r/penuma

Can you use a cockring with a penuma/himplant? I know you can’t during healing, but what about after?

Thinking real hard in gettin the penuma surgery done. The thing is I see some people are saying it helps but others say they lost length. I have an about 5.7 inch penis. My penis is on the skinny side. I would like to add 2 inches to my length is that possible with the penuma?

With the implant in place can a ultrasound still be used to assess causes of ed

From my experience when i quit hanging back in 2021 i did lost some length gains. I wonder if i come back to hanging for length, and then immediately book the penuma procedure, will i be able to cement the length gains from hanging?

At the end of the day, we want to do it to boost own confidence, right?

Then the fair question is, does the confidence mainly come from better appearances or better sex after surgery, or both?

The answer might be useful for doctors to improve Penuma in the future.

Thoughts?

Hi Doctor,

Lately, I’ve been thinking about the possible biomechanical reasons why some patients may develop implant flaring over time after Penuma/Himplant procedures.

One area that stands out to me is the potential role of anterior pelvic tilt and chronic pelvic floor tightness. My thought is that forward pelvic tilt could alter the resting angle and mechanical loading of the implant, especially under the constant downward and forward force generated by torso weight, sitting posture, hip flexion, and movement over time.

From a biomechanical standpoint, anterior pelvic tilt changes the orientation of the pubic region and surrounding fascial tension. In theory, this could increase stress at the distal edges or attachment points of the implant, potentially contributing to outward flaring or changes in positioning over time. Similarly, excessive pelvic floor tension may alter baseline tissue tension and force distribution throughout the suspensory and fascial structures connected to the penis.

I understand this is speculative, and I obviously do not have access to broader patient outcome data or imaging studies. However, given how posture and pelvic mechanics are known to influence load distribution throughout the musculoskeletal system, I believe this may warrant closer evaluation, particularly in patients who experience flare progression.

It may be worthwhile to examine whether there is any correlation between implant flare and factors such as:

Anterior pelvic tilt

Hip mobility limitations

Pelvic floor hypertonicity

Postural asymmetry

Body weight distribution

Sitting habits or occupational posture

I’d be very interested to hear your thoughts on whether these factors have ever been considered clinically or observed among patients who developed flare complications.

Thank you for your time.

Poor measuring, something the surgeon did, poor after care?

Whats the root theory here?