Please assist with implant decision

[samsung]

This is long read. And very difficult for me to post pics because I don't know how I'll handle criticism and any negative feedback and posting pics of your erect penis is very strange in the first place, so please be kind. But I need feedback because a decision has to be made.

Because my curvature is so distal, Dr. Eid was not confident he could straighten my dick. Apparently it is much easier if the curve is mid shaft or further back. He showed me some photos of a recent surgery that was somewhat similar and said it would straighten it some, but maybe not totally.

I was crushed by this. To me, an implant is last resort and should provide TOTAL straightness.

He said if he were me, he would get plication. He said grafting was terrible idea, just creates a weak point with a host of complications. I disagree with plication though. Losing more length and potential for curvature to recur is not my idea of a good time.

I started close to 8 inches. It is now 6 and way thinner. And way darker. And painful most of the time.

I want an implant. But everyone on earth, including doctors would say this is not the way to go as I don't have erectile dysfunction. Dr. Eid would operate on me, but it wouldn't be his first choice. Others docs I've seen said they would not operate.

I feel like I am trapped.

I have done traction for over a year. All the supplements. 4 rounds of xiaflex. It isn't going to straighten.

Everyone on this forum, even all the docs, would usually say, "live with the curve." But here is the problem.

I can't. I can't live with it. This consumes every second of my day.

I do not want to do traction 4 hours a day for the rest of my life. I do not want to take cialis for life and screw up my eyesight. I can't think of all this crap any longer.

I need this to be over one way or another.

I need to know the future is what it is. That I don't have to worry about further changes and losses and surprises. I need stability. I need to know what my dick is going to look and feel like a week from now.

I want to masturbate when I feel like it, not once every other week. I want to have sex and not worry about it snapping in half.

I will deal with the consequences of an implant.

But I need it to be straight. Or an implant makes no sense.

I am planning on taking the next 6 months or so and continuing traction, maybe VED and losing as much weight as I can. And then potentially doing this. Getting myself mentally and physically prepared.

What would you do?

[TonySa]

Hi guy, well you asked...I would not do any surgery and use daily low dose Cialis or viagra and daily restorex (30-60" a day).  Both to correct any curve and regain lost length.  I'd jerk off and have sex anytime I wanted.  Remember an upward curve hits your partners errogenous zones directly in the missionary position.   I know this is tearing you up psychologically so I'd also consider CBT counseling.  Keep us posted!  Tony

[Roddy]

Hi Samsung.

I know you've had a very difficult ride especially more from a psychological point of view if you don't mind me saying? I need to be careful not to downplay your fears, anxieties and obvious depression that you have talked a lot about in your previous posts but it would be remiss of me not to reply and tell you that when I viewed your photos there my immediate reaction was "what on earth is he dissatisfied with the shape of his penis for?" My comments may not make any sense to you as you are absolutely convinced that your penis is badly misshapen. I can only say that from the complete mess of my penis pre surgery at a 90 degree downward bend and completely unusable, what you have there is almost entirely straight by comparison. I don't know what you're searching for, Samsung, cos I would have been desperate for a shape as good as yours from where I was one year ago. I am being 100% genuine here. With a penis that shape and with that quality of erection, you should not be considering surgery in my opinion. What are you searching for my friend?

[JohnnyDoe]

At first glance I also did not see anything. I was like Samsung, have you been messing with us this entire time?! The view of the last photo, it looks perfectly normal.

But I 100% understand what you are going through. As many penises have this curve naturally, I think only a few degrees of improvement would make yours look very very normal. If you already have experience with traction, maybe try a bit longer?

I have been thinking about surgery and implants a lot myself, but just do not see why take such a  big risk if you can maintain erections naturally now. We all want our previous situation back, but from my research none of the surgical options will give you that without taking something away.

Implant could look like the best option, but personally I would only do that if my curvature was very crazy and I had ED.

Im sure you know all this, but that's just my opinion. I think if you can get in a mindset of acceptance you will be fine.

