TOPIC: Alchemists girth surgery

hoddle10 wrote: Mr Ralph in Harley street has plenty of experiences with dermal matrix grafts. I really think a second opinion would be a good idea. As I said previously, in my opinion, this isn\'t a simple case of the healing process taking a while.

It\'s definitely a hole on the shaft. I\'ve seen them before from these surgeries. In fact 2 of our members here have posted photos. It\'s really not that rare unfortunately.

I don\'t understand why Dr Solomon said you didn\'t have Necrosis. That tissue is dead, has fallen off and isn\'t coming back. I\'m no Dr, but I really don\'t understand how he doesn\'t think it was necrotic! It turned black, fell off and left a hole!

The 5% chance of needing to return just doesn\'t add up to me. We\'ve got 5 Solomon patients here and you are the 3rd that has needed further surgery. If you look at our members that have had allografts of any sort, by any Dr, at least 40% have needed correction of some kind. Dr Alter is a brilliant Dr and he just doesn\'t do Girth surgeries anymore as he just doesn\'t want to have to try and deal with all the complications.

You are so right about women and breast implants.

Good luck and keep us posted.

He never commented on Necrosis, but he probably should have offered debridement and Revision sooner than he did. The pics show issues quite early on. In terms of blackening tissue on the shaft.

I\'m not happy with the amount of Foreskin left, it\'s not symmetrical and still covers the base of the glans so won\'t be ideal for hygiene. It doesn\'t look good.

Sorry I thought from reading your blog he\'d said you didn\'t have Necrosis.

The thing with debridment surgery is that it isn\'t particularly specialized and can probably be done under a local anesthetic. If it can be done under a local you wont have to pay the cost of an anaesthetist and therefore it would probably only cost around '2000-'2500 if done in London.

hoddle10 wrote: Sorry I thought from reading your blog he\'d said you didn\'t have Necrosis.

The thing with debridment surgery is that it isn\'t particularly specialized and can probably be done under a local anesthetic. If it can be done under a local you wont have to pay the cost of an anaesthetist and therefore it would probably only cost around '2000-'2500 if done in London.

On my blog I think I said I\'m glad I don\'t have any necrotic tissue (anymore). What\'s there is viable but needs Sutures and tidying up.

Dr Ralph said about '5k to sort it out. My trip to Philly will total about '2k. Half that is flight and accommodation , Dr S is covering his own time and meds. I can\'t afford more surgery after this, time off work would be a nightmare too.

I\'m sure the Necrosis wasn\'t helped by me quitting smoking two days before the op, that was stupid. I haven\'t started smoking again so I should do better this time. I\'ve also lost a little weight.

In the end I\'m sure there will be some scarring and I will need to stretch just to
maintain length. That\'s what Dr Ralph said. Not sure how much graft was damaged or lost since the first surgery. No point measuring anything at this point, too much swelling and missing skin.

Ask me in 6 months if it was worth $20k.

I know it\'s a lot of money, but I think you should consider paying the '5000. I don\'t really understand why it\'s costing that much, as I think Mr Ralph\'s fee is usually around '1500, then he charges for the anaesthetist and the hospital. I think you must have been quoted for surgery on Harley Street at the London Clinic, but he also operates in St Johns Wood and the cost is '1000 less.

The reason I think you should consider staying is London is because Mr Ralph doesn\'t have any reputation or ego invested in your penis. Basically he\'ll put your health first and do what he thinks is best for the the future of your penis, rather than worrying about keeping the graft. Dr Solomon has an incentive to try and save the graft. I\'m not saying Dr S will simply put your health second, but I doubt he\'ll be as objective about things as Mr Ralph. You also have the incentive of going with Dr S as he is offering to save the graft, which you want to keep. But is that the best thing at this juncture? Also and most importantly, what if things go wrong again? Surely there is going to be a wound over the graft for a week or two, so plenty of time for infection to get in. Surely you can\'t keep going back to the US. In a higher risk case like this I think you would be better off having surgery closer to home, just in case.

Sorry if my posts are causing you to feel confused about what to do and even more anxious. But when I first saw your photos I was very worried, but held back with my opinion, despite others telling me I should make it clear that I was very concerned. Maybe had I been a bit more alarmist you\'d be in a better position now. I can\'t tell you what to do and I\'m in no way qualified to either. Ultimately you have to do what you feel is right and what you feel most comfortable with. But don\'t let your determination to be bigger or come out of this experience with something positive, cloud your judgement. If you feel Dr S is genuinely the best option for a healthier outcome, then fly to Philly. But if you are doing it just try and save the graft so you can be bigger, I personally think you are taking too big of a risk.

It might be worth emailing your photos to Gary Alter and ask him what he thinks should be done. If there is one opinion I\'d trust above all others in the PE surgery industry it\'s his.

www.altermd.com/contact_us.htm

Dr R said '5k to sort out and said I could try keeping the graft but that it usually gets infected once it\'s been exposed. Dr S thinks I can keep the graft based on what he\'s seen. Both are working from photos.

Going back to Philly will be about '2k all inclusive.

I\'m going to let Dr S tidy things up. Despite my unfortunate outcome, I do trust him. He sounded genuinely focused on getting me healed on the phone.

Everything you\'ve said about these ops being a big risk I believe is correct based on my own experience.

Good luck and keep us updated. I think things will work out. We\'ve got two other members who had the same thing happen to them and they were able to keep their grafts. Personally I still send photos to Gary Alter, as I think his opinion in worth the most.

I just checked your blog. You haven\'t update is a while, so I hope things are better.

If you read this you really need to get that wound closed as infection will get in. I think you should go and see a London based Urologist.