Is my penis working to good for an implant ?

[Bushpig]

For me pills worked sometimes and also gave me a very long lasting headache.
Injections made me rock hard but were hit and miss sometimes not to mention how inconvenient it is.
Implant was the answer for me.

[mr.skin]

Give me some input.

Dating is a minefield. A reliably working penis is one tool that makes it easier, but there are drawbacks. Women of quality date the MAN, not the penis. This becomes truer as the women become wiser. I understand the hormonal drive to get a good fucking that would make a woman appreciate an implanted man, but would you want to marry her?

Thank you very much for your thorough response. I deleted the quote just for the purpose of making it easier to read.

I did not explain some things in the first post - while I suffer from Finasteride induced ED for more than 7 years I was not able to get any usable erection at all till last year. I was very willing to take the plunge and visited different urologists specialized in ed - the very first ones telling me it is in my head until someone did the injection test which did result in no rigidity at all. I was using a VED for more than 4 years to do exactly the things you explained in your posts- avoiding loss of size and preventing atrophy as well as getting oxygenated blood in the cavernous tissue.

Thus I had only 1.5 cm's of loss in length (never measured girth before).

Last year (12 months ago exactly) I was told I was a suitable candidate for vein ligation surgery as my main outflow was through the dorsal vein, as well as two ectopic veins were discovered and ligated during surgery.

This procedure improved my erectile function drastically to the point where I am right now.

I usually take 5mg of cialis and 1mg of doxazosine and sildenafil on demand.

Today I had a good morning erection which subsided early but makes it more difficult to decide bc I dont even know whats normal anymore. (getting hard, staying hard, being able to perform two times in a short period of time, what grade of rigidity is normal).

The injection test gave me a erection which was sufficient for penetration and sex but did bend( was not completely rigid before the glans - I was not happy bc that did not seem to be a hard as rock erection. The urologist (who I was just visiting for the injection itself bc my usual doctor is a 3 hour ride and I just wanted to test the injection) told me that I have apparrently some high expectations as a 60year old with diabetes would be very happy as he hadn't had such an erection in a decade.
Actually made me very angry, as I am neither 60years old and actually dont want to compromise in terms of sexual relations.

The only thing holding me back is the fear that I have unrealistic expectations of what a normal penis does bc no one will /can really tell you - urologists say it varies from person to person with a healthy penis, girls wont tell you to not hurt you ( and I am not in a long-term relation ship bc of my not working penis, dating in student life /social circle where everyone knows everything (at least it seems like that) with a non functioning penis held me back.)

Description of my last two sexual encounters after the vein ligation:

First one - I had a bit of booze, was on a shitload of pills, 30mg Cialis, 100mg sildenafil, 1mg doxazosine, managed to get a good erection first, tried to pleasure here - erection went to a semi hard erection. Afterwards she tried to give me a bj, where it completely collapsed (to be honest - i do not fancy bj s that much).

Second one - test drive with a prostitute (first time) i was nervous and had 5mg cialis, 1mg doxazosine, 100mg sildenafil and couldnt even get a semi erection - but being nervous definitely was involved there.


Thanks for reading this long post.

[Lost Sheep]

(edited for brevity, but the last line preserved so readers can know what I am responding to)
Thanks for reading this long post.

I suffered slowly progressing E.D. and my end stage was not unlike your present condition.

You had a successful venous surgery. Good for you for trying. That solution remains insufficient.

I considered some respondents' initial comments that you are a good candidate for implant, your further clinical information suggests that you are. Your urologist's comments (suggesting that he thinks your present condition is "good enough") is discouraging. Dr. Eid gave me some advice for my search for a surgeon. "Find a surgeon in love with his craft." He went on to say that such a surgeon will put his patient's welfare and the outcome of the surgery above all other considerations.

When it comes to a man's penis, as perfect an outcome as possible should be the surgeon's primary, perhaps the surgeon's ONLY concern.

I found a surgeon dedicated to penile reconstruction. It took 14 months. I vetted several surgeons until I found one who listened to and adopted my concerns, in whom I had confidence both of his skills in the operating room and in his "buy-in" to my desires, who talked to me about his philosophy of patient care.

