Lost Sheep wrote:wolfsailor wrote:Lost Sheep, thank you so much for your time and reply. I apologize if some of my explanations weren't clear. I do need an erection to provoke enough stimulation for viagra to work, as you said, the engorgement contributes a lot to the sensation. I lost 90% of the sensation after the implant surgery. So, the implant alone do not cause my penis to engorge...viagra and the implant combine each other, I need an erection for viagra to work but viagra alone often will not work, not to mention the side effects, especially the headaches are very strong.
Regarding the flesh removal....I did not have any complications but my penis erected is a lot thinner than it was prior to the surgery (also shorter), I always thought that my surgeon removed some flesh in order to fit the tubes(2) of the implant, I also saw some videos in youtube that suggested that...maybe i am wrong.
My surgeon is Dr. Hakim by the way. I am under the impression that he wants to replace the whole implant and not just the leaking part. I will visit him again on 10/21 and thanks to you, i will know better what to ask him. You definitely make me feel better about the recovery time and pain.
If you don't mind, I have another question....the tips of the 2 tubes are located inside the head of the penis (almost at the extremity, they feel hard and pointy to the touch, it's okay when my penis is engorged but not so okay if it is not, I feel like i am hurting my girlfriend, I asked my doctor but according to him, the tips are exactly where they should be. Do you know anything about that issue ?
Again, thank you.
I will assume you know something of the inner workings of erections. But will review a little bit here: Tunica Albuginea is tough fibrous tissue formed in two cylinders that reach from your pelvic crus to your penis tip (the glans penis). Inside the tunica is corpus cavernosum tissue supplied with blood through arteries and drained by veins. TShe blood pressure inflates the cavernosum, thereby erecting the tunica (and the penis). Because the tunica is flexible but not elastic, it does not stretch but merely gets stiff. Corpus spongiosum surrounds the tunica and fills the glans. Spongiosum engorgement is similar to cavernosum engorgement, but it is not needed for an erection, and because it is not constrained by inelastic tissue (like the tunica) does very little to produce an erection. But it does contribute to fullness. If your spongiosum is not getting full/engorged/tumescent, that may give the illusion or appearance of tissue loss.
Corpus cavernosum tissue is sometimes removed from inside the tunica when implanting the implant's tubes. Sometimes the cavernosum tissue is spared. Depends on the surgeon and condition of the patient. But even if the tissue is spared, it is vanishingly rare for the cavernosum to function to produce an erection without also inflating the implant. So, some surgeons do remove some or even all the cavernosum tissue. But with the implant inflated fully and your spongiosum fully engorged, I would expect your girth to be similar to your pre-surgical dimensions. Did you measure yourself (erect as you could get) the day before surgery? Men's memories of their size is often more generous than factual. I measured my length very carefully before surgery (I could get an erection with pills and vigorous stimulation before surgery, but the erection never lasted more than a minute). After surgery, I was very much the same length as immediately before surgery. I did not measure girth, but I seem to be about the same.
Loss of sensation is regrettable. I lost some, but after several months, it came back partially. I am still evaluating my before-and-after feelings. Surgery for an implant is severely traumatizing for one's nerves and it takes time for them to recover. Think of your nerves as scared rabbits. They don't come out to play right away after being traumatized. But 6 years suggests that whatever you might hope to regain has already been regained. I hope that your lack of sensation is only due to disappointment over lack of spongiosum engorgement and not actual nerve damage. The increased friction due to girth increase from spongiosum engorgement certainly helps the sensation. It is unfortunate that you need viagra to get that engorgement. Some men use a vacuum pump to fill the spongiosum (after the erection is produced by the implant) and then keep the spongiosum engorgement by a constriction band at the base of the penis or around the scrotum. Do this with caution. It was not too long ago that vacuum devices used in conjunction with an implant was regarded as a dangerous practice. Probably best to discuss this with your surgeon.
The tips of the implant should support the glans penis fully. about half-way from the coronal ridge to the tip of the meatus. Any further and you risk the tips eroding through the tip of your penis or (as you ask) being felt by your partner uncomfortably. Any less, and you can get the "SST Deformity" (named after the drop nose of the SST aircraft) which is also known as "floppy head syndrome". It sounds like your implant is perfectly sized and the tips right where they should be. I can feel my tips very much as you describe. Remember that a woman's internal tissues are soft and yielding. Only if you strike bone are you very likely to cause discomfort. But be gentle with you lover. Your penis is more rigid than natural and if your spongiosum in the glans is not engorged, the implant tips are not as padded as they should be.
As you experiment with coitus (or fellatio or masturbation) your sensations may return and engorgement of the spongiosum become better. Take notes and measurements as best you can. Do not depend on memory alone to gauge (and report to your surgeon) any progress.
I have heard Dr. Hakim's name mentioned a number of times and cannot recall any negative reports. I think you are in good hands.
Lost sheep,, Excellent explanation of the inner workings of the penis and the placement of the implant. Should be made a sticky for all newbies to read. Very well explained.
