Postby merrix » Thu Sep 15, 2016 6:54 pm
Nine months. Not much considering the plan is to have the implant another 40 years or so. But it’s long enough, I think, to have reached some sort of ’steady state’. I think I have reached ’steady state’ in terms of healing, handling, usage. Only major issue not under my belt yet in terms of experience is revision.
So here is my update, written 30000 feet up in the sky, somewhere over Russia, while enjoying a few glasses of wine. If my text below isn’t clear and understandable, it may mean I had a couple of glasses too many…
Sex
Absolute success. Being able to is the prerequisite. You can talk all day about size, positions, desire, partners, oral, anal, exciting places to have sex, etc. But if you cant’t get that little fucker up and keep it up, then none of that matters. The raw physical ability to get and keep it up overshadows all else.
As I have described before, it is a learning curve, especially for someone like me who has had various degree of ED all my life, to learn how to have sex without any constraints and limitations from an erection perspective. Habits formed as a necessity due to circumstances during 25 years don’t just go away over night. But I have come a long way and likely still have some further way to go.
But wherever this ends, it is great already.
Awkwardness due to the unnatural way of getting hard
This was a huge issue to me initially. It felt bad having to manually pump the dick up before sex. It felt weird and almost gave me the same kind of feelings of being impotent as it did when failing to keep the erection before surgery.
But everything becomes normal. So does this, and the end justifies the means.
I could see this being more of a problem if one was having frequent short term relations. But I guess if I was in that situation, I’d find a satisfactory way to deal with that as well. Again, what is better? Picking up a sexy woman, bring her home, getting ready to go and the prick dick won’t stand hard, or picking up that same sexy woman, bring her home and pump the dick up in the bathroom when it is time to go, and then being able to focus on having a good time.
Quality of erection
First of all, I’d like to say that in my opinion and in my case, the quality of the erection is still highly depending on natural blood flow. The implant fills up the cavernosa. Not the spongiasum or the glans. And an erection with no blood flow to the latter two is light years behind one that has. I think I was lucky to do the sclerotherapy treatment before the implant surgery. What it did fix was my glans. It gets very hard when I am aroused. What it didn’t fix good enough was my basic erection, the shaft. The implant does take care of that 100% though.
When I am aroused, the spongiasum fills up enough to make the shaft naturally round, while the glans hardens nicely.
After I orgasm, my glans and spongiasum empties, as it naturally would, but my shaft of course stays hard. To keep the intercourse going in this state, with a softer glans and without proper levels of blood in the spongiasum, is nowhere near the same pleasant experience. It feels very unnatural as I for sure feel the implant inside me during intercourse. It is not at all comfortable. Before orgasm, with blood flow, I don’t feel the implant at all. It feels just like a natural erection.
Hence, I think this must be part of anyones expectations before getting an implant. If you don’t get any blood flow at all to the glans, don’t expect an implant to restore your erection quality to the good old days before your ED hit you. Expect the implant to give you a hard, oval shaft and a soft glans. That is still better than a limp useless dick. But it has it’s imperfections.
Length and girth
Before my surgery I was the same 16-16.5 cm (6.3”-6.5”) that I have been as long as I can remember.
My girth was the same 14 cm (5.5”) as it has always been.
Right after surgery, when starting cycling, my girth was bigger (~0.2 cm or 0.1”) and my length was shorter (1-1.5 cm or 0.4”-0.6”). However, the girth was only bigger due to swelling. When it went away, I was down to 13.5 cm (5.3”), or 0.5 cm (0.2”) thinner than pro-op.
Both my length and girth has slowly been increasing since then, and now I am 17.5 cm (6.9”) long and 14.2 cm (5.6”) girth. This is larger, both in length and girth, than before surgery. Length is about 1 cm (0.4”) larger, and girth is about 0.2 cm (0.1”) larger. Not much difference, and really nothing I care about, but nevertheless, it is a fact that I do have a larger dick now than before surgery.
And for the record, for all you size freaks out there, my wife says that she doesn’t feel the difference in the size. So apparently, the size change I had is not enough for women (or not for her at least) to notice. That should logically imply that anyone losing the same size I gained, wouldn’t need to worry either. Because logically that should not be noticed either.
Hinge, angles, bath towels and kept promises
What is the hinge effect? My meaning is a dick that may be hard from shaft to tip, but one that can ’flex’ at the base. Imagine taking a stick and taping it to a wall. The stick itself is stiff and hard, but it would hang straight down along the wall. It could be rotated and pointed up, down, left, right with no resistance at the point it is taped to the wall.
