A scary time: wound separation and possible undersizing

[joho1984]

Hi gang,

Tough time here today:

1. I’m +20 days from surgery and the wound, not painful and with many stitches fully healed has separated right at the centre (cruciform incision), not by much (<2mm). A little pink but normal for healing I understand. I have no fever, no pain and no swelling. There is clear fluid (not much not noticeable) and no odour, pus or blood. Many stitches have healed well and fallen out. But for obvious reasons this is very disconcerting. I am hoping I have just accidentally disturbed the stitches somehow.

The surgeon (overseas) has said it looks normal and seems unconcerned but has recommended antibiotics (so currently working through the logistics of getting a doctor here to prescribe precautionary antibiotics [easier said than done]). He also said carry on cycling.

2. Equally disconcerting, the tips of my implant manifestly aren’t in the glans of my penis, indeed they are distal to the corona and I can bend the glans past 90 degrees. Accepted it’s early days, my understanding is that these should penetrate the glans. Inflated or deflated they do not. I described this to Dr. Eid by email (not my original surgeon) who recommends revision.

So two dissonant but disturbing developments. On (2) I suggest this might end up being ‘buy cheap buy again’. I am kind of reconciled to that (even the cost). But this is not a fun day, and any perspectives welcome.

[joho1984]

Pictures for reference

[LastHope]

If an incision opens up on the surface and if a surgeon is okay with it, it means it will heal and close on its own by a process called "Healing by Secondary Intention".

Healing by secondary intention:
Healing occurs through the growth of new tissue starting from the base of the wound and then in upward direction and then closes on its own in 4-8 weeks.

[Txagq8]

You have some legitimate concerns.

I think I would be less worried about the wound. I’m not a surgeon but my understanding is that there are multiple layers of sutures as they work their way out thru the various layers of tissues. Having one of the outer sutures break is probably the equivalent of a small cut or tear in the outside layer of your skin. Obviously keep everything clean and a close eye on any early warning signs of an infection.

The bigger issue is the under sizing. You might not be in as bad a shape as you fear. It all depends on how inflated you are when you see the end of the implant as described in your photo.

When totally deflated my LGX cylinder ends can be felt and they are not very far into the head at all. Only when I inflate do they fill the corporal body and stretch things out. When I finish pumping the end of the cylinder is basically 1 cm (0.4”) from the absolute tip of my cock.

Without knowing just how much fluid you’ve pumped into the cylinders I can’t really tell you how big a problem you’ve got vis-a-vis the undersizing. The 18 cm LGX lengthens by about an inch (give or take) when inflated. If your picture is uninflated, and you move the end of the cylinder an inch towards the tip when inflating…you’re not in too bad a shape.

Joho, if you told us where you are geographically I overlooked it. It might be worth the money and give you some peace of mind if you have a high volume surgeon in driving range to call tomorrow morning and beg for a consult ASAP. Even if it’s just with the PA or Nurse Practitioner who works with the surgeon.

It doesn’t have to be one of the nationally famous guys. I would think one of the docs at a clinic designated a AMS700 center of excellence would help you out.

Having someone who does implants daily take a look, poke around, pump you up, feel stuff….would be worth a couple of hundred bucks for an office call even if you couldn’t pawn it off on your insurance. You’re not talking an implant problem either…wound care is seldom an exclusion in health insurance policies.

Even though someone else did the surgery, the community of implant doctors are (by & large) really good guys with a lot of compassion and they see their patients struggle with these things during recovery. I’d be awfully surprised if you were to look for help nearby and not get it.

[wolfpacker]

The LGX is the only device that grows in length as it is inflated, so from that perspective you have some chance that it could grow into the glans over time. I think I'd give it a little more time and cycling to see if the tip location improves

[Gt1956]

Txagq8 has some good advice. Each of us can only comment on our own experience. I have a Boston Scientific CX model for reference.

At my first dr visit after surgery. Literally the first thing my drs nurse did was to hold my penis with both hands placing both of her thumbs on each side of my penis head. She quickly said that both of my cylinders were correctly into my head. In my case, this was determined in only a few seconds. Its been 16 months so the dates are a little hazy. I was sent home with a catheter in after surgery. It was removed (I think) 2 days after surgery. So her exam was either 2 days or 9 days after surgery. I'm quite sure that I was still partially inflated. Part of her job did include inflation & deflation lessons.

I have read that some men don't have the tissue wall in the same location in their head. Also fibrosis might of prevented further cylinder insertion. I have also read of men that had some surgical cutting in that area. Whether its for fibrosis removal only I don't know. So not having the tips in your head does happen. Drs do address it sometimes. I'm going to say it depends on the skill & attitude of your dr. A better sign would be after you've been cycling for awhile.

I don't see in your post the size of your implant. Nor any info about your dr or the country he is in. For the forum to give good advice. This data is very important to tell.

I'm not meaning to speak bad about other countries. But healthcare is on lots of different levels. My wife was born to European immigrants. Her mother & her uncle had horrible dental procedures done in a country that is considered to have very good healthcare. Going to another country chasing the lowest price has its risks. On the other hand. My brother bought his medicines in Mexico. That started because the drug company quit selling one key drug he needed in the USA. He also got his teeth cleaned there.

Please keep us up to date about your implant. Sometimes the forums advice isn't spot on but generally we can give sympathy. Just remember, we're not drs. Free medical advice on the internet also has its risks. Read my first paragraph again.

[jwdetails]

I think if you feel you are undersized (or if that's what Dr Eid thinks virtually), I would see a doctor in person to confirm and then start aggressively cycling/vacuum. The worse thing at this point if losing length especially if revision is needed in the future for undersizing. If you are still healing, most surgeons would probably wait a little bit of time 2-3 months before revising the cylinders.

[newhope]

Hi gang,

Tough time here today:

So two dissonant but disturbing developments. On (2) I suggest this might end up being ‘buy cheap buy again’. I am kind of reconciled to that (even the cost). But this is not a fun day, and any perspectives welcome.

joho, the LGX 18 should grow by about 3cm when inflated (about 50 pumps)

Did you try to inflate it fully ? Clearly a tips so low isn't a good signal, but maybe the LGX will solve the issue itself, what was your erect length before op?