TOPIC: Elongation corporoplasty with Dr Kurbatov

@MrDingDingDong How old are you?
Maybe I ll to smth like this when I m older … the procedure ll be more safe in 10 years…

@Rejuvall Could the systematic of the procedure also be a solution for longterm effective glans circumference increase? I think yes !? And also its less risky than doing this with lengthening?

@Rejuvall Could the systematic of the procedure also be a solution for longterm effective glans circumference increase? I think yes !? And also its less risky than doing this with lengthening?

I apologize, but I don't understand your question. Could you please reword it or give me more clarification? Thanks!

I tried a non-surgical approach for years and eventually the gains stopped.

Update:

Since the surgery, my rate of size increase has slowed dramatically, but it hasn’t stopped. Yesterday I reached a maximum of 22.0 cm in the pump, less than 1 cm away from an in-pump measurement of 9 in. The improvement in Erection quality, however, has plateaued. At this point I’ve tried pumping, stem cells, shockwave therapy, and a variety of OTC and prescription antifibrotics. I think the next logical step for me is a prosthesis. From my research it looks like the Coloplast Titan would be the best option for me, and unlike some other models, it’s also available in larger sizes. I just need to make sure it will fully expand the corpora cavernosa.

I think ultimately I’ll have a functional length somewhere around 8.5”. I’m happy with that.

A penile implant for erectile dysfunction should only ever be a last resort. If your ED is being caused by the fibrosis you've suffered due to your enlargement surgery, we would recommend addressing the fibrosis before resorting to an erectile implant. Best of luck to you.

@Rejuvall since you have a huge spectrum different penis enhancements - I ask about your opinion:
Is the way corporoplasty is performed also an option to enlarge only the penis head (glans) in thickness ?

@Rejuvall since you have a huge spectrum different penis enhancements - I ask about your opinion:
Is the way corporoplasty is performed also an option to enlarge only the penis head (glans) in thickness ?

Thank you for clarifying. Theoretically you could enlarge the glans with grafting, however, in doing so you would essentially guarantee yourself a life without orgasms moving forward. The glans is where the vast majority of all your orgasmic nerve endings are located. That is why the only SAFE glans enhancement currently available is hyaluronic acid.

Additionally, the surgery in question causes a buildup of scar tissue within the penis, better known as Peyronie's. If you aren't already aware, Peyronie's is debilitating for the men who experience it, both physically and mentally. If you aren't familiar, I suggest having a look at some of the posts in the Peyronies subreddit, r/PeyroniesSupport. You can also learn more about what Peyronie's is and how it's caused here: www.rejuvall.com/what-is-peyronies-disease/

@Rejuvall thanks for sharing your knowledge. (Also about the risk of silicone in glans - at the other topic). …Helps this forum a lot.

@Rejuvall
You explain a penile implant / prosthesis (what is mainly for ED) should only ever be a last resort - what it some kind of plausible. Here I still have two questions:

1. This is mainly cause of the risk of the operation or is it more because disadvantages later in daily using a penis with an penile implant?

2. Let’s say an old man over 60 years old has already severe ED - so it s legitimate that he decides to get a penile implant / prothesis. Question: Can this penile Implant also enhance his size (length & girth increase) ?

In case that an ED penile implant also increases size - then I do not understand why men who really have a micro penis (by medical definition, what can be understood as penile handicap) - do not get simply a penile implant, ..also when this is originally only thought to be used in severe ED.

@Rejuvall thanks for sharing your knowledge. (Also about the risk of silicone in glans - at the other topic). …Helps this forum a lot.

Always happy to help educate and prevent any PE nightmares!

You explain a penile implant / prosthesis (what is mainly for ED) should only ever be a last resort - what it some kind of plausible. Here I still have two questions:

1. This is mainly cause of the risk of the operation or is it more because disadvantages later in daily using a penis with an penile implant?

2. Let’s say an old man over 60 years old has already severe ED - so it s legitimate that he decides to get a penile implant / prothesis. Question: Can this penile Implant also enhance his size (length & girth increase) ?

In case that an ED penile implant also increases size - then I do not understand why men who really have a micro penis (by medical definition, what can be understood as penile handicap) - do not get simply a penile implant, ..also when this is originally only thought to be used in severe ED.

