---
title: "Dcpimpin's Tunica Lengthening surgery coming up with Dr. Robert Valenzuela - PhalloBoards - Phalloboards"
description: "Ok after months of doing my research and talking to different doctors for example Dr David Ralph, Dr Paulo Egydio and DR SALVATORE... - Page 2"
url: "https://j4.phalloboards.info/forum/general-phalloplasty-discussion-archive/7031364-dcpimpins-tunica-lengthening-surgery-coming-up-with-dr-robert-valenzuela.html?start=15"
date: "2026-08-06T23:17:30+00:00"
language: "en-GB"
---

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

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

   11 years 11 months ago [\#1283880043](#1283880043)

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 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.

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

   11 years 11 months ago [\#1284096875](#1284096875)

- **[BTBassist](https://j4.phalloboards.info/forum/user/2988059-btbassist.html "View BTBassist's Profile")**
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 DC has logged in recently, so at least we know he is okay (I was actually gettin a little worried about him, before I checked visit history). He may have just not had the time on his hands to write a full update yet. Hopefully it went well and we will hear back from him soon.

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

   11 years 11 months ago [\#1283880044](#1283880044)

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 ^ 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

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

   11 years 11 months ago [\#1283904113](#1283904113)

- **[UncleJJ](https://j4.phalloboards.info/forum/user/1735937-unclejj.html "View UncleJJ's Profile")**
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 Good Luck.....We are all rooting for you.

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

   11 years 11 months ago [\#1283940733](#1283940733)

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

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

   11 years 11 months ago [\#1284136347](#1284136347)

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 I hope everything went well DC, See you soon

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

   11 years 11 months ago [\#1283887009](#1283887009)

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> 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.

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

   11 years 11 months ago [\#1283877286](#1283877286)

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 Good luck!!

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

   11 years 11 months ago [\#1284150694](#1284150694)

- **[UncleJJ](https://j4.phalloboards.info/forum/user/1735937-unclejj.html "View UncleJJ's Profile")**
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 DC: Hope all is going well for you. Much luck.

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

   11 years 11 months ago [\#1285470386](#1285470386)

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 Hi DC

Thanks for sharing your experience.

Did you not have the new lengthening procedure shown here? [ www.ncbi.nlm.nih.gov/pubmed/22429331](http://www.ncbi.nlm.nih.gov/pubmed/22429331)

Image: [ www.valenzuelaurology.com/uploads/2/3/3/...7140/2111247.png?201](http://www.valenzuelaurology.com/uploads/2/3/3/0/23307140/2111247.png?201)

This technique looks totally revolutionary and awesome... it seems geared towards gaining length and its difficult to see how it couldn't create at least some new length because the body of the penis is literally being pulled apart!

Is this the technique your surgeon wanted to do next time but you declined? Did your existing implant prevent the surgeon from performing this lengthening procedure during your last surgery?

Thanks!

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

   11 years 11 months ago [\#1284158134](#1284158134)

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 DC hope it went well bro

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

   11 years 11 months ago [\#1283879881](#1283879881)

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> 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](http://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.

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

   11 years 11 months ago [\#1283879381](#1283879381)

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> 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](http://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.

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

   11 years 11 months ago [\#1283986653](#1283986653)

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 DC: I hope all went well for you.

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

   11 years 11 months ago [\#1284134118](#1284134118)

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 Hope you're doing ok DC

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