Penile implants and girth

[Trapper]

So I am wondering if anyone can tell me if gentlemen with above average girth will lose it with an IPP. It seems from what I have found that 5.5in girth is the max you can get with an implant.  

[Hawk]

I have no clue where you got the idea that you are limited to a 5.5" girth.  That is completely false information.

Most men, at least with a Titan, have girth gains, if anything.  I have never heard of anyone losing girth, certainly not on this forum.  The only way to lose girth is if you have a very large girth and either got an LGX which does have mesh around the cylinders that limit girth expansion, or if your reservoir was underfilled.  Either of these would be a botched surgery by an inexperienced or inept surgeon.

[Trapper]

Thank you Hawk. I guess my confusion is it appears that the maximum expansion of girth for the titan is 42mm (21 each) or a little over a 5in circumference. Plus the rest of the penis tissue which I am not sure how much girth it has.

Also, EID says in this video at about 1:49 if you are larger girth you may lose some https://www.youtube.com/watch?v=gxlyirG0YeU&t=108s.

Do you think that over time cycling fills this out? Did you lose or gain girth after your titan?

 

[Stepone]

I gained girth, which is exactly what the surgeon said. He asked me prior to surgery what was more important in my view about my implant. I told him I was happy with my length, but I would like increased girth. He told me giving me increased girth was no problem. I can't believe how big my penis is now. I still look at it when having sex and think wow, that's a thick dick. My spouse loves it.
StepOne  

[Trapper]

Stepone, would you mind sharing your post op measurements and pre-op if available?

[jj21]

Stepone, would you mind sharing your post op measurements and pre-op if available?

Chekc his journal, his whole journey is all there, and very inspiring.

[Hawk]

Trapper,

I gained a little girth from about 5 1/4 - 5 3/8" to 5 1/2" if I recall the exact measurements.  You can check my very detailed journal.

That is, however, an interesting statement by Dr. Eid and bears some further clarification for a man who has a current girth bigger than 5 3/4". I would almost consider a girth bigger than that to be a disadvantage.  You can control how much length you use.  Your partner is stuck with your girth (pun intended).

I think it is worth reading or at least scanning all of the journals.  Most all patients document before and after measurements, and no one on the forum has ever expressed dissatisfaction with girth.

[Jack1909]

It's not about being an advantage or a disvantage, it's about not seeing you own penis to be halved, which it may bring mental burdens as well. I asked this very question to dr. Eid and he said it basically depends on how much functioning erectyle tissue is left. He had a patient far above average and he managed to keep his girth.

I'm 5" in flaccid state...same age as the guy bringing this topic up.

 

[Hawk]

It's not about being an advantage or a disvantage, it's about not seeing you own penis to be halved...

No one's girth is going to be halved unless they have a 12" circumference which would break the world's record and mean their penis is far too big for any type of intercourse.

[Jack1909]

No need to say I did not mean it "literally"

[Rp2006]

Very disappointed and confused. I'm not ready for an implant but feel like I'm headed down that road. My girth is 6.5 inches (16.5 cm). I would never want to lose girth. Why can't they just make a thicker implant?  

[Trapper]

[/quote]

it's about not seeing you own penis to be halved, which it may bring mental burdens as well.

Exactly. I don't believe I will be halved per se but I am thinner than I was before injury 3 months ago. I don't have the luxury of having a long term partner to consult on matters of girth.

What I do know is that girth is more important to women than length and in the past women have been satisfied with my 6in girth. 5.75 or 5.5 is probably plenty but I would really like it all back so I can feel whole and have the best dick size for a wide range of women.

I am considering this urofill with Hakky should know more soon.

[Hawk]

Very disappointed and confused. I'm not ready for an implant but feel like I'm headed down that road. My girth is 6.5 inches (16.5 cm). I would never want to lose girth. Why can't they just make a thicker implant?

I can understand that no one wants a smaller penis in any dimension. I would like to discuss this issue with Dr. Eid in detail because his statement in that video conflicts with my understanding of Titan. This is what I recall from my conversations with him and from the posts of others over the years.

1. A Titan is not restricted in girth expansion because it does not have a mesh sleeve around it that restricts it as the LGX has.

2. There is the potential that the Titan can make your penis too wide IF the strength of the Tunica is compromised because nothing restricts its girth expansion except the limits of the tunica

3. because of the Titan's larger girth, it tends to push the spongiosum down and make it more prominent it you get some natural erection.

