Peyronies Society Forums

Hi! Tortão here, 28yo from Brazil. My Peyronie started in August 2019. I don't know the reason, I haven't injured my penis. AFAIK, no one in my family has Peyronie or Dupuytren.
In 2019, a 45º curvature to the right and some torsion developed pretty quickly. The pain stopped after 1 entire year. The progression of Peyronie, actually, never stopped. It slowed down after the second or third month but didn't stop. Every 1 or 2 months a new surprise comes.
My curvature went to 80º to the right and then started to straighten after doing some traction. But traction didn't help at all. Actually, I think it created more plaques (this time, at the left side of my shaft). These plaques straightened my penis to something like 30º~45º to the right (this is my current curvature).

Of course, after the development of a lot of plaques, my penis lost size. Pre-Peyronie, my girth was 13.5cm and my length was 15 cm (Note: 15cm but not bone pressed. I never measured it bone pressed before Peyronie, but comparing the way I used to measure and bone pressed measurement, bone pressed adds 0.5 to 1 cm. So I think my penis had between 15.5 cm to 16 cm bone pressed. I'm going to use just bone-pressed measurements from now on). Today, my bone-pressed penis has 13.5 cm. The girth below my glans is 10.5 cm. At the base, my girth is 13.5 cm. 

In February I had a video consult with Dr. Marco Tulio Cavalcanti. He has a Youtube channel in Portuguese: https://www.youtube.com/c/DrMarcoT%C3%BAlioCavalcanti
I forgot to tell him to put english subtitles in the videos. He has a lot of good information and from his videos I could see he is a very knowledgeable doctor.
25th march was my in-person appointment. He injected some substance into my penis in order to obtain an erection for a doppler exam. crap, THIS INJECTION HURTS SO MUCH!! I can't believe men inject this crap in their penis. He told me that usually, men don't feel this level of pain. He probably does this injection every day and knows how to do it. When his assistant injected a substance to let my penis down, it hurt a lot too. I think probably they didn't make a mistake, probably they hit a plaque (it's everywhere) or my penis is sensitive to this kind of crap. What I can say is: if I just had ED, and PDEi's drugs stopped working, I'd never inject anything in my penis. I'd rather choose never penetrating again if injections or nothing were my only choices.

Today, I don't have ED. Maybe a very mild ED, cause below my glans my penis doesn't have much rigidity. But when I have an erection, my penis can stay erect for a long time. I really think my situation will get worse if I do nothing to stop this disease, maybe I get more loss of rigidity, or ED start to develop... who knows.

Ok, so he analyzed my penis and the treatment is what we had agreed in February, in our first appointment: Tunica Expansion Procedure (TEP) for size recovery and a Titan 3 piece inflatable implant.
This way I can:
- Recover my size;
- Straight my penis;
- Gain axial rigidity;
- Never worry about Peyronie again.

TEP was created by Paulo Egydio. Here is the publication:
https://www.jsm.jsexmed.org/article/S1743-6095(20)30646-9/abstract
(please, use Sci-hub if you want to read the entire paper)

Tomorrow (27/march/2021) is my surgery. I'm taking an anti-biotic named Zinnat (Cefuroxime axetil) and I will keep taking it for 14 days. Today and tomorrow morning before surgery I'm gonna take a bath using Chlorhexidine. It's an anti-septic.


Summary:
- 30~45º curvature to the right;
- Loss of axial rigidity (buckling);
- Loss of size (length and girth);
- Plaques on both sides;
- Peyronie keeps advancing;
- No ED.

Size pre-peyronie:
Length: 15.5 cm
Girth: 13.5 cm

Size today:
Length: 13.5 cm
Girth: it depends. At the base is 13.5 cm. Below the glans, it's 10.5 cm.

The estimation he gave me is: recovery of the girth (Titan really helps here) and 2 cm of length. He said he tries to put the biggest implant is possible. I like this idea. Dr. Eid does this too.

I'm gonna post pics, but not today.
Tomorrow (day of the surgery, 27/March) probably I'm not gonna respond here. Maybe I'll just stay on the bed for a few days without turning on my notebook.
I pretend to post pics from before Peyronie, during Peyronie, and after surgery. I understand that size can take months to be recovered, so I need patience. I also ask you for patience if you want to see my results.

Good luck Tortão,

I assume you have a longer recovery and some more discomfort from the TEP, but I think you will be happy with the final results.  Will he use the scrotal approach for the implant and reservoir?

You are in our thoughts and prayers.

PS: I injected BiMix at least twice per week for 8 months.  I would say the pain was non-existent.  It did not phase me.  If you are describing the needle, then something is definitely wrong.  If it were not for causing fibrosis, I would have been happy to inject for the rest of my life.


Hawk

@Hawk ; How did you know that injections were causing you fibrosis?

Good question!
Because:
A. It is a listed warning and side-effect of the drug
B. It began weeks after I started injecting
C. The fibrosis started with dents the size of a teaspoon right at the base of my penis right at the site of injections
                                                                                                                Hawk

I'm so jealous of tartao. He is a guy who is close to my age and I relate to him the most. He is manning up and taking the decision to free himself of this evil disease to restore confidence and walk with his head held high. You are in my thought and prayers as well. May god make you very happy with decision you have taken and you reap great rewards.

Good luck ! Keep us all posted.  :)

It's gonna be perfect, Tortāo. Big up to you for taking the decision.
We're all waiting for your return.

At this moment I haven't much time to reply everyone (and I'm on my phone), but I read ALL your messages, guys, and I'd like to thank you so much.

My surgery went well, I woke up at 14h (5 hours after receiving my anastesia). A bit groggy, but now I'm very ok. Feeling good. No pain at all, but I'm feeling nothing down there lol

Now I'm gonna eat a soup and drink a bit of coffee. I'm still on the hospital bed.

Ah, I received a Titan 20cm + 1.5cm rte
I haven't talked to my doctor and his team yet. Soon they will come to my bedroom to explain everything about the surgery and post-surgery care.

Thank God everything went well. And thank you, guys.

Officially a Titanic man.

congratulations on your decision and get well soon!

so amazing, man!!

just saw on Dr. Marco Tulio's instagram about two surgeries he is doing today, yours being the first one :)

i hope you get well very soon and have a great recovery! wishing you the best to then start making questions  :D

abração

LETS GO BRO!!
So happy you did this. You're gonna have a sex-life when you don't have to worry about injuring yourself!! Just try and comprehend that for a second.
All the pain & discomfort you get from this procedure will fade and you will be left with a functional dick.
As for the Peyronie's pain, say goodbye to that too.
I'm wishing you a quick recovery, man, and I also hope you stick around the forum to answer questions & PM's from me and everyone else.

Wow! That was huge! Congratulations for your surgery, bro.
Everything is going to be awesome from now on.
I wish you the best. May God bless you on this new phase, free from anguish.

Boa sorte e parabéns, mano!

Good crap Tortão please post pics I'm a similar age and I have been considering If all else fails. No matter what you're trying to fix it so good stuff I'm sure it will go well high success rate.

Awesome and wonderful! Now on to healing.  Keep posting!

Good luck man!! Rest up!

Thank you guys for your kind words!

Continuing day 1...
The pain started around 22:00.

Day 2 -28/march
3:00 am I had to ask for Tramadol.

The implant is 90% inflated, more or less. I  will be kept this way for 10 days, then I have an appointment where the doctor will teach me how to cycle. Tomorrow my curative will be renewed and the drain that sucks blood from I don't know where will be removed.
My shaft is numb. It's normal since the procedure requires the manipulation of the neurovascular bundle. I'm feeling ok in the glans, but I haven't touched it that much to be sure.
My catheter was removed at 8:00 am.
I feel the rear of the implant being pressed up against a muscle if I move my penis down. This is painful. Cowgirl position with the woman's back facing you would be a no-no if this discomfort is part of the implant. (Like this https://i.imgur.com/Gydeq78.jpg).

Starting from today, I need to pull down my pump 10x/day, more or less. I pulled it once with the help of the assistant doctor. It's was a bit painful. I pulled one more time here, in my Airbnb, and I was more gentle this time.
Before the surgery, I thought I had no more room in my sack for the pump. My balls are kind of big. Maybe I was right. The pump is not totally behind the balls, it's just a bit behind and separating them. I'm not liking the way it is now, but I think it can get better, right?

When I stand up, my penis points to 2 o'clock, but I'm not using anything to fix it in this position. Should I? The doctor told me to rest my penis in the position I find most comfortable. When I lay down it moves more towards my belly.

Quote from: Hawk on March 26, 2021, 10:26:31 PM
Will he use the scrotal approach for the implant and reservoir?

Thank you for your words, Hawk.
The penoscrotal approach was used! EDIT 10/April actually, it was the subcoronal approach.
I really don't know why I reacted so badly to the injections. The level of pain was high.

Quote from: postrocker on March 27, 2021, 03:44:28 PM
just saw on Dr. Marco Tulio's instagram about two surgeries he is doing today, yours being the first one :)

Yea, it was mine!  ;D
After this, he did another surgery but using a semi-rigid implant.
Thank you for your kind words!

Quote from: Curvekiller94 on March 27, 2021, 10:07:14 PM
Good crap Tortão please post pics I'm a similar age and I have been considering If all else fails.

Soon I will!

I'd say the penis pointing at 2:00 is a good angle. It's up to you if you want to manipulate to make it where you want. Whatever is comfortable should be a good choice.

Take the pain meds!! Don't be a hero, it's better to get out in front of the pain before it becomes too much to bear.

Rest up, heal well!

Perfect thanks a lot man you'll be back to throat F^@$!ng beautiful women in no time my dude. Keep me posted for I may do the same if the pain keeps up and to prevent reinjury.

Do you know if they're getting some size back for you?

Tortão,

My 2 cents worth of advice is to do NOTHING to bend your penis down because I am very convinced it significantly influences the angle of your erection when healed.  The uninflatable portion of the cylinder plus the RTE's are stabilized by a scar capsule that will form in the crus.  Like a fence in a fence post hole, any enlargement of that capsule will alloy the post ( your penis) to tilt more toward the floor when inflated.  It is still very usable but loses some aesthetics, especially if your natural erection pointed upward when standing.

All this pulling on the pump is also a confusing thing to me.  Many surgeons encourage it.  The ONLY time I have ever heard Dr. Eid forcefully express himself was when I said, "many say you should tug on the pump to pull it down."  He made it known in no uncertain terms NOT to do that.  Interestingly, during healing, my pump dropped lower than my testicle on its own.

@Tortao ; What was the cost of the surgery, including Implant in USD?

Surprised you took this route! Good luck with your implant. I'm, going to check the link from, the surgery procedure, you, posted, about, your doctor.

Quote from: pfract on March 29, 2021, 11:44:38 PM
Surprised you took this route! Good luck with your implant. I'm, going to check the link from, the surgery procedure, you, posted, about, your doctor.

If I may ask, why are you surprised?

All the best in your recovery Tortao, everything will be fine and you will be the motivation for a lot of young guys like you in the forum. I'm following your journal everyday even if I don't post.

thank you for keeping us updated and props to you for making such a big step towards a healthy sex life!
wish you all the best for the recovery

Hey, guys. How are you doing? I hope everyone is ok.
Counting surgery day as day 1, today is day 4. It's Tuesday evening right now.

Yesterday my bandage was removed and another was placed by the doc in his clinic. The catheter that sucks blood from the ballsack got removed. Today my ballsack is more swollen, maybe because of the blood. I don't know. The pump is better placed behind my balls, but I can touch and feel the tubings between them. Does this get better? The doc recommended and I'm using a "scrotal suspender", but I think it's BS. Anyway, I'm following all the instructions. He knows best than me.

What hurts most is the stitches below my glans. Damn it's like my skin is being torn. Yesterday, after the new bandage was put in, the pain was worse. Today is better. I made another bandage today (on my own) and almost fainted in the bathroom. I did this while standing up (big mistake). My glans are kind of fine, but my shaft is purple and numb. It was expected.

Tomorrow I'm gonna clean the toilet seat using bleach, clean my hands with chlorhexidine, sit in the toilet seat and then make another bandage. I'm very afraid of possible infections. I watched some Dr. Eid videos and listened carefully to the infection symptoms he describes.
Oh, I haven't made number 2 since Friday. I started a laxative this morning, but I'm feeling no desire to go to the bathroom.