[SW01]

A curve is a curve. Mine made me physically nauseous. When I looked down and the head of my penis looked up at me that was not normal.

The issue would be your tips would be so close to the glans. Not sure cylinders would have enough length to straighten it.

For sure the titan would do whatever it could.

[redbullmaster]

Like most on here who's looked at your pics, I wouldn't recommend surgery.
As it looks very useable and an implant will/can cause other psychological issues.

But if you made you mind up on fixing this issue with surgery, can they not do a graft and an implant at the same time?
You may not even need the graft, just the cut to release the short side of the penis. The implant would then add rigidity to the penis. So you wouldn't have a weak point in your penis and the implant would solve any ED issues the cut may cause.

[Stepone]

Yes I feel your pain, Samsung.
I understand how devastated you feel. I once had a surgeon tell me a personal story. He said as a young man, he fell in love with his penis. He said it would bring him comfort when he was sad and was always there for him, no matter how many relationships changed, he said he always had his penis to make him feel good. He said and now things have changed. He said it's a devastating scenario. I finally found someone that was appreciating my concerns.
Well that was my place and my time.
Rather then to repeat all my story again, read my journal and read other people's journals too and you will get a sense that you are not alone in your fears.
When I was at wits end, I received care and guidance. I also realized that it was going to be a process and that I was going to have a new normal.
We are all different men, we all have sexual fantasies, we all have different things that cause us to explode, and we all have things that rob us of our playtime. As you said this is psychologically devastating because what is happening to your penis/cock/love.
My biggest concern is that you do something that hurts both your penis and your psyche.
To put everything in perspective, only you can feel better about this tragedy.
Getting back to the doctor that I spoke with. He said that sometimes we put unrealistic expectations on ourselves. In other words I needed to get comfortable with a shorter penis then what I started with. But what he was able to give me was increased girth.
You have been out there to show your erection and actually many of us have done the same. We understand, but at the same time, you need to hear, maybe not accept yet, but just hear what others are saying.
And what many seem to be saying is that "your penis ain't that bad" and some actually wrote they would gladly take your penis. I know that doesn't help a lot, but you should try to at least understand what they are saying.
And I would say too, although I am very happy with my new penis, I would have kept mine if it would have stayed hard. Getting the implant was a good thing for me and as I said, I now have increased girth. But if I could have my pre implant penis and a great erection, I would keep the old penis.
The implant is great, I can have sex for hours, increased girth, but it's the same feel when soft and I have to pump it every day for about an hour. I have some minor discomfort sometimes, deflating issues sometimes, but they are all worth it, CONSIDERING I COULD NOT MAINTAIN A SOLID ERECTION.
I hope my rambling post isn't too bad, but always feel free to ask any question on here and there is always private messaging too.
We are all here to help the best we can.
...and whatever your decision, we are here to support you.
I have even chatted with a few guys by phone and one meeting for a show and tell. So we are here to help.
StepOne

[Hawk]

Samsung,

Wow, I only read your post and Tony's reply.  You asked so I will tell you.  If I had a penis like that that maintained good erections I would never get surgery.  It is certainly good enough for intercourse and may well be superior for stimulating the critical area right inside the vagina opening.  I do not think any woman would mind that and your size is clearly above average.  I am sorry because I know this is not what you want to hear and I am not into complementing dicks but you have a great penis.

I will go back and read some of the other exchange.

[Roddy]

I cannot disagree more with anyone who thinks. Implants are for erectile dysfunction and not for penis straightening!?  Talk about misinformation! I had a downward curve of 90 degrees as a result of Peyronies. At no time did I have erectile dysfunction - my penis was almost but not quite as hard as it was when I was a youth. Unfortunately due to the bend, it was useless for intercourse. I had a Coloplast Titan implant last June and have never been happier, straighter, harder, hornier etc. With one post, you have completely disregarded the experiences of dozens of successful Peyronies suffering implantees. As living proof, with many pictures, I find this level of misinformation baffling to put it mildly.

