When does sizing occur in the overall process?

The final frontier. Deciding when, if and how.
Seeking
Posts: 78
Joined: Sun Mar 15, 2015 12:03 pm

When does sizing occur in the overall process?

Postby Seeking » Tue Sep 10, 2024 3:58 pm

Hi all, I'm currently doing my final deep dive into implants after years of yo-yo-ing.

As a Hard Flaccid sufferer, I'm concerned about being sized during an episode of pelvic floor tightness where my penis is smaller than usual, so I wanted to ask - at what point is the penis sized up for the implant? Is it during the actual surgical procedure (i.e. when asleep), or during one of the pre-op appointments?

If it's during the procedure, I'm a bit less concerned as everything tends to loosen up when I sleep. If it's when I'm awake, might need to do some heavy meditation that morning!

On a more general level, I'm concerned about what an implant would be like for someone with HF - but I see there are posts here that go into that so I'll look through those.
38 Years Old. HF symptoms since age 23 (tight pelvic floor).
Tried pills, sclerotherapy.
At about 40% function currently but reluctant to wait much longer for an implant.

bp1111
Posts: 41
Joined: Mon Mar 01, 2021 2:52 pm
Location: Houston, TX

Re: When does sizing occur in the overall process?

Postby bp1111 » Tue Sep 10, 2024 5:56 pm

It is measured during the surgery once you are out. They inject the penis to inflate and stretch it out, but then measure from the inside based on a device inserted into the corpora.
Implanted 2/14/24 at age 50 w/ a 22cm Titan, no RTE's, classic pump by Dr. Clavell after 9+ years of worsening ED. I tried everything from pills to injections. Venous leak confirmed 2/2/24. Healthy, fit and active.

CigareVolant
Posts: 111
Joined: Wed May 25, 2022 6:13 pm

Re: When does sizing occur in the overall process?

Postby CigareVolant » Tue Sep 10, 2024 7:48 pm

bp1111 wrote:It is measured during the surgery once you are out. They inject the penis to inflate and stretch it out, but then measure from the inside based on a device inserted into the corpora.


True. In addition, after they put in the implant, but before they sew you up, they will do a test inflation. In my surgery notes the doctor said that he added another 1/2 cm of rear tip extender after inflating and seeing how things looked.
Implanted June, 2022 by Dr. Karpman. 22cm Titan with 1.5cm RTE.

Seeking
Posts: 78
Joined: Sun Mar 15, 2015 12:03 pm

Re: When does sizing occur in the overall process?

Postby Seeking » Wed Sep 11, 2024 6:51 pm

CigareVolant wrote:
bp1111 wrote:It is measured during the surgery once you are out. They inject the penis to inflate and stretch it out, but then measure from the inside based on a device inserted into the corpora.


True. In addition, after they put in the implant, but before they sew you up, they will do a test inflation. In my surgery notes the doctor said that he added another 1/2 cm of rear tip extender after inflating and seeing how things looked.


This is absolute gold dust, thank you so much for this - I feel like I can discuss this with my surgeon much more effectively now that I know the process.
38 Years Old. HF symptoms since age 23 (tight pelvic floor).
Tried pills, sclerotherapy.
At about 40% function currently but reluctant to wait much longer for an implant.

CigareVolant
Posts: 111
Joined: Wed May 25, 2022 6:13 pm

Re: When does sizing occur in the overall process?

Postby CigareVolant » Thu Sep 12, 2024 12:11 am

Seeking wrote:This is absolute gold dust, thank you so much for this - I feel like I can discuss this with my surgeon much more effectively now that I know the process.


I watched a few "operation videos" where they actually showed the whole process. It might not be a good idea for the squeamish, but I found them very educational. Don't ask me for links. I was just googling around. Many of the popular docs seem to have such videos up. They definitely helped me feel like I understood what was going to happen to me. So much the better if you can find one from your own doc. Honestly, it's probably a good sign for the caliber of your doc if they have videos up of them doing their work.
Implanted June, 2022 by Dr. Karpman. 22cm Titan with 1.5cm RTE.

