This breaks me

The final frontier. Deciding when, if and how.
Bangkok12
Posts: 24
Joined: Sat May 30, 2020 12:12 am

This breaks me

Postby Bangkok12 » Mon Jan 25, 2021 3:36 pm

Hello guys

So theres been a lot of talk about this but can ya'll please help me understand. Today was my first treatment of urogold shock therapy. This was also my meeting with doctor who shpwed me about the implants felt them and learned how to inflate and deflate. I was always a 7 full erect before PFS/ED now with a good viagra erection im 6.5 he did a strech test where he didnt pull to the max just minimum he told me that showers benefit from implants not growers for growers its not beneficial and to expect my implant to be around 5 or even less. This doesnt make sense if i can grow into it why cant he get me my implant with is my size. I didnt argue much beacuse end of the day ill have a dick that works but its messed up. Any grower who was able to maintain his lengh after implant please give me some advices. I also asked the doctor if hes going to put saline and inflate it he said he will do it in the OT before the surgury. My doctor doesnt seem much interested in maintaining and preserving my length since he wants me to have a functional one.

:( no having second thoughts on the implant.
PFS- from september 2019 ( 7- Days of Propecia Tablets)
24 years old
Hard Flacid syndrome
Under supervision of Dr. Mohit Khera.
Doing Physical therapy since December 2019

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: This breaks me

Postby hopeful_future » Mon Jan 25, 2021 4:45 pm

I was an extreme grower before the implant, from like 1-2" to 6" from soft to hard. I lost maybe a quarter of an inch getting the implant, and it seems great, can't really even tell the difference in length or girth. Whatever your viagra erection gives you is what you should be able to get with an implant, barring any physiological issues that would affect it (scar tissue, etc). Your skin and the tissues can obviously stretch to that point!

It sounds like your doctor's goals are not aligned with yours. You should seek another opinion if you have the opportunity.
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

Lost Sheep
Posts: 6147
Joined: Mon Jul 04, 2016 11:16 pm

Re: This breaks me

Postby Lost Sheep » Mon Jan 25, 2021 4:59 pm

Bangkok12 wrote:Hello guys

So theres been a lot of talk about this but can ya'll please help me understand. Today was my first treatment of urogold shock therapy. This was also my meeting with doctor who shpwed me about the implants felt them and learned how to inflate and deflate. I was always a 7 full erect before PFS/ED now with a good viagra erection im 6.5 he did a strech test where he didnt pull to the max just minimum he told me that showers benefit from implants not growers for growers its not beneficial and to expect my implant to be around 5 or even less. This doesnt make sense if i can grow into it why cant he get me my implant with is my size. I didnt argue much beacuse end of the day ill have a dick that works but its messed up. Any grower who was able to maintain his lengh after implant please give me some advices. I also asked the doctor if hes going to put saline and inflate it he said he will do it in the OT before the surgury. My doctor doesnt seem much interested in maintaining and preserving my length since he wants me to have a functional one.

:( no having second thoughts on the implant.

I was a grower. 2.5" to 3" flaccid and 6" erect. After implant, I am 6" erect. There (as you suggested) there is NO reason your erect implanted penis should be any smaller than your (immediately pre-op) erect penis, no matter what your flaccid state is. If your surgeon does not understand this, he needs to go back to school or quit surgery. The implant goes into the tunica albuginea up to the furthest extent of the distal tip and down into the furthest extent of the proximal crus JUST AS YOUR CORPUS CAVERNOSUM DOES when it is working correctly.

Study some of the videos on Youtube to understand how the length measurement is taken INSIDE the penis. Then talk to your surgeon about his measuring technique. If he does not explain satisfactorily what (you reported in your post) he said, find another surgeon. You are part of your medical care team and should be included with full participation by all the professional members.

edited to add: Does your case of Hard Flaccid Syndrome affect your surgeon's opinion on your ultimate size?

I don't think the surgeon injects saline into your penis to induce an erection before the surgery. That may be a technique I have not seen mentioned? Injecting an erectile drug before surgery is not uncommon (usually, I believe, in a pre-op appointment, days or weeks before surgery). I never imagined a surgeon would start surgery on an erect penis.
Last edited by Lost Sheep on Mon Jan 25, 2021 5:16 pm, edited 2 times in total.
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

indusvalley
Posts: 260
Joined: Thu May 02, 2019 5:27 pm

Re: This breaks me

Postby indusvalley » Mon Jan 25, 2021 5:02 pm

Change your doctor. Simple as that. A good doctor will always try to give you max implant so you recover your size fully.
A young guy in his early 30s from South Asia. Implanted Titan 22cm by Dr. Tariq Hakky in Atlanta (Dec 2020). Amazing doctor! No pain during recovery. My size is 5.75” x 4.6” which is better than pre-OP size of 5.6” x 4.5”. Hoping to gain more in future.

