Group of questions from someone weighing implant decision

[Old Guy]

Chiming in on this I have to say for months after my implant my penis head was not as sensitive. It took me a long time to orgasm, and never had that issue before. I wasn't a two strokes and done guy either. Now after a year+ has passed I sometimes wake up feeling like my head is engorged like I have morning wood. For sex it gets fuller, not a rock like my 30 year old dick, but the head definitely grows some. My sensation seems back to normal pre-implant days as well. Depending on how long it's been between sex I can get off quick or go a long time. If it's our usual weekly Friday night romp and I haven't masturbated all week I can get off in 5-10 minutes. If it's been less than 4 days for sex or masturbation it might take me 30 minutes to get off. Occasionally after fucking the wife in 3-4 positions for 25-30 minutes and she starts to get sore it ends up as a masturbation session to get me off.
I will add that even at my age (70) I still love to get my rocks off. I have different toys to masturbate with between sex with the wife. She is aware I have them and use them.

[WillyWonka22]

Hey guys, I’m 38 years old and have posted here a couple of times. I have PSSD from stopping an antidepressant too suddenly and have had it for two years with no improvement. This means my sensation is not normal, and I have severe ED because it is hard for me to translate arousal to an erection. With that being said you can imagine that pde5s don’t work well for me. They seemed to work the first year although unreliably, and now they don’t hardly work at all unless I take well over the maximum dose. I also have flaccid shrinkage like where my blood doesn’t flow there like it should? All these problems arose at the same time. Anyways, I’m about to start trying injections but I’ve already been told it can cause scarring and larger issues so I’m not far off getting the ball rolling on an implant. I’m hoping some of you guys can weigh in on these topics and put my mind at ease:

What is the deal about no glands engorgement? I’m not even sure I understand what people are referring to. The head doesn’t get hard? In pics I’ve seen on here people look completely hard? Wouldn’t it just flop around otherwise? Is this common?

I know it’s been worn out but how likely am I to lose significant size(more than 1/2”)? I’m only between 5 3/4” - 6” Depending on how you measure so don’t want to lose a lot.

I’ve read a lot of people mentioning almost a “third ball” with the pump in there. Is it that big and noticeable? I always envisioned something pretty tucked away and smaller. I get you could feel it in there but how visually noticeable is it?

How are people traveling? Are many people having issues with airport security?

Does insurance generally cover the majority of the cost if you have tried other options first and doctor gives a referral?

Hi Mark
I 100% agree with Quincy response.
Finding a good surgeon is the key.
I was implant on 03-11-2021, My surgeon used a infrapubic approach. It means a smaller incision to make for a more minimally invasive surgical procedure. Two of the obvious advantages to the infrapubic approach are the ability to implant the reservoir more rapidly and under direct vision through the same incision and the avoidance of an extra incision on the scrotum, removing one obstacle to rehabilitation. I started cycling at the second week post_op to the max, 30 minus twice a day and 1 hour twice a day at third week everyday.
I have already my pre-op size and I have a feeling that it will increases through the year.
I had sex on day 16 post-op. It was the best sex in my entire life.
For the Glans engorgement, I use Cialis for increasing he flow of blood to the glande making it warmer and hard.
I believe 100% in the VED therapy it worked for me and for most guys here. Also I am planning to incorporate it to my daily cycling routine after 6 week, when all the tissues are healed completely.
Please take note from Quincy response and start your research from there.
Please feel free to PM me with any questions.
Please keeps us update with your progress, we are here to help each other.
Good luck
Hector
I live in Arizona my surgeon is Dr Shawn Blick great surgeon. He has a good Video in YouTube

Hey Hector, was searching the forum and I’m glad I came across your post. I have the same device, implanted on April 15th and also live in your state.

Had a couple questions for you...

1 - did you notice an overall size difference, change quickly considering you cycled to the max early instead of waiting like many others have said?

