So much discontent PPI size

[Flexwheeler]

Beneath a conclusion of a comparison between the AMS CX and the Coloplast Titan.

It amazed me that there is so much discontent with it's final size for both types.





REFERENCE: Asian Journal of Andrology (2017) 19, 321–325; doi: 10.4103/1008-682X.172822; published online: 22 January 2016
[quote]
CONCLUSIONS
Given the data in this study, it can be said that in the best possible scenario for a PP implant, the overall satisfaction is very high for both types of prosthesis. And while both groups found the final appearance of the penis, when erects and especially when flaccids, to be satisfactory, [b][b][b]both showed significant discontent with its final size.[/b][/b][/b] The vast majority of the patients could manage the prosthesis within 6 months or less, and the degree of satisfaction of the partners is high. However, the optimal management of the 700CXTM took longer than with the Titan®, and the dissatisfaction with the deflation was higher with the Titan®.

[Flexwheeler]

Beneath a conclusion of a comparison between the AMS CX and the Coloplast Titan.

It amazed me that there is so much discontent with it's final size for both types.





REFERENCE: Asian Journal of Andrology (2017) 19, 321–325; doi: 10.4103/1008-682X.172822; published online: 22 January 2016
[quote]
CONCLUSIONS
Given the data in this study, it can be said that in the best possible scenario for a PP implant, the overall satisfaction is very high for both types of prosthesis. And while both groups found the final appearance of the penis, when erects and especially when flaccids, to be satisfactory, [b][b][b]both showed significant discontent with its final size.[/b][/b][/b] The vast majority of the patients could manage the prosthesis within 6 months or less, and the degree of satisfaction of the partners is high. However, the optimal management of the 700CXTM took longer than with the Titan®, and the dissatisfaction with the deflation was higher with the Titan®.

[Lost Sheep]

Beneath a conclusion of a comparison between the AMS CX and the Coloplast Titan.

It amazed me that there is so much discontent with it's final size for both types.





REFERENCE: Asian Journal of Andrology (2017) 19, 321–325; doi: 10.4103/1008-682X.172822; published online: 22 January 2016

CONCLUSIONS
Given the data in this study, it can be said that in the best possible scenario for a PP implant, the overall satisfaction is very high for both types of prosthesis. And while both groups found the final appearance of the penis, when erects and especially when flaccids, to be satisfactory, [b][b][b]both showed significant discontent with its final size.[/b][/b][/b] The vast majority of the patients could manage the prosthesis within 6 months or less, and the degree of satisfaction of the partners is high. However, the optimal management of the 700CXTM took longer than with the Titan®, and the dissatisfaction with the deflation was higher with the Titan®.

This reads like the population of men in the study had unrealistic expectations. Unrealistic expectations is a major cause of dissatisfaction and if the surgeon does not counsel the patient on what to REALLY expect, the fault lies with the surgeon or the patients' education, not the implants.

[Flexwheeler]

Beneath a conclusion of a comparison between the AMS CX and the Coloplast Titan.

It amazed me that there is so much discontent with it's final size for both types.





REFERENCE: Asian Journal of Andrology (2017) 19, 321–325; doi: 10.4103/1008-682X.172822; published online: 22 January 2016

CONCLUSIONS
Given the data in this study, it can be said that in the best possible scenario for a PP implant, the overall satisfaction is very high for both types of prosthesis. And while both groups found the final appearance of the penis, when erects and especially when flaccids, to be satisfactory, [b][b][b]both showed significant discontent with its final size.[/b][/b][/b] The vast majority of the patients could manage the prosthesis within 6 months or less, and the degree of satisfaction of the partners is high. However, the optimal management of the 700CXTM took longer than with the Titan®, and the dissatisfaction with the deflation was higher with the Titan®.

This reads like the population of men in the study had unrealistic expectations. Unrealistic expectations is a major cause of dissatisfaction and if the surgeon does not counsel the patient on what to REALLY expect, the fault lies with the surgeon or the patients' education, not the implants.

I don't think most surgeon mention size loss pre-op. What would be a realistic expectation?
Loss of 1, 2, 3 or 4 cm's in length and girth?

[newbie443]

I agree that there is still some room for improvement. I have posted in the past that there is 3 kinds of size loss. Pre op in loss of size due to loss of erections and atrophy. During surgery due to conservative sizing. And post op due to long activation wait times causing a coffin effect.

My local doctors were all low volume (1-3 a year) and all of them and the patients I talked to said to expect 1-2" of loss. These doctors were the only ones in my home state and were the only choice men had for local doctors.

Most IPP surgeries are done by low volume doctors. Many who do not even recommend VED use pre op. They do not size aggressively. They have long waits for activation.

Some are able to search for a high volume doctor but most are not. And skill level will differ at times a lot between doctors. And studies have shown that ED causes size loss. This is much more than just unrealistic expectations.

