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Erectile Dysfunction Forum - for all men with ED => Penile Implants => Topic started by: Hawk on April 26, 2018, 10:45:27 PM

Title: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on April 26, 2018, 10:45:27 PM
My Peyronies Disease seems to have been stable for some time, but a radical laparoscopic Prostatectomy and later salvage radiation have left me with severe Erectile Dysfunction.  Viagra no longer works. The VED has always worked fairly well.  In fact, I have delayed an implant because I have been concerned with the further loss of length and the glans not engorging as it does with the VED.  I have some confidence these will not be real issues with a top-notch high-volume surgeon, especially when compared to the spontaneity gained by an implant. 

I have a video consultation set up with Dr. Eid for next week.  I have a list of questions, and I am obviously going into this pretty well informed, so we will see where this goes.  I have a pretty full schedule for the next two months, so any surgery will likely be at least a couple of months away.

I will discuss model options, but I am of the impression that Dr. Eid often decides in surgery when he fits the patient with the optimal implant for his anatomy.  I like that he induces an erection with full-measurement before surgery to assure the result will not be less than the patient had going in.


Title: Re: Strongly considering a 3 piece penile implant
Post by: james1947 on April 27, 2018, 03:33:51 AM
Please let us know how is going with the consultation.
Wish you successful outcome :)

James
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on May 03, 2018, 12:50:08 PM
I had my 30-minute video consultation with Dr. Eid. I found him to be informative, reassuring, and delightful.

I asked if I would lose any length with a Titan vs. an LGX. He was very forthcoming and told me that regardless of the model, he guaranteed me that my post-op size would equal my preop injection size. He also readily told me that I would appear smaller than the artificial engorgement I get from a VED under a heavy vacuum (mostly because of a tightly engorged glans with the VED.) He, of course, went on about his campaign against Rear Tip Extenders (RTE) put on the end of implants to backfill any leftover space since these do not inflate, and the junction can cause some wobble in the erect penis and cause it to point downward in a 4:00 or 5:00 o'clock position when standing.  He prefers to go up one length in the cylinder and cut some off of the rear.

He also told me I would get a life-size non-working model of the pump to take home to learn and practice with. Finally, I was surprised that he said he would send me home deflated to prevent the scar capsule that starts forming around the reservoir from restricting its size. He said I would start gently cycling in 3 days (OUCH!).

Due to the obligations I have, I think this will probably not happen until about July.

PS: It was also good to hear a doctor validate that bimix does, in fact, cause scarring of penile tissue.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on May 03, 2018, 07:41:48 PM
Hawk: it's not often that we see people in this forum going to implant route. Based on all I've read and seen online, you are choosing one of the best, if not the best out there for this.

Good luck with the next steps!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on May 08, 2018, 11:02:02 PM
Thanks, pfract!  All of a sudden, I can't do this fast enough.  I have researched this pretty thoroughly and continue to do so.  I quickly narrowed it down to Dr. Eid or Dr. Kramer.  Both are very high-volume doctors.   I will let Dr. Eid choose the implant as long as he discusses his choice with me. He also told me I could be awake during surgery which I really want to do.  Maybe I can talk him into an extra inch or two during surgery,  :)
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on May 12, 2018, 07:52:12 AM
Dr. Eid mentioned he prefers an epidural or spinal to general anesthesia. If I understood his reasons, I believe this is partly because of how it causes the blood to pool in the penis area, which is an effect you do not get with general anesthesia.

When I asked if I could be awake during surgery, he said, "if you want to." I think I am looking forward to that opportunity. I have a friend who recently got a knee replacement while awake. The surgeon was a mutual friend of us both. He said he could feel his upper body shake during some hammering and smell bone during some sawing. They would not let him watch, but he carried on a conversation with all of the staff. There is no doubt that penile implant surgery would be far less dramatic than orthopedic surgery to replace a knee.  At least no saws and hammers, I hope :)
Title: Incredible 1st (in-person) visit with Dr. Eid and two patients
Post by: Hawk on July 20, 2018, 09:08:24 AM
Yesterday was my first in-person visit with Dr. Eid. Driving to his office from the Lincoln Tunnel was a nightmare that took far longer than I expected. Since there is parking right next door, I got to his office only 2 minutes late. My first impression was that the waiting room was small and very unimpressive. Everything from that point far exceeded my expectations. I called the day before to confirm I would actually see Dr. Eid and not just some PA or Tech. The office staff almost laughed and assured me that Dr. Eid ALWAYS sees his patients, and he never leaves them to anyone else. After the nurse took my BP, I went to Dr. Eid's office to get acquainted, ask questions, and look at the Coloplast and AMS working models. Next, I went to an exam room and disrobed from the waist down to wait for Dr. Eid. Soon Dr.Eid stepped in and said, "slip your pants on. I have a patient 4 weeks post-op that is happy to have you present". It was a bit strange having the gentleman I met in the waiting room laying there with an erection, but I was far too interested to be uncomfortable. Dr. Eid showed me the utterly non-existent scar on the scrotum. There was no trace of trauma on him anywhere that I could see. Dr. Eid left, and I talked with the patient for 10 minutes.

After I went back to my assigned exam room, the door opened again, and Dr. Eid says, "I have another patient that is a year post-op that had a robotic prostatectomy like you. I think you should meet him" (I had some reservations about reservoir placement in prostatectomy patients). Dr. Eid said, "just wrap your paper sheet around you and step across the hall." Patient #2 was a fit, 80-year-old guy that looked 15 years younger. He was being evaluated for bladder sphincter surgery. As Dr. Eid left us to talk, we found we shared a lot of history such as; prostatectomy, Peyronies, use of traction, VED pills, and injections. He was exuberant about his life since his implant, which he said he and his wife used 400 times the first year. I could not detect the reservoir placement, and he said it did not interfere with any type of exercise, including abdominal exercise. I asked how long it was before he could drive 5 minutes to buy a loaf of bread, and he said "3 days," and neither patient ever took their level two pain relief pills.

I went back to the exam room, and Dr. Eid came in, injected me himself, and did a Duplex Doppler Sonography. The 20 cc of Tri-mix more than did the job. He measured me erect and recorded that along with the recording of my stretched flaccid length. I asked a few more questions about sizing and rear-tip extenders. He said he does not like RTE's and that when he can, he sizes up and actually trims the rear of the fixed cylinder tips down. I left and drove through Manhattan with a raging erection that lasted almost to the point of concern.

What I learned: After 15 years as founder of this site and many years reading FT and blogs, I went pretty well informed. The concept of placing the reservoir differently in robotic prostatectomy patients was new, however. I also learned that Dr. Eid said I could use the flat washer-like rings that come with the Vacurect VED (I took one to show him) if I was concerned with glads erection. In addition to saying I could use the Vacurect and rings, he said some men use muse but thought I would be happy without either. I learned that Dr. Eid seems far more interested in visiting with and serving his patients than he is with hurrying a maximum number of patients through his practice. IT WAS A GREAT VISIT! THANKS TO DR. EID AND TWO PATIENTS THAT WERE WILLING TO HELP A FELLOW BROTHER.

PS: Both patients had Titan implants and resolved any concerns I had about the deflated state. Dr. Eid said more often than not, he uses the Titan on my size penis. (Slightly over 6 inches - slightly over 7" if I risk pulling it off and impaling my pubic bone with a ruler.)
Title: Re: Strongly considering a 3 piece penile implant
Post by: bigandrich1981 on July 20, 2018, 06:33:46 PM
Hawk it sounds like you had a great experience.  Now maybe I am wishing that I looked around at other Doctors but I chose the best I could find within a couple hundred miles. I hope everything works out as you desire.
Title: Re: Strongly considering a 3 piece penile implant
Post by: james1947 on July 21, 2018, 11:17:53 PM
Thank you for the detailed appointment with Dr. Eid
Wish you an excellent outcome :)
Please update us when you will make the implant

James
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on July 23, 2018, 12:44:49 AM
 Hawk: this was an amazing read. Thank you for sharing it with us. It also means a lot to me, because I want to go there this winter. Please keep us posted!
Title: Re: Strongly considering a 3 piece penile implant
Post by: LWillisjr on July 24, 2018, 06:41:08 PM
Hawk,
You know I am praying and hoping for the best possible outcome for you.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on July 27, 2018, 08:56:24 PM
Quote from: LWillisjr on July 24, 2018, 06:41:08 PM
Hawk,
You know I am praying and hoping for the best possible outcome for you.
Thanks brother.  I can use all of that I can get.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on July 28, 2018, 08:08:23 AM
I had my second appointment with Dr. Eid yesterday. I love that guy. He did a cystoscopy to make sure I had no strictures. I, of course, had to get the reassurance of size outcome and try to get a commitment to squeeze out another 1/4 inch or so.  Sylvia, his nurse, already tried to assure me I was fine size-wise and asked if I wanted to kill someone with it.  :) Then Dr. Eid said, "I have in your notes that you are interested in reducing the length a little, is that correct." I said, "sure, Dr. Eid, I am the one guy on the entire earth that wishes he had a smaller penis." The humor relaxed me some and was followed by a serious discussion. Dr. Eid said he really gets many calls from men that say they went home and measured and got more than he did in the office. He pulls their chart and says, " I measured 6 inches. What do you get at home?" He said it is not uncommon to hear them say, I got 6 1/8 inches".  :) My response was, "hey, an 8th of an inch is an 8th of an inch. He told me that he is pretty sure I will take a 22cm Coloplast because, with AMS, he would have to go 18 cm and stack rear-tip extenders (RTE's).  It always makes sense to minimize RTE's because 1) they do not inflate and deflate 2) they push the tubing connection further forward, making it more difficult to conceal. He did say I might need 2 different size cylinders because of a slight curve, but he cannot be sure until surgery.

After the exam, I told Sylvia that I remembered a couple more questions, and she said, "no problem, I will get Dr. eid to come back as soon as he is finished with his other exam. Dr. Eid came back and seemed very glad to spend more time answering questions. I asked, what if I have questions a year from now about prolonged pumping or partially pumping it up or such. Dr. Eid said, " you have my cell phone number. I have men contact me 4 years after an implant to ask questions. Just text or call.

I have always said if I want love or understanding, I will call a friend or a priest. When it comes to doctors, I far prefer competence to bedside manner. Dr. Eid, however, delivers both. In just two meetings, I feel he is a friend that is interested in my welfare.

As a footnote, Dr. Eid said prolonged inflation and partial inflation are not good ideas because it can thin the tunica (I assume much like a malleable implant can migrate).
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 07, 2018, 07:54:02 AM
As I type this, I am undergoing surgery for a 3 piece Titan penile implant by Dr. Eid, a world-class surgeon in this specialty. 

Many gasped when I posted about my intention to be awake and alert during this surgery.  Why did I do it?  I did it for a few reasons. First, I wanted to be part of the process that intimately affects me and have the rare opportunity to observe and interact with a true master applying his skills.  Next, I wanted to reassure those that need and long for this surgery not to make it worse in their mind than it is, especially when you are in the hands of a truly great surgeon and a dedicated team. Finally, I gain the benefits of no side effects from general anesthesia, including activating my sleep apnea.  Stay tuned for any updates from the OR.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 07, 2018, 10:31:53 AM
my implant procedure is complete and i am the proud owner of a 22cm Coloplast Titan bionic  penis.  they are rolling me to recovery.  the actual procedure was fun.  i love Dr. Eid, the kind of guy i could just enjoy spending the day hanging out with.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on August 07, 2018, 11:11:03 AM
Congratulation, Hawk! Thank you really much for sharing your story!
I would like to ask you: how long was your penis in full erection before the prothesis? And how much long will it be, according to Dr. Eid, after the prothesis?

I did not consider a penile implant yet - i'm too young, 24 years old - but in the future, if i will not solve my problems, i'll probably consider it. My problem is that i'm a "grower" and not a "shower". So, in full stretch, my penis sometimes is only 12-13 cm, while in full natural erection it is 17 cm, sometimes even 17.5 cm. (sorry i don't know the conversion in inches!).

My biggest fear about implants is that i would have a 12 cm long penis only and, if i'm unlucky, a scarring post-op may reduce even more my lenght, ending with a micro penis and more sad than before.

P.S.= What about girth? :)

Thank you really much!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on August 07, 2018, 04:58:13 PM
hey Hawk!! Good luck with the recovery and please, keep us informed on it.
Title: Re: Strongly considering a 3 piece penile implant
Post by: peyronies_dave on August 08, 2018, 02:57:23 AM
Keep us posted Hawk, those of us awaiting implant surgery need all the data we can consume!!!
Title: Re: Strongly considering a 3 piece penile implant
Post by: skunkworks on August 08, 2018, 03:41:49 AM
All the best for the recovery and best wishes for a good outcome. You deserve it.
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on August 08, 2018, 10:56:11 PM
The implant will turn you into a shower rather than grower meaning both flaccid and erect you will be closer to 17 cm-not 12.
Title: Re: Strongly considering a 3 piece penile implant
Post by: suicidecomingsoon on August 09, 2018, 07:05:31 AM
Quote from: Tsanchez12369 on August 08, 2018, 10:56:11 PM
The implant will turn you into a shower rather than grower meaning both flaccid and erect you will be closer to 17 cm-not 12.
To be fair, most surgeons measure the penis by stretching it in flaccidity (and from what I have been told they do not stretch very much or very hard) and that is the measure that can guarantee you after an implant.

So if his flaccid stretch is 12 or 13, the result is more likely to be that.
But, probably to that you can add what your glans grow when swollen
Title: Day 3 Update Friday
Post by: Hawk on August 13, 2018, 03:25:45 PM
This thread will have some posts copied and pasted as I get around to making my formal Implant Journey Log.

Day 3 Friday - This is a landmark day after lying flat in bed ( no pillow) for surgery day plus two more, no shave, no bath, etc. I woke up at 4:00 AM well rested with lots to do. No bowel movement since surgery despite stool softeners and Milk of Magnesia, so this morning, I have to (1). Take a fleet enema (yippie). (2). I have to remove the catheter, (3). unwrap my new present, (4). Take my first hot bath.

!. Needs no details
2. uneventful except the catheter was a little bloody
3. I was shocked to unwrap a fully erect penis standing at 2:30 o'clock. This was not a chub, but something any 18 yr old would have been happy with as far as firmness. The size did look disappointingly smaller.

I was confused since I know Dr. Eid sends patients home deflated and eloquently argues why it is essential to do so. A call to Dr. Eid (this man is sooooo accessible to his patients) explained that I was NOT inflated. Rather than there being any fluid in the cylinders, my "erection" resulted from fluid, blood, and blood clots around the cylinders filling the cavernosa.

4. As I felt around my scrotum in the hot bath, I could not find the pump. Weird, did he forget it ??? Then I realize I am feeling my left testicle and the pump. It is my right testicle that I can't find. I even felt to see if it ascended into my body to hide from the pump. Finally, I located it to the left of the pump and lower in the scrotum, so it is; Left nut, right nut, then higher up and to the right the pump. I did not try to cycle this first bath but just got good and clean and loosened up to identify pump parts. I will remember to have my model pump next to me during my noon bath.

4A. I think I have this pump figured out. The ball is on top, and the release valve below. For some reason, I was expecting it to be reversed. I pushed the release valve hard, then harder, then even harder. I got no trace of feedback, so I was afraid to pump the unit until I was more certain I could deflate.

4B. Third bath. Dr. Eid assured me I should not expect feedback from the Titan OTR. I pumped 4 cautious full pumps. Now I see why men talk about this thing being hard as a marble. I pressed the OTR and squeezed it down. The pumping and the release both made the lining of my scrotum burn, but nothing unbearable.

Now that I am confident I can deflate, I will pump up more tomorrow on day 4.
PS: Dr. Eid told me to go to 600 mg of Ibuprofen 3 times a day since the pain meds were so constipating.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on August 14, 2018, 05:36:51 AM
Hey Hawk! Currently following your diary here and on FT, although anonymous there, since I was banned months ago. Keep me posted. Thanks for that information on the infection information!
Title: Day 4
Post by: Hawk on August 14, 2018, 12:54:54 PM
Day 4 Mon
I failed to post that I had a grandson drive me to SAMs Club yesterday, where I rode an electric cart while he loaded and unloaded it. It did not seem bad, but I think that, plus my first attempt to cycle, contributed to the fact I am more swollen today. It actually looks like there is fluid between the skin and shaft. Dr. Eid told me just to soak and skip cycling for the weekend. I am on Tylenol and Ibuprofen. I feel pretty uncomfortable.

Day 5 Sun.
Swelling clearly down. My penis shaft has just a little give in it now and will bend mid-shaft upward but not down. Still pointing at about 3:30 - On my 3rd soak at night, I gave a dozen pumps since all went well.

Day 6 Mon
Swelling still down today to day-5 level. Dr. Eid said to proceed with cycling but not necessary with every soak. He told me not to be concerned about swelling making me "erect." That it would resolve, on my last soak, I pumped 15 times by giving 2 or 3 pumps and waiting a few minutes. It seemed to be max pumps unless I was just cautious of squeezing my scrotum harder. No penis pain, but my scrotum is very sensitive while pumping. I think I might have maxed out in 15 pumps because of the swelling and fluid in the cavernosa around the outside of the cylinders. - Scrotum was burning when I got out of the bath. I took a Percocet 5/325 at 10:30 and went to bed. I woke up at 1:30 and felt like my package was ON FIRE. Took another Percocet. Was the worst pain since day two.

Day 7 Tues.
I am sore this morning and just soaked, which helped a lot, but I think it would be crazy to pump in this condition.

PS: After this post, I discovered on day 9 that I had not been totally deflating
Title: Re: Strongly considering a 3 piece penile implant
Post by: TheTollundMan on August 15, 2018, 12:34:11 AM
Hoping for a great outcome/recovery, thank you for sharing the process with us.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 21, 2018, 12:18:46 PM
Day 8 Wed
I cycled once on my third soak last night after just soaking during my first two soaks. I pumped 10 times! Just enough to take all the folds out of the cylinders. I rested well, but when I woke up, I felt full and sore. As I got ready to get in the tub, my penis is at 2 o'clock. I felt the cylinders, and they were full of fluid. Somehow my Titan had to auto-inflate during the night because I am sure I deflated.

Day 9 Thurs
A day of wonderment. I finally actually deflated today after being convinced that I was deflated. Having never seen or handled a deflated Titan implant and being told I was deflated when I unbandaged on day 3, I thought I was deflating. It has been complicated by what seems to be widespread confusion over the use of the Titan Touch pump. In the past 6 days since cycling, I have depressed the deflate valve exactly like the Titan training film shows. I kept one hand on my penis, so I knew when I depressed the valve hard enough since it is a little challenging when your scrotum is still tender. As soon as I felt the pressure drop in my penis, I would release the valve and place both hands on my penis to squeeze out the fluid. It seemed I got some added deflation doing this, but in retrospect, I think that deflation stopped when I would turn loose of the deflation button.
Since I did partially deflate, I could feel a dog-ear-like fold in each cylinder. I thought that meant I was deflated, and the remaining fullness was swelling.

Today I held the deflate button while firmly squeezing my penis, and my penis collapsed flat. I could feel the cylinders crinkling and flopping around in my penis and a level of deflation I had not experienced. When I stood up, it was nice not to feel the weight of a mostly filled penis suspended in front of me. It was still almost at 3 o'clock but less full and less heavy.

The BIG QUESTION REMAINS. WHY IS MY TITAN TOUCH DEFLATION VALVE NOT LOCKING OPEN WHEN DEPRESSED AS ADVERTISED???
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 21, 2018, 12:22:35 PM
Day 10 Fri
I feel bad because all I do is lay in bed all day and my day revolves around 3 forty minute hot baths that tend to drain me. Sitting is uncomfortable so I thought I would try walking. I walked around the block and felt I could have walked miles. Got back and took my grandson to a Dr. Appointment. This is the first I have driven a car and other than the sitting it did not bother me. Then I picked up a couple 6 lb dumb bells to do curls and presses. It seemed uselessly light but still felt better than laying around. My local urologist's nurse called today to set up an appointment to remove my sutures on Tuesday. They had been hesitant so it was nice to have that settled.

