MichaelM wrote:Sorry I haven't had time to post: On Friday, a new urologist had a cancellation and I got in to see him at 10:30am. I went for a consultation regarding my implant. I have not been able to get past 3.75 inches, which I had been told would be my maximum with 8 mm in front of the pump. I was told I had about a half inch of glans and the 8 mm would stretch about 10%. Which comes out to 3.75 inches. I told the doctor this, told him what size had been implanted, and asked if he thought another surgery could extend my length. He said, and I will put it in quotes, but it is actually what I remember, not truly a quote:"You say you last had sex in 2007. That's 10 years. You have been largely unaided by pills or injections, you had a radical prostatectomy sacrificing the erectile nerves, you used a vacuum pump for the 4 years since your prostatectomy but were unable to maintain the erection with any tension band. Even so, your penis became retrograde and disappeared entirely and you had penile implant surgery. It looks to me like your flaccid state is remarkably larger than normal, so you should be pleased with that. I have inflated your implant myself and agree you probably have about 4 inches. I believe that is more than you need to have intercourse, and I think it is remarkable that you have that. No, I don't think I can increase your length by re-doing the surgery. You don't have the penile tissue; both because you haven't had a usable erection in 10 years, and because of the 4 years since your surgery your penis became retrograde and you can imagine any length you want while it was in the vacuum pump, but I believe what you had was 4 inches by the time of your surgery. I cannot in good conscience submit you to another surgery thinking you will be 5.5 or 6 inches. If you wanted a series of implants, each 1/4 to 1/2 inch larger, and then you stretch your penis, over the course of 4 years and 4 surgeries you could be 6 inches. But the loss of sensation would occur each time and it is entirely possible you would end up with a 6 inch body part that you would not have any sensation in. No, I won't do a surgery to correct something I think was done right in the first place. Primum Non Nocere: Above all, do no damage".
So I guess that's all there is to say. I should be glad I got what I did. And thinking I lost something is a figment of my imagination.
Michael... for the life of me...can you please, please, stop ignoring what i said a couple of times already? others also?
I will repeat myself, and again, show proof and in my opinion, it's pretty clear what you should attempt next.
https://www.ncbi.nlm.nih.gov/pubmed/21091884AIM:[b]We report a case demonstrating the impact of daily penile traction therapy in a patient with a previously placed penile prosthesis with the goal of enabling revision with a longer device.
[/b]
METHODS:
A post-RP patient who underwent inflatable penile prosthesis placement 6 years ago complained of inability to maintain partner penetration with his device. The patient underwent vacuum erection device therapy twice daily for 10 minutes per session for approximately 1 year as well as 8 hours of penile traction therapy daily for 8 months. A revision implant surgery was subsequently attempted.
MAIN OUTCOME MEASURE:
Patient reported functional outcome.
RESULTS:
Stretched penile length increased 2.3 cm after 6 months of traction therapy. A revision surgery enabled the placement of a prosthesis that was 20% longer in length (15 cm to 18 cm), and erect penile length increased by 4.4 cm. The patient reported that the new prosthesis enabled satisfactory maintenance of partner penetration.
CONCLUSIONS:
This case suggests that the use of a penile traction device increases penile corporal length, and thus the length of a penile prosthesis that can be implanted in a patient with an unsatisfactory prosthesis already in place. Importantly, this patient experienced a substantial improvement in erect penile length after surgery. It is unknown whether these results are generalizable, either to all patients with a previously placed prosthesis or pre-prosthesis patients, representing an opportunity for further investigation.
Is this clear enough for you? I don't care if you went to that doctor, and that was is answer. It's clear to me, based on THIS paper, cases like Alibaba, that had a revision surgery a year later and were properly resized. So now you say "oh,but i lost size, and my memory this and that, and my penis now has this size and there is nothing that a revision can do for me. Fine. then start with traction, use it consistently, and you will actually regain the size you had before your RP!
And for your size being enough for satisfactory penetrative sex? THATS UTER BULLSHIT! Please do not settle for this. And you tell me your wife does not want to use it? well... look at Xomanow and others having fun with Escorts and female companions. Now, mentally and grab the needed courage for this next endeavor! I would add that there are two awesome doctors which you should try your best to see, or talk to before you come to whatever conclusion.
I also add this:
https://www.ncbi.nlm.nih.gov/pubmed/21492409Traction therapy for men with shortened penis prior to penile prosthesis implantation: a pilot study.
Levine LA1, Rybak J.
Author information
Abstract
INTRODUCTION:
Loss of penile length after penile prosthesis implantation is one of the most common complaints. There is no recognized reliable technique to gain length once the device is placed.
AIMS:
This noncontrolled pilot study was designed to evaluate the efficacy and safety of external penile traction therapy in men with a shortened penis used before inflatable prosthesis implantation.
METHODS:
Ten men with drug refractory erectile dysfunction and a complaint of a shorter penis as a result of radical prostatectomy in four, prior prosthesis explantation in four, and Peyronie's disease in two were entered into this trial. External penile traction was applied for 2-4 hours daily for 2-4 months prior to prosthesis surgery.
MAIN OUTCOME MEASURES:
Baseline stretched penile length (SPL) was compared with post-traction SPL and postimplant inflated erect length. A non-validated questionnaire assessed patient satisfaction.
RESULTS:
All men completed the protocol. Daily average device use was 2-4 hours and for up to 4 months. No man had measured or perceived length loss after inflatable penile prosthesis placement. Seventy percent had measured erect length gain compared with baseline pre-traction SPL up to 1.5 cm. There were no adverse events.
CONCLUSION:
External traction therapy appears to result in a preservation of penile length, as no man had measured or perceived length loss following prosthesis placement, but in fact, a small length gain was noted in 70% of the subjects with no adverse events. The protocol is tedious and requires compliance to be effective. External traction therapy prior to inflatable penile prosthesis placement appears to preserve and possibly result in increased post-prosthesis implant erect length
