Hard sex with an implant + None or little glans engorgement

The final frontier. Deciding when, if and how.
hope794
Posts: 278
Joined: Wed May 30, 2018 7:59 am

Re: Hard sex with an implant + None or little glans engorgement

Postby hope794 » Tue Dec 08, 2020 8:03 pm

Lost Sheep wrote:[quote="hope79
It engorges, but the crap thing is that it does so only when i get erected. This makes me think that it is somehow dependent from the Corpora cavernosa's erection, even if i cant explain why. This really worries me.

If i was certain that the glans still engorged, i would go for an implant even tomorrow.

Nope, the glans is engorged by a different blood supply than the corpus cavernosum. The glans is corpus spongiosum (and the shaft of the penis OUTSIDE the tunica albuginea) is also engorged by the spongiosum. The tunica albuginea is the body that is filled with the corpus cavernosum. The tunica is a fibrous capsule designed by nature to be inflated by blood supply to the cavernosum tissues and inflated hard.

Absent misadventure during surgery, whatever spongiosum engorgement (glans and shaft) you dad before implant (into the tunica, essentially replacing the cavernosum and leaving the spongiosum unaffected) will remain functional after the implant just as it was before the implant.

Of course, inflating the implant does not engorge the glans. But arousal will engorge the glans even if the implant is not inflated. I hope that makes sense. The two systems of engorgement/tumescence are independent of one another.[/quote]

Ehy LS thanks for the reply. This is what everyone here say and i agree, but unfortunately i've heard about many guys which had this issue after the surgery. While the glans engorged before, even a little bit, it didn't engorge anymore (or way less) after the implant.. One example of this is stephen, which you can find on the posts up. So what is the real truth? :cry:
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.

Waynetho
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Location: Dallas, TX

Re: Hard sex with an implant + None or little glans engorgement

Postby Waynetho » Tue Dec 08, 2020 8:50 pm

hope794 wrote:AHAAAHH guys thanks everyone for posting, you are really funny and nice people, this forum is like a brotherhood and i can feel it.

Ok, i got the point that i'll be able to do hard sex and this is great for me. Unfortunately, the "glans" matter still worries me. I am circumcised, so i already have less sensitivity than average men. Most of my sensitivity comes from my glans which grows a lot when engorges.

It engorges, but the crap thing is that it does so only when i get erected. This makes me think that it is somehow dependent from the Corpora cavernosa's erection, even if i cant explain why. This really worries me.

If i was certain that the glans still engorged, i would go for an implant even tomorrow.

Ask your urologist to let you get a sample of trimix gel for urethral insertion. Test whether it causes glans engorgement or not. If it does, then you have the option to use the gel whenever you want firm glans along with your inflated implant but you may find it's not really necessary after you try it a few times without.
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
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Joined: Mon Jul 04, 2016 11:16 pm

Re: Hard sex with an implant + None or little glans engorgement

Postby Lost Sheep » Tue Dec 08, 2020 8:51 pm

hope794 wrote:
Ehy LS thanks for the reply. This is what everyone here say and i agree, but unfortunately i've heard about many guys which had this issue after the surgery. While the glans engorged before, even a little bit, it didn't engorge anymore (or way less) after the implant.. One example of this is stephen, which you can find on the posts up. So what is the real truth? :cry:

The real truth, I believe, is that some nerve damage took place during the surgery, reducing the sensation in stephen's glans (Stephen, please weigh in). Or, less likely, blood supply was compromised.