In my case, there is basically no hinge at all. Well, some, but very little. It also depends how much I pump. These days I can get around 40 full pumps in. If I do that, there is basically no hinge, or flex, at all. I could hang a few bath towels over the shaft of my dick and it still points above 3:00. I could not bend it up to touch my abs either. The angle would be around 2:00-2:30.
If pumping it to the level I use for sex, i.e. 30 pumps, It still points at around 2:30, and still has very little hinge or flex. I still could not point it up to touch my abs, and pointing it down to 3:00 would definitely make me feel a good stretch. This is great as it allows me to take very, very deep strokes inside my wife without risking slipping out. Same thing if she’s on top, she can really go all the way up.
As for the shaft, it is seriously as hard as any artificial object. A stick, a rod, or whatever.
Why was I lucky to end up like this, while as some guys here describe how their inflated dicks point at 4:00 to 5:00, and can be bent 180 degrees from straight up to straight down with little or no resistance?
Well, first of all, I don’t think it was much luck. My doc told me already ahead of the surgery, that when using my size of cylinders (24 cm), the superior way to avoid the hinge effect is to use Titan cylinders (according to him there is a difference in hardness between a Titan and an AMS, but this difference is more obvious the larger the cylinder size) and to use none or minimal size RTE.
So just as he promised me I would not lose any size, he promised me that I would get a hard dick without any hinge effect. And he was right in both cases.
Was that something he just said, always says, and then he’s just lucky sometimes (as in my case), and sometimes those promises are just not kept? Well there is of course no way I could know that. All I know is my own case. And he kept every word of what he promised. Besides myself, I have seen one of his other patients’ dick as well. Day before my surgery, there was a patient who had his surgery a few days ago who agreed to let me see his result. He was already inflating less than a week after surgery, and his dick sure pointed nicely up at 2:30, with a minimal hinge. Just like mine. So of the two Eid-dicks I have seen, both have been great in this sense.
Daily life interference
Does the implant ever negatively affect my regular life? The short answer is no. I still do all what I did before, including working out with decent weights in all the basic compound barbell exercises (deadlifts for reps @ 400 pounds, squats for reps @ 300 pounds, rows, presses).
I sit all day normally when working. I still ride my bike for leisure (never did use it for exercise, it is probably the exercise form I hate the most on this planet).
I still play decent level (5.0) of competitive singles tennis.
The only time I ever feel it is either when bending down to tie my shoes, especially if wearing tight pants, and when I play with my daughter in the swimming pool and she accidentally pokes my crotch. Just seems I am a bit more sensitive for that now than before.
But overall, there is no negative impact. I just keep going like before.
Wife’s view of her husband going bionic
She was for sure skeptical before I went ahead. She was simply afraid things would go to hell. Because we did have something before, we had a sex life. It might not have been the best, but we had something. Well, on one of my good days, it was really good, but I had bad days as well, and they were not good at all…
But still, she thought we had something to lose. And if things would go really bad, we would have lost what we had.
On the other hand, she agreed to the idea that if things would go well, it would be great to just never needing to worry about this issue.
She has had her learning curve as well, just like me, after the implant. She has, just like me, adjusted her habits in bed to constantly work around my ED. Short foreplay with focus on me, short and intense intercourse has been the way to go for us. So just like I have been forced to learn to just relax and learn to enjoy the moment without always thinking of how to make sure we reach the end, she has had to do the same. Learn to enjoy the moment, understand that there is plenty of time for her now.
I think we are both there already, and we’re having a great time. However, I don’t know what the end status is on this learning curve. Can it possibly get even better? Who knows. Time will tell.
Cycling routine
So far I have been cycling the implant probably around 10 times per week on average. Maybe slightly less, but for sure at least once per day on average. Not necessarily every day, but for sure more than 7 times per week on average. Let’s say 8-10 times per week on average. For some periods, more often.
This has left me with a larger dick now than before implant, my maximum number of wall-to-wall pumps has increased from around 20-25 to 40, and the number of pumps I comfortably use for sex has increased from around 15 to 30.
