Tortão's journal - TEP technique + Titan 3 piece implant

[Tortão]

Hi! Tortão here, 28yo from Brazil. My Peyronie started in August 2019. I don’t know the reason, I haven’t injured my penis. AFAIK, no one in my family has Peyronie or Dupuytren.
In 2019, a 45º curvature to the right and some torsion developed pretty quickly. The pain stopped after 1 entire year. The progression of Peyronie, actually, never stopped. It slowed down after the second or third month but didn’t stop. Every 1 or 2 months a new surprise comes.
My curvature went to 80º to the right and then started to straighten after doing some traction. But traction didn’t help at all. Actually, I think it created more plaques (this time, at the left side of my shaft). These plaques straightened my penis to something like 30º~45º to the right (this is my current curvature).

Of course, after the development of a lot of plaques, my penis lost size. Pre-Peyronie, my girth was 13.5cm and my length was 15 cm (Note: 15cm but not bone pressed. I never measured it bone pressed before Peyronie, but comparing the way I used to measure and bone pressed measurement, bone pressed adds 0.5 to 1 cm. So I think my penis had between 15.5 cm to 16 cm bone pressed. I’m going to use just bone-pressed measurements from now on). Today, my bone-pressed penis has 13.5 cm. The girth below my glans is 10.5 cm. At the base, my girth is 13.5 cm.

In February I had a video consult with Dr. Marco Tulio Cavalcanti. He has a Youtube channel in Portuguese: https://www.youtube.com/c/DrMarcoT%C3%BAlioCavalcanti
I forgot to tell him to put english subtitles in the videos. He has a lot of good information and from his videos I could see he is a very knowledgeable doctor.
25th march was my in-person appointment. He injected some substance into my penis in order to obtain an erection for a doppler exam. SHIT, THIS INJECTION HURTS SO MUCH!! I can’t believe men inject this shit in their penis. He told me that usually, men don’t feel this level of pain. He probably does this injection every day and knows how to do it. When his assistant injected a substance to let my penis down, it hurt a lot too. I think probably they didn’t make a mistake, probably they hit a plaque (it’s everywhere) or my penis is sensitive to this kind of shit. What I can say is: if I just had ED, and PDEi’s drugs stopped working, I’d never inject anything in my penis. I’d rather choose never penetrating again if injections or nothing were my only choices.

Today, I don’t have ED. Maybe a very mild ED, cause below my glans my penis doesn’t have much rigidity. But when I have an erection, my penis can stay erect for a long time. I really think my situation will get worse if I do nothing to stop this disease, maybe I get more loss of rigidity, or ED start to develop… who knows.

Ok, so he analyzed my penis and the treatment is what we had agreed in February, in our first appointment: Tunica Expansion Procedure (TEP) for size recovery and a Titan 3 piece inflatable implant.
This way I can:
- Recover my size;
- Straight my penis;
- Gain axial rigidity;
- Never worry about Peyronie again.

TEP was created by Paulo Egydio. Here is the publication:
https://www.jsm.jsexmed.org/article/S1743-6095(20)30646-9/abstract
(please, use Sci-hub if you want to read the entire paper)

Tomorrow (27/march/2021) is my surgery. I’m taking an anti-biotic named Zinnat (Cefuroxime axetil) and I will keep taking it for 14 days. Today and tomorrow morning before surgery I’m gonna take a bath using Chlorhexidine. It’s an anti-septic.


Summary:
- 30~45º curvature to the right;
- Loss of axial rigidity (buckling);
- Loss of size (length and girth);
- Plaques on both sides;
- Peyronie keeps advancing;
- No ED.

Size pre-peyronie:
Length: 15.5 cm
Girth: 13.5 cm

Size today:
Length: 13.5 cm
Girth: it depends. At the base is 13.5 cm. Below the glans, it’s 10.5 cm.

The estimation he gave me is: recovery of the girth (Titan really helps here) and 2 cm of length. He said he tries to put the biggest implant is possible. I like this idea. Dr. Eid does this too.

I’m gonna post pics, but not today.
Tomorrow (day of the surgery, 27/March) probably I’m not gonna respond here. Maybe I’ll just stay on the bed for a few days without turning on my notebook.
I pretend to post pics from before Peyronie, during Peyronie, and after surgery. I understand that size can take months to be recovered, so I need patience. I also ask you for patience if you want to see my results.

[shrunken_dick]

I was hoping that you would ask your doctor about urethra mobilization.

Best wishes for the surgery.

[MeloxDD]

Good luck Man!

[ontheroad]

All the best Tortao! Happy for you that you are on the way to a solution!

Keep us updated!

[Tortão]

First of all, thank you guys so much.

My surgery went well, I woke up at 14h (5 hours after receiving my anesthesia). A bit groggy, but feeling ok. Feeling good. No pain at all, but feeling nothing down there lol

I received a Titan Touch 20cm + 1.5cm rte.
Subcoronal approach. (Edit 25/april/2021. I corrected this information.)

At 20:00 I had a small dinner. No pain.
The pain started around 22:00.

Day 2 -28/march
3:00 am I had to ask for Tramadol.