Something I want to tell you, guys... and I want to be very honest: be skeptical. It's good, it's healthy. Wait for my results before trying this procedure. It promises a lot, but does it deliver?
I made this procedure to restore my sexual function. I could just do an implant placement (I think). But the best implant doctor I could afford (which is Dr. Marco) recommended me this procedure. My tunica had to receive incisions anyway. My narrowing was bad.
But TODAY (or even before surgery day) if you ask me this: hey Tortão, if you could choose between making TEP with Marco or putting just an implant (without any promise of length gain) with Dr. Eid, who would you choose? I'd for sure choose Dr. Eid. Not that Marco isn't a good doctor. He seemingly is, but I couldn't find any review of any Brazilian implant doctor on the internet. Here, 90% of the implants are semi-rigid and most done by random surgeons. Dr. Eid, on the other hand, is very very well known. I basically took this leap of faith.

2.0 cm length gain was promised, but I see this as a plus. I think if I get my girth back and my pleasure returns to normal, then I'll be happy (my penis is already straight and can't bend to Peyronie anymore, so 2 objectives are completed). Of course, getting no length back would make us question the procedure and its size promises.

Quote from: Curvekiller94 on March 28, 2021, 06:18:59 PM
Do you know if they're getting some size back for you?

It was promised I can gain 2 cm, but I don't know if I will. Time will tell the truth. Unfortunately, I forgot to bring a ruler to SP, so I don't know my length right now.

Quote from: Hawk on March 28, 2021, 09:13:05 PM
Tortão,

My 2 cents worth of advice is to do NOTHING to bend your penis down because I am very convinced it significantly influences the angle of your erection when healed. 

Thanks for your words. On day 2, the doctor just bent it everywhere show me (it was painful) but I'm not doing all this bending. I'm not maintaining it glued to my belly button too, as some guys do. I think right now it's in a good angle when I stand up (2:00 or 2:30). Marco Tulio said I'm 70% inflated, but his assistant said I was around 90%. Confusing, but I think Marco was the one who pumped me so probably his estimation is correct. 

This thing of pulling down the pump is really confusing. I've seen some videos of Dr. Eid saying it doesn't help at all. Well, I'm gonna stick to my doctor's recommendation anyway. It is not hurting my balls anymore.

Quote from: pfract on March 29, 2021, 11:44:38 PM
Surprised you took this route! Good luck with your implant. I'm, going to check the link from, the surgery procedure, you, posted, about, your doctor.

hahahah I'm sorry if I use a lot of commas. I use a browser extension to aid my grammar, and sometimes it bugs. But you all can understand me anyway (I hope so!)  ;D

Stay well everyone! 

Oh something I forgot... DAMN, I got a bit circumcised. I really used to like my foreskin. While having an erection it would always pull naturally back. Flaccid, it used to protect my glans.

After fully healed, I need to encounter ways to grow it back.

Thanks for the update tartao. I'm sure you are anxious like most of us are after an invasive procedure.... but I just wanted to remind you to not forget to pat your back and take it easy and treat yourself while you are recovering. Watch a good movie, get your favorite dinner.... while healing :)

Quote from: gaussrifle on March 31, 2021, 12:41:15 PM
I just wanted to remind you to not forget to pat your back and take it easy and treat yourself while you are recovering. Watch a good movie, get your favorite dinner.... while healing :)

   Excellent advice! 

Today is day 5. Wednesday evening.

So far, so good. Size seems ok at this moment. I am probably 70%-90% inflated but the length seems good. Seems reasonable. It will grow more after starting cycling. Pain is much more manageable now, what hurts most is below the glans where part of the foreskin was cut, and where my hardest plaque was. My balls sack is still swollen.
Today I went to the bathroom and did number 2 thrice in the morning and two more times in the afternoon :D I couldn't poop since last Friday. I had to use a mild laxative this morning and I feel much better!

The pump is now located behind the balls, but when I sit or lay on my back the tubings get very palpable in front/between my balls. Is this common in the beginning?

Oh, and today I took my first bath since the surgery day,.. I took 2 hot baths and changed my bandages twice. From today on I'll do it just once a day.

I'm lucky this Airbnb has good curtains cause since Sunday I'm walking here with a boxer short and, coming out of the front side hole, an erected dick full of bandages.


Hope everything keeps evolving.
God bless y'all!

Quote from: gaussrifle on March 31, 2021, 12:41:15 PM
but I just wanted to remind you to not forget to pat your back and take it easy and treat yourself while you are recovering. Watch a good movie, get your favorite dinner.... while healing :)

Yea, this is very good advice. Stress just makes recovering worse, so now its time to relax!  ;D

4 days closer to your goal!

I am not sure exactly what "when I sit or lay on my back the tubings get very palpable in front/between my balls." exactly means.  When I feel the right side of my scrotum, I feel the pump bulb down low. Moving up is the valve assembly with my testicle next to it.  If I really probe up high, I can feel an inch or less of tubing that comes out the top of the valve assembly.  There is no excess tube, and it is pretty rigid or rather stationary.

I am surprised that if you still have bandages that you can submerge in water.  Doesn't bandages suggest a wound that is not sealed?

Hawk,

I touch my balls while standing in these positions (laid down or sit still) and I can see/feel a part of the tubings in my ballsack. I think it gets better with time since some people also present some problems with tubing and pump positioning in the early days after surgery. Or maybe it got mispositioned. If I remember correctly, excess RTE can cause some problem with tubing visibility in the scrotum. But I got just 1.5 cm RTE, not an excess.
Tomorrow I'll take a photo and post it here.

Regarding bandages, it's just to seal the area below my glans that got cut. I take a bath with them and right after I remove, clean the area and put on a new bandage.

Itis true that RTE's do move the tubing connector on the cylinders forward, but I would not worry.  It is interesting how things readjust and settle down as you heal.  It seemed like my pump was in a bad position for the first few weeks, then everything seemed to adjust itself.

good luck tortao, you deserve a good result

Another day (day 6 or the fifth day after the surgery) and things are going well.

- I'm still pulling down my pump. Gently, but firmly.

- The implant is heavier than a natural dick, but I think my muscles will get used to it. Walking with an erected implanted dick is still causing a bit of discomfort, but I think this is normal. Not even a week has passed since surgery. Ah, and I won't walk around with an erection hahaha.

- I worry a bit if the tubings will keep apparent as they are now.

Ah, something I've noticed: I've been told the penoscrotal approach was done to put an implant into my penis, but I don't have any scar in my scrotum. Wtf? I'll ask the doc about it.

Images of the tubing (there's tubing where I'm pointing at):

(https://i.imgur.com/AoFF8Um.jpg)

(https://i.imgur.com/EQWraui.jpg)

Well you certainly look straight.

It looks like you have an incision in the fat pad over the penis that would indicate a retropubic approach. And at least at this stage have a good upright angle.  Do all you can to preserve that because it will drop as you heal.

It looks great !

@Tortão

QuoteCurvature 70º+ to the right. New plaques at the left "straightened" to around 35~40º.
Lots of plaque, curvature, loss of size, loss of axial rigidity. No Erectile Dysfunction.
Mar/2021 Titan Zero degree 20 cm + 1.5 RTE.
Healing now."

Impressive that you did not have Ed but still went for the implant. I remember a few posts here from some trolls and others that were vehemently against this and where saying for you to go this route only if you were "70 years old with a limp penis".

Honestly, so far it looks like you are on track to have a very good outcome with a straight and functional penis. and that is very nice.  8)

I think he made the correct decision. Once I am done with classes and I start working again I will go the same route if i have not fixed things. I'm not saying it's the only way, but for me I think it's probably the best route. I have ocd already and I don't like having to worry about what may injure me what may not etc. it's just not healthy for me to think like that

No more flair ups no more traction devices, length loss,  just getting on with your life. I applaud you good sir. Can't wait to hear more about the functionality of it in later days. I've heard old guys say they really love it etc(no offense to the elderly) I trust their opinions, but it will be nice to hear how implants work from someone my own age.

Day 7 (or sixth day after surgery)
Not much to add. Yesterday I didn't use Paracetamol, just dipyrone. I think today I'm not gonna need it. Pain is much better now (if I can call it pain... discomfort would be a better word).

Recovering is surprisingly easier than I was expecting! Good!

When my scrotum tightens (when excited, cold, or sometimes randomly) the tubings aren't visible and its aesthetic is much better.

I won't update this journal every day since there's not much to add these early days. Of course, there are more exciting updates coming regarding sensibility, size, sex, etc...



@Hawk,
Do you think it would be good to use, for some days, some kind of jockstrap or something to point my penis up? I was thinking of doing that.

@pfract,
I'm sorry if I sounded like a troll in the past, but I never meant to troll here.
I was never against implants. I just think there are some prerequisites to put one, and it's ok if you disagree with me, we're not here to agree with each other all the time.
Of course, these prerequisites are a bit subjective and people should do what they want with their bodies. In my case, I had curvature, narrowing, buckling, and a non-stop Peyronies progression. Just to clarify, I don't think having Erectile Dysfunction should be necessary to go to the implant route. Each case is different. These are my 2 cents.

@Curvekiller94,
yea, man. I think I really made the right choice. The immediate results I can see are the straightness and the increased girth. I'm happy with the results so far! I'm gonna need more months to analyze every aspect of the surgery, though.

Quote from: Tortão Pra Direita on April 02, 2021, 07:30:29 PM
@Hawk,
Do you think it would be good to use, for some days, some kind of jockstrap or something to point my penis up? I was thinking of doing that.

Yes, I think I posted about this earlier.  I would not put downward pressure on my flaccid penis at this stage, much less my inflated penis.  Here is my earlier comment.
Tortão,  My 2 cents worth of advice is to do NOTHING to bend your penis down because I am very convinced it significantly influences the angle of your erection when healed.  The uninflatable portion of the cylinder plus the RTE's are stabilized by a scar capsule that will form in the crus.  Like a fence in a fence post hole, any enlargement of that capsule will alloy the post ( your penis) to tilt more toward the floor when inflated.  It is still very usable but loses some aesthetics, especially if your natural erection pointed upward when standing.

Thanks, Hawk.
Yes, I read your answer about not putting downward pressure, but I was just wondering if would be good to do the opposite (upward pressure).
I wasn't putting any kind of pressure, just walking around with my penis 24h/day erected coming out of a boxer pants lol.

Sorry, I understand.  Yes, I think it is your comfort option to wear it up snug, or just give some support to keep the weight of it from pressing down.

I never had to deal with a long-term inflated implant.  I am sure it is a challenge.

Hi Tortao

I'm just catching up with your journal now. Sounds like you've had a great experience so far and your pictures look like this has been a huge success for you. Congratulations and long may your progress continue.

Can I just say that your English is superb. You are Brazilian, yeah? How come your written English is so good? 😁

8 days since the surgery. So far, so good. Feeling almost no pain. My biggest discomfort is when I sit for a couple of minutes and then get up. I don't know how to exactly describe it, but it's a pain at the side of my balls, almost in the groins. After a few seconds, the pain goes away and a small discomfort takes place.

Regarding size: my penis looks so thick! Its shape is very good too! I know some guys complain about an oval shape after getting an implant, but fortunately this is not my case (at least, not yet). I don't have a ruler with me in São Paulo, but I'm sure the girth at the base is 14 cm or more! And I've not started to cycle yet! ;D I'm happy about this!

I have a question for the doctor (I'm gonna visit him tomorrow) but I'm gonna question here too:
In the early days after surgery, after starting cycling, is there a best position to point my flaccid penis under the pants? I don't know if the position while flaccid also influences the position while pumped up...

Here's a pic from above:
(https://i.imgur.com/qbmMFJ0.jpg)

@Roddy
Thanks for your words! Yes, I'm brazilian! I try to read things written in english and listen to podcasts... But I'm sure there's some misspells in my writing, it happens

Stay well everyone!

Do you have any expectations of what your surgeon will do tomorrow?  Do bandages come off?  Do you get deflated?  I assume you are not totally inflated at this point.

When you deflate the stiff new cylinders, plus the swelling will make you look semi-erect.

So much is difficult to tell at this point.  You surely have some swelling.  You don't know how much more you can inflate.

Your angle will drop but maybe not from where you are now because you are less than fully inflated.  The next week will begin to tell a lot, and it is bound to be good news.
Do you have any "before" photos?

I would wear everything up.  I would put NO downward pressure on the base.  If you are determined to wear it down, I recommend pointing the base up and bending your deflated penis about an inch out from the base downward.

Whats up man!!
Awesome progress. Congratulations for your fast recover.
What a journey you've been through, ahn?
It was quite a bold and brave move to decide to underwent surgery. But at the same time, it was THAT defining moment, of setting yourself free from the erratic and diabolically capricious grip of this evil disease. To not let yourself being defined by this problem, but to rise against and reclaim your own mental, physical and sexual life back. I wish you all the best. In no time you will be facing much different problems, like dealing with all those demanding ladies. Parabéns!

