Revision surgery after 6 months (subcoronal)

[Ljammmm]

Hi all,

I wanted to start a new thread as its been some 4 months since I last posted here.

Basically don't story short, Dr Ralph implanted me in Novemebr 25. Straight away I had sharpe pain in the tip, curvature and hour glassing near the base. Had a MRI which confirmed this also.

Dr Ralph recommended waiting until the 6 month mark ti see if this resolved.

So had the phone call to catch up with him today and the issues are still present. He's asked for some updated photos to review but mentioned a subcoronal approach (cutting below the glans and what looks like kn google degloving the penis).

I cant put into words how much i hate this idea but I want to make sure im not getting myself concerned over nothing, have anyone else had similar done on here and could you share story?

Also has anyone else had scar tissue dealt with after the original implant and how was this dealt with when you had it done?

Thank in advance for any help or advice, its really appreciated cause if shitting myself over this!

[splitpeach]

What was the cause of the pain in the glans? I had an implant with Ralph in April. My glans is still curved downwards but not my shaft. I'm waiting to see him to discuss next month.

What is your curvature?

[TenDan]

Hi all,

I wanted to start a new thread as its been some 4 months since I last posted here.

Basically don't story short, Dr Ralph implanted me in Novemebr 25. Straight away I had sharpe pain in the tip, curvature and hour glassing near the base. Had a MRI which confirmed this also.

Dr Ralph recommended waiting until the 6 month mark ti see if this resolved.

So had the phone call to catch up with him today and the issues are still present. He's asked for some updated photos to review but mentioned a subcoronal approach (cutting below the glans and what looks like kn google degloving the penis).

I cant put into words how much i hate this idea but I want to make sure im not getting myself concerned over nothing, have anyone else had similar done on here and could you share story?

Also has anyone else had scar tissue dealt with after the original implant and how was this dealt with when you had it done?

Thank in advance for any help or advice, its really appreciated cause if shitting myself over this!

Hello,

One of my revisions was done through a subcoronal (circumcoronal) approach. It sounds frightening when you first think about it, but in the end it's just another surgical incision.

After I recovered, I noticed no difference at all in sensitivity.

If you'd like, I can send you a photo showing how it looked after healing.

[lasthope2.0]

I had a non-degloving subcoronal incision for my 1st implant. My distal foreskin has chronic lymphatic swelling as I was not circumcised when I was cut. I manage it with gauze wraps during my waking hours. My sensitivity took some hit.

[Ljammmm]

Hi all,

I wanted to start a new thread as its been some 4 months since I last posted here.

Basically don't story short, Dr Ralph implanted me in Novemebr 25. Straight away I had sharpe pain in the tip, curvature and hour glassing near the base. Had a MRI which confirmed this also.

Dr Ralph recommended waiting until the 6 month mark ti see if this resolved.

So had the phone call to catch up with him today and the issues are still present. He's asked for some updated photos to review but mentioned a subcoronal approach (cutting below the glans and what looks like kn google degloving the penis).

I cant put into words how much i hate this idea but I want to make sure im not getting myself concerned over nothing, have anyone else had similar done on here and could you share story?

Also has anyone else had scar tissue dealt with after the original implant and how was this dealt with when you had it done?

Thank in advance for any help or advice, its really appreciated cause if shitting myself over this!

Hello,

One of my revisions was done through a subcoronal (circumcoronal) approach. It sounds frightening when you first think about it, but in the end it's just another surgical incision.

After I recovered, I noticed no difference at all in sensitivity.

If you'd like, I can send you a photo showing how it looked after healing.

Hi TenDan, thanks you that is very reassuring, did they do a full degloving or was it just a window?

I would really appreciate a photo of possible, ive been googling (wish I hadn't) and most of them are during the op, would be good to see how it heals

[Ljammmm]

I had a non-degloving subcoronal incision for my 1st implant. My distal foreskin has chronic lymphatic swelling as I was not circumcised when I was cut. I manage it with gauze wraps during my waking hours. My sensitivity took some hit.

Im so sorry your going through this, do you mind if I ask how long ago your operation was and if the surgeon has a plan to resolve the issue?

Was you with a high volume surgeon?

This is back to putting me off it after the reply before yours won me over a bit. Im really hoping he comes back saying this is not needed once he's seen the photos

[TenDan]

Hi all,

I wanted to start a new thread as its been some 4 months since I last posted here.

Basically don't story short, Dr Ralph implanted me in Novemebr 25. Straight away I had sharpe pain in the tip, curvature and hour glassing near the base. Had a MRI which confirmed this also.

Dr Ralph recommended waiting until the 6 month mark ti see if this resolved.

So had the phone call to catch up with him today and the issues are still present. He's asked for some updated photos to review but mentioned a subcoronal approach (cutting below the glans and what looks like kn google degloving the penis).

I cant put into words how much i hate this idea but I want to make sure im not getting myself concerned over nothing, have anyone else had similar done on here and could you share story?

Also has anyone else had scar tissue dealt with after the original implant and how was this dealt with when you had it done?

Thank in advance for any help or advice, its really appreciated cause if shitting myself over this!

Hello,

One of my revisions was done through a subcoronal (circumcoronal) approach. It sounds frightening when you first think about it, but in the end it's just another surgical incision.

After I recovered, I noticed no difference at all in sensitivity.

If you'd like, I can send you a photo showing how it looked after healing.

Hi TenDan, thanks you that is very reassuring, did they do a full degloving or was it just a window?

I would really appreciate a photo of possible, ive been googling (wish I hadn't) and most of them are during the op, would be good to see how it heals

There you go!

[lasthope2.0]

I had a non-degloving subcoronal incision for my 1st implant. My distal foreskin has chronic lymphatic swelling as I was not circumcised when I was cut. I manage it with gauze wraps during my waking hours. My sensitivity took some hit.

Im so sorry your going through this, do you mind if I ask how long ago your operation was and if the surgeon has a plan to resolve the issue?

Was you with a high volume surgeon?

This is back to putting me off it after the reply before yours won me over a bit. Im really hoping he comes back saying this is not needed once he's seen the photos

My subcoronal incision was done 2 years ago by a high volume surgeon. According to him, chronic distal lymphedema is "just a skin issue". He won't acknowledge it.

I've consulted three other high volume surgeons for a second opinion, they recommended managing it with mild compression or elevation. One of them said: Only when lymphedema is massive, surgical intervention is considered. It involves excision of lymphedematous skin followed by a skin graft. Skin grafts carry reliability risks, they can fail to integrate and require revisions, but this approach remains an option if edema becomes massive.

Conservative mild compression therapy using gauze wrap works for me.

Let's assume that the surgeon is only comfortable doing a subcoronal incision. From my consults, this is what I learned:
-If you are already circumcised, a subcoronal incision is fine.
-If you are not already circumcised, it's a good idea to request a circumcision along with the subcoronal incision to excise the redundant foreskin.
-If you are not already circumcised and circumcision was not done during the surgery, the risk of chronic distal lymphedema is higher.

If you want to learn more about subcoronal incisions, you can do so from this paper:

Nuances of Subcoronal Inflatable Penile Prosthesis for Physicians Accustomed to Penoscrotal Approach.
Park, Sung Hun, et al.
International Journal of Impotence Research [London], vol. 34, no. 8, December 2022, pp. 739–45, https://www.nature.com/articles/s41443-020-00349-9

If your high volume surgeon is experienced in the nuances of subcoronal incisions, circumcisions, and their relation to distal skin complications, you are in good hands. I'd say, do your research and ask many questions, but trust your high volume experienced surgeon. Keep in mind that my experience represents only N=1, a single data point.