TOPIC: bigwheels3535 - PMMA and Lengthening combo procedure

@acu
Dr Camacho uses no spacer.. (or so he told me) he uses one\'s same tissue as a spacer.. he said it is much more comfortable achieving the same results, let\'s wait for bw response!
@bw
What are pros and cons about each incision? VY and the one done to you?

EP- My erections are great- The angle was not affected at all. However there is still some discomfort at base when Erect- but getting better daily.

I chose the scrotum incision because the scar is almost invisible. I have heard the yv can give better initial length but I have also heard that one can achieve the same length with post op stretching it just might take a little longer. The YV incision leaves a very apparent scar.

Your question would be a great one to ask Dr. Camacho

I am post op 10 days in these pics and I still have my Sutures in and you can barely see anything.
As for the spacer - yes he does place a spacer- He uses ones own tissue. This is also what Dr Alter does.

Erection angle is mostly attributable to the internal pressure of the cavernous bodies (ie: EQ), ligament position and genetics. Some experience a slight decrease in angle; some (like bigwheels3535) experience no change. Instability of the Erect penis also rarely occurs with today\'s Ligamentolysis procedures. Dr. Gary Alter is an excellent surgeon. (IMHO) Everyone will gain a different amount post operative with dedication in traction being an extremely influential factor. Congratulations to you bigwheels! Please use common sense while stretching! Best wishes to you!

@bigwheels3535
I am curious as to what \"tissue\" is used as a spacer. This is because of the possibly revolutionary method used by Dr Abecassis who says he\'s never needed to have patients use stretchers after many hundreds of ligament cuts operated due to his using pieces of one\'s own \"elastic tissues\" such as those from which the testicles are suspended. This allows the spacer to absorb any tensions to retract, leaving the released length outside the body and not letting it get pulled back in.
I long hesitated to reveal this method here as it is a proprietary technique, but feel now that it is important that other doctors improve their methods. It should however be noted once and for all that this was designed by Dr Abecassis and for all intents and purposes he should be credited with its invention.
HC

Do you think it would make sense to have lengthening with Dr Abacassis then go for PMMA with Dr C.Its just living in Europe making the trip to Tijuana is a big deal.an is there anyone doing PMMA in Europe?Thanks for your help Guy\'s

@eastender
I was about to go for lengthening with Dr Abecassis and when I went in to make arrangements he sort of dissuaded me saying Girth is what matters, right? Also he does his procedure through pelvic incisions and although his are the most discrete scars I have seen yet thanks to a minimally invasive technique, I would opt to go with a scrotal incision. I spoke with him of this and he looked at me with starry eyes as if in horror and disbelief that one would go through there for this operation. So I doubt he would try it for whatever reason.
What would be nice is if other surgeons would adopt the Abecassis technique for spacers which he says absorbs any retraction thanks to the natural stretching of the suspensive tissues stitched into place to hold the penis to the pelvis. He reported no Erection angle issues with this technique. Personally I plan to opt for the scrotal incision which to my knowledge to date is only offered in Tijuana, Mexico or Kalingrad, Russia.
HC

@HC

Sounds like an intelligent doctor.

Many surgeons claim to have a special technique to prevent retraction etc, but all they are doing is using either our own tissue or a foreign body to fill the space after the ligs are cut. It really is that basic, yet each surgeon likes to make out as if they are doing something special. With or without a spacer lig cutting seems to produce decent Flaccid gains, but Ive never seen a Dr or patient post a BPEL before and after photo. Yet I\'ve seen hundreds from guys who haven\'t had surgery and just used manual PE exercises or worn a stretcher.

The scrotal technique as far as I know was pioneered about 15 years ago by Dr Whitehead in NY. I don\'t know why, but no other Dr\'s in the US adopted it, until Dr Kinght last year and I believe even Dr Whitehead reverted back to the old incision technique. There has to be a reason for this and perhaps why Dr Abecassis had a look of horror on his face when HC mentioned it. The technique is no secret, yet other Dr\'s don\'t do it. This has to be cause for concern.

@hoddle10

Most good physicians know that Ligamentolysis is highly unlikely to offer the kind of results the patient anticipates. You never see a post operative photo of gained Erect length due to the fact that it takes months of dedicated traction to gain Erect length. Flaccid length is evident immediately post op. Even with traction, results are generally lackluster with the average Erect gain of .25\" - 1.0\". Some will gain zero length even with traction. Traction by mechanical means is safer by far than manual PE (I\'m not going to cover this topic again). In either case, supervision by a qualified and experienced Urologist is recommended by Miracle7 in order to obtain optimum results and reduce the likelihood of self inflicted injury by over stretching the neurovascular bundle or dorsal nerve which can lead to permanent erectile dysfunction.