I have a legitimate curiosity since all sources say the average erect penis girth is 4.3 - 4.8. This is based on objective measurements of many thousands of men on several continents. I would think a girth of 6.5" would seriously restrict any hope of oral sex. If you prefer not to respond to this I understand. Just ignore it.

[jj21]

If it helps in any way, let me add my discussions with a close female friend of mine.

She was an average to petite build south east Indian woman who once dated a Jamaican, who had an abnormally large penis, large enough to tear her apart and leave a scar the first time they had sex. You would think, why would she ever want to have sex with this person again. Well, she continued to tell me that, after a few times, as her body became accustomed to the new girth, his penis was able to reach spots others couldn't, she once recalled having 13 orgasms in a space of 60 minutes. I believe having large girth, pushes the insides of the vagina and hits nerves closer to the clitoris as well.

So, in knowing that, I can understand why some members with large girth, would want to maintain their girth.

I also thought titans were only limited in expansion to the limits of the tunica, however, the titan website I believe, does state a limit on the cylinders (please correct me if I am wrong).

J

[Trapper]

JJ21 Yep the consensus is girth is better for women than length. I would be happy with 6. I've never been 6.5 but RP2006 seems to like it.  

[Sonic]

Would I be correct in saying if you have peyronies + ed the only thing that can salvage or regain girth would be an implant?

The loss of solid nocturnal erections narrows the penis out with time I can both see and feel this. Been almost 2 years with ed now and I can visually see how my dick has become thinner and the right side especially has a bad dent.

[jj21]

Trapper, I do believe I read a journal on FT whereby the user ended up with a 6"girth with a titan, although, I think it was 5.75 most of the shaft an 6' at base. Not sure if that helps... I believe, as Hawk said Dr Eid may be ableto offer much better insigh, maybe try posting a message to him in the medical professionals forum here.  

[Hawk]

A few comments.

If you cannot get erections day or night, even with PDE5 inhibitors or Trazadone 25mg at bedtime, then it is crucial that you use a VED to both gently stretch and oxygenate penile tissue, or you will definitely lose size.

My personal experience and experience talking to many patients of Dr. Eid is that he underpromises and over performs.  In fact, it is often enough that I think it has to be his deliberate method of operation.  You would be pretty hard-pressed to find a patient who did not end up with at least a bit more size than Dr. Eid indicated during presurgical visits.

I would like to see a survey on the length and girth of penis that men would choose if they could have any size they asked for.  I think it would almost be comical and way bigger than their mate would ask for.  I include myself in that.
 

[Rp2006]

My 6.5 girth has never been a hindrance. Just the opposite. Only thing with oral sex is her jaw can get tired very fast. Deep throating can be a challenge but oral sex is not limited to how deep a woman can take you. As far as sex goes it's fantastic. My wife loves both me and my Dick lol. But seriously I would like to know more about what Dr Eid meant. Hawk please let us know if you find out anything more. You can always PM me.  

[Trapper]

please let us know if you find out anything more.

A 28 year old guy sent me a video of his Titan and it looks to be at least 6 and maybe 6.5. However, heard of guys with above average girth go down. I really think this Urofill that Perito and Hakky do can address any loses though and at least one guy that had it done w hakky on top of his implant said his wife enjoys it:

"Yes it does, it fills your shaft out more and makes it a little softer feeling when you wrap you hands around it. The wife said it doesn't feel like a steel rod during sex, like it did early on.

I didn't see any results when he injected my head."

[Anthony1]

Im pre-op and 6.5"g.  I too would like to be at least 6"g after surgery in June with Hakky. Not that I have had a lot of women but the one I did really liked my girth with only one complaining.  Oral was never a problem.  
My wife of 20 years has said shes not opposed to a slightly less girthy penis after surgery.  
 

[Hawk]

Anthony, Thanks for jumping into the discussion.  Are you saying you are scheduled for surgery with Dr. Haaky?  If so, we are VERY interested in your progress.  Please consider keeping us updated.  It will be VERY valuable to others, especially since you have way above-average girth.

[ohnoohno]

If you cannot get erections day or night, even with PDE5 inhibitors or Trazadone 25mg at bedtime, then it is crucial that you use a VED to both gently stretch and oxygenate penile tissue, or you will definitely lose size.

Do you think, once you've lost size from not doing PDE5 and VED you can gain it back? I've fell off my regime the last few weeks as I'm travelling a lot and just tried to put it back of my mind, but I've realised I've lost length now. Fantastic!