Day 11 Sat
Since walking went fine yesterday I increased to 4 blocks today and feel I could walk 5 miles. So it seems I am comfortable walking or in bed but not sitting. I am even more comfortable walking than standing. Since I am finally fully deflating it now takes at least 24 pumps to pump up which is a little challenging on my sensitive scrotum but all of this is progress so I feel am closing in on the positive side of getting this implant.

Day 12 Sunday
Now that I am finally totally deflating the extra pumps to inflate are taking a toll on my scrotum. I woke up last night at some point and had to take a Percocet for scrotum pain. First I have had to do that for about a week.

Drove about 20 miles today. I have a tendency to bear my weight by pushing on the floorboard with my quads and push my back into the back of the car seat rather than bearing the weight on my butt.

Day 13 Monday
I took a pain pill and pumped up in the tub on Sun night. I am only cycling once a day since I think that will do the job for now and my scrotum can't take more.

I slept well and did not have any pain through the night

Tonight I pumped up with no pain meds of any kind. Have not even had a Tylenol in over 24 hours. Tomorrow I get the sutures removed. On step closer to normal.
Title: Day 14 - Peyronies Disease dent gone from the base of my penis
Post by: Hawk on August 21, 2018, 09:27:06 PM
Day 14 Tuesday

I just had a beautiful nurse remove my 3 sutures. She commented on my "semi-erect state. I feel better every day but sitting, cycling the implant, and some other activities, like bending to pick something off the floor, are still rather uncomfortable, although doable.  I am most comfortable walking.

I am dying to start some light exercise. My mind is also drifting in the direction of putting this to use, but that is at least a week away. I guess when you are annoyed by minor things like stubble growing back, it is a sign you are making progress.

When pumping up, my penis lays flat on my stomach if I am lying in the tub. This is much like my natural erection before the prostatectomy. When I stand, it is at 2 o'clock with very little give to bend it down. When I pump, the pumping process goes from hard, to harder, to very hard, but I am not sure I have hit the max. The pump ball seems to get incrementally harder, but I have not felt it become as rock-hard as a marble.

Since I am at such early stages, I have really not measured. For one thing, the stiff 2 o'clock angle makes it difficult. I am assuming as I heal, I will be able to push that down to more like 3 o'clock without pain. My girth measurement unchanged, with one notable difference. I had a scoop, dent, or partial hourglass deformity on the left underside of the base. That seems to be totally gone, as is the slight right curve.

The steri strips the nurse glued on when she removed the stitches fell off on my first soak. I wanted to make sure my incision was completely closed, so I had my wife look with a magnifying glass. She could not find the incision. I looked and zoomed in with an iPad and could not find the incision either, even though I know exactly where it was. Incredible considering all the components I have installed.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 23, 2018, 11:37:21 PM
Day 16 Thursday

Still cycling once a day. My discomfort of cycling is more about pumping than the discomfort of an inflated penis. So I pump once and stay inflated for 30 minutes. Dr. Eid said he is fine with that as opposed to inflating twice for 15 minutes. I will go twice a day but not right now. My big push now (no pun intended) is to gradually push this thing into a downward angle when deflated. I am at 3 o'clock deflated if standing naked and have been pointing it upward at an angle toward the crease of my leg when dressed. It is doable but not ideal, so this morning, I deflated some minimal fluid that had accumulated in the cylinders overnight and bent it down. It wanted to bend partway out the shaft, so I just placed a finger at the base and made the new, stiff Titan cylinders bent there. I went to Walmart to get some baby socks since some mention the irritation to the glans when the penis is putting force outward in the leg of your pants. I, of course, had to pick through pink socks and ones with bells or that said "Strong Like Momy."  :) I settled for a pack of white Gerber socks guaranteed to stay up. Nice and snug 70% organic cotton with enough stretch to make them snug. As a side note, I wonder if since I am circumcised if the sock covering will generate any noticeably increased sensitivity in the glans.

The new position seemed to annoy my penis where it was bent near the base, so today had its expected discomforts, but I stood and took a leak in the toilet. It was not real natural since I did have to press down, but it worked, so I will call that a minor milestone.

I do seem to get some auto-refill going on. I could easily deflate a few times a day, although the amount of fluid is not enough to equal more than 3 or 4 pumps. I am not sure if there is a way to prevent this.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 24, 2018, 06:03:18 PM
Day 17 Friday

On my last hot soak and inflation cycle last night, I was taken by the fact I had a rock hard penis without a slight visual hint of surgery.  The scar just cannot be found at this point. It looked youthful., round, rock hard and rearing up off of my stomach about 2".  My wife walked in and did a double-take and said, "that looks like you just turned the clock back 30 years.  She bent over and gave me a well-placed kiss.

I inflate for 30 minutes and can now comfortably pump about 15 pumps straight before taking a few minutes break and giving it another 15.  The last 5 min I try to force a few more pumps in.  Laying there looking at a clock is tough at this stage so I try to make it from one iPad song to another or disrupt the nerve transmission of pressure by dragging a washcloth lightly across my penis or trickling water on it.  it seems to interfere with the nerve transmission of discomfort so I can extend my time inflated.  Anything is better than just looking at a clock and enduring the pressure on a penis that is not healed at this point.  I would not call it pain but more discomfort.  I do have some practice bearing discomfort from all the time I spent strapped into high torq traction device.  Thank Heavens that is behind me.

I am getting some auto inflation but only what I would call 20% - 25% filling that makes it a little more difficult to point down past 4:00 o'clock without a little pressure on it.  Some say this is normal and as long as I can get to 5:00 o'clock when deflated I will be satisfied.  I did mow my very level front yard today with a self-propelled walk behind mower.  I will save the side yard and the backyard for the grandsons.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 26, 2018, 02:21:19 PM
Day 18 Saturday

I ran a lot of errands today and was feeling it and anxious to get in a hot bath at about 7:30 PM which is early.  Today is the first day since implant I cycled twice.  Dr. Eid suggests 30 minutes a day in two 15 minute sessions.  I have done one 30 minute session since the pumping caused discomfort in the scrotum that was worse than the discomfort of maintaining a maximum erection.  Today I started the day with a 15-minute inflation and ended with a 30-minute inflation.

After my morning session, I thought I would wrap a piece of stick-to-itself elastic bandage snugly around my deflated penis to keep all fluid in the reservoir and prevent any minor auto-fill.  I wore it for about 90 minutes.  I have no idea if there is a connection but after I deflated last night I stayed totally deflated all night long for the first time.

Friday night I was aware a few times that I just felt better if I flexed my body or tightened my groin muscles or moved around during the night. 
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on August 27, 2018, 09:05:36 AM
Nice to read you are getting better in a daily basis! Keep it up Hawk. 😀 soon.... Peyronies will be a thing of the Past for you!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 27, 2018, 12:49:46 PM
Day 19 Sunday

I had less discomfort today than any day.  I sat (which is the toughest activity) in both hard and soft chairs for hours today.  I wore an athletic supporter over my underwear most of the day since I was out in public a lot and wearing a suit most of the day.  By evening I felt like I wanted to strip and get in the tub, so I did.  I still get periods of time when my scrotum burns where the pump is.  It feels almost like I dabbed some alcohol on the skin. My penis is now at an awkward stage where unrestrained. It is at about 4 o'clock deflated.  It does not ride well either up or down, but it is heading in the right direction.  It used to be at 3:00 o'clock deflated.


I am 2 days from Dr. Eid's minimum clearance for sexual activity.  The nurse said, "Don't do it if you are still experiencing pain.  You won't enjoy it".  :) :) :)  I said, "truly spoken like someone that never had a penis" :)  In reality, if I go for day 21, I am sure it will be kind of a very careful exploratory encounter, but you have to start somewhere.

Peyronies - All signs of Peyronies Disease are gone except the length loss from Peyronies Disease and Prostatectomy.  I had multiple changing curves from plaque.  First a downward, then a left, then a straight, then a slight right curve and a large dent the size of a teaspoon on the underside of the base.  For those new to Peyronies Disease, let me be clear.  When It went straight, it was not a sign of things getting better but simply more plaque on the right to counteract the leftward curve.  Each of these changes caused some size loss.  I am now straight with no dents.

Size - I have deliberately avoided this topic because I think it is almost useless to evaluate size at this point.  For one thing, it is difficult even to measure because it is painful to bone-press a ruler at this stage.  Next, the upward angle of a well-installed implant makes it difficult to measure at that angle, and it is painful to push it down to 3 o'clock when inflated.  That will change as it heals. Finally, I think I will have some gains from where I am now as things settle down.  I took VERY objective measurements for years and particularly right before surgery, so in time I will know exactly how my size compares to presurgery.  For now, all I know is that my girth is about 1/8th of an inch larger at a full, rockhard pump.  I also sense I have been well-sized, and my ultimate outcome will be restricted by my potential to regain size, not by the implant.  There are still some slight folds in the cylinders at 20 pumps, which is easily erect enough for reliable intercourse.  I can pump up to 35 times, but it is painful, and I would think a woman would think I was using a nightstick instead of a penis.  If I were to guess, I would say I am a half-inch shorter than  I was presurgery with a VED ring and my glans totally engorged.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 28, 2018, 11:39:37 AM
As I said, at this point, anything resembling accurate measurements will have to wait.

I can tell I will have at least what Dr. Eid promised, however, because he promised at least 6 1/4", and I am at 6" deflated.  So he delivered on his promise.  I have this obsession to break 6.5" because why?????  Probably because I am fighting every mm of loss after being over 8" at my prime.  I am beginning to see this rockhard, straight, full, healthy-looking penis, in a way that size is beginning to seem like a stupid obsession.  I clearly care less now than I did before surgery, and I have not even test-driven it yet.

Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on August 28, 2018, 06:35:02 PM
Day 21 Tuesday - IT WORKS

Three weeks to the hour from arriving home and three weeks and 6 hours after surgery, I resumed sexual activity.  I tend to be a somewhat private person unless I think openness can help someone else.  This is such a situation.

My wife was not feeling great today, and I was a mix of apprehension due to ongoing discomfort and anxious to see how this will work.  I felt like someone just gave me a new Ferrari with a matching helmet and racing suit in the parking lot at the raceway, and they tell me to take it for a test drive.  I drive a hundred yards across the parking lot at 15 miles per hour and jump out with my heart racing and a big grin on my face.  That is what I was expecting from this test drive.

I told my awesome wife this was an experiment, and I very possibly might not be able to have a climax, and we have to be careful.  She was clear and communicated that she was ready but not likely in the mood to be able to climax anyway.  She was not into a couple of minutes of foreplay, and I was not up for 15 or 20 minutes of foreplay because I was not sure if my inflated penis might not get uncomfortable by then.  We got right to business which was a little strange, but it only took only seconds to realize everything felt great. After several minutes I wanted to try another position that was less than real easy with a VED ring due to venous leakage.  All was great.  Then I switched to a side position I know she likes, but that has not worked in a decade due to too much pressure causing leakage past the VED ring.  It worked great except for a little pain when she suddenly repositioned slightly for a more precise angle.  It was clear we were both into this test drive.  Ultimately we ended up back in the missionary position.  She climaxed, followed by me. 

I told her I hate to be one of those guys that cum and go, but I was heading to the bathtub.  I could tell my contracted scrotum was making deflation a new challenge, and I just wanted to hit the hot water to assess how I was doing.  A short soak, deflation, and I was basically no worse for the drive.  Psychologically I am stoked because I know at a few times a week, every time will be better and less restrictive than the last.  It was as good as before my Prostate surgery 15 years ago, other than some moments of discomfort. I had total confidence that I would not have to repump up with the VED or pick and choose positions or satisfy her with foreplay then finish.

I will be sending the good Dr. Eid a sincere Thank You note. ;)
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on August 28, 2018, 09:42:09 PM
Congratulations!
Title: Re: Strongly considering a 3 piece penile implant
Post by: sutty on August 28, 2018, 10:24:31 PM
Thrilled for you Hawk!  Congratulations!
Title: Re: Strongly considering a 3 piece penile implant
Post by: NeoV on August 29, 2018, 01:23:16 AM
I can't wait to hear more about this Hawk! Extremely useful information, and makes me gain a new appreciation for surgeons.
Title: Re: Strongly considering a 3 piece penile implant
Post by: skunkworks on August 29, 2018, 08:44:44 AM
I am really happy things are going so well for you Hawk.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on August 29, 2018, 11:07:17 AM
Man.... Is this a positive outcome! Congrats Hawk! Keep us updated on your journal. And by the way.
no pics? 😎
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on August 30, 2018, 09:28:22 AM
Day 22 Wednesday

Today I am just basking in the afterglow of yesterday.  I am no worse off for the test drive.  I can now pump the entire way up without a break.  By "entire way," I mean to a granite-hard stretching erection that is beyond what you would likely ever use for intercourse (35 pumps).  Keep in mind most of these are not full, wall-to-wall pumps.  The number of pumps may vary if my penis still stretches some either length or girth.  The firmness of the pump ball is astounding when you first feel it.  It takes strength to squeeze it before it gets broken in.  That, combined with soreness, in the beginning, means you are seldom totally collapsing the pump ball with each pump.  I can stand about 20 minutes at rockhard inflation.  The last 5 minutes are trying to distract myself from the discomfort.  By the last minute, I watch the clock second hand, ready to hit the deflate button.  The hope is that I will get some more size from this, and at the very least, it will prevent scaring to form around the newly placed deflated cylinders and reducing size.

I can now distribute my weight on a chair, so there is only minor discomfort.  My penis is still a hassle deciding whether to put it up or down since it would prefer I walk around nude with it pointing to 4 o'clock when deflated.  This is characteristic of the Titan cylinders until they soften up at a few months.  Again this is all doable. It just is not natural and takes thought.  No matter where you put it (down your leg or pointed up), there is the sense you are partially erect, so sitting or bending over to pick something up bends your penis in an uncomfortable way.  When a new Titan is totally deflated, the cylinders are like crumpled straws that have some pointed corners on them (dog ears) that are uncomfortable on your healing penis.  That also generally improves greatly in the weeks ahead.  The AMS LGX 700 has fewer of those issues since the cylinders contract and expand lengthwise (up to 20%) and give a more comfortable smaller deflated state.

I now have periods when I don't feel like I had surgery, such as lying in bed or a bathtub, or even on rare occasions when standing or walking.  Then there are those times when you carry groceries in and accidentally swing a sack of groceries into your penis or scrotum, and you immediately know you have a ways to go before you are fully healed.

I intend to start back at some exercise tomorrow.  I will start with some moderate Bowflex stuff and some pullups and see how it goes.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on August 31, 2018, 09:31:21 AM
Day 23 Thursday

I resumed some "moderate exercise today.  Dr. Eid told me that I could resume exercise at 6 weeks, but when I pressed him, I said, "some exercises are not lifting, such as pull-ups, etc.." he said moderate exercise at 3 weeks.  So, I cut my weights in about half, reduced them from 3 sets to 2 sets, and increased the reps by a few.  I also cut my pull-ups to 10 on the first set.  I also eliminated some exercises to reduce the number.  All and all, it felt good to do something rather than atrophy.  I felt no strain but only did the upper body.

I drove to an appointment 1 hour in each direction with no issues other than unleashing my penis and did so but threw a shirt over my lap while driving. I always try to remember to put it away before I jump out of the car :)

I pumped up the second time for 30 minutes at about 9 PM.  I pumped so tight that it was one of those where I was literally counting off the seconds for the last two minutes until I could hit the deflate button. As I deflated, I soaked a little more to give my penis and scrotum a little relaxation.  I dried off and came to the PC, and my wife asks if I am on the forum.  I said yes.  Her response was, "you can't get lucky on the forum."  I have to admit that it took about 1 1/2 seconds even to figure out what that meant.  I have to admit that I was pretty nervous about pumping up again after my aggressive session minutes earlier in the tub, BUT I have never been one to turn down sex.  I did not tell my wife I thought we would give it a 2-day break.  I did ask if she honestly wanted to or if she was being nice and giving me a pity "F."  When I saw she was interested, I did what any good husband would do.  I pumped up.  She was interested in feeling it as it expanded and said it felt like I was getting a natural erection.

Sex was a little less uncertain and fewer moments of discomfort than on Wednesday's test drive.  Since this was not the experimental test drive, it started much more naturally and romantically with foreplay.  Afterward, I was able to deflate without being in the tub, but I did put a warm rag on my scrotum to relax it a bit.  I have to admit that I felt discomfort during the night and got in a hot bath the instant I got up first thing this morning without pumping up.  I also told my wife exactly how my routine goes and that until I heal, she should let me know she is interested before I cycle to the limit of my tolerance in the evening ;)

This thing is awesome, and I cannot wait until I no longer need to be careful!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on September 01, 2018, 11:22:25 AM
Misunderstandings abound.  Bad science and poor logic are everywhere.  It is difficult to find people to step up and moderate a forum much less demand they be expert in their opinions.  People constantly PM me for private advice as though they consider me an expert because I founded this forum.  I never give private advice because I am just another patient that has made many mistakes, including putting off an implant and going down a 15-year road of Peyronies Disease and Erectile Dysfunction as a result of my mistakes.
Title: Re: Strongly considering a 3 piece penile implant
Post by: james1947 on September 01, 2018, 05:39:06 PM
Happy to read your posts Hawk :)

James
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 02, 2018, 08:24:32 PM
Thanks, James! It is great to have this decision and the surgery behind me and be on the road to recovery.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 02, 2018, 08:42:37 PM
Day 25 Saturday

Every day is a slight improvement.  it is noticed mostly in a lack of pain in the scrotum when pumping up the device and greatly reduced discomfort in the penis when remaining inflated to the maximum for 30 + minutes.

I am now starting to pump up in the morning before my shower.  I shave, brush my teeth, then get in the shower and no longer take a morning soak.  I can deflate standing up and I feel like the entire soaking thing will be winding down within a week.  I am still not sure I can deflate when my scrotum is tight.  That was an advantage of the warm water.  Maybe it is just a matter of digging around more to find the pump valve.

While generally comfortable, I still have random stabbing pains like a pin sticking in me for a few seconds.  If I wear street clothes for many hours I still love to get them off and just free my penis for a couple hours.  Positioning my penis is still an effort although I notice the inflated penis angle dropping to about 2:00 O'clock and my deflated angle also dropping a corresponding amount.  It gives me the option to go up or down in my clothing but neither is real comfortable for hours.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on September 03, 2018, 01:12:14 AM
Not only in recovery but peyronies free after so many years! And it also puts you in an amazing position to inform others, if they choose to have an implant to cure their peyronies and ed.

:)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on September 03, 2018, 10:55:37 PM
Day 27 Sunday

I am not sure if I pumped up slightly more or what, but for some reason, the evening session in the tub was intense during the end of the 30 minutes.  More discomfort than the last couple of days.

I finally have measurements for all those that obsess over such things as I always have.

My pre prostatectomy/pre-Peyronies Disease length was 8 1/8" 8 1/4" (15 years ago)
My pre-implant length the instant it came out of the VED was 6 1/2" BPEL (6" was the usable length from the VED Washer-like ring)
My Pre-implant measurement and promise from Dr. Eid was 6 1/4, maybe a little more.
My measurement at week 4 post-surgery is 6 1/4" maybe 6 3/8" (EXACTLY what Dr. Eid promised me)
           This measurement is without any arousal or engorgement in the glans like I had from the VED, and I am not prepared to use the VED at this point.

