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Any of you had your doctor so strongly emphasize that you will lose length? I understand that it's necessary to properly set expectations and if I lose a little, ok, I understand. But the emphasis (and over-emphasis) is so strong it leaves me with an impression that the effort is not going to be as great to try and maintain as much size as possible. I dunno... I was ready to pull the trigger but this has me concerned. Any of you have your doc characterize like this?

It is standard practice for a doctor to try to under promise and over deliver. That said, you definitely should expect to lose length.

If you want to learn how to get maximum length, check out this study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708606/

Some of the strategies they found effective for ensuring maximum length include using a VED often (definitely before, and maybe after the surgery as well) and of course choosing a high volume surgeon.

StillConsidering wrote:Any of you had your doctor so strongly emphasize that you will lose length? I understand that it's necessary to properly set expectations and if I lose a little, ok, I understand. But the emphasis (and over-emphasis) is so strong it leaves me with an impression that the effort is not going to be as great to try and maintain as much size as possible. I dunno... I was ready to pull the trigger but this has me concerned. Any of you have your doc characterize like this?

Welcome to the forum, StillConsidering and thanks for trusting us with your question.

If you cannot get reassuring testimonials from his former patients (victims?) RUN!

Absent medical complications (which he should be willing to discuss with you thoroughly and to your satisfaction) there is no reason any man should lose length from his erect length (the day before surgery, not from when he was 18, of course) to post-op (you should recognize that it sometimes DOES take months for everything to settle in).

If your surgeon does not care enough to allow you to be an integral part of your own medical care decision-making, RUN!

If your surgeon does not respect you as a person enough to explain things to you, RUN!

I lost not a bit of length from the day before surgery (the best erection I could get with pills and vigorous stimulation) compared to 60 days after surgery (when I was completely healed, pain-free and cleared for sex). That length was also identical to my youthful erection, but that is just me. Probably because I never lost total ability to get erect until a a couple years before surgery, and then I began using a Vacuum Erection Device therapeutically to maintain blood flushing through the tissues and also elasticity of those tissues.

You owe it to yourself (and your sexual partner) to make sure you have the best possible outcome. If you were replacing or repairing a severed thumb, you would not be considered vain or frivolous or unessential. It seems to me your surgeon is taking your penis' size as one of those. If that is the case, RUN! It is easy enough to find a surgeon dedicated to the best outcome for his patients, and not just a "good enough" outcome, but the best he can possibly provide. A surgeon dedicated to anything less than excellence does not belong in the medical field at all. Dr EId wrote to me once, "Find a surgeon in love with his craft." He went on, such a surgeon will put the welfare of his patients above all other considerations. There are plenty of such surgeons. I interviewed Dr Eid, Dr Kramer (too far away for choosing them to be practical), one in Seatlle and three in my locale. After 14 months of vetting surgeons and getting authorizations, I chose a surgeon who told me (If I were in private practice, this would be my specialty." (He was active duty Air Force - I got my implant through the Veteran's Administration). He respected my knowledge and talked to me as a peer. He also was not insulted by my desire to fly to Maryland for surgery with Dr. Kramer, but simply told me, "You will be overflying a lot of good surgeons if you do that."

He talked to me about the procedure. He did not promise me anything about size. He did not have to to gain my confidence.

If you don't have that kind of mutual respect and trust, RUN!

I agree with Lost Sheep and had the same result as he did.

I didn't lose any length either. I did lose some girth. Not because of the doctor but because the implant couldn't accommodate my former girth. Very happy with my results. Choose your doctor wisely

I agree with most others who say that (1) confidence in your surgeon is paramount!! and (2) RUN if you get conflicting or, worse, "downgraded" promises. That said, it all depends upon your individual situation. In my case, there were no promises or expectations either way. I never expected more or less than my original physical size would indicate since I had no additional 'issues' that might have impacted my final, post-op result. Matter of fact, since I allow my Coloplast Titan cylinders to be slightly inflated, my flaccid state is always noticeable. I enjoy my visibility and don't try to hide it.

Please go with your gut...if you do not get a warm and fuzzy from your current situation and surgeon "Be Afraid...be VERY Afraid" and run like hell to someone who will shoot you straight.

Edd

I concur with those who tell you have to have confidence in your surgeon.

I got down to a pretty rigorous interview with my two finalists. Neither would commit to aggressive sizing.

My starting point (at home measure with trimix) was 17 cm.

The doc did not induce an erection. He yanked pretty hard and got a bone pressed length of 16 cm and said that’s what you’re looking at afterwards. I grabbed and pulled it out to 16.5 cm and said I could live with that.

He explained his goal was never to undersized anyone, that there were unknowns until he got in and looked at my anatomy. That he had not developed a good reputation by doing less than his best. He liked the AMS LGX because it would expand both length and girthwise. It was his preferred model and he thought it would work well for what I brought to the table.

He did tell me immediately after surgery there would be swelling and I’d probably see a 1.5 to 2” loss, and mist or all would come back with cycling.