I still believe there is a rather linear relationship between frequency of usage and time to revision. If continuous size gain was the only possible advantage of frequent cycling from now on, I’d most likely reduce the frequency of cycling. But the thing is that I feel the implant just works better, or feels better, when used, if I inflate it often. And that is worth the world to me. So I’ll keep inflating around 7 times per week, and the day it breaks down, then so be it. I agree with people who have written here that it would be weird to go through this hell (having ED for life first and then a pretty painful decision process followed by a pretty painful surgery) just to back off on maximizing the pleasure from it in fear of a breakdown. Fuck it. It’ll break when it breaks, and then I’ll have to replace it. I am just above 40 years old with a wife my age but with a body of a fit 30 year old woman. Now is the payback time. The coming five years will be the best five years of my life in terms of sex, and I won’t let fear of an upcoming revision destroy it.
And for the records, I spoke with my doc about the rumor here about the reliability issues of the Titan Touch pump (or was it the Titan OTR? people here seem to confuse the two). He said he had done 500 implants with the Touch pump so far, and not even one revision because of pump failure so far. He did have a few on the older model, the OTR, though. Issues have been jammed deflate valves and problems with tubing connections. We all know Eid is a Titan advocator (and so am I), but he did say that to be fair, if mentioning a few revisions of OTR pumps, he should also mention more frequently patients with larger dicks (and hence longer cylinders) are coming to him complaining of lack of erection quality of their AMS implants and doing revisions to swap to Titans. And as always, different docs will have different opinions, and different posters on FT will have their different bias. Take my words for what they are. Just one guy's reference to one doc. Not the universal super truth. Build your own knowledge, make up your own mind.
Inflating, deflating and flaccid
I do need, as said above, 30 pumps to reach what I think is the perfect level for sex. This takes me well over a minute. I haven’t timed it (next time I will actually!), but for sure, one pump takes more than one second. I can do around 20 with one hand, even though the last five of those 20 will be difficult and high risk (slipping), and the last 10-15 pumps must be made with two hands.
The Touch pump works very well. It is truly just one touch that is needed. Or rather one firm squeeze of the deflate valve. I just press it firmly for 1-2 seconds and then my dick drains nicely down to almost empty. It goes down to a level which corresponds to around 5 pumps I’d say. If I want to completely empty it, I’d have to press and squeeze my dick and my perineal area. Normally, after sex, I just press the deflate button and then leave it as is till next morning when I completely empty it. Pressing the deflate valve once is an easy thing to do, and the dick goes down in a quite natural way, while as lying on my back and squeezing the dick with one hand and my perineal area with the other isn’t natural at all, and something I prefer to do when alone.
My flaccid was an issue in the early days. Now it isn’t. It hangs nicely down at the best angle it can. Normally around 5:00-5:30 I’d say. It is pretty big, around 14 cm (5.5”), but it is no issue. It is pliable enough to just be bunched down my pants and doesn’t look strange in any way even with tight jeans or suit pants.
Natural look
I would say that my implant (or pump) cannot be seen. If anyone would see me in the shower, nobody could see anything. The pump sits hidden behind the balls, and behind the dick of course. Even if I lift my dick up, the pump is not seen as it is behind the balls. I remember I posted some pics of this a few months ago.
When inflated, it is still not seen.
However, if a woman gives my a blowjob and she touches and sucks my balls (which in my opinion is a basic component of any good blowjob), she will for sure notice the pump unless she is retarded or unconscious-level drunk.
My tubing can be felt if one touches on the right spot, but it is on the side (in the groin basically) and I think most women would never feel the tubing since they would have no business pressing their fingers in my groin.
Anyway, for me as a married man, this is not a problem at all. Could maybe be if I was single, but I think I’d easily learn to deal with that as well.
Curvature
Before surgery, I had a pretty bad curvature. It was probably pointing close to 45 degrees to the left. Dr. Eid said I probably had some degree of Peroynies. I have the Titan 24 cm cylinders, no RTE on one side or anything, and my curvature is basically gone. There is a tiny little bend, but so small that it is barely noticeable. 5 degrees perhaps.
If I completely deflate my dick by pressing it and the perineal area, I do however have a slight bend when flaccid. This is due to the cylinders buckling in the flaccid state. This is something I don’t care about, but if I would be in a public changing room shower and this was a problem, I could easily solve it by giving my dick 3-5 pumps. This doesn’t noticeable raise the angle, but it fills up the cylinders enough to straighten.
Alright, I think that was it. Time to fold down the seat, put in the earplugs and get some sleep now. Take care Bionic Brothers.
Last edited by
merrix on Fri Sep 16, 2016 10:21 pm, edited 1 time in total.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon