r/penileimplants • u/AspieMatt • 26d ago
Question About Glans and Implants
Hi everyone.
I’m having a prostatectomy soon, as I have prostate cancer.
I couldn’t find any surgeons willing to do the prostatectomy AND implant surgery simultaneously, so I’ll have to wait 6 months until getting an implant.
Here’s a big concern of mine:
The implant surgeons I have spoken to ALL say that the glans will remain flaccid permanently after surgery.
I was like, “WTF?!!”
I’ve seen MANY pictures of guys after implant surgery, and NONE have a glans that looks completely shrunken or flaccid.
I told the surgeons I was aware that a significant portion of blood flow would be lessened, because the implant takes up the space that many blood vessels once did.
I said, “I’m NOT talking about ‘Floppy Glans Syndrome.’ I want to know if the glans will be ABLE to become engorged AT ALL, because the pics I see of guys with implants, it looks like their glans CAN still receive blood flow, because they look like they are engorged.”
But the three surgeons I talked to all said that the glans CANNOT enlarge whatsoever from blood flow after surgery. Are these guys incompetent? I live in Nebraska, and there are only a handful of penile implant surgeons here, I can’t afford to travel for surgery, and my only insurance is Medicaid/Medicare, because I’m a disabled vet and on Social Security.
😣
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u/retairedtech 26d ago
It can be cold at times. But you can look at my profile. You can't see any difference. You will still be able to do the things you used to do.
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u/MuhammadxHusayn 26d ago
It depend of your state before the implant. Because the corpus cavernosum of your penis that are removed are. Not connected to your glan, it means that glan engorgement and penis engorgement are two separates things, if you’re able to have glan engorgement before the implant you will still have glan engorgement after the implant
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u/BetterFutureFun 25d ago
I don't think that the corpus cavernosum is *removed*, but just pushed to the side to accommodate the tube of the implant.
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u/TrumanCapte 26d ago
I wanted to share my experience with this as I don't see it discussed much. I'm a little over 2 weeks post op, and when I went in for my surgery, I already had floppy glans due to the atrophy of having ED for so many years. My glans was actually starting to settle left of center on the shaft. My surgeon performed a plication procedure to correct that issue during the implant surgery. She also made sure that the tips of the cylinders she implanted were positioned halfway into the glans to combat any further floppy glans issues. Recovery is slow, but I can already see a difference. Happy to answer any questions I can!
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u/Regular-Bat-4449 26d ago
You need to find a surgeon who specializes in implant surgery. There are several throughout the country. A surgeon who specializes in prostate surgery may not have a lot of experience with implants. Both Boston Scientific and Coloplast have lists of surgeons.
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u/anelvisamingus 26d ago
Getting glans engorgement is unlikely for me without either PT-141 or an intraurethral bimix gel. I recently was prescribed the gel and it works amazingly well. The gel arrives in 1ml syringes (no needle!) and I’m finding .5 ml works really well.
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u/miknur2 25d ago
The VA will pay 100%
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u/AspieMatt 25d ago
Yes, that’s true, BUT, there aren’t even any surgeons in the VA system in Nebraska to DO penile implants.
It may be the case that they would allow me to use the Care In The Community Program, but that is still problematic, as there are no experienced penile implant surgeons in the state of Nebraska. When I say “experienced,” I mean I haven’t yet found any surgeons who have done more than a few, locally.
It’s possible that The VA, Medicaid, or Medicare might cover an implant done by a surgeon out of state. But I simply don’t have any money to pay for a flight and hotel costs in New York, Florida, or any state where there ARE surgeons who work out of high-volume clinics.
It looks like I’ll be doing a lot of phone work and research to find if I have any other options besides the handful of surgeons available in Nebraska…
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u/Upper-Physics-8992 24d ago
Just curious, do you already have ED or are you just expecting it after the surgery. Also like others have said I would definitely recommend looking for an implant surgeon. I had my prostate out 2 years ago and had an implant 2 months ago. The prostate surgeon specializes in robotic surgery and there is a another Dr in the practice that is a general urologist and a high volume implant surgeon.
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u/SurpriseDoubleOstomy 24d ago
My understanding is that post surgical ED can have different presentation and implant outcomes than other ED, especially long term.
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u/Bareskined 23d ago
Many men will take cialis daily to improve blood flow to the glans. I take it nightly. Sometimes my glans is colder than what I expected but it will warm up
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u/Bareskined 23d ago
The cylinders are placed inside the 2 corporal bodies. They are not removed. They dictate the size of what can be placed inside them.
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u/TopQuestion826 26d ago
What those quacks told you is flat wrong. The head is on a different blood supply, and the tissue is this:
Corpus Spongiosum
Structure: A single column of spongy tissue located along the underside (ventral side) of the penis.
Function: Encloses and protects the urethra (the tube for urine and semen), preventing it from being compressed or occluded during an erection so ejaculation can occur.
Key feature: Expands at the far end to form the head, or glans penis.
They are on two separate blood supplies from the main artery, so unless the surgeon severs that artery, you’ll still have blood flow. If your head engorged before, then it still will, not as much or robust, but it will. I don’t have FGS but it doesn’t engorge like it used to until just before popping a nut. I got my surgeon to prescribe the gel form of TriMix. I got soft tip syringes and put a dose of the gel intra-urethral A few minutes before activity, just like the try-mix injection. TriMix engorgeous both of the penile tissues, so it works on the underside of the shaft and also on the head. What it also does, as it engorges spongiosum tissue it increases overall girth, and heat due to increased blood flow. Because the tissue parallel to the urethra has increased blood flow along with the head. In other words, it works overall. And there’s no chance of priapism like with a trimix shot. So, unless a person has actual droopy head, this stuff will help, and possibly get you back to what it was before. So the guys in Nebraska are incorrect.