TOPIC: Dcpimpin's Tunica Lengthening surgery coming up with Dr. Robert Valenzuela

Wish you the best dc. I\'ll be following the thread for sure.

This would be a great topic for Miracle to chime in on. I am sure he would have some good insight on this.

Hey DC, so what are your current stats now, and what is the expected gains from this? Maybe you or someone can detail what this surgury entails.

How many surgeries is this for you?

And, good luck!!

can you describe what actually happens during the procedure? I couldn\'t find any info on this surgery from google search. and good luck

tom kat wrote: can you describe what actually happens during the procedure? I couldn\'t find any info on this surgery from google search. and good luck

After a google search of about 10 seconds of my day, I found this:
www.ncbi.nlm.nih.gov/pubmed/22429331 Sounds like a good place to start your reading on this procedure. The method described is pretty straight and to the point.

BTBassist wrote:

tom kat wrote: can you describe what actually happens during the procedure? I couldn\'t find any info on this surgery from google search. and good luck

After a google search of about 10 seconds of my day, I found this:
www.ncbi.nlm.nih.gov/pubmed/22429331 Sounds like a good place to start your reading on this procedure. The method described is pretty straight and to the point.

I read that page but didn\'t understand much of it, especially how it would work for someone without peryronies

what were some of the risks you were told about? he said you will get 7.5\'\', what are your current measurements? cheers

DC: I hope all went well for you.

Good luck today, DC

I wish you all the best with the surgery and reaching your goal. I\'ll be praying for you brother.

Good Luck.....We are all rooting for you.

Yeah, I guess I just meant from my own experience...the surgical explanation of plicaiton (putting in a few stitches to take out the curve - and the whole thing is 90 minutes) vs. the experience of it...was kinda different. Not being able to touch my penis for a month, and then still having post orgasm pain 8 months later...it was just more than I anticipated (though I had read many reports of men with pain at the plication nodes long after surgery - it\'s more annoying when it happens to you). I assume any procedure that degloves and involves manipulating the tunica is going to be similar. I wouldn\'t do it unless there was a deformity.

Miracle had grafting (though \"tunical lengthening\" isn\'t quite the same - it\'s grafting on both sides whereas normal grafting surgery is just done where the plaque is - which is on one side 90% of the time)... and he gained length over time. In his progress report, he describes it.

tom kat wrote: ^ thank you for that, yes it was mainly the terminology used. Your description made it a lot easyet to understand. It will be good to hear what dcpimping says what the doctor said about for non-peyronies men. cheers

Awesome, glad my explanation was helpful. I\'m studying in the medical field, so sometimes I forget that if you aren\'t familiar with the terminology, it really is a foreign language.

Restoration wrote: Also, this is a lot more invasive than it sounds.

My goodness, more invasive than it sounds? Resto, when I was reading about this procedure, my immediate thought was \"this is far too invasive for me to consider\". And based on your experience (which is much greater than my own), it\'s in fact more invasive than it sounds. I could never go through with this procedure, unless It was a matter of Peyronies disease, and it seemed the only option.Of course, I don\'t fault anyone else for having it, don\'t get me wrong. It\'s a decision we all have to make on our own.Thanks for sharing your opinion, and experience Resto.

^ thank you for that, yes it was mainly the terminology used. Your description made it a lot easyet to understand. It will be good to hear what dcpimping says what the doctor said about for non-peyronies men. cheers

They cut into the tunica albuginea (top and bottom) and place a graft in between the incisions that makes a longer tunica. The graft is presumably from the saphenous vein (used for coronary bypass) or another source like processed tissue (cow pericardium is one source I think). So, that\'s how it works in a nutshell. The risk of ED is very high with this approach, but he has an inflatable prosthesis so he doesn\'t have to worry about that. Also, you can\'t expand the spongy tissue below the tunica (what fills up with blood to get hard), so that is why you can\'t really make the penis that much longer than it already is just by expanding the tunica...but again, his spongy tissue was removed with the inflatable implant. I don\'t think you can get much length from this without peyronies or an implant. The article said 0.8\" was the avg with Peyronie\'s patients who had spongy tissue already in place (it was just being blocked by the scar tissue on the tunica above it)...and also the majority of those people received implants as well. Without expanding the spongy tissue, I doubt the penis can get any longer. There are a lot of caveats here.

Also, this is a lot more invasive than it sounds. I just had plications (permanent stitches) put in my tunica in december for peyronie\'s and I still have pain sometimes, particularly after orgasm. And that was the shortest, least risky surgery. There\'s no risk of ED from plication surgery. Minimal risk of sensation loss. With grafting (\"tunical lengthening\") there is a risk of both...and not a huge guarantee of regaining size - it really all depends on the situation. Conversely, there would probably be less chronic pain risk with tunical lengthening since no buried, permanent stitches are staying in place to counteract the curve.

I don\'t think this is for everyone... you really need to be a peyronie\'s patient without ED or have a penile implant already. Or, you\'ll just risk ED big time.

tom kat wrote:

BTBassist wrote:

tom kat wrote: can you describe what actually happens during the procedure? I couldn\'t find any info on this surgery from google search. and good luck

After a google search of about 10 seconds of my day, I found this:
www.ncbi.nlm.nih.gov/pubmed/22429331Sounds like a good place to start your reading on this procedure. The method described is pretty straight and to the point.

I read that page but didn\'t understand much of it, especially how it would work for someone without peryronies

what were some of the risks you were told about? he said you will get 7.5\'\', what are your current measurements? cheers

Oh, okay, now I have a better understanding of what it is you are asking. Is it the terminology used that makes it tough for you to understand?To put the abstract in the link above in more plain terms: ventro (or ventral), means abdomen or \"the front of the body\", dorsal means the back. Ventrodorsal means it involves both the front and the back of the body. So it sounds like the tunica is cut from the front and from the back (as to separate into two \"halves\" that are still connected at the ends: the \"root\" of the penis, and the glans area of the penis). This would be done after a \"de-gloving\" procedure, where the skin is pulled back from the coronal area, down to the base. A prosthetic is then inserted (I have no idea what the prosthetic is made of). To enclose the prosthetic, tissue grafts from pig intestines are grafted onto the front (ventral) and back (dorsal) sides of the tunica. This makes sense, because the implant has to have more total tissue to be covered.I\'m not sure of the particulars of how Dr. Valenzuela performs the procedure, but from the abstract, this seems to be the general idea of what they do with this procedure.It is also unclear to me how it works in those without peyronies, as I thought they would be removing scar tissue, and that was one more reason the porcine intestine tissue was being used (to replace the patients tissue that is being removed).Hopefully dcpimpin can chime in with some more details on that.