https://pubmed.ncbi.nlm.nih.gov/39925742/

QuoteThe first reported case of suprapubic migration of the Penuma penile implant as a post-operative complication: A case report

The Penuma implant was approved by the U.S. Food and Drug Administration for use in cosmetic procedures of the penis. Therefore, we present the first reported case of post-operative Penuma implant migration. A patient who underwent Penuma implant surgery presented to us with complaints of penile deformity. Physical examination revealed a swelling extending from the dorsal region of the penis to the mons pubis. Due to the patient's stable condition, surgery was scheduled for the first day following his presentation to our clinic. Implant migration should be discussed with the patient before the operation and considered a potential risk.

the link also includes pictures! pretty interesting, since this gets talked about in the forum sometimes and it actually got FDA approval. Seems risky as hell, for tangible gains...

"Penile length after penile implant surgery is determined by stretched penile length before surgery"

https://pubmed.ncbi.nlm.nih.gov/39539221/

QuoteAbstract

Background: While various treatment modalities exist, penile prosthesis (PP) implantation offers a permanent solution for patients that do not respond to or are not suitable for other treatment options for erectile dysfunction.

Aim: The aim of this study was to establish stretched penile length before surgery as a reliable determining factor of penile length after penile implant surgery.

Methods: For this study, data on penile length before and after PP surgery from three European centers was analyzed. Penile length measurements were conducted preoperatively and postoperatively in different conditions using standardized techniques. Only virgin cases were included and a complete case analysis was performed.

Outcome: The outcome of this study was the comparison of stretched penile length before and the inflated penile length after PP surgery.

Results: Data on penile length before and after PP of 361 patients was analyzed. Preoperative stretched penile length was equal to postoperative inflated penile length in 33% of patients. The absolute mean difference between pre-surgery stretched and postoperative inflated lengths was 1.1 cm. No correlation was found between implanted cylinder length and postoperative penile length. Additionally, the choice of implant type did not significantly affect postoperative penile length outcomes.

Clinical implications: Our findings confirm the reliability of preoperative stretched penile length as a tool for proper patient counseling before PP surgery.

Strengths & limitations: Although our study is overpowered, our results show that preoperative stretched penile length serves as a reliable predictor of postoperative penile length outcomes after PP surgery. By providing clinicians with a tool for patient counseling, our findings contribute to enhancing satisfaction and quality of life outcomes in patients undergoing PP implantation.

Conclusion: Preoperative stretched penile length serves as a reliable predictor of postoperative penile length outcomes after PP surgery.

Quote from: Ukguy1234 on November 08, 2025, 09:23:28 PMYour response to want to avoid surgery might not make sense from a surgeons perspective but its an absolutely normal emotional response from any man.

It absolutely makes sense to explore conservative approaches first.

As for the PMP, I am surprised he mentioned wearing it at night. Don't us men get multiple erections during sleep? I dont see how that one would work personally. Haven't heard of anyone on here wearing it to bed either.

Did he talk about Restorex at all?

yeah agreed, makes me wonder if Levine has tried that himself haha. No disrespect to him but it's as you say - it's your penis and you only get one.. are you sure you want to chance it.

He did not talk about RestoreX and while I preferred PMP in the beginning, and honestly mostly still do given it's comfort for long term use. I do wonder if RestoreX would be a good addition for targeting certain plaque locations, and maybe could be a good addition to a PMP routine? (rip wallet, haha)

Not sure but I have an appointment coming up in 2 ish weeks so planning to ask his thoughts on it.

Quote from: Mikel7 on November 08, 2025, 08:39:40 AMI started with the PMP and I did have success with it. There is a learning curve in putting on the device and then getting use to it. It requires longer wearing time then the Restorex, but it does work! I regained all of my lost length in using it. I put in about 6 to 8 hours a day.Morning and evening times combined. I switched to incorporating the Restorex after a couple of years to address my upward curvature then.

Did you use the rod attachment? I could probably commit to more hours than most given I work from home. However the belt system doesnt look too appealing.

Also when you used restorex, how long did it actually take you to get used to it? I feel like I keep taking one step forward and two steps back. Ill be okay for a few weeks but then one day, where I think im fine, I end up pushing it too hard...then need to take several weeks off to recover from the pain.

Quote from: Ands on November 08, 2025, 01:58:38 PMHey! As for what caused it, I can't think of any event I can pin it down to that may have caused immediate damage. He did mention surgery is usually a later option to go to - I grimaced and said that the idea of that makes me uncomfortable and can't see myself doing it. He said it's an irrational response and that surgeries on a case like mine are usually very successful. To be honest I still feel the same but I think he was right given his experience. Just hoping to get through things with traction.

