what are the smallest size implants?

[powderpowder]

Seems that I have read there might be a 19 cm Coloplast Titan but I would not be surprised if you could not take a 21 cm, unless you are measuring to the bone in the stretch at 3-3.5".

Titans come in standard sizes of 14,16,18,20 and 22cm. Titan XL's come in 24, 26 and 28cm. You get in between sizes like 19 and 21 by adding RTE's (rear tip extenders) to the standard sizes.

CX's and LGX's come in standard sizes of 12, 15, 18 and 21cm. Also special order sizes of 24cm. Again RTE's can be used to fine tune the in between sizes.

There is no simple relationship between the size of the implant and the size of the visible erection. Other guys mention a 1/3 2/3 'rule of thumb'. 1/3 internal and 2/3 external. In this case a 4 inch erection would need 6 inches of implant size, which is somewhat over 15cm. But there is actually quite a bit of variation, and it seems to me that guys with shorter visible erections tend to have more internal. Also, be aware that it makes a lot of difference whether you are measuring 'bone pressed length' (BPL or hard pressed to the pubic bone) or just from the skin. The standard (sort of... not sure there is a universal standard) is BPL.

I understand, when I measured my BPSFL, it turned out right now it may be 4.4" or so. I assume VED or Traction use could help a guy fighting Peyronies like me to preserve my flaccid length and possible lengthen it even more. After reading some accounts of people going to Eid, Kramer, or Milam, they seem to understand how important size is in guys and give them as much length as possible, whether it is adding RTE or etc. I am sure the doctors pull more rigorously when they do BPSFL also, so I may be holding back and not getting my true potential.

Do you guys grab onto the glans and pull, or pinch under the glans and pull? I am sure this would affect measuring as well. And like my personal peyronies urologist, he seems to pull with much more emphasis than I am willing to right now so that may help my BPSFL measurement

[rlm1818]

I read an article a couple of years ago about the correlation between SFL and erection length in NORMAL guys. It was a good indicator, but certainly not perfect. There was variation between SFL and actual erections. For the article, they used a measuring device to measure how hard the pull was. They mentioned that the pull strength that had the best correlation was pretty hard, harder than most urologists would normally pull. Sorry I don't have a link to the article anymore. For us guys who are not normal I'm sure there is variation too. SFL is an indicator, but not perfect. Dr Eid did a small sample survey (I think there is a link on his website) where he measured correlations between implanted erection length, SFL and injected erections (for those who could actually get erections from injections) and he felt the best correlation was injected length. Again nor perfect. VED size can be an indicator too, though with a VED you will normally get more glans engorgement than you will with an implant or even with a normal erection (for those who can get one).

I don't think you have any perfect indicator of what your implanted erection length will be. If you get a good surgeon you will get whatever your body is capable of, and thats that.

[rlm1818]

Here are a couple of links for estimating erection size from flaccid stretch and from injected sizes:

https://www.eng.tau.ac.il/~msbm/resourc ... 28-333.pdf
https://www.urologicalcare.com/pdf/SMS_poster.pdf

[powderpowder]

I read an article a couple of years ago about the correlation between SFL and erection length in NORMAL guys. It was a good indicator, but certainly not perfect. There was variation between SFL and actual erections. For the article, they used a measuring device to measure how hard the pull was. They mentioned that the pull strength that had the best correlation was pretty hard, harder than most urologists would normally pull. Sorry I don't have a link to the article anymore. For us guys who are not normal I'm sure there is variation too. SFL is an indicator, but not perfect. Dr Eid did a small sample survey (I think there is a link on his website) where he measured correlations between implanted erection length, SFL and injected erections (for those who could actually get erections from injections) and he felt the best correlation was injected length. Again nor perfect. VED size can be an indicator too, though with a VED you will normally get more glans engorgement than you will with an implant or even with a normal erection (for those who can get one).

I don't think you have any perfect indicator of what your implanted erection length will be. If you get a good surgeon you will get whatever your body is capable of, and thats that.

I understand. So if what I am reading is correct, the surgeons and doctors stretch farther and hard than most urologists (which means probably farther than we do as well) which could lead to actually being longer stretched flaccid than one thinks?

But i agree. Since i have peyronies it is a unique case that some men shrink and some do not, but i think for the future VED and stretching could extend flaccid length leading up to surgery when needed

Thoughts?