Glans Engorgement with an implant.

The final frontier. Deciding when, if and how.
hope794
Posts: 237
Joined: Wed May 30, 2018 7:59 am

Glans Engorgement with an implant.

Postby hope794 » Wed Oct 07, 2020 5:12 pm

Hello guys. As you know if you read my previous posts, i'm considering an implant. There's an issue: glans engorgement.
Many of you say that "if glans engorges BEFORE the implant, it will most likely engorge AFTER the implant."

Now, my issue is that i'm suffering from ED due to Peyronie's disease, and my glans still engorges.. BUT.. It engorges in a strange manner.
What i mean is that it doesn't engorge fast, but only if i manually stimulate my penis. Then, when i get nearly fully erect (like at 80%+ erection) it begins engorging.
So basically it only engorges properly when i manually stimulate AND i'm aroused at the same time. When these two things happen, my glans engorges pretty well and become really big. Obviously, i'm scared about losing this glans engorgement which i love so much.

So the question is: will my glans engorge after the implant, if now it engorges JUST when i stimulate the penis and at the same time when i'm aroused? Or will my implant prevent it from engorging even when stimulating?

I fear that my glans only engorges because of the manual stimulation, because of a lot of blood flow coming in and, when corpora cavernosa will be not there anymore, it will never engorge anymore.. :(
Did this happen to any of you? I mean that before the implant you had good glans engorgement, and then it faded after the implant?

THANKS EVERYONE for spending some time in this post!
26 yo from Italy.Peyronie's disease probably since 2015.Since then,penis bends of about 20-25°. PD keeps progressing. Moderate ED since 4 years and things getting worse.From pornstar-like to depressed, but still fighting for a solution.

MK1965
Posts: 472
Joined: Thu May 24, 2018 5:32 pm

Re: Glans Engorgement with an implant.

Postby MK1965 » Wed Oct 07, 2020 5:54 pm

Hope,
Most likely it will. If it is engorging now, it should after implant too.
Guys, who have a problems with glans engorgment, are Prostate Ca survivors and had most likely radical prostatectomy for prostate Ca treatment.
During prostate removal surgery, most of blood vessels ( arteries and veins) are clipped with surgical clips and sealed so very little circulation is present in whole penis, glans included.
MK
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.

Waynetho
Posts: 1378
Joined: Wed Nov 27, 2019 11:22 pm
Location: Addison, TX

Re: Glans Engorgement with an implant.

Postby Waynetho » Wed Oct 07, 2020 5:57 pm

Glans engorgement is totally unrelated to corporal engorgement. The addition of the implant into your left and right corpus cavernosum (corpora for short) will not directly affect the glans engorgement. It could for a time affect the stimulation based arousal levels that are needed for glans engorgement but that isn't the same. If you have good blood-flow and no venous leakage to the glans, but still you can't get enough stimulation to keep it engorged properly, you might be able to try MUSE or Trimix gel (applied by applicator inside the urethra). I'm not sure about Trimix gel but I understand that MUSE burns when the pellet is inserted into the urethra so you might not like it.

Glans engorgement isn't absolutely necessary though, since the tips are hard you can still insert in just about any situation including tight anal. If you like to penetrate anally, you might want to dilate your partner with two or three fingers before penetration to get them loose first.

Bottom line is, the glans is a third unrelated erectile body in the penis. It and the spongiosum that surrounds the urethra are one body and if they can engorge, they should continue to. if they cannot engorge, they still won't be able to after implantation.
59 yo, married 39 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

frwmw1
Posts: 136
Joined: Thu Oct 01, 2020 7:38 am

Re: Glans Engorgement with an implant.

Postby frwmw1 » Wed Oct 07, 2020 6:50 pm

The deep dorsal vein drains the glans though, and erect corpora helps occlude it, right?

That may be the problem here.
45yo, venous leak. Pills increased tinnitus (very rare). Trialing Trimix, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

Waynetho
Posts: 1378
Joined: Wed Nov 27, 2019 11:22 pm
Location: Addison, TX

Re: Glans Engorgement with an implant.

Postby Waynetho » Wed Oct 07, 2020 9:19 pm

frwmw1 wrote:The deep dorsal vein drains the glans though, and erect corpora helps occlude it, right?