Looks great! Keep on healing.

@Hawk
I recently finished my appointment. I got deflated and trained on how to deflate/inflate.
Inflating is not painful, but deflating is very. The reason is I need to squeeze my penis, and it is still sore because the plaques got a lot of incisions. Squeezing the deflating button in my ballsack also hurts.
Tomorrow I'm gonna get an airplane and return to my hometown. I'll deflate and point my penis up under my pants to come home deflated. I foresee problems coming, like security wanting to view what's under my shirt or whatever.

Right now, I'm deflated and looking semi-erect, pointing to 4 o'clock. It gets better, right? When deflated for the next weeks, I'll let my penis pointing up under my pants, but after healed I really want to see it pointing 5~6 o'clock (when deflated).

Quote from: Hawk on April 04, 2021, 08:57:27 PM
I would wear everything up.  I would put NO downward pressure on the base.  If you are determined to wear it down, I recommend pointing the base up and bending your deflated penis about an inch out from the base downward.

Right. But is it recommended to point it up for how many weeks? I read Merrix's journal and he has a good-looking flaccid penis pointing down.
crap, I made so many questions to the doctor but I forgot to make this one. He recommended me to wear it up or pointing to the opposite direction of my Peyronie curvature, but I forgot to ask for how many weeks/months.
I fear pointing it up and getting a 4 o'clock flaccid, or wearing it down and getting a below 3 o'clock inflated.

I have before photos, but not with me in São Paulo. It's in a Pendrive in my house. I'll post them as soon as I can.


@Winter and @mikel7
Thank you for your words, guys!

Tortão, I smile, but I remember all my own concerns that seem a little crazy now,

Wearing your penis up is NOT going to give you a 4 O'Clock flaccid penis.  It will, however, help give your erection a better angle. Your penis will eventually settle down to 5 O'clock or better, NOT because you make a loose scar capsule by putting downward pressure during healing.  It will hang below 5 O'clock because the cylinders themselves soften.  Those cylinders will stretch and become more flexible, and their Hydrophilic Coating will actually absorb fat from your body which will not only make them more limber but slicker and less crinkly.

How long?  I am not sure.  I think the answer is when the penis can hang down without prying down on the crus but because the shaft bends rather than tilting down.  A good rule of thumb is when you are at 5 O'clock or better in the shower, it is safe to wear it down.  My guess, without looking it up in my journal, is 3 months.  I am right at 7" (hard bone pressed) with about a 5" girth on the distal half.  If you have more mass, it might be sooner.  Less mass might take a little longer

@Hawk
Thanks for your answer. It's a relief to know this.
However, more concerns appeared in the last 2 days:


Today is the 10th day after surgery day.
I took a plane and bus to get home.
Well, all I can say is I'm definitely a newbie regarding how to keep my penis under my pants. I truly need a little help here.
In my first appointment after surgery (day 3), I was 80% inflated and went to the doctor's clinic. It was embarrassing. I just can't bend my penis while inflated. I remember before surgery I could never bend my penis totally to the left or right when I had an erection. Pointing it upside was the best I could. Now, I can't even point it upside while inflated. Well, on day 3 I tried to keep my penis up but to no avail. When I entered the doc's room, my glans was yellow to white. Circulation problem, of course, because my pants were tight trying to keep my penis up.

When deflated, things are a little easier. Today when traveling I could keep my penis up and a little bit to the left. It's painful and it's obvious there's something down there. Unfortunately, this bending left a small crinkle on it. When I came home, I inflated to 90% but that crinkle didn't disappear and it is still there. It wasn't there days ago, as you can see in my last photo. crap, this is concerning.

The doctor told me to start cycling: 12h inflated,12h deflated. Well, I told him I simply cannot. I'm in my home now, how can I work or see my family with an erection? I can't bend it. I told him I'll keep my penis inflated while sleeping (7 or 8 hours), he answered me it's ok but I need to sleep on my back.

Truly, I need help on how to keep my penis under my underwear when cycling (inflated) and when deflated... I appreciate any tips from you, guys!

This is the image of the crinkle:
(https://i.imgur.com/haExty1.jpg)

I'm trying to mold it using my hands, but with not much success. It's deflated and pumped 2 times.

Oh, and regarding pain: it's painful to move my penis. I feel no pain if I do what I was doing the last few days: just walk around with an erected penis coming out of a hole from my underwear. But now I'm home, I can't do that anymore haha.

If your inflated penis did not have any crinkles in the cylinders right after surgery, then there will never be crinkles in your fully inflated penis.  If you have crinkles, then you are not fully inflated.  Otherwise, your reservoir would have to have lost fluid which is next to impossible.  The only other possible explanation is that you did have crinkles right after surgery but were not aware of them.  Your surgeon would have known that while you were still in the O. R. however, so that is also extremely unlikely. 

I think it has to be fully inflated to have any chance of molding, and considering the TEP, it might be a little early to be man-handling your penis.  Your greatest molding at this point is tissue expansion from the max inflation you can accomplish for as long as you can accomplish it.  It is also essential since you have been inflated to  DEFLATE to the MAXIMUM to stretch the reservoir scar capsule to prevent auto inflation that can only be corrected with surgery.

You should not have one single concern with the shape of your deflated penis, no matter what the shape is.  At this stage, it means absolutely nothing.

Thanks for your reply, Hawk.
I've noted the deflated mode is easily molded by continuous pressure. For example, after coming home I noticed my penis was in an oval shape because it got pressed for a long time against myself. There was this crinkle too.

Before going to sleep, I inflated to something like 90% (I guess. It was really hard and started to make the tips of my glans a little discomfort). The crinkle was there and the oval shape too. However, I woke up today and my penis was in a good shape (more round) and no more crinkle.

Now I deflated but I don't know if I'm 100% deflated. It's pointing to 4 o'clock, though. I'd love to not squeeze my penis now, but unfortunately this "one-touch release" is BS, as the doctor said.

I'm wearing it up but it's really uncomfortable. At least for now.

If you are totally deflated, you should be able to feel the cylinders and they should be like flattened plastic straws down the length of our penis.  One side of the collapsed cylinder will touch the other side.

In places, they will have bends often referred to as "dog ears".

Hi, folks! How are you?
2 weeks since surgery today. Regarding size and straightness, I'm not worried. It's straight as an arrow. Even though girth is visibly better, it will improve more. At the base, it is 15 cm. Yea, incredible thicky. But there's a lot of swelling, so probably this is not the real girth. Length is 13 cm at this moment and will improve as months passes by.


As a newbie, I'm facing some issues with the implant. I'm gonna list them in order to check in the future if things get better or not.
Things that NEED to get better regarding the implant:

1. Pump squeeze: I press 2 or 3 times and then the pump gets really hard, then I need to wait for a while to pump again... And then wait again... And no, my penis is not hard rock at this time. I don't know if there is something wrong or I am just a newbie. Maybe is the way I pump. I use both hands because it's simply incredibly difficult to pump using one. And I'm a strong guy, believe me. Also, using one hand is difficult to stabilize the pump, so you press it and then... it scapes in the direction of your dick and it hurts a lot!

2. Deflate mode: it's really difficult to deflate. Yesterday I took 20 minutes to do that and I think I didn't deflate fully. Today I woke up and deflated it, and it was difficult too. The skin of my ballsack is literally forming calluses, and it gets more difficult to perceive where to press. "One-touch-release" is BS, as my doctor said and I'm noticing. One touch is not enough, you need to press the small button hard and hold it every time you squeeze your shaft.

3. Implant malleability: while erected, I simply cannot point my dick anywhere. It doesn't go. It' rigid as F~@<. This is a problem because in the future if this bad malleability persists, I won't be able to make any excuse to pump in the bathroom and come with my penis hidden under my pants. Before sex, I'll need to tell the girl I have an implant. It won't happen. I intend to tell just to my future girlfriend, but not to every girl I'll sleep with.

4. Flaccid state: there is no flaccid (yet). It's just a semi (almost total) erection pointing to 4 o'clock. Of course, this has to improve cause it will totally limit the things I used to do before (play football/soccer, ride bike, swim, etc). Sex is just a small part of life, so limiting everything for the sake of sex is ridiculous. To get a better flaccid state in the future, I need to make sure I'm deflating totally in the present.  Just feeling the cylinders is not enough to know the implant is 100% deflated. Yesterday I felt the cylinders but I was not totally deflated (I thought I was). Today I could deflate even more.

5. Cylinder at the left side: I'm not so worried about this, but I hope it improves as well. Even pumped 90%+ it's possible to feel there's material inside my penis if I touch the base of my shaft at the left side. It's not obvious, but it can be felt. I don't know if this is an error of the surgeon or something normal of the Titan.

Well, I may sound pessimistic but I think it's important to list the struggles during recovery. In the future, some men may relate it.
I hope everything improves.
Have a nice day everyone!

Tortão, If you read my journal at week 7 Post-Op, you will see I had about 9 items on my wish list.  I reported on those 9 items until they all improved.

1. I do not understand this.  A new pump is firm to squeeze but is normally not 'hard."

2. I think you need a long soak in a hot tub to get very well acquainted with your pump layout.  Turn loose of it 20 times and see how quickly you can re-grab the deflate button.  Train muscle memory into your hand until it is automatic.  The day will come when you can press the button, and it will lock open.  Some get it in a week.  It took me over 3 months.

3.Do NOT try to bend or point your inflated penis.  Let it go where it goes naturally during the first 3 months.  You will stretch your crus scar capsule and compromise your erect angle.

4. In the beginning, deflated Titan cylinders feel like a crinkly plastic water bottle.  Over time they feel like rubber tubes.  It takes patience.

5. I suspect you are not feeling the cylinders but rather the tubing from the reservoir.  A few things make this more noticeable A if you are very thin /lean, B. If you had a retropubic approach rather than a scrotal approach, C. If you have RTE's because they move the cylinder connection forward.

It will take months, but you will have no trouble inflating discreetly with a woman.  Full inflation will be about 20 pumps.  You can do 15 and easily hide it.  15 will be enough to barely have intercourse, but the other 5 will be very easy to hide.  Do NOT, however, practice this during healing.  Again, do NOT bend your penis against the crus scar capsule.

I've checked your journal again, Hawk! I'll keep reporting these items I listed till all are improved.

About the pump... firm or hard, I don't know the proper word, but it's difficult to squeeze. Two hands are needed since the beginning. I pump a few times using both hands and then need to wait for 40 seconds ~ 1 minute to pump each time again. Yesterday, before going to sleep, it took a total of 15 minutes to inflate 90%+. I hope the day I can pump/deflate as this man come fast: https://www.youtube.com/watch?v=CctPILaHy9Q

Today, deflating was very difficult too. Calluses are being formed inside my scrotum, and it's really difficult to distinguish the components of the implant. My scrotum is bigger than it was 7 days after surgery (when I wasn't cycling) and there's a thick layer of skin inside it, around the deflate valve. The small deflate button is nearly impossible to be felt now, but I know where it is so I can press it (with difficulty).

I also suspect I have auto-filling (I read in your journal you had the same suspect too). My penis points below 4:00 after deflating, but after staying in my chair with my penis towards my belly, I stand up and my penis is pointing above 4:00. Maybe it's because I stay too much time in this position, who knows.

I'm thinking of taking some days fully deflated without touching my scrotum. The swelling down here is just getting worse.

While inflated, I don't point my dick anywhere. I just let it go with gravity (towards my belly when I'm sleeping). Even if I try, I can't point it to the sides because it's really rigid. However, while deflated, I point it up-right or up-left when I need to see other people. I try to avoid this, but I can't totally. Yesterday I stayed some time with my penis pointed up-left and then, after pumping 90%, my dick was pointing more to the left. Seems the direction of the deflated penis also influences the angle of the inflated.

Hi Tortao

I had to sleep on my back as I was inflated for 12 days prior to seeing my surgeon. I kind of built a tent-like structure with cushions so the duvet wasn't sitting on my erection. I also bought 2 pairs of the largest jogging bottoms I could find which let me lie back on the sofa watching TV with my legs up and bent at the knees. This allowed me to have an erection without anyone else in the room
knowing. I also made the point of cycling before bed, when my children were also in bed, and could lie on my bed, fully inflated, for an hour.

You're doing great. Well done so far.

Tortão,

I do not speak as an expert.  I have no experience with this, so I do not want to concern you by even bringing this topic up.  I do think, however, that you should speak to your surgeon.  I want you to get immediate confirmation you do not have an infection.

