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Hello my brothers,

I’m excited to say that I’m scheduled to be implanted Jan 27th, 2023. I’ve tried pills and injections with very limited results. Insurance approved my surgery and I’m my out of pocket costs total just under $4k. I’m looking forward to having a working erection on demand and putting it to good use with my girlfriend.

I am curious about regaining size lost over the years. I would estimate that I’ve lost roughly just over 2.5 inches over the years due to ED (suffered since 2010). I went from 7.5 inches in length to roughly just over 5 inches now. I’m curious as to whether I will be able to gain those 2.5 inches back, or at least come close to it.

Has anyone had experience with regaining significant length upon being implanted and cycling over the course of time? I would really love to gain my length back as girth is definitely not a problem.

As it currently stands my gf is unable to ride me and that is her preferred method to orgasm. It’s embarrassing to have my dick slip out continuously as she attempts to ride me. To be fair, the injections fail to give me a rock hard erection so it’s hard to determine if it’s possible for now. I would love to return to my former size or get as close as possible. Any insight would be greatly appreciated.

Start using a VED daily if you haven't already. If you start using one now and continue after you get an implant, you should get all your length back, plus maybe a little more. Wrote this in two different posts a while ago and felt like combining the facts here:

Use a VED before surgery. Here's why:

When pre-operative VED is used, SPL could increase by a
mean of 0.80
0.38 cm. In addition, the surgeon is provided
with better opportunity to restore longer penile length that replicates
an appearance more consistent with the patient’s natural
erection. Ease of corporal dilation allows for an appropriate size
cylinder to be inserted, and thus helps to maximize patient satisfaction
post-operatively. There were no negative intraoperative
complications associated with the use of pre-operative VED, and
therefore, if patients have access to it, VEDs can safely be recommended.
Future studies among larger samples will help assess
the long-term outcomes and outline the role of VED as a valuable
intervention prior to PP implantation.

Canguven, O., Talib, R. A., Campbell, J., De Young, L., El Ansari, W., & Al-Ansari, A. (2017). Is the daily use of vacuum erection device for a month before penile prosthesis implantation beneficial? A randomized controlled trial. Andrology, 5(1), 103–106. https://doi.org/10.1111/andr.12258

Use a VED after surgery too. Here's why:

Penile shortening after inflatable penile prosthesis placement for erectile dysfunction is a common postoperative patient complaint and can reduce overall satisfaction with the procedure. In this prospective study we report our results regarding penile dimensions and patient satisfaction outcomes after 1 year of follow-up from AMSTMLGX700® penile prosthesis implant with 6 months of vacuum erectile device therapy. Seventy-four selected patients with medically refractory erectile dysfunction underwent AMSTM LGX 700® IPP placement. Postoperatively, patients were assigned vacuum device therapy for 5 min twice daily. Follow-up continued for 1 year after surgery. Dimensional and functional results were assessed. Baseline median preoperative stretched penile length and girth were 14 cm (range 10-17) and 9 cm (range 7-12), respectively. At the end of the study penile median dimensional outcomes were 17 cm (range 13-23) for length and 11 cm (range 10-13) for girth while a median number of 24 pumps (range 18–29) to fully inflate the device was seen. Baseline median International Index of Erectile Function (IIEF-5) score was 9 (range 5-11), at 6 months 20 (range 18-26) and at 1 year was 25 (range 20-27) (p<0.0001). Median Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) score at the end of the follow-up was 74 (range 66–78). Our postoperative rehabilitation program is feasible and should be recommended after prothesis surgery in order to increase overall satisfaction with the procedure. Penile postoperative dimensional outcomes were statistically significant improved and complications were negligible.

