subcoronal implant

[ViaSwiss]

Check out video 2
https://www.vjpu-issm.info/videos?utm_s ... 2e34a8f52c

New way to do an implant. I've noticed Karpman does this too.

[Waynetho]

Operative word here: DEGLOVING (fully from the sub-coronal incision behind the glans all the way to the abdomen)

I'm definitely not a fan. As much skin sensitivity loss as I have now around my penoscrotal incision and in fact within my penis, mostly ventrally, I can only imagine the amount of skin sensitivity loss from a degloving procedure which is exactly what this is.

I know under some situations degloving is necessary to complete plaque excision and grafting for Peyronie's patients but to deglove simply for inserting the IPP doesn't sound appealing to me. I'd much rather go through an infrapubic or penoscrotal procedure (again and again) before being degloved just for an IPP replacement or install.

This is my own personal feeling on the thought of degloving for IPP procedures because I personally would be concerned that I would have even less penile skin sensitivity than I have now when the incision was made near my scrotum. I speak only from the experience of my own sensitivity loss from a theoretically less "skin invasive" procedure than degloving and how I can imagine much worse sensitivity issues had I been given a circumcision incision with deglove to insert the device. Honestly, before I had my IPP surgery, I actually thought my doctor would have to do a deglove and graft, but he did not need to and for that I'm now thankful.

Before I would even consider the sub-coronal IPP surgery (with full degloving) I would have to have absolute assurance that there is no possibility of penile skin sensitivity loss, over and above what occurs during the trauma from a penoscrotal or infrapubic approach.

[Gt1956]

I fail to see any benefits to this method. Incision is all around the shaft. I have had a limited circumcision. Trust me, an incision in that location is painful & takes what seems like forever to heal. Every erection hurt too much for sex for several months. A guy that works with my daughter claims it took almost a year to heal from his circumcision. A guy I worked with said his took most of 2 years. My own surgeon warned me that it had a long healing time.

[newbie443]

I have seen variations of the different methods for years. I guess it depends on what and the amount of work to be done. I had a long vertical peniscrotal incision for a scrotal plastic. A horizonal peniscrotal can be slightly longer and the skin of the shaft pulled up and over the glands to expose the under side of the shaft. I have seen 1 and 2 infrapubic incisions for implant. And the deglove I have seen was higher in the circumcision scar or more common for when the man receives an implant and is circumcised at the same time. That way there is not a second incision to deal with and less chance for infection. This the first time I have seen the full deglove that low on the shaft. The deglove would not be my choice unless the doctor needed access to the top side of my shaft.