[Hawk]

It is VERY unlikely that you permanently lost length in a few weeks.  Of course, you can get it back.  That is the entire point of traction and VED.  If you want to post more on this topic, start a topic somewhere rather than stealing Trapper's topic.

[LightAtTheEndOfTheTunnel]

Do you think you could lose girth switching from a Titan to an AMS? I was never thick prior to implant but gained significant girth with the Titan. The uro i just met with said he would probably install a Titan if he did a revision but I'm worried about losing girth and some rigidity since I have some hourglassing that I can still see when deflated.  

[Hawk]

Trapper, I think you miss spoke if I'm not mistaken. You said he said he would install a Titan. I think he meant he would install as AMS/BS.

There's no doubt a titan has greater rigidity than an AMS. It also has the potential for greater girth.  That assumes, however, that your penis will even accommodate that girth. if your current girth is 5 inches or under, I don't think the girth issue matters. Unless you're longer than 6 1/2 inches the rigidity wouldn't matter in a non-Peyronies case.

I think that both implants would exert enough pressure width-wise to both keep your penis rigid and to fill out any dents or hourglassing.  If I were going to get something other than a Titan, however, I would be pretty insistent that it was an LGX. The advantage of not having to work through dog ears. You would have a more natural soft, deflated state sooner, and there's a little more forgiveness in sizing since it expands in length. There is some chance that it might give you a little bit more length.

It would be a little bit more of a concern to me if he only implants one brand. How many implants does he do a year? How many revisions has he done?

[jj21]

There is a guy on FT who claims to have 6 inch girth an AMS, I think its the CX ( I could be wrong). This confused me as I thought AMS was limited to 5.5 inch girth. I also notice some members are unable to reach 6 inch girth with titans, then other members have 6 inch girth and 5.75 inch girth with titans.

 

[LightAtTheEndOfTheTunnel]

You're right Hawk, I meant to say my Uro wants to switch from a Titan to an AMS, my bad. Prior to implant my girth was roughly 4 inches at it's thinnest point due to the hourglassing. I was never particularly thick before peyronies either, and that was the part of my penis I hated the most. After getting the Titan my girth expanded to around 5 inches which was the best part of this whole thing. My length prior to the implant was just about 7', but now when fully aroused I'm just over 6. I lost maybe a half inch. The uro I saw doesn't strictly use AMS, but he said he would probably lean that way if he did a revision. He told me the tubing is longer on the AMS, therefore if tubing palpable tubing is my main concern he'd be able to bury it deeper and put the exit tubing much lower so I didn't feel it on my shaft. I asked that specifically and his office manager said he does a ton of implants, and he told me that he does as well. He's definitely high volume. Dr. Ravi Kacker.

And

There is a guy on FT who claims to have 6 inch girth an AMS, I think its the CX ( I could be wrong). This confused me as I thought AMS was limited to 5.5 inch girth. I also notice some members are unable to reach 6 inch girth with titans, then other members have 6 inch girth and 5.75 inch girth with titans.

I think if you're already thick prior to implant you could be disappointed in some aspects by the girth, especially if an AMS limits girt. That's why men who are thin girth-wise are pleasantly surprised after implantation with their new-found girth. If my implant felt natural and and comfortable I'd probably be over the moon because I got significantly thicker with the Titan.

 

[LightAtTheEndOfTheTunnel]

Not sure about how many revisions he's done but I could ask at my next visit. He was a very nice guy and hopefully things work out for the best because I'd love to be able to recommend another great high-volume implanter to potentially add to the list. If he says wants to switch me to an AMS I'll insist on the LGX. Thanks for the tip Hawk.

I watched a youtube video from Dr. Clavell where he said a problem with the Titan in patients with a thinner penis is that sometimes they can actually physically "feel" something inside their penis even long after the initial surgery. It just never ends up feeling natural to the patient, and it always feels like to them like there's a foreign body inside the penis. When he described that it struck a chord because that's exactly how I felt. I think I may enjoy the natural feel of the AMS more. I'm just scared to switch in case I lose the gains I've made girth-wise, or have an implant that wouldn't hold up rigidity wise. But if it's capable of expanding to 5.5 inches girth-wise that would be more than sufficient for me.  

[Trapper]

Hey Fella's just wanted to update you I got the IPP from Hakky today. I finally got some quality answers from a good urologist. Hakky told me I had mild distal peyroines as well as a little scarring at the base.