My girth pre-op the instant it came out of the VED was 5 1/8"
My girth at week 4 Post-op is 5 1/4" (a slight gain)

Considering that my VED size would slowly diminish after withdrawing from the VED, I have more usable length now than before surgery.  I have slightly more usable girth, and I have a MUCH more firm serviceable erection that can perform in any position indefinitely (as long as my body can hold out)  :)
If I use the VED to engorge the glans or other methods such as Erectile Dysfunction drugs (not likely), I think I would gain at least another 1/4"
I also think there is some chance my length or girth will increase in the next 3 months.  I am not really hopeful of this because of my well-established plaque and the fact that I could get no more, even with multiple stretching routines with heavy tension.
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on September 04, 2018, 02:43:31 AM
Thanks for sharing your journey with us, fantastic news for you and It makes it easier for me going into the implant process in two weeks.
Title: Re:Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on September 05, 2018, 11:44:11 AM
Day 28 Monday

For some reason, today was just an uncomfortable day in my clothing.  I wished I could be in a nudist camp :)

Day 29 Tuesday,

Mowed the front and backyard with a walk-behind mower.  Without a doubt, today was the most comfortable day since surgery.  I am getting more confident at pumping up and deflating outside of a shower or tub.  They were so helpful initially, both at soothing discomfort and relaxing the scrotum, and probably even warming the cylinders up.  I still get discomfort maintaining maximum inflation for 30 minutes.  I assume that means it is doing something like stretching the tissue.  Dr. Eid's office assures me I cannot pump hard enough to damage the implant or my penis.  Now that I hit 4 weeks, my understanding is that Dr. Eid is content if I only inflate once a week, whether for sex or to just cycle the implant.  The drawback in daily pumping (other than time) is that, like any man-made device, an implant only has so many pumps in it before something fails.  Since the pump is the most likely thing to fail, I might cut back to inflating once a day and hold for at least 30 minutes.  This gives me maximum time inflated and cuts my pumping in half.

To those that wonder why not inflate only for sex, my answer is: 1) To soften up the cylinders some so I can more quickly get to a more flaccid-like state when deflated.  2) at this early stage, I still hope for some expansion in length or girth.  I acknowledge that the likelihood is not great since I suspect my tunica is stretched to the max with years (off and on) of high tension traction and VED use and years of Peyronies Disease.  I think I will set a period of about 6 more weeks.  If I see no gains in that period, I will likely reduce inflation to sex (hopefully a few times a week.)  If I see any gains, I will continue for another 6 weeks.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Sadguy on September 05, 2018, 07:27:01 PM
Hello Hawk, I am considering seriously the implant. Congratulations for your succesful surgery. I would like to ask you:

Do you know if is it possible to call Dr. Eid's office to get information without having to go there? Something like to ask questions to his secretary or the people who work with him? Do you know if they are these days in the office and if they are open these days? Thanks
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 06, 2018, 09:19:24 AM
Quote from: Sadguy on September 05, 2018, 07:27:01 PM
Do you know if is it possible to call Dr. Eid's office to get information without having to go there? Something like to ask questions to his secretary or the people who work with him? Do you know if they are these days in the office and if they are open these days? Thanks

Call 212-535-6690 and ask for Sylvia or Myrah.  They are in everyday but leave early on Fridays.

You can save yourself one office visit with a phone or video consultation with Dr. Eid but insurance will not cover that "visit". Sylvia or Myra will gladly speak to you and answer any questions.  In fact, I just called Sylvia for you to make sure and she is happy for you to call and talk. -----  Let me know how it goes.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on September 06, 2018, 09:58:48 AM
Day 30 Wednesday

I had two great days in a row.  I am still very aware of my penis and scrotum when I sit.  Soft seats that tend to bulge up in the middle when you sit down are the worst, but it is all manageable.  I can now tuck my penis down in pants if they are not tight.  No jeans for sure.  I mostly wear Duluth Trading Firehose Flex work pants.  Good fit with lots of give.

Sex, although fantastic, can still be painful.  In fact, it will be painful if we are not careful. It has to be choreographed, so there are no unexpected sideways hip movements.  If the female wants to move sideways a few inches from the edge of the bed without warning, it is not good. It also requires lots of lubricant. Patience is clearly the name of this game, and I am not that patient because I can already see how incredible this will be.  I am almost to the point of walking in a large room full of people instead of thinking negatively, thinking no one in here has the sexual stamina I have. 

A couple more psychological observations.  I find that my obsession with size is greatly diminished.  Maybe because of the rockhard worry-free (adjustable) erection. Maybe because it looks bigger than before surgery, but I am thrilled with what I have.  Would I turn down more size? NEVER, but it seems a minor issue, and I am relaxed knowing I am not slowly losing more.  I also find that I am relaxed about anyone knowing I have an implant.  I carefully guarded this under hernia surgery guise, but I find myself wanting to give a full account to people.  While I have not done so out of consideration for them possibly not wanting to know, I feel so confident with what this is that I am proud to have it.  To me, it says that I am fully functional in a way that other men only dream of, especially men my age.  And that is coming from a guy that used to have multiple orgasms from one erection and never lost an erection in my life before prostate cancer surgery.  I don't want to get radical here, but I am almost to the point that if I were a man in his 60's that was beginning to suffer the first stages of Erectile Dysfunction, I would want this to preempt the struggle and decline.  It is like, why fight a decline you never have to experience?  The real answer, I guess, is there is some risk of infection, and there are botched surgeries by low-volume surgeons.  There is also limited life expectancy for an implant, but that is true of everything, including life itself.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 07, 2018, 09:27:03 AM
Day 31, Thursday

I am getting very comfortable in general daily activity.  Yesterday I edged the sidewalk, trimmed hedges, pruned a tree and cleaned up limbs with no problems other than when I slapped myself in the penis with a limb.  It hurt but no big deal.  Sitting seems pretty normal.  Street clothes are good BUT I still have to pick and choose what I wear.  The biggest issue is with the penis down the left leg in long pants, it is a bit of a problem bending that leg when I climb in or out of a car.  It also exerts some pressure on it when I bend over.  I do find if I keep my penis in the same position for several hours it hurts to move it.  Ideally, I should probably reposition it every couple hours but I don't.

I have pretty much stopped all hot baths/soaks.  I am pumping up to the max for about 30 minutes in the morning while I shave, brush my teeth then shower.

Although I feel much more like I am returning to normal during regular activity, the last time I had sex the tip of the implant right at the glans caused a stinging pain especially when I tried to keep going after I had a climax.  I am not sure if the heightened sexual pleasure masked the pain until I had an orgasm or if my penis had just had enough by that point but it was enough to stop me.  I am very impatient for those issues to be completely gone.  I am ready for unrestrained, uninhibited, sex that takes no thought, planning, or caution.  I think I am going to back off of sexual activity to just once or twice a week and hope I can feel improvement each time.  One note on sensitivity.  I have read some men who say they do not orgasm as fast and some that have at least initial problems having an orgasm during intercourse right after getting an implant.  Some that had premature ejaculation consider it a plus.  My experience is different.  I see absolutely no difference in sensitivity or anxiety or anything else that might delay orgasm.  I can tell that 1/3 of the length of my penis shaft on the underside right at the base is a little numb to the touch near where the incision was but it already seems to be improving and does not detract in the least from intercourse, probably because it is a small area on the underside of the base.

Finally, pumping and deflating is now pretty routine.  They require no soaking and there is hardly even any scrotum discomfort when depressing the pump bulb.

My pubic hair is finally grown in enough that it is not sticking me so I take pleasure in every little improvement.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on September 07, 2018, 07:02:23 PM
Congrats Hawk! Keep it up!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 07, 2018, 07:26:54 PM
Day 32 Friday
I am not sure I will continue daily updates.  I drove a friend to the airport today (2 hours each way) in long pants.  It was no big deal.  I can pretty much do any daily activities at this point but I am often aware of my penis and scrotum to a small degree and shift my weight as I sit.  I am careful when bending my leg getting in or out of the car. I do get random stabbing pains or burning, or stinging pains for apparently no reason other than things healing.  They are mild however and usually only last a few seconds.

My angle is dropping.  My erect/inflated angle is about 2:30 o'clock.  I like that even though the implant straightened my slight right curve, I still curve up slightly which is my natural penis curve.  I like that rather than a rod-straight curve.  I am glad for the drop because in the beginning my erection/inflation was at about 1 o'clock.  It would have not worked for some positions.

Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 08, 2018, 02:24:49 PM
Hawk - even if you don't continue to post daily, please continue your updates as events warrant. This is an excellent and very informative thread.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on September 09, 2018, 09:51:52 AM
I agree with Frank, i always read even if i don't reply to this post.

I have got a question: all the pains and bruising that you feel, are going to disappear with time according to dr. Eid or you will have them for the rest of your life?
Furthermore, i would like to ask you about the hardness of the penis with an implant: is it super hard like pre-peyronies and pre-ED or what does it feel like?
What about sexual sensations and feelings? Are they the same as before?
Title: Re: Strongly considering a 3 piece penile implant
Post by: suicidecomingsoon on September 09, 2018, 12:47:20 PM
Obviously the pain and bruising is going to disappear with time
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 09, 2018, 02:04:35 PM
Quote from: hope794 on September 09, 2018, 09:51:52 AM
I have got a question: all the pains and bruising that you feel, are going to disappear with time according to dr. Eid or you will have them for the rest of your life?
Furthermore, I would like to ask you about the hardness of the penis with an implant: is it super hard like pre-peyronies and pre-Erectile Dysfunction or what does it feel like?
What about sexual sensations and feelings? Are they the same as before?

All the bruising was gone after7 or 8 days.  The pains are less every day and are now more just occasional discomfort rather than pain.  All of the discomforts will continue to diminish until it is all gone according to Dr. Eid and all others that have had implants.


Post-Surgery Day 34
No one at any age, has a penis any harder than mine.  I was exceptionally capable when I was a teen.  I could have multiple orgasms from one erection and often did.  My penis now is at least as hard as it was then and will stay that hard as long as I want it to, even all day.  I have only had sex 3 times in the last 12 days because I want to proceed patiently.  At this point the sensation seems at least as intense as it ever felt in my life and nothing about it feels different or unnatural other than some pain if I am not careful.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on September 09, 2018, 05:49:47 PM
Great!!! You are really motivating. Thank you for your reply, Hawk. What about sport? Is it uncomfortable to have an implant while driving, doing sport, walking and so on?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 09, 2018, 09:39:40 PM
Hope, you have to understand I just had surgery.  I am not healed yet.  I am not cleared to exercise until 6 weeks.  I am just getting to the point that it is not uncomfortable to bend over and tie my shoe.  :) I can walk a few miles however.

Once healed, men ride mountain bikes, participate in martial arts and squat hundreds of pounds without a problem.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on September 10, 2018, 04:00:04 AM
Got it.  :)
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 10, 2018, 06:34:38 AM
Hawk - Just re-read one of your previous posts and have a question. When you say your erection is at the 2:30 angle, do you mean your erection does not protrude straight out from your body (as you look down/straight ahead at the 0 degree angle) but rather is at roughly a 60 degree angle to the right?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 10, 2018, 07:00:33 AM
Quote from: Frank55 on September 10, 2018, 06:34:38 AM
Hawk - Just re-read one of your previous posts and have a question. When you say your erection is at the 2:30 angle, do you mean your erection does not protrude straight out from your body (as you look down/straight ahead at the 0-degree angle) but rather is at roughly a 60-degree angle to the right?

NO, NO, NO!   I am glad you asked, Frank.  I certainly want to be clear.  It points perfectly straight ahead looking down.  It is raised a little above level, meaning it is not parallel to the floor.  I would have to hang a towel on it to pull it down to level (3 O'clock) because it has lift.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 10, 2018, 08:21:13 AM
OK thanks. That is helpful. One other item. Did Dr. Eid give you a sort of "healing schedule and regimen", in the sense of "week one, expect this pain and do not do these activities, week two you can expect this level of pain but you can now do these activities", and so on until at this amount of time you should be fully healed?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 10, 2018, 08:53:14 AM
Dr. Eid only gave me a schedule to this extent
Days surgery through the next two days lay flat on your back except to eat or take a brief walk
3rd day take the catheter out, unbandage and soak 2 - 3 times a day and begin inflating and deflating implant
10 days get stitches removed (there are only 3 stitches)
21 days you can have sex and very moderate exercise
4 weeks you can  stop hot soaks
6 weeks reasonable normal exercise can resume as tolerated.
3 months, should barely be aware that I have an implant


He gave two levels of pain meds (Percocet and Tylenol w/ codeine)

The rest you work out on your own.  Everyone is different.  Some need no prescription pain meds.  Some take pain meds for many weeks.  No doctor can calculate what your level of pain will be at a future time.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 10, 2018, 09:29:09 AM
Day 33 Sunday

It has been very slightly over one month and slightly less than the 5-week mark.  I notice a few changes in the past couple of days.
1. The couple remaining daily activities that bothered me somewhat were getting in and out of the car without bending my penis in my pants and tying my right shoe for the same reason.  These no longer really bother me.  I  am aware of the bend or pressure on my penis, but there is no discomfort.

2. For whatever reason, my urine stream seemed skinnier after surgery.  I assumed it was because the cylinders possibly crowded my urethra, and I just dismissed I as not a big deal.  In the past day, that seemed to change, and I am back to a normal, full-bore stream.  I can only attribute that to possibly having some residual swelling that has gone down.

3. My penis seems to stay totally deflated now instead of having a little bit of fluid trickle back into the cylinders after deflating.  Others report this improvement over time.

At this point, it is only direct penis contact that has any discomfort, like hitting myself with a limb or swinging a bag of trash into it when taking out the trash.  I still get momentary random sticking pains like a needle poking it, but it only lasts a second or two.  That is part of any surgical procedure as you heal and nerves are mending or activated. 

The only thing left is patiently waiting for my penis to be totally pain-free with the normal impact, squeezing, tugging, bending contact during sex, wearing jeans, and other activities.  I expect that to happen slowly and progressively over the next 7 weeks, which will take me to the three-month mark.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 11, 2018, 02:10:01 PM
Hawk - Thanks also for the tip about the Duluth pants. I've seen their ads but have not considered buying since I don't think they are sold in stores. Your endorsement helps. By the way, if you need a dressier pair of pants for some occasion, I've found the Levis "Dockers" pants are good. Just be sure to get the "relaxed fit" version - I bought the pleated ones. They also have straight fit, classic fit, etc. The relaxed fit Dockers have a lot of crotch room.

Also wanted to ask - what health plan are you on? I'm currently on one of the Health Sharing plans (Liberty Health) but may look into enrolling in a conventional plan this fall. I now live in Ohio. In Colorado (where I lived before), all of the exchange-based plans were PPO so going to a Doctor in another state was not an option (which was frustrating because the Colorado urologists were unimpressive, at least for Peyronies.) The United Healthcare party line was "out of network benefits are not available."
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 11, 2018, 02:47:35 PM
Medicare is my primary and I have Blue Cross as a secondary (through government retirement).  My total premiums are high but I never pay a cent for a doctor or hospital care.  With my wife's health issues and me harboring advanced prostate cancer lurking somewhere in my body (so far cannot be imaged) I am happy to pay the premiums).

The Duluth Firehouse-Flex work pants are now my every day (except Sunday suits)goto pants.  Pricey but unbeatable for wear and comfort.  They even look good with a sportcoat.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 11, 2018, 03:19:31 PM
Day 35 (5 weeks) Tuesday 9/11/18

Yesterday I had a little setback.  For some unknown reason, I felt some strain where I assume my reservoir is.  It was mild and not pain, but it was discomfort.  It was the type of thing that, although it did not really hurt it caused concern because I have hardly felt the reservoir site since surgery, and it made me wonder what was going on since I was not overly active and had not even moved fast to catch my balance. It was uncomfortable every time I needed my abdominal muscles for a movement.  It baffled me, and, frankly, I wouldn't say I liked it.  I worried that Dr. eid warned me I might need a second incision for the reservoir since I had prior abdominal surgery but then did everything through the tiny incision in the scrotum.  This morning I got up, and it was like it never happened, so I decided no need to bother Dr. Eid with my paranoia.

I notice my penis shaft is now healed enough that inflated it can tolerate a good firm squeeze and seems up to normal handling and wear and tear.  I was a little surprised when I made a few test tugs and squeezes.   It is only where the tips extend partway into the glans that I feel periodic discomfort in the form of low-level burning sensation.  Even that area can be handled with care since only certain movements feel unpleasant.

I have returned to often wearing an athletic supporter over my underwear because my penis clearly is not yet committed to one position.  When doing yard work or moving around, it keeps my penis in one place rather than flopping around my body.  If I point it down my left stride, it just makes it a little more restrictive to bend down without bending my penis and glans, which is still an uncomfortable feeling.

This morning I pumped to the max, and just as the discomfort was getting to me, I got in the shower as usual.  The shower suddenly relieves or interrupts the nerve signals, and I can continue to stay inflated longer.  Finally, I deflated without squeezing my penis, so it was only a partial deflation, still good enough for intercourse.  After about 10 minutes, I gave it ten pumps to bring it back up to maximum, and to my surprise, it did not seem to ever return to that typical feeling that I had to deflate or start squirming.  I also studied the deflation button location when I am in the standing position.  Up until now, I have had to feel around for it standing, but I think I now have down in my head how to go directly to the deflation button.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 12, 2018, 08:39:09 AM
Day 36 Wednesday 9/12/18

Sex continues to get better.  We can enjoy our bionic penis with less care and risk of discomfort than we could at week three, although there is clearly a way to go yet.  In our last encounter, I inflated to a normal erection with one hand under the covers as soon as I sensed she was getting cuddly.  Partway through foreplay, I inflated to rock-hard even though I know that usually only has about a 30-minute shelf life at this stage of healing.  This is what I have referred to as more than you would use for intercourse, but I wanted to wield this thing with a maximum pump.  It typically starts a feeling of stretching discomfort and minor pain after 25 -30 minutes, but I would worry about that when the time came.  I planned that I would hit the deflate button when that happened and let some pressure off.  During intercourse, I began to feel that discomfort, but we just were not in a stoping mindset.  It was that stage where the struggle to engage your thinking brain and perform a logistic act was not going to happen.   I continued until she climaxed, and then I had no trouble doing the same.  I was, however, very glad to deflate at that point.

This is all significant because this was spontaneous sex.  It was NOT the planned sex we are used to where I would not eat for hours, so any Viagra / L-arginine could quickly hit the bloodstream, then timing taking the drugs, and then making sure the VED with an assortment of rings was available next to the bed.  It was also not the most common routine of where I typically satisfied her before intercourse, so I could concentrate on finishing with a penis capable of satisfying me but not reliable enough to do tricks on command.   No such issue with my bionic penis.  We both climaxed during intercourse, and I adjusted position, angle, and intensity to her liking when she needed me to do so.

I asked later if it was too hard.  She just laughed and said, "Oh yeh! You could probably tell I was not really enjoying it".  She assured me it was not too hard at all.  When I asked if she could tell the difference between me now and the VED, she said, "Yes,  I don't think you even have to ask that."    She was right.  I didn't have to ask because this erection was sufficient to direct my will or her will to do whatever we wanted it to do when we wanted to do it.
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on September 12, 2018, 09:50:10 AM
I'm at Day 1 Looking forward to such a day in 6 weeks...Thxs SO MUCH for sharing your experiences!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 12, 2018, 09:57:13 AM
Never mind I just found your other thread. Congrats Tony - that is a strong step. Please keep us posted on your experience and progress.
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on September 12, 2018, 10:19:59 AM
Will do!
Title: Re: Strongly considering a 3 piece penile implant
Post by: picgg on September 12, 2018, 10:46:26 AM
How about the Glans? did it engorge like normal erection?

The feeling and sensation in the glans feels same as normal erection?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 12, 2018, 11:31:50 AM
Quote from: picgg on September 12, 2018, 10:46:26 AM
How about the Glans? did it engorge like normal erection? Is the feeling and sensation in the glans feels same as normal erection?

PICGG, what the glans does depends almost entirely on what the glans did before surgery.  Implant surgery does nothing to change the erection quality of the spongiosium which is the narrow chamber around the urethra that ends as the glans.  If it filled up before the surgery it will fill up after the surgery.  If it did not engorge before the surgery it likely wont after the surgery.  If anything my glans is at least as engorged as it was before surgery (which was not a lot without drugs).  In my case, it makes me wonder if the pressure from the two cavernosal cylinders act somewhat like a "cock ring" and cause the blood to build up in the glans.