2 - I am currently around 15% body fat, was implanted with a 24cm+1 AMS 700 CX and I know it’s been just shy of two weeks, but I’m somewhat concerned. From what I understand, the size difference between max and walk around inflation isn’t as significant as a natural erection. Is my concern, feeling like I’ve lost significant size, valid or could I possibly gain back 2” at max pump over time with cycling? Even if it takes a year or more...

I’m hoping someone will say “oh don’t even worry, it will be back to pre-op size in no time!” But I’m just not sure...

[newbie443]

I will 2nd Quincy's post and add a bit. ED dose cause size loss over time. VED therapy can slow this down greatly or delay this though. Look for the studies for this in the General Section of this forum under the Documents worth reading section. Penile exercise and preventing size loss pre surgery. And the "Coffin Effect" for the relation of size loss pre vs post op with early vs. late activation. As for travel there was a thread 3 or so years ago on this board and it seemed to indicate that larger implanted men did have problems with airport security. Not sure if that is still the case as most have up graded to new scanners now. Good luck.

[hectorm64]

Hey guys, I’m 38 years old and have posted here a couple of times. I have PSSD from stopping an antidepressant too suddenly and have had it for two years with no improvement. This means my sensation is not normal, and I have severe ED because it is hard for me to translate arousal to an erection. With that being said you can imagine that pde5s don’t work well for me. They seemed to work the first year although unreliably, and now they don’t hardly work at all unless I take well over the maximum dose. I also have flaccid shrinkage like where my blood doesn’t flow there like it should? All these problems arose at the same time. Anyways, I’m about to start trying injections but I’ve already been told it can cause scarring and larger issues so I’m not far off getting the ball rolling on an implant. I’m hoping some of you guys can weigh in on these topics and put my mind at ease:

What is the deal about no glands engorgement? I’m not even sure I understand what people are referring to. The head doesn’t get hard? In pics I’ve seen on here people look completely hard? Wouldn’t it just flop around otherwise? Is this common?

I know it’s been worn out but how likely am I to lose significant size(more than 1/2”)? I’m only between 5 3/4” - 6” Depending on how you measure so don’t want to lose a lot.

I’ve read a lot of people mentioning almost a “third ball” with the pump in there. Is it that big and noticeable? I always envisioned something pretty tucked away and smaller. I get you could feel it in there but how visually noticeable is it?

How are people traveling? Are many people having issues with airport security?

Does insurance generally cover the majority of the cost if you have tried other options first and doctor gives a referral?

Hi Mark
I 100% agree with Quincy response.
Finding a good surgeon is the key.
I was implant on 03-11-2021, My surgeon used a infrapubic approach. It means a smaller incision to make for a more minimally invasive surgical procedure. Two of the obvious advantages to the infrapubic approach are the ability to implant the reservoir more rapidly and under direct vision through the same incision and the avoidance of an extra incision on the scrotum, removing one obstacle to rehabilitation. I started cycling at the second week post_op to the max, 30 minus twice a day and 1 hour twice a day at third week everyday.
I have already my pre-op size and I have a feeling that it will increases through the year.
I had sex on day 16 post-op. It was the best sex in my entire life.
For the Glans engorgement, I use Cialis for increasing he flow of blood to the glande making it warmer and hard.
I believe 100% in the VED therapy it worked for me and for most guys here. Also I am planning to incorporate it to my daily cycling routine after 6 week, when all the tissues are healed completely.
Please take note from Quincy response and start your research from there.
Please feel free to PM me with any questions.
Please keeps us update with your progress, we are here to help each other.
Good luck
Hector
I live in Arizona my surgeon is Dr Shawn Blick great surgeon. He has a good Video in YouTube

Hey Hector, was searching the forum and I’m glad I came across your post. I have the same device, implanted on April 15th and also live in your state.

Had a couple questions for you...

1 - did you notice an overall size difference, change quickly considering you cycled to the max early instead of waiting like many others have said?

