Initial symptoms of venous leakage and doubts about penile implants

[guysmall]

Hello to all who make up this wonderful help forum, well I am 28 years old and for about 5 months I have been presenting symptoms of venous leakage characteristic of this disease, my question is the following in case of having the leak and in At some point in my life I would necessarily need an implant I have doubts about the size of my member because I have always been a small boy, my erect penis measures approximately 10.5 -11 cm and it is not thick, are there implants of that size? I also know that many lose length of 1 inch at the time of implantation my doubt is my penis will become a micropenis at the time of implantation? Thank you for your attention and good vibes for all.

[alfa88]

Keep in mind that approx. 1/2 of what you see is what's in your body. Sort of like the tip of an iceberg. Look at the AMS or Coloplast website and see what they have. I'm pretty sure AMS has your size. As far as loosing size some initially loose a bit but regain it after a year or so. Just anecdotal but I've read where some actually gained length on subsequent revisions. Don't beat yourself up get an appt with a reputable Urologist, avoid those highly advertised 'men's clinics' and get to the bottom of your difficulties.

[Lost Sheep]

Hello to all who make up this wonderful help forum, well I am 28 years old and for about 5 months I have been presenting symptoms of venous leakage characteristic of this disease, my question is the following in case of having the leak and in At some point in my life I would necessarily need an implant I have doubts about the size of my member because I have always been a small boy, my erect penis measures approximately 10.5 -11 cm and it is not thick, are there implants of that size? I also know that many lose length of 1 inch at the time of implantation my doubt is my penis will become a micropenis at the time of implantation? Thank you for your attention and good vibes for all.

As alfa88 wrote, a significant portion of the implant is buried in your body (the pelvic crus).

I advise that it is important to be SURE an implant is appropriate for you. An implant does not cure Erectile Dysfunction. In fact, it makes it worse. Once you have an implant, you can count on never having a natural erection ever again. But it is a very good treatment if nothing else works.

An implant is like an artificial foot for a runner who has a damaged foot. Such a runner might be able to do 5 Km in 45 minutes, hobbling along. Amputate the foot and put in an artificial foot and he might be able to do the same 5 Km in 20 minutes. But if the artificial foot fails, he will be in a wheelchair. Same with an implant. Before implant you can have coital (penis in vagina) sex badly, but you can have sex. After implant you can have coital sex very well. But if the implant fails, you can have no coital sex at all.

In other words, try every other less drastic and invasive treatment before having an implant. It would be a terrible tragedy to get an implant and find a year later that a true cure has become available.

Size? Only with a poor surgeon will you have a smaller erection. The mechanics of the operation are simple. You open up the corpora cavernosum, measure the length (proximal toward the base of your penis buried in your pelvic crus and distally toward the tip of your penis and add the two measurements together). This is not unlike measuring your foot for a shoe. The surgeon selects an implant that equals that dimension and installs it. Also installs the pump and the reservoir in your scrotum and in your abdomen. He them pumps up the implant to make sure the fit is correct and both ends of the implant are seated where they should be. And then closes the surgical wounds. Simple (except for the details of monitoring blood flow, surgical sterility, etc). INTERVIEW YOUR SURGEON to learn his attitude toward the operation. If you think or feel he will be timid in sizing you or uncaring about the quality of his work (an attitude of "well, if it is stiff, it is good enough, no matter if it is the same size after wards as it was before") find another surgeon. A surgeon in love with his craft and who takes pride in his work is who you want.

[guysmall]

Hello and thanks for answering, so my question is if the implant goes bad or fails, there is no possibility of changing it? Are you powerless for life? Another question if in case of confirming the medical result of the leak, what options do you have to postpone the implant? as much as possible? Thank you and good morning to you and all the forum members.

[alfa88]

Implants don't last forever and manufactures note the average lifetime to be 10-15 years. When they do fail the procedure is called a revision. The good news is that the recovery time for revisions seem to be shorter.
There's no 'going back' once you get an implant so in my case the protocol was to exhaust the other options: Is it psychological or organic? Next: Do pills(Viagra, Levitra, Cialis) work? Next: Do injections help? Next: Does a VED help? I went through the hoops before getting cut so do yourself a favor and do the same.

[Lost Sheep]

if the implant goes bad or fails, there is no possibility of changing it? Are you powerless for life?