[Hawk]

Implants are for erectile dysfunction, not penis straightening.

As already pointed out, that is misinformation.  Often it is much more appropriate to go the route of an implant for penile straightening than it is for excision and grafting or a Nesbit procedure.  Sometimes these surgeries even cause ED or shortening.  A well-installed implant never does.

In Samsungs specific case I would be happy with that penis but I understand that he is not.

[Stepone]

I know we all want answers right away, but i agree with Rodney and Hawk about reasons for implants. If you read the journals of Rodney, myself, and others, you will find that the implant saved us from "no sex", "depression", and reduced intimacy with our spouses! I might even add that my implant brought back some length that I lost from a Nesbit. The implant also gave me increased girth and the elimination of the hour glass too. I love my new dick, and so does my spouse.
StepOne  

[samsung]

Thank you all for your replies and I will address specifics later after I've digested all of them.

Just one quick question: with my distal curvature, in your opinion, would a Titan straighten it? SW01 seemed to think it would not. Or may not. And does an implant always give you a floppy glans? I've seen them go both ways.

[TonySa]

No, implant definitely does not always result in floppy glans—just find a great surgeon!

[Hawk]

Samsung,  I know you have some obsessive urge to compare and agonize over as many opinions as you can get because I recognize the pattern.  I deal with a bit of that myself.  However, if Dr. Eid had concerns and you had a personal consultation with him then what in the world other opinions could you find on this forum to come close to comparing with his ??

I will say Dr. Eid is conservative in projecting outcomes.  He underestimated my final length and he expressed concern that he might have to do an additional incision to place the reservoir since I had prior abdominal surgery.   He told at least 2 other men I know the same thing.  None of us needed additional incision.  He goes out of his way not to promise what he is not certain he can deliver.   If he is willing to do the surgery then he at least has a reasonable thought that he can straighten you but he would not bet his reputation as a straight-shooter on it.   As uncomfortable as that uncertainty is for the likes of you and me, that is what you have to deal with when making a decision.  There just are no 100% certainties.  

[Alibaba]

I assume if you have had Ziaflex injections, that at least an ultrasound or CT has been preformed.  My question is has it always been this way or was it a new development? Did it develop over a long period of time or short period of time?  If the Ziaflex and Traction were of no benefit then there is more going on than they can address though traction seems to me would be difficult this close to the glans. Length loss is also concerning and an indicator something is going on. Looking down at it, you have a beautiful erection. Side view, I understand your issue with it. The whole question is why is this happening and will it worsen?  I have heard of this happening and cannot think of the cause at the moment. One day it will pop in my head.......maybe.  I would wonder if you have any contracture issues with your hands or any other body parts. Sometimes there are issues going on in your body as a whole that a specialist in one area (dick) may not consider.  The suspensory ligament pretty well runs from your pelvis to glans on the top side. Plication will straighten it.  I think I had heard one time of a Zplasty on the ligament for issues like yours.  Ligaments as a rule take a long time to heal. Until the cause is figured out, I would not do anything surgically.  Considering the direction of angle, I also think a stretching device put on backward if you can get it to hold along with the ziaflex would have been more appropriate.  Some things need to be looked at from a mechanical standpoint also. I think Dr. Eid does have a degree in mechanical engineering too unless I am confusing him with someone else. Till you figure out the cause and your path, be glad it works. It is beautiful from your view. Cheers.

[samsung]

Ali, thanks. Yes, an ultrasound has been performed. Twice. The whole thing developed over a period of about 6 months. It has not progressed much since. I don't have any contracture issues in my hands. I have done traction all along with no problems clamping. I will not consider plication though. I do not want to lose more length or risk sensitivity loss or other things that inevitably seem to occur to almost everyone on this forum that gets surgery.

[samsung]

What is "Zplasty on the ligament?" Is zplasty excision and grafting?