2 - I am currently around 15% body fat, was implanted with a 24cm+1 AMS 700 CX and I know it’s been just shy of two weeks, but I’m somewhat concerned. From what I understand, the size difference between max and walk around inflation isn’t as significant as a natural erection. Is my concern, feeling like I’ve lost significant size, valid or could I possibly gain back 2” at max pump over time with cycling? Even if it takes a year or more...

I’m hoping someone will say “oh don’t even worry, it will be back to pre-op size in no time!” But I’m just not sure...

Hi Willy,
I hope you are recovering well.
As you know I started cycling at the second week and on the third week, I started cycling one hour in the morning and one hour at night, after my 6 week I am cycling 2 hours in the morning and 2 hours at night with 15 minutes using the VED. I already have my pre-op length 6" I believe it could grow 1/2" more in the future I am working on my Girth used to be 61/2" and right now I am 6" I am very happy with the result. Dr Blick told me mine was a perfect implant. I am glad, I am single, I am having the best sex in my entire life. I got complements all the time and for the first time I am making girls have several orgasms. They don't even notice that I have a bionic.
I live in Phoenix, if you want to meet to talk or phone call Please PM me. I will be happy to share my experience with you and anybody interested on it.
Talk to you soon.
Hector

[Markc2008]

So I am married and my wife is fully in the loop on everything but I think I could see her concern of not getting a normal arousal response to her. How do you guys that are dating approach sex to where women don’t even know? The reason I ask is I want my wife to have the most normal experience when I do this if that makes sense.
Hi Mark
I 100% agree with Quincy response.
Finding a good surgeon is the key.
I was implant on 03-11-2021, My surgeon used a infrapubic approach. It means a smaller incision to make for a more minimally invasive surgical procedure. Two of the obvious advantages to the infrapubic approach are the ability to implant the reservoir more rapidly and under direct vision through the same incision and the avoidance of an extra incision on the scrotum, removing one obstacle to rehabilitation. I started cycling at the second week post_op to the max, 30 minus twice a day and 1 hour twice a day at third week everyday.
I have already my pre-op size and I have a feeling that it will increases through the year.
I had sex on day 16 post-op. It was the best sex in my entire life.
For the Glans engorgement, I use Cialis for increasing he flow of blood to the glande making it warmer and hard.
I believe 100% in the VED therapy it worked for me and for most guys here. Also I am planning to incorporate it to my daily cycling routine after 6 week, when all the tissues are healed completely.
Please take note from Quincy response and start your research from there.
Please feel free to PM me with any questions.
Please keeps us update with your progress, we are here to help each other.
Good luck
Hector
I live in Arizona my surgeon is Dr Shawn Blick great surgeon. He has a good Video in YouTube

Hey Hector, was searching the forum and I’m glad I came across your post. I have the same device, implanted on April 15th and also live in your state.

Had a couple questions for you...

1 - did you notice an overall size difference, change quickly considering you cycled to the max early instead of waiting like many others have said?

2 - I am currently around 15% body fat, was implanted with a 24cm+1 AMS 700 CX and I know it’s been just shy of two weeks, but I’m somewhat concerned. From what I understand, the size difference between max and walk around inflation isn’t as significant as a natural erection. Is my concern, feeling like I’ve lost significant size, valid or could I possibly gain back 2” at max pump over time with cycling? Even if it takes a year or more...

I’m hoping someone will say “oh don’t even worry, it will be back to pre-op size in no time!” But I’m just not sure...

