why some gets good results and others bad results?

[Olivero66]

size was never a real issue, having a working dick was, sensitivity was.

I agree, you should not make such a big deal out of length. There can only be one right size, and that is the matching size! If the doctor implants way more than measured, you'll crock up and buckling will result... pain in the ass!
On early activation you might maintain resilience of your Corpora and Tunica, but if you've been implanted, say, 19cm your size will be according to the implant's size. No way to have it grow!
When you lose 1 inch but save your previous sensitivity and glans engorgement, you should be very happy!
I've been so lucky to have a large penis, but I happened to encounter a crazy surgeon (Dr. Christian Leiber, Freiburg, Germany - he's unserious and unreliable) so after measuring 23cm which would hace been totally sufficient for me he implanted 22cm + 4cm RTE = 26cm. Every normal surgeon would have implanted 22 + 1, and I'd become very satisfied with that.

[Membrillo]

size was never a real issue, having a working dick was, sensitivity was.

I agree, you should not make such a big deal out of length. There can only be one right size, and that is the matching size! If the doctor implants way more than measured, you'll crock up and buckling will result... pain in the ass!
On early activation you might maintain resilience of your Corpora and Tunica, but if you've been implanted, say, 19cm your size will be according to the implant's size. No way to have it grow!
When you lose 1 inch but save your previous sensitivity and glans engorgement, you should be very happy!
I've been so lucky to have a large penis, but I happened to encounter a crazy surgeon (Dr. Christian Leiber, Freiburg, Germany - he's unserious and unreliable) so after measuring 23cm which would hace been totally sufficient for me he implanted 22cm + 4cm RTE = 26cm. Every normal surgeon would have implanted 22 + 1, and I'd become very satisfied with that.

your doctor did a big negligence. but i dont agree with you. size after implant is a big issue. it isnt if you have 8 inches and lost 1 . but if you are average or under average and lost 1 inch it is a really big problem.

[dg_moore]

your doctor did a big negligence. but i dont agree with you. size after implant is a big issue. it isnt if you have 8 inches and lost 1 . but if you are average or under average and lost 1 inch it is a really big problem.

You are on an impossible quest. Nobody can guarantee the results of surgery. Nobody. So you need to find the best surgeon you can and put yourself in his hands. In any case, would you rather have a 5" penis that works, or a 6" penis that does not?

[JDavid]

Membrillo, if you do not want an implant, do not get one. It is that simple. However, over 90% of implantees are pleased with the results. When you consider how many people are not pleased by anything. that is pretty amazing.

[Olivero66]

You are on an impossible quest. Nobody can guarantee the results of surgery. Nobody. So you need to find the best surgeon you can and put yourself in his hands. In any case, would you rather have a 5" penis that works, or a 6" penis that does not?

That's exactly what it is about. If it doesn't work or causes pain, nothing else will be an issue anymore, nor will be size.
The italian doctors were researching about early activation in order to avoid a too tight "pseudo capsule". As far as I know the size of a fully inflated coloplast cylinder cannot be limited or reduced by a pseudo capsule. Quite inversely, the pseudo capsule is adopting the size of the implant!!
And there'll always be a pseudo capsule and also should be, cause it's preventing from infection in the corpora.

[sinestra]

I just want to make a few comments regarding my own experience. I am now 7 and a half months post-op and my outcome was excellent - no size lost and orgasms as powerful as before surgery. But it took time to get there, and there was some pain and discomfort involved. Hebrewhammer (great name!) referenced an article I read before surgery, which I discussed it with Eid. IMHO I think activating as early as possible is ultimately going to help achieve the best results regarding size, but make no mistake about it, it's going to hurt. I mean really hurt! I remember sitting in hot water in the bath and feeling for the pump, trying to visualize the shape of the pump. The "ball" felt like a rock and my scrotum was so tender it hurt to touch. But I was determined - I was not going to be deterred by pain. I activated at day 11 (with Eid's consent), but I was incredibly focused and willing to endure whatever it took to get the best possible result. I approached my recovery like I was training to be a Navy Seal - having my fully functional tool taken away from me overnight by prostate cancer at 54 made me a little nuts!

So I now inflate fully twice a day for 20-30min, and there is no discomfort at all. I am exactly the same size as before surgery, possibly a little wider (measuring a penis is not an exact science).

