2 Surgeries in 4 months. Maybe 3. A story about F*ckups

[Discovernew]

Hi Everyone, wanted to tell my story here, mostly for people who still do not have an implant, to consider the actual risks of this surgery going forward and make a more informed decision. And also for experienced folks, you can tell me your opinion about it at the end.


For people considering an implant for the first time:

First of all, these surgeries are made by humans. Humans make mistakes (even if it's a high volume doctor).
Even if the doctor doing the surgery does not make any mistakes at all, you can still get an infection.
Even if you don't get an infection, the implant can fail.


My story:

In October 2024 i got a surgery with Dr Karaman ( Journal in my signature). Immediately i asked the Dr if everything went well. He told me i have a little bit of "Floppy glans". He told me to not worry, this is just my anatomy and i was born this way. And if it didn't bother me before, it should not bother me now. Which was really a weird explanation given that I never felt I had floppy glans in my life.

At that time i did not even know what floppy glans means. But i noticed when touching my penis, that the cilinders did not reach the glans at all, the tips stopped way before that and it seemed really ackward and unnatural as the glans was empty and moved all around, even when the cylinder was inflated.

Researching online, i realized the most common reason for floppy glans, is that the doctor did not dilate the corpora cavernosa until the end, resulting in an undersized cylinder.

During my recovery weeks i texted and visited the doctor, who reassured me my problem is with my anatomy, and he did not make any mistakes.

I tried cycling hoping this will fix the problem. But the problem did not get any better over 3 months. I also did not have any sex because i was embarassed of my strange penis with looked nothing like my natural erection and was completely empty at the top.

I also lost 2.5cm of my natural size (with pictures and measurements from every angle taken before the surgery), and even after 3 months i did not recover it.

During this time, i decided to do an MRI study, to finally realize if this is a mistake of the doctor, of if really i was born with a "short corpora cavernosa". The result of the MRI is obvious to me, even if i am not a doctor. It was clear that the cylinder did not reach the end of the corpora cavernosa.

photo_2024-11-11_23-26-44.jpg (56.08 KiB) Viewed 1371 times

I sent the MRI to Dr Karaman and i also explained to him that i lost 2.5cm which i hadn't recovered already by 3 months, and he told me that the MRI looks perfect and there is nothing to do. He even said it is impossible that i lost 2.5cm (even if all the evidence is there).

I got quite depressed, imagine being told that you will stay like this forever with a floppy glans and there is nothing to do about it because "i was born this way".

I asked a second opinion from Dr Rosello in Spain (center of excellence). He told me he can fix it but recommended to wait at least 3 months before doing revision. In the end, because of scheduling reasons i ended up not doing the revision with him.

Finally, i found a spot to do it with Dr Hamdan, who is supposed to be the highest volume doctor in the world according to himself.

And i can say, he is definetely high volume because on my same day of surgery, he had 7 surgeries, i was number 2 of the day. And his assistant told me he did 120 in the last month alone.

Considering Dr Hamdan has 7 patients in the same day, consultations are really not very long and you really need to get your questions ready in advance to make sure you don't forget something.

My goals with Dr Hamdan were quite clear:

1- I wanted the tips of the implant to reach the middle of my glans.

2- I asked him to please use vertical penoscrotal approach, because i want the same scar as before, as i do not want to have 2 different scars. I did remind him this not only in the consultation but also before entering the surgery itself. He said ok he will do vertical.

3- I wanted to have the rigicon AX which expands in length, since i lost 2.5cm from the first surgery which was not placed properly, i wanted to have a chance to recover this length over time so i can have my natural size again.

During the surgery with Hamdan i was awake which was actually nice because i can communicate with the Dr during surgery.