I do not at all understand you not being able to squeeze your pump at least ten pumps in 30 seconds.
It is not typical to have swelling in your scrotum. (tenderness yes, swelling NO)
Dr. Eid told me one of the signs to watch for is a change where I could not feel the pump's details.  I always checked to be sure I could feel the ridges on the pump bulb.  To be certain, if you can soak, do this in a tub of hot water, so your scrotum is relaxed.  Ask your surgeon about these issues and what warning signs you should know about. 

I understand that with a TEP, your procedure was somewhat different.  My hope is that you can address this so you can quickly put this possibility out of the picture.

Best wishes for a great recovery, my friend.

Hey dude, I hope the swelling has gone down, when did the doctor clear you to use it again? Excited to hear what you/the lady thinks of it

18 days after surgery

Hi, Hawk. I had this suspect too, but I'm more alleviate now. I'm with my eyes wide open to this possibility, though.
I've talked to my doctor, but he was not concerned. He asked me to not use so much force. Well, but so far I haven't used the force he used to deflate me in our last appointment  >:(. Still, I've used force.
According to Dr. Eid (that is not my doctor, unfortunately), these are the early signs of infection:
- Lack of progress regarding pain;
- Fluid starts to accumulate around the pump;
- Skin starts to attach to the pump and it becomes difficult to feel its details;
- Redness on the scrotum;
- Fever is one of the last symptoms.

So far, the pump and deflate valve aren't attached to the skin and I can feel its details. The problem is a thick layer of skin formed inside my scrotum and it's located in front of the deflate button. This happened probably after I used too much force to deflate. This was concerning because I thought maybe it was the beginning of an infection. If my scrotum isn't so contracted though, I can push it aside and feel the details better.
Unfortunately, I don't have a bathtub to get my balls soaked in hot water.
My scrotum almost never relaxes now. The only time it's relaxed is after waking up, but then I get up from bed and it slowly starts to contract again. And it keeps contracted all day long. Sometimes more, sometimes less, but never relaxed like it was on day 06, as you all can see in the pictures I posted on April 01. This makes deflating very difficult. Even a hot shower doesn't relax it. The assistant doctor said this contraction is normal... Well, do you guys had this problem too in the beginning? 

I'm pretty sure this is happening because my scrotum hates being pressed haha. This started after I started cycling.
Yesterday night before going to sleep, my scrotum was a little bit less contracted, then I pumped 10 times, made another bandage, and then when I got to pump again... my scrotum was more contracted and it was more difficult to pump. See:
(https://i.imgur.com/GHBfNA0.jpg)

No concerns regarding pump location and visibility, though. It seems a very good job! The problem is deflating/pumping when the scrotum is not relaxed.
Today in this morning, after taking pics to send to the doctor, it was contracted and got even more after I tried to deflate it. So much contracted to the point the skin located on the sides started to be "recruited" to the scrotum, as you can see:
(https://i.imgur.com/YcKu658.jpg)

My scrotum is black, my skin is white. The white skin started to "help" the scrotum.
Weird, huh? My scrotum hates being pressed. I don't know if it gets better with time... So far, this is a pain in the ass and very frustrating. Very.

The good news is I can pump with much more ease now. Not the way I desire, but it's an evolution. Now I use my left hand, grab the pump and pull it to the left... and I kind of incline the pump, trying to bring it to the horizontal. Then I start to pump using my thumb. I don't remember exactly how many pumps I could do yesterday, but I think it was 12 before the pump getting hard (it took 40 seconds or less). Then I used both hands. Less than 20 pumps definitely is enough to have sex.
Here's the dick pic of today. The glans are all orange because I'm using a spray that contains anti-biotic. I had the subcoronal approach.

(https://i.imgur.com/CpDSARg.jpg)

Quote from: Curvekiller94 on April 14, 2021, 09:34:54 AM
Hey dude, I hope the swelling has gone down, when did the doctor clear you to use it again? Excited to hear what you/the lady thinks of it

Hi!
He said at least 60 days. I think it will take more time than that. 4 months at least. Subcoronal approach is tough for the patient. You friction your penis during sex, and the incision is below the glans... 

@Roddy
thanks for the tips!

I am so glad you have some improvement. I have been concerned about not seeing you for a couple of days, and I was very hesitant to type about the "I" word.  I looked at my post for a long time and edited it a couple of times before I clicked on "post."

I would like to understand more about your exact procedure.  I assume you were "degloved" to make the expansion incisions on the Tunica.  Were the implant, pump, and reservoir inserted through an incision in the scrotum or the fat pad above the penis (Retro-pubic) or by some other means?

Could you describe where all of your incisions are?

Don't hesitate. Better safe than sorry. I understand there are still risks of infection so it's better to keep my eyes open.
I quite don't understand this approach. As far as I know, everything (cylinders, reservoir, pump) was inserted through this incision below the glans :o
The doctor said he did everything through this incision. Difficult to grasp how ???

After the surgery, a drain to suck blood from my scrotum was placed through the incision on the fat pad. This drain was kept for some days and then removed. This bandage on the fat pad above my penis is to heal this small incision. It's closed now, but I kept doing bandages just for safety.

I do not think he would make an incision in your fat pad just for a drain.  I think the implant, reservoir, and pump had to be installed through that retropubic incision.  Hopefully, you will get a chance to ask.

I had to soak to deflate my implant the first two times I used it for sex because that was the only way I had learned (laying down with a very relaxed scrotum.  Once totally healed, your scrotum and penis are not bothered in the least by the implant.  Deflated, I can easily bend my penis in half or even in thirds with no discomfort.  After almost 3 years of pumping, I feel no thickening of my scrotum skin, none.  It is far less sensitive to pumping and deflating, however.

Quote from: Hawk on April 14, 2021, 12:39:55 PM
Deflated, I can easily bend my penis in half or even in thirds with no discomfort.

Thanks for all your help, Hawk.
Well, this is something that concerns me a bit. While deflated, I can touch the cylinders and they easily follow the pressure of my finger. But I can't bend my penis like that. The first time I got deflated was by the doctor. He squeezed my penis and it looked like a smashed water bottle. Of course, he was a bit brutal and caused a lot of pain in my shaft... but do I need to squeeze like that in order to deflate totally?
I may sound repetitive about deflating but this is something I really care about since I don't want scar tissue being formed around a half-empty reservoir.

I'll ask my doctor again about the incisions the next time I talk to him.

I am sorry.  I was not clear.  I would never expect you to be able to do that at this point.  The first time I saw a photo of a man bending his dick in half with an implant, I could not imagine ever getting there.  That is months down the road.

What I did when I became aware I was auto-inflating slightly after deflating was something I came up with on my own.  Like you, I wanted to make sure my reservoir was not scaring in without being full.

I got a piece of Coban wrap that adheres to itself
--->https://www.google.com/search?q=coban&rlz=1C1CHBF_enUS949US949&oq=coban&aqs=chrome..69i57j0i433l3j0l4.4624j0j7&sourceid=chrome&ie=UTF-8

I deflated my penis TOTALLY.  Since I had to hold the pump valve with one hand at that stage, I laid my penis on a flat surface and rocked the heel of my hand from the glans down the shaft.  I drained all I could by squeezing the fluid from even behind my scrotum.  Then I immediately wrapped Coban snug around my penis so it could not inflate.  I think I only did that on about 3 consecutive days, and it seemed to stop the tendency to partially inflate.  Keep in mind, that was not a medical recommendation or even anything I ever read.  It just seemed logical so I tried it.

Thanks for the tip, Hawk!

Well, today is the 3rd week after surgery.

I have good news and maybe bad news.

The good news is since Wednesday I learned a new way to inflate. It's easy, albeit I think I can get better. I hold the back of the bulb with the index and middle finger (not the point of them) and press the front of the bulb with the prominence of my thumb. Like this: https://youtu.be/o1t3YuJ_zz4?t=226

I recommend everyone with difficulty pumping and deflating watch the entire video!  ;)

20~22 pumps get my dick F^@$!ng hard. No need to pump more.
I'm also deflating more now! This is good! This Wednesday I tried to get the "one-touch" to work. I pressed the deflate button, released and then squeezed my penis. And it worked! I felt some fluid going to the reservoir. I was kind of happy but after hours I looked in the mirror and my flaccid was hanging just a little below 3 o'clock. Then I thought: "F~@<, I didn't deflate enough. I need to hold this button. One-touch is my ass!". Well, this time I sit down, breathed deeper, pressed the deflate button and held it for 20 seconds while squeezing my shaft. This was the first time I think I really deflated! My flaccid hanged even lower than it used to, 4:30 I think.

Now, time to vent: how in the hell Coloplast makes a crappy  deflate button like this? I mean, I'm not a stupid guy but I find it not easy to deflate. I think probably there are men with a crappy  flaccid now because they didn't deflate enough in the early days after surgery. Not their fault, but Coloplast fault.

Ok, now the bad news is my ballsack hates all this pressing. The thick layer of skin surrounding the deflate button is still there and maybe a little bigger.
I'm deflating while sitting down in a chair, so my ballsack relaxes a little bit. But I don't know how I'm gonna deflate after sex if my ballsack is all retracted. Maybe things get better.
Also, I don't know if is the new way I pump, but after pumping (not while) the skin below the bottom of the pump gets sore. This started to happen this Wednesday.


I'm still fearing infection and yesterday I spent all my day reading and researching guys that had one.
Dr. Eid says an infection generally manifests itself by the 3rd or 4th week.
I think now there's not much I can do, just watch the symptoms.
https://youtu.be/WaQPD_j7aQs?t=1019 infection signals. Time-stamped.

Ah, last thing: after deflating, I pump 1 time. Doctors and even a Coloplast engineer recommend this. I don't know if this prevents auto-filling or what, but I'm doing it!

Tortão,

I did a similar rant about the deflate button and the absurdity of the name One "Touch"  ;D :) ;D

However, some men get it to work on the first try, and men who never get it to work.  Most are like us and struggle for a few weeks to a few months then get it.  It is partly learning (with no instructor) and breaking in the pump/valve.  It is a contrast to AMS/Boston Scientific pump that men often accidentally deflate as they are trying to pump and panic, thinkingt their pump is broken.

In my opinion, a two-hand deflate for a few months is not too much to pay to have a smaller round pump without the corners of other brand.  One day it will just work.

When you pump, can you rotate your scrotum skin, so you are pressing on another section of skin?

BTW, those are outstanding links.  I think I will find a permanent place for them so others can quickly find them.

Hi Tortao

To you and anyone else wondering about the difficulty associated with deflating, yes the deflate button could be better designed as you have to first of all find it and then press pretty hard on it to deflate. It just gets easier is all I'd say. It also gets easier just to accept it for what it is as part of the overall process. Nearly 2 years later I still just locate the button in my ball sack, press it hard to start the deflation process and then when my erection has fallen, I squeeze my dick with my left hand whilst pressing the deflate button with my right hand. I stop squeezing when I'm comfortable with how much it has deflated. This works for me. Not entirely sure how much everyone else deflates.

Roddy,
Once again, I have the same experience with my pump.
BUT, when I consider what a great time, my new penis brings me and my spouse it's all worth it.
But I still struggle sometimes when deflating.
I have found that sometimes when I have squeezed the button, and it doesn't seem to be going down, I will pump it again and then squeeze the button again and it seems to free things up and it deflates. I still may have to squeeze the penis again to get most of the fluid out and then a firm press on the bulb again to prevent my penis from filling.
Inflating is easy, but I normally have to squeeze up to 30 times to get it maxed out.
Let's hope they improve the pump in future models, but I am still good with the performance of the actual implant!
StepOne

I now squeeze my deflate valve for 5 seconds and I am done.  It is almost automatic without thought.  If I want more deflation I squeeze my penis with one hand without touching the pump.  I usually do NOT reset the valve by pressing the pump 2 times.  That way IF my penis ever seems a little full, I just give it a quick squeeze without a need to touch the pump.

I never have to use one hand on the pump and one to squeeze my penis.

I just checked my journal and please indulge me reminiscing:

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...

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.

Today completes 4 weeks after surgery.

So, yesterday I had a web video call with Dr. Marco Tulio Cavalcanti, and he solved all my questions. I hadn't to pay anything since it was part of my post-op follow-up.

I know penis size increases after months of doing implant cycling, but I'm happy with the results so far.
After 28 pumps (the maximum, or very close to it):
- My penis length is the same as pre-op length, but not the same as the pre-Peyronie length.
- My penis circumference below the glans is now 12 cm (bigger than pre-op), and at the base is 13.5 cm (same as pre-op).