The surgery for implants do traumatize the nerves in the pelvic region. Most of the time they are not damaged and recover in weeks or sometimes months. Surgeons must take care to avoid the nerve bundles and sometimes it is not possible (especially if prostate removal is involved) and the pubic approach is a little trickier than than the scrotal approach. Surgery is risky.
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

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

Re: Hard sex with an implant + None or little glans engorgement

Postby Waynetho » Tue Dec 08, 2020 8:58 pm

Lost Sheep wrote:
hope794 wrote:Ehy LS thanks for the reply. This is what everyone here say and i agree, but unfortunately i've heard about many guys which had this issue after the surgery. While the glans engorged before, even a little bit, it didn't engorge anymore (or way less) after the implant.. One example of this is stephen, which you can find on the posts up. So what is the real truth? :cry:

The real truth, I believe, is that some nerve damage took place during the surgery, reducing the sensation in stephen's glans (Stephen, please weigh in). Or, less likely, blood supply was compromised.

The surgery for implants do traumatize the nerves in the pelvic region. Most of the time they are not damaged and recover in weeks or sometimes months. Surgeons must take care to avoid the nerve bundles and sometimes it is not possible (especially if prostate removal is involved) and the pubic approach is a little trickier than than the scrotal approach. Surgery is risky.


To that point that LS made about blood supply, I saw someone's surgery video from Kramer last year (don't remember whose video) and there was a large vein bleeder (almost the diameter of a urethra) that was in the way and Kramer cut, tied and cauterized the vein to get it out of the way. He stated in the video that sometimes veins of that sort tend to get in the way and he just cuts and cauterizes them with little effect to the finished product (paraphrase). I wonder if in some cases, veins are in the way and have to be cut/tied/cauterized or such, and they DO affect the finished result in some way. Whether a man has veins that need to be cut to allow access to the corporotomy sites depend on the individual's anatomy and the doctor's preference in placement of the incisions.
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

stephen54
Posts: 481
Joined: Sun Nov 10, 2019 11:43 am
Location: Chicago

Re: Hard sex with an implant + None or little glans engorgement

Postby stephen54 » Tue Dec 08, 2020 9:27 pm

hope794 wrote:...unfortunately i've heard about many guys which had this issue after the surgery. While the glans engorged before, even a little bit, it didn't engorge anymore (or way less) after the implant.. One example of this is stephen, which you can find on the posts up. So what is the real truth? :cry:


hey hope794. listen...i feel you here. i respect your diligence in learning all you can. i know how much of an issue this glans engorgement is for you. that is very clear. and i don't want you to think that i, or any of us here, are diminishing your focus on that part, the fattening of the glans. it's relevant. it's important. it was not a trivial small thing for me, either...before. it wasn't. i loved it. my wife loved it.

i've told you prior, my wife is a penetration girl who loved the prior girth i had. I never measured my dick in such a way as some guys describe ("Base girth, mid-shaft girth, glans girth" etc). I just didn't break it out that way. I just know I lost almost a full inch as i measured right in the middle of my shaft. the poor engorgement in my glans now...that has contributed as the major factor in my loss of length. i understand I am extremely fortunate in the sense that I began, pre-implant, with a decent sized dick, so even with these losses...it's a still respectable dick i guess. i don't know.

i hear you though. you're 26. for fucks sake, man, my daughter is 26. so i'm not pretending that the concessions i have made or the adjustments i've encountered post-surgery are the same things you will think you want to accept at your age. I get it.

all i can say is...as i've told you...despite our age, we have a very energetic, very assertive sex life, my wife and me. we push it. does that make sense? We aggressively push things. we mentally think and act (sexually) like we are still in our 20's. but i would be lying to you if i said everything is the same as prior. it's not. you know it's not and can't be.

but as i've also told you...it's absolutely awesome. seriously. i would not tell you something that isn't true for us.

but that is just us. we do a lot of different things. we are experimental. we have quickies, and we have sessions that go for hours. she comes. she comes moderately and gently sometimes, and often she comes like a bomb went off. and all of this with my different, altered, not as large dick/glans.

i know you will get to the point that you will have to really, really, really do the mental gymnastics on this and make your decision. you obviously already are confronting the peyronies risks. for us...we mostly wanted to have 1) anxiety free sex, and 2) a fucking lot of it. frequent. and long. that is only our motivations. you will have to decide yours.

always here to talk. message me anytime.
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.

