I spoke with Hakky today. He said that there wasn't any extra scar tissue and all he had to do was extra dilation in the glans. He said that the 26 is actually a 2XL and not just a XL. Today is day 2 and I feel like I could easily go back to work, but Hakky said to take it easy. I feel so good because he uses lidocain to make all the areas he cuts into not hurt. My glans is very small when not engorged, so he said I may have some uneven-ness with the tips in there when flaccid due to how big the tips of the 26cm are compared to how small my glans is. Doesn't seem to be an issue so far though.
10 days till I can cycle.
3-4 weeks till I can have light sex.
Hakky believes that Tatem shorted me for 2 reasons.
(1) The opening of my urethra is not at the very tips of my glans, its almost to the underside. Basically when I piss, it comes out the bottom of my "slit" and not the tip of it. Hakky said that most implanters bend the glans down when they clasp the urethra for safety. Doing this for me, due to the nature of my urethra, does not allow dilation all the way into my glans. What Hakky did (or does) when he grasps the urethra is he bends it up instead of down. This allows him to see get dilation all the way up without injuring the urethra.
(2) Tatem does primarily infrapubic IPPs, whereas Hakky does peno-scrotal. Peno-scrotal is well documented to allow maximum implantation compared to IPP. Hakky said by doing PS he was able to see first hand view all the way up along the urethra, wheras Tatem's view would have been blinded by the nature that he was going in from the top (infrapubic) and not the bottom (peno-scrotal).
Hakky is an amazing surgeon and I am glad I used him.
Here is an example of the the urethra "stricture"/hyopspadosis that I have. Notice the opening of the urethra is low and not at the very tip.
https://my.clevelandclinic.org/-/scasse ... 7f402.ashx
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky