Flaccid be erect size when sizing implant

[LBC2020]

Guys

If you are a grower
Does the doctor take
Into account your very small flaccid size when fitting for implant

For instance I’m only three inches soft and thin 10-11cm circumference

But fully hard it’ll be 7” and 14.5 cm circumference


So how are they deciding which size to use bc the cylinders don’t expand in length a great deal (Titan not at all)

So is my flaccid size now going to be stretched to 6 inches or so and then grow primarily in thickness only

[LBC2020]

Second part

Eid mentioned your flacccid will
Actually be longer, closer to erect length
(Say 6 inches or so)

He’s a question

How is the flaccid length longer? The cyclinders are like deflated balloons aren’t they?

How are they exerting a pulling force on the penis to make it longer anyways? I thought they are not filled with anytning during the deflated state

[Waynetho]

Guys

If you are a grower
Does the doctor take
Into account your very small flaccid size when fitting for implant

For instance I’m only three inches soft and thin 10-11cm circumference

But fully hard it’ll be 7” and 14.5 cm circumference


So how are they deciding which size to use bc the cylinders don’t expand in length a great deal (Titan not at all)

So is my flaccid size now going to be stretched to 6 inches or so and then grow primarily in thickness only

The doctor does a stretch test from the INSIDE of your penis while you are on the table. He uses a special measuring tool to measure the distance from the incision to the tip of your tunica albuginea behind/inside your glans and the distance of the tunica from the incision to the rear limit (the crus). The doctor then adds the two numbers together and depending on the protocol the doctor uses, may add a specific small amount to the length to arrive at the total cylinder length that is needed.

The internal measurement of the corpus cavernosum is the only way to know for sure how long the cylinder should be. External stretch tests and artificial erections using either drugs or saline are only approximations of the size after recovery because it's not possible to accurately determine how deep the corpora go into the body without an internal measurement.

[Waynetho]

Second part

Eid mentioned your flacccid will
Actually be longer, closer to erect length
(Say 6 inches or so)

He’s a question

How is the flaccid length longer? The cyclinders are like deflated balloons aren’t they?

How are they exerting a pulling force on the penis to make it longer anyways? I thought they are not filled with anytning during the deflated state

The cylinders are a specific length and they resist the relatively weak pull of the Dartos layer's smooth muscles in the penis that cause the penis to retract and shrink. Without the muscles causing the penis to shrink, it will be near the inflated length all the time so it essentially turns a "GROWER" into a "SHOWER". There will be a slight different between deflated and inflated length (not "flaccid" and "erect" as those are organic functions). The difference is due to some small amount of folds that occur in the deflated cylinder surface as a result of the weak pull of the Dartos layer. This is where the "dog-ears" or "kinks" or "accordion folds" that men talk about, come from.

The LGX, because it expands in length to a degree, if properly sized can retract a bit more and provide a bit shorter deflated size relative to what a CX can provide for the same anatomy.

[LBC2020]

Great explanation

The cylinders to into the Corpa cavernosa?
And I didn’t know they didn’t retract or shrink

[Waynetho]

Great explanation

The cylinders to into the Corpa cavernosa?
And I didn’t know they didn’t retract or shrink

Yes, there are two different types of erectile bodies in a penis. The corpus cavernosum is the main erectile body that provides rigidity to the penis. There are two of these bodies, collectively called corpora cavernosa ("corpora" or "cavernosa" for short). Then there is the corpus spongiosum which is the spongy erectile tube that surrounds the urethra underneath the penis. The "glans penis" (or "glans" for short) is part of this structure.

The cylinders of the inflatable implant (or the malleable rods if that type of implant is used) are inserted into each of the two main erectile bodies, or cavernosa. They are inserted through the incision in the corpora called a corporotomy (literally meaning "corpus incision"). The distal tip (front tip) of the cylinder is hard plastic in most cases as are the rear tips. The inflatable bladder is situated between the front and rear tips and the tubes connect at the rear tip, angled toward the front or distal end. In some cases to locate the tubing correctly to the patient's anatomy, or for lengths that are between the stock sizes, the surgeon may add rear-tip extenders (RTE) to the rear tip of the cylinder.

