ElbowRoom's Implant Experience Journal

[ElbowRoom]

So with two out of three sutures out, I notice the left side one is sealed up perfectly, and the center one is still in place as it wasn't ready to be removed (being removed on the 9th). The right side one is out, but there is very slight amount of blood spotting from that one. I hit it with neosporin a couple times a day and keep it covered with a bandaid.

Hopefully that's pretty normal after suture removal. It spotted a bit when Hakky removed it as well and he didn't seem concerned.

[LetoMan]

It still intrigues me that no one's distal measurement equates to their actual penis length, including mine .

I don’t think it’s a mystery, it’s measured from the incision site. The point is to measure the entirety of the space, so the doc measures both direction by sticking a special ruler in. Both are measured from the incision site, and you add them together to get the total length, which will be your implant size plus RTEs.

The whole thing is laid out in the AMS User Manual. I assume there is a similar doc for Coloplast. See page 11 for the method, and page 12 for the calculation:

https://www.bostonscientific.com/conten ... ulti_s.pdf?

[LGXDownunder]

It still intrigues me that no one's distal measurement equates to their actual penis length, including mine .

I don’t think it’s a mystery, it’s measured from the incision site. The point is to measure the entirety of the space, so the doc measures both direction by sticking a special ruler in. Both are measured from the incision site, and you add them together to get the total length, which will be your implant size plus RTEs.

The whole thing is laid out in the AMS User Manual. I assume there is a similar doc for Coloplast. See page 11 for the method, and page 12 for the calculation:

https://www.bostonscientific.com/conten ... ulti_s.pdf?

Thanks Leto. I understand that calculation but it does my head in when I try and apply it to my actual measurement now.
My distal measurement was 11 cm and proximal was 10 cm. I was implanted with a 21 cm LGX and no RTEs, so that adds up.
It's probably not helping that I can no longer really see where my penoscrotal incision is, but it was pretty much at the base of my shaft.

After many months of cycling and sex I am at 6.5 inches bone pressed erect. I do also have a bend which would make my dick longer if completely straightened out. But 6.5" is the pelvic bone to glans tip length I get, i.e. the effective, maximum insertable length for penetration.
The length of my glans currently measures 4.5 cm (not engorged). Add that to the 11 cm distal part of the implant gets me to approx. 6.2 inches.
So I'm still missing a bit somewhere. Maybe something to do with the pubic fat pad?
EDIT: Also my cylinder tips are a long way into my glans when erect, so that probably means more is missing somewhere.
Could also be related to the cylinders stretching?

I realize this is only "chewing gum for the mind" so I won't be losing any sleep over it .

p.s. I assume they didn't give you that version of the manual? My patient copy of the AMS user manual is only a handful of pages.

[LetoMan]

My distal measurement was 11 cm and proximal was 10 cm. I was implanted with a 21 cm LGX and no RTEs, so that adds up.

….

p.s. I assume they didn't give you that version of the manual? My patient copy of the AMS user manual is only a handful of pages.

What you are missing is that the “distal measurement” they made at the time of surgery has nothing to do with “the size of your dick” distal measurement. When you measure your dick, you are trying to measure how much of it is available for use. You measure from where you get to use it: bone-pressed. You are assuming the “distal measurement” the doc made to size you for an implant is related to that. But it’s not. It’s just a way to measure both inwards and outwards from the incision, so as to adequately measure the space available for an implant.

Using a bone-pressed measurement, most guys have 1/4 to 1/3 of their penis inside their body. You do too. If you have a 6.5 inch cock, you have a 16.5 cm cock. You have a total implant size of 21 cm, so if you have 16.5 extending out, then you have 4.5 pushing in. You may actually have a cm or two of glans that does not have implant in it, in which case that cm or two goes into your proximal (unless you have a massive floppy glans, you probably do not have 4.5 cm of glans into which the implant does not intrude).

Why do your surgery measurements show more like 50% distal (like Elbow’s)? Because the measurement from the suture in your incision is farther up your shaft than a bone pressed measurement point.

As for your p.s…. No, that was not given to me. It’s the guide for the surgeon, not the patient. But it’s available on the Boston Scientific website.

[LGXDownunder]

My distal measurement was 11 cm and proximal was 10 cm. I was implanted with a 21 cm LGX and no RTEs, so that adds up.

….

p.s. I assume they didn't give you that version of the manual? My patient copy of the AMS user manual is only a handful of pages.

What you are missing is that the “distal measurement” they made at the time of surgery has nothing to do with “the size of your dick” distal measurement. When you measure your dick, you are trying to measure how much of it is available for use. You measure from where you get to use it: bone-pressed. You are assuming the “distal measurement” the doc made to size you for an implant is related to that. But it’s not. It’s just a way to measure both inwards and outwards from the incision, so as to adequately measure the space available for an implant.

Using a bone-pressed measurement, most guys have 1/4 to 1/3 of their penis inside their body. You do too. If you have a 6.5 inch cock, you have a 16.5 cm cock. You have a total implant size of 21 cm, so if you have 16.5 extending out, then you have 4.5 pushing in. You may actually have a cm or two of glans that does not have implant in it, in which case that cm or two goes into your proximal (unless you have a massive floppy glans, you probably do not have 4.5 cm of glans into which the implant does not intrude).

Why do your surgery measurements show more like 50% distal (like Elbow’s)? Because the measurement from the suture in your incision is farther up your shaft than a bone pressed measurement point.

As for your p.s…. No, that was not given to me. It’s the guide for the surgeon, not the patient. But it’s available on the Boston Scientific website.

Yep, that makes sense to me now. It's unrelated to how I'm trying to apply it. No, there is no floppy glans. Of course it's soft unless engorged from arousal, but completely supported by the implant and doesn't move much, even during vigorous sex. I'd say there is less than 1 cm of glans beyond the cylinder tips at 100% inflation. Something I'm keeping an eye on as I don't want any erosion. The incision and my bone pressed measuring point are on opposite sides of the shaft, so yes that would be correct about the relative location of the sutures. Thank you, now I know I'm not going insane .

Re the p.s. I suspected it might be the surgeon's guide, but the title page simply reads "Instructions for Use" and I only read parts of the document.