He did the dilation on one of the corpora cavernosa and told me "Good news, i will put you a 3cm bigger implant". He said he did not reach the middle of the glans, but he reached the first 1/3. So this should be enough to support the glans and not be floppy anymore. I also reminded him during the surgery : "You will put the AX, correct?". He said " I will put the Pulse which is the newer version from rigicon" (by the way, pulse is the name of the pump, not the cylinder, so it does not mean if the cylinder expands in length or not). So i insisted and double checked "But you will put the AX that expands in length, right? I need the cylinder that expands in length". He looked a little bit confused and said "Yes this cylinder expands in length and girth".

Next day in the hospital, my bandages were removed. The first thing i noticed is i have a horizontal incision, not vertical. I told this to the doctor and he brushed it off and made some excuse of why he needed to do it that way. But well, i thought the incision being vertical or horizontal is not a big deal and it will fade over tiem.

48hs after surgery, i went to the followup at Drs office to get deflated. Dr was already in another country doing more surgeries, as most things except the surgery are handled by his assistants.

Even though the tips of the cylinder now reached my glans, i noticed my penis was still 2.5cm shorter. So it means, the tips reach higher, but the penis itself had shrinked on the first surgery. So i asked the assistant "Since i have the implant that expands in length, and now the installation is correct, do you think i will recover my 2.5cm after some time? ". The assistant looked confused and said "your implant does not expand in length, if it expands will be maximum 1cm". I told him i had the AX which expands 25% for sure, but he said no.

So i texted Hamdan in whatsapp and said " Are you sure my implant expands in length"? he confirmed via whatsapp "Yes your implant expands in length and girth".

So i decided to double check the rigicon warranty paper, i looked up the exact model in the website with the one it shows in my papers. Turns out My implant DOES NOT expand in length.

I confronted hamdan with this, and showed him the exact model number from the website, he brushed it off again saying "do not worry, this is the best implant for you".

I was left confused thinking how such a basic mistake can be done. My best guess is that given such a high volume of implants, it is hard to ask anything to the doctor which is outside of what he normally does, as everything is standarized.

So now, after a second surgery, i realized something: Doctors are extremely unlikely to accept any mistakes, even when confronted with direct evidence.

Another thing i noticed on the second surgery, my tubes are much more noticeable than on the first time. On the right side i have a tube going up the shaft which was basically not there before, and i wonder if the tubing on the front part of the scrotum will limit my usable penis length during penetration (on top of the 2.5cm i already lost).

I contacted Dr Rosello again, who has luckily always been very responsive with me. He said if i want he can do the surgery again and put the correct implant (the AX which is the one i wanted) and possibly do a lower corporotomy so the tubes are not so high.

The good news: Rigicon accepted to cover the warranty, 2 times! even if there was never a device failure. I sent the screenshot where dr hamdan confirmed my "expansion in length and girth" and they accepted to replace it.

So now i need to decide if i do want a third surgery or not.

My question for the experienced members in the forum:

Has anyone here objectively lost 2.5cm (1 inch) after surgery, and did you recover all your length even if the implant was expandable in length? Or such long amount in size is not realistic to recover with a regular implant? (not expandable in length)
Has anyone here had any noticeable tubing going up the shaft right after surgery? and if so, did it limit your penetration length, maybe it gets better over time somehow? Or will it stay this way?

[Alex258]

Hi Everyone, wanted to tell my story here, mostly for people who still do not have an implant, to consider the actual risks of this surgery going forward and make a more informed decision. And also for experienced folks, you can tell me your opinion about it at the end.


For people considering an implant for the first time:

First of all, these surgeries are made by humans. Humans make mistakes (even if it's a high volume doctor).

Even if the human doing the surgery does not make any mistakes at all, you can still get an infection.

Even if the human does not make any mistake, and you don't get an infection, the device is mechanical.

Mechanical devices can eventually fail.


My story:

In October 2024 i got a surgery with Dr Karaman ( Journal in my signature). Immediately i asked the Dr if everything went well. He told me i have a little bit of "Floppy glans". He told me to not worry, this is just my anatomy and i was born this way. And if it didn't bother me before, it should not bother me now.