Antonini, G., De Berardinis, E., Busetto, G. M., Del Giudice, F., Chung, B. I., Conti, S. L., Ferro, M., Musi, G., Fragas, R., De Cobelli, O., Sperduti, I., Gross, M. S., & Perito, P. E. (2020). Postoperative vacuum therapy following AMSTM LGX 700® inflatable penile prosthesis placement: Penile dimension outcomes and overall satisfaction. International Journal of Impotence Research, 32(1), 133–139. https://doi.org/10.1038/s41443-019-0125-z

viewtopic.php?f=6&t=18561&p=169469#p169469

This is how they work:

VED, which are traditionally a closed end plastic cylinder placed over the penis, use negative pressure via a battery or hand-operated vacuum suction to increase penile blood flow via distension of corporal sinusoids. This negative pressure subsequently induces arterial blood flow into the sinusoidal spaces of cavernosal tissues. Doppler studies have shown nearly a 2-fold increase in cavernosal artery diameter with use of VED.¹ Notably, VED can stimulate oxygenation of corpora without need for an intact nerve supply, a benefit vs pharmacological options for erectile dysfunction such as PDEi-5.

Mehr, J., Santarelli, S., Green, T. P., Beetz, J., Panuganti, S., & Wang, R. (2022). Emerging Roles of Penile Traction Therapy and Vacuum Erectile Devices. Sexual Medicine Reviews, 10(3), 421–433. https://doi.org/10.1016/j.sxmr.2021.12.003

Here's why they're safe:

The vacuum erection device (VED) is the oldest therapy used for male sexual function among all approved modalities. It was introduced for erectile dysfunction (ED) nearly 150 years ago, cleared by U.S. Food and Drug Administration in 1982 and adopted by American Urological Association (AUA) in 1996 as a standard of care.1 Significant amount of clinic evidence has proven the effectiveness of VED for ED since the early 1980s.

Wang, R. (2022). Is There Still a Role for Vacuum Erection Devices in Contemporary Sexual Medicine? The Journal of Sexual Medicine, 19(5), 682–685. https://doi.org/10.1016/j.jsxm.2022.02.013

Use a VED and show me how I'm wrong.

viewtopic.php?f=6&t=20455&hilit=here%27s+how+they+work

If you are not diabetic , sliding technique would recover at least 2 cm of your lost length.

Wow -- great articles! I would only add the Dr. Perito's recommended exercise -- it's #57 in Meet the Penis, along with other great suggestions about various implant issues.
https://peritourology.com/meet-the-penis-episodes/

A hard 5-6" inch dick will make your partner very happy. Don't sweat the size loss. Just use a VED until your surgery. I would not recommend the sliding technique. I have not read many good things about it.

68CatFan wrote:A hard 5-6" inch dick will make your partner very happy. Don't sweat the size loss. Just use a VED until your surgery. I would not recommend the sliding technique. I have not read many good things about it.

You're right about that. The frequent FT suggester of the procedure has read most of the posts of a member that had it done. Unfortunately he did not go back to read some of the later posts where the member reported the final length gain was not even 2cm. Lots of risks for such a small potential gain. Real world, 2cm is basically 3/4 of an inch.

2435tjklAS wrote:Start using a VED daily if you haven't already. If you start using one now and continue after you get an implant, you should get all your length back, plus maybe a little more. Wrote this in two different posts a while ago and felt like combining the facts here:

Use a VED before surgery. Here's why:

When pre-operative VED is used, SPL could increase by a
mean of 0.80
0.38 cm. In addition, the surgeon is provided
with better opportunity to restore longer penile length that replicates
an appearance more consistent with the patient’s natural
erection. Ease of corporal dilation allows for an appropriate size
cylinder to be inserted, and thus helps to maximize patient satisfaction
post-operatively. There were no negative intraoperative
complications associated with the use of pre-operative VED, and
therefore, if patients have access to it, VEDs can safely be recommended.
Future studies among larger samples will help assess
the long-term outcomes and outline the role of VED as a valuable
intervention prior to PP implantation.

