Some more questions + concerns

[Lost Sheep]

Note that not all doctors will induce an erection via injection of saline or other liquids during the surgery. Some will simply do the stretch test. My surgical notes from my doctor say nothing about inducing an artificial erection. You can find my surgical notes on the following thread:

https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=14301

True. In my opinion, the production of an erection pre-op is not particularly useful to the doctor except in making sure the patient's expectations are realistic.

Many men are dissatisfied with their post-op size not because their erections are are smaller than what they had pre-op, but because they are smaller that what the men REMEMBER (or imagine they remember) from pre-E.D.

I read a couple of medical journal papers discussing this phenomenon (dissatisfaction due to dis-remembering - I do love my alliterations)

Documenting the actual pre-op EXTERNAL size of the erection is useful in that way.

Actually measuring the INTERNAL size of the (best) potential erection by vigorously measuring the cavern inside the tunica albuginea is the only proper determining factor. I read in Waynetho's surgical notes that

I measured both sides and they both measured 15 cm.

That would be the measurement by a Dilamezinsert or similar measuring tool

a small round 65 mL reservoir had been prepared. I dissected into the left groin, perforated the medial aspect of the inguinal ring, and placed that reservoir into the retropubic space and filled it with 65 mL of sterile normal saline. Once that was done, the cylinders were ready. I placed the cylinders with the aid of a Furlow needle passer. ...(edited for focus and brevity) I then closed both corpora with running 2-0 Vicryl sutures. A test direction was performed.

I infer that the "test direction" was the full inflation of the implant. The notes continue:

There was a good rigid erection with no buckling of the cylinders. There were cylinders out to the tip of the penis with a very nice result, with minimal dorsal curvature. At that point, we deflated the cylinders. I made a quick connect between the reservoir and the pump. The pump had been placed into a scrotal pouch in the midline scrotum with the aid of a nasal speculum to make the pouch. Once the connection was made with quick connects, the device was cycled and left 80% rigid.

Clearly, the "I measured both sides and they both measured 15 cm" indicates the measurement was done in the corpus cavernosum/tunica albuginea internally. Watch any of Dr. Kramer's videos to see this actually done. They are very graphic. I have not seen Dr. Eid's videos.

[Agfa13]

5. Because iam not from the states, is there ways to consult with dr.eid or kramer before the surgery via mail or something like that and are they willing to answer questions about my concerns and so on? I genuinly would like to hear their opinions if this really is the best way to solve my problem.

How did you hear about them? All you would have to do is search either one of them with a search engine. Although, with Kramer, I do know that once I heard about him, his data was not updated to say that he had moved to Chesapeake Urology. Long story short, just research them. You should be able to get to their sites respectively.
You should also be able to consult with them before you invest all the time and money to see them and have the surgery.

Ag

[igotquestions]

5. Because iam not from the states, is there ways to consult with dr.eid or kramer before the surgery via mail or something like that and are they willing to answer questions about my concerns and so on? I genuinly would like to hear their opinions if this really is the best way to solve my problem.

How did you hear about them? All you would have to do is search either one of them with a search engine. Although, with Kramer, I do know that once I heard about him, his data was not updated to say that he had moved to Chesapeake Urology. Long story short, just research them. You should be able to get to their sites respectively.
You should also be able to consult with them before you invest all the time and money to see them and have the surgery.

Ag

Heard about them trough this forum, i got in contact with Dr.Osmononov aswell who seems to be the leading specialist in germany. Also i found somebody here who got an implant from Dr.Osmnonov and he seems to be super happy about results, so i might not have to leave germany after all at the end.

[Agfa13]

Great! Whatever you decide, please continue to update us here in the forum. Like you finding information here, others who come by later looking for advice on how to proceed or do things will greatly appreciate your input, esp. if they are from your area in Europe. Who knows, they may end up looking up Dr. Osmononov too!
Aftercare with post-op, ideas on how to do thing pertaining to your circumstances, etc. are all welcomed here on FT.

Ag

[DougAnd]

1. I still have my foreskin as you can see, will i be able to keep it? is it still possible to put foreskin over your penis after the implant?

2. Done the stretch test and iam bit worried because it would never reach even close to my erect size. I will not cry if i lose a bit of length cause i know they will try their best but i genuinly hope my penis will somewhat be recognizable for me.
Can some of you guys who always were similar growers like me confirm that things will at least somewhat look similar haha?

3. My glans gets quite big/firm when iam having erections, i hear a lot of people have a soft glans, is this caused by the ED or by the surgery? i would be quite sad if i lose the ability to get a big/firm glans to be be honest.

4. Iam mostly worried about this floppy glans thing, but it seems this mostly happens when the surgeon is not 100% accurate with sizing. Do some guys here who got surgery by Eid or Kramer ever had this problem?

5. Because iam not from the states, is there ways to consult with dr.eid or kramer before the surgery via mail or something like that and are they willing to answer questions about my concerns and so on? I genuinly would like to hear their opinions if this really is the best way to solve my problem.


thanks everyone for reading and answering my questions! Really love this forum cause it takes away lot of concerns i have about this and makes me looking forward having sex and living a normal life.


Yes you can keep your foreskin and it will work as normal.
At 18 months because I used VED to stretch my penile veins I still get chubbies movement but not alot of glans engorgement. If you use Eid or Kramer and get floppy galns it will be because of youe anatomy. Not everyone has corporas that go deep into their glans.Some guys use pills with their IPP to engorge their glans. I don't does not both me to have soft glans. You might be different good luck

[David_R]

When you get an implant your soft size typically remains longer so it depends on how much loose skin you have.

Also, how tight the foreskin opening is makes a difference.

[NJ Fred]

I cannot overemphasize the need to select your surgeon with the utmost care. And while none of them are Gods, you - and you alone - MUST have confidence before the procedure. Both Doctors Eid and Kramer feature impressive websites chocked full of good info. Nonetheless, like lawyers, they are businessmen who need to insure timely monetary flow. Dr. Eid maintains an office along Manhattan's pricey East 63rd St. - - ain't cheap, I assure you. Add to that office and staff costs plus necessary malpractice and other insurances and it makes for a very high overhead. Being fair, I once contacted Dr. Eid and was flabbergasted at the immediate response from Eid, himself. Had the dreaded pandemic not been in high gear, I would be his patient today.

Doctors who might not have such a stellar online presence are equally competent. Again, this is your call since the penis-in-question is attached to you - for life.

That is not to say that shit can't happen. My AMS 700 went in on 1/29 of this year. My post surgery complications are multi-fold and I am already on the list (for once elective surgery in NJ is again an option) for a revision. My original implant was done in Wellington, Florida during the time the bride and I reside near there each winter. The revision will be done by a Urologist in Washington Township, NJ. No gripe about the Florida guy; just not prepared to tolerate what's going on for another eight months.

Sir, just the fact that you have come to the decision to undergo an implant speaks well of your maturity and courage - my respect!

My prayers that all goes well.

Fred

[68CatFan]

I saw on Dr. Eid's website that he can do collagen injections into the glans to firm it up and help improve sensitivity. Might be a better option instead of taking Viagra or Cialis.

[tomas1]

I've always been a risk taker, but when I talked to my surgeon, he inspired confidence in me.
I've said before that the only FT poster whom I saw who had my surgeon almost died from an infection.