Floppy Head (Glans) was the most common complaint I found when researching implants.
The discussion came up recently and this is a copy of emails with Todd Doran at Vanderbilt.
From: Jackpjwp104@att.net
Sent: Tuesday, December 03, 2013 2:23 PM
To: Doran, Todd James
Subject: Floppy Head
Todd
A gentleman I have been in contact with went to and implant surgeon Monday. He has not had peyronies, prostate cancer or any other penile shortening problems. Just ED from venous leakage that the pills are of little help. His gitth is just slightly smaller than normal at just under 1 1/2" diamiter. About 4.33 inch girth. When he told the doctor he would like a little more girth he recommended the Titan. He asked about all the stories we hear about "Floppy Head" from men that do not have the length expanding implant. He basicially skirted the issue and told him to just pull the skin back.
Your thoughts.'
Jack
RE: Floppy Head
From
Doran, Todd James
To
Jackp
SST deformity (penis looks like the Concorde SST plane erect), aka floppy glans is a phenomena where the terminal end of the corporal body ends proximal (before) to the glans. This can occur in any penis and can be congenital (born with) or acquired through scarring events such as Peyronie's or the aftermath from a priapism episode. We see this in our LGX population rarely and I think in 10 years we've provided an operative fix maybe three times and really is the only way to correct the situation. I can see the advantage of a device like an LGX providing that needed support as it expands distally and circumferentially. Interesting that the forum talks about that advantage as being real. Clinical experience has demonstrated to me that girth improves as the years go by and rigidity improves with LGX.
I do agree that Titan gives a rigid shaft and I can see where someone would see a more rapid girth difference immediately postop. Problem is that it is less likely to change over time due to the mechanical properties of the device and if there is an SST deformity then it will probably stay that way but the risk should be low if performed by a high volume surgeon which is really the key. Hope that was helpful.
Todd
Todd J. Doran, MS, PA-C, DFAAPA
Senior Associate in Urologic Surgery
Vanderbilt University
Dept of Urologic Surgery
A-1302 MCN
Nashville, TN 37232
615-322-2880