LuisFernandez
Posts: 408
Joined: Tue Jun 16, 2020 8:45 pm

Re: This breaks me

Postby LuisFernandez » Mon Jan 25, 2021 5:41 pm

What I would do:

1. Change doctors, go to somebody like Dr. Eid
2. Start traction and VED therapy
3. Try out injections

At worst, if you can get a good erection with injection then its size should match the implant's size.

Best.
Born 1986. ED. Peyronie's.
Considering an Implant. Consulting with Dr. Eid.
Using Cialis 10mg/day + 20mg for sex. Injections of PGE-1.
See my story: viewtopic.php?t=15016

tomas1
Posts: 1958
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: This breaks me

Postby tomas1 » Mon Jan 25, 2021 6:20 pm

Prior to my surgery, my doc didn't want to know what I thought my size was.
He never did an injection or a stretch test prior to surgery until I was out.
He said he'd induce an erection and use that measurement.
However he did it, he did it right and I was right at my prior size when I first activated.
I've even picked up a fraction of an inch, but not enough to call home about.
85 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

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

Re: This breaks me

Postby Waynetho » Mon Jan 25, 2021 6:23 pm

Lost Sheep wrote:I was a grower. 2.5" to 3" flaccid and 6" erect. After implant, I am 6" erect. There (as you suggested) there is NO reason your erect implanted penis should be any smaller than your (immediately pre-op) erect penis, no matter what your flaccid state is. If your surgeon does not understand this, he needs to go back to school or quit surgery. The implant goes into the tunica albuginea up to the furthest extent of the distal tip and down into the furthest extent of the proximal crus JUST AS YOUR CORPUS CAVERNOSUM DOES when it is working correctly.

Study some of the videos on Youtube to understand how the length measurement is taken INSIDE the penis. Then talk to your surgeon about his measuring technique. If he does not explain satisfactorily what (you reported in your post) he said, find another surgeon. You are part of your medical care team and should be included with full participation by all the professional members.

edited to add: Does your case of Hard Flaccid Syndrome affect your surgeon's opinion on your ultimate size?

I don't think the surgeon injects saline into your penis to induce an erection before the surgery. That may be a technique I have not seen mentioned? Injecting an erectile drug before surgery is not uncommon (usually, I believe, in a pre-op appointment, days or weeks before surgery). I never imagined a surgeon would start surgery on an erect penis.


Also to add to what Lost Sheep said, I believe the surgeon (actually the anesthesiologist) will give you drugs that will relax the Dartos layer which is the smooth muscle layer that causes the penis to retract. With your penis fully relaxed, the surgeon should be able to get an accurate full-length (erection length) measurement from the *INSIDE* of your penis while on the table. If the Dartos muscles remained contracted, the surgeon could only stretch as much as your flaccid retracted size but thankfully that's only due to muscular contraction which can be relaxed with the right drugs (I read about them somewhere but I don't remember which drugs actually are used for this.)
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

frwmw1
Posts: 425
Joined: Thu Oct 01, 2020 7:38 am

Re: This breaks me

Postby frwmw1 » Tue Jan 26, 2021 5:26 am

Is showers vs growers actually a medical thing?

I always thought the difference between a shower vs grower is skin and smooth muscle elasticity, this gets worse with age and so while a young guy may be a grower, as he gets older he can become a shower.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: This breaks me

Postby MK1965 » Tue Jan 26, 2021 10:45 am

Bangkok12,
I see you are seeing Dr Mohit Khera at Baylor Scott urology department.
Did he do your Penile stretch test or someone else?
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.

Txagq8
Posts: 720
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: This breaks me

Postby Txagq8 » Tue Jan 26, 2021 1:10 pm

I’m not devastated but after a year I’m still looking at a cock somewhat smaller than I had.

Before I had a legitimate, professionally validated measurement of 6.85”x6.02”. Yes I told women it was a 7” cock and thick and nobody ever called me on it.

Soft it was annunassuming 3.75x5.25. Short and fat. Plopped on top of a set of bull balls.

Flaccid now I’m about 5 1/2. It does look great in gym shorts and swim suits. Especially with those nuts.

Erect? I seem to have hit a wall at 6 1/4x5 1/2.

My wife is thrilled with it. I still cycle and there may ge some slow stretch going on. I think my anatomy may have been a challenge with multiple hernia surgeries beforehand including one two weeks before implant. I ended up with 5 cm RTEs!

It’s not as big but it’s still plenty big. It’s hard so it delivers so much more in the way of friction and sensation that I cum in 10-15 minutes instead of never.

I think girth would not have been an issue with a Titan but I have to give the AMS credit for behaving like s regular duck when not pumped up.

I was at less than 5 right after surgery, and was kinda pissed. The doctor laughed and swore cycling would stretch things and any loss I finally ended up with would be inconsequential.

Can you foresee s situation where a woman would favor a 6.8x6 over a until 1/2x5 1/2 enough to make an issue? I sure can’t. Especially when the smaller implanted one functions so much better.

My dick has always been nice looking, ruddy complexion, nice veins (some too nice, hence tre venous leakage). None of that has changed.

I thought cycling to get back size was s crock unyil after a year I’m nearly back to the start point.
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.


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