Will the corpus spongiosum still work after implant?

The final frontier. Deciding when, if and how.
KaBoom
Posts: 104
Joined: Thu Aug 14, 2025 12:27 pm

Will the corpus spongiosum still work after implant?

Postby KaBoom » Thu Jul 09, 2026 5:00 pm

The cylinders replace the corpus cavernosum and thats the part the implant works its magic on.

However, the spongiosum, the tube that runs along the bottom side, is still the same same as before.

Its only been several months, but it does not seem to inflate at all anymore , giving a bit more of a narrow oval shape in the erectile state in my case.

Does it eventually get back to normal with cycling and time? or would one need to include a viagra to get it going too?
56, Mild ED started 20 years ago, Pills very effective for first 12 years. Then High Blood Pressure made ED much worse. Pills inconsistent now. Dont like needles.

User avatar
duke_cicero
Posts: 574
Joined: Tue May 28, 2024 2:58 pm

Re: Will the corpus spongiosum still work after implant?

Postby duke_cicero » Thu Jul 09, 2026 7:40 pm

I wouldn't make any conclusions until about a year in. Several months is still quite early.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024 by the great Dr. Laurence Levine in Chicago.

· December 2024 implant journal
· June 2025 update
· One-year update

LetoMan
Posts: 513
Joined: Tue Apr 09, 2024 1:25 pm

Re: Will the corpus spongiosum still work after implant?

Postby LetoMan » Thu Jul 09, 2026 8:10 pm

It shouldn’t be affected by the implant. However, it could be affected by whatever was driving your ED in the first place.

Cycling would not have an effect on it.
Born 1974. Implanted 5/21/2024. AMS 700 CX 21cm, 3cm RTE. Penoscrotal. Venous leak my whole life. Pills helped, but hated the side effects; worked less as I aged. Skipped injections. Grateful to bionic brotherhood that helped me make this decision.

Flounder
Posts: 314
Joined: Mon Jul 23, 2018 3:17 pm
Location: PA

Re: Will the corpus spongiosum still work after implant?

Postby Flounder » Fri Jul 10, 2026 8:55 am

The spongiosum is not altered by implant surgery but the nerves supporting its function can be affected by swelling and edema outside the CC following surgery. Generally speaking nerve trauma takes about a year to repair.

Rule of thumb is if you have good spongiosum and glans engorgement before surgery, you will after. And if it was crap before, expect the same after.

At 9 months I noticed some weak engorging and gradual improvement. Around the 1yr mark I was back to my pre surgery condition. Of course some bruise more than others and everyone heals at a different pace so this varies more or less by individual.

And yes, PDE5 inhibitors (like sildenafil or tadalafil) can help with corpus spongiosum and glans engorgement, particularly if your ED is due to cardiovascular (getting blood in) problems. However, here’s the catch. For PDE5 Inhibitors to work, You must be sexually stimulated AND those brain signals must activate the nerves in the penis to trigger the blood fill process. So there needs to be some nerve response before you will realize the benefits of the PDE5s after surgery. The only thing I found that bypasses the natural process and forces spongiosum and glans engorging is TriMix gell suppository but it’s expensive and does have some drawbacks.
72, ED from NS-RALP Oct’12 and SRT for PCa return Oct’16. Pills & injections ran their course.
Implanted; Nov’22 Titan Classic 22cm. L-side trimmed -1cm. Ectopic HSM reservoir
Revision; Apr’26 Titan Classic 24+1cm BS. Reused original reservoir.


Return to “Implants”

Who is online

Users browsing this forum: ClaudeBot, Facebook, YandexBot and 31 guests