Impact of doctor on implant size?
Posted: Mon Feb 10, 2020 9:15 am
Dear FT members, I have three question:
1) Does the choice of surgeon has a great impact of the size of your implanted penis? Or is the difference between surgeons not as big, as long as it is an experienced "high volume" doctor?
I had a pre-surgery consult last week which worried me a bit. In the consult, the stretched state of my penis was about an inch shorter than my normal erect penis size (7 vs. 8 inches). When I addressed this, the doctor said not to worry, and that my penis would keep it's current size. I understand that the measurement of the corpora on the day of the surgery is more important than the stretch test. However, the doctor made a remark that my size "was more than adequate for sexual intercourse" and that men should not be so concerned with their penis size, which made me clear his emphasisis' was on functionality and certainly not upsizing.
2) I told the doctor that the glans of my penis often is not engorged. However, when I combine a cock ring with a PDE5-inhibitor I can get a full glans. The doctor told me I should not use a cock ring in combination with a penis implant as this may cause damage to the tubing (I know Perito in one of his video's actually recommends a ring for soft glans in men with an implant). I am therefore afraid that surgery will lead to an unsatisfactory result. The doctor said that sensation will likely be improved, even with a soft glans. Is this a good trade off: better erection (i.e. harder shaft) but softer glans?
3) What is the current consensus on best post-operative procedure for maintaining size? I read "we recommend leaving the implant inflated 60%–80% in the immediate postoperative setting for approximately 6 weeks", but I also read "during the first three months after the surgery the cylinders must be kept fully deflated in order to maintain the reservoir fully inflated. This will allow scar tissue to form on a full reservoir and prevent auto-inflation later on".
https://www.urologicalcare.com/penile-i ... nile-size/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337945/
As this is my first post a little background information. European, almost 50 years of age. Athletic, good health. Ten years ago I was already diagnosed with organic E.D. (doppler and injection of Bimix). Injections do not do much. Best results are with Cialis 10mg/day combined with a cock ring, which I have used the last decade. Results are not optimal: cock ring has to be tight, which decreases sensation, without a cock ring I am unable to maintain an erection. As my erectile capacity is not totally hopeless, I was/am not totally convinced that a penis implant may improve my condition. I can have sexual intercourse and experience an orgasm. I am sexually active on a daily basis. I am afraid to lose what I have right now, even if it is not optimal. However, after balancing the pros and the cons I made the decision to opt for an implantation. I am scheduled for an operation in less than two months.
Reading the posts on FT has been very usefull, and provided me with a lot of information that scientific articles alone can not provide.
1) Does the choice of surgeon has a great impact of the size of your implanted penis? Or is the difference between surgeons not as big, as long as it is an experienced "high volume" doctor?
I had a pre-surgery consult last week which worried me a bit. In the consult, the stretched state of my penis was about an inch shorter than my normal erect penis size (7 vs. 8 inches). When I addressed this, the doctor said not to worry, and that my penis would keep it's current size. I understand that the measurement of the corpora on the day of the surgery is more important than the stretch test. However, the doctor made a remark that my size "was more than adequate for sexual intercourse" and that men should not be so concerned with their penis size, which made me clear his emphasisis' was on functionality and certainly not upsizing.
2) I told the doctor that the glans of my penis often is not engorged. However, when I combine a cock ring with a PDE5-inhibitor I can get a full glans. The doctor told me I should not use a cock ring in combination with a penis implant as this may cause damage to the tubing (I know Perito in one of his video's actually recommends a ring for soft glans in men with an implant). I am therefore afraid that surgery will lead to an unsatisfactory result. The doctor said that sensation will likely be improved, even with a soft glans. Is this a good trade off: better erection (i.e. harder shaft) but softer glans?
3) What is the current consensus on best post-operative procedure for maintaining size? I read "we recommend leaving the implant inflated 60%–80% in the immediate postoperative setting for approximately 6 weeks", but I also read "during the first three months after the surgery the cylinders must be kept fully deflated in order to maintain the reservoir fully inflated. This will allow scar tissue to form on a full reservoir and prevent auto-inflation later on".
https://www.urologicalcare.com/penile-i ... nile-size/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337945/
As this is my first post a little background information. European, almost 50 years of age. Athletic, good health. Ten years ago I was already diagnosed with organic E.D. (doppler and injection of Bimix). Injections do not do much. Best results are with Cialis 10mg/day combined with a cock ring, which I have used the last decade. Results are not optimal: cock ring has to be tight, which decreases sensation, without a cock ring I am unable to maintain an erection. As my erectile capacity is not totally hopeless, I was/am not totally convinced that a penis implant may improve my condition. I can have sexual intercourse and experience an orgasm. I am sexually active on a daily basis. I am afraid to lose what I have right now, even if it is not optimal. However, after balancing the pros and the cons I made the decision to opt for an implantation. I am scheduled for an operation in less than two months.
Reading the posts on FT has been very usefull, and provided me with a lot of information that scientific articles alone can not provide.