A year later my erect dick varies between 16 and 16.5 cm. I really don’t miss the half centimeter (1/4 inch...let’s be real....that’s not a loss, that’s a rounding error in the big scheme of things).

To me, it looks normal. Yeah, I’d like to have a humongous scary cock. That’s not in my genes. I got one that looks like the one I started with and works a whole lot better. I think that is what a guy should expect.

I’d be more scared if a doctor promised me a cock without a bit of a loss or even more if someone promised it would be bugger. I’m always very active participant in my health care and I insist on truth.

My local doctors are the same as you described. 3 years ago when I was researching this my uro advised he and other uro's in the group did 2-3 implants a year. And that I would lose at least 1". He had no patients that I could talk to but I did speak to 2 men from other doctors in my area and they said yes this was true. And the doctor said I would be inflated for 8 weeks post op before activation. And I was advised that a number of men have the implant removed after a time. This I found out later is because they do not do revisions for problems. Just remove the device. So I did not stay local for this.

I agree with the others that size loss pre vs. post op is preventable. And you need to find a good doctor for this But ED causes size loss as does damage from other sources. So VED therapy should be part of the talk with your doctor before surgery. And you can ask to talk to a patient(s) of your doctor. You can also research your doctor and other doctors in you area. I use Health Grades as it gives an experience level in a percentage as compared to other doctors. I can help you with that if you want. The idea is to research the doctors in your area and make a list of the most experienced ones to see for this. If you cannot find one close to you then you can expand your search. You can also use the physician finder at the top of this page. You do not have to do any of this but you can if you like. Some men do none of it and have good results. But as was said you need to have confidence in your doctor. And be sure to ask if the doctor does revisions. I have put some information below if you want to read about implants.

VED therapy can slow down size loss and in some cases reverse recent size loss and may permit a larger device implanted. A good doctor should help you with this. This report has been around since 2013 https://file.scirp.org/pdf/ASM_2013012514045982.pdf And this is another that has been out since 2019 https://irp-cdn.multiscreensite.com/d88 ... action.pdf The well known FL doctor listed on that second report has said in one of his video's that the only thing that stops size loss form ED is implant surgery. And said to get the implant as soon as possible and if time permitted to use VED therapy for 2 weeks prior to surgery but not for the week before surgery. But that doctor does infrapubic incision and that publication has quick activation. Penoscrotal incision would have a bit longer activation I would think. This study shows a relation to activation time and size loss: https://www.researchgate.net/publicatio ... prosthesis And my AMS DVD even mentions some doctors my advises VED use during cycling. About 13:30 on this link https://irp-cdn.multiscreensite.com/d88 ... action.pdf And this link shows the relationship of number of implant surgeries done a year to reoperation rates. https://www.garber-online.com/pdf/Highe ... ctions.pdf This is where the Health Grades experience percentage helps. You don't need a doctor that does hundreds a year. Just one who has a concern for your out come and dose the surgery regularly.

I hope this helps you understand this and you my even find that your current doctor is a very good doctor after doing research. If not I hope you can find one close to you. Keep asking questions and let us know how this is going.

Definitely did not lose length or girth.
As I recall, it seemed to be the case post-op but .......with regular cycling, plenty of masturbation and copious amounts of fornicating with my then sex obsessed GF.....I ended up regaining every cm......and it is awesome.
Although it took 2 years to be able to ejaculate inside pussy. Not sure why....it’s just how it panned out.
Good fucking my brothers. It is actually why we are on here....discussing our weapons

Txagq8 wrote:I concur with those who tell you have to have confidence in your surgeon.

I got down to a pretty rigorous interview with my two finalists. Neither would commit to aggressive sizing.

My starting point (at home measure with trimix) was 17 cm.

The doc did not induce an erection. He yanked pretty hard and got a bone pressed length of 16 cm and said that’s what you’re looking at afterwards. I grabbed and pulled it out to 16.5 cm and said I could live with that.

He explained his goal was never to undersized anyone, that there were unknowns until he got in and looked at my anatomy. That he had not developed a good reputation by doing less than his best. He liked the AMS LGX because it would expand both length and girthwise. It was his preferred model and he thought it would work well for what I brought to the table.

He did tell me immediately after surgery there would be swelling and I’d probably see a 1.5 to 2” loss, and mist or all would come back with cycling.

A year later my erect dick varies between 16 and 16.5 cm. I really don’t miss the half centimeter (1/4 inch...let’s be real....that’s not a loss, that’s a rounding error in the big scheme of things).

To me, it looks normal. Yeah, I’d like to have a humongous scary cock. That’s not in my genes. I got one that looks like the one I started with and works a whole lot better. I think that is what a guy should expect.

I’d be more scared if a doctor promised me a cock without a bit of a loss or even more if someone promised it would be bugger. I’m always very active participant in my health care and I insist on truth.

With 17cm i wonder why they didn't choose for a Titan. The 2 doc's i spoke said a Titan is the best option for me because of my size, which is also 17cm