So far, the penis looks nice when pumped. The pump is well hidden behind my balls. The angle is very good. I can't say the same about the deflated angle, but it takes more time to get better.

I've masturbated twice in the last 10 days, but I'll wait more time to do it again. I was just touching the base of my shaft, but I cummed both times. It was a weird sensation the first time but less weird in the second. My neurovascular bundle got mobilized during the surgery, so it is expected my sensation to not be 100% at this point. Dr. told me he never had a patient that lost sensation permanently, and I'm not worried about this because I can orgasm and I've felt sensation is getting better.

Dr. Marco told me to let the implant inflated for 2 hours a day from now, so I can get a better flaccid. I care a lot about a good flaccid, so I'm gonna do that. I understand it won't be the same as pre-op flaccid, but I just don't want it pointing to 4 o'clock as it is now.

Well, I'm able now to do walks and light exercises, so I think my mood will go up. I was very stressed these days.

I have the doctor's personal number so I can call him on Whatsapp if I have a problem or questions, but I think now I just have to wait. He checked my penis after I sent him a video and photos, and everything is great and under control.

We also chatted about some techniques for Peyronie. He doesn't like the "scratch" technique for some reasons and said it's not so effective for severe cases. Also, he doesn't like the hand modeling some doctors do on the penis during the surgery because, in some cases, it can damage the urethra. He thinks TEP is the best option for penis straightening and size recovery.

Here's a pic. Good angle. The incision site will take more months to heal properly.
(https://i.imgur.com/TRTdXGo.jpg)

Have a nice weekend, fellas!

Great post with all the good news I wanted to hear.  I can't believe it is 4 weeks already.  It is pretty easy when you are just reading about it. ;)

Also, a great photo with the clock overlay.  Your posts are always informative.

Do not rush the flaccid hang angel unless you have reservations in the near future for a nudest camp.  Just forget about it, and rest assured it will definitely happen.

To rush it is to interfere with your erect angle.  They often drop together especially if you apply downward pressure on the cylinder base in the crus.

Man!! Great news. Congratulations for your progress. It was a brave move, but one you definitely won't regret. All the way around!!!
Wish you an even quicker recover and all the best.
God bless.

Great post, Tortao. And a great photo for reference. Well done and continued good luck in your recovery.

Congrats man sounds like you're recovering well glad yo hear it! You're really brave for getting that procedure done at a young age, but it seems like it really paid off. Looking forward to more posts once you are further healed.

Brave of you to have masturbated with that scar under your penile glans!  :D

Couple of questions :
With TEP, should the penis length be greater than preop right after surgery or does this also only increase with cycling and time

Does your glans engorge the same size as before when you masturbated ?

Thank you guys for your words!

1 month and 1 day post-op.
I know I need to wait more time, but I'm starting to get frustrated because this flaccid angle is not improving. The lack of evolution regarding malleability is whats gets me pissed of. Weeks have passed and the angle didn't drop.
Next week I need to return to my office job, so things will get complicated. I tried some underwear and pants but none is comfortable. Also, the bulge is a big problem. I'm deflating to the max I can 3 times a day just to guarantee but seems the problem is the material is too rigid. I'm starting to wonder if this will be a problem while running and practicing sports, things that I deeply love.

Quote from: gaussrifle on April 26, 2021, 09:01:51 PM
Couple of questions :
With TEP, should the penis length be greater than preop right after surgery or does this also only increase with cycling and time

Does your glans engorge the same size as before when you masturbated ?

If you read the paper, the increase in size (it's not detailed if it's length or girth) is obtained intraoperatively. So yes, the size should be obtained during the surgery. However, I left the hospital with -0.5cm in length. Regarding girth, I gained where I had lost a lot to Peyronie (below my glans).
My length now is the same as pre-op and I think I can gain more with cycling.

About the glans... I haven't seen it engorging without the bandages on it, so I just looked at the tips of my glans when I got excited. I'm with bandages for almost 24/7. I see there's engorgement, but I can say it's different from before. The shape seems different. Maybe because of the incision, I don't know. I think it's too early to draw a conclusion.

Tortão,

All I can say to you is the angle of the flaccid improves for months.   Since you had a TEP you might be too sore to do this but You could wear it down like an upside-down "L".  Your penis comes straight out from the body (or even upward) then bend it down an inch from the base.  This does not put any downward pressure on the crus but points the penis down.

Your deflated cylinders will soften for well over a year until they are like rubber. I empathize with your impatience.  I am sure you will work this out with the right combination of clothing and positioning.  In two months I don't think you will even think about your penis except when using it.

You cannot hurry this process.

Best Wishes
Hawk

Hawk, thanks for the tip! I was wondering if I could do something like that but thought it could stretch the crus.

30 minutes ago I did something for science. I took the bandages off and masturbated. Well, definitely the size is bigger than the not aroused size. I can see the sprung veins, and the glans engorgement is good too! The glans seem more "fat" at the tip. When I'm cumming, I feel it's kind of clogged but then after 2 secs the jizz comes off. It is a different feeling.

I think I'm a bit reckless masturbating at this point. I pretend to wait for 1 month or more to do it again. 

Regarding size and shape, I can say the doctor did a very good job. Seeing my "aroused penis" reminded me of my pre-Peyronie penis. 

Thanks for answering my questions. Sending you all the positive vibes and energy.

I can only speak for self, but I can feel my tubing, but I don't care as I have a rock hard dick.
I sometimes can feel the tubing more than other times, but Hawk is right. It's been 2 years for me now and the tubing has become much softer. It just takes lots of time. But I don't care because I have a rock hard dick that never gets soft until I want it to.
Lol, I think you "choked the chicken" for your own personal pleasure, rather than for science, lol.
It gets better with every month.
StepOne

Stepone, are you using the term "tubing" for the word "cylinders?"  If we are not strict about the distinction between those two terms it causess total confusion.  It especially confuses new members since they are two very different things.

Sorry for the confusion
I can feel some of the narrow tubing that connects the various pieces of equipment, but I don't care.
The two big cylinders in my penis that actually enlarge have softened a lot. When I am able to super deflate, they feel like deflated balloons, but I don't care.

5 weeks and 1 day post-op

The inflated state is good. Size is good, straightness is good. The doctor did a good job I guess.
I make sure I always deflate to the maximum I can. I also deflate during the day to guarantee it's 100% deflated. I'm not pumping 1 time after completely deflating anymore. I don't notice auto-filling, and I think pumping once puts more saline to the cylinders than auto-filling.

My main concern is still the Titan's flaccid state. Simply there's no flaccid and I can't see the difference between this "flaccid" and a semirigid implant. Tomorrow I'm gonna return to my office job and I'm quite worried. I've tried a lot of different ways to conceal my penis under my pants, but I found no comfortable position. I put an underwear and jeans and try different penis positions, but none is at least acceptable.
- Pointing up is terrible since the pants waist presses the bottom of the shaft. This restricts blood flow to the glans and it starts to become white;
- Pointing down is uncomfortable too and blood flow to the glans starts to get restricted;
- Pointing to the right is uncomfortable and increases the bend I have on the flaccid state. There's a dog ear at the left side of the shaft and a curve at the right side;
- Pointing to the left is uncomfortable but it does not increase the bend. Still, I need to let my penis "breathe" a little after 15 minutes or so. Going to the bathroom every 15 minutes every day in the office will be very strange and unproductive.
- Sitting on my chair and letting my penis "free" is the best position and is the only way I can do things without thinking about my penis. I can do this just in my house, though.

I need to say that, in my view and feeling, this big discomfort has nothing to do with the plaques or the relaxing incisions. It also is not related to the procedure or to the doctor. He and his team did everything right. This is 100% about the implant being too rigid and difficult to be kept under the pants.

So you all can see I'm going nuts with this situation. I did this procedure to forget about Peyronie and increase the quality of my life, but I can say that my quality of life, at this moment, is lower than before surgery. I'm thinking about my penis more than ever now, simply because the discomfort keeps remembering me of it.
All I can do now is just wait and pray for things to improve. If it doesn't improve in let's say 1 year, I don't know what I'm gonna do.

Sorry to hear this Tortao. When you say you think more about your penis now than before surgery, I get that. I still think about it a lot. But it's because I know what it does and how incredible the sex is. You'll feel the same when you get to have full sex - I'm certain of that. I wear my flaccid to the left. I remember at the beginning feeling very embarrassed about my big dick bursting through my trousers. This will change in time for you but I had to buy less tight jeans to hide the shape. When are you good to use it?

I don't think I am understanding why you cannot point it up at a45 degree angle into the crease of your leg.  Our implant size and penis size are in the same range and I had no such frustration with the same model of implant.  However, the cylinders do get softer for over a year.

Quote from: Roddy on May 02, 2021, 03:39:24 PM
You'll feel the same when you get to have full sex - I'm certain of that.

I hope!

Quote from: Roddy on May 02, 2021, 03:39:24 PM
When are you good to use it?

The doctor told me, after 9 days post-op I think, that I should wait around 2 months. I think this is very very optimistic. I think probably more 2 or 3 months from now. I still have pain when inflating, especially if I fully inflate. I think the doctor put the biggest implant he could.

Quote from: Hawk on May 02, 2021, 11:46:23 PM
I don't think I am understanding why you cannot point it up at a45 degree angle into the crease of your leg.  Our implant size and penis size are in the same range and I had no such frustration with the same model of implant.  However, the cylinders do get softer for over a year.

When fully inflated, I have almost zero "hinge". Using my hand I can force my penis to point 10~15º to the right/left. I think I can point it 30º to the upside. (This is why I think it won't be possible to hide the implant from any girl I'm going to get laid. Inflating in the bathroom and hiding it in the pants, as some men do, is impossible at this moment).

Deflated I have much more malleability of course, but my penis can't touch my body if pointed to the sides unless I press it. If I let my penis to the side, the underwear presses it against my body and makes things really uncomfortable after a few minutes. I guarantee I'm 100% deflated. There are a lot of dog ears too.
I can point it upside and it touches my belly with no problem, but the waist of the pants pressing the corpus spongiosum restricts blood flow to the glans. This is the worse position, in my view.

I talked to the doctor yesterday about how frustrated I was and how difficult was to work yesterday, and he said I should deflate 100% and point it down. I did this today and it is the least uncomfortable position but is still uncomfortable. Probably this will lower my angle while erected, but there's nothing I can do.

I'll try to get off the forum for some time because probably the next weeks will be horrible as it's now. Till the implant doesn't soften, things will be complicated and I don't want to turn this thread into a venting journal. There's nothing I can do now and I'll just embrace the pain and pray for things to get better. I think it will, there's no other option.

Tortao, I am in same understanding as Hawk.
But this is what my doc said.
My doctor told me I could start pumping in about a week, this was my follow up appointment.
Hawk suggested bathtub with warm water when pumping. I had a jacuzzi tub, so this was perfect, it helped with the pain.
Doctor told me I could have sex at 30 days. I started on 31st day.
All the other instructions I obtained from this site  reading journals taught me a lot. But I still had questions and got frightened a few times.
It seems like you are doing well and as Hawk says, it's a marathon, not a sprint, so be patient and you will have some great fun ahead of you.
StepOne

@Tortao hope all is well haven't heard from you in a while hope your recovery is going better Ik you were upset a bit. I'm sure things are Getting better and you're getting more used to

Hi Tortao, how are you doing?

Tortão has not logged onto the form in four weeks.  It is kind of destressing when we are left to guess whether that means good news or bad news.

All we can do is wait until he posts to update us.

I really hope he is okay and doing well

Me too I'm sure it takes some adjustment. Hopefully he just figured he shouldn't worry about Peyronies anymore and isn't coming on here

Yo are you alive dude? Whether you're doing good or not please check in. You are a pioneer and I wonder if I should just get implanted. It's hard to know if it's a good idea for a young guy and you were the first to get one please touch base with us here

It is truly a shame he does not respond to the many who depend on him for his input.

If he never returns, we will never know if we should consider TEP surgery.

Hi, guys. I'm sorry for waiting so long for posting again. Believe me, it was necessary. Life is like a rollecoaster. I had to deal with some troubles, like death of a family member and depression. But I'm here and I'll try to help everyone I can. If I miss some important points in my update, don't hesitate to ask.