The psychological benefits are immeasurable, at least for me. Now, whenever I want to have sex, I am hard as railroad spike for as long as I want. When men who have dealt with ED for years experience this, it's just an unbelievably freeing feeling. You can truly just relax and be in the moment, the state of your erection is no longer on your mind at all. Sex is amazing! I think this phenomenon probably accounts for why such a large percentage of men are satisfied with their implants.

Having said all that - your penis is different. Erect, I don't think anyone could tell there is an implant, it's just crazy how real it seems. Flaccid is another matter - visually it looks normal, but you can certainly feel there is an implant there. If I am not aroused and I inflate, my penis is kind of "flat" because the corpus spongiosum is not engorged (this is the part that runs underside your penis and includes the head). When I am aroused this effect is not there.

An interesting note - the way to find out if you are pumping to full inflation (at least with a Coloplast) is to pump until the "ball" collapses. You will now have created a vacuum in the pump because there is no more saline the reservoir to transfer to the cylinders.

And finally, at the risk of stating the obvious, it's important to remember that the only reason to have this done is if nothing else works. If you can keep this front and center in your mind, it makes things easier. If you were truly non-functional before, you will ultimately be grateful when this whole ED issue becomes a dim memory - because it will...

[Membrillo]

thank you for tell us your experience sinestra. im happy for you to had a sucesfull implant. i can have erections with cialis but if i change the position or put a condom i lose the erection, i cant maintain it without stimulation.

why dr Eid didnt actívate your implant inmediately after surgery?

[Deep Threat]

Sinestra,

Was the surgery performed thru the scrotum? Would the stitches heal up by day 11 for you to activate yourself? I'm worried I would open something up trying that early but I have heard its the best way to get size back.

[Olivero66]

Was the surgery performed thru the scrotum? Would the stitches heal up by day 11 for you to activate yourself? I'm worried I would open something up trying that early but I have heard its the best way to get size back.

Eid is always implanting by penoscrotal approach. On penoscrotal approach, early activation is somewhat more difficult and much more painful than on infrapubic approach. That's also what this thread is about.
It's interesting what Sinestra is telling. Obviously early activation really matters with respect to size! The old "dogma" was: Don't activate before 6 weeks in order to have a pseudocapsule be constituted around the reservoir. If you activate too early, the reservoir might be tightened up by its pseudocapsule.
It seems to be a trade-off between reservoir's and cylinder's pseudocapsule. But when you're inflating early, you'll also deflate later on and thus refill completely the reservoir. So I don't see any reason why the reservoir's capsule can't become large enough on early activation. So kick away the old dogma...

But I would not recommend to inflate till the last drop, because the reservoir's size (say 125 ml or 100 ml) fits for a range of implant sizes. When you got 100 ml with 20cm implant size, you might pump dry and hence empty completely the reservoir's fluid amount ; but when you got 100 ml with only 18 cm cylinder length, it's not that recommendable.

[sinestra]

why dr Eid didnt actívate your implant inmediately after surgery?

Membrillo - Eid had me partially pumped after surgery, so before I tried to inflate I made sure I could deflate - an important point.

Was the surgery performed thru the scrotum? Would the stitches heal up by day 11 for you to activate yourself? I'm worried I would open something up trying that early but I have heard its the best way to get size back.

Deepthreat (again - great username!) - Eid performs the surgery through a small (2.5cm) incision in the scrotum. Your question is a good one; I want to make it clear that everyone is different in how they heal and how their body reacts to surgery, as well as their pain threshold. It may not be possible for everyone to activate that early... In my case the stitches healed really fast.

But I would not recommend to inflate till the last drop, because the reservoir's size (say 125 ml or 100 ml) fits for a range of implant sizes. When you got 100 ml with 20cm implant size, you might pump dry and hence empty completely the reservoir's fluid amount ; but when you got 100 ml with only 18 cm cylinder length, it's not that recommendable.

Olivero66 - Good point. Every surgeon is going to have developed their own approach, but I would imagine each only fills the reservoir with the amount of saline necessary to fully inflate the cylinders based on their experience. In my case, if I remember correctly, the surgical notes indicated he filled the reservoir with 90cc. That seems to be the exact amount to fully inflate my device. But you are right - if the surgeon overfilled to reservoir, you would not want to follow my advice to pump completely. This would good question to ask before surgery...