Normally at around 6 weeks post op, the doc gives you the go-ahead to have sex. But can you orgasm with PIV soon after and feel great about it?
Has anyone experienced any numbness which took a long time to go away? Can you still feel numb even with a high volume doctor?
...Would appreciate your replies.....
Does a high volume doctor matter if men still get issues post-op?
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arazon
- Posts: 4
- Joined: Thu Feb 26, 2026 8:23 pm
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ColoplastTitanUpOver
- Posts: 58
- Joined: Wed Oct 01, 2025 11:45 pm
Re: Does a high volume doctor matter if men still get issues post-op?
You will hear a lot of misconceptions on this topic.
The capacity for orgasm is primarily a mental function. While an erect dick can help achieve orgasm, an implant does not guarantee orgasms simply because it provides reliable inflation and reliable deflation.
I'll repeat, it reliably inflates and it reliably deflates.
Sensation, especially in the glans may feel different with an implant compared to a natural erection. The implant does not ensure glans vascularization, nor does it increase the potential for ejaculation.
Erection, glans engorgement, libido/sexual desire, orgasm, sensation, and ejaculation all involve separate mechanisms.
An implant addresses only erection and will not enhance the other aspects.
I'll repeat:
An implant addresses only erection and will not enhance the others aspects.
Implants restore firm, reliable erections but do not directly affect orgasm or climax. The device resides inside the corpora cavernosa and avoids all sensory nerves. The glans and dorsal nerve (key to pleasure) remain completely untouched. Orgasm pathways involve the brain, spinal cord, and pelvic nerves, none of which are disturbed by the implant. The ejaculation reflex is preserved because the device neither blocks the urethra nor interferes with the prostate.
Many folks report stronger or more consistent climaxes due to the elimination of performance anxiety and the confidence that comes from reliable inflation and deflation.
Skin sensation, including the frenulum and glans remains exactly the same. The implant controls only the mechanical aspect of erection, not sensory input or reflex climax functions.
Your ability to reach orgasm and enjoy the peak moment is fully preserved.
The single most important factor is choosing a high-volume, dedicated implanter. If you do this one thing, the risk of numbness drops to well under 1%. Trust the process and your high volume surgeon.
Pills and injections can fail, but a well-placed implant will typically outlast your lifetime. A few revisions over the years are normal, recovery is usually faster, and you may even end up with a longer implant. What do you have to lose? Good luck!
The capacity for orgasm is primarily a mental function. While an erect dick can help achieve orgasm, an implant does not guarantee orgasms simply because it provides reliable inflation and reliable deflation.
I'll repeat, it reliably inflates and it reliably deflates.
Sensation, especially in the glans may feel different with an implant compared to a natural erection. The implant does not ensure glans vascularization, nor does it increase the potential for ejaculation.
Erection, glans engorgement, libido/sexual desire, orgasm, sensation, and ejaculation all involve separate mechanisms.
An implant addresses only erection and will not enhance the other aspects.
I'll repeat:
An implant addresses only erection and will not enhance the others aspects.
Implants restore firm, reliable erections but do not directly affect orgasm or climax. The device resides inside the corpora cavernosa and avoids all sensory nerves. The glans and dorsal nerve (key to pleasure) remain completely untouched. Orgasm pathways involve the brain, spinal cord, and pelvic nerves, none of which are disturbed by the implant. The ejaculation reflex is preserved because the device neither blocks the urethra nor interferes with the prostate.
Many folks report stronger or more consistent climaxes due to the elimination of performance anxiety and the confidence that comes from reliable inflation and deflation.
Skin sensation, including the frenulum and glans remains exactly the same. The implant controls only the mechanical aspect of erection, not sensory input or reflex climax functions.
Your ability to reach orgasm and enjoy the peak moment is fully preserved.
The single most important factor is choosing a high-volume, dedicated implanter. If you do this one thing, the risk of numbness drops to well under 1%. Trust the process and your high volume surgeon.
Pills and injections can fail, but a well-placed implant will typically outlast your lifetime. A few revisions over the years are normal, recovery is usually faster, and you may even end up with a longer implant. What do you have to lose? Good luck!
71, 8/2022 Radical Prostatectomy
Mixed results with Bimix
9/2024 Coloplast Titan 22cm Classic pump Dr. Heiber.
Best sex of my life.
Pre-Op girth: 6.1'
Post-Op girth: 6.5'
Gained 1.5 cm with VED
Mixed results with Bimix
9/2024 Coloplast Titan 22cm Classic pump Dr. Heiber.
Best sex of my life.
Pre-Op girth: 6.1'
Post-Op girth: 6.5'
Gained 1.5 cm with VED
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Kodixx
- Posts: 952
- Joined: Wed Jan 08, 2025 5:32 pm
Re: Does a high volume doctor matter if men still get issues post-op?
ColoplastTitanUpOver wrote:Skin sensation, including the frenulum and glans remains exactly the same. Your ability to reach orgasm and enjoy the peak moment is fully preserved.
There's a lot of good info in the post above. However these comments about skin sensation, and ability to reach orgasm, have to be taken with lots of grains of salt. Yes, that's the way its supposed to work. But this forum is filled with many many many posts from implanted guys whose skin sensations changed a lot, and/or, guys whose journey to orgasm is very different from pre-ED or even pre-op. And yes, even some who had "high volume" surgeons.