Sex feels exactly like sex.  No difference at all.
Title: Re: Strongly considering a 3 piece penile implant
Post by: picgg on September 12, 2018, 01:39:26 PM
Thank you so much....

I am checking the forum minute by minute to see your updates....

I started having the hope that there is a way to live normal again.

I hope my corticosteroid injection which caused an atrophy in my tunica will not complicate the surgury if at all required in the future.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 12, 2018, 02:08:33 PM
I want to be specific here.  I think this is a difficult concept for some to grasp.  My erection feels like my erection.  As far as my body and my mind are concerned, someone gave me my erection back.  Even in the first few weeks that is true.  Early on it was sore but it felt like me.  Now when I pump up in the morning it feels no different than walking around with an erection at 20 years old.  It does not feel foreign or unnatural.  Keep in mind, I do not have an artificial dick.  I have a balloon that weighs a fraction of an ounce filled with fluid in each cavernosa.  It essentially just put a liner in my cavernosa that holds the fluid instead of the fluid (blood) being pumped straight into the cavernosa.

If there is anything artificial-like it is the pump ball in the scrotum but that has no impact on the nature of the penis.

Now, with a Titan, you do feel unnatural if you squeeze or handle it when it is super deflated.  That may change some, maybe not.  I really do not care at all what my deflated penis feels or looks like as long as the inflated penis is natural.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on September 12, 2018, 02:58:46 PM
Amazing post, seriously. Thank you Hawk
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 12, 2018, 03:27:47 PM
Hawk - Did you stay overnight at the medical facility after the procedure? Or was it outpatient, and how far a distance/drive was it for to get home?

By the way, that took some guts to stay awake during the procedure. Not sure I could do that.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 12, 2018, 08:31:02 PM
I was in recovery about 2 hours then started the 4hour ride out of Manhattan and home and upstairs to my bedroom.

You should understand that it might take a very little bit of guts to be awake during surgery the first time if you have never done it before.  After that, you will never want a general anesthesia again.  It was nothing but interesting.  No pain, no sensation, no sense of pressure or touch.  It is nothing like a dental procedure with Novocain which you can feel.  I could not see because they blocked my view with a sheet just high enough so I could not see the surgical field.  We engaged in some small talk and I got to see my penis before it was bandaged. 
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on September 12, 2018, 11:52:15 PM
''I want to be specific here.  I think this is a difficult concept for some to grasp.  My erection feels like my erection.  As far as my body and my mind are concerned, someone gave me my erection back.  Even in the first few weeks that is true.  Early on it was sore but it felt like me.  Now when I pump up in the morning it feels no different than walking around with an erection at 20 years old.  It does not feel foreign or unnatural.  Keep in mind, I do not have an artificial dick.  I have a balloon that weighs a fraction of an ounce filled with fluid in each cavernosa.  It essentially just put a liner in my cavernosa that holds the fluid instead of the fluid (blood) being pumped straight into the cavernosa.

If there is anything artificial-like it is the pump ball in the scrotum but that has no impact on the nature of the penis.

Now, with a Titan, you do feel unnatural if you squeeze or handle it when it is super deflated.  That may change some, maybe not.  I really do not care at all what my deflated penis feels or looks like as long as the inflated penis is natural.''

Words to think about! So glad you are doing okay hawk!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 13, 2018, 08:00:02 AM
Thanks Hawk. Dr. Levine recently recommended the same procedure for me, which is why I'm asking so many questions. I appreciate your taking the time to continue this discussion.

Here is another question. If you had taken a flight after the procedure instead of driving, how much time after the procedure would it have taken before you'd say you'd have been comfortable doing that? In my case, it would be about a 1.25 hour nonstop flight vs. a roughly 5.25 hour drive.

Obviously that is a fairly short flight but the security procedures at the airport could be uncomfortable. I don't particularly like the idea of going through that right after surgery. But maybe it would be acceptable after 3 - 4 days.

In my case, I'm looking at doing this without assistance. I'm single and trying to keep this "under the radar", so to speak.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 13, 2018, 03:11:41 PM
Quote from: Frank55 on September 13, 2018, 08:00:02 AMIf you had taken a flight after the procedure instead of driving, how much time after the procedure would it have taken before you'd say you'd have been comfortable doing that? In my case, it would be about a 1.25 hour nonstop flight vs. a roughly 5.25 hour drive.... I don't particularly like the idea of going through that right after surgery. But maybe it would be acceptable after 3 - 4 days. In my case, I'm looking at doing this without assistance. I'm single and trying to keep this "under the radar", so to speak.

Frank, I have a lot of rambling thoughts.  First, I have the utmost respect for Dr. Levine, both as a doctor and as an individual.  I personally, however, have never thought of him as a high volume implant surgeon.  While he would be one of the first names I would consider for other penile surgery or Peyronies Disease treatment I would have several direct questions for him and I would expect direct non-evasive answers.
These are some of the questions to ask. How good other care is at the clinic is not very relevant in my mind.

1. How many of these implants do you do per year (the answer should be at least 100)
2. Is this his specialty or does he perform other urological surgeries and treatments (we know the answer to this which is the concern)
3. What is HIS infection rate (do not let him quote national statistics)
4. Is he committed to one brand of the implant or does he have a choice for the best match to your situation?
5. Has he ever removed an implant he just inserted in the OR and discarded it to replace it with one that fit better? (A Dr. needs to go into the OR with choices of implants by his side. Even after inserting a measured implant a good surgeon will sometimes realize his best result will come with another implant and he will quickly change it out. Others make do.
6. Does he often use rear tip extenders and has he ever sized up and trimmed the rear tip of an implant down?
7. Will he take measurements prior to surgery and promise you what your minimum size will be after surgery and initial cycling? (If not, find one of the surgeons that will)
8. Do you use a verticle scrotal incision?

____________________________________________
Next, let's talk about your travel.  Everyone is different.  I think my first days were a little worse than most.   IF YOU HAVE A SPINAL and they release you as soon as you can walk, you likely have a minimum of 3 hours of total pain-free travel where you will literally feel as good as you do right now.  After that, the pain will gradually build but you will have pain pills.  The problem is that even though you are pain-free your body should not be put through the normal rigors of carrying luggage, sitting in hard chairs, bending, and walking long distances.  Being pain-free risks overdoing it.

Guessing your condition in 3 or 4 days is tough unless you have Dr. Eid do the surgery.  The variables are great.  Some surgeons send you home inflated for a week.  Some send you home deflated and tell you not to cycle the implant for 6 weeks.  Dr. Eid has you begin baths and cycling in 3 days and you are having sex in 3 weeks.  Some doctors go in with an incision on the lower abdomen, some with a horizontal incision on the scrotum, some like Dr. Eid with a verticle scar on the seam of the scrotum.  Some insert drain tubes.

Keep in mind, If you are flying anyway.  You could fly to Kramer or Eid just about as easy as flying someplace else.

On day 3 I went to Sam's club (after I removed my own catheter and bandage and took a hot soak).  I had a driver but I walked across the parking lot, rode for 25 minutes each way in  a car.  Rode a motorized cart in the store.  I think I could have flown without much trouble.




Title: Re: Strongly considering a 3 piece penile implant
Post by: SW01 on September 13, 2018, 04:28:32 PM
Just want to say it really has been an amazing post. You put a great timeline and do not sugarcoat the experience. I am not interested in dealing with Peyronies and pills, injections, or pumps for years. Having an erection that points out and then straight up is not my idea of anything useful. If an implant will take care of the plaque issues and give me a useful tool without pills, injections, or pumps, I plan on just doing it. Due to my wife having some surgery in the next six weeks more serious than this for me, I will have to wait until the end of the year. She actually said I could do mine first, no problem with her. I figure since she is actually having brain surgery, hers is more important. In the great scheme of things, we were just hit with there is always something worse. Nothing like a brick wall falling on you.

I know that there is some concern about doctors. I will say I have talked to a few, and did not get a very good feeling from any local where I am so I will have to travel. It is my favorite body part and if I can get it back, I am like Hawk, wanting the best doctor I can get to. Leaning toward Kramer on my end, although he and Eid were pretty even. Like everyone says, this peyronies issue sucks, does not matter what caused it. At least there are some options. 
Title: Re: Strongly considering a 3 piece penile implant
Post by: lessor on September 13, 2018, 04:32:08 PM
If Dr Eid measures you with an injection but the injection only gives you a semi erection is that what will remain after the surgery or will he measure to the maximum in the surgery?

In my case injections only give me a semi-erection and that worries me
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 13, 2018, 05:03:16 PM
He uses injections for two reasons. 1. to do a Doppler sonar to detect blood flow, leakage, plaque.  To get a measurement.  You can be confident that Dr. Eid knows when he looks at a penis whether it is erect, half erect, or flaccid.  If your penis is half erect he clearly would not send you home with an implant that did not fill you out.  He has done several thousands of these implants on men that routinely fly from other continents and pay cash for his services.  He also always performs a BPSFL  (mouse over this) which is known to very closely correspond to Bone Pressed Erect Length.  Regardless, he will tell you what he will promise and at that point, you have the opportunity to say "good, let's do it". or tell him you are not interested and walk out the door.   Your other option is to go to a doctor that makes no promise and see what you get, kind of like a blind gift exchange at Christmas.

Dr. Eid aggressively maximizes your implant.  If he gave you any more implant you would be oversized and have a world of negative consequences to deal with.
Title: Re: Strongly considering a 3 piece penile implant
Post by: lessor on September 13, 2018, 06:08:49 PM
And what if he tells you more with BPEFL than with the measurement after giving you an injection? What is the measure that takes into account at the time of surgery? Because thats what happens to me, i was to an implant surgeon and he took measure with stretching flaccid test and it was one centimeter more than í get with injection because the injection only give me a semi hard erection.  Also when i get erections by myself it is bigger than with injection

Patients of Dr. Eid have told me that he doesnt give much importance to the stretching test, he gives much more importance to the erection after injecting and it is the measurement that he writes down. So I would lose one or more centimeters? I would be one centimeter shorter with the implant because he stop one centimer before of my maximum lenght when installing the cylinders? Or does he measure to the maximum in surgery even if he passes his measurements taken with the injection?

Why he can not give you a saline injection ( like in a cavernosometry) and inflate your corpus cavernosums? That would be the the most accurate way to measure and i know that that would give me my authentic length, not what i get with an injection that hardly worked. Why doesntt he do this?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 13, 2018, 06:56:34 PM
Lessor, I will try to make this clear. 
1. Dr. Eid will stuff as much implant in your dick as it can hold. 
2. No one on earth can get more length out of your penis with an implant
3. He will evaluate your penis through multiple methods and promise you your minimum post-surgery size


If you are disappointed with the promised post-surgical size you can.
1. See if another surgeon will promise you more (They won't)
2. If you think you are better off leaving your penis like it is you can do that
3. IIf you cannot get erections or use your penis and wait a few years before you go with Dr. Eid, you might find that the size he promises becomes somewhat smaller because of years of plaque and atrophy.

The bottom line is that it does not matter how he evaluates your penis, even if he does it with a magic wand.  What matters is whether he delivers what he promises AND it matters that you are happier with the promised penis than with the current condition of your penis.  I have never heard anyone say Dr. Eid does not deliver what he promises.  I cannot tell you what he would promise you.  Only Dr. Eid can do that.  If you dont like what he promises AND your penis does not work you will have to decide
Title: Re: Strongly considering a 3 piece penile implant
Post by: skunkworks on September 13, 2018, 08:33:59 PM
Quote from: SW01 on September 13, 2018, 04:28:32 PM
Just want to say it really has been an amazing post.

It really is. Hands down the most educational thread on the actual experience of the procedure, recovery and use that I've ever read.

I'm lucky enough to have sorted my Peyronie's for the most part and have no ED, but now I'd really consider getting one 20-30 years down the track just for age related ED or earlier if I get long term ED again.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Sadguy on September 14, 2018, 06:32:45 AM
Thank you Hawk, can you tell me how much it costs to have a consultation in the office with Dr.Eid?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 14, 2018, 09:18:57 AM
Thanks once again Hawk. In the same spirit of your very honest posts, I've posted my meeting notes with Dr. Levine below to provide further insight on my situation and to potentially help other men on the forum. I now have ED, curvature and penile pain. Not a pleasant situation.

The meeting notes vary from first person/second person narrative. Please ignore that.

I had incision/grafting surgery from Franklin Kuehhas in June 2016 which has gone completely sideways (pun intended.) I now have chronic penile pain (from nerve tethering from additional plaque accumulation.)

As you can see, Dr. Levine says he has done over 3000 implants, but he did not place a timeline on that. Coincidentally, I have a follow up phone meeting with him next week. I'll be asking the questions you listed - thanks.

One asset Dr. Levine does bring to the table is his experience with both implants and peyronies grafting/excision procedures. That two-sided experience would be helpful in my case. Do you think Dr. Eid would be equally effective in that respect?

Based on your sensible input, I did schedule a teleconference with Dr. Eid next week ($285 for the meeting for those asking about price.) I think it only makes sense to get a second opinion when one is considering a serious medical procedure like this one.

Also not sure how far out Dr. Eid is booking, but I'm thinking to get this done sooner rather than later (very tired of living with this pain.) I'll be asking him about that on Thursday.

Notes from Dr. Levine Appointment

Severely abnormal tissue at that narrow junction – particularly on left side. Feels abnormal. It is either graft alone and/or the graft plus residual peyronies scar tissue.

Within that there is probably tethering of the nerves that run along the surface of the penis which had to be lifted up to lay the graft in. They are laid back down, but if there is a contraction of tissue (which normally happens after surgery) but they have happened excessively with your response to the surgery and all of that is tethered in.

We see this with other types of surgery – for example, after a hernia repair some people have persistent pain. No fault of the doctor – there were no nerves that were directly injured but as the tissue heals it pulls that adjacent tissue into the area of scarring. That pulls nerves in and you get a chronic pain syndrome.

We see that in a variety of places. One way of addressing it would be stretching – stretch therapy. A second option would be intralesional verapamil. One of the things we've found with verapamil for men with pre-surgery peyronies pain is that with 2 – 4 injections they had resolution of their pain.

Will that happen here? I don't know. You have post-operative pain. I think the Pentox you are taking is worthless at this point.

If you want to address the pain, deformity and get "back in the saddle" again and be sexually active there is only one approach that I'd recommend. That would be the placement of a penile prosthesis with associated straightening maneuvers, which in your case would be plaque partial excision (or incision) which likely will release some of the scarring there and likely release the tethering nerves in that area. Then possibly some patch grafting over that area so the prosthesis would not herniate into that area.

Prosthesis and implant are the same thing. Similar to replacing a knee or hip.

Would other surgical options work? Dr. Levine says he could go in there and potentially excise that scar tissue, lay a graft in and hope that this process does not reoccur. We would hope that this process may release the tethering nature of the scar tissue and maybe get rid of the pain.

However, he thinks there is a good chance that procedure will not improve my erections and will probably make them worse. Prosthesis would address both the straightening and the pain.

You have a different type of pain - this is not initial acute inflammatory peyronies pain you have now. This is a post operative pain syndrome from tethering of nerves. I work with chronic testicular pain and I see this a lot, like with patients who have had a vasectomy. This also happens with other scrotal operations. Perineural fibrosis around the nerve scar tissue. This pulls the tissue in and activates abnormal nerve firing.

By stretching, we may release that to some degree. If that were not to work, we would go in hope to disrupt and release the tethering nature of that scarring. You may end up with some sensory loss in that area as well. If your goal is just pain, then we go with verapamil and traction therapy.

If your goal is a straight and sexually functional penis, the only approach I see there is a surgical approach with a prosthesis because you have a severe degree of curvature. More importantly, you have severe indentation from the nasty scar you have there. That indentation may also be a contracted graft.

Is there a penile blood flow issue? Yes in the sense that your arterial inflow is fine but you have venous outflow. That is why we are not getting a good erection.

Your scar tissue is way too rigid for traction to be effective for straightening.

If we do this procedure in the hospital OR there is a high cost. For people who have different payment plans, we do it in the surgery center. Device is $10,000 roughly. Somewhere the better part of $20,000 if done in the surgery center.

What does an implant look like when it is flaccid? Appearance is very natural. Intercourse feels natural as well. Feels natural like wearing glasses. You'll only really feel the pump – transferring fluid from the reservoir to the cylinders.

Pump is in the scrotal sack – plenty of room, like a third testicle. Cylinder is sized to fit the entire length of the penis. Dr. has done over 3000 of these. Does not activate any other medical conditions. Can be replaced if necessary. Does not cause any medical concerns if unused.

Dr. Levine recommends an implant/prosthesis if I'd like to have a sexually functional penis again. He could risk re-doing the grafting, but there is a risk of making your already bad erectile dysfunction even worse. At least a 50% chance of that.

What about straightening effect of a second grafting operation? I can't guarantee what we would end up with structurally. Most of the scar tissue would be carved out.  Given that you've already had surgery there, there is a lot of tethering of the nerves over the surface of that. That would probably result in regional sensitivity issues. Like an absence of sensation.

A second grafting procedure also carries risks of ED, possibly recurring curvature or incomplete straightening, sensory issues and further shortening of the penis. I think the chance of your having good erections after this procedure would be low.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 14, 2018, 10:18:50 AM
Quote from: Sadguy on September 14, 2018, 06:32:45 AM
Thank you Hawk, can you tell me how much it costs to have a consultation in the office with Dr.Eid?
Insurence covers it if you go to his office.  If you do a video conference it is $300 for 30 minutes.  It is easy to set up right on his website.  His staffare all very helpful if you have issues or general questions.
Title: Re: Strongly considering a 3 piece penile implant
Post by: TonySa on September 14, 2018, 10:38:32 AM
Frank55, quite a detailed post.  It warrants a thread of its own as well.  Maybe side effects or bad outcomes of surgery.  I added implant to my excision and grafting.  I think the implant part is easier than the excision and grafting.  Please keep us posted.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 14, 2018, 10:46:28 AM
Quote from: Tsanchez12369 on September 14, 2018, 10:38:32 AM
Frank55, quite a detailed post.  It warrants a thread of its own as well.  Maybe side effects or bad outcomes of surgery. ...  Please keep us posted.

Frank, I agree with Tsanchez.  You have an involved case, are good at listing details, and will have a very educational journey ahead (and hopefully successful one as well).  Why not copy your post to a new thread.  Do not worry about the one that is here.  The administrator will overlook the double post ;) 
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 14, 2018, 11:25:27 AM
Day 37 Thursday 9/13/2018

I was active all day yesterday in long pants.  I wore my Duluth Trading Firehose flex pants in a snug size (at times, I have worn a larger size when healing).  They have good give but are a medium-heavy weight material.  I was active on a gun firing range and other activities.  Now and then, it occurred to me that my implant was not an issue.  It was not just an absence of any pain.  I felt comfortable.

Sex continues to improve.  A personal issue is that I seldom initiate sex even though I have a high sex drive.  I far prefer to know my wife is genuinely in the mood.  Before our last encounter, I sensed she was and pumped up a few pumps just so my penis was not totally drained, which makes it feel abnormal, especially at this stage when the cylinders are new and less flexible.  She snuggled and placed her hand on me.  During foreplay, I pumped up more but probably a few pumps short of the maximum.  We had intercourse for about 20 minutes but only in one (man on top) position.  At no point was I aware of my implant.  There was no brief moment of discomfort.

Afterward, She said, " you were hard when I first touched you."  I told her that sometimes it is more comfortable with a few pumps to straighten out the folds.  I did not go into this, but the Titan (at least at this stage) always feels at least like the beginning of an erection, especially in the glans end of the shaft since my folds, when deflated, are in the base half of the shaft.  She said did you pump it up more before intercourse"?  I told her I did during foreplay.  She then said, " I think you are getting some natural erection on your own even without pumping."

The significance that makes me openly share this is: Even with my wife of 50 years knowing me as well as I know myself, and knowing that I have an implant, and with me using only the least amount of subtlety or discretion, she was not aware of me inflating my implant.  I will concede that if you are on a beach during the daytime at spring break and a random girl jerks your swim trunks down to perform oral sex, you will have a different experience.  On the other hand, those girls are usually so drunk you could probably use a VED, and they would not notice or care.