The implant is 90% insufflated, more or less. I will be kept this way for 10 days, then I have an appointment where the doctor will teach me how to cycle. Tomorrow my curative will be renewed and the drain that sucks blood from I don't know where will be removed.
My shaft is numb. It's normal since the procedure requires the manipulation of the neurovascular bundle. I'm feeling ok in the glans, but I haven't touched it that much to be sure.
My catheter was removed at 8:00 am.
I feel the rear of the implant being pressed up against a muscle if I move my penis down. This is painful. Cowgirl position with the woman's back against you would be a no-no if this discomfort is part of the implant. (Like this https://i.imgur.com/Gydeq78.jpg).

Starting from today, I need to pull down my pump 10x/day, more or less. I pulled it once with the help of the assistant doctor. It's was a bit painful. I pulled one more time here, in my Airbnb, and I was more gentle this time.
Before the surgery, I thought I had no more room in my sack for the pump. My balls are kind of big. Maybe I was right. The pump is not totally behind the balls, it's just a bit behind and separating them. I'm not liking the way it is now, but I think it can get better, right?

When I stand up, my penis points to 2 o'clock, but I'm not using anything to fix it in this position. Should I? The doctor told me to rest my penis in the position I find most comfortable. When I lay down it moves more towards my belly.

I was hoping that you would ask your doctor about urethra mobilization.

Best wishes for the surgery.

I didn't forget you, my friend. I even cited you to the assistant doctor: "Hey, a guy from India asked me to ask Marco if the urethra gets dissected during the procedure" then the doctor looked at me astonished and said "From India???" Then I "Yes, he's a forum member and has lost some size due to Peyronie. He's interested in the procedure".
The doctor told me that NO, that my urethra didn't get dissected and this movement is not needed in TEP.

[Waynetho]

I was hoping that you would ask your doctor about urethra mobilization.

Best wishes for the surgery.

I didn't forget you, my friend. I even cited you to the assistant doctor: "Hey, a guy from India asked me to ask Marco if the urethra gets dissected during the procedure" then the doctor looked at me astonished and said "From India???" Then I "Yes, he's a forum member and has lost some size due to Peyronie. He's interested in the procedure".
The doctor told me that NO, that my urethra didn't get dissected and this movement is not needed in TEP.

Makes sense. The urethra should stretch with no ill effect. The nerves in the NV bundle can be seriously injured and lose some functionality if they are stretched beyond their limits.

[shrunken_dick]

@Tortao ; Thank you, my friend. Now I know that there exists safe surgery for restoring lost dimension.

[Tortão]

Hey, guys. How are you doing? I hope everyone is ok.
Counting surgery day as day 1, today is day 4. It's Tuesday evening right now.

Yesterday my bandage was removed and another was placed by the doc in his clinic. The catheter that sucks blood from the ballsack got removed. Today my ballsack is more swollen, maybe because of the blood. I don't know. The pump is better placed behind my balls, but I can touch and feel the tubings between them. Does this get better? The doc recommended and I'm using a "scrotal suspender", but I think it's BS. Anyway, I'm following all the instructions. He knows best than me.

What hurts most is the stitches below my glans. Damn it's like my skin is being torn. Yesterday, after the new bandage was put in, the pain was worse. Today is better. I made another bandage today (on my own) and almost fainted in the bathroom. I did this while standing up (big mistake). My glans are kind of fine, but my shaft is purple and numb. It was expected.

Tomorrow I'm gonna clean the toilet seat using bleach, clean my hands with chlorhexidine, sit in the toilet seat and then make another bandage. I'm very afraid of possible infections. I watched some Dr. Eid videos and listened carefully to the infection symptoms he describes.
Oh, I haven't made number 2 since Friday. I started a laxative this morning, but I'm feeling no desire to go to the bathroom.


Something I want to tell you, guys... and I want to be very honest: be skeptical. It's good, it's healthy. Wait for my results before trying this procedure. It promises a lot, but does it deliver?
I made this procedure to restore my sexual function. I could just do an implant placement (I think). But the best implant doctor I could afford (which is Dr. Marco) recommended me this procedure. My tunica had to receive incisions anyway. My narrowing was bad.
But TODAY (or even before surgery day) if you ask me this: hey Tortão, if you could choose between making TEP with Marco or putting just an implant (without any promise of length gain) with Dr. Eid, who would you choose? I'd for sure choose Dr. Eid. Not that Marco isn't a good doctor. He seemingly is, but I couldn't find any review of any Brazilian implant doctor on the internet. Here, 90% of the implants are semi-rigid and most done by random surgeons. Dr. Eid, on the other hand, is very very well known. I basically took this leap of faith.

2.0 cm length gain was promised, but I see this as a plus. I think if I get my girth back and my pleasure returns to normal, then I'll be happy (my penis is already straight and can't bend to Peyronie anymore, so 2 objectives are completed). Of course, getting no length back would make us question the procedure and its size promises.

Oh there's something more... DAMN, I got a bit circumcised. I really used to like my foreskin. While having an erection it would always pull naturally back. Flaccid, it used to protect my glans.
After fully healed, I need to encounter ways to grow it back.

[MeloxDD]

Tortao...Thanks for sharing. Please to be patient...TEP or grafting procedures required longer time to heal....

[hope794]

Sorry Tortao, but why are you saying "be skeptical"? I mean, you didn't even see the final result and you already complain? Sorry, but i see no sense in this.
Please note that i dont wanna sound aggressive, i just don't grasp your statement. I hope you will be fine really soon, you deserve it. Thank you really much for creating this post and keep us updated bro.