Peyronie’s
disease surgery is considered if a patient meets four criteria:
1. Severity. The most important factor when Peyronie's surgery is
considered. Only when Peyronie's
disease seriously
limits sexual function with severe and constant
erectile dysfunction is it worth the risks and rewards – and
expense – of Peyronie's surgery.
2. Time and opportunity. At least 12-18 months from the start of Peyronie's
disease
should have lapsed for healing and repair to occur.
3. Non-response to therapy. During the 12-18 months wait a man can use
a variety of drug and natural Peyronie's treatment options to assist healing.
4. Stability. Surgical outcomes are best for men whose condition
has not improved or worsened for a while.
Peyronie’s surgery overview
Usually, Peyronie’s surgery is performed on an
outpatient basis under general anesthesia, and can last up to
two and a half hours. A second doctor, a plastic surgeon, may
be needed when specialized grafting techniques are used.
Peyronie's surgery is a major event to a very
sensitive part of the body with a large nerve supply, so do
not expect an easy walk in the park.
Peyronie’s
disease surgery risks
Martin K. Gelbard, MD, world-renown Peyronie's disease expert
states, “Unfortunately,
surgery does
not offer a cure for Peyronie’s disease. The scarring in men
with deformity severe and persistent enough to warrant an
operation represents an irreversible loss of connective tissue
elasticity. Though surgical restoration of sexual function can
be both effective and reliable, potential candidates need to
understand the compromise inherent in this approach.”
Compromise means that after surgery some degree of the old
problem and limitation usually remains, and new problems (more
scarring, reduced sensation or numbness, new bends, more
pain) will
occur in spite of the best effort of the Peyronie’s disease
surgeon.
Every surgical procedure has risk; none are totally safe or
foolproof. If you recall only one thing from this
article, please keep in mind this: Peyronie’s disease surgery does not restore the
penis to its former condition. Some surgery shortens the
penis more than others. Some are more effective in
straightening curvature. Every surgery carries the risk of
less than perfect straightening. Excess scar formation can
occur from the surgery. Lastly, surgical side-effects are
possible resulting in loss of rigidity (hardness) or inability to
maintain an erection (impotence), due to permanent surgical
alteration of blood flow in the penis, pain greater than
before surgery, as well as permanent loss of sensation that
makes sexual pleasure a thing of the past.
I frequently
communicate with me who rue the day they had their
Peyronie's disease surgery. Be very careful before you
take this step.
Want to
actually do
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Peyronie’s
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Alternative
Medicine Treatment,
Practical Solutions &
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___________________________
T. R. Herazy, DC, LAc, Dipl Ac
The book you have been looking for:
•
Variability of the scar is your key to successful
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• Dealing with personal issues with your wife and
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Vital information
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Author of Optimal Wellness: Where
Mainstream and Alternative Meet
Nesbit Plication This
technique or one of several variations involves gathering or
pinching (plicating) tissue on the side of the penis opposite
the plaque, to cause a bending force that straightens the
curve. See, Anatomy of the
Penis. Good candidates for this procedure are those
with ample penile length, and simple curvature without
associated deformity (bottle-neck, hinge or hour-glass
effects). This procedure reduces the length of the penis
(1-2”), but it is not as likely to result in erectile
dysfunction as other procedures such as tissue grafting; for
this reason it has the highest patient satisfaction rating.
Success rates of 50-60% have been reported with this
technique. It is used when the bend is moderate with no loss
of penile girth, and to correct congenital curvature.
Tissue Grafting This
technique is the most popular removal of a Peyronie’s plaque
(excision). Recently, grafts have been used to expand the scar
(incision). Excision results are disappointing with 20-70%
success rates, and 16-70% erectile dysfunction from damage to
the erectile nerves. Incision results have not yet been
studied very long, although there are reports of prolonged
loss of penile sensation in approximately 10% of men. Grafting
is best suited for severe curves and reduced penile girth.
Before you even think about taking the extreme step of penis
surgery, PLEASE try a safer, more gentle, non-invasive method that
has been shown to reduce PD curvature in 80% of cases when performed
as instructed.
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Prosthesis Implant Small
bio-compatible plastic cylinders, either solid or inflatable,
are surgically inserted in the penis to make it firm. Once
rather popular, implants are used less frequently since the
introduction of erectile drugs (Viagra, Cialis), although they
remain an option when drugs do not work.
Even with many
recent improvements in Peyronie's surgery techniques, the ideal
surgical procedure has not been discovered or perfected. This
is especially true in cases of particularly severe and complex
penile curvature surgery. Recent studies of various current
surgical approaches have raised concern about the long term
benefits of Peyronie's surgery in relation to the risks involved.
Peyronies disease surgery is only one option of treatment. We
recommend it cautiously because, unfortunately, it can’t fix
everything about PD and can sometimes take a bad situation and
make it worse. For these reasons, it makes good sense that
Peyronie’s surgery should be used only as an absolute
last resort after a very prolonged course of conservative
therapy is applied in an aggressive manner. For information
about non-surgical treatment, Peyronie’s disease
treatment.
Last updated,
10-13-09
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