David Ralph, Rowland Rees, Vaibhav Mogdhil, Ian Pearce

[splitpeach]

Curious to see what experiences people have had or opinions on the foremost UK implanters.

David Ralph is obviously the Godfather. However he uses a penoscrotal approach and sequential dilation technique where Ian Pearce and Vaibhav Mogdil employ infrapubic and single dilation. Don't know about Rowland Rees.

All of them offer Rigicon implants.

I like the idea of keeping some natural erectile function potentially available with a single dilation approach.

Wonder what people think?

[Irish Lad 34]

What is sequential dilation?

I had a penoscrotal Titan Implanted by Rowland Rees last Wednesday 12th November.

He reckons everything is healing as it should. We couldn't inflate to 100% when I met him on Thursday because it got too sore but we got close enough. I will see him again in less than 2 weeks and at that point he will probably clear me for cycling and maybe use of the device.

Rees does both penoscrotal and infrapubic!

He actually reccomended I do infrapubic mostly for the smoother recovery but I decided to choose penoscrotal because guys here on Franktalk told me that penoscrotal is better because of less palpable tubing and less risk of nerve damage. I put this to Rees and he said there's a practically 0% chance of damaging the nerves via infrapubic and he said he can hide the tubing behind the fascia via infrapubic, and in the same breath he said tubing will be palpable if you feel around for it no matter what approach you choose.

Rees told me I would not lose any length with an implant however I am currently 1.5 - 2cm bone pressed shorter than I was before surgery, although my implant is currently deflated and not engorged. I have been getting a small bit of natural engorgement again the past few days, I have felt tingling and a bit of swelling in the glans. With natural engorgement I should regain 0.8cm of my lost length, the other 1cm will have to come back via cycling but I don't know if that will happen. I can't see how the implant will get any longer through cycling.

Currently the upper half of my penis has a lot less girth in it too, although the lower and mid shaft seem OK.

I also have palpable and sometimes slightly visible tubing on the left and right side of my penis. This is the worst aspect of the implant for me because I don't think it's going to get any better. Rees said its par for the course, he said he couldn't put the tubing back any further than he did.

I chose Rees because he was cheaper than Ralph and Modgil and his reputation was meant to be pretty good.

I have found the surgery so far not too sore but kind of debilitating as you would expect. There's been a bit of discomfort, no long walks, no proper exercise and the wound takes a few weeks to fully heal.

I'm hoping when he clears me to cycle at the 3 week point that I will somehow regain my 1 - 2cm of lost length. I hope I regain 1cm of girth into the upper half of the penis, and I hope that the palpable tubing does not prove to be a cumbersome issue for me. If these 3 things are resolved in time I will be happy with the result. It does look like my natural engorgement is coming back so at least that's good, but yeah, I need the other 3 aforementioned issues to resolve or else I might not be fully satisfied with the result.

I actually regret not taking his reccomendation to go infrapubic because I spoke to 2 of his infrapubic patients and they've gotten a great result with no palpable tubing.

[splitpeach]

What is sequential dilation?

I had a penoscrotal Titan Implanted by Rowland Rees last Wednesday 12th November.

He reckons everything is healing as it should. We couldn't inflate to 100% when I met him on Thursday because it got too sore but we got close enough. I will see him again in less than 2 weeks and at that point he will probably clear me for cycling and maybe use of the device.

Rees does both penoscrotal and infrapubic!

He actually reccomended I do infrapubic mostly for the smoother recovery but I decided to choose penoscrotal because guys here on Franktalk told me that penoscrotal is better because of less palpable tubing and less risk of nerve damage. I put this to Rees and he said there's a practically 0% chance of damaging the nerves via infrapubic and he said he can hide the tubing behind the fascia via infrapubic, and in the same breath he said tubing will be palpable if you feel around for it no matter what approach you choose.

Rees told me I would not lose any length with an implant however I am currently 1.5 - 2cm bone pressed shorter than I was before surgery, although my implant is currently deflated and not engorged. I have been getting a small bit of natural engorgement again the past few days, I have felt tingling and a bit of swelling in the glans. With natural engorgement I should regain 0.8cm of my lost length, the other 1cm will have to come back via cycling but I don't know if that will happen. I can't see how the implant will get any longer through cycling.

Currently the upper half of my penis has a lot less girth in it too, although the lower and mid shaft seem OK.

