Do implants restrict venous leak outflow?

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BillyPaul1992
Posts: 4
Joined: Mon Dec 23, 2019 1:24 pm

Do implants restrict venous leak outflow?

Postby BillyPaul1992 » Fri Mar 06, 2020 4:18 pm

I have a venous leak and peyronies. My tunica doesn't get firm without pd5s currently. Trying to gauge what to expect for firmness and girth after I get my implant.

Lost Sheep
Posts: 3240
Joined: Mon Jul 04, 2016 11:16 pm

Re: Do implants restrict venous leak outflow?

Postby Lost Sheep » Fri Mar 06, 2020 4:31 pm

BillyPaul1992 wrote:I have a venous leak and peyronies. My tunica doesn't get firm without pd5s currently. Trying to gauge what to expect for firmness and girth after I get my implant.

There is some evidence that up to half of men with venous leakage might retain SOME erectile function (WITHOUT inflating their implants). Not necessarily improvement, but some retention. That means the other half (all the men in the study got tissue-sparing surgery) lost what little they had. ONE man sometimes (without pumping up the implant) got just enough erection for coitus.

This is not something to count on, by any stretch of the imagination.

I have venous leak and got nothing from the implant. In fact, my (already limited and short-lived) ability to get an erection was completely gone after the operation. THAT is the outcome ANY MAN should EXPECT from the operation. Any spontaneous erectile ability (regained, retained or improved) should be considered a miraculous gift.
Last edited by Lost Sheep on Sat Mar 07, 2020 5:26 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
READ OLD THREADS to ask better questions and better understand answers.
Make yourself part of your medical team.
Document your current penile size: photos and written records.
Pre-op V.E.D. therapy helps.

WheezeTheJuice
Posts: 25
Joined: Wed Oct 23, 2019 9:32 pm

Re: Do implants restrict venous leak outflow?

Postby WheezeTheJuice » Sat Mar 07, 2020 3:49 pm

Lost Sheep wrote:ONE man sometimes got barely enough erection for coitus.


This man was implanted and could barely get erect for coitus?

Lost Sheep
Posts: 3240
Joined: Mon Jul 04, 2016 11:16 pm

Re: Do implants restrict venous leak outflow?

Postby Lost Sheep » Sat Mar 07, 2020 5:25 pm

WheezeTheJuice wrote:
Lost Sheep wrote:ONE man sometimes got barely enough erection for coitus.


This man was implanted and could barely get erect for coitus?

Sorry, I should have been more specific. He could get rigid enough for coitus (barely) WITHOUT pumping up the implant. WITH pumping up the implant, of course he was fine.

In my defense, my whole post was talking about venous leakage mitigation, not implant operation or effectivenes
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
READ OLD THREADS to ask better questions and better understand answers.
Make yourself part of your medical team.
Document your current penile size: photos and written records.
Pre-op V.E.D. therapy helps.

LeRoastBeef
Posts: 278
Joined: Mon Sep 17, 2018 11:09 am

Re: Do implants restrict venous leak outflow?

Postby LeRoastBeef » Sat Mar 07, 2020 7:11 pm

The use of a cock ring with the implant will reduce venous leak outflow. Some guys here use the rings with the implant as a result.
I do not know of anyone who noted that inflation of the implant alone was sufficient to make a significant difference to venous outflow reduction.
Venous leakage (Cavernosum and glans). 31yrs. In the process of getting an implant. Nervous but accepting it has to be done. Love Franktalk.

merrix
Posts: 951
Joined: Tue Oct 27, 2015 1:08 am

Re: Do implants restrict venous leak outflow?

Postby merrix » Sat Mar 07, 2020 7:29 pm

Lost Sheep wrote:
I have venous leak and got nothing from the implant. In fact, my (already limited and short-lived) ability to get an erection was completely gone after the operation. THAT is the outcome ANY MAN should EXPECT from the operation. Any spontaneous erectile ability (regained, retained or improved) should be considered a miraculous gift.


Credit to Ls for saying it as it is, and not trying to butter up his situation. And I 100% agree with him what he says about what to expect. Anything beyond that, should be considered a bonus.

I would like to add to this topic, that if I remember correctly, my doc told me when discussing with him around the time of surgery, that a large implant can trap blood in the glans and help counteract the effects of venous leak.
Not 100% sure I remember correctly though, this was a few years ago...

