Prostatectomy, trimix, peyronies, implant?

[Mountnman]

Prostate removed 31July2013, Margins clear and so far cancer free.
First trimix injection was 3 weeks after surgery, Urologist recommended .22 ml. Too much. Rock hard for 4 hours, considered ER but after a half hour of cold showers and squeezing I finally got it to go down.
I reduced the trimix amount to .09 ml and that produces a two hour erection every time. My wife, who I married 46 years ago, is an absolute babe. She is the same weight, 125 lbs, as the day we married. She likes sex as much as I do and I’d estimate in the past nine and a half years I have used a trimix injection 700-800 times. That is not an exaggeration.
So my penis is also a pin cushion! I have always chosen different places on my penis to inject and there is only one spot that has been overused that I now avoid. But somewhere along the line I developed Peyronies. Not horrible, maybe a gradual ten degree bend to the left that bothers me more mentally than it does physically. It is enough of a curve that the wife can feel the bend but she says it’s not a big deal, bless her heart!
Peyronies treatments are not effective, at least according to what I’ve read. If anyone has had good results with a peyronies treatment, please share.
I believe that getting an implant would straighten out my penis. That is the main reason I am considering an implant.
On another forum I have become acquainted with a man who also had his prostate removed. He doesn’t like needles and so he recently had an implant. I’m not sure which brand, although he says he is a ‘shower’ now instead of a ‘grower’ so I assume his implant is the two piece one. I have read that the three piece implant deflates more completely. Is that true?
I don’t want to spend the rest of my life walking around with a half erection. If I were to get an implant, and the surgeon concurred, I would get the three piece setup.
I assume the implant would solve the peyronies curvature and I would no longer be a needle addict.
I have also read that once a fellow gets a penile implant there is no going back. If the implant were removed, trimix or pills would no longer work. Is that true? Has anyone here had an implant permanently removed?
(BTW, viagra produces a half erection that lasts 5 minutes but gives me a bad headache. Cialis can also produce some swelling but not quite enough.)
If an implant failed, maybe because of unforeseen circumstances like an adverse reaction to silicone, etc, and had to be removed, would I now be incurably impotent? Incurably impotent is not a chance I am willing to take. Especially when I still get good results with trimix.
Thanks in advance for any answers to my questions.

[bldoink]

Welcome to the forum.
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Please note: I'm not a medical professional of any kind. Anything I post is based on my own experiences at best and hallucinations and/or delusions at worst. Internet forum advice is likely worth what you paid for it, or worse. Always ask your doctor and follow his/her directions.
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I also had a proctectomy. Unfortunately with cancer in the margins. That always keeps it in the back of my mind.

I get no natural erections at all. I do use Viagra some. I find it supplements the injections allowing me to use a smaller dose. But the pills do essentially nothing by themselves.

I've probably done close to twice your number of injections. I'm guessing on the North side of 1500 to as much as 1800. That is not an exaggeration.

I don't use tri-mix. I use a straight mono-mix consisting of only alprostadil (PGE1). There is some indication that alprostadil is less likely to cause Peyronies. That might be a consideration.

Like you I also move the injection site. I cover quite a bit of real estate, often outside the traditionally recommended areas.

My dick does lean or curve a bit to the left but then it always has. I do have a bit of narrowing in one area but that developed when I was trying a period of abstinence hoping to address some anorgasmia issues. I suspect the abstinence combined with a total lack of natural erections and my failure to use a VED for therapy during that time caused that narrowing or Peyronies.

If you're not injecting or not injecting often I think you need to continue with VED therapy to keep your tissues well flushed out with blood. In your case I think I'd try a frequent and regular VED therapy program. It might even help with your existing Peyronies.

I'm not remotely any kind of implant expert. I believe implants performed by a quality doctor can substantially reduce a peyronies curve. I think how "obvious" your new flaccid would appear in public is dependent on the implant size, the make and model and you dress habits. If you naturally have a huge schlong it's very likely to be a bit obvious after an implant and will be difficult to conceal. Supposedly more so with a Coloplast. If you're more modestly endowed the effect would obviously be less obvious. Ask your friend what brand, model and size his implant is and what issues he has with being discrete.

I'm guessing having to have an implant removed and not replaced is pretty rare. But I'm fairly sure that should that happen you will be totally and permanently impotent. I guess it's the old risk/reward thing that only you can decide after sufficient research.

Good luck. I pray you find the best path forward.

[Martin6469]

I'm having trouble understanding why ten degrees is a problem, particularly if she says it's ok. I've seen porn actors with at least that much bend.

There are ads for Xiaflex, which is claimed to be a series of injections that breaks up scar tissue, which they say causes the curve. There are a lot of cautions and caveats and you have to see a "Xiaflex-trained urologist." Their site is www.PDcarrot.com. A quick FT search turned up many guys who have had the treatment - some say it worked and more say avoid it because of pain, high price, and no or bad results. So if I had a minor bend I'd probably avoid this treatment. But do your own search since I've never had a bend and know nothing about them.

[Mountnman]

I composed that first message but I didn’t think I ever pushed submit. I read some posts here that had poor results and quit thinking about implants.
Then I had an appt with my urologist last week and he says nothing but positive outcomes.
At first my wife was against getting an implant. I explained more about the procedure and what the doc said and she likes the idea of a straight erection again. My doc said bring her in and he will answer any questions she/we have.
We actually did a measurement of sorts on my curvature and came up with a 30 degree result, not just 10 degrees as I previously estimated.
The urologist I see only implants the three piece device. He said that during the implant procedure he would try to remove some of the plaque that’s causing the curve. He says doing that, along with the implant, would significantly decrease my curvature. I do trust him as he did successfully remove my prostate and that has kept my PSA undetectable for ten years.
I didn’t ask if any scar buildup from injections would be an issue with an implant. And I didn’t realize that could be an implant issue until reading about that here on this forum.

[bldoink]

A good prostate cancer surgeon does not necessarily make a good implant surgeon. Do your research and pick your implant surgeon wisely. I know nothing about your surgeon or any other implant surgeon other than what I've read on this forum so I have no other advice.

[Mountnman]

He does all types of surgery, kidney, bladder, prostate, anything to do with urology, and has both male and female patients. On google, he has 79 reviews and a 4.9 average. Same on web md, 48 reviews and a 4.9. His medical education was at first rate universities.
I see no need to look elsewhere but thanks for your input.

[Old Guy]

He does all types of surgery, kidney, bladder, prostate, anything to do with urology, and has both male and female patients. On google, he has 79 reviews and a 4.9 average. Same on web md, 48 reviews and a 4.9. His medical education was at first rate universities.
I see no need to look elsewhere but thanks for your input.

Best of luck figuring out which way to go. Nice that your wife is on board with you.
Remember that many of the posts here are guys with issues/problems or complaints. There are thousands of implanted men who never post one word, they are just happily using their new tool. For many males admitting their penis doesn't work anymore, or needed to get fixed, won't get talked about. It's an ego thing.
I love my implant. The wife does too. Hated the pills and needles.