Corpora cavernosa still in place after implant

[richard_goes_bionic]

yes it is AI too young, but shouldn't Dr. Eid know what he is doing.
Isn't the cavernosa like a sponge and you can dilate it to make room for the implant, maybe you remove some of it?

[ready2go]

nothing is removed from the penis , show one video of an implant were the doctor cuts out tissue to insert the implant . they use dilators to make space , crushing the corpora cavernosa , and that can be avoided according to ;EGYDIO MEDICAL CENTER ,
To preserve as much of the corpora cavernosa as possible, it is important to minimize the use or not use of dilators during the penile prosthesis implantation process. The use of dilators to perform prosthesis implants harms the corpora cavernosa, which can result in loss of residual penile filling quality.

"The conservation of the cavernous bodies as possible is essential so that the patient can enjoy the residual penile filling that he had before the implantation of the prosthesis. For this preservation, instead of inserting the penile prosthesis in the middle of the penis, it is necessary to make a separation between the cavernous bodies and the tunica albuginea where the prosthesis is implanted.

Thus, when the patient has a cerebral erotization and penile vasodilation, he will be able to enjoy the filling and heating of the penis closer than he was able to before undergoing an implantation process.

After creating the space between the tunica albuginea and the corpora cavernosa, a malleable or inflatable penile prosthesis is inserted, which aims to provide the vertical rigidity necessary for the sexual act."

i will believe them rather than the shoot from the hip guys who are not medical specialists
. I have no idea if any implanter bothers to take this step .

[ready2go]

after reading the opinion of medical professionals ,who were among the first to do malleable implants .
"Dr. GE Beheri, an Egyptian surgeon, was the first to use intracavernosal polyurethane rods placed within the tunica albuginea after dilation. This approach was successful and led to over 700 procedures being performed by Beheri. "

i can assume not damaging the corporal cavernosa can been done . as they stated in their own medical post .
but for me ,the point is mute ,since i already had it done by shoving in the dilators into c.c, .
if i remember right there is one american doctor who members here have used and they said he uses that method . i could be wrong though . im not going to spend hours looking for that past , maybe someone here knows about it .

[Mikedsy]

Interesting how opinions and techniques very so much among doctors. It's always good to talk to as many surgeons as possible until you find the one you know is the right one. I saw this article which has been posted elsewhere in FT.
https://pubmed.ncbi.nlm.nih.gov/30773500/
Two NOT high volume surgeons I talk to described the procedure as "strip out all the cavernous cells". One said how else can you make room for the implant. The other felt like malable was better than inflatable. A high volume one said "I remove nothing". I posted the question about the importance of cavernous sparing in a webinar with Melissa Mendez (met with her once and was very impressed but did not go with her for insurance reasons) and the response was it was very important to her but did not go into any detail. The surgeon I went with did not know about sparing technique but said "I don't dilate anymore than I have to". Couldn't be happier with my outcome. Since I completely lost function after RP and injections stopped working I assume my cavernousum cells were long dead anyway.

[ElbowRoom]

"Not using dilators" or using them in a special way are all marketing..but the reality is no implantaion is done without dilation.

That's probably true. But I could see some potential benefit in the concept of "minimal dilation" to preserve as much corporal function as possible. Though once cylinders are cycling and crushing against those tissues, it might night really make much difference.

[Pau1pau1]

When I don't inflate and masterbate , my penis definitely gets slightly enlarged .
Maybe 30% erect, this must be down to what ever natural flesh is left.

[ready2go]

"Not using dilators" or using them in a special way are all marketing..but the reality is no implantaion is done without dilation.

That's probably true. But I could see some potential benefit in the concept of "minimal dilation" to preserve as much corporal function as possible. Though once cylinders are cycling and crushing against those tissues, it might night really make much difference.

it would with a malleable .