flaccid test stretch.... implant sizing options?

The final frontier. Deciding when, if and how.
thereishope
Posts: 190
Joined: Sat Oct 27, 2018 3:22 am

flaccid test stretch.... implant sizing options?

Postby thereishope » Tue Jan 28, 2020 1:34 pm

Hey guys. I was just in the doctors office in my home country and I was talking to him about my situation and told him that I was interested in having an implant. He measured me at 16cm flaccid, which is a loss of 1cm compared to my stretch test from 2017. I forgot to ask him unfortunately, what size would he estimate he would be able to implant on me.

From what you see here and your own personal experience.... What was the size of your implant for those which have a flaccid length similar to 16cm?

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: flaccid test stretch.... implant sizing options?

Postby tomas1 » Tue Jan 28, 2020 2:23 pm

I believe if you have a good doctor, any estimates before you're opened up are bogus.
The internal measurements are what he should go by.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

young_and_impotent
Posts: 215
Joined: Mon Apr 23, 2018 1:00 pm

Re: flaccid test stretch.... implant sizing options?

Postby young_and_impotent » Tue Jan 28, 2020 2:35 pm

Is the stretched penile test from the public bone?
28 year old with severe lifelong ED.
Implanted in New Delhi on 26/12/19 with AMS CX (15x12) + 4cm RTE
Post op length 4.5 inches from ~ (5.5 to 6) inches. Disappointed!
Wish to have a revision to LGX some day.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: flaccid test stretch.... implant sizing options?

Postby Lost Sheep » Tue Jan 28, 2020 2:48 pm

thereishope wrote:Hey guys. I was just in the doctors office in my home country and I was talking to him about my situation and told him that I was interested in having an implant. He measured me at 16cm flaccid, which is a loss of 1cm compared to my stretch test from 2017. I forgot to ask him unfortunately, what size would he estimate he would be able to implant on me.

From what you see here and your own personal experience.... What was the size of your implant for those which have a flaccid length similar to 16cm?

As tomas1 pointed out, external measurements are only of your penis in front of your pubic bone, outside of your body. Other variable that CANNOT be measured in an exam office are: Distance from the tips of your tunica albuginea (variations here are minimal and probably on the order of a centimeter or two, so MIGHT be estimable) is one. The really variable one is the depth of your crus, which varies considerably between individuals.

The ONLY measurement that tells a surgeon what size implant to use is the measurement he takes after he cuts open your tunica ans inserts the measuring tool proximally into your crus and distally into your penis tip, bot measurements of the inside of your tunica albuginea. He then adds the two figures together to determine what size implant to use (Montague, et al recommend subtracting a nominal bit from the figure to ensure against erosion through the glans, but this practice is largely eschewed by surgeons experienced in inflatable implants). The implanted device then has absolute determination of your ultimate external penis size. Whatever the surgeon does, the implant, where it eventually sits in your crus determines your ultimate dimensions and angle of erection. The implant has the final say as the surgeon has limited control over the finer details of where the implant "settles" in.

Having said that, I will point out that this is where experience is VERY important. A surgeon who has done hundreds or thousands of implant and (THIS IS IMPORTANT) studied how his results have turned out!!!! will be in a much better position to make the best estimates/predictions of the eventual outcome.

So, he can guess what implant size he will be able to fit into you, but that is only a guess.

A metaphor:
A shoe store clerk can estimate your shoe size by looking at your feet as you walk into the store but CANNOT be sure until he takes off your shoes and measures you.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

notaes
Posts: 523
Joined: Sat Mar 23, 2019 8:54 am

Re: flaccid test stretch.... implant sizing options?

