I'm not convinced about glans engorgement being retained post implant

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restoringdthrowaway

I have read a lot of posts on FT from users saying they had glans engorgement pre implant but not post implant. Or others whose glans does get hard but is much smaller than it used to be. Some of which are patients of Dr. Eid so it's not just a consequence of choosing a bad surgeon.

People say it shouldn't be affected but at least with the peno-scrotal technique, I can see from surgery videos that the tissue is cut into on the bottom of the penis where the spongiosum is. Could that not be damaging it and affecting glans engorgement?

Another time a user said he can get good glans engorgement when inflated partially, but at max inflation his glans is smaller and cone shaped. This leads me to believe the cylinders impair blood flow to the glans.
24M, following injury in 2019 have 35 degree lateral curvature, pain, mild to moderate erectile dysfunction, hard flaccid.

restoringdthrowaway

Another quote from FT:

"as we all know who have implants we loose a lot of sensitive in the glands (head). There are 2 things you can try that will make you have more sensitivity in the head. First take some ED meds such as Viagra. I see all the post about Viagra and all its side effects but I have 100mg pills and I break them in half and that I will half again. If your doctor did his job right there is still tissue that will still carry blood all the way to the head. This will enlarge at least for me to almost it's original size. Second, don't inflate to its max amount. This will leave a tiny more space in the shaft and the ED pills will do the rest for you."
24M, following injury in 2019 have 35 degree lateral curvature, pain, mild to moderate erectile dysfunction, hard flaccid.

Stepone

I am confused by several of your comments.
I had no change in glans engorgement after my implant.
I had no change in sensation of my gland after my implant.
How are you coming up with statements?
StepOne and  
Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

restoringdthrowaway

Quote from: Stepone on January 07, 2023, 02:12:20 PM
I am confused by several of your comments.
I had no change in glans engorgement after my implant.
I had no change in sensation of my gland after my implant.
How are you coming up with statements?
StepOne and
I am getting my information from the forum that I can't say because this site abbreviates to the initials FT.

Are you circumcised?  
24M, following injury in 2019 have 35 degree lateral curvature, pain, mild to moderate erectile dysfunction, hard flaccid.

Stepone

Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

jj21

From what I have read, generally, if you had good glans engorgement pre-implant, you should have it post-implant.

Some users on FT report their experiences too soon, they need to wait 6-9 months, then report. The body may take time to heal and adjust.  
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Hawk

The smallest penile chamber that comprises the belly of the penis surrounding the urethra (spongiosum). is not touched or altered in implant surgery.  The end of that chamber is the Glans.  It is all one chamber with the end (glans) wrapping up over the tip of the penis.

In the VAST MAJORITY of cases, this chamber's ability (or inability) to engorge with blood is NOT affected by implant surgery.  It is independent of the surgery and will remain independent of the surgery for the rest of your life.  This means you could have decreased engorgement years from now, when stressed, intoxicated, etc.

If an implant is very aggressively sized, there is some small chance that until fully stretched, a tightly inflated implant will press into the glans preventing some of that area from inflating.  If the blood flow and the implant cylinder tips are competing for the same space, then the implant will win.  The solution would be:

1: Reduce your inflation by one or two pumps
2. Wait until you regain size from cycling

You can probably increase the rate of size gains using a VED with inflation.  I would inflate a little, use the VED, then fully inflate and use the VED some more.  Be careful the base rim of the VED does not press too hard against any palpable tubing
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

JustAGuy2020

I have had (2) separate surgeries, both involving incision around the circumference of my penis just below the glans (circumcision incision) and incision/grafting/implant placement via subcoronal approach.  Before the surgeries I had good glans engorgement and I still do to this day.
55 y/o, Peyronies Disease onset 2018, diag 2/19.
Pentox failed, Ref to U-Michigan, doppler showed 45D right curve and 80D dorsal w hinge effect.
Incision/grafting/plication at U-M 9/20 failed.
Implant / graft repair with Dr Levine (Chicago) 9/21, successful so far