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My recent implant revision was done via the sub-coronal approach (degloving of the penis skin). A couple of issues I have experienced as a result: the degloving incision is made all the way around the penis (just below the glans), and the resulting stitches, which looked like a crown of thorns, have left a series of tender/highly sensitive (in a bad way), small, raised suture scars. Hopefully these tender suture scars resolve over time.

Also, I have read that the sub-coronal approach is criticized by some surgeons because sometimes there isn't enough tissue at the incision site for proper suturing. I suspect this was true in my case because the skin on the top and right side of my penis is now very tight, especially when the implant is inflated. This leads to a certain amount of discomfort during sex, and especially during masturbation, as the skin in these two areas doesn't slide back and forth as it does on the left side and bottom of my penis. The tight skin also causes discomfort during sex/masturbation at the base of my penis (where the penis skin joins my body). Hopefully this problem will resolve over time...

wolfcreek wrote:My recent implant revision was done via the sub-coronal approach (degloving of the penis skin). A couple of issues I have experienced as a result: the degloving incision is made all the way around the penis (just below the glans), and the resulting stitches, which looked like a crown of thorns, have left a series of tender/highly sensitive (in a bad way), small, raised suture scars. Hopefully these tender suture scars resolve over time.

Also, I have read that the sub-coronal approach is criticized by some surgeons because sometimes there isn't enough tissue at the incision site for proper suturing. I suspect this was true in my case because the skin on the top and right side of my penis is now very tight, especially when the implant is inflated. This leads to a certain amount of discomfort during sex, and especially during masturbation, as the skin in these two areas doesn't slide back and forth as it does on the left side and bottom of my penis. The tight skin also causes discomfort during sex/masturbation at the base of my penis (where the penis skin joins my body). Hopefully this problem will resolve over time...

This is the first I have heard of this procedure. Why was it that your doctor chose to go this route? Just curious. I don't know how far along you are, but hopefully this resolves itself.

Sub-coronal approach is sometimes used when Peronies/plaque/fibrosis is an issue. Most surgeons don't seem to use it, at least not very often. My surgeon had been doing some research on the sub-coronal approach and seemed to think I would be a good candidate for it. It is said to be easier for the surgeon because everything is more exposed/easily accessible. You can see a very interesting "simulation" video here: http://london-andrology.co.uk/uro-genit ... e-implant/

Sorry to hear about the tight skin issues. I discussed this approach with a doctor telling him it seemed to me like a hard way to do the implant. He said the whole idea is to hide the incision where the circumcision scar is but sometimes it has the same effect some circumcisions have where skin tears. When I was in my 20's I would get skin tears from my circumcision as a baby. I mentioned it to my dad and he told me everyone gets skin tears from that. I still say WTF? Skin can stretch so I hope over time it gets better. I used tape to stretch my skin and finally resolve the issue. Cheers.

My doc said the sub-coronal was the easiest approach, lol... Hopefully the skin will loosen over time. By biggest concerns now however are inability to orgasm and pain where the pump presses against my right testicle.