It took a while for me to recover my confidence in my sexual abilities. I see the same recovery for you, as your attitude is resilient, motives strong and vision clear.

( and I am not in a long-term relation ship bc of my not working penis, dating in student life /social circle where everyone knows everything (at least it seems like that) with a non functioning penis held me back.)

In Cosmopolitan magazine a couple months ago, Hannah Smothers wrote an article about E.D. and dating (principally focused on 20's and 30's people). You might want to read it. Not a deep treatise, but shows that the condition is not all that rare and not a deal-killer. I will emphasis that sexual dysfunction is NOT the central cause of your difficulty in finding a relationship with a woman, I recognize the difficulties involved. It is a confidence matter. Sure there are some women who will reject you for “non-performance”, but plenty of women who will accept you as you are. Women are incredibly supportive if they feel supported, trusted and secure in a relationship.

God bless

[mr.skin]

Thanks for your reply.

I added two pictures - to ask if that is normal during an erection:


That is my best erection right now

bend_12.jpg (46.29 KiB) Viewed 1463 times

but I can bend it like this - is this normal ? I do not think so ?

bend_21.jpg (71.66 KiB) Viewed 1463 times

[Gt1956]

Do you have Phimosis? Does it bother your erections?

[mr.skin]

Do you have Phimosis? Does it bother your erections?

I do not have phimosis, just a pretty long foreskin. I can easily pull the foreskin behind the glans, where it "accumulates a bit" (most probably bc of some length loss) but I could stretch it out.

Does not relate to my question though.

[David_R]

I guess an implant might be a good solution, if it all turns out to be good (length, sensibility, no auto inflation and pain)

I have my original length and sensibility, never have had auto-inflation, and my initial pain only needed prescription pain relievers for a week. I hope you can find the right prosthetic urologist for you, because if you do (like I did), implant sex is great!

[Lost Sheep]

Were those pictures taken of a natural erection or the injection induced election?

How long did the erection stay that rigid?

Was it, at that point sufficient for penetrative sex?

My erection at 18 years of age w 100% functional) could be bent that far back, but not forward or sideways.. also, with an election I could not urinate until the erection subsided

Obviously coital sex is vitally important to you. Whatever you need to do to regain that ability, do. Your mental health alone is worth it. I will note that with a willing and understanding woman, an erection in deuces by a VED and constriction ring can be satisfactory. I didn’t like it, but many men find it acceptable.

Having said all that and seeing that you XAN get a pretty substantial erection, I would think long and hard about the @nuclear” option of an implant. So, suggest finding a urologist who specializes in sexual function (dysfunction) and NOT hung up on age or that merely adequate is good enough (for a 60 year old). That insults both you and the medical profession.

Dr Eid advises me to “Find a surgeon in love with his craft”. Such a surgeon will put his patients’ welfare above all other considerations and will make every effort to achieve a better optimal outcome.

If I were you I would bend wcery effort to find a treatment so I could achieve as perfect an erection as nature intended a man to have and not give up until I got that. Currently there is no widely successful cure ( and I assume you have tried all the obvious solutions, diet, weight control, exercise, legends exercises, etc as well as the various medications. Implant is not a cure, but a very effective treatment.

Stay away from that guy who thinks you should be happy with a peniscthat only as good as his does. You deserve a penis that works as good as God intended for every man.

A competent sex therapist/Urologist/surgeon will give you reliable guidance and smooth the way to a solution

[mr.skin]

Were those pictures taken of a natural erection or the injection induced election?
Naturally induced erection.

How long did the erection stay that rigid?
That s the problem , when I stop manual stimulation it disminishes very fast. After penetration (in specific positions) it tends to stay somewhat hard enough, but e.g. putting on a condom tends to be difficult.

Was it, at that point sufficient for penetrative sex?

