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Hi

I've just been to NHS Urology today as I wanted to go over implants again with them as last time they told me if you are a grower then after an implant you best you'll achieve after an implant is the same length erect and you are flaccid. This procedure works well for men that are show-ers.

Situation
- I Can't use VED without PDE5's and literally cant get the blood into it, even with vacuum?!
- If I use enough PDE's so I can use the VED (5mg cialis and 50-75mg Viagra) it make my hemorrhoids flare up which I've only had once in my life before. They are zero problem at any other times and don't stay at all when I'm not taking PDE5's regularly.
- Cant take Cialis as causes severe lower back ache. I have tried so many times to get past this but its a genuine issue for some guys
- Tried Alprostadil (Vitaros cream) but just causes pain and no erection
- Injections not advised as I have pyronies (stable at present), it will make more scarring and worsen the bend

So I though implant it is then.
I was told again the issue is that if you are a grower then the implant will get you to the same length (similar girth) as your flaccid dimensions.
This is because they size the implant at your flaccid penis dimensions so that the implant ends doesn't press on your glands etc and cause ulcers, chaffing etc. when you are not erect.

They said the implant rods can't change in length so this why it more suits a guy that was show-er to begin with as their corpus cavernosa length doesnt change much whether flaccid or erect.

This isn't the impression I'm getting on here. I'm really confused and dis heartened.

Any input on the above would be appreciated.

I am going to be following this thread. As I am thinking about trying to get an implant on the nhs.

The whole idea behind using inflatable implants rather than rigid, is that the size changing property of an inflatable permits: a more natural flaccid due to smaller flaccid size (along with greater malleability) when deflated, sufficiently large erect size (with regards to both length and girth) when fully inflated (similar to what you have now), and the avoidance of erosion of the glans during deflation, due to the tips no longer pressing on the glans as a result of the reduced size.

Even I, with an understanding only of the basics, know this.

Either they are trying to deter you from having an implant by lying to you, or they don't know what they are talking about.

You may lose some length with an implant, but it shouldn't be that much. You may also end up with a larger flaccid, but it shouldn't be that much, depending on model.

There is something fishy going on.

Just to be clear, I'm not having a crack at you. When I first learned about implants I was amazed and confused. I'm trying to give you hope.

I hope that’s not the case because then I’m totally screwed I’m a grower for sure. I’m wondering why they (NHS) would claim this. From everything I have read on this site most people have retained their erect size with some gaining and some losing a little.

Have you talked to any private providers in the UK Biker21

I agree with LRB. It sounds like the doc is thinking about a malleable implant, or simply doesn't know what he's talking about. I don't know what options you have, but I'd stay away from that doctor.

How the hell can he say you'll be the same sized implanted as you are flaccid?
It boggles my mind.

Biker21 like I said in the pm, your quite within your rights to get reffered somewhere else.
Get yourself to Leicester or Nottingham. I don'tike the sound of what they are saying to you as I've a decent size but somewhat of a shower myself. I've said before that my man in Nottingham told me I'd have what I have now, maybe a little more? I like his optimism.
Im no expert yet but it sounds like they are giving you a worst case scenario because they have no faith in their ability.
Don't be deterred mate, get a second opinion and don't give up.

Griffin

Maybe I’m missing something as I’m looking at this quickly in work... the same size as stretched flaccid not just flaccid.. I most of the time had a micro penis while flaccid.. I couldn’t shower in the gym or piss in urinals.. it was a tiny flaccid but I’ve the same size erect post implant as erect pre implant ! So I really don’t understand what you’ve been told!!

Hey Biker, I'm in the UK and actually have my surgery planned for tomorrow in London. Just to reassure you, the NHS implants are no different to any anywhere else in the world. The key factor being the skill of the surgeon and we have a few good ones here in the UK. Prof. Ralph at the UCL hospital in London in particular is highly experienced, prob top 10 in the world and runs a training programme to skill up new implant surgeons. I would ask for a referral to him if that's an option.

So the take home message is that if an inflatable implant is an option for you then your expected length post implant will be close to your stretched length (length if you stretch out your flaccid length) not your static flaccid length.

Definitely relax, and absolutely, as everyone else has said ask for clarification/get yourself a second opinion.

Best of luck man, do keep us posted x

I agree with the other posts but I am not fully understanding the parts of your post and I did not go through any of that. I was an extreme grower all my life and was ashamed to go naked in my youth. But my erect size was 7" and above average. With ED I was just barely sticking out and it was difficult to pull out of my pants to even piss. But I was able to use VED for therapy before surgery. Viagra, Cialis, and injections would only give me a good feeling maybe 30-40% erection but nothing suitable for sex. Years of ED took a little less than one inch from me and at 3 years post op from my first surgery with an LGX and a lot of cycling work I am just a tad over 6" so still above average. So unless there is something about the information that you cannot use a VED unless you do use other meds that indicate something to your doctors, I would say to get another opinion. I do not know why they would say that IPP are not good for grower's unless the surgical method they use does not address this as many other good doctors do. I would also ask the doctor if they do repairs or revisions. If they say no I would ask where they send men for a repair or revision and that would be the next place I would go to for this.

Take care and best of luck to you going forward with this.

I totally agree with the other posters who say you should have the same size erection after implant as you were able to have on the day before implant, no matter what size flaccid you had before implant.

I will go on to say, Any surgeon who fears your tissues would be compressed to an unhealthy degree by an implant that makes your (implanted, inflated) erection full size is too timid to be wielding a scalpel and you should find another surgeon who is more competent and confident.

Put another way, your corpus cavernosum (when it works) stretches your tunica to a certain degree. The implant should stretch your tunica to the very same degree. The surgeon should measure your tunica to ensure that the implant uses the entire size of your tunica to the maximum - but no more than that. The confident surgeon will measure your tunica aggressively. The competent surgeon will know when he has measured to the maximum safe size.