Does erection angle with a prosthesis look normal?

The final frontier. Deciding when, if and how.
Bwtbbb
Posts: 155
Joined: Sun Dec 11, 2022 9:58 am

Re: Does erection angle with a prosthesis look normal?

Postby Bwtbbb » Sat Feb 25, 2023 10:43 am

Rider1400 wrote:As mentioned in earlier post the proximal( part of dick inside you) is what you have. It can’t be changed. You should have at least the same angle you had the last hard erection pre implant. Could possibly be a little higher simply because there is very little flex in a pumped up implant. It will continue straight out from the proximal part of your sick. Nothing can be done about this.

There is something that can be done about it, you can go to a surgeon that avoids or at least minimises RTEs, as they cause lower erection angles. You can also keep it upright for a period following surgery so that the surgical capsule develops in such a way that accommodates an upright angle.

Rider1400
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Re: Does erection angle with a prosthesis look normal?

Postby Rider1400 » Sun Feb 26, 2023 1:51 pm

Bwtbbb wrote:
Rider1400 wrote:As mentioned in earlier post the proximal( part of dick inside you) is what you have. It can’t be changed. You should have at least the same angle you had the last hard erection pre implant. Could possibly be a little higher simply because there is very little flex in a pumped up implant. It will continue straight out from the proximal part of your sick. Nothing can be done about this.

There is something that can be done about it, you can go to a surgeon that avoids or at least minimises RTEs, as they cause lower erection angles. You can also keep it upright for a period following surgery so that the surgical capsule develops in such a way that accommodates an upright angle.


Agree that the RTEs support the implant but you cannot change the angle of the proximal portion of what’s in your body! Sure the capsule can form over whatever angle it’s in. When I pump my implant to max it is as hard as a rock and takes an extreme pressure to bend it at all. So the implant will continue in a straight line out from proximal portion. There is flex in this portion though. You can also have the ligaments cut that hold your dick up. This will allow gravity to pull down on it and will appear longer but will change the angle as much as the proximal portion will give in a lower direction. My point is that if you were at 3:00 back when you had great natural erections an implant will not in any way give you a straight up or even an 11 or 10:00 angle.
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 20cm and 1cm RTE. Going strong and loving it!

Hillywilly
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Re: Does erection angle with a prosthesis look normal?

Postby Hillywilly » Tue Feb 28, 2023 6:48 pm

Rider1400 wrote:
Bwtbbb wrote:
Rider1400 wrote:As mentioned in earlier post the proximal( part of dick inside you) is what you have. It can’t be changed. You should have at least the same angle you had the last hard erection pre implant. Could possibly be a little higher simply because there is very little flex in a pumped up implant. It will continue straight out from the proximal part of your sick. Nothing can be done about this.

There is something that can be done about it, you can go to a surgeon that avoids or at least minimises RTEs, as they cause lower erection angles. You can also keep it upright for a period following surgery so that the surgical capsule develops in such a way that accommodates an upright angle.


Agree that the RTEs support the implant but you cannot change the angle of the proximal portion of what’s in your body! Sure the capsule can form over whatever angle it’s in. When I pump my implant to max it is as hard as a rock and takes an extreme pressure to bend it at all. So the implant will continue in a straight line out from proximal portion. There is flex in this portion though. You can also have the ligaments cut that hold your dick up. This will allow gravity to pull down on it and will appear longer but will change the angle as much as the proximal portion will give in a lower direction. My point is that if you were at 3:00 back when you had great natural erections an implant will not in any way give you a straight up or even an 11 or 10:00 angle.


Currently when I get fully "erect" despite it feeling like a waterballoon I still point to the 2 o clock but after the implant it will be lower like the 3 o clock?
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

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Quincy
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Location: Boise, ID

Re: Does erection angle with a prosthesis look normal?

Postby Quincy » Tue Feb 28, 2023 7:58 pm

FWIW, mine points up at about 1 o'clock to 1:30. I've had my implant for over 4 years, and had many years of atrophy before that. I did what my doctor told me before and after surgery, including a lot of VED use before and a lot of cycling after, essentially 4 times a day for both. VED use was for about 3 months before surgery. The 4 times a day cycling went on for almost a year after the surgery. Now I cycle once or twice a week.

I have no idea if either stretching before or cycling a LOT afterward made a difference, I'm just happy with the result. I have three 1 cm RTE's on each side.