Just for context, our room is subtly lit with night lights and outside lights, and we do NOT ever have sex under the covers.  To me, sex uses all the senses, including sight.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 14, 2018, 11:40:00 AM
Quote from: Sadguy on September 14, 2018, 06:32:45 AM
Thank you Hawk, can you tell me how much it costs to have a consultation in the office with Dr.Eid?

Sadguy, I called his office just to ask your question.  It is $450.00.  Insurance covers that for those that have insurance.  A 30-minute video conference is $300.00 and insurance does not cover that.

Also of interest, Dr. Eid runs about 6 to 8 weeks out on his surgery schedule.

New York is a high cost of living city so lodging and restraints can be somewhat expensive.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Sadguy on September 14, 2018, 01:06:08 PM
Quote from: Hawk on September 14, 2018, 11:40:00 AM


Sadguy, I called his office just to ask your question.  It is $450.00.  Insurance covers that for those that have insurance.  A 30-minute video conference is $300.00 and insurance does not cover that.

Also of interest, Dr. Eid runs about 6 to 8 weeks out on his surgery schedule.

New York is a high cost of living city so lodging and restraints can be somewhat expensive.
So $450 without insurance. Ok thank you very much
Title: Re: Strongly considering a 3 piece penile implant
Post by: Sadguy on September 14, 2018, 01:26:59 PM
one more thing hawk sorry, if you can tell me or you know, in the $ 450 is included the doppler with injection that the usually does or that is not included?
If it is not included, do you know how much it would cost? Because if I were there I would like to have that done too  :-\
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 14, 2018, 03:27:59 PM
Hawk - I will start a new thread with that post. It is a lot to take in, I know.

Still interested in your take on my one question though. Given the facts of my case (where the surgical procedure would be both excision/grafting and also implant), do you think Dr. Eid would be equally capable for that procedure? Or do you regard him as better for the implant procedure only?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 14, 2018, 07:47:35 PM
I just want to alert those that find value in this topic, that I just posted an implant journal by a gentleman named Merrix.  Because of its vastness, it is posted as a PDF attachment.  It is a comprehensive 80,000-word, 2-year journal on his research and journey with an implant.  It is brutally honest, comprehensive, and makes every other journal on the internet pale in comparison.  I am more than thankful to Merrix for his contribution to men everywhere suffering from ED with or without Peyronies Disease.  I also want to thank Pfract for alerting me to Merrix and this great journal.  I still refer to it often.

The Definitive Journal on Penile Implant Surgery - by Merrix - Peyronies Society Forums (https://www.peyroniesforum.net/index.php/topic,10629.0.html)
Title: Re: Strongly considering a 3 piece penile implant
Post by: lessor on September 16, 2018, 05:54:38 PM
im also interested in how much a visit would cost with doppler injection and taking measuress
Title: Re: Strongly considering a 3 piece penile implant
Post by: Pfract on September 16, 2018, 11:59:52 PM
Thank you for the  shout out Hawk. I appreciate things like this a lot, and i am so glad it is helping you so much, because right now it is the time where you need it the most. I've been following his posts since he did the sclerotherapy in 2014, which did not worked out and then proceeded to do the implant. Brought tears to my eyes many times reading it. It was a breath of fresh air, to see such an approach in a place like FT, from somebody not much older than me, also active at the gym.

As for your diary, i also enjoy following. It would be nice to read updates from time to time, even if monthly.

Reading through this alibaba post, it is one of my biggest concerns... the longevity of the implant. I wonder how many revisions i will need, and if the infection rate increases with each revision... or if it stays the same, and the outcome is more dependant on the doctor itself?
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 17, 2018, 12:28:30 PM
Day 41 Monday 9/17/2018
Sex, the entire point of the implant, continues to get better.  By better, I mean:

it is easier to pump up.  It is a one-handed operation with no pain and only slight discomfort as the skin is pressed between the bulb and the thumb.  I cradle the bulb by cupping my 3 fingers and letting the bulb rest in those cupped fingers while I press with my thumb. This prevents the bulb from slipping out of my grip under the significant pressure it takes to pump.  If that happens it can slip out with a lot of force and speed and hit a testicle which is not devastating but also not pleasant.

The last time my guess would be that we had intercourse for 20 minutes in 3 different positions and it was superb for both of us.  Again it was a totally spontaneous situation where my wife actually woke me up a 2 am just by snuggling in a way that set off enough signals that I woke up.  She was still asleep but after years of marriage, I knew what was coming.   I took15 seconds to partially pump up just to be ready because I was super deflated and did not want her grabbing my semi-flat penis with conspicuous folds in the new stiff cylinders.   If she had, it would have been no more than a blip but I could avoid that blip so I did.  I wanted to have some solid mas because I knew if she subconsciously put her hand on me in her sleep she would be awake within a minute.  I was right ;)           

While there was no pain or discomfort during sex, we are still reasonably careful.  For instance, I can go full force with straight intercourse but I would NEVER consider changing positions such as rolling onto our side or her on top while I was inserted.  That would be a killer at this point.  Although there was no pain during sex, I was slightly aware of some mild pain or burning in the glans a few moments during the night.  Today all is well.                                 

My deflated angle is SLOWLY getting better.  It is at almost 5 o'clock but I still would not walk in a public shower at this stage,   It is very easy to accomidate in clothing during the day however (either up or down).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 18, 2018, 05:29:50 PM
Day 42 Six Weeks 9/18/2918

I have hit the 6 weeks mark and feeling pretty satisfied with where I am.  I feel I am far enough along that I could live with the outcome even if I had no improvement, so slow, steady improvement is very acceptable from here on out.

I started a return to what is my full exercise routine today.  I only did one set of most things to see if I could do everything without strain or any discomfort.  The only area where I felt anything is when I did Bulgarian Split Squats with my right leg.  I felt some sensitivity in my left lower ab, where my reservoir is obviously located.  I did these split squats today with no weight instead of 45 lb dumbbells which I will work back up to slowly.  I did Seated dumbbell press, Bench Press, one arm cable, Pull-ups, seated row, face pulls, curls, Bulgarian Squats, and Lunges.  I have clearly lost even more strength these past 6 weeks than I expected.  Tomorrow I will see if it is feasible to do High-Intensity Training Intervals on my Schwinn Airdyne.  I am skeptical since it involves peddling and a bicycle seat, but we will see.

I seem to be developing a more natural hang.  It is almost good enough to walk in a locker room or public shower, but I am not quite there.  Where I used to be able to tolerate 100% full inflation for 30 minutes max, I can not take it for 45 - 60 minutes before I feel the discomfort and pressure encouraging me to deflate.  I also seem to notice that about 25 - 30 pumps are taking me fully inflated.  I think with the soreness and with the pump bulb softening up some, I am likely getting mine with each pump.

With full disclosure, the pump is the only part of this that is ANY issue at all.  The cylinders are great.  The reservoir is essentially undetectable. But the pump is right there and obviously an addition.  If there were a way to eliminate the pump, this would be the top item on every couple's Christmas list.  Having said that, it is not visible but is very noticeable if you feel your scrotum.  In reality, even though it is the weak link in the whole design, it is well worth it.  In fact, if the pump was twice this size and I had to have one testicle removed to accommodate it, I likely would.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 19, 2018, 11:28:27 AM
Day 43 Wednesday 9/19/2018

Such a minor piece of progress but so nice to experience.  This morning I had to jump out of bed, slip on my pants and take the trash outside for garbage pickup.  It worked just like pre-implant days.  I pulled my pants on and my penis fell to the side and settled right into the left stride of my pants without me even touching it.  I zipped and bucked my pants and was on my way.  How cool is that to finally have a penis that performs on both ends of the spectrum just like a penis should.   :)

I am done wrestling it down or trying to figure out how to position it.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 20, 2018, 09:15:24 AM
Someone asked me the question can a man have sex with soft glans?  Do the cylinders support the glans well and reach well into it? Or is it a problem if the glans doesn't swell to have sex?

Excellent question:
My Erectile Dysfunction had advanced to the point that a 100mg Viagra even with 3000 mg of arginine thrown in ahead of it, would not give me an erection. It would give me a chubby at the most. So, I had major concerns about getting an implant, not because I was afraid I could not penetrate but because I did not want to lose the engorged glans that I had from a VED, not to mention the length loss that would go with that. I talked to Dr. Eid about that before surgery. He told me that some men use MUSE gel or even a VED after surgery to fill the glans more. He said he guessed that I would be satisfied and do neither. At the time, I thought, " hmmm, he probably does not know my obsession with size after losing well over an inch in the past years." My loss was from prostate surgery, Peyronies Disease, and years of Erectile Dysfunction.

I am now 6 weeks post-surgery, and I have had sex 6 times in 3 weeks. That includes 5 different positions. I have not had one slight bit of problem with penetration and have not even thought about if that could be a problem. I have used some lubricant just because the first several times you are tender and don't need any extra friction.

I have noticed that subjectively at least, my glans seem more full all of the time as compared to how it was before the implant. This might be the one facet I did not spend enough time objectively measuring before surgery, but I think I do have glans measurements. I will check and get back on that point. I was afraid that it would be like my most flaccid glans sitting on top of a full erection. It is not like that at all. While it is not engorged tight and dimpled like it is still in a VED, it does not look unnatural. Two points worth mentioning. 1. I had a first-class high-volume specialist do my surgery. 2. Dr. Eid has said that pushing tips too far into the glans can actually force blood out.

At this point, I have failed to notice if my glans increase any when I am really aroused, such as actually having intercourse. I have just been way too distracted to care, but I should put it on my list of things to do. I have also noticed that I sometimes get low-level burning pain in my glans after having intercourse for a while. I read in Merrix's Journal that if he pumped to the max without arousal, he got some pain in his glans but not if he was aroused and his glans swelled from the blood. At this point, I am not sure if my discomfort is just a result of only being 6 weeks out of surgery or if it could be my glans not being engorged as much as it could be. I was actually going to discuss that with Dr. Eid or his office in the next day or two.

Here is the bottom line: I have no problem with intercourse in any position I have tried. I still obviously have some healing to do but compared to my last 10 years, if I never got any better than I am right now, I would NEVER go back. It is great! At weeks 3 - 5, LOVED the improvement in sex, but I felt like an old man (which I am :) ) I had to be cautious bending over to tie my shoe, sitting down, carrying a 40-bottle case of water in from the store, etc. I had not worked out for 6 weeks, to speak of on top of that, my deflated penis was a little annoying to manage. Now, I feel like I am back. While I have months before I am 100% healed, all those concerns are gone. My penis behaves as I want it to, both on and off duty. I am getting back into my workout routine and feel like a healthy man. - I hope that answers your question, and I will get back on any updates on this topic after I measure my glans, talk to Dr. Eid, and more closely observe my glans when aroused.  At this point, it looks like a normal erection, feels like a normal erection, the glans is not floppy in the least, but I can have some minor pain in the tip after a long period of intercourse. (over 20 minutes) (it has never been enough to make me stop however).
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 20, 2018, 09:59:49 AM
Excellent to hear of your continued progress Hawk. Very encouraging.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Frank55 on September 24, 2018, 10:31:22 AM
Hawk - I know you are still in the healing process, so this question may be premature. Here it is anyway. Do you have any sensation of "carrying around" something in your scrotum/penis? Do you feel any sense of a solid object being in that area?

Dr. Levine said it all feels very natural (after healing.) Wondering if that has been your experience thus far.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 24, 2018, 01:15:58 PM
I think it is a great question but it is a little premature for me to answer.  I can flop down wrong on the corner of a car seat etc and hit my scrotum and feel discomfort.  A whack on the penis or my small dog stepping on my penis kinda hurts.  I still get random little pains and burning sensations at times so I am very aware and still more protective of that area than men already are just by nature.

I am also reminded of my penis (or implant) just because it never shrivels up.  I never have less than a 5 7/8 " penis.  I often feel it against my leg and since that is new it draws my attention.  I consider that more of being aware of my penis than my implant, however.  There are times I am specifically aware of my implant.  That would be when urinating.  My deflated penis is bigger, stiffer, and I can feel the deflated tubes in it.  Just the act of shaking your dick after you pee is different because it is just not floppy enough to "shake" and more requires a milking action without a real "shake"

I know from other journals however much of what I just posted will improve.  The moderate increase in sensitivity to impact will be with me for several more months.  The cylinders will soften for months.  I am still at 5'Oclock  when totally deflated.  All that being said, I go for long periods and never think about it if I am busy such as a week ago on a gun firing range for 4 hours.  It never crossed my mind.
Title: Re: Strongly considering a 3 piece penile implant
Post by: hope794 on September 24, 2018, 01:47:12 PM
Hello Hawk, thank you for updating us! I have some "embarassing" questions for you, so feel free to answer in PM if you don't want to make it public.

1. What about masturbation? Let's say that your wife leaves the country for 1 month because of her work and you want to masturbate when she's far from home. Is masturbation different from what it was before?

2. Let's talk about "less conventional practices", for example, anal sex. Does an implant make more difficult or impossible to make this kind of sex, or it is like it was pre-ED / pre-peyronie?

Sorry for the embarassing questions, but as you know, in a man's life, sex is really important and it is way more important to "feel free" to live sex as you want, so those are important questions to me.

Thank you!!
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 24, 2018, 03:22:47 PM
I don't mind the question, but I may not be much help.   I am not big on masturbation.  My wife and I are both retired and always together.  I see no point in fantasizing about sex when I can actually have sex.  Obviously, we have foreplay, and I have been handled by my wife.  I guess in reality, in the first days before actually using it, I handled myself enough to know all the feeling was there, and it felt good and was going to be no problem.

I can only answer your anal sex question with logic.  There is NO reason that an implant would not work well for anal sex.  The main characteristic of an implant that differs most from a totally natural adult male penis is that it is harder and more rigid if you pump it to the maximum.  The main characteristic of anal sex is it requires a more firm, stable erection.  I could have never had anal sex with the VED.  I would have leaked blood with that kind of resistance or constriction.  There would be no reason my current implant erection could not stand up to anal sex.  The glans might still be a little sensitive to that much pressure/resistance until I heal more, but that is very temporary.

If you have a great surgeon, I cannot think of anything an implanted penis cannot do that a natural penis can do.  I can, however, think of several things a natural penis cannot do that an implanted penis can do.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on September 25, 2018, 01:15:30 PM
Week 7 Post-op  9/25/18

Not much to report this week.  Any progress has been slow enough that nothing stands out.  Since I am at an acceptable level, I am content with slow progress.  As I said before, if this is all the better I ever get, I would still be happy with my decision.  However, in the spirit of full, balanced disclosure, I have a list of things I expect and hope will improve. I will list them.  This should not be perceived as a negative post, just a truthful assessment with a wishlist.

1. End of minor 1-second sticking or burning pains in my penis (mostly the glans) (Some minor skin sensitivity on the scrotum)
2  Decreasing the increased sensitivity to minor impact or trauma (both the penis and scrotum)
3. Similar to #3 - healing enough that we don't feel any need to be careful during sex.
4. Ability to stay FULLY pumped up for more than an hour without discomfort (no reason to need this since sex does not need or even benefit from being fully inflated
5. Restoration of full sensitivity to a small area on the underside of the base of my penis and continuing onto the scrotum (at the incision site)
6. Cylinders becoming more flexible, so that folded deflated cylinders feel less obvious, and I have a more natural 6 O'clock hang
7. Moving the pump slightly lower in the scrotum and maybe further back.
8. Having my Titan one-touch release (OTR) actually locking into deflating mode from one squeeze rather than having to be held during deflation.
9. Finding a solution to fully engorging my glans at least some of the time.

You will notice that the first 4 of these items all deal with further healing.  In fact, #5 actually falls under that same heading, so I expect these are a matter of time. Within the next several months, all of these will be incrementally resolved by degrees.  I also think # 6 will happen over the same period.  Number 7 & 8 are less likely to be perfectly resolved, but neither is a huge issue.  I am not sure if I could move my pump, I would not move it back.  It is just one of those things I wish I could rearrange to find what I like most as the "perfect" position.  On the topic of glans engorgement, my glans is not floppy in the least.  It looks full, and only if it were displayed side by side with MY VED engorged glans would look under engorged. It does not affect penetration or pleasure.  I just like the look of my glans about ready to pop.  I wonder if an engorged glans would reduce micro-trama to the glans from the tip of the implant, possibly pressing against the glans during intercourse.  Maybe this is part of what is causing #1, or maybe it is just a healing issue.

Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on October 02, 2018, 09:44:09 AM
Week 8 Post-Op

I have had noticeable progress this week.  I will list the things that I numbered in my previous posted that I hoped would continue to improve.

1. I do not want to be premature but it seems all random penile pain has been gone for several days.  The same is true of the slight skin sensitivity on the scrotum
2. Decreasing sensitivity to impact -probably a little better.  I did smack myself in the penis rolling up an outdoor extension cord.  It was hung.  I jerked and the end came flying right at my penis.  It was a minor2 second pain.
3. Sex has improved noticeably as far as any discomfort or care needed.  I am not 100% but the last week has been a very noticeable improvement to the point it almost does not cross my mind during sex.
4. Have not monitored this as closely as I should have
5. Minor improvement.
6. Minor improvement
7. This one seems bizarre like a miracle. My pump seems lower and the right testicle that was hanging out in the center (with the pump on the right) has now reclaimed its rightful place.  My pump is in the center and lower with the bulb down and the deflation valve up and back at a 70-degree angle.  I have NO clue what brought this change but it is about perfect.
8. No change on this one.  I deflate fine as is but it just irks me that I can't seem to make the "one Touch" work.  What a misnomer for a feature name.
9. Another great experiment.  I used the Vacurect VED which has flat washers that must be used with the VED rather than bands that snap on the penis.  I just ordered a larger size washer/ring due to wanting the largest that would work and since I gained some size in girth since the implant, especially at the base of my penis.  I maximum inflated the implant and tried to pump up with the VED.  That did not work at all.  I got some discomfort but no blood flow in that I could tell.  I pressed the deflate button without squeezing my penis.  That lets off about 10 pumps but still leaves me with an entry level usable erection.  I then tried to use the VED again and it worked perfectly.  I totally engorged.  I then removed the VED leaving the clear washer/ring on.  Then I began to inflate my implant about 7 pumps.  I did not inflate to the maximum because it looked like my glans might explode or the veins in my shaft might be too stressed.  It looked very vascular and more engorged than I was prior to surgery even within seconds after coming out of the VED.  My engorgement did not leak down as it would pre-surgery and although I looked over-pumped, there was no pain or discomfort.

I was in a hurry and unprepared with a pen and paper but I quickly measured to compare to my objective presurgical home measurements using the same VED.
I measured and my length was only about 1/8" more than full inflation without a VED (6 5/8") but this is a good 1/4" longer than my Presurgery length immediately after removing the VED.

I measured my girth on the glans, right behind the glans, mid-shaft, and at the base. My shaft tapers from right behind the glans to the base with the base the largest. My glans, however, is as big as mid-shaft. Every one of these measurements were 1/4" to 1/2" larger diameter than they were pre-surgery straight out of the VED. I am sure I will experiment with this during sex. I do not think it will necessarily feel any better to either of us. but the visual is good, at least to me. The good part is it was clear this VED pump was not going to slowly lose volume like VED erection right before surgery. The other great thing is it did not restrict deflation at all. I hit the deflate button, my inflation immediately dropped by about 10 pumps and I slid the ring off with little difficulty.

I am all about precise objective measurements so I want to more precisely and document these measurements in the next day or two. I am going off of memory since I did not have a pen and paper this morning but I am sure these are accurate numbers.

The VED is not spontaneous as an implant alone but it is pretty quick and reliable so we will see how much we like the VED/Inflation version of the new implant.

