New member. Implant?

[lornezm]

Hi everybody,
you don t know me but I am a long time reader on this forum and is now time to present my self (sorry for my poor English but is not my primary language).
Trying to keep it short:
The nightmare begane when I was 23 years old in 2014, I am 32 now.
An absurd ingiury during sex caused a complete bend of more than 90 degrees of the distal part of the shaft(dorsal bend). Pian started the day after during erection (not so high pain) but after some months I could appreciate a slighty narrowing of the distal part of the penis. Really more evident in semi flaccid state and after sexual activity, almost unnotable in full erect state. But the fact is that immediately my EQ totallty change. From a ever hard on demand penis I had to struggled to make it up, especially to engorge the distal portion of the penis which I honestly found critical for intercourse + without constant stimulation I could easily “turn away” if you mean what I wanna say and lose the erection in seconds.
As any other young guy with no major issue visible on ultrasound the diagnosis has been…… psycologicst ED!! Even if the more sophisticated ultrasound device show some fibrotic tissue where I feel it, but not too much obvious.
I managed it these years with pills but honestly not very well. Very high dosage, sex rarely because of the eternal refractory period, the constant feeling of lying to partners ecc.
Anyway 9 years are passed, and recently I had a period of some weeks with pain on the shaft especially where fibrotic tissue is. After that, the situation is worsened and even with pills sex is virtually not possible, and for sure not satisfactory.
I am going to try trimix, but I don t consider it as a way to live(32 yo single) and during different doppler test didn‘ t given great results on me (always medium-low dose)
I am now moving forward with the idea that if want to try to live instead simply surviving I need an implant. But doubts are countless.
Here to find advice and to thank you all for the big and unique amount of information you share.

[bldoink]

Welcome to the forum.

[Martin6469]

How many urologists have you seen? Try to find an injury or venous leak specialist. Large urology practices are more likely to have the injury specialist that you need. This site might help you find a specialist: www.healthgrades.com.

I have used a Trimix-sildenafil combination for five years with excellent results. If your doctor says that it should work, give it a try. Injection is tricky, and learning will take a few weeks, but the "Injections" topic has much good technique advice. Or PM me for my technique.

[Lost Sheep]

Welcome to the forum lornezm.

It sounds like you need to consult a specialist who knows how to repair damaged tissues before you go putting in a prosthesis.

If and only if repair would not restore your function, I would consider an implant (which is likely to require repair the damage anyway). So, I think you need a surgeon of greater skill and experience for two reasons. 1) Evaluate if your injury/trauma/damage actually does require an implant and 2) be able to do the implant surgery simultaneously working around that damaged tissue.