He said with the PMP that you basically need to treat it like braces, it takes time to change things and said to try and maximize my time wearing it.

He even suggested wearing it to bed once comfortable wearing it for a longer period of time, I can see his angle on that but the idea of that still kind of scares me after reading some stuff online where people get morning wood and it causes bruising / cell death potentially? / etc

Your response to want to avoid surgery might not make sense from a surgeons perspective but its an absolutely normal emotional response from any man.

It absolutely makes sense to explore conservative approaches first.

As for the PMP, I am surprised he mentioned wearing it at night. Don't us men get multiple erections during sleep? I dont see how that one would work personally. Haven't heard of anyone on here wearing it to bed either.

Did he talk about Restorex at all?

Quote from: Mikel7 on November 08, 2025, 08:55:38 AMWelcome Ands and thank you for your detailed post! Please fill out your signature line -->Signature Line . Then if you haven't done so please download our survival guide -->Survival Guide . This will give you a better understanding about peyronies and it's different treatments.

Dr Levine is my Dr also and he started me on the PMP and I can say that I do like him and his approach. I did have success with the PMP and then I eventually incorporated the Restorex to address my upward curvature.

You are doing everything correctly and just keep on keeping on. I also used heat therapy to help with pain and accelerating healing. Are you also using Cialis? It helps with erections and bringing in fresh oxygen and reducing inflammation. Welcome! 
      Mikel7

Hello! Agreed, it was honestly so relieving to get a professionals take on it and it seems like he's dedicated himself to this area. I have my 3 month follow up appointment (from my initial), in 2 weeks. I'm honestly a bit worried about the outcome of that given pmp hasn't yet produced many visible results, mostly just reduced erection pain, which I won't complain about!

But hope he doesn't just try to push me toward surgery as I'm not ready to go down that route. But it'll probably be fine ha.

I will say I've been curious about using restoreX for my case, almost all of the tissue on my left side of my penis is tighter feeling - so it seems like it'd be more effective. especially with the comfort grip being released it seems appealing, before I wasn't too excited about clamping my glans with the base model. Would you say this aligns with your experience? PMP was only helping by a small percentage for the actual curvature hence you introducing restoreX?

What are you using for heat therapy? I've just been using a rice sock like NeoV has always mentioned, but not sure how long to keep the heat on it, under the penis, over the penis, etc.

Levine held back on prescribing Cialis, just the aminos for now. though I am curious if that'd be a good addition. He said my arterial peaks / blood flow looked good based on the ultrasound. Though I've reduced my masturbation to 1 time a week so maybe less blood flow by virtue of that, or penis just getting cold while I have pmp on - are the things that make me wonder if it would be good.

sorry for the wall of text, hopefully that made sense, appreciate your input!

Quote from: Ukguy1234 on November 06, 2025, 06:35:13 AMWelcome brother. Good on you for being proactive and going to the doctor.

Any idea what may have caused this for you? Any injuries you can recall or medication you are taking?

Out of interest, did Levine think the Penimaster pro could make a reasonable difference? Did he mention surgery?

All the best

Hey! As for what caused it, I can't think of any event I can pin it down to that may have caused immediate damage. He did mention surgery is usually a later option to go to - I grimaced and said that the idea of that makes me uncomfortable and can't see myself doing it. He said it's an irrational response and that surgeries on a case like mine are usually very successful. To be honest I still feel the same but I think he was right given his experience. Just hoping to get through things with traction.

He said with the PMP that you basically need to treat it like braces, it takes time to change things and said to try and maximize my time wearing it.

He even suggested wearing it to bed once comfortable wearing it for a longer period of time, I can see his angle on that but the idea of that still kind of scares me after reading some stuff online where people get morning wood and it causes bruising / cell death potentially? / etc

Welcome to our forum.

Welcome Ands and thank you for your detailed post! Please fill out your signature line -->Signature Line . Then if you haven't done so please download our survival guide -->Survival Guide . This will give you a better understanding about peyronies and it's different treatments.

Dr Levine is my Dr also and he started me on the PMP and I can say that I do like him and his approach. I did have success with the PMP and then I eventually incorporated the Restorex to address my upward curvature.

You are doing everything correctly and just keep on keeping on. I also used heat therapy to help with pain and accelerating healing. Are you also using Cialis? It helps with erections and bringing in fresh oxygen and reducing inflammation. Welcome! 
      Mikel7

 

Healing takes time from this procedure. You don't need any unnecessary pressure or movement as this could affect healing, scar tissue, tearing, etc.....