At that time i did not even know what floppy glans means. But i noticed when touching my penis, that the cilinders did not reach the glans at all, the tips stopped way before that and it seemed really ackward and unnatural as the glans was empty and moved all around, even when the cylinder was inflated.

Researching online, i realized the most common reason for floppy glans, is that the doctor did not dilate the corpora cavernosa until the end, resulting in an undersized cylinder.

During my recovery weeks i texted and visited the doctor, who reassured me my problem is with my anatomy, and he did not make any mistakes. He absolutely denied making any mistakes and he said he dilated all the way to the end, and dilating more would be dangerous.

I tried cycling hoping this will fix the problem. But the problem did not get any better over 3 months. I also did not have any sex because i was embarassed of my strange penis with looked nothing like my natural erection and was completely empty at the top.

I also lost 2.5cm of my natural size (with pictures and measurements from every angle taken before the surgery), and even after 3 months i did not recover it.

Most doctors told me that after 3 months i can do a revision if it does not fix itself.

During this time, i decided to do an MRI study, to finally realize if this is a mistake of the doctor, of if really i was born with a "short corpora cavernosa". The result of the MRI is obvious to me, even if i am not a doctor. It was clear that the cylinder did not reach the end of the corpora cavernosa.

photo_2024-11-11_23-26-44.jpg



I sent the MRI to Dr Karaman and i also explained to him that i lost 2.5cm which i hadn't recovered already by 3 months, and he told me that the MRI looks perfect and there is nothing to do. He even said it is impossible that i lost 2.5cm (even if all the evidence is there).

I got quite depressed, imagine being told that you will stay like this forever with a floppy glans and there is nothing to do about it because "i was born this way".

I asked a second opinion from Dr Rosello in Spain (center of excellence). He told me he can fix it but recommended to wait at least 3 months before doing revision. In the end, because of scheduling reasons i ended up not doing the revision with him.

Finally, i found a spot to do it with Dr Hamdan, who is supposed to be the highest volume doctor in the world according to himself.

And i can say, he is high volume because on my same day of surgery, he had 7 surgeries, i was number 2 of the day. And his assistant told me he did 120 in the last month alone.

Considering Dr Hamdan has 7 patients in the same day, consultations are really not very long and you really need to get your questions ready in advance to make sure you don't forget something.

My goals with Dr Hamdan were quite clear:

1- I wanted the tips of the implant to reach the middle of my glans.

2- I asked him to please use vertical penoscrotal approach, because i want the same scar as before, as i do not want to have 2 different scars. I did remind him this not only in the consultation but also before entering the surgery itself. He said ok he will do vertical.

3- I wanted to have the rigicon AX which expands in length, since i lost 2.5cm from the first surgery which was not placed properly, i wanted to have a chance to recover this length over time so i can have my natural size again.

During the surgery with Hamdan i was awake (and i like it this way), meaning i could talk with the Dr. during the surgery.

He did the dilation on one of the corpora cavernosa and told me "Good news, i will put you a 3cm bigger implant". He said he did not reach the middle of the glans, but he reached the first 1/3. So this should be enough to support the glans and not be floppy anymore. I also reminded him during the surgery : "You will put the AX, correct?". He said " I will put the Pulse which is the newer version from rigicon" (by the way, pulse is the name of the pump, not the cylinder, so it does not affect at all if the cylinder expands in length or not). So i insisted and double checked "But you will put the AX that expands in length, right? I need the cylinder that expands in length". He looked a little bit confused and said "Yes this cylinder expands in length and girth".

Next day in the hospital, my bandages were removed. The first thing i noticed is i have a horizontal incision, not vertical. I told this to the doctor and he brushed it off and made some excuse of why he needed to do it that way.

48hs after surgery, i went to the followup at Drs office to get deflated. Dr was already in another country doing more surgeries, as most things except the surgery are handled by his assistants.

