mr.henry wrote:Gt1956 wrote:mr.henry wrote:Hey,
Patients face dramatic size loss when they're implanted the second time after an implant removal. I guess the reason for that is somehow related to what I meant while saying "the penis is not getting any blood".
Eh, not what I've read & heard. A well known high volume surgeon says right on camera in a YouTube video. Most revisions allow an increased length implant to be used. I would hardly call that a dramatic size loss. Please consider naming a source for this data.
Of course, pal.
The second last sentence of the abstract. Here you go: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126071/
It is necessary to read the whole abstract. The last TWO sentences fill out the answer to the question
A salvage procedure, during which the wound is thoroughly washed with antiseptic solutions after device removal and placement of a new implant during the same procedure, has a high success rate and is becoming a popular approach. The alternative, device removal with return at a later date for placing a new implant, entails a more difficult corporal dilation, and the resulting erection is noticeably shorter. Patient and partner satisfaction with a penile implant is the highest among all of the treatments for ED.
The alternative method, removing an INFECTED implant and NOT immediately replacing it with another implant does result in a shorter end result (to which I add, "absent any size-preserving intervention - I am thinking vacuum therapy or penis tensioning).
I note that it is common practice to replace an infected implant with (at least) a malleable implant in order to preserve penile size. I also note that upon revision after implant failure (not complicated by infection) it is common that the second implant is longer than the virgin implant. Though, I hasten to add that one study I read to determine if the longer implant results in a longer penis was inconclusive. The longer implant may be "absorbed" by compression of tissues in the crus or in the glans.