Advice On What I Should Do Next.

Canbe

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I had peyronies surgery, it was successful, but 8 lost a few inches due to that, without the doctor telling me that would happen.

I have an appointment with a urologist soon, and I'm gonna ask him if he can perform one of the following surgeries to get the inches i lost back.

Sliding Elongation

Sliding elongation has been described to lengthen the penis after significant penile shortening secondary to correction of Peyronie’s disease and severe therapy resistant erectile dysfunction (54,55). Some surgical treatments of Peyronie’s disease involve a plication on the contralateral side to correct penile curvature, which can lead to penile shortening of 3 cm or more. Rolle et al.first described this technique in three patients and gained on average 3.2 cm of penile length (54). Recently, Egydio and Kuehhas performed the sliding technique on 143 patients with severe therapy resistant erectile dysfunction with penile shortening with or without Peyronie’s disease to restore penis length and girth (55). The penis is degloved and the neurovascular bundle is mobilized. The corpus spongiosum is separated from the tunica albuginea and longitudinal incisions are made at the 3 and 9 o’clock positions, along with an incision proximal-dorsal and distal-ventral. After subtunical dissection, traction is applied to slide the distal penis away from the proximal shaft to perform the lengthening, the limit of which is the length of the urethra and neurovascular bundles (55) (Figure 2). A prosthesis is then inserted into the tunical defects that are created by this technique. The authors report an average penile lengthening of 3.1 cm and a 54% resolution of penile curvature in those that had Peyronie’s disease pre-operatively (55). The same group previously described this method of lengthening the penis with similar tunica incisions and subsequent pericardial grafting of the resulting tunical defect after lengthening, but felt that the grafting was time consuming and unnecessary (56). Rolle et al. performed a prospective study of the sliding elongation technique in 28 patients with Peyronie’s disease, and had an average 3.2 cm penile lengthening with no curvature recurrence at an average follow-up of 37 months (57).


Flap reconstruction

Local, regional and free flap options exist to lengthen the penis. These have typically been described for penile lengthening if the penis is shortened due to epispadias and exstrophy, where a lack of soft tissue and dorsal skin or tethering of the penis to the pubic bone from fibrous bands (46). Kramer and Jackson describe the use of local rhomboid flaps, based laterally, for dorsal skin coverage combined with partial release of the corpora cavernosa from the pubic ramus in 10 patients. These local flaps are necessary due to the lack of dorsal coverage once the corpora are released from the penis and advanced through an inverted V-shaped incision (Figure 4). This technique is described for both congenital and acquired short penis. They state that most patients obtained a doubling in their penile length. Other local flap options are lateral superiorly based scrotal flaps that are rotated onto the dorsal penis (59). Dorsal Z and W-plasties may also be performed as local skin flaps, but may bring hair bearing skin onto the penis (36).

Penis disassembly

Perovic and Djordjevic describe a technique similar to sliding elongation, which they have used to treat short penises and congenital penile anomalies. Their procedure involves separating the penis into the glans cap with neurovascular bundle dorsally, the corpora cavernosa, and the urethra ventrally. Thus, the corpora are separated completely from the surrounding structures. A space is created between the glans cap and the tip of the corpora cavernosa, on which an autologous rib cartilage graft is placed, and then the penis is reassembled (58) (Figure 3). The cartilage is covered with the glans cap and the urethra and neurovascular bundles are sutured to the tunica. This technique was performed on 19 patients with a short penis with an average increased length of 2–3 cm and 3–4 cm in 13 and 6 patients, respectively (58). There was no evidence of cartilage extrusion, erectile dysfunction or urethral damage at a mean follow-up of 3.3 years

 

flooble

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Dude if that's a semi I highly doubt any competent surgeon is going to recommend highly invasive surgery. Even semi that is a perfectly normal size dick--above average in girth, even.

Only the first procedure is indicated for followup after correction of Peyronie's--the other two are for other problems, and again, I doubt a surgeon would recommend them for you. Going through possibly boner-killing surgery to gain an inch on an otherwise average length/above average girth dick is a pretty silly proposition if you think about it.
 
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I havet o agree with the others: your dick looks fine and is a good size.

Anything you do would be elective surgery, and will co$t you a fair amount of money, plus recovery time. Additionally, there is always the risk of nerve damage.

I would consult a therapist rather than a surgeon. It appears to be more a matter of body perception, and acceptance, rather than a need for corrective surgery.

(after checking your post history) Definitely seems to be a matter of accepting your body the way it is.

See, people who get it in their heads that something is wrong with their body usually aren't satisfied even after modification. Modification doesn't have to involve surgery, it just means changing your body in some way. Some people obsessively go to the gym, and no matter how transformative the physical change they will always see the ugly person in the mirror. Other people starve themselves to death, but believe they are fat until they die. Other people go the surgical route, but they still aren't satisfied even after they are healed.

The only real way to help to accept who and what you are, is to find a skilled therapist who can work on your self perceptions.
 

SmallDguy

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Dude if that's a semi I highly doubt any competent surgeon is going to recommend highly invasive surgery. Even semi that is a perfectly normal size dick--above average in girth, even.

Only the first procedure is indicated for followup after correction of Peyronie's--the other two are for other problems, and again, I doubt a surgeon would recommend them for you. Going through possibly boner-killing surgery to gain an inch on an otherwise average length/above average girth dick is a pretty silly proposition if you think about it.
What?!?! above average in girth?!?! that shit is huge! Man fml dude. I'm for sure getting cock surgery. Silicon implants. My ligs cut, the whole shebang. I'm so glad I saved up my money man. This confirms average is not average.