Did you have any sexual sensation issues after an implant?

[macoza]

1. Yes. Ventral (underside) numbness persistent after almost 18 months from penoscrotal incision. Still get pleasure from sex, but harder to orgasm.
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This is why making the decision for me to get an implant is extremely difficult. I dont want to end up having no or little sexual sensation. I really dont know what to do and I'm scared. Can you offer some advice please?

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[JohnnyBorg]

most guys who run into these issues DO keep improving months and months later. But for many guys, this part of the healing journey is more of a marathon than a sprint. .

Do most men who get implants run into these issues?

.

I can’t say for sure the % incidence of anything like that - just an anecdotal observation from reading many IPP and MPP journals. Have you tried looking around for research on this online or tried aggregating links to research on it with a tool like ChatGPT?

One of these days I should really try to mine the forum for data across the various IPP and MPP journals and do some trend analysis. FrankTalk is definitely a goldmine of self-reported user data, it would be very interesting to get it all organized in a common format.

I think the main thing though is that any surgery carries with it risks - some more likely to occur than others. Some men have issues with sensation and orgasm post-implant, but MANY of these same men see improvements over time. And then there’s a bunch of guys who don’t have this issue at all. You need to decide for yourself if the risks are acceptable to you weighed against the reward: a bionic dick that allows you to have penetrative sex without fear of losing your erection.

[lasthope2.0]

it just feels like a relaxing soapy massage rather than something that leads to climax or release.

So are you saying that you dont climax now?

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I can climax if it's done aggressively with a handjob or a pocket pussy. With PIV, I can't.

I've had second opinion consults and was told that sometimes the dorsal nerve or its branches can get injured or stretched during surgery. If it doesn't recover by 24 months, it may be permanent nerve damage.

This should not stop you from getting an implant. This surgery can have a small risk of complications, hopefully around 1%. Do it with the hope that you will be in the majority without issues, but be prepared to face it if you experience a complication.

[richard_goes_bionic]

1. yes it takes longer to reach orgasm due the penis has less feeling.

This is a huge concern for me. I feel if I get the implant that I wont get back sexual sensation and orgasm when having sex.

Did you use the penoscrotal or infrapubic surgical approach?

4. no I dont think loss of 1inch affects your sexual sensation. The only thing in my opinion does that is less feelings in the glans (very cold) and/or in the shaft or other issues like discomfort due sore or numbness.
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Do you still feel numb anywhere? Does it hold you back from feeling sexually satisfied?

Hows the sex now with the implant?
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penoscrotal, you are not loosing your sexual sensation completely but in the beginning and during your recovery you might feel less, due to the reasons I mentioned. I still feel numb some parts of the shaft and my glans is not as sensitive as before but should improve with time, dr. words. sex is great, I. dont remember the last time I had a real boner, just this experience gives you so much pleasure and also for her that you dont mind some discomfort. no pressure that you cant perform, like before I knew I would not last to satisfy her and we went into the devils circle, trying failing, trying failing.....
You have to practice maybe different positions and find out what works best for both of you. I can reach climax but it takes maybe more time. And there is another aspect, I have much more desire for sex since the implant, I could literally fuck every day now. Unfortunately its a little bit to much for her
just make sure you get a 1st class high volume surgeon than everything turns out fine.

[Rider1400]

. Takes a little time to adjust but it is the best sex I’ve had in over 15 years!

I'm confused. You said that you have "occasional issues with inability to climax". So why is an implant the best sex you ever had? Isn't a natural erection better than an implant?

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Quote…. Best sex I’ve had in over 15 years…. Look at my signature. Been fighting ED for over 15 years! So yes best sex Ive had since I started having ED. Also I was having issues with anticlimactic and still occasionally happens so what I’m saying is it’s probably not related to the implant rather age and sensation issues as much related to age as anything else. I personally think I overused my VED for many months prior to implant which led to sensation loss for some time. And then the cycling twice daily for most of a year was also stressful on my penis. After I started only pumping for actual use 2 or occasionally 3 times a week things seemed to settle down over then next few months.

[2435tjklAS]

1. yes it takes longer to reach orgasm due the penis has less feeling.

