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Hey guys, as the title says. I know A TON have asked these questions and I’ve read them. I am really just looking to get a consolidated group of responses and make my final decision to do this. As many others, I want to make sure I’m making the right decision. I do still have some function with using very high doses of oral meds or with injections. But the oral meds are unreliable for me anymore after years on them and the injections seem to work but are not fun and not the most spontaneous. Some background on myself, I am 40 years old and have pssd(similar to PFS but from antidepressants). I have low sensation and arousal/libido issues even though like any other man I love sex. I am married with two young kids. I just want to live as normal of a life as I can and not dwell on all of this. So with that being said, some topics that come up a lot I wanted to bring up and ask for some final closure on making my decision:

I know loss of length is common temporarily and seems to be regained with cycling for most. Does going to an aggressive high volume surgeon help with leaving surgery with closer to your normal size?

What is the deal with floppy or soft glans and is it the same thing? Is it really common or just a small percent? Is it really if you had normal bloodflow prior to surgery you’re fine or what? If I have a hard time getting aroused does that mean I’m going to always have a floppy head with an implant?

Lastly, any info on new technology coming out down the road or are we pretty much maxed out on that front and there is nothing to wait on?

Thanks guys. I appreciate this forum and all of you guys. This has been a tough stretch in my life and it’s nice to know there are people I can relate to.

Markc2008 wrote:I know loss of length is common temporarily and seems to be regained with cycling for most. Does going to an aggressive high volume surgeon help with leaving surgery with closer to your normal size?

My experience is that I lost no length from day one. And I was in much the same boat as you, pills losing effectiveness (I never tried injections) and for the last year and a half of my ED I used a vacuum erection device to maintain penile elasticity ans size. I interviewed several surgeons before selecting Dr Shaw and one factor was that he listened to my concerns and confirmed his dedication to his craft and my outcome

What is the deal with floppy or soft glans and is it the same thing? Is it really common or just a small percent? Is it really if y had normal bloodflow prior to surgery you’re fine or what? If I have a hard time getting aroused does that mean I’m going to always have a floppy head with an implant?

When the tips of your tunica (supported by the implant's tips) extend all the way into the tunica (and therefore your glans) the glans is not floppy. If the tips of the implant do not support the glans it is like having a sock not all the way on your foot. The toe of the sock is floppy.

Soft glans is another matter. If your glans engorges before the surgery, absent medical misadventure, your glans should engorge after the surgery.

Lastly, any info on new technology coming out down the road or are we pretty much maxed out on that front and there is nothing to wait on?

yes, there is new technology on the horizon...or just OVER the horizon. Sometimes new tech is ALWAYS just on the horizon. The question is not if the new technology is ready for you, but if you are ready for giving up on what your body has now for the CURRENT technology. Do wait only wastes days, weeks and months of technology-assisted sex.

Thanks guys. I appreciate this forum and all of you guys. This has been a tough stretch in my life and it’s nice to know there are people I can relate to.

Our opinions are useful. Your wife's opinion, input, feelings, etc, of course, carry much more weight. Is she on board with the notion of an implant?

I don’t think my wife is leaning one way or the other to be honest. All she sees is that I usually can function but she doesn’t see behind the curtain too much with the injections in the bathroom and how annoying they are or and the congestion from really high pill dosages. If that makes sense. I’ve talked to her about an implant and she pretty much just acknowledges she would support me either way.

So the floppy head deal is really just if the surgeon doesn’t size your implant properly?

So is it safe to assume them my erections should look the same as now post implant I’m just getting there by pumping up that’s it?

I didn't lose any length. My urologist specializes in ED. He isn't just doing implants, but one of my questions for him was how frequently he did implants. He told me he averaged 5-9 per month, so that was good enough for me. Go to the drop down menu at the top of the site. They have a link to search for specialists. Do your research on the doctor.

You are right about sizing. The implant should extend into the head of your dick. The head and shaft of my dick still get engorged when I'm excited.

I don't know anything about new technology.

If you're having to take a lt more than the prescribed amount of pills, it sounds like it's time for something else.

You're fortunate to have your wife's support. Mine was skeptical at best. Now she's not.

