Thin Tunica and Pressure Atrophy over Time

The final frontier. Deciding when, if and how.
Gt1956
Posts: 2896
Joined: Fri Apr 05, 2019 2:47 pm

Re: Thin Tunica and Pressure Atrophy over Time

Postby Gt1956 » Sat Sep 23, 2023 12:56 pm

Ty
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: Thin Tunica and Pressure Atrophy over Time

Postby Hillywilly » Tue Jan 09, 2024 3:56 pm

RoninRiff wrote:
Gt1956 wrote:
RoninRiff wrote:I recently consulted with a highly-regarded, high-volume IPP specialist well-known to Franktalk and had an interesting discussion about an issue that does not seem to get much attention on this forum. There is a lot of focus on lifespan of the mechanical implant but not much attention paid to the patients’ soft tissue anatomy and how that may be affected by years of use. Apparently just having an implant filling the space in the cavernosa while flaccid can gradually cause pressure atrophy of the tunica. This effect can be mitigated by diligently fully deflating in between inflation cycles but, as it was explained to me, even with best practices, some tunica thinning is inevitable over time. And patients who naturally start off with thin or stretchy tunica can be particularly susceptible. The result of tunica atrophy is expansion of the penis and loss of firmness and stability of the implant erection. So, while there is a lifespan of the prosthesis, it appears there may also be a lifespan of the supportive soft tissues. My concern is that a worn out implant can be replaced with a new one…but not so with a worn out tunica. I’m wondering if any bionic brothers who have been implanted for several years or more have any experience with this to share? Has anyone experienced loss of implant rigidity and stability over time? Or gradual widening of the penis due to deterioration of the soft tissue?

Old post but I'll put my opinion out there. I don't see where the thinning of the tunica is much of an issue. The implant is only going to expand the tunica up to the design limits of its material. Actually there is a group of implanted men that would be thrilled if the tunica did stretch. Save the cost of dermal filler.
Btw, he mentions a well known doctor. But I didn't see him mention the name. That lack of transparency doesn't speak well for the truth of this drs words.


The doctor who discussed this with me was Dr. Eid.


Yes, Dr. Eid said this to me too. Bumping this topic because I wonder if any guys that have had an implant long term have noted a reduction in their tunical thickness (i.e. girth) over the years/decades?
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

Mark1974
Posts: 279
Joined: Wed Feb 15, 2023 5:16 pm

Re: Thin Tunica and Pressure Atrophy over Time

Postby Mark1974 » Tue Jan 09, 2024 6:15 pm

.....
I was born in 1974. I've had venous leak ED since early 30's, but managed with pde5 inhibitors until mid 40's. I have fairly severe hour-glassing, but no hard plaques. My urologist is worldwide acknowledged expert Dr. Laurence Levine

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: Thin Tunica and Pressure Atrophy over Time

Postby Hillywilly » Wed Jan 10, 2024 8:44 am

Mark1974 wrote:.....


My surgeon said it is inevitable but he gave me the impression it happens over a long period of time similar to aging. Wish some guys that have had their implant for a long time would weigh in.
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

Stayingstrong
Posts: 141
Joined: Fri Oct 02, 2020 7:57 am

Re: Thin Tunica and Pressure Atrophy over Time

Postby Stayingstrong » Wed Jan 10, 2024 9:55 am

The point of the matter is that it is tissue and tissue degrades and shrinks with age.
Beyond the aging process, the only thing we can do it what is best health for any body tissue. That being, regular, moderate stimulus coupled with general good nutrition, rest, and recovery, Same as one does to increase muscle, bone density, cardiopulmonary health, etc.
Age 70
Pills didn't work well. Trimix worked good for 3 years, then only fair for following 3 years but need a cock ring in conjunction.
Implant 12/6/2023 Dr. Eid
Coloplast Titan 20 cm with right side trimmed to 19 cm. No RTE. Classic pump.

ruwansilva25
Posts: 35
Joined: Sat Dec 02, 2023 2:28 pm

Re: Thin Tunica and Pressure Atrophy over Time

Postby ruwansilva25 » Wed Jan 10, 2024 12:19 pm

Wouldn’t going for the LGX solve the problem then since it supposed to retract lengthwise as well?
40 YO. Been on pills since late 20s. Pills now starting to not work. Might be vein leak. Dont want injections. Hoping to get checked out next month for implant.

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: Thin Tunica and Pressure Atrophy over Time

Postby Hillywilly » Wed Jan 10, 2024 3:12 pm

ruwansilva25 wrote:Wouldn’t going for the LGX solve the problem then since it supposed to retract lengthwise as well?


If that were the case I think Boston Scientific would be shouting from the rooftops. I believe it is more about recieving blood flow than the actual stretching itself. Obviously the more inflated you are the more difficult it will be to get blood in. Less blood, less oxygen, lower cell survival rate, etc.
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23


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