I also have palpable and sometimes slightly visible tubing on the left and right side of my penis. This is the worst aspect of the implant for me because I don't think it's going to get any better. Rees said its par for the course, he said he couldn't put the tubing back any further than he did.

I chose Rees because he was cheaper than Ralph and Modgil and his reputation was meant to be pretty good.

I have found the surgery so far not too sore but kind of debilitating as you would expect. There's been a bit of discomfort, no long walks, no proper exercise and the wound takes a few weeks to fully heal.

I'm hoping when he clears me to cycle at the 3 week point that I will somehow regain my 1 - 2cm of lost length. I hope I regain 1cm of girth into the upper half of the penis, and I hope that the palpable tubing does not prove to be a cumbersome issue for me. If these 3 things are resolved in time I will be happy with the result. It does look like my natural engorgement is coming back so at least that's good, but yeah, I need the other 3 aforementioned issues to resolve or else I might not be fully satisfied with the result.

I actually regret not taking his reccomendation to go infrapubic because I spoke to 2 of his infrapubic patients and they've gotten a great result with no palpable tubing.

Congratulations on your new implant. Keep us updated with progress.

Sequential dilation is when the surgeon creates the space in the corporate cavernosum gradually with multiple dilator tools increasing in girth incrementally as opposed to just one max sized dilator with single dilation.

Do you know if Rees used single dilation or sequential dilation?

[Irish Lad 34]

Cheers man. I will be posting here. Just hoping and praying that I regain what I lost and also hoping the tubing is not a nightmare. If all those things work out fine then I'll be happy and confident with it.

How come you're going for a Rigicon implant? Are they meant to be the best?

I don't know what approach he took to dilation but I'll ask him on my next consultation next week.

[splitpeach]

Cheers man. I will be posting here. Just hoping and praying that I regain what I lost and also hoping the tubing is not a nightmare. If all those things work out fine then I'll be happy and confident with it.

How come you're going for a Rigicon implant? Are they meant to be the best?

I don't know what approach he took to dilation but I'll ask him on my next consultation next week.

Yes please do ask him and ask what his view is of both approaches. Im very curious. Im going for Rigicon because despite being new and having some early hiccups in the previous design I hear it's the best of both worlds. Largest girth capacity, natural feel in flaccid state, easy pump. Basically took the best of AMS and Titan and put it into one device.

[Irish Lad 34]

Cheers man. I will be posting here. Just hoping and praying that I regain what I lost and also hoping the tubing is not a nightmare. If all those things work out fine then I'll be happy and confident with it.

How come you're going for a Rigicon implant? Are they meant to be the best?

I don't know what approach he took to dilation but I'll ask him on my next consultation next week.

Yes please do ask him and ask what his view is of both approaches. Im very curious. Im going for Rigicon because despite being new and having some early hiccups in the previous design I hear it's the best of both worlds. Largest girth capacity, natural feel in flaccid state, easy pump. Basically took the best of AMS and Titan and put it into one device.

Ok I'll try to remember to ask him. Awesome - hopefully your Rigicon implant is amazing. What age are you bro?

[splitpeach]

Cheers man. I will be posting here. Just hoping and praying that I regain what I lost and also hoping the tubing is not a nightmare. If all those things work out fine then I'll be happy and confident with it.

How come you're going for a Rigicon implant? Are they meant to be the best?

I don't know what approach he took to dilation but I'll ask him on my next consultation next week.

Yes please do ask him and ask what his view is of both approaches. Im very curious. Im going for Rigicon because despite being new and having some early hiccups in the previous design I hear it's the best of both worlds. Largest girth capacity, natural feel in flaccid state, easy pump. Basically took the best of AMS and Titan and put it into one device.

Ok I'll try to remember to ask him. Awesome - hopefully your Rigicon implant is amazing. What age are you bro?

Thanks. Im late 30s. About time!

[LiverpoolLad]

Cheers man. I will be posting here. Just hoping and praying that I regain what I lost and also hoping the tubing is not a nightmare. If all those things work out fine then I'll be happy and confident with it.

How come you're going for a Rigicon implant? Are they meant to be the best?

I don't know what approach he took to dilation but I'll ask him on my next consultation next week.

Yes please do ask him and ask what his view is of both approaches. Im very curious. Im going for Rigicon because despite being new and having some early hiccups in the previous design I hear it's the best of both worlds. Largest girth capacity, natural feel in flaccid state, easy pump. Basically took the best of AMS and Titan and put it into one device.

Is Rigicon offered on NHS at UCLH bro?