Incision placement- disgusting

[Greg1956]

I have talked to a couple guys who lost sensitivity from that method. I think the advantage is that it’s easier for the surgeon. I had Penoscrotal from a highly regarded surgeon who said it was a great method and I had no issues.

[DougAnd]

I don't want to sound stupid but there is no way to get the reservoir into you body through the tip of the shaft of your penis. And the pump? And the tubing? My tubing is underneath the skin of my penis and I had penoscrotal. The very last place I want to have any scars is on my penis. That is disgusting!!!!!

[Waynetho]

I have talked to a couple guys who lost sensitivity from that method. I think the advantage is that it’s easier for the surgeon. I had Penoscrotal from a highly regarded surgeon who said it was a great method and I had no issues.

At least for me, not all of my sensitivity that leads to sexual gratification and release comes from the glans. A lot of the peripheral sensations from the skin of the penis, the groin and crus add into the equation. With the loss of some sensation in the skin and possibly further down the shaft, I firmly believe that I would be profoundly anorgasmic as opposed to having a degree of delayed ejaculation which is quite distressing in itself.

[Biker60]

Durning my interview process I met a Dr who only used ams cx and only did infrapubic and would not touch any plaque. All my xiaflex injections where in the base of my penis. Xiaflex is the worst treatment that fails I can think of. So infrapubic would be just stupid to go that route. The surgeon can see where the reservoir goes as there is not visual
With scrotal. You May get a foley and a drain. If you have PD intracoronal is not a good idea. The Finally while degloving sound horrific, there is an increase chance of infection. Compared to other methods. Bottom line, I am 4 weeks post op today. Scrotal incision healed well. Still sore. But I did have a plication and scrotal skin reduced. Because the pump would not sit correctly with a saggy ball sack. It your surgeon does not have options and does things only one way. I suggest you find someone else.

[Lost Sheep]

I don't want to sound stupid but there is no way to get the reservoir into you body through the tip of the shaft of your penis. And the pump? And the tubing? My tubing is underneath the skin of my penis and I had penoscrotal. The very last place I want to have any scars is on my penis. That is disgusting!!!!!

Not stupid at all. The entry incision is near the distal end of your penis (which would suggest that as the entry point into your body cavity). But all that does is let the surgeon under the skin. The de-gloving part pulls the skin back towards your body, exposing the tunica along the (almost) entire length of your penile shaft. There the incision into the tunica is made, access to your scrotum is allowed and access to your abdomen. The penile skin is easily stretchy enough to allow passage of surgical instruments, the implant and reservoir.

The tunica and other incisions are sutured up to complete the inner.

Then the penile skin is pulled pack up to the glans/corona and the skin incision is closed/sutured. That wound is the only opening in the skin and, considering its location, easier to monitor for healing, keeping clean, etc. Also, the scar is usually hidden by the corona and (if present) circumcision scar.

[Waynetho]

@LostSleep, distal means toward the end or glans of the penis. Proximal means inward from the base or toward the body.

Also, dorsal means the top of the penis and ventral means the bottom of the penis.

[Lost Sheep]

@LostSleep, distal means toward the end or glans of the penis. Proximal means inward from the base or toward the body.

Also, dorsal means the top of the penis and ventral means the bottom of the penis.

Right, and that is how I used the terms, distal and proximal. My reference to "entry point into your body cavity" was in response to DougAnd's post which seemed to me to suggest DougAnd thought the reservoir was inserted into the body at that (distal) point. I was trying to explain that the actual entry into the BODY was at the usual place, at the abdomen.

DougAnd apparently did not grasp that access to the abdomen was allowed by pulling the penile skin all the way down the penis' shaft.

If I could have posted a drawing, I should have.

Thanks for the "dorsal" and "ventral" terms. I have trouble with those. "Distal" is easy because the tip of the penis is at a distance from one's body and "proximal" is easy because it is in closer proximity to the body. "Dorsal" and "ventral" have no such mnemonic device in my mind. Do you have one?

[Waynetho]

Dorsal mnemonic is to remember that fish, dolphins and orca have a dorsal fin which is on top of the body. I remember ventral as a subtractive term (after eliminating the other three, ventral/down is the only combination left).

The the root of ventral is the Latin "venter" meaning "belly" but I'd never remember that.

[tomas1]

I was also thinking about dorsal and ventral using fish terms.
The vent of a fish (anus) is on the bottom.
Flounders and halibut are weird, but taste good lol.
Thanks for the easy way to remember distal and proximal.

[Lost Sheep]

Ventral could be remembered by linking in one's mind with "vent". Do fish fart? I know their anus is at the bottom of their belly from seeing the occupants of aquariums. It would be interesting to see fish farts bubbling up.