stephen54
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Location: Chicago

Re: Hard sex with an implant + None or little glans engorgement

Postby stephen54 » Tue Dec 08, 2020 10:24 pm

Lost Sheep wrote:
hope794 wrote:The real truth, I believe, is that some nerve damage took place during the surgery, reducing the sensation in stephen's glans (Stephen, please weigh in). Or, less likely, blood supply was compromised


No, to be clear...my glans is definitely sensitive. As to how it compares today with sensitivity vs pre-implant glans sensitivity...? I would honestly tell you that it is very very close if not the same. I'm honestly not sure there is a demonstrable difference today. When my dick is inflating...my glans feels good just during the inflation process; I like...and I am conscious of...the slow stretch of tissues against my glans. It feels good even without any direct contact to the glans. During some kinds of sex, I can feel the implant tips working back and forth under my glans and it's actually not a distraction or anything like that for me...I actually sort of love it. It somehow transmits and seems to sort of enhance and amplify sensation.

If I masturbate, I tend not to focus much on my glans precisely because it conveys so much sensitivity. This is true if my wife's hands are on me or if I am in her mouth. Glans is almost ticklish sensitive at some point. Same as prior to implant.

During vaginal sex, my glans conveys less sensation. Vaginal sex is wonderful and I want to be inside her for (literal) hours. But yes, absolutely, there is something of a different way that pleasurable sensation transmits from my dick during vaginal vs pre-implant. It's nothing bad. It's just different. Pleasurably different. The right handjob by her, with the right lube, and the right kind of firm focus on my entire dick...glans included...is awesome. And her handjob wakes up and transmits more glans sensations, usually, than does vaginal. But I'd much much much rather be in her pussy than in her hands. Not even a close call.

Anal is dreamy. I just think her bum is so stupidly tight against my entire dick, glans included, that anal these days is roughly approximating what vaginal was like pre-implant. It's still tighter than any vaginal ever was, but it's kind of the best way I can describe things.

The blood supply issues...who knows, really? As was said...surgery, by its very definition, is a traumatic damn undertaking on a good day and with a talented surgeon. I had that. And there's just no smoking gun to point to as to the "why doesn't my glans engorge more" question. I'd sure like it to.

But I'm reconciled and resolved and ok if it does not. Too much other stuff is far too good now. So it's kind of like...I don't know...I had a grandparent who called this "inviting trouble". When things are really good but you find some esoteric tiny thing to obsess over, you're "inviting trouble". So for me, I don't want to do that. I'm calling the glans diminishment a tiny thing (no pun intended) for the moment. I refuse to be taken mentally off track by it.

But yeah who knows...maybe I would consider some way of enhancing the engorgement at some point. It's just my disregard for all the process which will surely surround me trying to engorge it more. Sticking shit in my urethra, pulling out a vacuum device, fucking around with rings and god knows what else. I'm not shitting on guys making such decisions at all. I'm not. God bless if those techniques work for guys, I'm happy for them to find satisfaction in all of it, whatever works. I just hate process. Had far too much process for the better part of 20 years. Just me.
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.

barrylandon
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Re: Hard sex with an implant + None or little glans engorgement