That may be the problem here.

The implant can be capable of the same function, even to a greater degree for some guys. Most implantees I've seen posting here have stated that they don't get good glans engorgement if they pump to full 100% (possibly because it affects arterial flow in some way). With less pressure most of those who have engorgement state that it still does so well. I would posit that the implant also restricts venous outflow to a degree when inflated.
59 yo, married 39 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

Up4Real?
Posts: 26
Joined: Wed May 30, 2018 9:06 am

Re: Glans Engorgement with an implant. More comments please.

Postby Up4Real? » Wed Oct 07, 2020 10:34 pm

Would more of you with implant experienced please comment on this post? As someone who is scheduled for an implant in less than a month, I really feel like this is by and large an issue that seems to be a gray area.

The one answer, above all else, that keeps me committed to getting the implant is the high percentage of patient satisfaction.

It would increase my level of confidence (and decrease my stress) if there are more voices confirming the status of their glans engorgement.

I thank you in advance for some additional enlightenment.

Please help me get "UP4Real"? :D
1947 (73YO) homo sapien, heterosexual, uncut. Married 44 years to supportive wife. Developed ED at 65YO. Used pills, VED, rings, muse, ever increasing tri mix: discontinued with 85 units of 80/3/25. Didn't work. Got peyronie's.Implanted 11/18/20

frwmw1
Posts: 136
Joined: Thu Oct 01, 2020 7:38 am

Re: Glans Engorgement with an implant.

Postby frwmw1 » Thu Oct 08, 2020 3:37 am

I think guys just use a light constriction ring to keep the glans hard.
45yo, venous leak. Pills increased tinnitus (very rare). Trialing Trimix, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

stephen54
Posts: 417
Joined: Sun Nov 10, 2019 11:43 am
Location: Midwest

Re: Glans Engorgement with an implant. More comments please.

Postby stephen54 » Thu Oct 08, 2020 6:53 am

Up4Real? wrote:Would more of you with implant experienced please comment on this post? As someone who is scheduled for an implant in less than a month, I really feel like this is by and large an issue that seems to be a gray area.

The one answer, above all else, that keeps me committed to getting the implant is the high percentage of patient satisfaction.

It would increase my level of confidence (and decrease my stress) if there are more voices confirming the status of their glans engorgement.

I thank you in advance for some additional enlightenment.

Please help me get "UP4Real"? :D


At almost 11 months post-implant here my experience has been that my glans just doesn't engorge anymore as it used to prior to implantation. It's not even remotely close. I lost an inch of length and an inch of girth (with extremely consistent, diligent measurement before and after) and I don't know how to properly characterize what I've lost in terms of glans heft and circumference- but it's significant.

My entire life, when I had organic erections and then when I was on pills and then TriMix, my glans was a really notable hard knob, like a firm small apple which significantly protruded beyond the girth of my shaft.

No more.

So I'm not sure how you may personally choose to tumble all the variables surrounding implantation and make your decision because there are a lot of variables. It's obviously different for everyone.

But to your point - in terms of satisfaction with my implant - I am overwhelmingly satisfied. Extremely happy. And again, I say that to you as a guy who really, really enjoyed the girth, length, and knobby glans I used to have, and as a guy whose wife really enjoyed all those things, too.

When I did the mental math pre-implant, the way I honestly approached it was I mostly assumed I was going to lose dimensions in some way. I assumed there would be a dimensional deficit vs pre-implant dick. I prepared myself for that and figured, ok, if I retain or gain size overall, great, woo hoo, icing on the cake. But I just kept myself focused on precisely why I wanted the implant at all: it was because I wanted to be able to fuck on demand, with extremely long duration and capability, and with zero anxiety.

Mission overwhelmingly accomplished.

I put up an update to my post-implant experiences a few weeks ago if that may be of help. I know a lot of guys obviously have done the same and I know that while it's helpful to read everyone's accounts (it was for me, for sure) it's also sometimes difficult to draw consistent conclusions because experiences seem to vary fairly widely. And, normal human behavior seems to be that we work so hard to find and then to generalize the best of others' experiences and assume we'll have the same that sometimes there's a letdown coming down the road, not because our outcome is actually poor, but because of our expectation-setting going in. If that makes sense. I went into this process with no attachment to my future glans' size/engorging ability - so I had no particular letdown afterward.