One other thing that I have slightly experimented with on behalf of younger single guys.  I have tried inflating through my pants to see how awkward or doable it is.  I think it can NOT be done sitting down but it is not difficult at all to do standing.  I have tried it with medium weight Duluth Trading Firehose Flex work pants with no problem.  I have not tried it with jeans.  For what it is worth it is easy in pants to find a moment to sneak in a few pumps and have a fairly good partial erection in your pants.  in fact, one good enough for intercourse.  It is also not physically difficult at all to pump during intercourse.  Depending on how excited you are it could be a bit of a mental challenge.  It can be done discreetly as you reach down to guide it in or otherwise put your hand in that area.



Title: Re: Strongly considering a 3 piece penile implant
Post by: curved on October 03, 2018, 01:24:48 PM
Hawk- As others have said... thank you for all your insight on your journey.  Hoping you may be able to help answer a question for me.  I currently have an approximate 30 degree bend upwards with significant plaque.  I have recently undergone stem cell treatment and am hoping for the best but if it is not successful I will consider an implant due to the curvature and lost length (approx 1 inch).  Do you know if an implant alone will take care of the significant plaque I have and thus straighten me out or will it require grafting as well.  I recognize that a final determination would have to made by a surgeon but am hoping you might have some insight.  Thanks in advance.
Title: Re: Strongly considering a 3 piece penile implant
Post by: Hawk on October 03, 2018, 02:54:29 PM
Curved, I suspect but do not know for sure that insurance and maybe even medical protocol would not approve an implant which is primarily a medical solution for Erectile Dysfunction in a patient that does not have Erectile Dysfunction.  There is no requirement that a patient has total Erectile Dysfunction, however.  Many men with partial Erectile Dysfunction have been approved for implants.  These are men who either intermittently have Erectile Dysfunction, get erections but cannot maintain them, or get partial erections not satisfactory for intercourse.  The patient is the primary person that confirms their own Erectile Dysfunction and whether or not other methods have worked sufficiently. 

I do think an implant alone would straighten your curve since I have personally spoken to a patient of Dr. Eid's that had a 45-degree curve and was totally straightened by an implant. 

I hope this answers your question.  If not, let me know and I will try to elaborate.

An update to this answer:  I have since found out that Dr. Eid has straightened 170 degree bends with an implant, incision, and modeling alone.  He has also used Titan implants to straighten deformities in men without Erectile Dysfunction.
Title: Re: Strongly considering a 3 piece penile implant
Post by: curved on October 03, 2018, 06:54:50 PM
Thank you very much for the info.... very helpful! Much appreciated
Title: Re: Live in Surgery Now - Hawk's Journal
Post by: Hawk on October 09, 2018, 11:31:14 AM
Week 9   Post-op

While I am to the point that I don't think about my penis even most of the day anymore, there are still moments that I am overjoyed to be over post-surgical discomfort.  In honesty, I can still tell I have had surgery if I try but I have to experiment to find anything that causes any sort of sensation associated with surgery.  The one thing is if I do Bulgarian squats.  If I hold45lb dumbells I can feel a pull where my reservoir is when I squat on just the left leg.

I will update on my wish list of things that are not necessary but that I would still like to see improve.

1. Perfect - I can now say with certainty that all random penile pain is gone.  The same is true of the slight skin sensitivity on the scrotum

2. Continued decreasing sensitivity to impact - I don't think I can say my penis is no more sensitive to impact than before surgery but it is getting close.

3. Sex has improved noticeably as far as any discomfort or care needed. It is close enough to 100% that I don't even think about it.

4. I can now stay 100% rockhard inflated for over an hour with only slight discomfort.  This could be good and bad.  maybe it means there is no stretching / increase happening but I don't think so.  If that is true it is OK because I got a 1/4 " more than promised and as much as I had hoped for.

5. Very Minor improvement small numb area - this is not changing a lot.  Based on other surgeries I think it will take over a year to get the total feeling back in the underside of the base of the skin on my penis and scrotum close to the incision site.

6. Minor improvement on the cylinders becoming softer when deflated.  It is not an issue to me but it would be nice if it hung floppy straight down in the 6 O'clock position.  It is 5:15 -5:30 O'clock.

7. Perfect - Pump position is now perfect to me

8. One-touch pump deflation - No change on this one.  I deflate fine as is but it just irks me that I can't seem to make the "one Touch" work.  What a misnomer for a feature name.  I can now partially inflate my implant then use the VED and it works perfectly.  I totally engorge in the glans.  I then removed the VED leaving the clear washer/ring on.  Then I continue to inflate my implant about 10 pumps.  I look like my glans might explode.  The veins in my bulge  It looked very vascular and more engorged than I was prior to surgery even within seconds after coming out of the VED.  My engorgement does not leak down as it would pre-surgery and although I look over-pumped, there is no pain or discomfort.  I have not done this yet for sex because I am not sure of the benefit and just have not taken time with the new spontaneous sex thing happening.  I only do it to stretch when I cycle the implant each morning.

Being 9 weeks post-op is awesome because being 3 days post op is no fun  :)   Looking back, it is difficult to project the benefits that lay ahead when you are at 3 days.

Psychologically I think your response depends on your background.  If you had ED issues for most of your life you have to learn brand new behaviors of slowing down, experimenting, enjoying sex, giving pleasure.  According to Merrix's journal that improves quickly but can take years.  I was the other extreme.  I was more than flawless.  I was almost as good as having an implant for the majority of my life.  I never lost an erection even after orgasms or multiple orgasms if I remained inserted.  I could not even fathom ANYTHING could take that away.  My wife even said, "I don't care what happens to most men, I am sure you will be fine after prostate surgery".  We were fools.  The impact to me was horrific.  The only thing that saved me was the hope I would rapidly regain a functional penis as I healed.  While I never regained near what I hoped for I had enough progress that I never lost hope, at least not for a long time.  There were moments however when I literally silently sled tears in the dark during foreplay.  Times, when I felt like and in fact, did apologize to my wife after sex.  She would always say, "shut up, couldn't you tell how good it was to me"? 

So returning to beyond full functional is a short adjustment but I am not to the point, and I may never be to the point that I will ever take my penis for granted again.  We went out to eat the other night and I thought -hhhhmmm, all this food, I am not sure a Viagra is going to get absorbed if we decide to have sex.  Then in the same instant, it hit me that is no longer a concern to me.  It was a moment of contentment.  At another moment my characteristic male mind looked at the packed restaurant and thought, "I can screw any woman in here, in fact, every woman in here, at a moments notice."  It is the opposite of my low point right after surgery when I once looked around a huge room and thought, "Almost every man in here could screw my wife except me". I told my wife later about the thought in the restaurant and how I can sometimes pass a woman walking when I am in the car and the thought just hits me that "I could "DO" her".  It is an interesting thought for someone who is a totally faithful husband and has been for decades.  It still adds value to life however because it is like fidelity has little value if you can't really cheat.  It is like being restored adds value to fidelity and in some way, that adds value life even when you are not having sex.  If that makes any sense.  I would think it would be a difficult subject for a woman to grasp but my wife does seem to grasp it and appreciate it without being offended in the least.  I am a very fortunate man.

Later my friends
Title: Re: Live in Surgery Now - Hawk's Journal
Post by: Sadguy on October 10, 2018, 09:35:32 PM
Hi hawkman what is the opinion of Dr Eid about Lgx and titan?
He listens to your preferences and lets you choose between one and the other?

Thank you
Title: Re: Live in Surgery Now - Hawk's Journal
Post by: Hawk on October 10, 2018, 10:09:48 PM
Sadguy, Dr. Eid implants many more Titans than he does AMS.  We may never know all the details of the exact reason why.  Does he believe it is a better implant?  Does he get a financial incentive from the company?  Does he operate on a high number of men with fibrosis? 

Dr. Eid does implant AMS LGX700 implants and has even done surgical events of some sort where AMS came in, and he scheduled his entire day to do nothing but AMS implants.

When asked, he will clearly list several advantages for the Titan.
1. Comes in 2 cm increments (18, 20, 22, 24, etc.) AMS comes in 4 cm increments. Thus, the Titan makes it easier to avoid RTE's
2. More rigid cylinders that rarely fail (other parts of the unit do, however) and are rigid enough to help straighten a significant curve or hourglass deformity OR give rigidity to a longer penis.
3.. Smaller pump
4. Girth is limited only by the limits of the tunica.  The LGX700 has a mesh barrier that limits its girth expansion
5. Softer distal tips that go into the glans
5. larger diameter fixed rear portion that goes into the crus (part of the penis in the body) that stabilizes the implant.

I think he would let a patient insist on either brand. I prefer to insist on a great outcome and let him choose the brand.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on October 16, 2018, 10:40:22 PM
Week 10 Post-op

I can hardly believe I have almost reached the mythical, elusive, 3-month mark when Dr. Eid says many men aren't even aware they have an implant. I am almost there, especially with any negative issues.  I did go to Sam's club with my wife yesterday and as I was walking I could not help but feel my penis rubbing against my leg with every step.  I teased my wife that I was likely going to be getting in great shape because walking was going to be my new pass time.  Even when I was 8+" I never had that. I did find I can rearrange a little to stop that.  You can only take so much because it has you constantly aware and focused on your penis.

I had a little 1-day setback this week.  I pumped to total maximum for 1hour 20 minutes.  During about 20 minutes of that, I used the VED and ring.  I could feel afterward that I was sore.  Sore enough I was hoping for no sex for about the 4th or 5th time in 50 years of marriage. (in that regard I got lucky).  That night I roused a few times with some discomfort.  By the next day, all was well. 

I feel it has been so long since I have seen a flaccid penis that I am not sure I still have perspective,  I look in the mirror and think "If someone else saw this in a locker room would they think it was just a flaccid penis of a shower or does it look semi-aroused.  I might have to visit a local locker room just to get my perspective back.  When I got this I figured it would be the only one I would ever get due to my age and the fact that I am not likely to see 80 yrs old, maybe not even 73 or 74 in good health although I feel in perfect health now.  I did not like the prospect of a replacement.  If however this one failed tomorrow I would not hesitate to immediately do it all over.

I am pretty tired so I hope this post is readable.

Later my friends.
Hawk
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Pfract on October 17, 2018, 03:02:07 PM
Hey hawk. Awesome progress!! I was just surprised to see you stating you won't reach 80yo? Talk about wishful thinking!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on October 17, 2018, 03:17:56 PM
You mean wishful that I won't reach 80>  :)  I am just a realist.  If something else does not kill me first I expect to die of prostate cancer in the next 8 - 10 years (76-78).  Of course, it could be sooner.  Or, it could be from something else and be tomorrow, or by some stroke of good fortune I could beat the odds (miracles, new cures) but if you are taking odds, bet on 8 years.  Hopefully, I can get 8 years out of my implant.

On another note, it would really be a shame to drop from a heart attack tomorrow and end up burying a perfectly good implant.  :)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on October 29, 2018, 10:52:07 PM
12 weeks Post-Op  Tuesday 10-30-2018

I am only a week from the magical 3-month mark when Dr. Eid says many men are not aware they have an implant.  Clearly, sex is only subtly different than before all my problems started.  That would, of course, be inflating and deflating.  There is no discomfort during sex.  I can potentially change from female-on-top to missionary position or a side position without ever withdrawing.  That is something I would have NEVER done at week five or six.   At a hard bone-pressed erect length straight out along the top, I am now just bumping 6 3/4", which is about 1/2" more than Doctor Eid promised me and well within what I was hoping for before I went into surgery.  I am still right at 1 1/2" lost to prostate surgery, Peyronies Disease, and erectile dysfunction.  I refer to that as the price of indecision and procrastinating my implant.  I doubt I will gain any more, but then I doubted I would hit this.  I did not look back, but I think I have gained at least 1/2" since about week 5.  Girth seems to be holding steady

I will update my wish list of things that are not necessary but that I would still like to see improve.

1. Perfect - I can now say with certainty that all random penile pain is gone.  The same is true of the slight skin sensitivity on the scrotum

2. Perfect - Sensitivity to impact is about as good as pre-surgery

3. Perfect - discomfort or care needed during sex is totally natural, like pre-implant

4. I can now stay 100% rockhard inflated for 90 minutes with only very slight discomfort. 

5. Very Minor continued improvement small numb area - this is not changing a lot.  Based on other surgeries, I think it will take over a year to get the total feeling back in the underside of the base of the skin on my penis and scrotum close to the incision site.

6. Minor improvement on the cylinders becoming softer when deflated.  It is not an issue to me, but it would be nice if it hung floppy straight down in the 6 O'clock position.  It is 5:15 -5:30 O'clock.

7. Perfect - The pump position is now perfect to me

8. No improvement - One-touch pump deflation - No change on this one.  I deflate fine as is, but it just irks me that I can't seem to make the "one Touch" work.  What a misnomer for a feature name.  I can now partially inflate my implant then use the VED, and it works perfectly.  I totally engorge in the glans.  I then removed the VED leaving the clear washer/ring on.  Then I continue to inflate my implant about 10 pumps.  I look like my glans might explode.  The veins in my pins bulge.  It looked very vascular and more engorged than I was before surgery, even within seconds after coming out of the VED.  My engorgement does not leak down as it would pre-surgery, and although I look over-pumped, there is no pain or discomfort.  I have not done this yet for sex because I am not sure of the benefit and just have not taken time with the new spontaneous sex thing happening.  I only do it to stretch when I cycle the implant each morning.

9- Reservoir awareness during a workout is Near Perfect.  (Definite improvement in the last 2 weeks.) - minor awareness of strain when doing Bulgarian split-squats.

I am beat, so this might be full of typos.  I will proofread it tomorrow.
Good Night.
Title: Hawk ?
Post by: Monty on October 30, 2018, 05:23:08 AM
Hi Hawk, you say you have a 22 cm implant, that's about 9 inch, that's a big one!!!!!!!!!!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on October 30, 2018, 08:19:57 AM
Monty, approximately 1/3 of the implant is internal, extending into the crus (the perineum area)
Everyone is built differently and two men with the same implant can be considerably different in penis length and girth.  I do think that the larger frame you are the more that is likely to be internal.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on October 30, 2018, 08:40:10 AM
A short adendemn to my last update.  My erect angle is significantly lower.  Like Merrix, I would have to say that as my deflated angle got lower and more natural my inflated angle has also dropped.  Fully inflated I am almost parallel to the floor when standing, just slightly higher.  I am not sure there is a connection with these the inflated and deflated angles dropping over the same period of time but Merrill theorizes that you should keep you penis pointing up for months (especially the Titan) until the cylinders naturally soften so no pressure is needed to make it hang straight down.

This angle has no negative impact on sex but I prefer an upward 2 o'clock angle aesthetically probably became that was my natural angle.  In the early days around week 2 my inflation stood so upright that it was only an inch from my stomach which was a concern.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Pfract on October 30, 2018, 11:08:37 AM
It's a small price to pay? I will for sure miss not being pointing at one or two o'clock, like I do even right now. But the trade-off of having a hard erection on demand sounds very good to me!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 02, 2018, 01:35:33 AM
I am probably going to split this into its own topic starting with Alibaba's question.

Alibaba, this is my question.  If it becomes mobile after a time, my guess is at that point you could not hang a towel on it.  As I understand it.  Dr. Eid suggests that RTE's contribute to an unstable inflation.  The puzzling thing to me is why it would start off very stable and then become mobile.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Sadguy on November 06, 2018, 10:40:57 PM
Hawk at what height would you say that your cylinders reach inside the glans? About 1/3 1/2 or 2/3?
Thank you

Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 08, 2018, 11:13:40 AM
3 Months Post-Op
Wednesday 11-7-2018

I finally hit the magical 3-month mark when Dr. Eid says many men are not aware they have an implant in their body.  As I covered before, there is no caution or discomfort during sex. Sexually, I can do anything I could do at 20 years old.  At a hard bone-pressed erect length straight out along the top, I am now a hair over 6 3/4" which is about 1/2" more than Doctor Eid promised me and a gain of about 1/16 to 1/8" just in the last two weeks.  I am still right at 1 1/4" inches lost to prostate surgery, Peyronies Disease, and erectile dysfunction.  I refer to that as the cost of indecision and procrastinating my implant.  I doubt I will gain any more but then I said that a couple weeks ago.  I did not expect to hit this.  Girth seems to be holding steady with the original slight gain immediately after surgery.

I obtained another thing on my wishlist of unnecessary things but things that would make this the ultimate implant.  The "Titan One-Touch" pump has worked as advertised 3 of the last 4 times I deflated.  This was more a case of just being the "principle of the matter" for me rather than a functional issue.  It is still a bit of an effort but now one very hard squeeze locks the deflate valve open so you can turn loose of the valve and still deflate.  Another incremental improvement is that I can finally do Bulgarian Split squats with no sense of even an awareness of having had surgery.  That was the one move that I could feel right up to the three-month mark.

I will update on my wish list of things that are not necessary but that I would still like to see improve.  The list is now down to just 3 issues that will improve very slowly.  I suspect they will be one of those things where one day you just realized that they resolved without me even noticing.  If they never improve it would be a trivial issue to me.

1. Perfect - I can now say with certainty that all random penile pain is gone.  The same is true of the slight skin sensitivity on the scrotum

2. Perfect - Sensitivity to impact is about as good as pre-surgery

3. Perfect - discomfort or care needed during sex is totally natural like pre-implant

4. I can now stay 100% rockhard inflated for 90 minutes with only very slight discomfort. 

5. Very Minor continued improvement small numb area - this is not changing a lot.  Based on other surgeries I think it will take over a year to get the total feeling back in the underside of the base of the skin on my penis and scrotum close to the incision site.  I have to look for this to even be aware, but touching the underside of my penis near the scrotum with a soft brush I can sense a lack of sensitivity.

6. Minor improvement on the cylinders becoming softer when deflated.  It is not an issue to me but it would be nice if it hung floppy straight down in the 6 O'clock position.  It is 5:15 -5:30 O'clock.

7. Perfect - Pump position is now perfect to me

8. Perfect - One-touch pump deflation

9- Perfect - No Reservoir awareness during a workout even with Bulgarian split-squats.

I am so thankful for a great surgeon and a little luck.  I could not ask for a better outcome.

Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: FloppyNoMore on November 08, 2018, 11:28:42 AM
Hawk
At two weeks i feel like it will be a lifetime to get there.Although 3 months ago when I made the appointment for the surgery I thought I was never going to get to October 26th. Funny how looking forward and looking back are so very different. I'm sure that these fleeting twinges and odd pains will eventually disappear. The sooner the better. Thanks for your personal support blog the way.
Dave
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 08, 2018, 11:33:23 AM
Dave, I was thinking of that same point of view this morning when I posted.  I wrote, "I finally hit my 3-month mark".  When I wrote that I started to take out the "finally" because looking back it does not seem like it was a long time or a big deal.  Perspective is a wonderful thing. 
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: TonySa on November 08, 2018, 10:11:44 PM
Great update hawk, today I was just telling myself to hang in there and see how it improves at 3 mos. Still only one orgasm so far due to loss if sensitivity from the excision and grafting.
Hereiam, you're pain is common, don't hesitate to take the pain killers the first 10 days of so, it gets better and soon!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Alibaba on November 09, 2018, 07:52:27 PM
Sounds great Hawk. Maybe that "thing" is why you need more moderators than that other place. Occupied elswhere?   ;D ;D ;D ::)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hereiam on November 09, 2018, 08:41:16 PM
Quote from: TonySa on November 08, 2018, 10:11:44 PM
Great update hawk, today I was just telling myself to hang in there and see how it improves at 3 mos. Still only one orgasm so far due to loss if sensitivity from the excision and grafting.
Hereiam, you're pain is common, don't hesitate to take the pain killers the first 10 days of so, it gets better and soon!
I hope you are right, sometimes the pain is quite annoying, the package feels heavy when standing
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 10, 2018, 09:39:14 AM
Quote from: Sadguy on November 06, 2018, 10:40:57 PM
Hawk at what height would you say that your cylinders reach inside the glans? About 1/3 1/2 or 2/3?