Hi Willy,
I hope you are recovering well.
As you know I started cycling at the second week and on the third week, I started cycling one hour in the morning and one hour at night, after my 6 week I am cycling 2 hours in the morning and 2 hours at night with 15 minutes using the VED. I already have my pre-op length 6" I believe it could grow 1/2" more in the future I am working on my Girth used to be 61/2" and right now I am 6" I am very happy with the result. Dr Blick told me mine was a perfect implant. I am glad, I am single, I am having the best sex in my entire life. I got complements all the time and for the first time I am making girls have several orgasms. They don't even notice that I have a bionic.
I live in Phoenix, if you want to meet to talk or phone call Please PM me. I will be happy to share my experience with you and anybody interested on it.
Talk to you soon.
Hector

[Markc2008]

Sorry my question somehow showed in with hectors statement. Let me try that again

So I am married and my wife is fully in the loop on everything but I think I could see her concern of not getting a normal arousal response to her. How do you guys that are dating approach sex to where women don’t even know? The reason I ask is I want my wife to have the most normal experience when I do this if that makes sense.

[Old Guy]

Sorry my question somehow showed in with hectors statement. Let me try that again

So I am married and my wife is fully in the loop on everything but I think I could see her concern of not getting a normal arousal response to her. How do you guys that are dating approach sex to where women don’t even know? The reason I ask is I want my wife to have the most normal experience when I do this if that makes sense.

Trust me, everything is the same except you have to pump up instead of naturally growing. My wife knows she turns me on, and I know I get her motor running. It's what you do with it after you're pumped up that will matter to the wife!

[Markc2008]

Thank you for the reassurance

[Sensei_099]

I'll give you my opinions on your answers. I've had my implant for over 2 years. It's a big step to take, so it's good that you're doing research. This site is great for getting answers, so don't hesitate to ask.

1. Glans engorgement. Engorgement of the glans penis (that's the official term, often shortened to just "glans") is natural during erection. Some men with implants have indicated that their glans no longer gets larger and harder during arousal. Others indicate that they have lost some sensation in the head of their penis. We all want full sensation and arousal, but it's clear that not everyone with an implant gets that. Many implantees, however, are happy with the level of engorgement of the glans. YMMV. Lack of sufficient engorgement can make penetration more difficult. If you decide to go forward with an implant, you should talk this over with your surgeon. Most good implant surgeons will discuss this in whatever level of detail you want. FWIW, in my own case I don't feel I have as much glans engorgement as I did in my youth, but I'd had some level of ED for over 15 years when I got my implant. What I have now is far better than what I had during those years. In my case there is some engorgement with arousal, increasing as things move forward. and full engorgement of the glans happens just before climax.

The discussion of glans engorgement is separate from but related to another term used here - "floppy head". In some cases, an implant can be shorter than it should be, with the tips of the implant not reaching far enough into the head of the penis. This can allow the head to be under-supported and it can "flop" around making penetration very difficult. This should never happen with a good surgeon. As with many things pertaining to implants, getting the right surgeon can be very important.

2. Loss of size. IMO, no man should ever lose length from a penile implant if they have a competent surgeon and no complications. I'm sure some other men here will disagree with me, but this is how I feel and I'll give you my reasons.

Understanding and techniques have improved so much over the years that an implant should always get most or all of your length back. This is another, and critical, reason for picking the right surgeon. There have been many studies conducted that give "best practices" for ensuring maximum length restoration for IPPs. The best surgeons know and use these techniques and will talk with you about how they ensure maximum length. At the same time, these surgeons will NOT promise you more than you're likely to get. My own doctor, during a pre-op exam pulled hard on my dick, told me to look at the length, and said essentially, "that is how big you'll be, if you think you should be bigger please go to another doctor." Many of us fondly remember how big we were before ED and remember it incorrectly. My surgeon wanted to make sure my expectations were reasonable and rational.

That said, there are some complications that can result in loss of size. Many of them include issues that happened before the implant but get blamed on the implant. Typical things like this include Peyronies Disease, prostate removal due to cancer, and atrophy/shrinkage from years of ED. Some can not be rectified by an implant but are blamed on the implant, not the original cause of the loss of length.