Also, and this is just me, but I don't care about experimenting with vacuum devices or cock rings etc. I know there are guys who enjoy and feel they benefit from those approaches post-implant, and that's great, for sure, awesome - it's just not really me/us. There's a level of fine-tuning and sort of...I don't know...constant scrutinizing of how to perfect and enhance some discrete dick attribute that for me/us just doesn't rise to a level where we particularly care. Not at all judging those who do fine tune things like mad scientists, that's awesome if they find enjoyment in all that. We would find new anxiety vs enjoyment I think, and anxiety was a big fucking part of what we endeavored to lose. We mostly just wanted to very reliably fuck. When I'm inside her, a cascade of crazy good things always follows, so we just roll with it all. My win here, is that I can be iron-hard inside her mouth, pussy, ass with 100% certainty and reliability. Things will be different with your future robo-dick. You just have to define and re-define what "different" might mean for you and your partner.

I guess as you consider and contemplate implantation I just encourage you to:

1. Not assume the absolute perfect outcome (in fact, shed your concept of "perfect" or "ideal" and accept that your dick will be different, even though you at present cannot know how it will be different).

2. Literally write down and list all the features and benefits of your dick / your current sex life/ and the sex life you want.[b] Be very specific and write simple words and phrases characterizing what you like, want, and enjoy about sex, and what your partner likes wants and enjoys. My wife and I literally flip-charted this like we were in a fucking breakout meeting at work.

3. Force rank those attributes and features
; meaning...if you end up with ten criteria on your list, they cannot all carry the same importance and weight. They just can't. You and your partner will both have things that rise to the top and things which fall lower on your list and your lists, if honestly constructed, will be different. So go through that exercise yourself and I strongly encourage also with your partner. Force yourselves to rank dick-attributes from Most Important to Sort of Important down to Least Important. Then, go into implantation with the intention and confidence that you are pursuing and focused on what truly matters most to you both. My wife and I had 30+ different things we put on our lists and I feel like a critical part of my current satisfaction with my implant is that my expectations and emotions around the implant were aligned with what I (and she) agreed we value most; ie, as I said, to fuck when, where, and however we want with zero questions around functionality. In the big analysis, for us, that was our #1.

My little implant rant, for whatever it may be worth.
54 yrs, remarried to highly sexual 52 yr old wife. Pills ran their course then 9 yrs Trimix. 28 cm Titan Touch XL implanted Nov 2019, Laurence Levine, Rush Univ Med Ctr Chicago. Implant so far a blessing and nonstop fun.

irishguy
Posts: 151
Joined: Sun Oct 28, 2012 12:04 pm

Re: Glans Engorgement with an implant.

Postby irishguy » Thu Oct 08, 2020 7:21 am

My glans is the same post implant as pre I can get blood in but it doesn’t stay so I use a cock ring!! I couldn’t get much blood into the glans till I was fully healed and confident!! Now I pump the implant put on the ring and have a great hard full glans
Age 34 Implanted with a 20cm Titan, Mar 19 2013, By Doctor David Ralph in London England,
8 years with implant and after a rocky start I’m very happy with the implant

Up4Real?
Posts: 26
Joined: Wed May 30, 2018 9:06 am

Re: Glans Engorgement with an implant. Any more responses?

Postby Up4Real? » Thu Oct 08, 2020 7:53 pm

Thanks guys. This is really helpful. I will be thinking this through.....w/o analysis paralysis.

On the flip side of this is the fact that this surgery is irreversible. I just listened to a seminar from U of Miami that one of the group sent out a link regarding. They mention some research on platelet rich plasma that is injected into the penis to see what effect it has on ED.

Again, I have made my decision to proceed based above all else on the high level of patient and spouse satisfaction.

Thanks again. This is an incredible group.
Up4Real?
1947 (73YO) homo sapien, heterosexual, uncut. Married 44 years to supportive wife. Developed ED at 65YO. Used pills, VED, rings, muse, ever increasing tri mix: discontinued with 85 units of 80/3/25. Didn't work. Got peyronie's.Implanted 11/18/20


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