Canguven, O., Talib, R. A., Campbell, J., De Young, L., El Ansari, W., & Al-Ansari, A. (2017). Is the daily use of vacuum erection device for a month before penile prosthesis implantation beneficial? A randomized controlled trial. Andrology, 5(1), 103–106. https://doi.org/10.1111/andr.12258

Use a VED after surgery too. Here's why:

Penile shortening after inflatable penile prosthesis placement for erectile dysfunction is a common postoperative patient complaint and can reduce overall satisfaction with the procedure. In this prospective study we report our results regarding penile dimensions and patient satisfaction outcomes after 1 year of follow-up from AMSTMLGX700® penile prosthesis implant with 6 months of vacuum erectile device therapy. Seventy-four selected patients with medically refractory erectile dysfunction underwent AMSTM LGX 700® IPP placement. Postoperatively, patients were assigned vacuum device therapy for 5 min twice daily. Follow-up continued for 1 year after surgery. Dimensional and functional results were assessed. Baseline median preoperative stretched penile length and girth were 14 cm (range 10-17) and 9 cm (range 7-12), respectively. At the end of the study penile median dimensional outcomes were 17 cm (range 13-23) for length and 11 cm (range 10-13) for girth while a median number of 24 pumps (range 18–29) to fully inflate the device was seen. Baseline median International Index of Erectile Function (IIEF-5) score was 9 (range 5-11), at 6 months 20 (range 18-26) and at 1 year was 25 (range 20-27) (p<0.0001). Median Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) score at the end of the follow-up was 74 (range 66–78). Our postoperative rehabilitation program is feasible and should be recommended after prothesis surgery in order to increase overall satisfaction with the procedure. Penile postoperative dimensional outcomes were statistically significant improved and complications were negligible.

Antonini, G., De Berardinis, E., Busetto, G. M., Del Giudice, F., Chung, B. I., Conti, S. L., Ferro, M., Musi, G., Fragas, R., De Cobelli, O., Sperduti, I., Gross, M. S., & Perito, P. E. (2020). Postoperative vacuum therapy following AMSTM LGX 700® inflatable penile prosthesis placement: Penile dimension outcomes and overall satisfaction. International Journal of Impotence Research, 32(1), 133–139. https://doi.org/10.1038/s41443-019-0125-z

viewtopic.php?f=6&t=18561&p=169469#p169469

This is how they work:

VED, which are traditionally a closed end plastic cylinder placed over the penis, use negative pressure via a battery or hand-operated vacuum suction to increase penile blood flow via distension of corporal sinusoids. This negative pressure subsequently induces arterial blood flow into the sinusoidal spaces of cavernosal tissues. Doppler studies have shown nearly a 2-fold increase in cavernosal artery diameter with use of VED.¹ Notably, VED can stimulate oxygenation of corpora without need for an intact nerve supply, a benefit vs pharmacological options for erectile dysfunction such as PDEi-5.

Mehr, J., Santarelli, S., Green, T. P., Beetz, J., Panuganti, S., & Wang, R. (2022). Emerging Roles of Penile Traction Therapy and Vacuum Erectile Devices. Sexual Medicine Reviews, 10(3), 421–433. https://doi.org/10.1016/j.sxmr.2021.12.003

Here's why they're safe:

The vacuum erection device (VED) is the oldest therapy used for male sexual function among all approved modalities. It was introduced for erectile dysfunction (ED) nearly 150 years ago, cleared by U.S. Food and Drug Administration in 1982 and adopted by American Urological Association (AUA) in 1996 as a standard of care.1 Significant amount of clinic evidence has proven the effectiveness of VED for ED since the early 1980s.

Wang, R. (2022). Is There Still a Role for Vacuum Erection Devices in Contemporary Sexual Medicine? The Journal of Sexual Medicine, 19(5), 682–685. https://doi.org/10.1016/j.jsxm.2022.02.013

Use a VED and show me how I'm wrong.

viewtopic.php?f=6&t=20455&hilit=here%27s+how+they+work

Thanks for the the insight! It’s encouraging that I can gain my lost length back. I’ve started using a VED on a daily basis leading up to surgery. This is great info that you have provided.

68CatFan wrote:A hard 5-6" inch dick will make your partner very happy. Don't sweat the size loss. Just use a VED until your surgery. I would not recommend the sliding technique. I have not read many good things about it.

I really hope that having a rock solid erection will compensate for the loss of length. My gf can only orgasm via riding and I don’t want it to keep slipping out. Although I believe that may have had to do moreso with the lack of firmness than anything,