The sad part about any battle or war, is sometimes Victory is not an option. The treatment program that I have developed, has a much better chance of being successful if it is started in the acute stages of Peyronie's disease. The plaque becomes more solid as the disease progresses and at some point becomes stable. I would still try these methods, before submitting to surgery, but the sad truth is, sometimes it is too late. If this is the case, then you should discuss surgical alternatives with your doctor. In my case, my Urologist was ready to perform a Nesbit procedure in three months time, since conventional treatment had failed. I am certainly happy that I did not submit to that process.
The most common surgical procedures are:
Nesbit procedure, which involves one or more wedge excisions on the opposite, healthy side of the penis, to straighten it. The disadvantage of this procedure is a shortening of the penis.
|Nesbit Plication Procedure|
Extracorporeal shockwave therapy
Studies in the UK and Germany have shown that extracorporeal (outside the body) shockwaves directed at Peyronie's plaques can reduce penile deformity in established, stable disease. This technique has been used to smash kidney and gallstones for many years, and might avoid the need for surgery in established Peyronie's disease. Treatment is given over several sessions on an outpatient basis. This technique is still under investigation and is not yet widely available.
Plaque Excision Surgery, is a procedure, where the plaque is removed from the erectile tissue and a graft of foreign tissue is used to fill in the resulting gap. Graft material can be fat, transplanted from your own body, or specially treated animal or cadaver tissue. This operation has a higher rate of complication. When the plaque is very large and erectile function is lost, another option is implantation of a hydraulic penis implant, to regain function.
There are two you tube videos' that discuss and show plaque removal surgery. The second one is very graphic and was difficult for me to watch. I have provided the videos' below:
Surgis biodesign patch is a graft material made from animal tissue. Alloderm and Tutoplast grafts are made from cadaver tissue. All living cells are purged, which removes the risk of rejection, infection and disease transmission. The graft is now a matrix material to fill in the gap left by excision of the plaque. The patients' blood infuses the graft and makes the tissue his own. The graft tissue will feel stiff for a couple of months while it is becoming part of the penis. After a couple of months it will feel more normal and pliable.
Dr. Riemenschneider discusses the nature of Peyronie's disease and the surgical procedures involved.
Dr. Sudha Krishnamurti narrates a Peyronie's surgery involving placque removal.
(Caution this is very graphic)
Listen to Surgeons talk about Peyronie's disease; It is very enlightening to realize that you are not alone. All of the Urologists have one thing in common. Every one of them stated that Peyronie's disease is much more common than previously thought. From 8.9 to 10% of men are affected by this afflication. The link below opens a page with video from five different Urologic Surgeons;
Surgery on the penis is something most men would rather not think much about. I have included links to a couple of surgeons' websites. These sites include descriptions of the different procedures as well as before and after photos, along with letters from satisfied patients.
Patient Release/Consent Form: This is a patient consent form that gives a great description of the procedure and graft material. It also describes the risks involved in this type of surgery.