My personal experience includes many years of atrophy. I had lost some of the tissues in my penis (use it or lose it) and what was left was shortened significantly. Some of this type of loss can be rectified with stretching the tissues before the implant surgery. Under my doctor's guidance, I did 3 months of daily VED use and penile traction to stretch my dick and allow a longer implant to be inserted. Another technique in restoring lost length can be early and frequent cycling of the implant after surgery. I chose a surgeon that supported early "activation" of the implant, allowing me to start inflating/deflating just one week after surgery. He instructed me to pump the implant up to maximum for at least 30 minutes four times every day. He even gave me ideas about how to make sure I was at the maximum the implant could take. This early, full and frequent inflation helps make sure the penis does not heal in a smaller size or cause scar tissue to make it harder to stretch through later. I have regained all of the size I lost to atrophy and feel like I'm even a little bigger than I was before. I always felt like I was smaller than average. I was just shy of 5 inches in length immediately after surgery, about 5.5 a year later, and now over 5 and 3/4.

3. The 3rd nut. There is no question that the extra equipment in the scrotum is noticeable to touch. The pump is actually a little bigger than a regular testicle once you include the block at the top of the bulb, and someone feeling around in there will be able to notice that there are 3 items, not 2. However, depending on how your balls rest in the scrotum, the size of your sack, how tight things are, etc., it may or may not be noticed visibly. When things are really relaxed and warm down there I can look in a mirror and see 3 rounded areas, but I'm looking for it. I don't believe it is noticeable with a casual glance. I certainly have no trouble being naked in a locker room and no one that may have noticed has stared or said anything, not that most would. In my case, my right nut rides higher than my left and is often resting above the pump far enough that it looks like the pump is my right nut and my left nut is the other. It's certainly not enough of an issue to cause me concern. Your partner will know, of course, and the question about what to say to new partners is something talked about in other posts here.

4. Traveling. I've traveled a lot since the surgery and been through the very detailed scans used in many airports. Never a problem. I assume by now there are enough men with implants that security knows what the implant is. But perhaps the scans don't reveal anything. At any rate, it's never been a problem.

5. Insurance. This is one where you'll need to get information from your specific insurance. Medicare covered my implant, though they wouldn't pay for the cost of injections. Go figure. I don't believe my insurance before I retired would have covered an implant.

I hope this extremely verbose reply helps. Sorry it's so long. I come back to FrankTalk mainly because I got so much help and good advice here when I was researching implants that I want to help others and "pay it forward". If you have further questions or just want to talk, drop me a PM.

Best wishes on your decision. I personally am very happy with my implant and wish I'd done it sooner. But it's permanent and irreversible. You should be very sure before you take the step.

Q.

Hello bro

I read your post Thank you for your implication. I am 24 years old from France and I’m suffering from ED for several years…
Now I want to do something because I’m really depressed and have suicidal thought unfortunately. You said that you was able to regain your lost pre ED If I’m understanding well ? I a have scar tissues of Peyronie do you know if I can use penile extender to stretch my tissue with VED or it can worsen the Peyronie ?

[Quincy]

I'm sorry that I don't have an answer for your question about the extender. I used one for a couple months, but I don't have PD or anything. I know some guys here that have PD have tried them. Perhaps one of them will see your question. To me, it seemed that the traction/extender devices need more time than the 2 months I gave them. VED seemed to work better. But if I were to do it over again, I might delay the surgery just a little so that I could use both the VED and the extender for a little more time. If the surgery were scheduled even a year out, I'd do the extender for the whole length of time.

My doctor was very good at helping me figure out what to do to get size back, and it's one of the reasons I chose him. He told me to do both the VED and the traction. I hope you can find a good surgeon that is interested in helping you with size as well as function. Interview more than one before you decide who to choose. I interviewed 3. Ask each one how they can help you get size back.

Again, I'm very very happy with the result. I had pretty much total ED and now my dick works, looks, and feels just like it should. I wish you the very best, and I want you to know that things can be extremely good again. Send me a PM if you want to discuss further.

Quincy.