Feeling depressed and confused - new implant, doctor undersized me?

[Txagq8]

Sometimes I feel like the resident FrankTalk math and statistics guy.

Like a previous poster mentioned, it’s all going to boil down to depth of crus. One of the guys on here said his was 4 cm. That’s shallow, but not egregiously so. Mine is almost 7 cm. That’s kind of deep, but not outrageous. It’s like men’s anatomies in general. Lots of variables, lots of variety, and “normal” is a damned big territory.

Let’s say you have a crus 4 cm deep. You have 21 cm of implant. 21-4 equals 17 cm. 17 cm is 6.7 inches. There’s another .3 to .5 inches of implant in front of the distal end of the penis to, for lack of a better way to describe it, your piss slit. Bingo. There’s 7.0-7.2 inches.

In my case. I have 23 cm of implant. 7 cm is buried and 16 is visible. 16 cm is 6.3 inches. I’ve got another half inch of dick in front of the end of the cylinder. There’s 6.8”. I started with 6.8”. I’m at 21 months. On any day I pump it up and it measures 6 5/8” on the ruler. That’s 6.63”. Am I worrying about less than 2/10ths of an inch? Hell, no.

We can’t say if you’re undersized yet. I am not your doc, I have not seen surgical notes, I am not privy to your measurements. I think the best idea is heal, cycle, use it, and see what you’ve got.

Regardless of any small deficit, what you have now will definitely work. Trust me. I’m watching a whole lot less TV since my implant surgery!

[Lost Sheep]

Remember (as has been noted by a few respondents here already - but I have a different analogy for you to consider) the implant has to fit the INSIDE measurement of your tunica albuginea. Your penis (in particular the part that sticks out of you - the USABLE part) is the OUTSIDE measurement.

How much of your implant is under/behind your pubis? Varies from man to man.

How thick is your pubic fat pad? It is just above your penis and if you reduce its thickness your usable penis is longer.

How much of your penis (the glans in particular) stacks up in front of the tip of the implant. Some men have thicker glanses than others or have tunicas that stop further back.

The Implant is not your usable penis. The proximal portion of the implant is behind the point at which most men measure their usable penis length.

The distal portion of the implant supports your usable penis.

The size of the implant is not as important as how much of your penis sticks out in front of you and is insertable into your partner. Those two are NOT THE SAME!

You are only two days (as of Oct 20 2021) post-op and we do not know to what degree your surgeon left you inflated. In a month, you will have a better idea of what your ultimate size will be. In 6 months, and even better idea.

If your surgeon did a proper job, your post-op erect penis will be the same size as your (immediately pre-op) erect penis (provided you were able to get erect immediately before surgery).

Bottom line, though, is that whatever size you have, your post-op penis will be far superior to your pre-op penis in functionality. (Function - fornication, Function not photos, right?)

[oldbeek]

21cm is 8 1/4 inch. You probably have a shallow cruse. One guy on here has no cruse measurement at all. Have you watched any videos of the operation and how the tunica is measured? The are not gentle when they ram the measuring device in both ways, distal and proxial, then add the 2 measurements together The last thing you want is a over sized implant. Give it time to heal.

[eustinas]

Warning! There is a dick pic below!

Update on this -- but sadly, it is not a good one.

You can see my other thread for pics of another issue I'm dealing with -- buckling near the base causing chronic pain and bending. viewtopic.php?f=6&t=17981

But now I am much more concerned about the following:

I strongly suspect that I was indeed undersized, as I have now realized (13 days post op -- Titan 22+1.5 by one of the top, high volume US surgeons recommended by the board) that it seems my cylinders are not extending far enough into my glans.

In fact, I *think* (based on what I can feel) that they stop right at the base of my glans (I'm basing this on where I can physically feel the hardness of the cylinder). The glans seems floppy, but I'm still too sore to really pull up and down with gusto to confirm just how floppy. However, my first impressions are not good.

With the obvious caveat that you're not medical professionals, I'd like your $0.02 on whether or not this looks like the cylinders are not extending far enough.

Should I be able to *feel* the bits that extend into the glans? Because I can't feel any equipment beyond the very very base of my glans, where the arrow points.

Also, worryingly, the glans itself seems to flop to one side of the arrow in the picture -- seeming to go to the left hand side (hard to explain) quite easily. You can sort of see it happening there.

