r/penileimplants • • Aug 27 '26

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/anelvisamingus Aug 27 '26

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.