Implant with Worsening Sensation

[Donkeykong]

Agree with both of you, the first year the implanted penis felt great but now at year 3 i feel I've definitely lost a good amount of tissue and sensation

First time seeing this compliant. Is this common?

Wolf,

how can you tell your tissue has atrophied? Did you notice overall shrinkage? Would injecting with a filler fix this?

The glans engorges less and feels thinner, tissue in certain spots around the shaft feels thinner as well like less meat between the implant cylinders and the outer skin. I may get filler at some point, but it's only done in the shaft not the glans

Dr. Eid does glans filler: https://www.urologicalcare.com/penile-glans-size/

[sambalamba]

Thanks for the replies guys. I'll send a message to the doctor first thing tomorrow morning and try to put it out of mind until then.

I won't lie, I'm terrified at the moment.

Everything was functioning so well with the implant and this feels as though it's come out of nowhere and I simply can't understand what has happened.

I'll continue also with abstaining from masturbation alongside exercises. Again, the implant is functioning as it should so something else is happening here.

It had been entirely normal for me to see engorgement of my penis shaft and head whilst barely inflating the implant at all (after several days of abstaining), and when utilising Cialis alongside the implant it became a rock; I could feel the pressure of the blood in my penis.

All of that is currently gone.

So the implant itself works fine? You can still get a great erection with the implant fully inflated?

Im interested because I have pelvic floor dysfunction and this would be my reason for getting one.

Obviously if It doesnt work with that condition I would be concerned.

Here are my thoughts:

I have pelvic floor dysfunction due to a pudendal nerve injury. Currently, I’m using Bimix at 0.4 units, which works, but is often inconsistent and inconvenient. At this point, I’m fairly certain that I’m heading toward getting an implant. I’ve been fortunate to consult with three excellent implant surgeons: Dr. Clavell, Dr. Hakky, and Dr. Eid.

I’ve noticed that when my pelvic floor flares up, I can still achieve an erection with Bimix, but my penis feels numb, with very little sensation. This lack of sensation makes it extremely difficult to reach orgasm. When I can’t orgasm, my pelvic floor muscles tighten even more, resulting in a complete loss of sensation for several days. Pelvic floor therapy, along with warm jacuzzi baths, gradually helps relax my muscles and restores normal sensation. Conversely, when my pelvic floor is relaxed, I experience good sensation, and orgasms feel normal and intensely pleasurable.

I wonder if you might be experiencing something similar. If so, it might be worth looking into pelvic floor therapy with a specialist to see if it could help.

Regarding concerns about penile tissue atrophy and loss of sensation over time with an implant, all the doctors I consulted told me that sensation should remain similar to pre-implant levels since the corporal tissue contains very few nerve fibers. However, both Dr. Eid and Dr. Hakky mentioned that the corporal tissue, which is dilated and perforated to make space for the implant, will become fibrotic post-surgery and receive much less oxygen-rich arterial blood, which can lead to atrophy over time. They both noted that, after several years, the penis may develop a more oval shape as this atrophy progresses. My assumption is that this process could happen sooner for those who already have reduced blood flow in the corporal tissue. Regular use of a VED (vacuum erection device) for an appropriate amount of time each day might help draw oxygen-rich blood into the remaining, albeit fibrotic, corporal tissue and potentially keep it healthier for longer.

I’ve also read numerous posts and spoken with a few individuals who have had implants for many years, and the general consensus seems to support maintaining good sensation and orgasm function over time. Perhaps others can weigh in on this as well. I certainly hope this holds true, as it would be a serious concern for me when considering an implant.

I want to emphasize that I am not a doctor, so these conclusions are based solely on my own research and conversations with some of the top implant surgeons in the world.

[nuance]

Hi Guys,

I posted some weeks ago seeking advice on loss of sensation and in hindsight it was... not worded very well. High-level overview:

- I've had success following Titan implant
- Often 5mg Cialis only needed if even that
- Great engorgement and sensation

The bad stuff:

- over the past ~9 months I've seen worsening erections and sensations, a steady decline over time
- Cialis now no longer does anything despite years of consistent success
- this coincided with a seriously unhealthy period of diet/lack of exercise/lack of sleep


I'm working on improving cardio fitness and diet again though as yet no improvements to my erections. The implant is functioning as per usual afaik. When attempting kegal exercises I now feel much less sensation; I can't feel the pinch towards the end of my penis or indeed much of the shaft.

Is it possible that a steadily weakening pelvic floor has reared its ugly head and could be the cause of this? Cause of relative weakness being prolonged unhealthy lifestyle as stated aboveI; I would also have frequently been straining to poop and my understanding is that this too could contribute to weakness.

Bizarrely my erections seem to kick in somewhat at spontaneous times should I be driving my car / in a unique leg position but I'm struggling to recreate and it's in no what what it should be. I should say too that I think I may have been too rough in masturbating as this worsened in a bid to regain the experience of the act.

I never attempted a pelvic floor exercise routine but am picking them up now and doing my best with YouTube videos. I'm also embarking on a reduced frequency of masturbation to give my nerves some rest.

I'll update as I go should any success occur though would be grateful for opinions. The decline in Cialis effectiveness as this situation has worsened over time before now not working at all has shocked me.

Has it gotten any better?

I'm interested to hear what people with implants for > 10 years have to say.... Do you guys notice a decrease in sensation over time?

Feels like this should be an even bigger problem with malleables as they are constantly putting pressure resulting in greater atrophy.