[GoodWood]

If you surveyed healthy men with perfectly functioning penises, they would likely say they are very satisfied with the appearance of their erect and flaccid penis, but dissatisfied with the overall size.

[Witheringhog]

True that goodwood,

I did not lose girth or length. When i was doing my research i had a local urologist in Dallas tell me the same thing, “you will lose 1-2 inches) then i did a video consult with clavell and he said i wouldnt lose any size, clavell was mostly right, i gained a little length and girth is the same. My length is now 6 1/2 mid shaft girth 6.25.

Like any surgery you will want to goto a specialist, someone who focuses on implants as the main part of their practice. I dont want an er doctor fixing my knee, i want an orthopedic surgeon who specializes in knees. Same principle here for implants.

[Txagq8]

My wife was always an exceptional actress but I don’t think she could have fooled me for 40 years. She always said I was the biggest of any guy she ever dated and if I were any bigger sex would not be pleasant.

On Trimix I was 6 7/8 x 6. It looked like a torpedo. Or one of the bombs they dropped on Japan—— Fat Man I think it was called.

Flaccid it kind of drooped about 3.5” long, which always seemed short. It seemed even shorter since even flaccid it was 5” in circumference and I’ve got big balls. In the showers in high school and the Army i’d get teased about my set of bull balls. The guys would call me “Bull”
which in and of itself wouldn’t have been bad and might’ve piqued some cheerleader interest but no, they always added the balls to their semi-endearing nickname.

Post surgery I ended up 6.81”x5.6”. Flaccid it hangs just past 5 1/2”. He’ll yeah I still go to the gym. At 68 I’m trying to get rid of my dad bod. At 60 before I tore both rotator cuffs my wife students I’d run into at the gym would tell her she had the only old ripped husband they’d ever seen. Nobody points, ridicules, makes fun of, or criticizes my showery appearance.

Here’s the bottom line to all my blathering: in the hands of a good surgeon who cares about his work, a guy may lose a fraction here and there based on anatomy, but nobody is going to run into enough of a deficit to matter. My surgeon flat out told me that the surgery would not gain me any size, but afterwards I’d be looking at basically exactly what I started with.

We’re men. Bigger is better. Most women really don’t see it that way. Women want a canopied bed, rose petals strewn on the bedspread, soft music. Men want to get their rocks off plunging in and out with a ten inch tool.

The beauty of the IPP in the hands of a good doctor is that you can get back to where you were. The caveat is one should never expect more than that.

[Journeyman]

Dr.Clavell did my surgery . I believe I gained size. I say " I believe " because I had ED for so long , I have to go by memory. Another reason is a didn't know about " bpl" measurements. I wasn't measuring correctly when I could get a natural erection. I didn't press the ruler to the pubic bone , I just measured what you could see and I was 6"" in length ( no girth measurements ). ED struck me in my late 20's. Pills got me through my 30's . When I was in my 40's .... nothing. I went a decade with barely any sex. Thought my sex life was over. I beat myself up for giving up so easily and not doing more research. Didn't know about injections ( that lasted about a year in my 50's ) or implants. When I discovered I had more options, I was laser focused on getting my sex life back! I researched YouTube and found the penimaster pro traction device. I would use that to stretch out my atrophied member and then hit it with the VED to fill it up . I did this relentlessly for about 2 years as my hometown urologist had me trying the injections, electroshock (electroshock is a waste of time and money imo)...etc . He was building his case for the insurance company that we exhausted all other treatments and an implant was necessary. Well it worked but I wasn't comfortable with him doing the surgery and flew to Houston last April. The end result was a 22cm titan . I discovered Franktalk the day after my surgery sitting in the hotel room. I couldn't get enough and learned so much ! When I got the green light to start cycling I measured 6.5" ( I learned about bpl ) . A couple months later I was up to 7.5" . With a VED assist I could measure 7.75" ( temporarily ) . The VED would also engorge the spongiosum and glans to make a round ( not oval ) erection . I was reborn last April and have no regrets. I enjoy life with my wife again and for that I am forever grateful.

[Gt1956]

Flexwheeler. I suspect that there are several underlying flaws here.

First, when were the patients asked about their satisfaction? If it was less than 6 months post surgery it is almost guaranteed that they still have penis trauma that has caused their penis to retract.

Second, what percentage of those questioned have been instructed to cycle their implant on a regular basis?

Third, even if the patients were doing cycling? Were they doing it consistently & trying to pump to max each time?

Fourth, how qualified was their dr? The constant advice on FT is to choose your dr carefully. I don't see any validity in including patients whose dr treats implants as a hobby. He either needs to actively practice in the IPP field or not do any at all. Would you go to a heart dr that only sees heart patients one or two days a month? Of course that wouldn't be wise. Does the IPP dr attend seminars to learn about new procedures? This study seems to be reporting on IPP's. But I suspect it's real revelation is that there is a bunch of poor drs doing implants.