Inclination angle of the inflated prosthesis

[brasileiro]

I am a 28 year old Brazilian young man. Later I detail my case, but the solution is an inflatable prosthesis according to some urologists. Directly to the question: The few videos and images that can be seen of inflatable penile prostheses notoriously demonstrate a discrepancy: Most are apparently bad, aesthetically thin, small, pointing downwards. Others are magnificent, with upward tilt, and perfect stiffness!
Notoriously the hand of a competent and high-volume surgeon makes all the difference in the final result.
My question is specifically about the angle of inclination angle: Generally, the most modern and up-to-date 3-volume inflatable surgeries performed by the best surgeons in the world are able to tilt upwards? Or is the majority 90 °? Or tilted a little bit downwards (due to gravity) Obviously it depends on several factors, but my question is about the procedure done by the best ones like Kromer, Dr Perito, etc ... Thank you !!

[Lost Sheep]

The condition, depth and shape of the bone structure of your pelvic crus will determine the angle of the erect implanted penis. Very little a good surgeon can do to improve over what nature has given you. But there is a lot a poor surgeon can do to detract from what nature gave you.

A deeper crus will allow for a more stable angle (your erect penis will not be able to be pointed easily in different directions, up, down, left, right).

Yes, you are correct. The skill and experience of the surgeon is a large factor in the quality of the outcome. So, finding the best and most experienced (with a good track record) available to you or one training under a good surgeon who will be in the operating room supervising is important. A poor surgeon can produce a poor result from a patient with good bone and tissue structure. But even the best surgeon will have difficulty producing a great result from a patient with poor bone and tissue structure.

Whatever angle you get, there are sexual positions that can take advantage of that angle. You may find that an "old favorite" does not work any more, but if you and your sexual partner are willing to work at finding positions that work better, you may find unexpected increases in joy! Remember, a stiff penis at any angle is superior to a limp one which has no angle at all.

[brasileiro]

The condition, depth and shape of the bone structure of your pelvic crus will determine the angle of the erect implanted penis. Very little a good surgeon can do to improve over what nature has given you. But there is a lot a poor surgeon can do to detract from what nature gave you.

A deeper crus will allow for a more stable angle (your erect penis will not be able to be pointed easily in different directions, up, down, left, right).

Yes, you are correct. The skill and experience of the surgeon is a large factor in the quality of the outcome. So, finding the best and most experienced (with a good track record) available to you or one training under a good surgeon who will be in the operating room supervising is important. A poor surgeon can produce a poor result from a patient with good bone and tissue structure. But even the best surgeon will have difficulty producing a great result from a patient with poor bone and tissue structure.

Thank you friend. My erection today, when I get it under the stimulation of viagra, is up! Does this mean that my structure is favorable for an implant with this inclination angle? It's amazing how there is a discrepancy between the various videos I see on youtube. There are some who look bad, pointing down. There are others that are very hard pointed upwards !!

[Lost Sheep]

My erection today, when I get it under the stimulation of viagra, is up! Does this mean that my structure is favorable for an implant with this inclination angle?

I cannot say. My erection with oral medications (Viagra, Levitra, etc) was up (about 45 degrees from vertical) and a year after surgery was about 70 degrees from vertical. My angle has gotten a bit more vertical since then as well.

I habitually "train" my penis to point up. Even before surgery, I wore briefs and pointed my penis up. Immediately after surgery, I was left 70% inflated and wore a support garment that kept my penis pointed up to my belly. To this day, I my underwear holds my penis pointed up whether flaccid or inflated. I think this habit encourages any scar tissue growth to establish a foundation for my penis to keep pointing up.

When I was young and had strong erections, my penis very nearly reached my belly. As I got older, my erections were not quite so vertical, but still reached close to my belly because my belly began reaching out to my penis.

Boa sorte meu amigo. The ultimate angle of your erection will be only a small consideration compared to the quality of the erection, no matter what the angle is.

[Hounds68]

I commend LostSheep for ending each of his comments with a truly sensible and realistic reality check. In essence he says, based on what you have, an erection pointing anywhere is better than no erection pointing anywhere. Of course, I paraphrased, but he is spot on! At your young age, to spend any amount of time worrying about the inclination angle of the inflated prothesis, is a day wasted not enjoying sex! Listen to him, go for it, have a grand time!

[brasileiro]

I commend LostSheep for ending each of his comments with a truly sensible and realistic reality check. In essence he says, based on what you have, an erection pointing anywhere is better than no erection pointing anywhere. Of course, I paraphrased, but he is spot on! At your young age, to spend any amount of time worrying about the inclination angle of the inflated prothesis, is a day wasted not enjoying sex! Listen to him, go for it, have a grand time!

Thank you friend, but this concern that I have can make me choose a surgeon who has more ability to put the prosthesis in that direction, you know? It is not my whim, but just researching to find a surgeon is more likely to happen to me, as in the videos I saw of Dr Antonini .. I am researching and probably within a year I will perform my operation!

[Hounds68]

Sorry if you thought I was thinking you were bring superficial. My comments were only addressing one particular aspect of an implant. My hope truly is that you find that surgeon capable of giving you what you so desire, and that you finally have and enjoy a truly wonderful sex life.

[OregonStrong]

The length of your suspensory ligament probably also influences your erection angle. Guys with shorter ones will point more upwards

[Lost Sheep]

The length of your suspensory ligament probably also influences your erection angle. Guys with shorter ones will point more upwards

Which begs the question, "Can a surgeon shorten the suspensory ligament to raise the angle of a man's erection?"

Some men elect to have their suspensory ligament cut, which allows the erect penis to extend out further, increasing the visible length of a man's penis but has the additional effect of lowering (and loosening?) the erection angle.

Which begs the additional question, "Longer and lower or Higher and shorter?"

I understand the attraction of surgically enhancing one's angle, one's size, one's cosmetic appearance in addition to one's functionality.

The desire to optimize one's outcome (in every penile aspect) surgically must be mitigated by recognition of risks and costs.

Each patient (and surgeon and payer) must balance many factors. It is good to discuss these frankly and thoroughly.

[Waynetho]

The length of your suspensory ligament probably also influences your erection angle. Guys with shorter ones will point more upwards

Which begs the question, "Can a surgeon shorten the suspensory ligament to raise the angle of a man's erection?"

Some men elect to have their suspensory ligament cut, which allows the erect penis to extend out further, increasing the visible length of a man's penis but has the additional effect of lowering (and loosening?) the erection angle.

Which begs the additional question, "Longer and lower or Higher and shorter?"

I understand the attraction of surgically enhancing one's angle, one's size, one's cosmetic appearance in addition to one's functionality.

The desire to optimize one's outcome (in every penile aspect) surgically must be mitigated by recognition of risks and costs.

Each patient (and surgeon and payer) must balance many factors. It is good to discuss these frankly and thoroughly.

The procedure I read about required the ligament to be cut then the penis is lashed to the public bone using non-absorbable sutures. This requires a suprapublic incision. Essentially you're releasing it and reattaching it tighter so the ligament will eventually regrow shorter.

Loose suspensory ligament is detectable by palpation with a finger at the base between the pubic bone and the penis base. If the finger tip can be inserted into a groove between them, it's too loose.