Great questions! First I'd like to give a little background about our experience in the topic of ED. Dr. Morganstern (our founder and the urologist who performs our clinical consultations for enlargement) is a board-certified urologist and internationally recognized expert in erectile dysfunction, with over 45 years of experience pioneering advancements in men’s sexual health. He invented the first clinical-grade vacuum erection device (penis pump) and holds one of the earliest U.S. patents for a penile implant prosthesis designed to treat erectile dysfunction. Beyond his clinical innovations, Dr. Morganstern has authored several books on overcoming ED, has hosted both a national television show and radio program dedicated to men’s health, and has trained thousands of physicians and urologists worldwide in the diagnosis and treatment of erectile dysfunction and its underlying causes. His work has been instrumental in shaping modern understanding and management of male sexual function disorders. You can hear his story about how he came to be the go-to doctor for ED in this video on our YouTube channel:

1) Well, it's a little more complicated than that. ED is not actually a disease itself but rather a symptom of something else going on, typically inadequate arterial flow or venous leakage. This page explains all the main causes of ED: morgansternhealth.com/causes-erectile-failure/ And this page talks about how we're able to heal ED without having to use common ED medications or resorting to a penile implant: morgansternhealth.com/newest-erectile-dysfunction-treatment/

So with that being said, the current AUA (American Urological Association) protocol for ED treatment is to first throw Viagra or Cialis at it, if that doesn't work the urologist will have you start doing trimix injections, and if that doesn't work your urologist would then recommend a penile implant, no matter how young you are or what the underlying cause of your ED is.

The problems with these penile implants for ED are that they can easily break and need to be replaced, they only last 10-15 years otherwise before needing to be replaced, there is a high infection rate, every time you have one of these implants installed your penis will get notably smaller (it's common for men with an average size penis or larger to come out of that operation with only 2-3 inches left), because they don't extend down into the glans the tip of your penis would always be soft and floppy, and once you've had an ED implant installed, you can never go back, even if you were to find and treat the underlying cause of your ED.

2) Yes, a man that age could get a penile implant for ED and it would maybe last him the rest of his life. However, he's going to have the same problems with that implant that I mentioned above when his ED could likely be solved otherwise.

A penile implant for ED will not increase your penis size. As I mentioned above, it actually will make your penis much smaller.

Thanks again for the great questions. Please let me know if you have more!

Rejuvall wrote: I tried a non-surgical approach for years and eventually the gains stopped.

Update:

Since the surgery, my rate of size increase has slowed dramatically, but it hasn’t stopped. Yesterday I reached a maximum of 22.0 cm in the pump, less than 1 cm away from an in-pump measurement of 9 in. The improvement in Erection quality, however, has plateaued. At this point I’ve tried pumping, stem cells, shockwave therapy, and a variety of OTC and prescription antifibrotics. I think the next logical step for me is a prosthesis. From my research it looks like the Coloplast Titan would be the best option for me, and unlike some other models, it’s also available in larger sizes. I just need to make sure it will fully expand the corpora cavernosa.

I think ultimately I’ll have a functional length somewhere around 8.5”. I’m happy with that.

A penile implant for erectile dysfunction should only ever be a last resort. If your ED is being caused by the fibrosis you've suffered due to your enlargement surgery, we would recommend addressing the fibrosis before resorting to an erectile implant. Best of luck to you.[/quote]

*edit* I seem to have made a mistake copying and pasting the quotes. Sorry if that affects readability.

At this point I've tried maximum dose PDE5 inhibitors, stem cell injections, and shockwave therapy. I haven't tried Trimix yet, but I don't consider that a viable solution. I currently have a pending referral to UCSF.

I don't think I have many other options. My improvement at this point is approaching an asymptote.

Rejuvall wrote: A penile implant for ED will not increase your penis size. As I mentioned above, it actually will make your penis much smaller.

According to everything I found online, if sized correctly, it should fully expand the corpora cavernosa and not result in a smaller penis. Why would it be smaller (apart from, say, cold glans syndrome)?

*edit* I just looked it up, and it does seem that modern prostheses can fully expand the corpora cavernosa. Because those structures (and the glans) are what determine length, I don't see why it would be smaller.

*edit again* Respectfully, that is simply counter to everything I've read (from many different sources). I guess I'll be the guinea pig though.