Even though the tips of the cylinder now reached my glans, i noticed my penis was still 2.5cm shorter. So it means, the tips reach higher, but the penis itself did not grow. So i asked the assistant "Since i have the implant that expands in length, and now the installation is correct, do you think i will recover my 2.5cm after some time? ". The assistant looked confused and said "your implant does not expand in length, if it expands will be maximum 1cm". I told him i had the AX which expands 25% for sure, but he said no.

So i texted Hamdan in whatsapp and said " Are you sure my implant expands in length"? he confirmed via whatsapp "Yes your implant expands in length and girth".

So i decided to double check the rigicon warranty paper, i looked up the exact model in the website with the one it shows in my papers. Turns out My implant DOES NOT expand in length.

I confronted hamdan with this, and showed him the exact model number from the website, he brushed it off again saying "do not worry, this is the best implant for you".

I was left confused thinking how such a basic mistake can be done. My best guess is that given such a high volume of implants, it is hard to ask anything to the doctor which is outside of what he normally does.

So now, after a second surgery, i realized something: Doctors are extremely unlikely to accept any mistakes, even when confronted with direct evidence.

Another thing i noticed on the second surgery, my tubes are much more noticeable than on the first time. On the right side i have a tube going up the shaft which was basically not there before, and i wonder if the tubing on the front part of the scrotum will limit my usable penis length during penetration (on top of the 2.5cm i already lost).

I contacted Dr Rosello again, who honestly has always been very responsive with me. He said if i want he can do the surgery again and put the correct implant (the AX which is the one i wanted) and possibly do a lower corporotomy so the tubes are not so high.

The good news: Rigicon accepted to cover the warranty, 2 times! even if there was never a device failure. I sent the screenshot where dr hamdan confirmed my "expansion in length and girth" and they accepted to replace it.

So now i need to decide if i do want a third surgery or not.

My question for the experienced members in the forum:

Has anyone here objectively lost 2.5cm (1 inch) after surgery, and did you recover all your length even if the implant was expandable in length? Or such long amount in size is not realistic to recover with a regular implant? (not expandable in length)
Has anyone here had any noticeable tubing going up the shaft right after surgery? and if so, did it limit your penetration length, maybe it gets better over time somehow? Or will it stay this way?

Obviously the MRI shows the error that the Dr made. All I can tell you is that post op prostrate loss I had 3 years ED where I was only showing 1.5 to 2 inches. Two years in with Coloplast Titan I am at 6L 6G and happy as can be. It was like this post op and took time to heal along with cycling for one year which lead to this growth. I know that my Dr, Perito is oen of the highest implanters and the implant was very successful. My tips reach almost the very top of my head. At first I thought it would be an issue as I was waiting for the cylinders to pop right through the head but of course they never did so I'm very comfortable with the idea that there is a reason that Perito is an expert. He places everything perfectly. Wishing the best for ya.

[Discovernew]

Obviously the MRI shows the error that the Dr made. All I can tell you is that post op prostrate loss I had 3 years ED where I was only showing 1.5 to 2 inches. Two years in with Coloplast Titan I am at 6L 6G and happy as can be. It was like this post op and took time to heal along with cycling for one year which lead to this growth. I know that my Dr, Perito is oen of the highest implanters and the implant was very successful. My tips reach almost the very top of my head. At first I thought it would be an issue as I was waiting for the cylinders to pop right through the head but of course they never did so I'm very comfortable with the idea that there is a reason that Perito is an expert. He places everything perfectly. Wishing the best for ya.

Thank you for the message Alex! I am a little confused by your measurements. Are you saying that you grew 4 inches with coloplast?
What was your size immediately post op, and how long did it take you to grow to 6L?

thanks!

[Alex258]

Obviously the MRI shows the error that the Dr made. All I can tell you is that post op prostrate loss I had 3 years ED where I was only showing 1.5 to 2 inches. Two years in with Coloplast Titan I am at 6L 6G and happy as can be. It was like this post op and took time to heal along with cycling for one year which lead to this growth. I know that my Dr, Perito is oen of the highest implanters and the implant was very successful. My tips reach almost the very top of my head. At first I thought it would be an issue as I was waiting for the cylinders to pop right through the head but of course they never did so I'm very comfortable with the idea that there is a reason that Perito is an expert. He places everything perfectly. Wishing the best for ya.