@bigwheels

I\'m curious - what stretching regimen did they say you should follow? How many hours per day and days per week - and for how many months? I\'m curious if it is different than the standard ADS regimens without surgery. I\'m interested in this surgery, but not sure I can hack 9 hrs/day 7 days/week for six months...

Best of luck!

miracle7 wrote: @hoddle10

Most good physicians know that Ligamentolysis is highly unlikely to offer the kind of results the patient anticipates. You never see a post operative photo of gained Erect length due to the fact that it takes months of dedicated traction to gain Erect length. Flaccid length is evident immediately post op. Even with traction, results are generally lackluster with the average Erect gain of .25\" - 1.0\". Some will gain zero length even with traction. Traction by mechanical means is safer by far than manual PE (I\'m not going to cover this topic again). In either case, supervision by a qualified and experienced Urologist is recommended by Miracle7 in order to obtain optimum results and reduce the likelihood of self inflicted injury by over stretching the neurovascular bundle or dorsal nerve which can lead to permanent erectile dysfunction.

I\'ve not come across a single Urologist that does anything other than recommend post op wearing of a traction device. None as far as I know offer medical supervision, not even Gary Alter (who is the only US based surgeon I\'ve come across that does, as you say warn results are unlikley to satisfy) . If you take the UGRS guys, for example, they make the same point as you, that one shouldn\'t do these things on your own, but rather under their supervision and with a medical standard device. Then once you\'ve paid them the money they give you a Jes Extender (yes the dreaded noose!) and tell you to follow the instructions. The Sava Perovic team do the exact same thing, only with the Andro Extender. I think Giunta does the same, but with a different type of extender. Gary Alter used to recommend Hanging weights and then told a friend of mine all he really needs to do is wear an extender for 12 hours per day. On a British TV docunetary Dr Reed was seen advising a patient to wear the Grip, but again he just followed the instructions provided. Most surgeons seem to recommend 6 months of post op stretching, which is again in line with what is recommended by the manufacturors for those who haven\'t had surgery.

The point I\'m really trying to make, is that there is no evidence that lig cutting aids Erect length gains, yet I\'ve only come across a couple of PE surgeons who acknowledge this. I\'ve seen numerous photo\'s of before and after BPEL gains via extenders etc, but never seen anyone post them following surgery, to show that the lig cutting gives an advantage. If a guy is after Flaccid gains, then fine, but surely we need to see some evidence that there is a benefit for Erect gains before people pay thousands of dollars. A guy can spend years Jelqing, pumping and Clamping and will be lucky to see any permanent Girth gains. Yet we have so much photographic evidence that a guy can spend an hour with Dr C and make huge Girth gains. But where length is concerned, it seems the same level of dedication is needed post op, to get similar gains to those who haven\'t had the surgery.

Before the lig surgery I hung weights for 3 months and I didnt get any results. I am going to use the same regimen and I will keep you posted as to the results. Then we will know if the Lig cut works in helping Erect gains with post op stretching.

@bigwheels3535

Best of luck sir! Be careful!

@hoddle10

A followup appointment should be made with a Urologist if one is using a medical extender (jes/x4/fastsize/etc.) You can gain Erect length but it is rare and a minuscule amount in the majority of cases. That\'s why the \"success\" rate is so low. Anyone who reads my posts knows that I\'m against manual PE and Ligamentolysis. I wouldn\'t recommend the procedure to my enemy. There are some people that are desperate and some are just plain stubborn and will believe that the quarter Inch they gained is due to \"new cell formation.\" It\'s a bunch of hooey.

I\'ve met Professor Dr. Sava Perovic personally before he passed away from cancer. He was one of the best Urologist/andrologists of our time and one of only two I considered for my peyronie\'s corrective surgery. All of my PE knowledge comes from the best tending physicians in the world. While in Serbia, I asked Dr. Perovic a ton of questions. While in Brazil, I asked Dr. Paulo Henrique Egydio a ton of questions. I asked Dr. Tom Lue a ton of questions. Manual PE is flat out dangerous. Ligamentolysis is futile in some cases, harmful in others and moderately successful in a few. Heck, I read a post where one guy was using Andractim (DHT) gel on his penis in a frail attempt to make it grow (it won\'t). To counteract his alopecia (balding), he was taking Propecia. Propecia inhibits the DHT systematically! Men will do REALLY dumb sh*t to make their penis larger and some will flat out break their penis. I\'m good friends with several urologists and they\'ve even seen men have to go to the ER.

Bigwheels3535.. any news or pictures?
Hope your healing is going well =)

Thanks buddy!

Hoover- Healing is going great. Swelling on penis is all gone. Some minor swelling still remains at base do to Lig cut. I took out stitches today and it looks great. I am going to wait a week or 2 for some collegen to grow and then post some new pics. I am scheduling my 2nd procedure around Sept 10th