ANGLE:
Deflated, it points to 5 o'clock approximately.
Inflated, it points to 3 o'clock

SENSIVITY:
I feel pleasure and feel all my shaft.
When inflated and aroused, I have a feeling that the site of the incision is a bit weak and it can tear apart doing rough sex. Maybe this is just insecurity.
When I'm cumming, I feel a bit of pain and a numb sensation in my glans. The first shot is a bit painful and kind of gets clogged in my urethra, and the next shots unclog it. It's very weird!
The numb sensation is just when I'm cumming, and it last two or three seconds. I think it will get better, though. Nerves can get months to heal entirely. Patience, patience.
I've seen in FT some guys that got nerve problems just by an implant. There's a guy that took 8 months to cum. Well, my surgery was much more complex and it can get a long time to heal too. It's frustrating cause there's no certainty whether it will get better or not. If don't, then I'm f'~c<+d because this sensation is not good at all.
Another thing: inflated to the max my glans get cold. Probably the corpus spongiosum gets pressed by the implant.

PAIN:
As I wrote above, I feel some pain when cumming, but I think it will resolve after some months.
I also feel an annoying discomfort in the middle of the shaft, on the right side, when the implant is deflated and pointing down. This is all day long. If I'm standing up, I feel it.

PAIN RELATED TO PEYRONIE:
I still feel pain If I eat foods that used to trigger pain in my penis. Peyronie is an auto-immune condition I guess.
I just avoid eating sugar, milk, gluten and all this crap and I feel ok.

SIZE:
Now after a good amount of time has passed and all the swelling went down, I can measure the real size.
I'm not measuring bone-pressed. In my opinion, there's no sense in measuring bone-pressed if we don't have a ruler standard. I have three rulers here with me: two of them start the 0 mark 1 cm post the beginning, and one of them starts the measurement at the beginning. Depending on the ruler I use, I gain 1 cm. What's the point, so?
So my measurement is like I described in my first post: starting the 0 of the ruler from the base of my shaft. The ruler doesn't touch my bone.
-Length pre-peyronie: 15 cm
-with Peyronie: 13.5 cm
-almost 3 months post-surgery: 14.5 cm (aroused and glans engorged. Without engorgement, it's 13 cm).

I think I can gain 0.5 cm with cycling, but I'm not worried about length.
What got me upset and disappointed is girth...
-Circumference pre-peyronie: 13.5 cm
-With peyronie: 13.5 cm at the base / 10.5 cm below the glans
-Post-surgery: 13 cm at the very base / 10.5 cm below the glans
Very disappointed here.
At least my glans, when engorged, is girthier than a good part of my shaft...

(https://i.imgur.com/kriITOj.jpg)

AESTHETICS:
I can't understand exactly the incision site. It's very ugly and looks like I got a STD. I doubt women would be OK sucking this dick. I think this crap is a keloid. I think it won't heal and look normal again by itself. I'd like to see more subcoronal incisions, but it's difficult to find men that got it. Damn, circumcision sucks. Keloid after circumcision is rare. Well, Peyronie is uncommon; in my age is rare; severe peyronie in my age is rarer; keloid after circumcision is rare too. If I had the money compared to my unluckiness, I'd be rich as Elon Musk.

(https://i.imgur.com/8L2146L.jpg)

I won't post pics of my implant deflated. A totally deflated Titan looks horrible and very unnatural. If you care about a natural-looking flaccid, you should get AMS. If I have the money to buy it, I'll get AMS CX (or LGX) in my next revision.

COMFORT:
Well, it got a lot better comparing the last time I posted, but I still thinking about my penis during a good amount of my day. There's a plastic that's inside me. It's almost 3 months post surgery, probably comfort will get better... but for now, I lack that feeling of movement and freedom I had prior to surgery. I feel my penis pressing my underwear when I get up, when I run, when I walk...
Also, circumcision is crap. I don't like it, I need to wrap my glans with gauze every day. I miss my foreskin lol.

GLANS ENGORGEMENT:
Yea it engorges if I'm excited. I also wake up with it engorged.

BULGE:
Oh, man. I don't like it. I try always to hide it, and I can because it's cold in this period of the year in my country and I can use jeans, sweaters... But if I wear shorts and go for a run, it gets clear I have something strange or a big dick.
Some men are more perv and love to show the bulge, but I don't. And the bulge is a lie because I don't have a big penis.

INFLATING/DEFLATING:
It's easy to inflate or deflate.

STEALTH:
The pump is well hidden behind my balls. Aesthetically, nothing can be perceived.
But my ballsack is small and if I'm sitting/lying down, a tubing and the deflate valve can easily be touched.

There are stories of men pumping their implant in the bathroom, pointing it to the side, and going to the foreplay with their women. Lol, there's no way I can fully pump my implant and point it to the sides. It gets very rigid. A guy sent me a video of him pumping his implant and pointing it totally to the left... I just thought: WOWW, how can he do that? It was like rubber. I never was capable of doing that, and if you can't do that today without an implant you probably won't be capable of doing it after the surgery too. If you're like me, it'll be difficult to hide your implant from a girl. I imagine myself always doing oral sex and pumping it while eating the p~$$%, but what if the girl doesn't accept me going down? FUUUU hahaha
A lot of doctors (even Eid!!) talk about some wives not knowing their husbands have an implant... Cmon, if this happens, the woman is stupid. Maybe you can have sex with a girl 2 or 3 times without her knowing, but soon enough she'll perceive things are weird. So if you are a young and single guy and are imagining yourself with an implant banging all girls in your city... I'm sorry, this can happen but probably you'll get "caught". Some of them will perceive you have a third ball, but won't ask you what's that.
An implant is something weird in the eyes of society. It's not something you tell to everyone. Almost no one knows what it is. If a girl (especially these b1tches you find in nightclubs and bars) knows you have one, she can get very mean about it and gossip this subject with their bitchy friends.


My verdict:
Do I recommend TEP? Based only on my experience, the answer is NO. It recovered a bit of length and nothing regarding girth. This is very, very disappointing. It's an unnecessary risk (infection and loss of sensitivity are the worst. But you can get some random pains, weird sensations, etc...).
Maybe without it I'd lose more size, who knows. Some guys lose size after the implant surgery when the surgeon is not skilled enough. And maybe if I didn't get this procedure I'd be here crying and regretting not recovering my size. Life is that. We never know what will happen till it happens.
I'm sorry guys, I'd love to be here talking about the miracle of this procedure and how my penis now is girthy again and blablabla, but I think we need to accept some losses. Maybe I'll recover a bit of girth with daily cycling, but if this happens it has nothing to do with TEP. Read its paper. It says the relaxing incisions can recover size intraoperatively. I'm thinking now... probably scar tissues were formed in the process of healing of the incisions, so my tunica is less stretchy now and this can prevent more gains I'd have with Titan cycling. Or maybe I'm just overthinking.

Do I recommend an implant for Peyronie? Humm it depends on a lot of factors: age, if you tried other treatments before, how bad is your peyronie, your socioeconomic status, your job (are you a karate teacher/civil worker/lifeguard?), etc.
If you chose this option, seek the best surgeon you can afford.
My message for young guys: in my opinion, for young men, an implant should be treated as a last resort because there's no way back and after you put one inside your body you'll have to live with it for decades and decades. It's not the same thing for older men.
My peyronie was severe, I tried all conventional treatments and just got worse. It was very unlikely my tunica would heal from nothing, and my situation was just getting worse. I just wanted to get rid of this disease and resume my sexual life. Things can get better and I imagine 1 year from now they will.

Thanks a lot Tortao for writing back and sharing your experience in detail with pictures. I am happy that you are doing well although you have a few concerns, which I think will get a lot better with time. We all need to thank god that your operation was successful with no infection, misplaced pump. Moreover, you erect size is already over peyronies baseline, in my opinion that is due to TEP. Without TEP in my opinion you would be shorter 3 months out and regain over next years or two.

Do not worry about girth, you need to stop obsessing with your penis. Any girl doesn't want a designer made penis.  The fact is you have a perfectly working , straight , no hourglass/ indentation penis that is more than good enough to please any girl.

About the numb sensation when ejaculating, I am 100 percent certain you will get normal feeling back. It's only been 3 months out for you after a much more invasive procedure like TEP. I took finasteride for a week before peyronies and I had completely numb ejaculation for more than 1 month and that was only a medicine and not even a surgical procedure. My pleasure returned with time.

As for depression and other stuff, you need to realize we are here for you. You are a fellow brother that can reach out to me or other people. It wasn't like I forgot about you when you dint post, I was genuinely anxious and nervous for you , I was trying to look up your posts on here and FT hoping I would find you happy and satisfied.

Now for the love of god, please go out and F~@< girls if doctor has cleared you, that's what will make it worthwhile and make you look at the positive effects.

Quote from: GaussRifle on June 23, 2021, 11:25:31 PM
Moreover, you erect size is already over peyronies baseline, in my opinion that is due to TEP. Without TEP in my opinion you would be shorter 3 months out and regain over next years or two.

GaussRifle, I am curious as to what information you drew on to form your opinion.  You did not come up with that from studying the 1st-hand journals provided on the forum.  I was 1/4" longer and 1/4" more girth than my pre-surgery size 8 weeks after surgery. At 3 months, I picked up an additional 1/4" to put me 1/2 " over my presurgical length (without glans engorgement).  This is typical if you study the journals.

We must base our opinions on something, or we contribute to misinformation being repeated and men being robbed of the information they need to make very important decisions.

@GaussRifle
thanks for your message and support. Yea, nerve healing can take months. As I said in my last post, I've seen guys that had a simple implant procedure and ended with sensation problems that lasted for 8+ months.


@Hawk
In my view, on this forum we have, fortunately, generally good outcomes regarding implant surgeries.
On FT, for example, I've seen a lot of guys that ended shorter after the surgery. It's difficult to find men that ended with more than they had prior to the surgery. Merrix is the only one I can remember.
This is very related to the surgeon skills, so again we need to emphasize the need to seek high volume doctors.

It is of course true that if men are encouraged to get implants from Surgeons who do 4 or 5 surgeries a year or even a dozen or two that they will have suboptimal results.  That does not apply to the vast majority of men on this forum.  I might add that Merrix was the one man who reported being bigger after an implant than at any time in his life.  That was not a comparison to pre-surgery.  It was a comparison to his all-time largest size prior to Erectile Dysfunction or Peyronies Disease.

Hawk as Tartao pointed out, most of the people who underwent penile implant surgery not just here but other forums were smaller in size post op immediately after the surgery. I saw this statistic to be 3/4 atleast. While I  do agree it lands to surgeon skill, the fact is not everyone has access to Dr. Eid. My point being tartao got his surgery done some place else, and without TAP there is a high probability his size would be shorter immediately post surgery considering he wasn't operated by Dr. Eid or the likes.

Gaussrifle, you know nothing about implants or Peyronies Disease or Erectile Dysfunction in general.  You joined this forum 6 months ago, not 16 years ago.  Why would you try to explain implants to me? It is hilarious and embarrassing. ?You have never had an implant and never even had an implant consultation with a major surgeon.  You have not even read the journals.  You have posted false information on the forum several times in your short 6 months visit here. 

Most men do NOT lose size with Implants.  Many professional papers and studies agree. My personal experience supports that conclusion. The journals on this forum support that conclusion. The journals on other forums support that conclusion, and I never suggested anything to the contrary.  If you ever saw a link to such a quote by me, please share it because since I don't drink, I must have been having a stroke when I typed it. 

You would have to go back to the earliest days of implants to see where men lost size before anyone knew how to size men and when they were afraid of possible erosion. So do some research and learn and stop acting like you are an authority or even informed.

You are dispensing false information.  Men who lose size before an implant TYPICALLY gain size by 3 months post-op if they select one of many well-known high volume surgeons.  Those who let a newbie cut on them with a Coloplast or other company rep in the room might not.

I don't see reason for this harshness. This bitterness repelled some members (i.e. Godisreal) and will lead us nowhere positive. This attitude just demotivates people from posting. Answering using arguments, not attacking people, should be the focus of every civilized discussion.

I think there's a clear point here: lot of guys (I don't think it's most of them, but a good number of them) end with less post-surgery (spend some time on FT or other forums and see) and not everyone (actually, just a $mall number of men) can afford Dr. Eid or Kramer or other top high volume doctor.
I don't see any lies or misinformation or ignorance in this statement.
Would I end with less if I hadn't TEP? I don't know. Maybe I'd end with the same size I have now. Or just 1 cm less. In my opinion, the TEP procedure was a disappointment: so much risk for a little gain in length. My expectation was higher than the results.

I'll update this journal some months from now. I have a lot of work to do and life is very busy nowadays. I think I detailed enough information in this journal, and some members know how to find me.
Stay well everyone!

Let me just chime in here. In one of my pre-op consults with my surgeon I was asking about size loss post surgery. He grabbed my penis, yanked on it hard, and said that is what size you will have after implant. And I'll be damned, he was right. I was the same size coming out of surgery as I was going in. So we don't all lose size and I had a surgeon (fairly high volume) no one has heard of...and I'm happy!