I guess it would have been sufficient (at the lower scale of being suficient)

My erection at 18 years of age w 100% functional) could be bent that far back, but not forward or sideways.. also, with an election I could not urinate until the erection subsided

Obviously coital sex is vitally important to you. Whatever you need to do to regain that ability, do. Your mental health alone is worth it. I will note that with a willing and understanding woman, an erection in deuces by a VED and constriction ring can be satisfactory. I didn’t like it, but many men find it acceptable.

VED and injections are actually two things I do not consider for sex. VED therapeutically yes, but pumping up my penis before sex or injection does not go along with my self image.


Having said all that and seeing that you CAN get a pretty substantial erection, I would think long and hard about the @nuclear” option of an implant. So, suggest finding a urologist who specializes in sexual function (dysfunction) and NOT hung up on age or that merely adequate is good enough (for a 60 year old). That insults both you and the medical profession.

Dr Eid advises me to “Find a surgeon in love with his craft”. Such a surgeon will put his patients’ welfare above all other considerations and will make every effort to achieve a better optimal outcome.

If I were you I would bend wcery effort to find a treatment so I could achieve as perfect an erection as nature intended a man to have and not give up until I got that. Currently there is no widely successful cure ( and I assume you have tried all the obvious solutions, diet, weight control, exercise, legends exercises, etc as well as the various medications. Implant is not a cure, but a very effective treatment.


A competent sex therapist/Urologist/surgeon will give you reliable guidance and smooth the way to a solution

I think on the natural way I have exhausted every path, I am 5'9, 145 lbs fairly lean (14 % body fat), do sports 2-3 times a week (strength and endurance) never have smoked, alcohol only in social situations.

To be completely honest - I guess right now with 5mg cialis and doxazosine 2mg daily I am functional 70% of the time if the setting is perfect (aroused to the maximum, which you cannnot be all the time), sexual position, grade of stress, no alcohol (even two beer do have a devastating effect on erections)

I mean this is a substantial improvement im comparison to the pre-vein ligation surgery days but it is still not perfect, being 25 and to have compromises in the bedroom is not how you see yourself. This has me prevented from having a long-term relationship as the usual cycle is that the girls I have been with first question them self, and then it s more like a " i think it does not work out between us" thing - given in the age group I date (23-26) sex is way more important than later in life.

If I knew the feeling of the erection would be roughly the same, the life expectancy of the implant would be 7-10 years and everything else would be fine I'd do it. But having an infection or a subpar result is still on the table (I already went in touch with dr eid via phone consultation) as it is not a zero per cent chance.

[Lost Sheep]

(edited for focus)
This has me prevented from having a long-term relationship as the usual cycle is that the girls I have been with first question them self, and then it s more like a " i think it does not work out between us" thing - given in the age group I date (23-26) sex is way more important than later in life.

I know what you mean. I experienced the same relationship life cycle. High expectations, disappointment and finally, (my lovers) moving on to men more talented in bed. Learning to be good at cunnilingus and foreplay/afterplay does do a long way to mitigating or interrupting that cycle, but good oitus is very attractive to young women

If I knew the feeling of the erection would be roughly the same, the life expectancy of the implant would be 7-10 years and everything else would be fine I'd do it. But having an infection or a subpar result is still on the table (I already went in touch with dr eid via phone consultation) as it is not a zero per cent chance.

At 67-68 years of age, I took the risk of making my situation worse because the existing situation was not much better than if my penis were to fall off entirely as the result of a botched operation. At that point, I could orgasm with a soft penis by fellatio, but ability for successful coitus was nil.

Flaccid orgasms and being able to pee standing up was the only use for my penis, so a 1% chance of losing those abilities was nearly no downside at all and a 99% chance of improvement was very attractive.

So, the only question was my choice of surgeon. A low infection rate and dedication to restoration of sexual function were my absolute criteria for selection.

One cannot know that the feeling of the erection (to her or to me) will be the same, but the odds are good. Life expectancy is currently beyond 10-15 years. Subpar? Subpar to what? Subpar to a perfectly healthy erectile function? Subpar to my existing situation.

My choice was a very clear, "yes, go for it"; a no-brainer. Much more so than your situation, but give it time and I believe you will reach the tipping point. And then you will wonder why you waited.