Making the big decision

[David_R]

+1

[b_rad2]

Just for grins I would ask for references and follow up on the wacky Professor.

I too have started my implant quest and this forum made me doubt the treatment my local urologist has proposed. So being that I only have one dick, I decided on Dr Eid.

I feel blessed to have this forum and all the knowledge it has to offer. Isn’t it great to have a place to discuss the ups and downs of our dicks?

+1 for Dr Kramer.

[Skier123]

Here's how my Doctor explained it to me:

The new cylinders should go all the way to the end of the corpora - the fibrous capsules that used to contain your erectile tissue. Whether or not the tips of the new cylinders go "into the glans" or not depends on whether or not your corpora go into your glans. The surgeon does not want to put the cylinder tips sticking outside the end of the corpora just to get them "into the glans" - this would almost guarantee erosion of the tip of your penis.

So they need to size your cylinders to get to the very end of your corpora - which hopefully are into your glans already. Thankfully they are for most of us. For those few whos corpora are a little short of the glans, Dr. Levine does a simple procedure during implant surgery to stabilize (or reinforce) the glans to help prevent floppy head (or concord nose, as he called it.)

This all makes perfect sense to me - but as always I'm not a doctor and you should cross check this explanation for yourselves.

[Lost Sheep]

Here's how my Doctor explained it to me:

The new cylinders should go all the way to the end of the corpora - the fibrous capsules that used to contain your erectile tissue. Whether or not the tips of the new cylinders go "into the glans" or not depends on whether or not your corpora go into your glans. The surgeon does not want to put the cylinder tips sticking outside the end of the corpora just to get them "into the glans" - this would almost guarantee erosion of the tip of your penis.

So they need to size your cylinders to get to the very end of your corpora - which hopefully are into your glans already. Thankfully they are for most of us. For those few whos corpora are a little short of the glans, Dr. Levine does a simple procedure during implant surgery to stabilize (or reinforce) the glans to help prevent floppy head (or concord nose, as he called it.)

This all makes perfect sense to me - but as always I'm not a doctor and you should cross check this explanation for yourselves.

So, in addition to (immediately before the operation-if you can get an erection by any means) measuring length and girth, one should feel into the glans to find the ends of the tunica albuginea (the fibrous capsules that contain the corpora cavernosum).

Thanks for pointing that out, Skier123. I had not thought of that before. One can always learn something new.

[Gt1956]

ejf110, I can understand your concerns. There is nothing that one man can tell you that will overcome your concerns. The best that I can suggest is to carefully read past posts. Maybe even take some notes. I'm fairly confident that you'll notice a definite trend. Many men are less than thrilled upon first getting their implant. As time proceeds & they get accustomed to it & learn how to inflate it easily. They get very comfortable with their decision. Many have lamented that they should of done this many years earlier & if it was to fail. They'll be back to the doctor to get it replaced.
Knowledge gives you power. Keep researching until you have enough knowledge to make your decision. Btw, I've ran into a similar situation as you have with Dr. Ralph. Doctors use words differently. I suspect that his staff is meaning that the cylinders go to the end of the cavity, not into the glans. But the reality is, sometimes the cavity does go into the glans. To them, as long as they do not pierce the end of the cavity. The cylinder is not in the glans. Yes, it is confusing but I feel like this is what they're saying to you. Good luck.

[Waynetho]

My glans is approximately 1.25-1.5" from the tip to the penile shaft, maybe a bit more. As best I can tell, my tips are about 1/8 to 1/4" below the tip of my glans. I even had two little "mouse eye" scabs on day-1 post-op on the tip from the temporary traction sutures used to pull the cylinder into the tip.

On a side note, the "mousey-eyes" look was really funny. I've seen and heard about people drawing faces on their or someone else's todger but this was uniquely different.

[ejf110]

Waynetho is sounds as though in your case the end of the corpus covernosa is so far into the glans that it nearly reaches the tip...is that right?

[Waynetho]

Waynetho is sounds as though in your case the end of the corpus covernosa is so far into the glans that it nearly reaches the tip...is that right?

If by "nearly", you mean 0.125-0.25" from the tip, then yes. This is, as I understand it though, pretty common anatomy.

[Skier123]

I think Lost has the terminolgy more correct than I did - the Corpora are the erectile tissue that is removed during surgery, and the Tunica is the surrounding capsule itself. I think the capsule is the limiting factor.

Thanks Lost.

[Waynetho]

The corpora are the erectile bodies. They are hollowed out during implant surgery but the capsules are retained intact. The tunica is the fibrous stretchy sheath that makes up the outer layer of the penis, under the fascia and skin.