Thank you for the message Alex! I am a little confused by your measurements. Are you saying that you grew 4 inches with coloplast?
What was your size immediately post op, and how long did it take you to grow to 6L?

thanks!

It was lets say 2 inches max. I'm not saying that I grew 4 inches. When I woke from implant surgery it wasn't anywhere near what I currently have and I was disappointed by what I saw. It was maybe 5inches L and nowhere near 6G. from all that I heard on this site that growth will come and it grew nicely. It grew over months and from what I can remember the growth began around the 6 month mark The girth growth was interesting. I woke up one day and the lower 3rd of the implant was thicker than usual. A short time later the middle equaled the lower growth and then some time afterwards it completely filled in. That was very encouraging to me when it began to show growth and here I am today. The shrinkage I had post prostrate loss I guess whatever I went through was kind of buried inside somewhere so naturally I am that pleased with what I ended up with.

[wolfpacker]

Wow! That is WAY short of the glans.

Question for you: how did you get these MRI images? I mean, in what position was your body in to get this good imagery of the penis?

[Discovernew]

Wow! That is WAY short of the glans.

Question for you: how did you get these MRI images? I mean, in what position was your body in to get this good imagery of the penis?

I just laid down on my back without moving. Actually it took a few tries as mri operators are not used to scanning penises. But it worked out well in the end. They first tried to wrap my penis so it does not move. But that wrapping made the images worse. Just leaving it inflated without moving was enough.

By the way, I see you had revision, are you currently at your natural size? And if so, how long did it take you to recover it?

[Chevalier]

Well - you did your 2nd surgery as well in Turkey, or this time in the Near East?

Oh boy... they - by tendency - all claim they are world class there, but the reality... the beauty docs in this area of the world tell you all Tales of the Thousand and One Nights. In such countries they all lable themselves as world class/high volume...

Dont get me wrong, nothing against Turkey. Its a wonderful country with nice people...

But for such an important surgery - I d never go to a medical cheapland... not even to Dubai. I

heared about some doctors who run practices in such countries because they are banned from practicing in their home country after malpractice.

Has nothing to do with your case, I am just general speaking.

[Kodixx]

Discovernew,

Very sorry to hear about your experiences. But you have been very accomplished at determining the problems and working to correct them. That is a good example for everyone. I don't have any specific advice but sending you best wishes for recovery and a good result.

- Chuck

[wolfpacker]

Wow! That is WAY short of the glans.

Question for you: how did you get these MRI images? I mean, in what position was your body in to get this good imagery of the penis?

I just laid down on my back without moving. Actually it took a few tries as mri operators are not used to scanning penises. But it worked out well in the end. They first tried to wrap my penis so it does not move. But that wrapping made the images worse. Just leaving it inflated without moving was enough.

By the way, I see you had revision, are you currently at your natural size? And if so, how long did it take you to recover it?

I'm about 3/4" down from my natural size. Girth is about 1/4" increased from natural though

[sambalamba]

Hi Everyone, wanted to tell my story here, mostly for people who still do not have an implant, to consider the actual risks of this surgery going forward and make a more informed decision. And also for experienced folks, you can tell me your opinion about it at the end.

.......

Thanks for sharing your story. I'm truly sorry about what you're going thorough. It's amazing that even after sharing clear evidence your Turkish doctor just shrugged it off instead of offering a free revision and make it right. Not very ethical of this Turkish doctor. I wish there was a legal recourse you could pursue. But it's great that you didn't just give up and was able to to do the MRI to present clear evidence to other doctors. I'm curious where you got your MRI done. Was it same place in the US?

It would be awesome if surgeons would do a trimix induced erected MRI to chart out the corpora before surgery instead of going in there blind.