What parts of the penis are irreparably damaged by the implant?

The final frontier. Deciding when, if and how.
QuestionGuy
Posts: 128
Joined: Tue Sep 22, 2015 6:50 pm

What parts of the penis are irreparably damaged by the implant?

Postby QuestionGuy » Mon May 27, 2019 3:41 pm

I know that the implant is considered a one-way-street, (in that the surgery decimates a lot of the natural tissue to get the implant in), but does any of the previous functionality survive? And perhaps some natural engorgement becomes additive to the implant cylinders?

With the right stimulation, I can get a great erection, and in the few seconds prior to orgasm, it’s pretty engorged. My issue is that the base is really unstable, and also: if I stop the stimulation, this engorged erection fades fast. It dies in about 3 seconds. If the whole thing was a wet noodle all the time, I wouldn’t care what the implant displaced as it went in. But in my case, I am wondering what (if any) of my functional might be spared?

Would things like TRIMIX gel or Cialis still help engorge the glans? or any other parts of the penis? Or has all organic functionality been replaced by the synthetic?
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

FunGuy69
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Joined: Sat May 11, 2019 3:23 am
Location: New Jersey, USA

Re: What parts of the penis are irreparably damaged by the implant?

Postby FunGuy69 » Mon May 27, 2019 6:38 pm

I am not an expert but here are my 2 cents:

corpora cavernosa, the spongy tissue on penis which gets filled by blood causing an erection, are removed to put the 2 cylinders of implant.

Implant is a semi-permanent/long-term solution. The implant can be surgically removed if there is a problem but you don't get the corpora cavernosa back.

Because the corpora cavernosa is removed, pills like cialis has very little to no effect. Some people see a little engorgement of the head because some tissue at the tip is spared during implant surgery.

However, you don't have to worry about any additive effects from pills etc. With implant, you can be harder and a better performer than a male porn star, so why should you think about adding a little effect from cialis?

Btw, like you, I too could get a decent erection with the right stimulation, but could not maintain it. It was useless and embarassing. So, I chose implant.

Good luck!
55 years young. Reasonably fit. No health issues other than ED.
Used pills for 5+ years and Trimix for 6 years.
Implanted on May 2, 2019 (AMS 700 LGX 18 cm x 12 mm w/3 cm RTE, MS pump).

David_R
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Re: What parts of the penis are irreparably damaged by the implant?

Postby David_R » Mon May 27, 2019 8:12 pm

My understanding has been that the corpora cavernosa is not removed. Rather it is squished (it's like a sponge, I've heard), which permanently damages it.

Lost Sheep
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Re: What parts of the penis are irreparably damaged by the implant?

Postby Lost Sheep » Mon May 27, 2019 10:19 pm

David_R wrote:My understanding has been that the corpora cavernosa is not removed. Rather it is squished (it's like a sponge, I've heard), which permanently damages it.

Some surgeons remove the cavernosum tissue completely, and some don't. There have been studies where some tissue remaining and some erentile function also remains, even slightly restored, Not nearly enough to actually get an erection but it is as if the implant partially cured erectile dysfunction. This is in no way a hope you can hang your hat on.

A seperate type of tissue is in the shaft and glans/head of the penis. Corpus Spongiosum. This engorges by a separate mechanism than the corpus cavernosum and is unaffected for good or ill by the implant. That engorgement/tumescence does contribute to fullnes of the erect penis. Oral meds can aid engorgemenr of the spongiosum but I don't thinkany injectable helps the spongiosum.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
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Namirrah
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Re: What parts of the penis are irreparably damaged by the implant?

Postby Namirrah » Tue May 28, 2019 4:09 am

Lost Sheep wrote:
A seperate type of tissue is in the shaft and glans/head of the penis. Corpus Spongiosum. This engorges by a separate mechanism than the corpus cavernosum and is unaffected for good or ill by the implant. That engorgement/tumescence does contribute to fullnes of the erect penis. Oral meds can aid engorgemenr of the spongiosum but I don't thinkany injectable helps the spongiosum.


The corpus spongiosum shares a blood supply with the corpus cavernosum, but lacks the collapsible veins of the CC. This is why engorgement of the cs can be so variable and transient.
Age: 39, Diabetic (well controlled) HBP (since teens, less well controlled, but ok),
mild ED for 3 years, l arginine l citrulline and norvaline (amino acid stack) helped.
Pills: ineffective. Started trimix: 6/24/18, EXTREMELY effective.

Gt1956
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Joined: Fri Apr 05, 2019 2:47 pm

Re: What parts of the penis are irreparably damaged by the implant?

