TOPIC: Wound closure - the bad and then the GOOD!

Resto, looking good man. Vitamin C as you know will improve your immune system so keep taking it..

You have positive energy from all the members here, so you will be fine dude

Hey Restoration that is a super clean suture. I would consider yourself through the crisis! Just put the bacitracin on until it heals and then switch to scar treatment which you probably won't need. It looks like it will blend with your Circumcision line perfectly.

My dad believes he doctored his notes given how inconsistent they are...and the bizarre "obsession with biofilms" comments (among others).

My Urologist cut everything out and buried monocryl and put vertical mattress nylon - it's in another thread. The whole thing was a giant mess...so it just all had to go. There was PMMA fibrosis all mixed in with it too. so I lost 2 square inches of penile skin (the wound was 7mm open & then had a scar band around it from attempts to suture it). If he never used silver nitrate, though, it would've closed on its own, with a depressed scar (though the uro felt it wouldn't ever close). Either way, now I have a scar 1/2 way around my shaft and missing skin. Uro also wouldn't do PCR (this is in an academic hospital too), but he did a culture.

There was never really any pain at any point. It didn't smell or anything.

I think my uro did the "if in doubt, cut it out" approach... which was a little aggressive but it's all gone at least.

The Sutures look very good, but one side has 1" more skin than the other - so there's a bulge where the skin is tucked in...not sure what's going to happen with that as it heals. Others have said it should smooth out.

The internal Sutures are not as strong as original, but they are still VERY strong otherise you would see blood in the morning after nocturnal erections. The ridge is very normal and looks fine. It will gradually soften over the months and full sensation will return. You have nothing to worry about. I am sorry if I caused any distress with my previous post. My intention was to show that even if you had a much more serious issue like Basque, there are options available. Clearly though, my memory was a little foggy and my post did not convey that message. I am very confident this will be your last surgery and you will be happy with the result. Be patient, time is on your side, and we are here to support you !

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It looks brilliant. Personally I'd start wearing silicone gel sheets, but I scar badly, so am particularly cautious.

Please don't spend money on a phone consult with Gary Alter. No more Dr's opinions (other than your surgeons) for at least 3 months. And by then you wont need anyone's opinion.

Ugh. Shocking that those comments were coming from his own office! The person signed her name "DM"...idiot. She claims to be a "healthcare professional" but is an office manager.

www.linkedin.com/pub/dawn-myer-certified...l-manager/9a/818/582

Good news - My erection looks fairly decent (considering the stage I am at & what I went through). Obviously, it has a ways to go & might look totally different in 3 months. But, it is starting off well. The scar is certainly a raised roll of skin, but it will probably flatten. It's cut very precisely, though there's a small "dog ear" due to the skin needing to come out on the right but not the left. This will probably flatten, but Hoddle sent me an interesting youtube that shows it wouldn't be complicated to fix 3-6 months from now if it is still there. There is quite a bit of darkening / discoloration on the incision line...I wonder why that is appearing now, 10 days later. It didn't seem to be there earlier on.

Bad news - That jackass doctor who burned my balls off & basically led to me needing this surgery (because he used silver nitrate on the wound) has more fake reviews posted (after realself removed 2 already). This is seriously pissing me off. www.realself.com/find/Illinois/Northbroo...-Surgeon/Jacob-Bloom



From the start...to give some perspective. Sometimes I wonder if my penis even looks better than 2010. Yeah, it's bigger - but it looks like it has the same degree of aesthetic problems that I sent the last 5 years trying to fix.

just to clarify, the left pic is before any peyronies started in 2006. In 2010, the first symptom was this localized narrowing where the scar tissue developed. I have more pics of the upward curve in my journal. The narrowing ended up "traveling" down my whole shaft (it's easier to see in the journal but I just wanted to give a couple brief comparisons here). So, I ended up with 4" girth at my low point, though some returned naturally over the 3 years.



Then...




After Peyronie's surgery and 2 rounds with Dr. C vs 3 rounds with Dr C (plus excisions)... So, obviously round 3 was a huge mistake...