In my case, I have been lucky to get great blood flow to my glans and it stays hard during sex. This is irrespectively of how hard I pump. These days I almost always pump as hard as I can, using two hands and full force, when having sex. And my glans still gets hard an my shaft gets warm and "soft" (the skin that is. The cylinders get super hard).
This was not the case always in the beginning though. It took a long time (perhaps 2 years) before I could enjoy the implant pumped to maximum hardness. Before that point, I would have an unnatural, blood-lacking, feeling if pumping too hard.
43 yo, ED forever from VL
Fit and active
Implanted 151215
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

Sensei
Posts: 16
Joined: Wed Mar 21, 2018 8:13 pm

Re: Do implants restrict venous leak outflow?

Postby Sensei » Sun Mar 08, 2020 12:59 am

I am somewhat confused by this discussion. Unless I am greatly mistaken, an implant fixes venous leakage. I have read testimonies from men who had severe VL, either congenitally, from injury, or from unknown cause. I know that it plagued me a few years ago. But the constant take-away is that an implant will correct the condition. If this is correct, what is the speculation for? I must be missing something.
Married for 35 years, 63 years old, pretty fit. ED advanced in last 20 years. Pills worked initially, and shots were very effective for several years. Developed some PD (35 degrees) and VL within the last 2 years. Implanted 5/30/2018 with a Titan OTR.

Waynetho
Posts: 780
Joined: Wed Nov 27, 2019 11:22 pm
Location: Addison, TX

Re: Do implants restrict venous leak outflow?

Postby Waynetho » Sun Mar 08, 2020 1:51 am

Sensei wrote:I am somewhat confused by this discussion. Unless I am greatly mistaken, an implant fixes venous leakage. I have read testimonies from men who had severe VL, either congenitally, from injury, or from unknown cause. I know that it plagued me a few years ago. But the constant take-away is that an implant will correct the condition. If this is correct, what is the speculation for? I must be missing something.


It sounds like you're confusing terms. It doesn't FIX venous leakage. It replaces the erection mechanism that was faulty due to venous leakage. The cylinders create the rigidity that was previously provided by the erectile bodies which may be failing to operate properly due to venous leakage.
59 yo, married 38 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19 Dr. Mark Allen, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

LeRoastBeef
Posts: 278
Joined: Mon Sep 17, 2018 11:09 am

Re: Do implants restrict venous leak outflow?

Postby LeRoastBeef » Sun Mar 08, 2020 7:03 am

The problem is that some men lack erectile function of the spongiosum, the sheath which surrounds your urethra on the underside of the penis, along with the glans, which is a continuous compartmentalised tissue mass. This is not catered to by the implant, which is restricted to the cavernosal erectile bodies.
So does the pressure if the inflated implant in the cavernosa, press upon the veins draining the spongiosum enough that it would reduce outflow, facilitating erection of that spongiosum?

Or does it impede blood flow to the glans? Does it do both?
Venous leakage (Cavernosum and glans). 31yrs. In the process of getting an implant. Nervous but accepting it has to be done. Love Franktalk.

Steve87
Posts: 15
Joined: Sat Feb 15, 2020 5:45 pm

Re: Do implants restrict venous leak outflow?

Postby Steve87 » Sun Mar 08, 2020 7:13 am

LeRoastBeef wrote:The problem is that some men lack erectile function of the spongiosum, the sheath which surrounds your urethra on the underside of the penis, along with the glans, which is a continuous compartmentalised tissue mass. This is not catered to by the implant, which is restricted to the cavernosal erectile bodies.
So does the pressure if the inflated implant in the cavernosa, press upon the veins draining the spongiosum enough that it would reduce outflow, facilitating erection of that spongiosum?

Or does it impede blood flow to the glans? Does it do both?


That's exactly my issue. I was implanted about 50 days ago and I have issues with spongiosum. My dick is flat and glans is soft. When aroused and in constant stimulation I can get some blood in to it but when I stop stimulation it leaks in 2 seconds. Before the implant spongiosum worked pretty well and I had no issues with soft glans, issue was in cavernosal bodies. So for me there spongiosum leak is worse than before. I'm wondering if a titan that has wider cylinders may be better to stop the leak, now I have ams cx.
Italian, venous leak from 17 yo. Now I'm 31 yo. Implanted with infrapubic approach on 1/20/20 with AMS CX 21 + 4 RTE by Gabriele Antonini (Italy).


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