Postby Gt1956 » Tue May 28, 2019 4:49 am

Perhaps another data point. In the videos that I have seen. The measuring device that determines the length of implant that your body can accept. It has a ball on the end that when it is inserted appears to mush most of the spongy tissue out of the way. In my opinion, any tissue that may still try to function doesn't stand much of a chance against the hydraulic force inside the cylinders.
The length of the implant isn't just some mysterious number that the surgeon picks or is based upon the length of penis you want. It is determined by what will fit in the length of penis that you bring to the surgery.
The main things that you'll gain with an implant is an erection that lasts longer that 3 seconds & it works every day of the week, twice a day of you so desire. If this doesn't sound like good enough reasons then I don't know what can be said to sway you.
You would be moving away from a penis that doesn't work. You're trying to strike a bargain with the devil in my opinion. By wanting some poor functions brought into your life after surgery. The erection with the implant will put your old penis to shame.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

QuestionGuy
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Joined: Tue Sep 22, 2015 6:50 pm

Re: What parts of the penis are irreparably damaged by the implant?

Postby QuestionGuy » Thu May 30, 2019 8:54 am

Thanks for all these great responses everyone. So I now get it. The base of the shaft will be supported by the cylinders, but I'm still confused about the head of the penis. All the demo videos I've seen are of a man who is in a clinical setting, and therefore, not sexually aroused. Is the engorgement of the head a separate bodily function from the engorgement of the shaft? I have heard of "floppy head" where the implant creates an erection, but the head remains soft. I would think everyone would have "floppy head" if the surgery decommissioned the glands functionality ( like it does to the corpus cavernosum)
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: What parts of the penis are irreparably damaged by the implant?

Postby Lost Sheep » Thu May 30, 2019 12:49 pm

Namirrah wrote:
Lost Sheep wrote:
A seperate type of tissue is in the shaft and glans/head of the penis. Corpus Spongiosum. This engorges by a separate mechanism than the corpus cavernosum and is unaffected for good or ill by the implant. That engorgement/tumescence does contribute to fullnes of the erect penis. Oral meds can aid engorgemenr of the spongiosum but I don't thinkany injectable helps the spongiosum.


The corpus spongiosum shares a blood supply with the corpus cavernosum, but lacks the collapsible veins of the CC. This is why engorgement of the cs can be so variable and transient.

Thanks for the (new to me) information.

Somewhere, the blood supply to the Cavernosum must separate from that supplying the Spongiosum, but your mention of the (colapsible veins) mechanism for closing off the venous draining of the two different tissues sheds a lot of light for me.

Thanks again. I always like to be better educated.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: What parts of the penis are irreparably damaged by the implant?

Postby Lost Sheep » Thu May 30, 2019 12:55 pm

QuestionGuy wrote:Thanks for all these great responses everyone. So I now get it. The base of the shaft will be supported by the cylinders, but I'm still confused about the head of the penis. All the demo videos I've seen are of a man who is in a clinical setting, and therefore, not sexually aroused. Is the engorgement of the head a separate bodily function from the engorgement of the shaft? I have heard of "floppy head" where the implant creates an erection, but the head remains soft. I would think everyone would have "floppy head" if the surgery decommissioned the glands functionality ( like it does to the corpus cavernosum)

Note: The entire length of the penile shaft (actually, from deep in the pelvic crus all the way up to the end of the implant -which is SUPPOSED to be about 1/2 to 2/3 of the way into the glans- ) is supported (made stiff/rigid) by the implant.

"Floppy head" is not referring to an un-engorged glans. It refers to the glans being able to flop over because the implant does not support the glans. This is because the implant does not go into the glans deeply enough (getting close enough to the tip of the penis/glans) to prevent that flop-over. Usually because the surgeon did not get the right fit (length) of implant.

Too long of an implant risks the tip of the implant eroding through the tip of the penis at worst, or the "S-Curve Deformity". Too short of an implant results in floppy head (also known as "SST Syndrome". Both require removal and replacement of the implant (revision). The former is the more dangerous condition, but either is unacceptably sloppy surgical procedure.
Last edited by Lost Sheep on Thu May 30, 2019 2:53 pm, edited 3 times in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

David_R
Posts: 2145
Joined: Mon Nov 02, 2015 1:03 pm

Re: What parts of the penis are irreparably damaged by the implant?

Postby David_R » Thu May 30, 2019 2:09 pm

At a hospital-sponsored prostate cancer survivors meeting I attended a while back, a visiting urologist explained that the engorgement (aka swelling) of the glans with arousal is a completely different system than an erection. After a prostatectomy some guys have this engorgement function return and some do not. I wouldn't think that an implant (without a prostatectomy, I mean) would have any effect on glans engorgement, but I'm no medical professional, so this is a guess. (In my own case, after my prostatectomy and implant I still have glans engorgement with arousal, which is nice.) :)


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