MTP #56: Post Operative Pain and Penile Tissue Atrophy

In this episode of MTP, Dr. Paul Perito answers several viewer questions, specifically about pain following a penile implant procedure, atrophy and loss of size and girth associated with impotence, and the proper placement and size of a penile implant.
For more information, check out other MTP episodes, or visit peritourology.com.

[@judymonk3672]

Dr. Perito did my husbands implant, my man is extremely satisfied, and my happiness is guaranteed.

[@DrPaulPerito]

Thank you for your kind words!

[@surfshack2]

🤣

[@nixworld767]

@@surfshack2 Grow up

[@surfshack2]

@@nixworld767 Oh cmon you gotta laugh sometimes.

[@sergiod.gutian9339]

This is my Dr. I had prostate cancer stage 4 . I received an implant from him and I’m back to action. Yes I lost size but my partner understand and we make it work. Fact is I’m alive and I’m happy that this guy helped me. He’s a great Dr and I’m here to tell you not to be afraid this guy will help you as he did me! Good luck and God bless you in the darkest time of a guys life.

[@DrPaulPerito]

Thank you!

[@Forrest4rest]

I think this dr is awesome. His videos are right on...

[@warren7878]

Cycling really works. I had my surgery more than two and a half months ago. I followed instructions and cycle daily. The pain is now gone, and my length and girth are definitely bigger than ever .... and continuing... i also noticed recently that less time spent cycling is necessary: After the first series of pumps, there is not much flexibility to cycle, nor more that can be pumped.

[@DrPaulPerito]

Check out MTP #57 -- we discussed it there!

[@natesworld315]

I believe Dr. Paul is a very talented surgeon. I have read many scholarly papers and his videos are always on point. I had quite a devastating implant infection from hematoma formation, a 1.3 percent chance. From the research I have conducted, another surgery is extremely difficult due to fibrosis. There are techniques like grafting and excavation depending on severity. Dr. Paul is someone I trust before completely abandoning sex. I have a rare condition and have never, even from birth, had an erection. A little partial. Implants change lives and it gave me confidence even though I never could use it. I want that back! Very happy to see Dr. Paul to determine how to proceed. Keep up the good work!

[@DrPaulPerito]

Thank you very much for your kind words!

[@HectorHernandez-zu5tu]

Thanks for your video

[@maclovin333]

Hi Dr. I just had a penile implant surgery about 4 weeks ago..my surgeon has insisted that I wait 6 weeks to have intercourse or masturbate. I was wondering where this number comes from and what are the risks of doing it sooner? I have been cycling the pump as advised and actually have played with it myself. Not actual intercourse, and now I'm wondering what I may have messed up by doing this. I don't feel more pain or anything like that

[@BobArmbruster]

I have had an IPP. Length is same girth is larger. I used a pump before and cycled after. Question can I use the pump post implants?? Should I do it inflated or not? Thanks so much.

[@DrPaulPerito]

There's no need to if you follow the instructions on MTP 57: kzbin.info/www/bejne/jXvEi3abf8-rf68

[@marcmccord5085]

When I pump up my implant (Coloplast), it never stays 100% pumped up. Within a minute or so I have to give it several more pumps to make it 100%. What is the reason for that, and will it correct itself over time? My surgery was just under 3 months ago.

[@DrPaulPerito]

Yes, it can be corrected with daily cycling and "the exercise" (see: MTP 57) Make sure you're getting to the limits of your implant. Sometimes during sex, more room is created and your implant wants to grow with you circumferentially due to the material of the cylinders. Put more pumps into your implant and continue having sex. Incidental pressing of the deflate mechanism can also cause the implant to lose power.

[@Amitkumar-xv2bp]

Can we do this exercise that you are telling in this video with Rigicon Infla 10 AX.

[@DrPaulPerito]

It should work with any implant.

[@paulrevere4326]

Is there always room for two cylinders or do some patients only get one?

[@DrPaulPerito]

It's very infrequent, and typically only needed when revising a botched implant by a less skilled surgeon.

[@mikehubbard7061]

Is it still possible to have the Urofill procedure after IPP surgery (performed 5 months ago)? The cycling and post exercises you have suggestions have been useful, but would still like to get back to my original girth.

[@DrPaulPerito]

In general yes, but with some considerations. We'll have an episode on the topic coming up soon. In the meantime, please contact us at [e-mail] or at [phone] for more information.

[@garthjones4932]

I have questions I have been to a Dr. For this and he said I have to much skin where I have lost weight and he said it would not work well because I am really kinda small and without plastic surgery it would be kinda worthless do you have anynother ideas

[@biggyles9550]

Have u hear silikon 1000 and bellafill pmma penlie injection

[@texascrossbowdude636]

I completed shock wave therapy at my urologist office and had a conversation with the PA and he was telling me there are penile implants that are controlled with a phone app coming out on the horizon. What can you tell me about this. If it's so I think I'd wait.

[@DrPaulPerito]

This is a long way out with no guarantees of longevity or cost. It would be prohibitively expensive.

[@Ease54]

Personally, I prefer being totally self contained. Having to depend on your phone would be almost as bad as relying on trimix injections.

[@texascrossbowdude636]

@@Ease54 I'm sure it would be able to be manually pumped and deflated as well as a backup

[@bobbygrantham4410]

I live in Lockhart Tx can you see me or recommend I can go that’s close to me

[@Deepdriller328]

Did you find a dr.?

[@danielmartinezhernandez6851]

Jonathan clavel TX urologo

[@rkersch]

As I said before my implant failed after only 18 months. I have seen my surgeon, consult the company, (Titan Soft Touch) plus the hospital with no resolve.

[@DrPaulPerito]

Keep trying to get in touch--there's an expected 1-2% failure rate for implants per year.

[@rkersch]

@@DrPaulPerito thank you. Appreciate it. I’ll keep trying

[@muneeralzboon-pl6um]

​@@rkerschWhat is the cause of failure?

[@earlyoung3568]

This takes me into question I submitted earlier. Does the malleable implants (I assume) daily cycling wear on its rigidity? I wish you could see my lightbulb going on as I now understand the reason for being able to point the penis down ; LOL!!!

[@robertwilcox3732]

WHERE IS MTP 57,58 ETC???? CANT FIND IT.

[@DrPaulPerito]

It should be listed on our playlist, but can also be found on peritourology.com

[@wasimahmed1570]

@@DrPaulPerito can u pls recommend me a doctor in TORONTO CANADA PLZ if u know someone