Sadguy, I would say 3/4 of the way but it is pretty subjective.  As you, of course, know the glans extends down the shaft much further on top than it does on the underside.  Looking down from the top they extend in more than 3/4.  They only 1/2" from the very tip.  Looking from the side I would say about 3/4 of the way.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hereiam on November 10, 2018, 03:34:44 PM
Quote from: Hawk on November 10, 2018, 09:39:14 AM
Sadguy, I would say 3/4 of the way but it is pretty subjective.  As you, of course, know the glans extends down the shaft much further on top than it does on the underside.  Looking down from the top they extend in more than 3/4.  They only 1/2" from the very tip.  Looking from the side I would say about 3/4 of the way.
How do you see where it reaches on the glans? My cylinders seem to go about 1/2 of the glans, maybe something else, not sure. I think maybe Dr. Eid could have put me 22 instead of 21 (20 +1)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Pfract on November 10, 2018, 05:02:26 PM
@Alibaba haha who wouldn't be busy right?! 😃

@hawk great update! Amazing to see the outcome you had. Wishing you lots of fun with it!  8)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hereiam on November 10, 2018, 06:14:06 PM
Hawk has increased your length (and thickness) from the first week after your surgery until today cycling? If so, how much has it increased?
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 10, 2018, 08:57:29 PM
Quote from: Hereiam on November 10, 2018, 06:14:06 PM
Hawk has increased your length (and thickness) from the first week after your surgery until today cycling? If so, how much has it increased?

Here is a link to my detailed measurements.  I increased about 1/2 inch in length from week one until week 12.  I increase very little in thickness after week one. 

Comparison: Natural Prime, Bionic, Pre-op - Peyronies Society Forums (https://www.peyroniesforum.net/index.php/topic,10992.0.html)
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 13, 2018, 03:02:38 PM
FloppyNoMore's surgical notes piqued my interest so I requested my own and had them in my email within 5 minutes. 

I was a little surprised at what I read.  I had a slight 10-degree right curve before surgery and Dr Eid mentioned he might have to do a slightly different length cylinder so I was interested in any mention of having to expand the cavernosa etc since I suspected fibrosis in the cavernosa for years.  Instead, upon inflation, he found a dorsal angulation and had to correct it with all of the following techniques. "incision", blunt remolding, "excision", and stitches.  Though awake during surgery, I don't recall that or a discussion about it. If I follow this report he both made incisions to release an area under contraction and excised tissue to make a deficit and stitched up the excised area to contract it.  I was not even aware Dr. Eid does excision and incision prior to reading his surgical notes this week. The entire report is fascinating to read.  Here is an excerpt.

e)      CORRECTION OF PENILE ANGULATION:

Examination of the penis with the cylinders fully inflated revealed the presence of a mild curvature to the dorsum.  The area of deformity was determined to be proximal near the base of the penis.  Using a combination of superficial incisions and blunt remodeling of the tunica albuginea, the defect is corrected.  Further dissection was done to expose the tunica albuginea on the side of the penile shaft near the base of the penis.  A series of small parallel excisions were made at the level of the corporotomy, and the resulting defect was closed with a running 3-0 PDS suture.  An erection was induced again to test the adequacy of the repair.  Marked improvement of the shape of the penile shaft was noted.  The cylinders were deflated and then reinflated and the patient's penis was reexamined.  The correction of the angulation accomplished, we turned our attention to the next part of the procedure.
Title: Re: Why I Delayed an Implant for Over a Decade
Post by: Hawk on November 14, 2018, 12:05:50 AM
I was recently asked the question in a PM of why would I, as someone who seems so pleased with his implant and who generally promotes implants as a great solution, wait 15 years to get an implant.  I typically do NOT answer Peyronies Disease or Erectile Dysfunction questions by PM for several reasons.  I made an exception because this member was trying to avoid debate or even distraction with other members jumping in. I am paraphrasing, but he wondered if it was ignorance, satisfaction with other solutions, or psychological rejection that I had to overcome.  After typing my reply, I wanted other readers with the same question to be able to read my response. I was undecided if I should post this as its own topic or add it to my journal.  I decided  I would post as its own topic then add it to my journal later.
_____________________________________________________________________________________________________________________

Great question! I wish you had asked me on the open forum since there are probably others that have the same question. With sixteen thousand members, I have a policy of answering only PMs related to forum operation and not Erectile Dysfunction or Peyronies Disease. I will make an exception for.....(reasons that are part of a private discussion)

The answer is a combination of many things.  Some of them you identified.

In the beginning, immediately after a prostatectomy, I used injections.  The plan given to me by the rather well known Dr. Mulhall was that this was actually rehabilitation to keep my penis functioning and help with recovery since I supposedly had nerve-sparing surgery.  I was confident this would happen since I was absolutely unstoppable in the erection department before surgery.  Due to some combination of arrogance and ignorance, I could not even conceive that I could have Erectile Dysfunction long term.  At that point, injections worked perfectly.  I am not squeamish about needles, and the shots were painless.  I felt I could do injections for life if needed because the results were great.  After eight months, I developed Peyronies Disease.  It was enough for me to go against Dr. Mulhall's advice to keep injecting.  I relied on Viagra and/or VED, and got satisfactory results but not as nice as injections.  I did not like the prep time and the mechanics, but the erections were fine. For two years, I held out hope that my erectile ability would return since I was starting to get some barely usable erections at eight months right before Peyronies Disease first hit.  I was also starting to get some morning erections.

The Peyronies Disease killed the progress I had made with erections.  At two years I pretty much intellectually accepted that it was never coming back, but frankly, even then it was just difficult to believe.  I could write a long story (and have) about years later still reaching down to see if I had an erection when I was aroused and always somehow expecting that maybe one would be there.  I am guessing I was at least three years in before I even knew about implants.  The idea was vague; I knew nothing about them, no idea who did them, no clue what it would be like to have one.  I think it just sounded drastic, unnatural, and extreme.  I was prejudiced, so I never worked to find out anything about them.  To me, it was almost like they did not exist because I never even casually considered one. For the next several years, I had fair results with VED, Rings, Viagra, and l-arginine (sometimes stacked on top of Viagra).  I have a very stable, intimate, relationship with my wife, and while things were not what they were, it was not bad.  I gradually grew to accept this "new normal."

JackP's posts (the 1st man to post the only journal of an implant on our forum) started getting my attention on our the forum and I began to at least think about the idea and do some minor research. Somewhere in my reading, I read that men often complain about size loss and that the glans is left totally flaccid.  I read about the nightmare of infection and the false information that the surgeon removes all the tissue from the cavernosa.  Since I had already lost more than an inch from Peyronies Disease and since I got bulging erections with an engorged glans with a VED/viagra I felt it would be spending money and taking a risk when the best outcome was less than I had.  Other than JackP, there was little to no discussion on the topic on our forum.  If it came up, most guys speculated and predicted negative outcomes.  I never looked further.

A couple of years before my implant my Erectile Dysfunction worsened so a VED combined with L-Arginine and a cock ring in combination never worked as it often had.  I always needed the VED and sometimes I would have to re-pump in the middle of a very active session.  The truth was that when I took Viagra, it was contributing next to nothing to the process. Next, I got a small hernia from the VED drawing fat (I am reasonably lean) or other tissue into the one side of the base of my penis when under vacuum.  It did not hurt, but the tempory bulge was concerning.  Combined with my worsening Erectile Dysfunction, I knew I was ready to risk whatever I had to risk to have a healthy, active sex life back.  I researched more extensively and went to another forum.  I found Dr. Eid's and Dr. Kramer's sites.  I talked to a couple of guys on the phone who had implants.  I met two men at Dr. Eid's office.  One of them was 80 years old and had a similar history to mine.  He was in great shape and said he and his wife used the implant 400 times the first year.  Both men were ecstatic with the results, and I saw first hand how natural their penises looked.

As everyone knows, I had the surgery.  The result was size gain over my presurgery size with a VED.  We experienced spontaneity like we had not known for over a decade and firm, lasting erections in any position. Simply stated, the results were so good I felt like a fool. How ironic that I had founded and been the administrator of the largest forum in the world for Peyronies Disease and led discussions on our Erectile Dysfunction board.  Yet, I had missed what now seems like the obvious solution.  I think the rest is pretty much found in the first few posts of my Implant Journal.

I know I seem to be on a soapbox at times.  I plead guilty to that but I don't want others to look past this like I did.  I also don't want to feel responsible for giving the impression that we are the forum where patients can become educated about options and stupidly omit what is undeniably the very best option for many men.  I honestly think it is likely a better option for a deformity than Nesbit or grafting when a deformity is present even without Erectile Dysfunction, although I do not promote that unless asked. 

I hope this answers your question. 

Cheers
PS: I add here that the delay process was no doubt lengthened because I am almost obsessive about researching facts.  I have been known to make charts and graphs with the ingredients of different house paints when choosing a brand.  One canoe outfitter used to refer customers with questions to me because I researched canoe design and materials and knew them better than the store owner before I bought my canoe.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 19, 2018, 09:58:23 AM
I love my penis!  I am about 3months 1-week Post-op and This week I would say my hang is normal which means I can now rate 8 out of 9 items on my implant wishlist as perfect.

The only item left on my list is a light bit of numbness on the underside of the base of my shaft near my scrotum.  I am not at all aware of it unless I run a soft body brush along the underside of the shaft when I am in the shower.  I do this to evaluate any progress.  There is some but it is very slow.

I attribute the progress with a natural hang with a change in how I pack my penis in my briefs.  This week I started pointing my penis straight down.  I have never packed my penis like that and it seemed strange not to point it off to the side.  When I say "straight down" I was careful to let the very base point straight out from the body.  I wanted to avoid putting downward pressure on the portion of the implant that is in the crus because I do not want to compromise the slight upward angle of my erection.   In essence, I would bend it down in the shape of an upside down J, or even a backward C, out, down, and back toward my scrotum.  When I bend it into position (which takes 2 seconds) I pull up my briefs to snug it up and hold it in place.  It makes a little more bulge than pushing it to the side but It forms pretty well to the pressure of clothing.  I would say it really is not noticeable at all once you have pants on 

The point is that this has resulted in a very natural hang when nude.  I could be in any public shower and not look at all like I had the beginnings of a partial erection (chub).  I do look to have a significant sized flaccid dick (length and girth) but very natural.   Internet stats say the average flaccid penis is 3.6".  If true, my 6.4" (Bone pressed) 6" (non-bone pressed) flaccid is way above average.  I have no idea how long my flaccid was in my prime or even pre-surgery since flaccid measurement always seemed pointless and confusing.  My flaccid penis varied in size from moment to moment with a change in temperature, activity, thoughts,

Soooooo, to put my satisfaction in perspective, I tried to ask myself how much would I pay to go back to the superbly functioning penis of my prime.  That is difficult because I have lost over an inch of length in the years I put off an implant.  Next, I ask, ok, what would it be worth to go back to the natural penis of my prime except keep my current 6 3/4" BPEL.  It occurs to me that tells nothing because if I had a spare million I might toss in ten thousand dollars.  If I was living paycheck to paycheck maybe I would give nothing.  So last night I considered something many of us understand better than the money question.  If doctor Eid could promise to take the implant out and restore my current penis to its prime at the same size it is now would I go through the surgery and the same recovery as I did for the implant.  The answer is NO.  I can think of hardly anything I would gain. I would gain a little more engorgement of the glans, I would gain not having a pump in my scrotum (which I am no longer aware of).  I would gain not pumping an erection which is a non-issue with me.  In most instances, my wife doesn't even know when I pump it even though I don't make any real effort to hide it.   What I would gain seems so insignificant especially if I don't count concern over device failure.  If I add that, to be fair,  I would have to also add concern over future Peyronies Disease or erectile dysfunction to the penis of my prime.  I also have to consider a couple things I would lose.  I would lose flaccid size which I admit to liking.  I would lose total control over size and rigidity both flaccid and erect and every degree in between.  To me, it is about a tie.  It is at least close enough that I would NOT go through another surgery to swap this for the same size natural penis in its prime. 

To put this in perspective, if I were told today that I had to get a revision surgery every year or lose the ability to have intercourse I would not like it but I WOULD do that.  So while the surgery is bad enough I would not go through it to get a great natural functioning penis back, it is not so bad that I would give up intercourse to avoid annual surgery.   I end as I started.  I love my penis.

How much would it change my opinion if I look back to when I was single or if I knew I would be single in a month or two?   That's a tough one.  I would probably prefer the natural penis but I am still not sure I would prefer it enough to even go through a free surgery to get it.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Alibaba on November 19, 2018, 11:14:23 PM
Fantastic to read the results.  My penis not hanging center line is one gripe I have.  Last night I plumped it up and worked at modeling it holding it in an extreme opposed position to the bend for 60 seconds intervals twice. Stood in front of the mirror and it was straight and hung center. I was happy. An hour later it had the left curve and hung to the left of my balls again. One little bit of perfection given up procrastinating about getting an implant and then years of not knowing they existed.  It is kind of like the repo man. Ignore him rather than confronting the issue with all you have and you will find one day all your $hit's gone.

As to your youth, you have to ask yourself; if I have peronies or impotency, am I willing to accept this and a worsening condition from now on?  How bad am I willing to let things deteriorate?  I know it takes some balls to intervene. I went through a couple years trying to wrap my head around the idea of the surgery of no return but then many surgeries are that way, even though I knew it was what was needed.  Some days you have to suck it up, and take control of matters before the repo man does it for you. Cheers to all men striving to become boys once again.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Pfract on November 20, 2018, 05:02:32 AM
It is very nice to read such a great account of improvement! Hope that you can be around for long, motivation and age wise to help out other folks in this journey into making the right decision like you did.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: FloppyNoMore on November 20, 2018, 05:44:20 AM
Hawk as I follow along a bit less then three months behind I see issues starting to resolve themselves. The uncomfortable feeling of no place to put it has resolved itself to hanging down a bit past 5 o,clock. Now I can wear clothes with out shifting and rearranging things. My pain is down to a minimum the only part that is still tender is the scrotum area were I squeeze the  deflate valve. There was no doubt that week three turned a corner.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on November 30, 2018, 08:36:14 PM
Almost 4 months Post-op

Not much to update but I did something I have not done in many years.  We were having one of those once a month situations where I woke up having sex about an hour after going to bed.  We always jokingly try to pin it on their other person afterward so we don't feel like the inconsiderate one that woke the other one up.  :)

Anyway, we were out of sync.  I knew I was about to climax and she was at the point where she was running behind me but too far along to break the cycle.  I subdued the fact that that I was having a climax.  I am usually VERY obvious but I was afraid she would think I wanted to quit and it would break her build-up just enough to mess it up for her.  After my climax, I kept going for at least another 5 or 6 minutes obviously as rock hard as ever until she had her moment.   Since she is used to me being in sync or climaxing after her she was a little puzzled until I told her I went first.  She has told me a few different times since how great it was.  Before my 50's and prostate surgery I always was able to keep going and often have multiple orgasms from one erection.  If I have done that since my prostate surgery almost 15 years ago I don't remember it.  It is not a huge issue or something I will do often because I usually last as long as I want but it is just nice to know that I am fail-proof even on those occasions that my timing is off.

While I guess I could nitpick if I tried, There is really never a moment when I miss the penis of my prime. 
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on December 11, 2018, 09:14:09 PM
I am at a few days past my 4-month mark.

There is not much to update since out of my 9 wishes for a perfect implant they have all been fulfilled except number 5 which is some minor numbness in the base of the penis right where the scrotum attaches.  This is, of course, the incision area.  I noticed today when I hit that area with spray from a new hand-held shower that some of the feelings has returned.  I would guess about 30 -40% of the sensitivity is restored.  This is nothing I am even aware of.  It is like I assumed it would be.  I totally forget about it then one day notice it is better and wonder when that happened.

The other issues I want to comment on are psychological.  My wife was watching an interview with Dolly Parton (an established retired country music star).  Dolly is energetic, funny and says whatever she thinks.  She said she is sure her husband has a secret fantasy of a threesome with Dolly and some actress she is staring within a movie (I forget the name).  Anyway, Dolly laughed and said, "But he can barely get it up to pee much less get it up for three,"  My wife thought it was very funny and called me to replay it for me.  I smiled, nervously wondering about her husband and my wife said I wonder how much her husband appreciated that remark?  ------  I tell you all of this because it speaks volumes.  It has not been long since those types of jokes cut deeply.  It seemed that when I developed Erectile Dysfunction I was shocked at the frequency of Erectile Dysfunction jokes.  While I stood my ground without showing it, I did not see the humor.  My wife sensed that and would have never laughed at an Erectile Dysfunction joke much less called me in to hear one, so it has had an equal effect on her.  While I feel more empathy for others it is now is like that never applied to me.  That might seem a small thing to some but it illustrated what this implant has done psychologically even for someone that fared pretty well psychologically with Peyronies Disease and Erectile Dysfunction. 

The other thing I want to mention is my almost constant awareness of my dick, not my implant, but my dick.  At over 6" flaccid (deflated), it is way above average and I feel it in my pants or against my leg.  It feels full and it feels good when it rubs against something.  It keeps my thoughts focused on sexual issues.  Frequently I reach down to feel it and just be grateful for where I am.  When I pee at home I usually drop my pants rather than bending it double to haul it out the fly of my pants.  It is very doable but just easier to unsnap the pants.  When I do I always look over in the mirror at my hang. 

I have an appointment with my local urologist tomorrow for my 6 month PSA update.  I hope his female PA is curious and asks if she can see it because I am in the mood to show it to her :)  I am indeed a proud, satisfied dude.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Alibaba on December 12, 2018, 01:24:16 AM
Awesome buddy! Keep it up, keep it down, shake it all around, now you have no reason to frown.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Hawk on December 17, 2018, 09:22:16 PM
19 weeks Post-op

Just two short (well not that short) items.  One is penis length.  I have crept to 7" fully inflated.  A few weeks ago I could hit that if I used the VED then inflate the implant with a ring still on, hold it for 20 minutes, then deflate, remove the ring and reinflate.  It held enough stretch or blood from the VED to bump 7 inches  This morning I just inflated after not inflating for two days at all.  I did not use a VED.  For one thing, I felt a tight stretch which made me wonder if I shrunk slightly.  After being inflated for 15 minutes I measured and I was dead on 7" with a hard bone pressed measurement.   If my life depended on it prior to surgery I could get a 7 3/16" measurement on a BPSFL (after a traction session).  My maximum in the VED was 6 7/8" and that was pretty near bone pressed.  The most I could get out of the VED with a ring on was 6 1/2" BPEL.

Any way that I measure, I gained length from my implant surgery.  Keep in mind I was about 8 1/8 " 15 years ago so this is still well under my natural length.  I am fascinated though that intense, very uncomfortable traction did not get me as much as this implant.  I speculate it is because it can NEVER contract under about 6 3/8 inches.  Explaining why I gained more than my preop length is of course pure speculation.  Also, I know this is a lot of typing to discuss only a modest increase but it is huge to me when I had already lost more an 1 1/2" of erect length and was afraid I would lose a little more with implant surgery.

I also want to explain that if Dr. Eid measured me tomorrow he would measure me smaller because he does a gentle bone press.  I suspected that this was to give himself some room for argument, that he wanted me to be as small as possible before surgery then if I complained he would measure a hard bone pressed length after surgery.  Knowing Dr. Eid as I do now, I owe him an apology for even thinking that. So we would probably be accurate to say Dr. Eid would measure me as 6 5/8" BPEL.  That is 1/4 - 3/8" more than he promised me by his measurements.  I am not completely convinced I am done gaining because I thought about 4 other times I was done and wasn't. 

What I would really like and expected was girth increase but that has not happened.  I did gain about 1/4 " from almost the time of surgery but no gains since then.

