Does a high volume doctor matter if men still get issues post-op?

[arazon]

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.....

[ColoplastTitanUpOver]

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!

[Kodixx]

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

[Fuckmachine700]

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

[Mtricher]

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.

[LGXDownunder]

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.....

I agree with much of what the other guys have said. It is definitely very individual and I don't think you can map your own expectations on the experience of others. But it can be useful to read "typical" scenarios, good and bad, to get an idea of the range of possible outcomes.

My own experience was that I was cleared for sex at 6 weeks. But there was no way I could have done it then, everything was far too sore and painful.
We started to attempt PIV sex at 8 weeks. It was quite painful and I couldn't orgasm at all. So we persisted trying two or three times a week. After about 2 weeks I started to orgasm intermittently, although there was still quite a bit of discomfort. Maybe around 12 weeks it was more pleasure than pain and I could orgasm most of the time, though sometimes still a bit hit and miss. Over the following months everything finally fell into place. For the last 3 or 4 months I've been able to have sex with very intense pleasure and orgasm 100% of the time.

I had numbness at the base of my shaft post op, just above the penoscrotal incision.
It hasn't affected my ability to orgasm as the most sensitive parts like frenulum and glans are not affected.
It has also improved dramatically and most of the sensation has now returned.
We don't really have any high volume surgeons here by world standards, except maybe one.
My surgeon is a very experienced regular implanter doing 2 or 3 per month.

[GoodWood]

A high volume surgeon is going to have a lower percentage of issues. And if something unexpected is found with your anatomy during surgery they will have encountered it many times before and know the best workaround.

AND the high volume docs are surrounded by other staff (operating room nurses, anesthesia staff, office/billing staff) that are ALSO very experienced with the procedure. The importance of that is under appreciated.

A low volume doc CAN do a great job. But I have ONE cock and I wanted the best chance of this procedure going perfectly.

[staphylococcusecoli]

YO, high-volume GOAT for my 1 precious COCK
Seen every freak twist, got the workaround on LOCK
Vet team high-fives through the OR like PROS
Low-volume? Hell nah, I only got ONE, BRO!

[oldbeek]

An RP will kill nerves. In my case glans engorgement didnt come back for 5 years after. URO took all my nerves. Orgasms didnt come back till 4 years after rp with the Love of the right woman.