Postby barrylandon » Wed Dec 09, 2020 1:38 am

My glans ALWAYS engorged when I was able to achieve an erection with pills and/or injections. However, since my IPP surgery over 7 months ago my glans does NOT engorge from sexual activity of any sort. Without engorgement, there is a lack of sensitivity in the glans, which makes orgasm and ejaculation almost impossible -- even from aggressive masturbation with appropriate visual stimulation (pornography).
After reporting this to my surgeon, he prescribed a gel that's inserted into the urethra. The gel contains the same ingredients that I used to inject before IPP surgery -- one of which (alprostadil) caused 4 episodes of Priapism that landed me in the ER.(You know the TV commercial for the pills "if your erection lasts more than 4 hours, seek medical attention", well that was me with some erections that lasted a very painful 12 hours after the ER docs tried a few different procedures that didn't work).
Anyway, I tried the Phentolomine gel first and it didn't produce any engorgement of my glans. Next I tried just 0.25 cc of the bi-mix of Alprostadil with Phentolomine. Although I got some engorgement from that gel, I felt the same terrible pain I recalled from injecting Alprostadil, which lasted for several hours and stopped only after I popped a few pain pills and fell asleep.
Now, as the last possible medical solution for my lack of sensitivity problem, my surgeon wants me to try a nasal spray that he says will help with orgasms but probably won't cause any glans engorgement. I'll report after trying it.
Note to LostSheep...
How likely do you think it is that my lack of sensitivity was caused by severing of the blood vessel that supplies blood to the glans?
Implanted 5/6/20 by Dr. Jesse Mills at UCLA; AMS 700 LGX 18 cm w/2 cm RTEs. I'm 76 & fit but had ED for 20 years. Pills/injections ultimately failed, including 3 ER trips for Priapism; Shockwave & embryonic stem cell therapies didn't help either.

stephen54
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Location: Chicago

Re: Hard sex with an implant + None or little glans engorgement

Postby stephen54 » Wed Dec 09, 2020 6:56 am

barrylandon wrote:Without engorgement, there is a lack of sensitivity in the glans, which makes orgasm and ejaculation almost impossible -- even from aggressive masturbation with appropriate visual stimulation (pornography).


So interesting. I don't pretend to know the underlying physiology in play here with this issue, but I am having a different experience from what is being described there.

In my world engorgement and sensitivity are definitely not the mutually exclusive experience barrylandon describes. Meaning, having one feature automatically rules out the other, or that one condition cannot exist alongside/in the presence of another condition, ie mutually exclusive (2 or more events that cannot happen simultaneously). Not what I have going on.

Obviously, x amount of blood supply is required for engorgement, whatever that amount of blood supply is for a given individual. And some amount of blood supply is also required to adequately nourish nerve bundles. And there's an association being made drawing a causal line between engorgement and perceived sensitivity and its resulting enjoyment. But somehow that must not be a universal experience.

My pre-implant knobby engorged glans is now (mostly) gone. My glan sensitivity, however, is the same or largely similar now to what it's always been. So in my case at least, there may be correlation...but you can't make the case for causation. There's something else going on. My old fat glans was seemingly an artifact of some other physiologic process. Makes no sense that a common blood supply is required to feed both the physical size of the glans and also its sensitivity machine, and then for me to retain one feature (sensitivity) but inexplicably lose the other feature (engorgement).

I honestly don't know. I guess I just would caution automatically associating the two.
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.

barrylandon
Posts: 267
Joined: Sun Nov 03, 2019 1:09 am
Location: Los Angeles, CA

Re: Hard sex with an implant + None or little glans engorgement

Postby barrylandon » Thu Dec 10, 2020 1:45 am

Since you have glans sensitivity Stephen54 (good for you!) -- which I don't -- you are not in a position to conclude that there's no relationship between sensitivity and engorgement, which are BOTH necessary to experience orgasm and ejaculation (which are, in fact, separate functions).
Implanted 5/6/20 by Dr. Jesse Mills at UCLA; AMS 700 LGX 18 cm w/2 cm RTEs. I'm 76 & fit but had ED for 20 years. Pills/injections ultimately failed, including 3 ER trips for Priapism; Shockwave & embryonic stem cell therapies didn't help either.

Rawness1111
Posts: 117
Joined: Fri Aug 09, 2019 11:53 pm

Re: Hard sex with an implant + None or little glans engorgement

Postby Rawness1111 » Sat Dec 12, 2020 5:48 pm

Mr rock hard fellas show and tell. I was curious as maniy others and have also pondered this question. How rock hard does the implant get. Especially when it comes to the glands. Sounds like pretty hard. Keep enjoying fellas
32 yrs old. Newly developed ed with divorce and searching for solutions.


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