This is a huge concern for me. I feel if I get the implant that I wont get back sexual sensation and orgasm when having sex.

Did you use the penoscrotal or infrapubic surgical approach?

4. no I dont think loss of 1inch affects your sexual sensation. The only thing in my opinion does that is less feelings in the glans (very cold) and/or in the shaft or other issues like discomfort due sore or numbness.
.

Do you still feel numb anywhere? Does it hold you back from feeling sexually satisfied?

Hows the sex now with the implant?
.

. Takes a little time to adjust but it is the best sex I’ve had in over 15 years!

I'm confused. You said that you have "occasional issues with inability to climax". So why is an implant the best sex you ever had? Isn't a natural erection better than an implant?

.

it just feels like a relaxing soapy massage rather than something that leads to climax or release.

So are you saying that you dont climax now?

.

most guys who run into these issues DO keep improving months and months later. But for many guys, this part of the healing journey is more of a marathon than a sprint. .

Do most men who get implants run into these issues?

.

I don't know why people keep entertaining his repetitive questions when he won't accept any answers because what he wants is (unrealistic) 100% undeniable proof. All you need to understand, macoza, is this: sensation, getting to orgasm, etc., will be for most people will probably be a little more difficult after an implant. Not impossible. Just more difficult. There are further treatments and personal changes like not masturbating frequently that can make it workable or even better than before. Talk to your implant surgeon about this. He can prescribe medication and also suggest changes to your other prescriptions that are making it more difficult. (I got off 200mg Sertraline every night. That's the pill first given to most with premature ejaculation problems, turns out. He asked my psychiatrist to replace it with Wellbutrin. Psychiatrist asked neurologist if he could. Did lab test and was a positive. Change helped a lot.)

And most importantly, this slight change in sensation/orgasm is merely one reality we have to deal with when an implant becomes necessary because we can't get or hold an erection. It won't become superhuman like you want it to. It has flaws. But if you need it, these factors are worth the change and unavoidable.

Are some chances of loss of sensation and getting to orgasm a better or worse problem than being literally impotent and unable to have sex?

There's also one way that worked very well for me to climax with a partner. You might be interested:

Click to view image 1

Click to view image 2

I'm serious it did work for me.

[richard_goes_bionic]

from my post sex with an implant:
thanks very much brothers for your empathy and advice. Just finished attempt 4 with success. I tried not to pump to the max which resulted in more sensation during PIV. Maybe 70-80% like you suggested it. It was still not easy and needed som doggy pounding but nothing like yesterday and today she just put herself on display for me so I could concentrate on myself.
Lets face it, its not like before when we were healthy without ED, but there is no alternative to it in my opinion.
So let's make the best out of it. Time is on our side.

Great community we are!

Richard

[LGXDownunder]

I'm very worried that I'll lose sexual sensation and ability to achieve orgasm after an implant. Hope you guys an answer these questions please

Those things are common initially but generally resolve over time. An implant is not a quick fix solution. It requires persistence and patience to get the best results, usually over a period of several months at least. If that is not an acceptable path forward then an implant might not be the answer for you.

1. Did you have any issues with sexual sensation and orgasm after an implant?

Initially yes, after was allowed to start cycling and having sex at 6 weeks post op I found that I had significant discomfort during sex and some numbness/loss of sensation on my lower shaft. Numbness wasn't a problem where it really matters though - frenulum, glans etc. As healing and cycling progressed sensation and comfort both improved significantly. That is a common outcome for many implantees.

2. Did having penile shortening impede your sexual sensation and orgasm?

No. Physical size doesn't affect sensation or orgasm in my experience. I was shorter post op but regained my original size over time from cycling and just general healing. Orgasms returned once discomfort diminished.

3. How long did you take to get your length back

Probably around 3 months from surgery.

4. Is penile shortening psychological? Or does it really affect sexual sensation?

I don't know what this question means. Shortening is a physical issue, so it can't be psychological. Physical shortening doesn't affect sexual sensation in my experience.

5. Did you use the penoscrotal or infrapubic surgical approach?

Penoscrotal.

6. Which device do you have?

AMS 700 LGX 21 cm x 12 mm with no RTEs, MS pump.

7. Who was your doctor?

N/A. I'm not in the USA.