By all accounts, the cylinders should be extending around 50% into the glans. Based on what I'm feeling, mine are pretty much 0% inside the glans. (Pic attached for Reference)

I am about 30-40% (estimated) inflated since the day of surgery, and still have not cycled due to persistent swelling in my balls, so I can't use that test yet.

Note that I also had mild peyronie's disease, so there was some scarring. Could this have prevented the proper insertion of the cylinders?

I just spent $20,000+ out of pocket on this and am really very sad so far about everything. I've been contemplating suicide dealing with the chronic pain and seeing my bank account and the thought of having to save up for another year or more with a fucked up dick just to do a revision and go through all the pain all over again.

Also, wanted to say thank you to LostSheep, Lunatech, oldbeek, Txagq8 and the others who were kind enough to comment in this thread earlier with helpful info.

Also for reference, I attached a pic of the surgical recommendation for where the cylinders should end. I don't feel anything that deep into my glans, although it is sore so I haven't squeezed as hard as possible.

[Lost Sheep]

Your picture and your facts appear alarming, but you are still pretty early in your recovery and only partiall inflated.

If it does not hurt too much, can you pull your shaft down the implant to get the implant tips further into your glans? When the implant is fully inflated the tips will push harder into your glans. Can you feel any "wrinkles" or "accordion folds" in the shafts of the implant? When those folds straighten out, the tips will push into the glans more fully. (Could the buckling at the base you describe in your other thread qualify as the folds I describe? If so, that may be good news.) And the discomfort should go away as the material your Titan is made of softens in a few months - many "Titan" men keep themselves inflated a little to keep those folds comfortablly smoothed out and extended.

You might consider calling the Coloplst Patient LIaison about your concerns. The PL often knows more about these post-op concerns than the surgeons; and it is their function to keep patients' concerns allayed.

Don't worry, but do keep communication lines open with Coloplast and your surgeon.

[eustinas]

Well folks, I did some more feeling around and this pic shows you why I'm 90% sure the cylinders are not going far enough.

This is where I feel them end when I pinch. It's not even close to the necessary 50% of the way into the glans.

@Sheep, thanks for the reply buddy. I really hope you're right, but this is a sinister development. For the accordion fold to actually push into the head, it would have to move the entire device up several inches, pushing up through my whole shaft. While that doesn't seem impossible, my understanding is that even in the flaccid or semi-inflated state, the implant tips should already be resting 50% into the glans.

[frwmw1]

I thought that with the snake eyes they stitch the cylinders into the glans?

[Lost Sheep]

I thought that with the snake eyes they stitch the cylinders into the glans?

The "snake eyes" are just where the sutures they use to pull the cylinder tips up into the glans (to ensure they reach 100% to the ends of the tunica albuginea). After pulling the implant tips up, they pull the sutures out (they are a loop, just come out free), leaving the two "snake-eye" holes to heal up in a few days. Nothing is stitched at that point, normally.

[Lost Sheep]

Well folks, I did some more feeling around and this pic shows you why I'm 90% sure the cylinders are not going far enough.

This is where I feel them end when I pinch. It's not even close to the necessary 50% of the way into the glans.

@Sheep, thanks for the reply buddy. I really hope you're right, but this is a sinister development. For the accordion fold to actually push into the head, it would have to move the entire device up several inches, pushing up through my whole shaft. While that doesn't seem impossible, my understanding is that even in the flaccid or semi-inflated state, the implant tips should already be resting 50% into the glans.

When you got natural erections (if you can remember back that far), did your tunica albuginea extend into the glans. It is vaguely possible that the implant goes all the way to the end of the tunica (and therefore cannot go any further, no matter how aggressive the surgeon) and you have all that nature gave you.

This is an unlikely scenario, but just possible.

Are you able to get an answer by telephone or email from your surgeon to the question, "Just how aggressively did you size me? My implant falls short of the base of my glans and I am concerned." Or ask that questio of the Patient Liaison.

At 20% inflation post-op, you may be concerned beyond the need, but this is not a cheap surgery, so the manufactrer usually will see to it that you get a satisfactory answer and most GOOD surgeons will, as well.

Keep in mind that surgeons tend to be the least empathetic of medical specialists. More mechanical than internists or psychiatrists, it is the nature of the specialty. For cure, there are notable exceptions, several named on FrannkTalk.

[frwmw1]

A side topic because I'm not sure if this truly is a case of undersizing, because it's early days and plenty feel undersized at this point, but I do wonder what the surgeons do during an operation when inventory is low - would they insert a shorter implant so to approximate? I also wonder if COVID19 is causing low inventory.