Quincy.
71, Boise area, Married
ED from type 2 diabetes and PCa radiation.
AMS LGX surgery 6/5/18 with Edward Karpman in Silicon Valley, 18cm+3RTE

sswinsfba
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Joined: Sat Jan 07, 2023 3:08 pm

Re: Does erection angle with a prosthesis look normal?

Postby sswinsfba » Tue Feb 28, 2023 9:18 pm

Hillywilly wrote:Currently when I get fully "erect" despite it feeling like a waterballoon I still point to the 2 o clock but after the implant it will be lower like the 3 o clock?


No one could possibly tell you at what angle your dick will point post op because no one knows.

The likelihood is that it will point to 3 o'clock because that's what most people see to report and what's mostly commonly shown in post op videos but what happens to you post op as nothing to do w/all that.

As I asked you in another thread:

What's more important? Having an erect dick again or an erect dick that poinst a certain direction? To me, it was to have an erect dick and I really don't care what direction it points as long as it can enter a pussy by mutual consent.
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Does erection angle with a prosthesis look normal?

Postby FinallyBionic » Wed Mar 01, 2023 11:09 am

Bwtbbb wrote:
Rider1400 wrote:As mentioned in earlier post the proximal( part of dick inside you) is what you have. It can’t be changed. You should have at least the same angle you had the last hard erection pre implant. Could possibly be a little higher simply because there is very little flex in a pumped up implant. It will continue straight out from the proximal part of your sick. Nothing can be done about this.

There is something that can be done about it, you can go to a surgeon that avoids or at least minimises RTEs, as they cause lower erection angles. You can also keep it upright for a period following surgery so that the surgical capsule develops in such a way that accommodates an upright angle.

BWTBBB,
I do not think RTEs have any effect on the angle. They just extend the implant at the same direction. The penis isn't flexible where there is RTE. If they can affect the angle, surgeon would make use of this function and set angles at any desired value.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

newbie443
Posts: 1931
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Location: Sedgwick county, Kansas USA

Re: Does erection angle with a prosthesis look normal?

Postby newbie443 » Wed Mar 01, 2023 4:13 pm

Hillywilly wrote:I think I saw a video of a guy with a penile prosthesis and the erection seemed to point straight ahead instead of toward the belly like a natural erection. Have guys with an implant found this to be the case?


This has been addressed before and a search will bring up many old threads on this. It has even been the subject of publications by device manufacturers. Erection angle is the result of many things that have been posted in this thread and some others. The stiffness of the device is also a reason. The Titan is the stiffest and the CX a bit behind. The LGX with the softer cylinders is the device with the least. The fluid in the cylinders is heavy. So the more fluid in the proximal portion inside your body does help. The RTE's are smaller in size and give less support. Think of a tube like a water balloon. The principles of a lever apply. RTE's move the pivot point of the cylinder closer to the proximal end. The longer the distal section with the additional weight of the cylinders the more support needed. Hold the tube at the end and hold it out and it will bend down. The closer you hold it to the distal end the less it will bend. My LGX 21cm is the longest made for this reason. The CX is made in a longer size as it is stiffer. And the Titan is made in extra large sizes as it is stiffest. As this has a cosmetic element to it a number of doctors have published on erection angle.

Another part of this is the suspensory ligamentous system. As we age this can stretch. It can be damaged. And as was posted natural erection angle is not the same for all men.

My erection angel after IPP surgery was 4:00. Sometimes a little less or a bit more. After my proximal perforation repair it is now at 3:00. And I had a lot of sex with a partner before the repair. I do not understand what is so important about a 1:00 erection angle. The only thing I can see as a reason is so that it looks like what you had in your healthy youth. But as time goes on and we age that will decrease for most of us. The IPP does not restore natural function. It is a prosthetic device. It dose not do anything for the 3rd corporal body or glans. Some most men have a different shape as a result. So if you are searching for information about IPP surgery restoring natural function you are never going to find it. You are different after IPP surgery. You have a device in you that will produce an erection but that is different from natural function. I had size loss and it was important to me to do what I could to restore as much as I could. So the LGX was a good choice for me. But if the doctor found damage inside then he could have used either a CX or Titan. If erection angle is important for you then most likely the Titan will be your choice. And search for a doctor who has published information and erection angle. But as I said I was not and am not concerned about erection angle. I have never had a partner who even mentioned it.
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

66 years young.

Will show and tell and talk with others.


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