He told me I had two options go pills and injections and be extremely careful he said because it will probably worsen overime. Or go Implant and basically have sex without restriction and see him every 1o years more or less. I chose the second obviously.

He gave me the titan 24cm plus 1cm rte both side. I am on pain meds and I have to totally give up my nicotine gum for at least 3 weeks so may be irritable lol.

[Hawk]

Trapper, congratulations and wishing you the best.  I hope you will keep a good post-op journal updated. Especially with your girth, it is of great interest. Your journal won't get buried on this forum. It rille d up on the permanent index only one click away.

BTW, I sent Dr Haaky an email about putting him on our durgeon list.  He has not responded. if you are so inclined mention the forum and that I sent an email about a week ago.

[Pfract]

Hey Trapper! I wasn't expecting to read that you too the plunge on the implant and especially from Dr. Hakky. I had a video consultation with him once and found his demeanor and professionalism very good. Hoping that your outcome is successful and you have lot's of smiles with your new implant once you put it to use!

[ohnoohno]

Congrats Trapper! Wish you a healthy recovery. Are you able to disclose how much $ it cost? Can PM?

[Mikel7]

All the best and speedy recovery. Yes please keep things updated in your journal as you will never know just how many men your story will help in the future!
   Mikel7

[Hawk]

Congrats Trapper! Wish you a healthy recovery. Are you able to disclose how much $ it cost? Can PM?

Ohnoohno, why would he PM you with information that benefits the forum??  The entire reason you get anything out of this forum is because members publically share information with you rather than PMing and leaving you where you were before you found the forum.

[tshug]

Congratulations Trapper! Wishing you a speedy recovery.

[Sonic]

Hey Fella's just wanted to update you I got the IPP from Hakky today. I finally got some quality answers from a good urologist. Hakky told me I had mild distal peyroines as well as a little scarring at the base.

Best of luck with your recovery! Please do create a journal.

 

[Trapper]

Fella's thank you for all the warm wishes! I will create a journal on a seperate page to let you know what has happened as some of you recommended.

Hawk, it's funny you should mention that because I actually did talk to Dr. Hakky about you and the forum and he is a big fan of the online forums but I don't think he follows them that much. I will mention you sent him an email.

[Stepone]

Congratulations!
Best wishes on your recovery.
StepOne

[ohnoohno]

Ohnoohno, why would he PM you with information that benefits the forum??  The entire reason you get anything out of this forum is because members publically share information with you rather than PMing and leaving you where you were before you found the forum.

No worries. Thought it might be against rules or something to publicise figures

[Hawk]

It is in no way against the rules to publish figures or much of anything else that is not name-calling or personal attacks.  Our 10 rules are clearly published and easy to find in the "Read This First" section of the forum.  Unlike other forums, we follow them and don't make rules and enforcement up on an individual basis as we go.  https://www.peyroniesforum.net/index.php/topic,6.0.html

An abbreviated version ----> https://www.peyroniesforum.net/index.php/topic,8293.0.html

[Trapper]

Congrats Trapper! Wish you a healthy recovery. Are you able to disclose how much $ it cost? Can PM?

yup Hakky mentioned about 20k my insurance covered it though. He does self pay cases at his office and insurance cases at the hopital.

Hospital was so-so some of the nurses were excellent but the ones near the end of my stay sucked kept losing things and even left my IV ports in had to pull em out myself lol  

[ohnoohno]

Ah that's amazing, so you paid literally nothing for it? I'm from the UK / New Zealand (dual citizenship which might include Australia too) and wondering if I can manage something like this...

I mean it isn't like a cosmetic surgery out of vanity or anything its technically a medical essential us men need so you would like to believe we could get some help...  

[Trapper]

Hey Buddy,

If I were you I would finance this surgery and ome to hakky or clavell. I haven't paid anything except airfare, hotel, lodging, and food yet but I will probably owe my deductable of about 5k as well.  

[ohnoohno]

Not sure if my previous msg sent but Finance sounds like a good idea tbh, still paying off student stuff so probably cant afford more coming out per month but least there's a way some day.

[Trapper]

Now that I think about it though, Not sure financing is available to international patients as if they default they are out of jurisdiction for collection.  

[Trapper]

BTW, I sent Dr Haaky an email about putting him on our surgeon list.  He has not responded. if you are so inclined, mention the forum and that I sent an email about a week ago.

Hey Hawk, I mentioned the forum to Dr. Hakky today at my follow-up appointment. He gave me permission to share his phone number with you if you still want to add him. I'll PM it to you.