(from an article)
"The adult performer, whose real name is Jim Walker, went ‘bionic’ back in July 2021 as he previously told Men’s Health: 'Knowing I can perform anytime, no matter what, has completely changed my outlook as a man.'

And having suffered with erectile dysfunction, the porn star revealed: 'My only regret is not doing this sooner.'"

According to everything I found online, if sized correctly, it should fully expand the corpora cavernosa and not result in a smaller penis. Why would it be smaller (apart from, say, cold glans syndrome)?

*edit* I just looked it up, and it does seem that modern prostheses can fully expand the corpora cavernosa. Because those structures (and the glans) are what determine length, I don't see why it would be smaller.

*edit again* Respectfully, that is simply counter to everything I've read (from many different sources). I guess I'll be the guinea pig though.

(from an article)
"The adult performer, whose real name is Jim Walker, went ‘bionic’ back in July 2021 as he previously told Men’s Health: 'Knowing I can perform anytime, no matter what, has completely changed my outlook as a man.'

And having suffered with erectile dysfunction, the porn star revealed: 'My only regret is not doing this sooner.'"

According to Dr. Morganstern, who again developed and holds a patent for one of these prostheses (as well as other ED technologies mentioned above and in the video I shared) and is a still-practicing world renowned ED expert, the loss of size is caused by the cessation of blood flow into the corpora once the prosthesis is installed. Without blood flow, the spongy tissue known as the corpora begins to break down and eventually will be completely destroyed. This loss of tissue results in a noticeable loss in penis size. In addition, part or all of the corpora has to be removed during this surgery to make room for the prosthesis.

He also let me know that while these prostheses are often marketed to not cause a loss of size, as you mentioned seeing on the Internet, they usually don't work that way (mainly because there are only a handful of surgeons who do a good job of installing them) and most men are quite disappointed by the loss in size post-op.

Another reason a loss in size can happen with a penile implant for ED is if the surgeon makes a mistake during surgery. Currently, surgeons only get paid about $700 to perform this surgery and they are given a very limited amount of time in the OR to perform it. They aren't concerned with maintaining your size, so if your surgeon is in a rush and a slip-up happens during surgery, you get what you're left with unfortunately. And enlargement cannot be performed once a penile prosthesis has been installed.

Respectfully, I just googled "penis implant for ED lost size" and got a ton of results back (including plenty of scientific research) that confirm a penile prosthesis does, in fact, cause a loss of penile size.

At this point I've tried maximum dose PDE5 inhibitors, stem cell injections, and shockwave therapy. I haven't tried Trimix yet, but I don't consider that a viable solution. I currently have a pending referral to UCSF.

I don't think I have many other options. My improvement at this point is approaching an asymptote.

I'm sincerely very sorry to hear you feel like you're out of options. If I remember correctly, you mentioned fibrosis within your organ which was caused by the surgery. Have you seen a urologist who specializes in diagnosis and treatment of Peyronie's about this, because fibrosis is one of the top 5 causes of ED. Take a look at this page: morgansternhealth.com/causes-erectile-failure/

I'm not trying to deter you from having this done just for fun. You know yourself best and if you feel that's what's best for you and your lifestyle, only you can make that decision. I just want to save you from having to resort to a prosthesis if you can heal the underlying cause of your ED. Best of luck.

I know that information regarding lengthening corporoplasty is hard to come by, so I just wanted to provide an update for anybody following my case. As it turns out, the ED that I’m experiencing is completely venogenic. The symptoms are highly indicative: significantly poorer Erection quality when lying supine; good erections when using a constriction ring. While I could correct this problem with a prosthesis, I think that’s overkill. For the foreseeable future, I’ll just be using a constriction ring.

I’m about 9 inches stretched Flaccid and can achieve good erections with a constriction ring. I’m done.

Regarding prostheses: Originally, I was going to get the Coloplast Titan; however, after seeing the device in person and asking questions to the Urologist, I cancelled the surgery. There was no appreciable length gain with inflation, and sizing was questionable. Interestingly, there’s a much better alternative, one that provides equal or better rigidity, larger cylinders, and a telescopic design: the Rigicon. For anybody considering a prosthesis, I highly recommend this. It actually prevents length loss and can even increase length over time through tissue expansion. The Coloplast simply doesn’t compare.