how does RP cause a size decrease

[oldbeek]

How does having a prostate removal cause length loss. OK my prostate was 22cm in the pathology report. That is 1 inch. I was thinking the prostate set behind my dick and loosing that, my dick moves back in 1 inch. Sounds reasonable, BUT. Investigating how my implant is anchored, I find I have what is called a cruse muscle that is anchored to my legs both sides of my perineum. The cruse muscles continue up into your cavernous that makes your dick hard. The base of the implant is set down into the cruse on each side. NOW, the prostate sets right between your crus on both sides. Does removal of the prostate cause the cruse muscles to fall back into the hole left from removal of the prostate? Anybody have an answer that I can understand?

[Larry10625]

How does having a prostate removal cause length loss. OK my prostate was 22cm in the pathology report. That is 1 inch. I was thinking the prostate set behind my dick and loosing that, my dick moves back in 1 inch. Sounds reasonable, BUT. Investigating how my implant is anchored, I find I have what is called a cruse muscle that is anchored to my legs both sides of my perineum. The cruse muscles continue up into your cavernous that makes your dick hard. The base of the implant is set down into the cruse on each side. NOW, the prostate sets right between your crus on both sides. Does removal of the prostate cause the cruse muscles to fall back into the hole left from removal of the prostate? Anybody have an answer that I can understand?

I have heard that removal of the prostate causes ED. Untreated ED will cause the penis to atrophy over time.

Larry

[radioradio]

I don't think the crus or the implant are the issue. From the bottom of your bladder to the tip of your dick is basically one "pipe". The first inch or so of that pipe runs through the prostate, and when the prostate is removed, so is the pipe. The surgeon then re-connects the pieces of the pipe. Some of the gap is filled by pulling down on the neck of the bladder, and some by pulling up on the urethra. Bottom line, the pipe is shorter.
I my case, the procedure pulled up on the urethra to the point that my dick became an "Innie" much of the time. The implant has fixed that.
Bob

[Greg1956]

I have been curious about this also. My erect size decreased more than an inch after having a Prostatectomy and my flaccid went into hiding. In researching I kept finding info that it is common, but not what the true cause is. There were things about not using it causing atrophy, but mine was smaller immediately. It also said the lost size often comes back. I certainly don’t hear that from men who have this issue.

Greg

[radioradio]

I have been curious about this also. My erect size decreased more than an inch after having a Prostatectomy and my flaccid went into hiding. In researching I kept finding info that it is common, but not what the true cause is. There were things about not using it causing atrophy, but mine was smaller immediately. It also said the lost size often comes back. I certainly don’t hear that from men who have this issue.

Greg

I think "the length will come back" story is BS.

If I hadn't asked ahead of time about how that missing inch or so in the pipe would affect my dick length, the surgeon never would have mentioned it. And even then he stressed how the neck of the bladder would be pulled down to make up for it. I think they down-play the negative effects of a RP and paint a rosier picture of life after RP than most guys will experience. Just my opinion.

I had total confidence in my surgeon's skill, and little confidence in the story about healing and restoration of erectile capabilities. Specifically in my case, I figured there was no way I would end up in better shape in this regard after the surgery than I was before the surgery. And I was already pretty compromised. That's why I had the implant as soon after the RP as was practical.

Thankfully, the RP surgeons predictions about regaining continence came true.

Bob

[oldbeek]

Larry, I know about the athropy shrinkage. I started VED at 6 weeks post and injections at 8 weeks post RP. My length was 7 inch before rp and 6 1/4 at the first trimix hard on after the RP. That is 3/4 inch loss.
I also was under the impression that the prostate was in direct line between the bladder and penis shaft. It is, but it has these muscles on each side attached to the legs called cruse. The Corpus Casanova on each side originates in the cruse. The uretha is shortened and this causes your penis to suck back in when soft. I buy that. But when the corpus is filled that would stretch out the uretha. The uretha being on the bottom may even cause the dick to point down more than straight out or up.
When they install the implant they are raming the measuring tool down into your tunica towards the cruse. That is where the rear tip extender will go if used. The rest of the implant goes up in the tunica to your glans. How can a shortened urea stop the growth of the implant securely fastened in the muscles of the cruse?
My implant surgeon has been in urology for almost 40 years. I am going to bring this question to him at our next meeting.

[David_R]

I think "the length will come back" story is BS.

Bob, I have regained my pre-prostatectomy length of 5". This came after several years of regular inflation of my implant.

[radioradio]

I think "the length will come back" story is BS.

Bob, I have regained my pre-prostatectomy length of 5". This came after several years of regular inflation of my implant.

David, that’s great!
I meant “the length will come back” story told by the prostate surgeons. The implant and regular cycling is what got your length back. I don’t think they tell too many people that that’s what it will take. I can’t believe I would have gotten almost all my length back without my implant.

[oldbeek]

I was not getting it back with injections. I started to get pyronies with a 15 degree bend at the middle after only 20 injections. Implant at 9 months post RP.

[Jamesbond]

Anyone get lenght back?
Traction, VED or other?
Thank you
Bond