Fluctuation in flaccid state

The final frontier. Deciding when, if and how.
Jayline
Posts: 20
Joined: Tue Jul 26, 2022 11:31 am

Fluctuation in flaccid state

Postby Jayline » Sat Sep 03, 2022 5:50 am

My flaccid state seems to fluctuate quite a lot during the day. Sometimes my stretched length is 6.2 inches other times just above 5… I’m concerned that this will pose problems when it comes to sizing at surgery.

Did anyone else have this problem?

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Happy Toy
Posts: 1130
Joined: Fri May 11, 2018 9:30 am

Re: Fluctuation in flaccid state

Postby Happy Toy » Sat Sep 03, 2022 10:20 am

Why worry about it, If you have a good doctor you will be fine, it will be what it will be, and it will be usable!
Implanted 6/26/2018, Coloplast Titan 20cm, no RTE'S, infra pubic, Dr. Rhee, Kaiser :o 8-) 80 yrs., married 57 yrs. ED for over 20 yrs.

Musson
Posts: 414
Joined: Wed Nov 17, 2021 12:59 pm

Re: Fluctuation in flaccid state

Postby Musson » Sat Sep 03, 2022 12:31 pm

I worry about this too as my flaccid state rangers from buried penis to over 5.
63yr old. PDwith 40% dor. Curve. Pre-PD 7”x6”.lost 2 in. due to PD. ED prior to PD. Switched from Sildalifil to Trimix Nov 2023 . Currently titrating Trimix for optimization.

España1980
Posts: 180
Joined: Wed Jul 27, 2022 5:28 pm

Re: Fluctuation in flaccid state

Postby España1980 » Sat Sep 03, 2022 1:39 pm

The same thing happens to me, it depends on many factors, stress, cold, heat, my flaccid state can change by several centimeters between 7 and 12 centimeters, that is, a difference of 5 cm

Thisworld
Posts: 159
Joined: Sun Sep 06, 2020 3:01 pm

Re: Fluctuation in flaccid state

Postby Thisworld » Sat Sep 03, 2022 3:10 pm

Do you guys think it wuold be dangerous to take some cialis before the surgery in order to get blood flow going and relax the tissues?
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

stmfttr
Posts: 514
Joined: Mon Dec 14, 2020 11:35 pm

Re: Fluctuation in flaccid state

Postby stmfttr » Sat Sep 03, 2022 3:17 pm

And did the doctor say to take Cialis before surgery? Probably not.
stmfttr
78 yo. Married 54years - Coloplast Titan, 22cm and no RTE's - Installed June 2019 Nebraska Medicine, Dr. Deibert (urologist/surgeon)
ED started in 1994 Tried VED, Viagra and Cialis, and injections.

RoninRiff
Posts: 96
Joined: Wed Feb 17, 2021 1:12 pm

Re: Fluctuation in flaccid state

Postby RoninRiff » Sat Sep 03, 2022 4:15 pm

The surgeon does not measure flaccid length to determine the proper size implant to use. They measure stretched penile length which is equivalent to erect length. That is the dimension that is relevant for sizing. Flaccid length does not enter in to the calculus.
55 yo w 20 yrs of worsening ED. VL on US. Tried all PDE5-Is w decreasing efficacy. No longer tolerating SEs from meds. INJs did not work out well for me. Now sched for IPP w Dr. Eid in 12/2023.

Jayline
Posts: 20
Joined: Tue Jul 26, 2022 11:31 am

Re: Fluctuation in flaccid state

Postby Jayline » Sat Sep 03, 2022 4:26 pm

RoninRiff wrote:The surgeon does not measure flaccid length to determine the proper size implant to use. They measure stretched penile length which is equivalent to erect length. That is the dimension that is relevant for sizing. Flaccid length does not enter in to the calculus.


Yes I know but I’m saying my stretched length fluctuates along with my flaccid

gjmjoe017
Posts: 1055
Joined: Thu Apr 13, 2017 9:32 am
Location: NW Arkansas

Re: Fluctuation in flaccid state

Postby gjmjoe017 » Sat Sep 03, 2022 4:27 pm

Don’t take anything before surgery!!!!
71 yrs.old married,ED for 7 yrs.Pills for 3 yrs,TriMix for 21/2 yrs.6 1/2 inches flacid,71/4 inches erect,6 inches girth.Coloplast Titan put in 11/13/20,Dr.Bozeman,Arkansas Urology,Little Rock.22cm + 2 RTE.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Fluctuation in flaccid state

Postby Lost Sheep » Sat Sep 03, 2022 4:47 pm

Jayline wrote:My flaccid state seems to fluctuate quite a lot during the day. Sometimes my stretched length is 6.2 inches other times just above 5… I’m concerned that this will pose problems when it comes to sizing at surgery.

Did anyone else have this problem?

I did not have that phenomenon I cannot contribute on that count. But I do know the flaccid length before surgery nor the stretched flacid length before surgery have no bearing on the size of implant that is proper for you.

Can you get an erection (by any means now? That would be a fair indicator of the penile size (not the implant size) you may expect if you have a good surgeon.

During surgery, the surgeon inserts a measuring tool into the incision and forces it up to the tip (distal tip) of of the inside of your penis and notes the distance. Then the surgeon inserts the tool into the pelvic crus (proximal end) and the distance noted. Adding the two measurments together gives the surgeon the length of the implant (as adjusted by the surgeon's experienced judgement). THIS IS THE ONLY MEASUREMENT THAT MATTERS.

The surgeon inserts the implant, reservoir and pump mechanism and (usually) inflates the implant and observes if there is any thing of concern to be addressed before finazing the surgery. Occasionally, if the implant is found to be too long or too short the implant can be partially removed for adjustment with RTE's or fully removed and a different size implant installed.

Your flaccid length has no bearing on any of the essential sizing dimensions.
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


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