Postby notaes » Tue Jan 28, 2020 3:09 pm

I had my implant on January 9, 2020. I had three pages of questions for my surgeon. He took his time and answered every question. He would NOT give me any figures on predicting penile length but Returned back to the same phrasing. You don’t really know what you are dealing with until you get inside the penis. Then and only then can you use a measuring tool as a predictor of size. I have two friends who have had implants around same time I did and we all had different surgeons who all practiced differently. None of us know at this point anything about size. We just want a cock that works! We all want all the size we can get! I believe any doctor would give you all the length he could give! Why? He is a man. He understands men and how they think! Why wouldn’t he? if your serious about an implant you just have to make the decision and hope for the best outcome possible with your circumstances. Everybody is different and has different anatomy. I wish you the best.
66 yr old male married 36 yrs use trimix four yrs, cilais and Viagra. trimix work well developed scarring on both sides had implant 1/9/2020 at UT Med Ctr, Knoxville, TN Dr. John Lacy.

thereishope
Posts: 190
Joined: Sat Oct 27, 2018 3:22 am

Re: flaccid test stretch.... implant sizing options?

Postby thereishope » Tue Jan 28, 2020 11:24 pm

young_and_impotent wrote:Is the stretched penile test from the public bone?


Yes, it was. :(

thereishope
Posts: 190
Joined: Sat Oct 27, 2018 3:22 am

Re: flaccid test stretch.... implant sizing options?

Postby thereishope » Tue Jan 28, 2020 11:27 pm

notaes wrote:I had my implant on January 9, 2020. I had three pages of questions for my surgeon. He took his time and answered every question. He would NOT give me any figures on predicting penile length but Returned back to the same phrasing. You don’t really know what you are dealing with until you get inside the penis. Then and only then can you use a measuring tool as a predictor of size. I have two friends who have had implants around same time I did and we all had different surgeons who all practiced differently. None of us know at this point anything about size. We just want a cock that works! We all want all the size we can get! I believe any doctor would give you all the length he could give! Why? He is a man. He understands men and how they think! Why wouldn’t he? if your serious about an implant you just have to make the decision and hope for the best outcome possible with your circumstances. Everybody is different and has different anatomy. I wish you the best.


Not exactly, but thank you. I appreciate that!

thereishope
Posts: 190
Joined: Sat Oct 27, 2018 3:22 am

Re: flaccid test stretch.... implant sizing options?

Postby thereishope » Tue Jan 28, 2020 11:28 pm

tomas1 wrote:I believe if you have a good doctor, any estimates before you're opened up are bogus.
The internal measurements are what he should go by.


What about all the measurements Dr eid does on his patients?

Eingraham
Posts: 5
Joined: Mon Jan 27, 2020 2:39 pm

Re: flaccid test stretch.... implant sizing options?

Postby Eingraham » Wed Jan 29, 2020 1:21 pm

Good Afternoon Group....
I'm new here so I thought I would jump in and thank those who have gone before me. I'm a 67 year old diabetic that has taken it's toll on my ability to achieve an erection. after the better part of ten years dealing with it. I tried pills, shots etc. Nothing really worked that well. I happened to be on the Coloplast site and located a urologist in Vero Beach. I attended an open house and afterward scheduled an appointment ....... now about flaccid size vs implant sizing .... When I posed that question , his reply was very straight forward. Get into a hot shower. After 10 to 15 minutes stretch your penis out as far as it will go...... That's about as big as you're gonna get!.... While it may be true that we lose a little due to lack of use he was pretty much spot on. He performed my implant on 12/04/19. Now, 2 months out to the day I got exactly what I expected. A bit more girth and about the same size. The best part........ IT WORKS LIKE A CHARM, solid core doors cringe when they see me coming.
67 yo type 1 diabetic... Titan 20 cm +2 cm TE 12/04/19... WHY DID I WAIT SO LONG!

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: flaccid test stretch.... implant sizing options?

Postby tomas1 » Wed Jan 29, 2020 1:43 pm

thereishope wrote:
tomas1 wrote:I believe if you have a good doctor, any estimates before you're opened up are bogus.
The internal measurements are what he should go by.


What about all the measurements Dr eid does on his patients?


I wonder about that as well.
Maybe it's showmanship?
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.


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