Putting in the right size implant to correct erectile dysfunction needs to be very precise and can be tricky. This should be done by an urologist who is well-trained in this procedure. When the implant is too big, pain and discomfort can result, and in extreme cases, can even have extrusion of the implant. When the implant is too small, you may have the same problems you are describing. Even when the "right size" is put in problems can still arise. This is because as time passes the penis tissues can stretch or shrink, whereas, the implant does not change, resulting in the implants being "too small" or "too big"
The problems that you described can be satisfactorily corrected or improved by injecting fillers, preferably non-absorbable ones. Sometimes, your own fat can be used for injection as a filler. The results are usually satisfactory and the patients are happy. The 3 pictures (
0658 ) show the penis after a penile implant. The patient complained of pain and tenderness to touch, there are areas of protrusion of the implant, the shaft of the penis is angulated and that his partner complains of hard edges of the penis poking and hurting her on penetration of her vagina. The 3 pictures (
0460 ) show the appearance of the penis after treatment with filler injection. There is no more tenderness or protrusion of the implant. The shaft is much straighter. The length and girth of the penis are bigger. Overall, the appearance as well as the function of the penis are improved.
Similar results can be obtained with insertion of alloderm or surgimend. However, with the implants already inserted followed by extensive dissection required for the insertion may proved to be "too much surgery" possibly with a higher rate of complications. I feel that injection of filler or fat work best for this purpose.
I had filler put in with no problems but now it;s fat and short.because it's so fat it really looks funny.I will need some kind of surgery to get more length so it looks normal and not so funny looking.