Switching out a failed implant (or even parts if only one part fails) is done all the time. As Alpha88 wrote already. Mechanically, it is as simple as a mechanic changing a disc rotor on a car or a hydraulic tube on the brake. Whatever broke. Sometimes the entire assembly, sometimes just a part. Of course, being a medical operation it is more complex than automobile mechanics, but in essence very similar. And, as Alpha88 wrote, the revision is quite often easier on the patient than the virgin (original) implant and recovery quicker.

Another question if in case of confirming the medical result of the leak, what options do you have to postpone the implant? as much as possible?

A doppler test can show blood flow in and out of your penis' corpus cavernosum to confirm venous leak. In my case a clinical history was typical enough of V.L. to confirm I had a leak somewhere, so we did not bother with that test.

I did postpone implant for as long as oral medications and alternative sexual satisfactions (manual stimulation, cunnilingus and sex toys) worked to give my partner orgasms. I used all the oral medications available until they lost effectiveness. I bypassed the suppositories, vacuum devices for sex (but did use one for penile therapy) and injections, each for particular reasons.

We could have continued satisfactory non-coital sex. She had orgasms as I describe above and I had orgasms by fellatio. But I wanted erections and coitus is the "gold standard" in emotional satisfaction, after all.

So, I searched for a surgeon in whom I had confidence and 14 months later had an implant.

I cannot emphasize enough the importance of finding a surgeon you trust and who has the experience (or hands-on training under a mentor with the experience) to Firstly keep infection potential minimized and Secondly pick the proper size to fit inside your penis' corpus cavernosum. Interview your surgeon carefully and thoroughly.

[frwmw1]

It would be a terrible tragedy to get an implant and find a year later that a true cure has become available.

I must protest, Lost Sheep, what's the chances of that happening? There is absolutely not much on the radar at all, except maybe the spider bite drug.

[alfa88]

Lost Sheep wrote:
It would be a terrible tragedy to get an implant and find a year later that a true cure has become available.



I must protest, Lost Sheep, what's the chances of that happening? There is absolutely not much on the radar at all, except maybe the spider bite drug.

I think he's being a bit tongue in cheek. To tell you the truth I was thinking the same before my implant with the preface, "With my luck..." Now I'm just hoping for a thought controlled, self-powered version by the time I need a revision.

[Lost Sheep]

It would be a terrible tragedy to get an implant and find a year later that a true cure has become available.

I must protest, Lost Sheep, what's the chances of that happening? There is absolutely not much on the radar at all, except maybe the spider bite drug.

I think he's being a bit tongue in cheek. To tell you the truth I was thinking the same before my implant with the preface, "With my luck..." Now I'm just hoping for a thought controlled, self-powered version by the time I need a revision.

Thanks for the defense, alfa88.

frwmw1, I know the odds are slim. But that was my point. Guysmall (the O.P.) is young and has venous leakage, which is treatable by other means short of an implant. (I am thinking of the oral medications, suppositories and injections rather than the less successful V.L. surgeries, but even those might be worthy of investigation for him - each patient is unique).

Implant should be a LAST resort. Delaying in the slim hope of a miracle cure is one thing. Exhausting all viable less-invasive alternatives before the radical and irreversible option of an implant is prudent.

In my case, my Doctor and I saw that injections would follow the same path as oral medications, so did not delay the obviously inevitable. But before the pills stopped working, I did not consider an implant. Maybe I should have, but the uncertainty that an implant was the only alternative had me using what DID work.

As I have said before, an implant pretty much guarantees impotence for the rest of a man's life, not a step to be taken lightly, or prematurely. He will be forever dependent on the implant for erections.

A man with a bum foot might manage a 20 minute mile, but amputate the foot and fit him with a prosthetic foot and he might do an 8 minute mile. But if the prosthetic fails, he is worse off than before. So it is with a penile implant. He might be able to have sex badly, but dilate the corpora and insert a prosthetic and he can have great sex. But if the prosthetic fails, he is worse off than before.

Hold out from a prosthetic for as long as you can (and other means still work). But when other means quit working, do not hesitate to go the next step if sex is important to you.

[frwmw1]

A man with a bum foot might manage a 20 minute mile, but amputate the foot and fit him with a prosthetic foot and he might do an 8 minute mile. But if the prosthetic fails, he is worse off than before. So it is with a penile implant. He might be able to have sex badly, but dilate the corpora and insert a prosthetic and he can have great sex. But if the prosthetic fails, he is worse off than before.

Hold out from a prosthetic for as long as you can (and other means still work). But when other means quit working, do not hesitate to go the next step if sex is important to you.

So is the issue then, regarding implants and youth, that successive revisions over 20-50 year period will increase complications and increase the chances that a replacement implant may not be available at some point?