David Ralph, Rowland Rees, Vaibhav Mogdhil, Ian Pearce

[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.

What was your impression of Rowland Rees so far? would you recommend him?

When I first consulted with him in July I thought he was good, hence why I went with him. He seems very confident in his ability to perform implants to a high standard. He's a nice enough chap, but at the same time this is business for him.

I found he was very comfortable in his attitude to implanting me. My post op appointments with him have been very brief and "matter of fact" though. He doesn't seem concerned about the cosmetic concerns I have or the palpable tubing.

I see him again on Thursday and at that stage I'll be cleared to cycle. So I guess it will probably be about 3 - 6 months before I can see a full result with this. I might turn out very happy with the result, its perhaps just too early for me to know yet what I will be like.

[Discovernew]

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.

What was your impression of Rowland Rees so far? would you recommend him?

When I first consulted with him in July I thought he was good, hence why I went with him. He seems very confident in his ability to perform implants to a high standard. He's a nice enough chap, but at the same time this is business for him.

I found he was very comfortable in his attitude to implanting me. My post op appointments with him have been very brief and "matter of fact" though. He doesn't seem concerned about the cosmetic concerns I have or the palpable tubing.

I see him again on Thursday and at that stage I'll be cleared to cycle. So I guess it will probably be about 3 - 6 months before I can see a full result with this. I might turn out very happy with the result, its perhaps just too early for me to know yet what I will be like.

May i ask exactly where you have the palpable tubing? And where is your pump placed, front or back of testicles? Lower or higher than them?

[Irish Lad 34]

What was your impression of Rowland Rees so far? would you recommend him?

When I first consulted with him in July I thought he was good, hence why I went with him. He seems very confident in his ability to perform implants to a high standard. He's a nice enough chap, but at the same time this is business for him.

I found he was very comfortable in his attitude to implanting me. My post op appointments with him have been very brief and "matter of fact" though. He doesn't seem concerned about the cosmetic concerns I have or the palpable tubing.

I see him again on Thursday and at that stage I'll be cleared to cycle. So I guess it will probably be about 3 - 6 months before I can see a full result with this. I might turn out very happy with the result, its perhaps just too early for me to know yet what I will be like.

May i ask exactly where you have the palpable tubing? And where is your pump placed, front or back of testicles? Lower or higher than them?

Pump is right down the bottom of the scrotum. Not sure if it's in front or behind the testes, kind of feels like it's just right in between them.

I cab feel bumpy hard tubing jutting out around the 4 o' clock and 8 o' clock position at the base of my penis. Sometimes it's not extremely palpable, but sometimes it is very very palpable.

Rees told me that tubing could be felt regardless of whether I go infrapubic or penoscrotal, if I feel around for it. I asked him about tubing prior to surgery. Guys here on Franktalk talked me into going penoscrotal because they said the tubing could be a nightmare with infrapubic. Bear in mind the guys that talked me into penoscrotal were penoscrotal patients that had never had an infrapubic procedure before.

I asked Rees about the tubing after surgery and he said he placed the tubing as far back as he possibly could, and he wasn't able to place it any further back inside my anatomy.

[Discovernew]

When I first consulted with him in July I thought he was good, hence why I went with him. He seems very confident in his ability to perform implants to a high standard. He's a nice enough chap, but at the same time this is business for him.

I found he was very comfortable in his attitude to implanting me. My post op appointments with him have been very brief and "matter of fact" though. He doesn't seem concerned about the cosmetic concerns I have or the palpable tubing.

I see him again on Thursday and at that stage I'll be cleared to cycle. So I guess it will probably be about 3 - 6 months before I can see a full result with this. I might turn out very happy with the result, its perhaps just too early for me to know yet what I will be like.

May i ask exactly where you have the palpable tubing? And where is your pump placed, front or back of testicles? Lower or higher than them?

Pump is right down the bottom of the scrotum. Not sure if it's in front or behind the testes, kind of feels like it's just right in between them.

I cab feel bumpy hard tubing jutting out around the 4 o' clock and 8 o' clock position at the base of my penis. Sometimes it's not extremely palpable, but sometimes it is very very palpable.

Rees told me that tubing could be felt regardless of whether I go infrapubic or penoscrotal, if I feel around for it. I asked him about tubing prior to surgery. Guys here on Franktalk talked me into going penoscrotal because they said the tubing could be a nightmare with infrapubic. Bear in mind the guys that talked me into penoscrotal were penoscrotal patients that had never had an infrapubic procedure before.

I asked Rees about the tubing after surgery and he said he placed the tubing as far back as he possibly could, and he wasn't able to place it any further back inside my anatomy.

Tubing placement is really an art and i think not many surgeons can hide them well. I know some of the US doctors actually cut the tubing and trim them as short as possible so that they are not palpable. But most doctors just use the preconnected length which usually leads to more tubing than necessary. Hiding it is really an art.