I am one of them. And as I shared my experiences, found lots of other guys who had similar experiences. But don't take my word for it, do some searches in FrankTalk on 'sensation' and 'orgasm' and draw your own conclusion. I'm really thankful for the implant, wouldn't trade it, and have found that after many months of healing that in several important ways it contributes to overall better sex than my original equipment. But the skin sensations are different. It feels different. And the journey to orgasm is different -- just as pleasurable, but not the same as before. That's why phrases like "exactly the same" and "fully preserved" aren't right for lots of guys.
Again, do your own research and draw your own conclusions.
- Chuck
Feb 2025 58yo, 38 w/ greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling/sex @ 7wks, minor pain until 10wks, felt like 'new normal' sex @ 16wks
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling/sex @ 7wks, minor pain until 10wks, felt like 'new normal' sex @ 16wks
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Fuckmachine700
- Posts: 17
- Joined: Tue Jul 29, 2025 7:42 am
Re: Does a high volume doctor matter if men still get issues post-op?
ColoplastTitanUpOver wrote:You will hear a lot of misconceptions on this topic.
The capacity for orgasm is primarily a mental function. While an erect dick can help achieve orgasm, an implant does not guarantee orgasms simply because it provides reliable inflation and reliable deflation.
I'll repeat, it reliably inflates and it reliably deflates.
Sensation, especially in the glans may feel different with an implant compared to a natural erection. The implant does not ensure glans vascularization, nor does it increase the potential for ejaculation.
Erection, glans engorgement, libido/sexual desire, orgasm, sensation, and ejaculation all involve separate mechanisms.
An implant addresses only erection and will not enhance the other aspects.
I'll repeat:
An implant addresses only erection and will not enhance the others aspects.
Implants restore firm, reliable erections but do not directly affect orgasm or climax. The device resides inside the corpora cavernosa and avoids all sensory nerves. The glans and dorsal nerve (key to pleasure) remain completely untouched. Orgasm pathways involve the brain, spinal cord, and pelvic nerves, none of which are disturbed by the implant. The ejaculation reflex is preserved because the device neither blocks the urethra nor interferes with the prostate.
Many folks report stronger or more consistent climaxes due to the elimination of performance anxiety and the confidence that comes from reliable inflation and deflation.
Skin sensation, including the frenulum and glans remains exactly the same. The implant controls only the mechanical aspect of erection, not sensory input or reflex climax functions.
Your ability to reach orgasm and enjoy the peak moment is fully preserved.
The single most important factor is choosing a high-volume, dedicated implanter. If you do this one thing, the risk of numbness drops to well under 1%. Trust the process and your high volume surgeon.
Pills and injections can fail, but a well-placed implant will typically outlast your lifetime. A few revisions over the years are normal, recovery is usually faster, and you may even end up with a longer implant. What do you have to lose? Good luck!
Well said, Colo! For anyone still a bit confused, I’m backing up your solid explanation with insights from two of the best high volume surgeons who say the exact same thing. Best advice ever is to do your due diligence and use a world-class, dedicated implanter.
Thanks for all the wisdom and everything you do for this community, Colo!
https://www.youtube.com/watch?v=RGSC74t ... Vuc2F0aW9u
https://www.youtube.com/watch?v=wfZ2eZL ... YXRpb24%3D
1960 | Gay | on TRT | ED for 20 years| Pills & BIMIX/TRIMIX fail | Seeking AMS 700 CX.
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Mtricher
- Posts: 26
- Joined: Sat Apr 05, 2025 6:52 pm
Re: Does a high volume doctor matter if men still get issues post-op?
I can only speak for myself, but orgasm is different now that I have an implant. Yes all the sensation is still there for me. The difference is that I was used to dealing with a floppy or 75% erect dick and that affected the way that I jerked off and had sex. Basically, you learn to work with what you have and find a way to orgasm.
Now that I have the implant when I try to masturbate in the same way that I did before, it doesn’t work very well. I’m now using a fleshlite which I never used to like. Because I am reliably hard, I’m able to approach orgasm from a different way. The same thing with intercourse, it’s completely different because I am no longer worried about staying hard. This create a mental shift and things are different. You have to make new mental connections to the sensations coming in and link that to orgasm. It just takes a while to rewire.
Now that I have the implant when I try to masturbate in the same way that I did before, it doesn’t work very well. I’m now using a fleshlite which I never used to like. Because I am reliably hard, I’m able to approach orgasm from a different way. The same thing with intercourse, it’s completely different because I am no longer worried about staying hard. This create a mental shift and things are different. You have to make new mental connections to the sensations coming in and link that to orgasm. It just takes a while to rewire.
61, used pills and trimix, but got tired of the work! Infrapubic Titan 24 implant with Dr Taj on Feb 3 2026. 7.25”/5” preop. Faces page 32
4-day postop video: http://youtube.com/post/Ugkx1UAaiZGOmbS ... WCA4DxJ-mu
4-day postop video: http://youtube.com/post/Ugkx1UAaiZGOmbS ... WCA4DxJ-mu
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