Distal migration of the cylinder into the glans.

The final frontier. Deciding when, if and how.
strongagain
Posts: 591
Joined: Tue Aug 25, 2015 11:17 am

Distal migration of the cylinder into the glans.

Postby strongagain » Sat Aug 31, 2024 9:58 am

Coloplast Titan: the left cylinder of my implant has moved into the glans. Not much but still reason to worry about.

Who has ever experienced anything like that or heard of such a thing? A couple of days ago I had asked whether Dr. Eid is still acive. Well, now you guys know why I was asking… I fear it can’t get fixed from the outside, hence a revision might be necessary.
Born in 1950, ED since 2007 (colon cancer)
08/2015 Titan Zero Degree 22 cm + 3 cm RTE
Dr. Leiber, Freiburg, Germany
6.5" x 5.7" - Very happy with implant

Living in Freiburg, Germany

Rider1400
Posts: 1073
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Distal migration of the cylinder into the glans.

Postby Rider1400 » Sat Aug 31, 2024 10:20 am

I see your implant date is 2015! If you’ve noticed a noticeable change in the cylinders after this much time it’s definitely time to go see the Dr. I only hope I can get that much time out of mine. As you’ve read they normally install around a 2cm longer implant on revisions. I’ve always assumed that’s because over time the tissue stretches out and the cylinder is maxed out causing cavernosa to be a little loose around the cylinder in time. This could possibly be your situation. Either way it’s time for some maintenance of the implant, diagnosed by a good quality implanter
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

wolfpacker
Posts: 1127
Joined: Thu Dec 12, 2013 10:16 pm

Re: Distal migration of the cylinder into the glans.

Postby wolfpacker » Sat Aug 31, 2024 10:57 am

Can you see it protruding against the outer skin? What are your symptoms?
Early 30s with ED for years from penis enlargement stretching and jelqing. Implant by Dr Eid on 24 June 2021 with a Titan 24cm with +1cm RTE on one side and -1cm cut off on the other side

My journal: viewtopic.php?t=17202

LastHope
Posts: 722
Joined: Sun Feb 18, 2024 1:26 am

Re: Distal migration of the cylinder into the glans.

Postby LastHope » Sat Aug 31, 2024 11:38 am

There's a term called "impending erosion" and surgeons fix that using the technique called "Distal Corporoplasty", without the need for explanation of old components. The key seems to be to act immediately and not wait until the extrusion progresses further through the glans.

https://link.springer.com/article/10.10 ... 016-0073-2
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strongagain
Posts: 591
Joined: Tue Aug 25, 2015 11:17 am

Re: Distal migration of the cylinder into the glans.

Postby strongagain » Sat Aug 31, 2024 12:39 pm

That’s all I can see. Can feel the left cylinder is passing the right one, although it won’t interfere with any sexual and other activity. Doctor wants to see it of course.
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Born in 1950, ED since 2007 (colon cancer)
08/2015 Titan Zero Degree 22 cm + 3 cm RTE
Dr. Leiber, Freiburg, Germany
6.5" x 5.7" - Very happy with implant

Living in Freiburg, Germany

doctuth
Posts: 28
Joined: Mon Apr 22, 2024 4:29 pm
Location: Denver area

Re: Distal migration of the cylinder into the glans.

Postby doctuth » Sat Aug 31, 2024 11:52 pm

strongagain wrote:That’s all I can see. Can feel the left cylinder is passing the right one, although it won’t interfere with any sexual and other activity. Doctor wants to see it of course.



Do you carry on the left? The asymmetry of the glans in your photo could be due to pressure on the right side exerted by your underwear or pants. How tight are they? Try carrying on the right and see if it corrects or reverses it. This suggestion is simple and may help get a proper diagnosis.

doctuth

strongagain
Posts: 591
Joined: Tue Aug 25, 2015 11:17 am

Re: Distal migration of the cylinder into the glans.

Postby strongagain » Sun Sep 01, 2024 4:07 am

doctuth wrote:
strongagain wrote:That’s all I can see. Can feel the left cylinder is passing the right one, although it won’t interfere with any sexual and other activity. Doctor wants to see it of course.



Do you carry on the left? The asymmetry of the glans in your photo could be due to pressure on the right side exerted by your underwear or pants. How tight are they? Try carrying on the right and see if it corrects or reverses it. This suggestion is simple and may help get a proper diagnosis.

doctuth


I’m wearing Boxers. As mentioned already the left cylinder moved forward, that’s why the tips are not parallel anymore. I gonna see Dr. Eid.
Born in 1950, ED since 2007 (colon cancer)
08/2015 Titan Zero Degree 22 cm + 3 cm RTE
Dr. Leiber, Freiburg, Germany
6.5" x 5.7" - Very happy with implant

Living in Freiburg, Germany

LastHope
Posts: 722
Joined: Sun Feb 18, 2024 1:26 am

Re: Distal migration of the cylinder into the glans.

Postby LastHope » Sun Sep 01, 2024 7:58 am

Has this been a gradual movement over the years, or was this movement sudden, like in the last few days?

strongagain
Posts: 591
Joined: Tue Aug 25, 2015 11:17 am

Re: Distal migration of the cylinder into the glans.

Postby strongagain » Sun Sep 01, 2024 2:02 pm

LastHope wrote:Has this been a gradual movement over the years, or was this movement sudden, like in the last few days?


Good question. I haven’t made notes, so I guess I have noticed it around the beginning of June.
Born in 1950, ED since 2007 (colon cancer)
08/2015 Titan Zero Degree 22 cm + 3 cm RTE
Dr. Leiber, Freiburg, Germany
6.5" x 5.7" - Very happy with implant

Living in Freiburg, Germany

daddel
Posts: 73
Joined: Wed Sep 02, 2020 6:47 am

Re: Distal migration of the cylinder into the glans.

Postby daddel » Mon Sep 02, 2024 4:35 am

strongagain wrote:
doctuth wrote:
strongagain wrote:That’s all I can see. Can feel the left cylinder is passing the right one, although it won’t interfere with any sexual and other activity. Doctor wants to see it of course.



Do you carry on the left? The asymmetry of the glans in your photo could be due to pressure on the right side exerted by your underwear or pants. How tight are they? Try carrying on the right and see if it corrects or reverses it. This suggestion is simple and may help get a proper diagnosis.

doctuth


I’m wearing Boxers. As mentioned already the left cylinder moved forward, that’s why the tips are not parallel anymore. I gonna see Dr. Eid.


Just out of curiosity, why don’t you see Dr. Leiber since he was your Dr.?
41y/o, VL due to Finasteride use 17 years ago, PDE5i lost effect over the years, nothing worked anymore.
Implanted 18 Aug 2023 (while I was 40y/o), Titan 20cm + 1cm RTE, Germany
Implant journal: viewtopic.php?t=22715


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