Donkeykong
Posts: 68
Joined: Thu Aug 08, 2024 4:26 pm

Re: When does sizing occur in the overall process?

Postby Donkeykong » Sat Sep 14, 2024 3:07 pm

This is a concern for me too.

At home my erection length and flaccid stretched length are both 7”. In the doc’s office my stretched length was under 4” because it goes into a very strong spasm under stress and is impossible to stretch out.

Based on this the doc told me they could give me 4” with implant. I got out of there fast.

In another doctor office it was 6” because of a spasm too.

What if it is in spasm during surgery and they undersize me by 1-3 inches? Will anesthesia necessarily relax the spasm? I am not sure that’s the case.

easymoney
Posts: 605
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: When does sizing occur in the overall process?

Postby easymoney » Sat Sep 14, 2024 4:33 pm

never heard of such a spasm .. when your asleep everything is relaxed so I would think you would get the largest implant the could safely install ..

atul21
Posts: 381
Joined: Thu Sep 15, 2022 3:08 am

Re: When does sizing occur in the overall process?

Postby atul21 » Sat Sep 14, 2024 5:30 pm

Donkeykong wrote:This is a concern for me too.

At home my erection length and flaccid stretched length are both 7”. In the doc’s office my stretched length was under 4” because it goes into a very strong spasm under stress and is impossible to stretch out.

Based on this the doc told me they could give me 4” with implant. I got out of there fast.

In another doctor office it was 6” because of a spasm too.

What if it is in spasm during surgery and they undersize me by 1-3 inches? Will anesthesia necessarily relax the spasm? I am not sure that’s the case.


Ask for a penile doppler before the surgery and see if they are open to size you up with it. Dr. Eid uses this protocol and guarantees size basis penile doppler results.
42 yr old from India, Ed since many years.
Coloplast Titan 22 cms one touch pump no rte; implanted by Dr. Billy Cordon in Miami on 02-March-2023. Found Dr. Cordon on reco from Dr. Eid after he fell sick.
Happy to help!
My Journal- click here

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: When does sizing occur in the overall process?

Postby Gt1956 » Sat Sep 14, 2024 5:48 pm

Donkeykong wrote:This is a concern for me too.

At home my erection length and flaccid stretched length are both 7”. In the doc’s office my stretched length was under 4” because it goes into a very strong spasm under stress and is impossible to stretch out.

Based on this the doc told me they could give me 4” with implant. I got out of there fast.

In another doctor office it was 6” because of a spasm too.

What if it is in spasm during surgery and they undersize me by 1-3 inches? Will anesthesia necessarily relax the spasm? I am not sure that’s the case.

I think you're misunderstanding his statement. The 4" is basically the minimum you'd be. You can be longer than 4".

I'm sure that once sedated whatever is causing your spasm will stop. Sedation relaxes all muscles.

I realize your fear & the tendency to not believe people on such a topic. But in reading this forum for years. The only undersized members were generally operated on by drs without much experience.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Donkeykong
Posts: 68
Joined: Thu Aug 08, 2024 4:26 pm

Re: When does sizing occur in the overall process?

Postby Donkeykong » Sat Sep 14, 2024 11:17 pm

Gt1956 wrote:
Donkeykong wrote:This is a concern for me too.

At home my erection length and flaccid stretched length are both 7”. In the doc’s office my stretched length was under 4” because it goes into a very strong spasm under stress and is impossible to stretch out.

Based on this the doc told me they could give me 4” with implant. I got out of there fast.

In another doctor office it was 6” because of a spasm too.

What if it is in spasm during surgery and they undersize me by 1-3 inches? Will anesthesia necessarily relax the spasm? I am not sure that’s the case.

I think you're misunderstanding his statement. The 4" is basically the minimum you'd be. You can be longer than 4".

I'm sure that once sedated whatever is causing your spasm will stop. Sedation relaxes all muscles.

I realize your fear & the tendency to not believe people on such a topic. But in reading this forum for years. The only undersized members were generally operated on by drs without much experience.


Well im not going under for a surgery with a 4” guarantee because of white coat shrinkage when I’ve always been 7”.


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