[Gt1956]

.....................eddited for content......
For instance I’m only three inches soft and thin 10-11cm circumference

But fully hard it’ll be 7” and 14.5 cm circumference

The doctor will politely listen to your claims of length. Then he'll use the length that he measures when you're on the table. They won't risk your health or their carreer based upon your claims of great length, real or imagined. Btw, the measuring tool really stretches your flaccid length to the fullest. They really push it in very firmly. In actuality, he might come up with a size longer than 7". So in that case, do your want him to use your measurement or his? Trust your carefully selected surgeon.
During your physical exam he can judge what his training tells him your girth is. This is why the forum keeps advising that you select an experienced surgeon.
My advice is to worry less about these things & more about finding a highly skilled surgeon. That is where you're most likely to get the most satisfaction.
You really need to watch some YouTube implant surgeries. Your understanding of the process will be greatly expanded. Most of your questions will be answered if you'll watch a dozen videos.

[Lost Sheep]

Guys

If you are a grower
Does the doctor take
Into account your very small flaccid size when fitting for implant

For instance I’m only three inches soft and thin 10-11cm circumference

But fully hard it’ll be 7” and 14.5 cm circumference


So how are they deciding which size to use bc the cylinders don’t expand in length a great deal (Titan not at all)

So is my flaccid size now going to be stretched to 6 inches or so and then grow primarily in thickness only

I had a much better (longer and more descriptive post) but it disappeard.

Here is the central point: At 2:54 in this video the surgeon measures the inside of the patient;s penis. He does it a LOT more gently than I have seen in other videos. No worry about getting your flaccid length. The measurement technique calls for stretching the penis's insides (tunica albuginea) fully

https://www.youtube.com/watch?v=3j-jUY4aOYk

It is IMPORTANT to ask your surgeon ow aggressively he sizes your penis ("size" is the verb used to describe measuring the inside of the penis to choose the correct length implant). Some surgeons (mostly ones who are less experienced) are conservative in measuring because (among other factors that I don't know) of the danger of a too-long implant eroding through the end of you penis. . That is a CATASTROPHIC event. That is why EXPERIENCE is important. Get a feel for his/her philosophy on sizing and MAKE SURE your surgeon understands and agrees with and supports your desires. If you cannot find a surgeon who has done hundreds and does many per month, find out who he/she trained under and interview some former patients also.

[newbie443]

Guys

If you are a grower
Does the doctor take
Into account your very small flaccid size when fitting for implant

For instance I’m only three inches soft and thin 10-11cm circumference

But fully hard it’ll be 7” and 14.5 cm circumference

I do not think so. But I am no doctor but as the others said the reason for this is to have an erection so that is what the doctor should be concerned with. The only consideration for flaccid I am aware of is in device selection. But of course that is much different from fitment.

So how are they deciding which size to use bc the cylinders don’t expand in length a great deal (Titan not at all)

This paper does show the expansion of the Titan and the LGX in the 18 and 21/22 cm sizes. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654325/ As was already said some doctors use RTE's as spacers to move the point where the tubing attaches to the cylinder to match the incision where the cylinders are inserted. Others don't. But the over all length should be the same. Doctors differ a lot and have different ways of doing the same thing. Some do artificial induced erections and some don't and I can only guess the reason. Your doctor does have a few surgery videos you can watch if you like. And there are others from different doctors all over the US and even the world. And you will see many differences.

So is my flaccid size now going to be stretched to 6 inches or so and then grow primarily in thickness only

Pretty much so. Your doctor leans to the Titan much of the time. The Titan has the stiffest cylinders. The LGX is the softest. And the CX is in between. And I think with your size RTE's would need to be added to use a LGX. This is something your doctor does not like to do and has a publication on his web site about this. I have even read somewhere he will trim down the hard tips of the cylinders to avoid using RTE's or for a perfect fit for the man so the tips in the glans are exactly the same. Other doctors will just say they will get you with in .5cm. That is the right cylinder tip in the glans (head of the penis) will be within .5 cm ( just under 1/4 inch) of the left. That is because RTE's are in .5cm increments. This is why I think that many doctors use the LGX as it expands in length and can have a more even results. AMS cylinders are sized in 3cm increments where Coloplast are sized in 2cm increments. Your doctor can then avoid using RTE's easier with the Titan than the AMS products. As in the paper above the Titan will expand in length a little bit. But not as much as the LGX. This is a discussion you should have with your doctor. Given your size I believe that your doctors experience is that you would have much better results with the Titan than the LGX. The LGX would give you a more natural flaccid but not the the grower you are now. You would still be a shower just a little less. Maybe 5 or so instead of 6 or so. But the trade off for this inflated would far out weigh the benefits. Again what we are talking about for this is an erection for having sex and Titan is the best for that in men your size or larger and also for straightening curvatures. If you trust your doctor for this then you should trust him/her to know which device is best for you. Keep asking questions. I am sure others reading on this site reading the information are benefitting from this also. Take care and good luck going forward.