Do implants restrict venous leak outflow?

The final frontier. Deciding when, if and how.
Sensei
Posts: 17
Joined: Wed Mar 21, 2018 8:13 pm

Re: Do implants restrict venous leak outflow?

Postby Sensei » Mon Mar 09, 2020 2:20 am

Waynetho wrote:
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.


So you are saying that while it does not fix it, the previous problem of venous leakage no longer exists after an implant. Correct?
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: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Do implants restrict venous leak outflow?

Postby Waynetho » Mon Mar 09, 2020 9:50 am

No, what I'm saying is that venous leak in the corpora cavernosa is now irrelevant once you're implanted because the cylinders handle all of the "heavy lifting" instead of the blood-flow to the cavernosa. There is still the spongiosum (glans/urethral bulge) that may or may not get engorgement and is affected by venous leak in that specific anatomical structure.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, 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

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Do implants restrict venous leak outflow?

Postby Lost Sheep » Mon Mar 09, 2020 12:25 pm

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.

Let me suggest a comparison:

A man has a knee that no longer works. The knee goes out of alignment, wobbles left and right and cannot be counted on to remain straight or to function normally.

The solution? Brace that stabilizes the instability/floppiness and makes the leg straight and strong for walking.

The brace did not "fix" the underlying problem. The brace enables the limb (combined brace and leg/foot) to walk, to bear weight, etc)


Now substitute certain words

A man has a penis that no longer works. The penis goes out of alignment, wobbles left and right and cannot be counted on to remain straight or to function normally.

The solution? Implant that stabilizes the instability/floppiness and makes the penis straight and strong for sex.

The implant did not "fix" the underlying problem. The implant enables the penis (combined implant and penis) to achieve penetrative sex)

The only difference in the above two narratives is, of course, the brace is external and the implant is internal.

Take the brace off and the leg still flops around, just like before. Do not inflate the implant and the penis is limp, just like before. SOMETIMES inserting an implant can restrict the leak in one's veins, thereby reducing venous leakage. But (as I posted before) this never (in the medical literature I have found) 100%, not an intended consequence and a rather unlikely outcome. But sometimes occurs by fortuitous accident. NEVER 100%. NEVER predictable.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

LeRoastBeef
Posts: 678
Joined: Mon Sep 17, 2018 11:09 am

Re: Do implants restrict venous leak outflow?

Postby LeRoastBeef » Tue Mar 10, 2020 9:09 pm

Lostsheep,
Could you send me a link to the medical literature where they did find the implant contributed to some degree of venous leakage reduction?
I understand if you don't have it anymore, I'm pretty sure I remember reading about the very same thing. Although it could just have been here...or in my imagination. :roll:
Implanted with AMS 700 lgx, 2021.
30's
UK

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Do implants restrict venous leak outflow?

Postby Lost Sheep » Tue Mar 10, 2020 9:26 pm

LeRoastBeef wrote:Lostsheep,
Could you send me a link to the medical literature where they did find the implant contributed to some degree of venous leakage reduction?
I understand if you don't have it anymore, I'm pretty sure I remember reading about the very same thing. Although it could just have been here...or in my imagination. :roll:

Inflatable penile prosthesis without corporeal dilatiion: A cavernous tissue sparing technique

A summary is here:
https://www.ncbi.nlm.nih.gov/pubmed/20092840
If anyone finds a link to the full article, please post it and send a PM to me; Thanks.

or this article
or this one:

Moncada I Marinez Salamanca, “Inflatable penile prosthesis implantation without corporeal dilation: A cavernous tissue sparing technique. Journal of Urology, 2010.
or
https://www.ncbi.nlm.nih.gov/pubmed/30773500
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

LeRoastBeef
Posts: 678
Joined: Mon Sep 17, 2018 11:09 am

Re: Do implants restrict venous leak outflow?

Postby LeRoastBeef » Wed Mar 11, 2020 8:23 am

Thank LostSheep, you're a star.
Implanted with AMS 700 lgx, 2021.
30's
UK

andrew1959nj
Posts: 271
Joined: Thu Jun 14, 2018 3:04 pm

Re: Do implants restrict venous leak outflow?

Postby andrew1959nj » Wed Mar 11, 2020 9:07 am

I love my implant and it never deflates to a flacid state no matter how much I squeeze it. I can give myself a handjob without pumping it up at all. I have noticed on several occasions that my cock stiffens up when I'm very aroused and stroking. I do have a significant venous leak and my woody shrinks as soon as the physical stimulation stops, but it is surprising and it enhances the HJ. It would never be hard enough for sex without pumping it up.
60 years old. MS and Severe ED 10+ years. Pills and injections never worked well. Implanted 5/16/2019 by Dr. Sadeghi. Titan 20cm + 2cm RTE.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Do implants restrict venous leak outflow?

Postby Waynetho » Thu Mar 19, 2020 12:04 am

Lost Sheep wrote:
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.


Whoa! I had a little private play time in the shower a little while ago with a gel stroker and a large stainless steel plug and *AFTER* finishing and deflating my implant, a couple of minutes later I felt pain in the glans and upon closer inspection found that I had a full, but not totally rigid erection! It's more than I've had biologically in about 5-6 years! My spongiosum was full but not hard, my glans was engorged (thus the pain in the implant tips?) and the shaft around both cylinders was almost fully rigid. My natural erection tonight would probably be the equivalent to having my cylinders inflated to about 30%.

The pain has finally subsided and the swelling (engorgement) has gone down but that was wild. I first though with the pain that I had injured myself, but then I noticed all three erectile bodies were full and not flat even though the implant was squeezed out to "ROAD-KILL" thin.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, 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

oatmealkid
Posts: 43
Joined: Tue Dec 17, 2019 12:42 am

Re: Do implants restrict venous leak outflow?

Postby oatmealkid » Thu Mar 19, 2020 4:49 am

ED is defined by ability to penetrate for coitus.
Correction of ED is the point of an implant.
If penetration is not enabled by an implant then the procedure was a failure.
If penetration is possible but ejaculation can't be achieved then the problem isn't ED.
70yo m Fla. Severe ED due to type2 diabetes.


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