Which surgery is best for me? Penoscrotal or infrapubic?

The final frontier. Deciding when, if and how.
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ElbowRoom
Posts: 954
Joined: Mon Mar 17, 2025 1:58 pm

Re: Which surgery is best for me? Penoscrotal or infrapubic?

Postby ElbowRoom » Mon Nov 10, 2025 2:07 pm

Jage64 wrote:I had this same question and decided that PS was best for me, even before I chose a surgeon.

The ONLY thing that I am going to interact with in terms of this implant is the pump, and I'm going to use it often. I wanted that pump placed exactly where it should be and not worry about tugging on it during healing or having it end up too high because it being more difficult to place going IP. I don't give a crap where the reservoir is, as long as I can't see or feel it, but I DO care where the pump is in my scrotum.


Just FYI I did PS surgery and my pump was quite high on the right side, and required pulling to bring it down.
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement

Rider1400
Posts: 1319
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Which surgery is best for me? Penoscrotal or infrapubic?

Postby Rider1400 » Tue Nov 11, 2025 8:13 am

After months of research I found a Dr in Dallas(350 miles from my home) that qualified under Perito that specialized in IP approach. At the time I was sold out on that being the best for me. Now 3-1/2 years later and 35-40 pounds less belly I have a tube that slightly protrudes up top of my shaft. It don’t hurt but shows slightly and I can feel it when full depth buried grinding on my wife. My only concern is that it could eventually lead to a break from bending it. Now my issue is my tips of implants are poking my wife and hurts her when we do any position other than missionary. I’ve always felt stretch in girth when maxed but never felt pressure in my glands. Think I may have slightly undersized implants which is causing floppy glands.Have an appointment with Clavell in January to look at revision and would like to see if I can go back with PS approach this time and then I’ll have a good idea of how both feel and compare. Also see what he says about supporting the tips of implants. Seems I heard on one of his videos that he has a way of padding and supporting the tips in the gland, if you know anything about this please respond
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

Kodixx
Posts: 959
Joined: Wed Jan 08, 2025 5:32 pm

Re: Which surgery is best for me? Penoscrotal or infrapubic?

Postby Kodixx » Tue Nov 11, 2025 12:12 pm

Rider1400, during recovery I read several posts about erosion, got concerned, then talked to my Dr about it. First, he emphasized that although I was recovering slowly, I wasn't anywhere near risk of erosion. Then he assured me that even if I ever experienced erosion, that he had repaired that condition many times using a mesh or pad that's inserted between the tips and glans. I'll be anxious to compare that to what your Dr has to say.

- Chuck
Rider1400 wrote:Also see what he says about supporting the tips of implants. Seems I heard on one of his videos that he has a way of padding and supporting the tips in the gland, if you know anything about this please respond
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

Rider1400
Posts: 1319
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Which surgery is best for me? Penoscrotal or infrapubic?

Postby Rider1400 » Wed Nov 12, 2025 11:26 am

Kodixx wrote:Rider1400, during recovery I read several posts about erosion, got concerned, then talked to my Dr about it. First, he emphasized that although I was recovering slowly, I wasn't anywhere near risk of erosion. Then he assured me that even if I ever experienced erosion, that he had repaired that condition many times using a mesh or pad that's inserted between the tips and glans. I'll be anxious to compare that to what your Dr has to say.

Thanks for your response. I’m anxious to hear what he says.

- Chuck
Rider1400 wrote:Also see what he says about supporting the tips of implants. Seems I heard on one of his videos that he has a way of padding and supporting the tips in the gland, if you know anything about this please respond
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong


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