I also want to say that if I were to get the penis of my prime back tomorrow I would be happy BUT I would miss the 6 1/2" flaccid penis.  I used to think the AMS LGX smaller deflated size was a plus but I have changed my mind.  This would be a real security blanket if I was in a nudist colony.  ;)

Bottom line is I have 1/2" more usable length than I had before surgery with a VED. 
Title: Re: Live Now in Penile Implant Surgery - Hawk's Journal
Post by: Pfract on December 17, 2018, 11:44:40 PM
This is very nice to know. I keep hearing and about people gaining length from the implant, but most of the accounts are hard to believe, given the people that write them. Not here.  I still dream of the day, we as a community are able to devise a safe protocol to use with vacuum and implant, so we can help out brothers in need of regaining size. Congrats once again on the amazing results you had hawk!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: p-diddy on December 28, 2018, 05:27:05 PM
Hawk,
I just read through your entire journal.  Thank you so much for doing this. As I'm 9 days post op I found it informative and reassuring. Definitely found lots of things in common. I'm looking forward to the improvements to come.
Your length gain is fascinating.  Same thing with Merrix.  What do you attribute it to?  Do you think it was solely due to the implant stretching during cycling. It doesn't sound like you used the VED that much post op except for some experimental purposes. Obviously you used to be larger so maybe your penis has the physical capacity to expand in length because the anatomy is/was there. 
In my case I used to measure 6.5 to 6.75 inches.  I didn't let my condition progress to where I lost any real significant length. I'll be interested to see if over time I expand closer to that pre-op length as I'm now at 6 inches.  Dr Eid promised 6 but it sounds like there may be potential for more.  Not counting on it or expecting it but wouldn't mind it of course
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on December 28, 2018, 08:32:31 PM
P-diddy all I can do is speculate but you are correct that any gains I got I did NOT get from VED or any means other than the implant.

I speculate the implant even deflated places constant tension.  It certainly prevents retraction and I wonder if that in conjunction with inflation does it.  When I used traction I went from tremendous stretch to zero stretch and with the implant, you go from maximum stretch to moderate stretch.

At any rate, once I had sex at day 21 my goal was one 1-hour session of max inflation straight per day.  My bulb was maxed out with two hands then checked again after 15 min to make sure I could not get another couple partial squeezes.  I am retired so the way it worked best for me was to pump to the max in the morning, eat breakfast, shave, brush my teeth, lay my clothes out and by that time I burned 35 minutes.  Also, by then the discomfort was getting to me so at that point I climbed in the shower.  I have a detachable handheld shower and I discovered that spraying hot water on my perineum area totally killed the discomfort.  With the shower it made the last 25 go pretty comfortably.  I kept that up for 3 months.  If I had sex the night before sometimes I would skip cycling the next morning.

Dr. Eid is very aggressive and sizing and pushing fast cycling.  He is not aggressive in the least at promoting ongoing cycling.  For all I know I would have gained without the cycling after 21 days but doubt it.  As you can tell I was surprised because I assumed I had maxed out several times.  I did nothing magic, just inflated for 1 hour straight.

Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Alibaba on December 29, 2018, 11:48:26 PM
Quote from: Hawk on December 28, 2018, 08:32:31 PM
P-diddy all I can do is speculate but you are correct that any gains I got I did NOT get from VED or any means other than the implant.

I speculate the implant even deflated places constant tension.



I have the same thought that runs along this line. With an implant, you basically now have two water balloons in your penis. Though minimal, that is still an internal weight hanging. How much stretch it can add is likely governed by age and the amount of scar tissue. I say age because after several years conversing dick implants, I am convinced younger implantees have more gains and better outcomes. Cheers
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on January 06, 2019, 02:00:24 PM
I am now at 5 months post-op.  - Time flies when you are having fun. :)

This week I had a scare.  It was kind of a controlled panic where my head was rapidly processing an assessment of what I was experiencing and weighing the best systematic reaction.

We had sex 4 times in 3 days which is not our norm but the morning after our 3rd consecutive night I went to pump up while laying in bed.  What followed probably has no real value unless you have a Titan.  I seldom ever double lock my pump valve after deflation.  I over deflate and never give that first hard double lockout pump.  Over the period of an hour, I usually get a very small amount of backflow that just fills my penis out perfectly.  If it would overfill (which it doesn't), I would just give my penis one quick squeeze and not need to press the deflate button.  When I get ready to use it I have to give one hard pump to open the valve then just keep pumping.

This particular morning followed my first ever attempt to use the VED for more size with intercourse.  I felt no need to do it other than I kept saying I would and never did.  There was not much to report and will likely not do it again at least no more than one more time to definitively say if it is of any value to me or my wife.  Fast-forward to laying in bed the next morning.  I decided to pump up and then suggest sex which I knew my wife would go for if only out of kindness :)  Rather than giving that first hard squeeze I just made a slow squeeze of only about a 1/3 of a pump.  When I let off I felt that kind of a slurping feel that is present when the pump pulls in another bulb full of fluid.  I followed by a dozen more such pumps and felt my penis and it was totally deflated.  I was puzzled and slightly concerned.  I pumped another several times (1/2 pumps) and felt my penis as I did and it was not inflating.  Now I am more than casually concerned.  I was wondering if I messed up a tube with the VED the night before.  One thing I knew for certain was that if I did I was calling Dr. Eid and telling him I wanted the soonest surgical date he had.  As my wife later smiled and said when I related this to her "once you have seen the other side of the moon there is no going back"

At this point the dog wanted to go out an I jumped up to let her out and immediately went to the downstairs bathroom and started pumping and processing what I would do as far as telling my wife, calling Dr. Eid etc.  I am now not certain but on the first or second big full pump I felt the valve pop open and all was well.  Apparently, that first squeeze after deflating cannot be a gradual partial squeeze.  In retrospect, I think I have read that but just never thought about it or tried it before.  The strange thing was that I could feel the pump drawing fluid each time I let off of it between squeezes.  I let the dog in, slipped back in bed and made my offer.  After sex, I explained the whole concern I had and we were both pretty happy it was nothing.  We were also both in agreement that immediate surgery would have been our preference.

The next time I inflate I am going to try to reproduce this just to better understand the issue.

The only other thing to report is that the numbness on the underside of the shaft very close to the scrotum is improving. I would guess that 50% of the feeling has returned.  It is completely an academic interest because I have to remind myself to even check since it does not detract in the least from sex.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: p-diddy on January 06, 2019, 02:13:26 PM
Wow, quite a story!  Glad it was nothing.  All part of learning how these things work.  The best part of the story is you having sex 4 times in 3 days!!
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Pfract on January 06, 2019, 07:45:15 PM
Hey hawk... honestly if i have to say, i wouldn't try the VED anymore. Considering the extremely positive outcome you had... your recovery time, etc... why risk more problems? i would understand completely if you lost massive size, and were trying your best to regain it. But since it is not the case, why not just relax before having any potential problem?
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on January 06, 2019, 08:56:22 PM
Quote from: pfract on January 06, 2019, 07:45:15 PM
Hey hawk... honestly if i have to say, i wouldn't try the VED anymore. Considering the extremely positive outcome you had... your recovery time, etc... why risk more problems? i would understand completely if you lost massive size, and were trying your best to regain it. But since it is not the case, why not just relax before having any potential problem?

Pfract, I tend to agree. I actually did it as much for reporting results than anything.  It typically does give me more girth and huge (more than in my prime) veins but it adds nothing to sensation (at least for me) and my wife never commented or gave me a "Wow!" 

In regard to the 4 times in 3 days, before the implant, we typically had sex once or twice a week although we would have departures from that in both directions.  Now we are more like 2 or 3 times a week just because it can be more spontaneous.  There would never be a chance I would have suggested morning sex after sex the night before just due to the lack of spontaneity. 
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on January 06, 2019, 10:54:22 PM
One other point here I have not addressed is bulge from carrying a somewhat substantial 6 1/2" flaccid penis.  I am a bit surprised if not slightly disappointed that I have no noticeable bulge in pants.  That includes my heavier Duluth Trading Firehose Flex pants (snug fit) or my suits that I wear at least one day a week.  Although my suits are not the latest style skinny fit cut they are not loose of full.  I will add that I am not a large guy.  I am 5'8 150lb.  At the time of surgery, I was down to very lean fighting trim of 144lbs.

I have mentioned this before.  I mention this simply to note it has not changed.   I am almost constantly aware of my penis.  I feel it when I walk, especially when I am walking to cover some ground like in a store as opposed to going from room to room in the house.  My penis tends to rub against my leg in a way I never experienced before.  The distracting thing is that it feels good. It is a crazy dilemma. 
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Alibaba on January 07, 2019, 12:03:09 AM
Wish I was down to 141 pounds. Same height and ballooned up to 167 in the past years. At 6 1/2", your weight must be half dick!  ;D
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on January 07, 2019, 07:37:51 AM
You made me laugh with the "Weight must be half dick" comment.  In my prime before prostatectomy, Peyronies Disease and ED, I used to be over 8" . 

Keep in mind 6 1/2" (actually closer to 6 5/8")  is bone pressed but still above average to lug around as a flaccid dick.  My full total rock hard bone-pressed inflated length (not aroused) is 7" which is only 3/8" more.

Though I put unaroused, I don't think I gain any with arousal.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Junior on January 07, 2019, 01:51:03 PM
Hi Hawk,


Just read about your Implant Journal, I can't believe what your went through & the detail that you shared with us. It brought tears of joy to know how things turned out. I'm very happy for you & I feel that this forum if very informative!

Thanks

John
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on April 03, 2019, 02:38:30 PM
8 months - Post-op

I have not updated for a while but thought I would make a brief post.

I no longer cycle and only inflate for sex about 3 times a week.  I got out of the habit of cycling at about 5 months post-op when we were traveling out of state together and were doing a lot of visiting and having family stay with us.  My measurements are maintaining beyond what I was promised (6 1/4" +) and even beyond what I was personally hoping for (6 1/2" +).  I am at 6 13/16" or 6 7/8") so I am slightly over 6 3/4" BPEL.  That is a full 1/2" more than promised although I do a very firm bone-pressed measurement which is the entire point in doing bone-pressed.

At this point, I feel like my implant is me.  All that ever occurs to me is that I am infallible when it comes to sex for any period and most of all in any spontaneous, impromptu situation.
I am still enamored with my flaccid size and often stop to notice it in the mirror when getting undressed or dressing.

The final and most significant update is that one day I was pumping and after a period of sexual activity I pumped some more to top off.  later into the process we were changing positions and I gave one very hard final two-handed squeeze and the pump bulb collapsed and did not spring back but stayed flat.  It startled me but hardly enough to break the mood.  After sex, I went into the bathroom to check things out.  I felt the flat pump bulb and hit the deflate button.  It immediately popped out round.  A quick check confirmed that everything still worked.  About two days later I want to see if I could duplicate the event.  After pumping to the max, I waited and used two hands to force two or three more partial pumps.  The bulb collapsed again but expanded as soon as I hit the deflate button.  I suspected this was an indication that I emptied the reservoir.  I called Dr. Eid' office and spoke to Myra.  She confirmed my suspicion and indicated that it was not a problem if I want to pump with that much force.  She also said it was very unlikely I leaked any fluid because leaks from ruptured tubing are more immediate failures and do not manifest with slow leaks.

Since I have not spoken directly to Dr. Eid about this I can only theorize that I regained a little more size than he anticipated which means I have reached the limits of my reservoir fluid.  I am not concerned because I am rock hard before I run out of fluid.  If I did gain any more length or girth, it could at least, in theory, reduce the firmness of my erection.  I could also theorize that I could have a 9" penis if he had only given me more fluid :)   Since I am only 5/8" and about 150 lbs or less when I am very lean and fit I did not want excess fluid in my reservoir.  Although I mentioned that to Dr. Eid I am sure he always takes that into consideration.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: tomas1 on April 04, 2019, 07:05:59 PM
That's interesting about the pump flattening. I've heard others say it's a pressure regulating measure, but don't know. Anyhow, I've never got further than simply having a very hard bulb when I've pumped up a lot. My pump is still not broken in completely so I have time to see.
Wonder if AMS pump and Titan pumps act similarly?
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: curved on April 05, 2019, 11:16:57 PM
Hawk- quick question on number of pumps to fully inflate.  Approx how many pumps does it take you to fully inflate now that you are 8 months post surgery and at what time did you hit that number. Meaning if it takes you 15 for example to fully inflate how long into your post op we're you hitting max inflate with 15 pumps.  Just trying to get a rough sense although I know everyone is a bit different and cyclinder size may impact it, etc. thanks.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on April 06, 2019, 09:19:25 AM
Good Question Curved.  I feel a little irresponsible and apologetic that I could not answer that question until you asked it and I pumped up and closely counted.  It has just become so second nature to me that I don't think about it.

If I start from TOTAL wrung-out deflation, this is how it goes.

5 or 6 wall-to-wall pumps give me a plump filled out penis I could easily wear in any position in my clothing
12 wall-to-wall pumps is about the minimum for intercourse (If I were single and wanted to I could probably pack that in my clothing)
18 Wall-to-wall pumps is about as hard any normal man can get.  This is the maximum wall-to-wall pumps I can do.
I can force in about 6 additional partial pumps with two hands.  At that point, I am getting right to the point of using all the fluid in my reservoir and flattening the pump bulb and I am rock hard as a 17-year-old boy that has not had an orgasm in a month and has 3 naked beauties teasing him.  (it still does not feel "artificial", just abnormally hard.)

I really can't tell you when I got to this point because when you are still sensitive, and the pump bulb is very firm it is almost impossible to do wall-to-wall pumps. 

Even being married all my life :) , I can discreetly pump up.  I can read my wife like a large print book.  Since I am usually a few pumps from total deflation, I can do 6 or 7 quick pumps in less than 10 seconds when she snuggles up against me.  At that point, my penis would be nothing to feel inadequate about even if I was a single guy with GF and even if I could get no more firmness.  During foreplay, it is easy to work in another 6 or 7 pumps discreetly.  I give all of this because I know that everyone is not in a totally intimate, committed, decades-long, relationship and might want to know how discreet an implant can be.  The truth is that even if I was a teen, I think I could interest a girl in openly revealing my bionic penis and pumping it up in full daylight in front of her and letting her know it will never fail.  So, men have options on how they choose to handle their implant.  Brag about it or discretely operate it.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: curved on April 06, 2019, 10:20:05 AM
Thanks Hawk....gives a great estimate of about where I should be in terms of pumps till max inflation
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on August 07, 2019, 10:08:52 AM
1 Year Post - Post-op

I have not posted to my journal for a few months but thought the 1st birthday of bionic penis deserved recognition.  The celebration will come later today.

My implant has given me a year for which I am very thankful.  Honestly, if I knew my wife or I were going to die tomorrow I would be so thankful for this past year.  In some regards, it has been a tough year with some other issues but my implant was a huge counter-balancing positive.  For the first 8 months, I was probably constantly aware of my new ability and had a constant sense of wellbeing and calm confidence and appreciation.  Now there are periods when it is nowhere on my mind BUT THAT IS THE POINT.  There were never times when Erectile Dysfunction was not lingering on my mind.  That is gone.

Physically very little has changed since my last update at the 8 months mark.  I probably gained 1/16 of an inch.  This is not new but I am not sure that I reported on the drop in my inflated angle.  Early on, I was almost standing at 1 - 1:30.  That had dropped to 2:30 or maybe closer to 3:00 by month 8.   The Titan cylinders have become softer deflated but my deflated hang is still 5 O'clock whether I have a few pumps in it or whether 100% deflated with some distortion.  I would be comfortable in a public shower however and it is totally comfortable in clothing because it takes only the force of a feather to push it to down to 6 O'clock when deflated. It also has a natural swing to it when I walk in the nude.

I still have to make a conscious effort to lock the deflate valve open and it requires a very strong very exact squeeze with one hand to lock the valve open.

My penis has gained enough size that if I pump hard, two-handed, that I can use all of the fluid in my reservoir and the pump bulb will stay partially flattened until I hit the release button.  I guess that could make me wonder if I could get another slight bit of volume over time if I had more fluid however it takes more force to pump that far than is probably wise to use.  I am larger than Dr. Eid promised 6 3/8" (a conservative BPSFL).  I am now 7" BPEL, significantly beyond the 6 5/8" I had hoped for.  It is longer than my pre-surgery length  (With VED) of 6 !/2" BPEL. See Comparison: Natural Prime, Bionic, Pre-op - Peyronies Society Forums (https://www.peyroniesforum.net/index.php?topic=10992.msg102485#msg102485) for total measurements  I can add about another 1/4 inch in both length and girth with a VED but rarely do that.

The numbness I felt at the base of the underside of my penis right at the scrotum is all but gone.  It was not enough of an issue for me to track but I just checked and at most, I still have a small area on one side of the base about the size as the tip of my finger that might still be slightly numb.

I can think of nothing that I could do with my penis at 20 years old (when I was multi-orgasmic and unstoppable) that I cannot do now.  My wife loves it and somewhat prefers a couple of positions that I could never do with a VED and or Viagra. 

Since I am unlikely to do many more updates to my journal I want to nitpick every possible thing I can about my implant to make sure I am giving the most objective report I can give.
1. My penis while 1/2 inch longer than presurgery VED length it is still an inch short of 15 years ago before Peyronies Disease and Erectile Dysfunction (my fault for not acting sooner)
2. I get very little natural erection so without a VED it is somewhat oval with less engorging of the glans than with a VED
3.  At 100% steamroller deflated you can see some distortion and tell there is something unnatural - that is easily fixed with 4 pumps
4. Components or the pump release valve, while invisible, can easily be felt high on the backside of my scrotum.

Finally, I am thankful that I was able to find this solution for the insight and options it gives to others on the forum that might have never known about or considered an implant.

Later.
Hawk
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Junior on August 07, 2019, 06:22:31 PM
Hi Hawk,
Congratulations!  I did contact Dr Eid via email, he did indicated that Xiaflex is not the procedure to follow for someone with ED & Peyronies Disease. The gold standard for ED & Peyronies Disease is an implant.

It's on my mind, may want to go see him or telephone conversation, my 2nd cycle of Xiafles is on 8/26, 8/28 & modeling on 8/29.

Glad to hear things are going great!

JR
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on August 07, 2019, 06:34:48 PM
If you have ED I see little point in Xiaflex unless you use it with traction just to regain lost length prior to an implant but I don't think I would do that.  If you talk to Dr. Eid, a video conference is the same as a phone conference.  I would suggest you go that route.  It is just more personal and you will get a better feel for him.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Roddy on August 07, 2019, 06:36:20 PM
A big thank you for all the advice you have provided to not only me but on behalf of all others, almost on a daily basis, Hawk. Cheers!!! You are an inspiration on here. Congratulations on your first birthday. I know, from reading your journal and all your daily interactions, just how much you have benefitted from making the decision to have an implant. I hope you and your good lady enjoy many more years to come with your bionic addition. Good luck.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Pfract on August 07, 2019, 09:33:24 PM
To think that it's already been a year for your post op... That, and all of the things that have changed. I hope it lasts for years to come boss.  8)

"At 100% steamroller deflated you can see some distortion and tell there is something unnatural - that is easily fixed with 4 pumps"

Still a no brainer to me.
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Stepone on August 08, 2019, 03:38:18 PM
Congratulations Hawk, for some reason I haven't been seeing posts from this site.
So I just went in to post my 100 day mark and saw your posts.
I hope to look forward to increased length and girth, although I am very happy now.
YOu have been an inspiration and a calming force for all of us.
At times, we get a little crazy and nervous, but your calm always brings us all back.
You have helped a lot of people through this process, hopefully this site will help people avoid the surgeries that are no longer valid and quite damaging to our male image and our penises.
Thanks again and congratulations.
Stepone
Title: Re: Live Now in Penile Implant Surgery - Hawk's Implant Journal
Post by: Hawk on July 15, 2020, 07:42:27 AM
As I near my 2nd anniversary ED and Peyronies Disease seem like distant memories.  I don't seldom think about my implant except that I do still happily notice my larger hang when naked.

The only thing that has changed is that in the flaccid state the cylinders are softer and even though fully deflated I can feel some distortion in the tubing, it feels like a large vein more than like a flattened cylinder.  I would be very happy to have this surgery every 2 years if necessary so it doesn't matter what happens at this point,  I think it was the best decision I could have made.  Since the deflated cylinders are a total non-issue for me at this point I am glad I choose a Titan.  The cylinders are as soft as I need them to be and I am glad I do not have a larger more irregular shaped pump in my scrotum.