grafting, there should be little to no sensation loss or loss of blood-flow as a result. In my layman's opinion though, there might be some degree of additional recovery for sensitivity, over and above what the average implantee endures but that's only my theory and I'm not a doctor.
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

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

Re: Implant and grafting for peyronies

Postby hope794 » Mon Nov 30, 2020 8:09 pm

Waynetho wrote:
hope794 wrote:Great question Bob!!! Following this post..

ANOTHER QUESTION: DOES the glans engorge if you get grafted? (Obviously im talking to the ones which had glans engorgement before the surgery)

Hope794, to answer your question, yes - the glans should engorge after graft surgery as long as the doctor is skilled with mobilizing the NV bundle (neurovascular bundle) at the top of the penis. This supplies the nerves and blood-flow to the glans of the penis. To a degree, the spongiosum underneath the penis also supplies blood to the glans since they are both part of the same structure - an erectile body called the spongiosum, within which the urethra is located.

As long as no damage to the NV bundle occurs when it's mobilized for grafting, there should be little to no sensation loss or loss of blood-flow as a result. In my layman's opinion though, there might be some degree of additional recovery for sensitivity, over and above what the average implantee endures but that's only my theory and I'm not a doctor.


I really hope so, Wayne! How do you know it? If i can ask. Thanks!
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: Implant and grafting for peyronies

Postby Waynetho » Mon Nov 30, 2020 8:16 pm

hope794 wrote:
Waynetho wrote:Hope794, to answer your question, yes - the glans should engorge after graft surgery as long as the doctor is skilled with mobilizing the NV bundle (neurovascular bundle) at the top of the penis. This supplies the nerves and blood-flow to the glans of the penis. To a degree, the spongiosum underneath the penis also supplies blood to the glans since they are both part of the same structure - an erectile body called the spongiosum, within which the urethra is located.

As long as no damage to the NV bundle occurs when it's mobilized for grafting, there should be little to no sensation loss or loss of blood-flow as a result. In my layman's opinion though, there might be some degree of additional recovery for sensitivity, over and above what the average implantee endures but that's only my theory and I'm not a doctor.


I really hope so, Wayne! How do you know it? If i can ask. Thanks!

Because as my urologist calls me (not as a compliment), "Doctor Google" because I read everything I can with what interests me (in this case IPP) and use a lot of deductive reasoning. None of what I state here should EVER be construed as medical advice. This is just one layman's understanding of the mechanics of anatomy and the equipment.
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

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

Re: Implant and grafting for peyronies

Postby hope794 » Mon Nov 30, 2020 8:20 pm

Waynetho wrote:
hope794 wrote:
Waynetho wrote:Hope794, to answer your question, yes - the glans should engorge after graft surgery as long as the doctor is skilled with mobilizing the NV bundle (neurovascular bundle) at the top of the penis. This supplies the nerves and blood-flow to the glans of the penis. To a degree, the spongiosum underneath the penis also supplies blood to the glans since they are both part of the same structure - an erectile body called the spongiosum, within which the urethra is located.

As long as no damage to the NV bundle occurs when it's mobilized for grafting, there should be little to no sensation loss or loss of blood-flow as a result. In my layman's opinion though, there might be some degree of additional recovery for sensitivity, over and above what the average implantee endures but that's only my theory and I'm not a doctor.


I really hope so, Wayne! How do you know it? If i can ask. Thanks!

Because as my urologist calls me (not as a compliment), "Doctor Google" because I read everything I can with what interests me (in this case IPP) and use a lot of deductive reasoning. None of what I state here should EVER be construed as medical advice. This is just one layman's understanding of the mechanics of anatomy and the equipment.



Well.. I hope you're right, Doc! Ehehehe. The post i've just made is also dedicated to you.. Thanks.
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.


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