Methods for measurement, pre-op

[WillyWonka22]

Hello everyone...

I will be getting my procedure completed on the 15th of this month.

The doctor uses a dilation method immediately before surgery to see what exact size they will use for the implant. Currently, I have only read about the literal pull and measure method from these threads.

Anyone familiar with this dilation process and if so, are you able to tell me it’s accuracy?

(Doctor said he’s fitting me with the 700LGX)

[Lost Sheep]

I am unsure what the "dilation method" you describe is. If he injects a drug to induce an erection and makes an external measurement, I would ask him very pointedly how he expects that to produce an optimal measurement.

If he takes a measuring tool to measure the INSIDE of your Tunica Albuginea, where the implant will actually be placed, that can produced optimal measurement. How optimal that measurement is depends on how well he measures you (videos of the procedure can be alarming, as the tool must be inserted quite energetically to ensure proper placement of the distal tips and proximal tips of the implant).

I imagine the "pull and measure" method is the external way of measuring a patient in an office setting (no surgery involved) and is only for estimating probable results.

Similarly, if the doctor injects you in an office setting to induce an erection for external measurement, that is also only for estimation purposes.

Both of those external measuring techniques are useful for estimating expected results and making sure unrealistic expectations of size after surgery are dispelled.

ONLY the INTERNAL measurement DURING surgery should be used for selecting the implant size.

[Gt1956]

Simple answer, ask him what it is & how its better than other methods. Please remember that NO external measuring method can measure into your crus. That distance is critical to getting the correct implant length.
My guess is that he measures you just like every other surgeon would measure you.

[Waynetho]

Sounds like there is confusion between two different tools that are used during implant surgery. They use a Hegar dilator to expand the interior of the corpora but they use another special measuring tool to determine the interior length, and that tool has graduated centimeter markings for measurement. They are two different tools. One to stretch the diameter inside, the other to measure the interior length.

[SteveSW]

My surgeon's process was exactly as Wayne described. He did a stretch test, twice, in the office and offered his best guess as to size at 18-20cm. During surgery he dilated and measured for implant length, two separate actions and then decided on 18cm and 3 RTE's. All I can tell you is that he got it right. The cylinder tips are exactly mid glans. A good doctor will answer all of your questions, ask them.

[oldbeek]

Hello everyone...

I will be getting my procedure completed on the 15th of this month.

The doctor uses a dilation method immediately before surgery to see what exact size they will use for the implant. Currently, I have only read about the literal pull and measure method from these threads.

Anyone familiar with this dilation process and if so, are you able to tell me it’s accuracy?

(Doctor said he’s fitting me with the 700LGX)

The dilation process you speak of is the. same as the precision measurement tool the Dr uses to select the proper implant and Rte,s

[stmfttr]

I agree with Lost Sheep.

Measuring externally does not take into account the distal portion of the cylinders. That's the part that rests against the bone in the perineum.
The length of the cylinder and any rear tip extenders(RTE"s), needs to be measured after the surgeon opens the corporal area, during surgery.
Before my implant, while stretching the penis, while laying on my back, I measured 16cm. The cylinders measured 22cm.

stmfttr
p.s. Why do some surgeons use RTE's in stead of the proper length cylinders.

[WillyWonka22]

Hello everyone...

I will be getting my procedure completed on the 15th of this month.

The doctor uses a dilation method immediately before surgery to see what exact size they will use for the implant. Currently, I have only read about the literal pull and measure method from these threads.

Anyone familiar with this dilation process and if so, are you able to tell me it’s accuracy?

(Doctor said he’s fitting me with the 700LGX)

The dilation process you speak of is the. same as the precision measurement tool the Dr uses to select the proper implant and Rte,s

Thank you, the PA was the one who described it to me over the phone and the word "dilation" can be applied to a simple injection with external estimations as well as the internal, but he did also mention it would be measured internally after opening me up.

[WillyWonka22]

I am unsure what the "dilation method" you describe is. If he injects a drug to induce an erection and makes an external measurement, I would ask him very pointedly how he expects that to produce an optimal measurement.

If he takes a measuring tool to measure the INSIDE of your Tunica Albuginea, where the implant will actually be placed, that can produced optimal measurement. How optimal that measurement is depends on how well he measures you (videos of the procedure can be alarming, as the tool must be inserted quite energetically to ensure proper placement of the distal tips and proximal tips of the implant).

I imagine the "pull and measure" method is the external way of measuring a patient in an office setting (no surgery involved) and is only for estimating probable results.

Similarly, if the doctor injects you in an office setting to induce an erection for external measurement, that is also only for estimation purposes.

Both of those external measuring techniques are useful for estimating expected results and making sure unrealistic expectations of size after surgery are dispelled.

ONLY the INTERNAL measurement DURING surgery should be used for selecting the implant size.

The PA did mention it was INTERNAL after opening me up.

Is it fair to assume that I will be fitted closely to what my natural size would be?

[WillyWonka22]

Sounds like there is confusion between two different tools that are used during implant surgery. They use a Hegar dilator to expand the interior of the corpora but they use another special measuring tool to determine the interior length, and that tool has graduated centimeter markings for measurement. They are two different tools. One to stretch the diameter inside, the other to measure the interior length.

The PA I spoke with last did mention that this measurement would be done internally. The doctor did give me a decent "pull" at one of my appointments, but assuming that it was for taking a look at my current physical state more than it was to get an idea of length. At first this made me panic considering it wasn't that good of a "pull" and so I reached out to ask when I would be officially measured, thats when the PA mentioned a process of dilation and measurement from INSIDE the body.

Sorry for my lack of understanding, I spent most of my research finding a doctor who knows what they're doing and still dont even know what things like "RTE" stand for.