I guess I’m a little confused by what everyone is talking about as far as glans engorgement with an implant as far as the difference between being aroused or not. Is there anywhere on here that has picture comparing the two? I do have concern with my arousal ability being low I could have issues with this. Is it a noticeable difference?

Markc2008 wrote:I guess I’m a little confused by what everyone is talking about as far as glans engorgement with an implant as far as the difference between being aroused or not. Is there anywhere on here that has picture comparing the two? I do have concern with my arousal ability being low I could have issues with this. Is it a noticeable difference?

You know the feeling of being aroused, blood rushing into your dick, glans goes from small and wrinkly to big and full? That is glans engorgement

Markc2008 wrote:I guess I’m a little confused by what everyone is talking about as far as glans engorgement with an implant as far as the difference between being aroused or not. Is there anywhere on here that has picture comparing the two? I do have concern with my arousal ability being low I could have issues with this. Is it a noticeable difference?

No, it does not feel different. It is the same feeling when you get horny or aroused.
My glans will swell up during sex just like before.
I hated pills and injections. They took all the spontaneity out of lovemaking. Talk to the wife about it, get her on board.
Best of luck

Markc2008 wrote:Hey guys, as the title says. I know A TON have asked these questions and I’ve read them. I am really just looking to get a consolidated group of responses and make my final decision to do this. As many others, I want to make sure I’m making the right decision. I do still have some function with using very high doses of oral meds or with injections. But the oral meds are unreliable for me anymore after years on them and the injections seem to work but are not fun and not the most spontaneous. Some background on myself, I am 40 years old and have pssd(similar to PFS but from antidepressants). I have low sensation and arousal/libido issues even though like any other man I love sex. I am married with two young kids. I just want to live as normal of a life as I can and not dwell on all of this. So with that being said, some topics that come up a lot I wanted to bring up and ask for some final closure on making my decision:

I know loss of length is common temporarily and seems to be regained with cycling for most. Does going to an aggressive high volume surgeon help with leaving surgery with closer to your normal size?

What is the deal with floppy or soft glans and is it the same thing? Is it really common or just a small percent? Is it really if you had normal bloodflow prior to surgery you’re fine or what? If I have a hard time getting aroused does that mean I’m going to always have a floppy head with an implant?

Lastly, any info on new technology coming out down the road or are we pretty much maxed out on that front and there is nothing to wait on?

Thanks guys. I appreciate this forum and all of you guys. This has been a tough stretch in my life and it’s nice to know there are people I can relate to.

" going to an aggressive high volume surgeon help with leaving surgery with closer to your normal size?"

Yes, high volume Doctors will be far better in getting you the perfect sized implant for you.
These guys have seen it all and they know every man is terrified of size loss.
They will get you as big as you can possibly be.
Do NOT go with a Doctor who does this part time.


"What is the deal with floppy or soft glans and is it the same thing? Is it really common or just a small percent? Is it really if you had normal bloodflow prior to surgery you’re fine or what? If I have a hard time getting aroused does that mean I’m going to always have a floppy head with an implant?"

This I don't know, I had a Prostatectomy and after my surgery I could still get a "mushy" erection.
So blood flow was getting to the glans.
All I can tell you is my "bionic" erection feels almost exactly like my Pre-Surgery erection felt like.
Even my wife can't believe how similar my erection is.


"Lastly, any info on new technology coming out down the road or are we pretty much maxed out on that front and there is nothing to wait on? "

My surgeon informed me that the AMS system will be Bluetooth enabled in 5 years or less.

As far as technology goes - i also hope something better than the current generation of implants will come along before it's too late for me.
Someone post here, on this forum, info about the company Implantica trying some new tech to build some sort of an implanted cock-ring that's controlled with a phone app.
No news of human trials yet tho, i believe. :/

If I had it to do over I would get an implant without hesitation. To prevent size loss use a VED daily. It pulls fresh oxygenated blood into the penis which prevents atrophy. Atrophy is a common cause of size loss.

I am on my 3rd implant and I have never had a problem with the glands

MOST IMPORTANT RECOMMENDATION: Pick a highly experience implant Doctor. Which doctor you get can make all the difference in the world. Approximately 90% of implants are done by about 10% of the urological surgeons.