Thank you Tortao for sharing your experience. I've been considering an implant for some time, but I was curious to get feedback on the TEP technique. I think it's safe to say that it might be better to get a standard three piece  implant. I  did a consult with Dr. Eid last year (great guy), but Covid kept me from getting it done (out of state travel). 

I think now I'll take the plunge. Also, Hawk seems to point out that just by cycling after the surgery he was able to pick up a 1/2" over his pre surgical length. This makes me feel good about at least NOT losing anymore from surgery. I'm optimistic that one day surgeries will be perfected that will help men with Peyronies get back all they lost.  :)

Hi, guys. How are y'all doing? I hope everyone is fine.
So, I think I need to update you guys about the current situation. I'll try to be very brief.
27 July marked 4 months of my operation. The discomfort I had while the implant was deflated lasted one or two more weeks after my last post, but the pain while ejaculating took more time. Just in the last week I was able to be completely pain free while ejaculating.
My length, when inflated and aroused, is 15 cm (not bone pressed). The same length I had pre-peyronie . This is amazing. And it's straight as an arrow. I'm confident it will increase a bit more, so probably I'll have more length than I ever had. 
About girth... It increased too! Most part of my penis is 12 ~ 12.5 cm in girth. It's not a bad size, but I hope it will keep expanding, and then my girth pre-peyronie will return too!

Yesterday 28/July I used my tool for the first time! F~@<, man... Sex is F^@$!ng good! It's addictive. I got accustomed to not having sex because of this disease. Today I was thinking about it all day long. I want more now hahaha.
I cummed twice. I gave a pause after the first, of course. The girl bounced hard on me, man. Then I f'~c<+d her doggystyle. Let me tell you... her big ass, man... damn. I couldn't last 5 minutes in this position hahahaha.
If I had my peyronie penis, I wouldn't be able to do anything penetrative I did yesterday. Seriously, no way. I perceive this now, more clearly: an implant was really needed in my case.
I was quite anxious. Pumping was not difficult, but when I had to, I had to do two things at once, and this requires practice: kissing, eating p~$$%, kissing that big ass, all this while giving a few pumps here and there... Takes practice till you do these things well while pumping because it's easy to get distracted and focused on the pumping. It's all about practice, no worries here.
The sex was a bit rough, and I did it twice, so after that my glans was a bit sensitive and sore. I think it's normal, right? Damn, she bounced hard on me.
Ah, let me tell you: I've seen a lot of guys complaining on FrankTalking that their glans does not engorge more after the implant. I don't know if this is related to the surgeon's skills or what. But, fortunately, my glans engorges well. I just need to be aroused. Man, when I was kissing that big ass...  I was just feeling the blood flow in my dick and glans lol. And when I looked at my glans, it was looking like a big strawberry.

Surgery is a rough path, for sure. But it can give you your sex life back.

This post made me cry :'( We were rooting for you from the start. Please take a moment to thank Hawk who told us about the wonders of an implant if done correctly. I don't think a man with even a normal penis can do all that without ever worrying about losing an erection.... Simply WOW. I hope one day I am able to have sex as fulfilling as that with or without an implant. 

What is it with men post a good implant .... They just start raving about sex suddenly being all sexual and naughty lol....  Their tone changes completely. I guess it's the confidence from never worrying about losing an erection lol.... Even men with normal penises have to worry about this lol.... No one can match your stamina now. Thank you HAWK ... Thank you Science !!!!!

Congratulations man!!
I am really happy for you. It was about time. It is great to know that you are that happy now.
I hope that the idea of this crappy disease would vanish from your life forever!! Just remember to come back to the forum once in a while to report the great life you are enjoying. Have fun bro.

That is wonderful news, Tortao! I am happy for you too. It seems like TEP does work after all. That post made my day as well. Congratulations!!

Brilliant post, Tortao. I can sense total elation in your words - an amazing achievement to get to where you have in 4 months. You have now joined the ranks of us implanted men who have unbelievable, worry/stress-free sex all of the time now. No weird shape, no loss of erection worries, nothing but hugely satisfying sex. The excitement in your post is funny 😄 and I remember feeling just as wonderful when I realised what I could now do. Doggy was a complete non-starter for me too so now I've made up for decades! Good luck, my friend, and well done for getting through the 'darkness' to where you are now.

So, so great to hear! There are young men, especially, on this forum who need to read and take this posting to heart.

There IS life after Peyronies Disease, and it can be awesome!

Thank you for sharing your journey, Tortao.

Nemo

Great news!
It sounds like perfect success.
Enjoy and thanks for the detailed posting.
StepOne

I wish you all the best brazil has to offer ;) :p

Thank you for the update Tortao.  It's great to see the change in tone from right after getting implanted to a few months later!

i am very happy to hear this. i was honestly a little worried after reading about the initial dissapointment but it seems all is going well for you. keep us posted

Tartao....Wait a second... in your first post you mentioned pre peyronies you were 15cm and after peyronies 13.5cm. Now you are 15cm already 4 months out, so you recovered all lost length from peyronies already ???

Also for TEP did the doctor performed glanspexy in your case , as it is usually done with that procedure ?

Tortao, Many Thanks for giving us a hope. Thanks for your input. My main question for you - So, is your current quality and feelings (sensation/sensitivity) during your "love" is the same now after your surgery as it was prior to pre-peyronie? Many Thanks in advance.

Thank everyone for the kind words!

Quote from: GaussRifle on July 30, 2021, 04:09:12 PM
Tartao....Wait a second... in your first post you mentioned pre peyronies you were 15cm and after peyronies 13.5cm. Now you are 15cm already 4 months out, so you recovered all lost length from peyronies already ???

Also for TEP did the doctor performed glanspexy in your case , as it is usually done with that procedure ?

Yes, I recovered all the length. Not the girth, yet. I think it can take up to a year to recover it.
No glanspexy was performed. AFAIK, this procedure is done when the implant can't advance enough into the glans, so the surgeon does glanspexy in order to prevent floppy glans.

Quote from: Wilson on July 30, 2021, 06:50:20 PM
Tortao, Many Thanks for giving us a hope. Thanks for your input. My main question for you - So, is your current quality and feelings (sensation/sensitivity) during your "love" is the same now after your surgery as it was prior to pre-peyronie? Many Thanks in advance.

Yes. The sensation is the same.

Tortao, Many Thanks for the answer. All the Best.

Congrats dude just read your post this gives me hope thank you!

Looks like the promise of Tunica Expansion Procedure (TEP) holds true.  The procedure states that it allows recovery of length to limit of your neurovascualr bundle, so whatever length you lost due to peyronies will be regained. I would be interested to know which surgeons in the US are experts at this.

I gained almost an inch back with just a Titan and you usually gain more with a revision.  I doubt I would go through the trauma of a TEP just to gain back my other inch even if I knew for sure that it would be successful.  However, if I was 4" I probably would.

Makes sense... I don't think I'm at that stage yet... but it would definitely help the forum and some members in great distress with their length loss.

As part of the forum, just like we know high volume skilled doctors to go to for an implant... we also need a resource that states which doctors are experts or familiar now with TEP in the US.

Now that you've lived with the implant for a while I have a couple of questions.

1. is the feeling normal when you are wearing pants and not inflated

2. Overall would you say it was a good decision for a young man with peyronies problems that cannot have adequate sex

3. Did you have pain prior to surgery?

I want to get an implant and rid myself of the constant worry of reinjury  but I still have pain. How do I know I'm ready for the surgery if I still have pain?

Quote from: Curvekiller94 on August 28, 2021, 10:09:33 AM
Now that you've lived with the implant for a while I have a couple of questions.

1. is the feeling normal when you are wearing pants and not inflated

2. Overall would you say it was a good decision for a young man with peyronies problems that cannot have adequate sex

3. Did you have pain prior to surgery?

I want to get an implant and rid myself of the constant worry of reinjury  but I still have pain. How do I know I'm ready for the surgery if I still have pain?

1. it's a different feeling comparing to a penis without implant;
2. yea, I couldn't do penetrative sex after Peyronie hit damn hard. I can now, after surgery.
3. In the inflammatory phases, yea

I don't get your last question. You can do the surgery anyway. 

I don't have Peyronies, but I have lost significant length due to impotence. I am thinking about talking to the Marco Tulio calcavati. I hope I can get back some of the lost length.

Question #3 I had was. - was your Peyronies pain free at the time of surgery? Or did you still have some residual ache. I am asking because I'm almost at the year point and my pain hasn't dropped much at all. I still get woken with painful erections. Still painful after sex etc. did you have any left over peyronie soreness when you went into surgery?

Shrunken dick you should talk to Dr.Marco as tartao gained 100 percent of his length bsck after TEP procedure by him.

Gaussrifle ; my case is different from tortao's case. I don't have Peyronies. My penis has shortened because of disuse atrophy.

Quote from: Curvekiller94 on September 25, 2021, 12:28:00 PM
Question #3 I had was. - was your Peyronies pain free at the time of surgery? Or did you still have some residual ache. I am asking because I'm almost at the year point and my pain hasn't dropped much at all. I still get woken with painful erections. Still painful after sex etc. did you have any left over peyronie soreness when you went into surgery?

Ok, I get it.
I was pain free while flaccid and while holding an erection and masturbating. Maybe a slight ache here and there, but nothing problematic regarding pain.
I can't say I was pain free while doing sex because I wasn't doing it for months. My penis was a mess. Probably I'd hurt myself. Penetrative sex would be ridiculous at that stage, I can't imagine how I'd do it.

Thanks for the update man. It's been really helpful.

Would you say you feel more or less like your old self these days? I remember in your earlier posts you were saying it was a tough adjustment. But now that you've had the implant for a while does it feel "natural" to you as far as pumping up, tubes softer  in flaccid, used to the over all mechanics?

Would you say you use it similarly now to how you did pre-Peyronie's? As far as sex/masturbation  approximate  number per week?  The reason I ask is I used to go at least twice a day whether it was sex or masturbation.

I'm very much considering this for myself. Even more so now more than ever, I ran out of cialis and I didn't realize how had things  have gotten I can barely get it up ol fml

Once again, we confuse people looking for concise information if we are not precise.  Tubes never get softer.  Titan cylinders get softer for up to 24 months or more which has no effect on the feel of the inflated penis.

That's true, sorry I  wanted to ask some follow up questions he hadn't been actively posting for a while so I wanted to see how things were going. I'll try to be more streamline

Hey Tortao,

How has the implant been brother? How much length and girth did u end up with?

I am interested in getting relief incisions with an implant to regain my length/girth.

Thanks

Tartao is busy F^@$!ng I am assuming....  ;)

Yup most likely "no news is good news" for implants after you hear it works and you stop hearing that is a good sign

Hello my friends, how are you?
First of all, I'm sorry for taking so much time to make an update. I have some reasons for this, but even so, I think I should have made it sooner.
Nonetheless, here I'm.
The first reason for taking so long is I was testing, adapting, etc with the implant. It's a new part of my body now, and it took some time to adjust and fully understand/integrate it. Making a post every month would just spam here, so a big post after taking a good acknowledgment about the implant would be better IMO. The second reason is I'm busier nowadays, and the third is pure laziness when I had the time to post, which I'm sorry for.

So how are things going? Well, things are good! My sexual life is 100% back, and now I can say I'm very satisfied with the implant and the surgery. Penis is straight, it has rigidity, it still engorges with blood, size is good, no pain, no worries.
 
→ What do girls think?
I had sex with some girls, and I don't think they noticed anything. If they did, they kept to them.
For example, a penis with an implant hangs differently than a penis without one. A girl will look at it and think what? She has no clue what an implant is. She will just think your penis is different, as all penis are one from another.
There was just a girl that touched a lot the pump inside my scrotum, and I think she may have thought "what the hell is this?", but she didn't ask anything and we had sex just once because she was traveling here in my city. I regret not talking about it to her because would be interesting to listen to her opinion.
The majority of women don't care how your dick gets hard. If you make her orgasm, she will be satisfied. Then if she pleases you, she will be satisfied more. That's what matters most in sex.
I'm dating a black young girl now. She's so cute and sweet. She broke up with her ex the last year, and she had other sexual experiences. She constantly tells me sex with me is the best, and she asks me if I put cocain or something on my dick because she's addicted LMAO. I'm not bragging myself, I just want to tell you all there's hope. From a totally crooked dick to this is just a miracle! I pound her with all my masculine rage, something that would be IMPOSSIBLE to do with my Peyronie dick. Oh, I haven't told her about the implant yet. That's curious, we had sex a lot of times but always I pumped like a magician hiding the trick. I pump even while she is sucking my dick lol.