It curves to the right because of missing skin on the right side. Ignore the tape - it's from a small skin scraping he did.




Both pictures are after round 3. the nodule that was present immediately after the procedure persisted and became very hard and fibrotic, despite kenalog and 5fu (which may have helped slightly but not much). It was excised because it prevented the other excision from healing.

I'm wondering if at some point a small skin graft from your thigh maybe necessary to fill in the 2 Inch gap. To what success, i'm not sure, but a 2 Inch wide wound with significant depression is noticeable for you and any future partner. When you have a larger allowance, I would consult a plastic surgeon. Right now as its healing it may be the right time to consider a skin graft. I don't want you to feel that you are part of some sewing circle where random suggestions are being afforded to you, take a short walk if it doesn't provide too much discomfort and clear your mind and set a plan.

I was just curious if you had to have the peyronies surgery in 2006 ? I read that if it is less than 45 deg you can leave it alone.. ? The bend looks pretty small but it might be the camera angle.

Anyhow glad to see it is healing well from your latest surgery !

How long do the Sutures have to remain in? As soon as they are out I'd start using silicone gel sheets. They really do work. And as usual, I'd also use DMSO, but not until the wound it completely healed. I think you need to do everything you can to ensure the scar tissue is as soft and pliable as possible. We have a member called Bonehead, who had Necrosis and had to have a flap technique based surgery on his shaft, which obviously meant lots of Sutures and scarring. But the last time I spoke to him, he said it actually healed really well. I think the penis does tend to scar well. When you consider that most circ scars are totally flat and soft, it makes sense the rest of the shaft would heal equally as well.

It looks clean and well done. Good luck. I really think in time it will soften up and look fine.

MY incision from the best phaloplasty dr in the world, elist, took a couple of years to heal and soften up. Your will take a lot less so keep up your spirits...

Wow - RealSelf took a blowtorch to that string of messages lol. I do have screen shots of all of her comments - but I didn't take screen shots of the fake reviews. The IDFPR would have disciplined him for posting fake reviews...so I am upset that I missed the two of them. RealSelf would not provide me any "evidence" that fake reviews existed and were deleted (I asked) but they might provide it to the IDFPR.

Before this woman started this weirdo attack on me, I was getting over my whole interaction with him. Now that he's posting fake reviews and having staff members harass me online after the shit I've been through - he started a whole new problem.

I emailed him telling him I would appreciate it if he'd tell her to stop replying to me - and I went through his notes, calling out all his bullshit (his 5 psychiatric comments in the notes, yet NO information on the silver nitrate!).

Thanks - yeah i am glad it is improving.

I had an upward bend of 60 degrees -- you can see before and after pics in my journal (click the "part 1 below"). That was in 2010-2013 though

That left bend is due to the camera angle or something. I don't know why it looks like that. It was totally normal then. I had PD surgery in 2013. I didn't have PD in that pic. The narrowing / hinge effect started in 2010 when PD started. It was normal in 2006. Maybe that's not the best pic ,but it was hard to find old Dick pics.

Thanks guys! Stitches are coming out soon... and I guess vertical mattress Sutures are known to scar more, but whatever. It is what it is at this point.

Hoodle - that Foreskin tape was some serious oragami...lol. I have to take a closer look at that later on if I need it . I hope not ... I'll ask them what they think. I tried to set up a phone consult with Alter, but I'm still waiting. I just wanted his opinion, and it's not that expensive.

Thats ok Bigben, I read his story - and he had multiple infections and procedures that must have made all of the tissue non-viable by the end.

I'd say the main thing to learn fro this is not to try to access PMMA from in the shaft and if you DO - you MUST have the doc evert the skin edges when closing so it stays closed ("evert" means to fold the inside up to meet the other side). And no silk Sutures (which are never used anyway) since those don't hold and cause reactions. Simple Sutures run the risk of letting the PMMA tissue (which is apparently "all over the place" and seemed to piss off my Urologist who has been at this for 30+ years) prevent normal wound closure.