Dorsal or Ventral Phalloplasty

[Waynetho]

I HAVE seen an old thread here where an UNHAPPY patient posted his nightmare after getting the sliding procedure and not being satisfied with the [mangled] results.

[Gt1956]

I HAVE seen an old thread here where an UNHAPPY patient posted his nightmare after getting the sliding procedure and not being satisfied with the [mangled] results.

Thank you Waynetho. I realize that my wifes surgery is only similar to an extent. But the hoops & warnings conditions that she had to go thru were large.
Even with supplemental oxygen & cpap her nighttime oxygen level tests came back as "not suitable to support life" prior to surgery.
This was just one step in a process to save a life. My small brain just can't imagine this being done for length or peyronies treatment.
Even with the small movement of her jaw. She did have numbness in her bottom lip for a while. I shudder to think of the numbness if her jaw was moved an inch or two.

[LuisFernandez]

People without PD would get marginal gains as the procedure is limited by the length of the Neuro Vascular Bundle and the urethra. I think people should do research on that before opting for it when they don't have PD.

Clavell has a study in which he documented a set of cases of the MoST procedure: https://sci-hub.se/https://www.research ... Experience

No cases of glans necrosis and some cases of numbness that was resolved after 6 months.

You can see a patient testimony here: https://www.youtube.com/watch?v=ferc2qRK5Lc

There's a member in the PD forum who had the traditional sliding technique. He was not happy mainly because of the marginal gains of 1.5cm.

The state of the art technique does not use a graft, because grafts contract: http://nature.com/articles/s41443-020-00379-3#Fig1 and https://sci-hub.se/https://www.scienced ... 683000148#

With this technique, no cases of glans necrosis were encountered.

No, you do not decrease girth - that's silly. At least not with the latest technique. The reason for this is because the tunica is *relaxed* with relaxing incisions. Remember that the Titan implant's girth expansion is *tunica-dependent.* Thus, if a patient has fibrotic tunica that prevents the implant from expanding the implant will not restore or gain girth effectively. But with relaxing incisions the Titan implant is able to maximally achieve girth expansion. This is why the implant is left partially inflated when performing this technique. With the latest technique grafts are not used.

Now if you look at Clavell's study's pictures the results look excellent. The question is how long post-operatively those results last due to contraction and healing.

I think this is a good option for a patient who has lost girth and length due to PD and will not be psychologically satisfied with the shortening of other techniques or the lack of effectiveness of an implant alone.

You can also see the procedure being done by Dr. Ralph here: https://www.vjpu-issm.info/videos/peer- ... procedures

[shrunken_dick]

I HAVE seen an old thread here where an UNHAPPY patient posted his nightmare after getting the sliding procedure and not being satisfied with the [mangled] results.

That guy gained 1.5 cm even though he didn’t loose any length. If you have lost length , sliding technique can recover lost length. It is a very dangerous operation though.

[Waynetho]

I HAVE seen an old thread here where an UNHAPPY patient posted his nightmare after getting the sliding procedure and not being satisfied with the [mangled] results.

That guy gained 1.5 cm even though he didn’t loose any length. If you have lost length , sliding technique can recover lost length. It is a very dangerous operation though.

My point is that in the post I saw, the OP said he was not satisfied with the results and regretted the decision.

[Gt1956]

Any kid that has rolled a clay cylinder to make it longer realizes quickly that the diameter does decrease. There is only so much volume of material to work with.
I spent some time on Clavell's own website. He, himself says that sliding style surgery requires an implant. So even he explains where the girth comes from. Yes, the implant does it.
Back to real world similar experience of someone that I personally know. Besides the jaw surgery that involved stretching a nerve bundle. My wife was in a car accident where the air bag threw her hand off of the steering wheel. This was violent enough to over extend the nerve all the way to her shoulder. The several years of pain & the procedures that she had to endure to repair the resulting continous pain were significant.
To anyone that I cared about. I'd tell them to not gamble on this to try to gain a measly 5/8" (1.5cm) of penis length. Heck, I'd even be willing to tell an internet stranger to forget about it. This is based upon real life experience with similar nerve trauma.

[LookingUp]

Meanwhile....

Has anyone had Webbing removed from Ventral penis shaft? What was the outcome?

LUp

[LuisFernandez]

Any kid that has rolled a clay cylinder to make it longer realizes quickly that the diameter does decrease. There is only so much volume of material to work with.
I spent some time on Clavell's own website. He, himself says that sliding style surgery requires an implant. So even he explains where the girth comes from. Yes, the implant does it.
Back to real world similar experience of someone that I personally know. Besides the jaw surgery that involved stretching a nerve bundle. My wife was in a car accident where the air bag threw her hand off of the steering wheel. This was violent enough to over extend the nerve all the way to her shoulder. The several years of pain & the procedures that she had to endure to repair the resulting continous pain were significant.
To anyone that I cared about. I'd tell them to not gamble on this to try to gain a measly 5/8" (1.5cm) of penis length. Heck, I'd even be willing to tell an internet stranger to forget about it. This is based upon real life experience with similar nerve trauma.

Again, an implant alone will not gain that girth without the relief incisions. Thus if you combine both (e.g. with the diamond incisions) you gain both length and girth. If you simply install an implant you will not gain girth due to the constricting fibrosis.

[NothingIsOver]

Again, an implant alone will not gain that girth without the relief incisions. Thus if you combine both (e.g. with the diamond incisions) you gain both length and girth. If you simply install an implant you will not gain girth due to the constricting fibrosis.

I assume you are referring to cases of severe Peyronie's disease. I will defer to you on that.

However, there are countless posts here on FT showing that--over time--a penile implant, particularly a Coloplast Titan, IS capable of expanding penile girth, even in men with fibrosis. These cases may be more mild than what you are referencing, but they did not involve relief incisions. They were just normal peno-scrotal or infrapubic installations. The surgeon may have had to cut through the fibrosis to some degree, but the penis was never degloved like in the video you reference.

[Gt1956]

As for phalloplasty. I can only relate what I have seen here on FT. I do recall seeing a "before" picture where the mans scrotum attached quite high on his penis.
During sex I always preferred to use my entire length. I could see in this particular mans case where he "might" not be a to get his entire penis length into the vagina before he had the sensation of bottoming out. Thus in his case he might actually gain some usable length by having the phalloplasy done.
Having said all of that. I personally do not think his case is very common. But I don't really know how common his condition is.
A consult with your surgeon is in order. I, personally would err on the side of too much scrotum skin vs too little. Not sure how things would work with an implant pump in there & things couldn't move around naturally.