Size with the implant

[jelquinginjury]

Is your size with the implant the same than your stretched lenght in flaccid was before the implant?

[dg_moore]

It should be no less than your pre-implant stretched length, but won't be more.

[Lost Sheep]

Fron what I have read in this forum and others and in medical journals, there are several factors that will determine what your ultimate length will be, and by "ultimate" I mean two years down the road, which may be different than immediately post-op, 6 weeks post-op, 6 months post-op or one year post-op.

How much you were left inflated after surgery.

How soon and how extensively you began cycling the implant

How well your surgeon did sizing your implant

Which type of implant

and probably (but I have read almost nothing about this factor) the condition of your tissues pre-op.

dg_moore's post is the short answer. The long answer would fill a book. The medium answer is =, "it depends".

You are not likely to shrink if your surgeon does a good job and you follow your doctor's recommendations for post-op protocols. These may be uncomfortable, but the canard "use it or lose it" is particularly applicable to fresh surgical sites, whether rotator cuff, knee replacement or penile implant. It will be painful. Gaining length you never had is unlikely. Re-gaining length you had, but lost over the years is slightly less unlikely.

To a certain extent, the advice that you cannot gain length is mostly true and (in my opinion) a little bit "reducing expectations". Given that most men want more length, this reduction seems a good idea. Having said that, some men have testified to length gain without deliberate lengthening-specific surgery.

My advice is, "Don't count on it (getting longer/girthier), but be thankful if it happens. If there is a small amount of size loss, don't complain. The object of the implant surgery is to restore rigidity. It that is successful, be happy. If you get more, be grateful." An erect penis a half-inch smaller (in both length and girth) is still superior to one that does not erect at all.

Lost Sheep

[RichardTheFrog]

Fron what I have read in this forum and others and in medical journals, there are several factors that will determine what your ultimate length will be, and by "ultimate" I mean two years down the road, which may be different than immediately post-op, 6 weeks post-op, 6 months post-op or one year post-op.

How much you were left inflated after surgery.

How soon and how extensively you began cycling the implant

How well your surgeon did sizing your implant

Which type of implant

and probably (but I have read almost nothing about this factor) the condition of your tissues pre-op.

dg_moore's post is the short answer. The long answer would fill a book. The medium answer is =, "it depends".

You are not likely to shrink if your surgeon does a good job and you follow your doctor's recommendations for post-op protocols. These may be uncomfortable, but the canard "use it or lose it" is particularly applicable to fresh surgical sites, whether rotator cuff, knee replacement or penile implant. It will be painful. Gaining length you never had is unlikely. Re-gaining length you had, but lost over the years is slightly less unlikely.

To a certain extent, the advice that you cannot gain length is mostly true and (in my opinion) a little bit "reducing expectations". Given that most men want more length, this reduction seems a good idea. Having said that, some men have testified to length gain without deliberate lengthening-specific surgery.

My advice is, "Don't count on it (getting longer/girthier), but be thankful if it happens. If there is a small amount of size loss, don't complain. The object of the implant surgery is to restore rigidity. It that is successful, be happy. If you get more, be grateful." An erect penis a half-inch smaller (in both length and girth) is still superior to one that does not erect at all.

Lost Sheep

So I should be pumping the hell out of mine?

How many times per day and for how long?

[dg_moore]

...So I should be pumping the hell out of mine?

How many times per day and for how long?

You should be following Dr Kramer's advice, as you already know.

[Lost Sheep]

So I should be pumping the hell out of mine?

How many times per day and for how long?

Proceed with caution, due care and with the counsel of your physician after reading this thread and discussing with him the article I cite by Caracini et al about mitigating the pseudo-capsule limitation on inflated size, colloquially known as the "Coffin Effect".

viewtopic.php?f=6&t=6814


Good luck.

[TANGERINE]

discuss this with your doctor. I did ask my doc, Dr Eid, and he was not real keen on over cycling and over inflating, but I am not exactly sure why. Currently, at my 5 weeks postop state, I cycle to absolute max every other day for 20 minutes.

[Lost Sheep]

discuss this with your doctor. I did ask my doc, Dr Eid, and he was not real keen on over cycling and over inflating, but I am not exactly sure why. Currently, at my 5 weeks postop state, I cycle to absolute max every other day for 20 minutes.

Does Dr. Eid concur with your current protocol of every other day for 20 minutes at absolute max? And what does "absolute max "mean to you?

RichardTheFrog wants to know, I imagine, and so do I.

The Caraceni paper has weight in my mind on the subject.

https://www.researchgate.net/publicatio ... prosthesis

I don't believe Dr. Eid agrees with it, but I don't know why. (Edit: Tangerine's post, below, callls into question my belief about Dr. Eid's stand on early activation. Thanks, Tangerine.)

The conclusion of the paper was that a 3.28 cm difference resulted from early activation vs no early activation. "Reduced lenght (sic) of the penis after implantation can be caused by the presence of a pseudo-capsule that limits the elongation of the prosthesis and of the penis ("coffin effect"). Timing of first activation seems to be the key in order to prevent the risk of penile retraction after implantation. Early activation is identified as the best measure to maintain the length of the pre implant erect penis after the prosthetic hydraulic implant.

[TANGERINE]

first answer: Every patient is different, you should do EXACTLY as your surgeon tells you (especially if the surgeon is one of the top 8 in the country)

My personal answer: Eid told me to activate at seven days lightly (in the warm bath tub), and at ten days more aggressively with twice a day cycling. At day 19, I was having sex, and he stated that once I am having sex, I can drop to less frequent cycling. I am extremely grateful that I activated at day 7, since I totally agree that the capsule must be maximally sized (ie, avoid coffin effect). Dr Eid suggested this for me since I had hardly any swelling and since my hands had full knowledge of the deflate mechanism of my implant and since he trusted my abilities and judgement.

This being said YOUR MILEAGE WILL VARY so talk to your surgeon frequently during the first three weeks postop, since that is an important time for molding the capsule. (Dr Eid was amazing at returning my cell phone calls to his private phone on the same day....he obviously really cares and is interested to be sure his surgical masterful work gets properly handled to optimize perfect healing in the wild weeks after surgery)

[TANGERINE]

regarding the question of inflating to "ABSOLUTE MAX" this is highly important.

Dr Eid cautioned me that it is important to "inflate the implant to the point where it is as hard as granite" during the cycling phase. He told me that some people do not go to the "granite hardness" state, and that will lead to a less than ideal result. There should be absolutely no folds along the cylinder surfaces, and the surfaces, when you run a soapy hand along your shaft, must be smooth.

Note, there is a rescue plan if you fail to get to granite in the early phase, Dr Eid has taken some patients, given them light anesthesia (gas or something) and then pumped them to the max as a minor surgical procedure. That max pumping, in the case of coffin capsule, sometimes leads to "popping sound" as the super pressurized implant tears apart the scars in the capsule. (I did not want to face any of that, so I went to granite day 15)