question about sizing during surgery

The final frontier. Deciding when, if and how.



Jage64
Posts: 688
Joined: Sat Oct 22, 2022 9:38 pm

question about sizing during surgery

Postby Jage64 » Fri Dec 16, 2022 12:53 pm

So I've watched all the youtube videos of actual implant surgery, with my legs crossed and clenching. (yikes)

A question I have is does the surgeon inject you with a trimix or something to make you erect prior to his/her measurement? It seems the penises I have seen in the videos seem to be at some stage of erection when surgery starts, but the confusing thing is when the surgeon cuts open the cavernosa to insert the measuring device, wouldn't that be full of blood due to the erection? I'm impressed by how little blood is involved in the surgery, so this isn't making sense to me.

Also, IF a trimix injection part of the process, having never had an injection of any type down there, does the surgeon just make an educated guess as to the type and amount of injection?

Thanks gents, rookie questions.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. was 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant. 2+ yrs post op: 7 3/4" x 5 7/8", now 60yrs old in 2025

Old Guy
Posts: 2875
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: question about sizing during surgery

Postby Old Guy » Fri Dec 16, 2022 1:50 pm

I believe they use saline to engorge the shaft.
I couldn't watch a complete implant video before my implant. When the doc got to the second or third incision with all the clamps pulling the skin of the penis apart, I started getting nauseous. Twice. Thought about not going through with the surgery. The sad part is I'm a retired therapist. I've been in the surgery room standing next to the surgeon many times and never had an issue. I guess when you imagine that happening to you it's different.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me

Rider1400
Posts: 1148
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: question about sizing during surgery

Postby Rider1400 » Fri Dec 16, 2022 3:48 pm

Watch a perito video. He describes it all step by step. They use a needle but with a large syringe and press all the saline/ antibiotic they can into cavernous forcing a full erection.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

Jage64
Posts: 688
Joined: Sat Oct 22, 2022 9:38 pm

Re: question about sizing during surgery

Postby Jage64 » Fri Dec 16, 2022 4:07 pm

That makes sense, saline. Thanks.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. was 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant. 2+ yrs post op: 7 3/4" x 5 7/8", now 60yrs old in 2025

Lost Sheep
Posts: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Re: question about sizing during surgery

Postby Lost Sheep » Fri Dec 16, 2022 5:32 pm

Jage64 wrote:So I've watched all the youtube videos of actual implant surgery, with my legs crossed and clenching. (yikes)

A question I have is does the surgeon inject you with a trimix or something to make you erect prior to his/her measurement? It seems the penises I have seen in the videos seem to be at some stage of erection when surgery starts, but the confusing thing is when the surgeon cuts open the cavernosa to insert the measuring device, wouldn't that be full of blood due to the erection? I'm impressed by how little blood is involved in the surgery, so this isn't making sense to me.

Also, IF a trimix injection part of the process, having never had an injection of any type down there, does the surgeon just make an educated guess as to the type and amount of injection?

Thanks gents, rookie questions.

While many surgeons do induce an erection on the operating table, many also do not bother. The measuring tool stretches the tunica quite well, as can be seen in the videos.
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

newbie443
Posts: 1960
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: question about sizing during surgery

Postby newbie443 » Fri Dec 16, 2022 7:01 pm

Jage64 wrote:So I've watched all the youtube videos of actual implant surgery, with my legs crossed and clenching. (yikes)

A question I have is does the surgeon inject you with a trimix or something to make you erect prior to his/her measurement? It seems the penises I have seen in the videos seem to be at some stage of erection when surgery starts, but the confusing thing is when the surgeon cuts open the cavernosa to insert the measuring device, wouldn't that be full of blood due to the erection? I'm impressed by how little blood is involved in the surgery, so this isn't making sense to me.

Also, IF a trimix injection part of the process, having never had an injection of any type down there, does the surgeon just make an educated guess as to the type and amount of injection?

Thanks gents, rookie questions.


Lost Sheep is correct. Doctors differ a lot in doing this surgery. Many use only one brand of device. Many use only one type of approach (infrapubic or penoscrotol). Wait time for activation (beginning cycling) are from 3 days to 8 weeks. And on and on.

There were some threads some years back that had information that the man should receive a medication that relaxes the tissue in the penis under general anesthesia. Some had questioned some doctors doing this resulting in improper sizing. Under spinal block surgery the drug was said not to be needed. The tissue relaxes with the anesthesia. And some men were requesting that form of anesthesia to insure proper sizing.

That question is one to ask the doctor or doctors you are considering for this surgery.

Good luck going forward with this.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

67 years young.

Will show and tell and talk with others.


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