→ Sports
I did a bungee jump once. I play football (what people call soccer in USA) and I use a cup for this. I lift heavy weights in the gym. I ride a bicycle once a week.
I think you can live a pretty normal life with an implant. However, IMO, if you are a professional athlete, things may be more complicated. Especially if you're a professional martial artist, then an implant may be a hassle for you.
Some sports may be more problematic than others. For example jiu-jitsu. I don't think your rolling partner would be happy if he feels something strange on his back. But if you use some kind of underwear with a cushion, maybe the problem is solved. I think the underwear with gel pads that people use for riding bicycles would be great here. It protects your ass but your penis too, depending on the extension of the pads.

→ Engorgement:
I wake up every day with engorgement in the glans and penis. I get excited and my penis engorges. If I'm excited, I don't need many pumps. Something like 12~15 pumps + engorgement makes my penis look very natural: hard, but not steel pipe hard. This is amazing, because it's very easy to pump 8 times, put my penis to the side in the underwear, and go to the foreplay. Then when I'm without underwear, I can easily pump till it's ok.
Something I've noted is if I slightly press the base of my penis, the engorgement gets reaaally good. I don't know the exact reason for this, but I feel the blood gets more "trapped" inside my penis and have less space to escape.
I must say that, IN MY OPINION, engorgement makes a good difference.

→ Satisfaction with the medical team:
I must say I'm very satisfied with Dr. Marco Tulio and his team. They assisted me every time I needed, even months after the surgery (August or September 2021 IIRC), when the hospital wrongly started to send me bills about the implant. I talked to the hospital financial team, but to no avail. Then I contacted Dr. Marco's secretary, and a woman named Edna that works on his team solved the problem like a charm hahaha, I got so pleased.
Dr. Marco is growing big in the business, and I think he's classified as a high-volume surgeon now. Top 1 in Brazil, for sure. He's always posting Instagram stories about the surgery cases. I don't know how many surgeries he does weekly, but I can say at least 5 according to the Instagram stories.

After all YouTube videos of him I've seen and our talk in 2021, I can say I trust him regarding Peyronie surgery and implant. He is very caring and knows the little tricks and cares this kind of surgery requires.

→ ...more talk:
I'm lucky my surgery was done before November 2021, because after this date Coloplast life-warranty policy changed. Now the warranty lasts 10 years (at least in Brazil. I don't know about the USA or another part of the world. If you know something about this, please comment below).


I'm an optimistic guy regarding all this I went through. I can't say I'm doomed because I had this disease at such a young age. I can say I'm lucky I was born at a time this surgery is available and the doctors are more open-minded to make this surgery in young folks. Imagine if we were in the '80s. I think just malleable implants were available by then, and no doctor would put one on you if you had less than 40 years old. Not even cialis and viagra were available to help you. We're blessed that there are solutions, and there's this forum to help people.
I know Hawk and I got into heated arguments in the past, but all I can say I'm very thankful for this guy. He puts effort into helping people and maintaining this forum. The information I got here changed my life and life of other men, so all I can say is a big thank you to Hawk, the admins, and all the guys that participate here and try to help each other.
There are solutions and there's life after Peyronie.

Ah, something I forgot to tell: One-touch release is just propaganda  ;D
It doesn't work. But that's ok, my satisfaction is still very good with the implant. My sexual life is back, this is what matters most.

Tortao,

Thanks for coming back. I have studied your journal over the past few months as I also wnet through the TEP, implant and circumsision procedure.

Glad to hear that you're very satisfied with the implant.

Few questions if you don't mind:

- how do you find sex now that you're circumsized ?
- did you gain any extra length/girth in comparison to pre peyronies due to the TEP?
- did the keloids you have ever heal?

Thanks,
J

What a great and valuable postTortão Pra Direita.  You made my day with your success story.  I too used to say the one-touch BS could only be accomplished with vise-grip pliers, but after about 6 months it started working.  I would say it works about 90% of the time.  Occasionally I have to try a second time.

Thank you for sharing this update with us. I had a member asking me if i knew what happened to you, since he was curious about your outcome. Hope that makes him at ease if he reads this.

I found it interesting what you said about the coloplast warranty policy. It's a bummer if it spreads out to other places. One can only wonder why they made that decision?

Viewing some of my posts back then, I see how nervous and worried I was even regarding small details lol.

Quote from: jj21 on March 23, 2023, 08:33:05 AMFew questions if you don't mind:

- how do you find sex now that you're circumsized ?
- did you gain any extra length/girth in comparison to pre peyronies due to the TEP?
- did the keloids you have ever heal?

Thanks,
J

Hello, J!

1. The skin of my penis doesn't go up and down as it used to. This is for an obvious reason: my penis has less skin. So masturbating without any lube is not as good as before. Regarding sex, it's the same thing except for one thing: if the girl is not so wet and we have a long session of sex, my penis gets a bit hurt. This is not a problem for me anymore cause I'm dating a girl that gets very wet all the time we have sex.

2. No, but I also can't remember the last time I measured. I recovered the length and girth (with the exception of the small part right below the glans. It recovered some girth but not all).

3. Not 100%. It reduced considerably but didn't solve 100%. A family member of mine ended up having breast surgery and did get small keloids in the skin. So I guess this is hereditary.

Quote from: Pfract on March 24, 2023, 12:38:09 AMI found it interesting what you said about the coloplast warranty policy. It's a bummer if it spreads out to other places. One can only wonder why they made that decision?

I don't know  :-\
I thought they also started to do the same thing worldwide. I hope they don't do planned obsolescence with the implants.

Thanks Tortao, appreciate it.

I am almost 7 weeks into TEP.

Last q, I have lost considerable sensitivty behind the glans (assuming due to circumsision), did this return for you?

So happy that you are doing well and satisfied with the result!

J

Quote from: jj21 on March 24, 2023, 08:25:39 AMLast q, I have lost considerable sensitivty behind the glans (assuming due to circumsision), did this return for you?

I can't remember when the sensitivity fully returned, but it returned 100%.
So don't worry. It takes some time.
I hope you get well soon! This surgery is very harsh, but you'll get better.

Hello my friend. Good to see your return.
I'm really happy with your results. I hope you can have a smooth, prolific and long-lasting sex life after all this journey.
I am very upset about this change in the warranty policy at manufacturers. It is already sooooo expensive to buy an implant here. Imagining that I would have to save up money for overhauls every ten years is really depressing. Even if they say the failure rate is low, I would have a hard time dealing with that financial sacrifice over and over again in my lifetime.
But I'm glad to hear that you were able to undergo surgery before this change.

Tartao, elated to hear the good news and know that you are doing well. It gives all of us hope and it's good to see you contributing and still thinking about us. Cheers 😊

Tortao,

Hope you're doing well and enjoying your implant.

Quick Q: Did you experience pain, and burning sensations 8-9 weeks out from TEP/implant?

I am 8 weeks out and still experiencing intermittent pain and burning. Sometimes I am pain free, other times (while deflated), I get sharp pain that lasts an hour or two.

Appreciate your response, yours is the only other TEP journal I have found.

J

@jj21

8 weeks post-implant... No. If I remember correctly, I didn't experience this kind of pain 8 weeks after the procedure.

What does your doctor say about that?

Quote from: Tortão Pra Direita on April 17, 2023, 03:58:14 PMWhat does your doctor say about that?

Thanks Tortao, I really appreciate your response. There isn't much support or journals out there for TEP.

My doctor says it is normal and I just have to wait it out. I have been tested for an infection and everything.

Seems to be improving with cycling but I still can't do much. My flaccid is basically a smaller erection pointing at 4 o clock and stiff. So, I can't gym, can't go out. If I point it up it hurts, if I point it down, it may affect erection angle.

I'm a little stuck, but I noticed in your journal that everything seemed to get better at 4 months. So, I am just trying to wait it out. I was also oversized, so this could be the reason that my recovery is longer.

Did you have an oval shaped erection? Did this improve over time?

Thanks for your response, really appreciate it.

J

Tortao, I was alaso wondering, you mentioned the semen would clog up during orgasm. Did this improve? How long did it take?

Did you have pain after orgasm? How long did it take for this to improve?

Really apprecicate your responses. Yours is the only other journal on TEP out there.

J

An "oval-shaped erection simply means that you are getting no natural erection in your spongiosum.  As to how long that will continue - it depends completely on when or if you will get any natural erection. The answer to that depends on whether you for erections before surgery.

Quote from: jj21 on April 17, 2023, 09:55:25 PMDid you have an oval shaped erection? Did this improve over time?

Yea, and I still have an oval shaped erection if I'm not aroused. If I'm aroused, my penis get filled with blood too, so the shape looks very natural.
For this reason, I also don't need a lot of pumps. Around 15 pumps are enough, never more than 20.

Quote from: jj21 on April 19, 2023, 01:22:42 AMTortao, I was alaso wondering, you mentioned the semen would clog up during orgasm. Did this improve? How long did it take?

Did you have pain after orgasm? How long did it take for this to improve?

It 100% improved. I don't remember exactly how much time it took to improve, but I think I did write it in this journal.
The pain was associated with this clogging, so it went away after all healed.

I can see you're very worried and I completely understand you, as I was in the same situation. It's very frustrating, I know. But now I can see it is worth it. I can F~@< anytime I want. Sometimes I cum on my girl and she still wants more, so I bang her for some minutes more till she orgasm.


I won't deny something that worries me: revisions.
So far, my implant is performing really really well. But I fear when I need a revision. My girl really likes sex, and I don't know how much time it will take from scheduling the surgery till 100% recovered. This thought bothers me. I know it's something out of my control and I shouldn't overthink it, though.

Quote from: Tortão Pra Direita on April 24, 2023, 10:49:24 AMI won't deny something that worries me: revisions.
So far, my implant is performing really really well. But I fear when I need a revision.

Thanks, I appreciate the response. I am really struggling.

I fear revisions too. We are both young in age, and may need 5+ revisions in our lifetime, that means 5+ risk of infection, and as you said the recovery period as well.

Glad everything has worked out for you, I have been told that revision surgery is easier, and recovery is a lot quicker.

J

I think it's important to show some pics from before surgery and nowadays (2 years post-surgery). 
I want to give some hope to everyone that is feeling lost and hopeless.

March 2019. Before everything started. No peyronie, straight dick.

(https://i.imgur.com/sd6LTQn.jpg)



August 2020. Very crooked, but had plaques just at the right.

(https://i.imgur.com/fgj8vDZ.jpg)



March 2021, 4 days before my surgery. My penis developed plaques at the left shaft. It got more straight, but lost axial rigidity and had venous leakage. You can see it's thinner. It could develop more plaques and get even worse if I hadn't had the surgery.

(https://i.imgur.com/MR8odlm.jpg)



April 2023. 2 years and 1 month after my surgery. This week I took this pic and I really liked it. It's a beast, a machine.

(https://i.imgur.com/QKgXq6X.jpg)


I think you all can imagine the hell I went through. This disease is no joke, but there are treatments and you can have your sexual life back.

That's astonishing , I never knew your initial case was that bad ! A day and night difference truly ! Did you regain all your length ?

I have an impression it was bigger before everything started. Something like 0.5 ~ 1 cm bigger than now.

But definitely I have more length now than my peyronie dick. I regained around 2 cm of length.

Man these improvements in the last photos are so great. It really gives me hope. I'm about a year younger than you so also feel the same way about the revision thing but I generally see it being worth it. Like I could die in a few years or any day now anyway. I might just go for the implant route at this point to really enjoy my sex life whilst I'm still this age.

I wanted to ask, how much did it cost you there in Brazil?

Thanks for sharing these Tortao! Lots of members will appreciate it. So dramatic to see how the dents are...

Quote from: ohnoohno on May 28, 2023, 10:33:18 PMI wanted to ask, how much did it cost you there in Brazil?

Prices went up for sure due to price inflation.
But 2 years ago I paid around R$ 40.000 for the medical team + R$ 50.000 for the implant.
My health insurance paid the hospital cost. There's a reasonable probability I can get the 50k back cause I'm suing my health insurance. They didn't pay for the implant.
All costs included (plane tickets, Airbnb, and medicines) I think I had spent R$ 100.000. This is U$D 20.000 (considering today's conversion rate).

Dr. Marco Tulio has a Youtube Channel and he's growing in the business. Well deserved, he's the number 1 in Brazil. Probably his price went way up now.

Wow good to know, guess it's around 20,000USD everywhere it seems. They should be free jesus for the sake of a mans mental health.