Torn on a decision and need advice/guidance

The final frontier. Deciding when, if and how.
Gordon
Posts: 155
Joined: Mon Dec 05, 2016 9:16 am
Location: Somewhere in Alabama

Re: Torn on a decision and need advice/guidance

Postby Gordon » Sat May 02, 2020 1:16 pm

Get some information on Dr Christine. He did mine Birmingham Alabama. He is very good and has an excellent since of humor. Check him out on youtube. He has very informative information.
Married 64
AMS LGX 700 2/15/2017

Cecnc1
Posts: 7
Joined: Fri Mar 20, 2020 11:50 pm

Re: Torn on a decision and need advice/guidance

Postby Cecnc1 » Sat May 02, 2020 11:08 pm

Check out Baptist Wake Forest Hospital in Winston-Salem, NC. Dr. Terlecki. Cash price just under 14k for everything. Excellent surgeon with excellent stats. Infection rate essentially zero. He did mine 2 months ago. Very pleased so far.
Gleason 7 prostate ca and radical prostatectomy at age 50. AMX 18 cm plus 2.5 cm RTE implant at age 52 (2020) along with a sling procedure during the same surgery due to urine leakage during sex.

Captain1117
Posts: 386
Joined: Wed Sep 25, 2019 6:54 pm

Re: Torn on a decision and need advice/guidance

Postby Captain1117 » Sun May 03, 2020 12:39 pm

Cecnc1 wrote:Check out Baptist Wake Forest Hospital in Winston-Salem, NC. Dr. Terlecki. Cash price just under 14k for everything. Excellent surgeon with excellent stats. Infection rate essentially zero. He did mine 2 months ago. Very pleased so far.



14k sounds interesting. Does anyone know how many does he do per year.
" The greatest benefit of an implant is that a man stops thinking about ED."-Dr.Eid

48, healthy, straight, single.ED after turning 40. AMS LGX implanted by Dr.Yonah Krakowski in June 2023.

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Torn on a decision and need advice/guidance

Postby Gt1956 » Sun May 03, 2020 4:25 pm

I feel that I should throw out a small warning. Just looking at price could be misleading. Some doctors use surgery centers that can cut the cost by quite a bit. Just looking at the bottom prices isn't truly looking at what you're getting & why it is priced at that level. There is a chance that whoever quotes a price might not be quoting the bottom price. In order to compare, you need to equalize the level of service.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

Cecnc1
Posts: 7
Joined: Fri Mar 20, 2020 11:50 pm

Re: Torn on a decision and need advice/guidance

Postby Cecnc1 » Sun May 03, 2020 9:27 pm

Captain1117 wrote:
Cecnc1 wrote:Check out Baptist Wake Forest Hospital in Winston-Salem, NC. Dr. Terlecki. Cash price just under 14k for everything. Excellent surgeon with excellent stats. Infection rate essentially zero. He did mine 2 months ago. Very pleased so far.



14k sounds interesting. Does anyone know how many does he do per year.


He does over 100 a year. He a professor at Wake Forest school of medicine. Truly worth checking out.
Gleason 7 prostate ca and radical prostatectomy at age 50. AMX 18 cm plus 2.5 cm RTE implant at age 52 (2020) along with a sling procedure during the same surgery due to urine leakage during sex.

Maverick2dog
Posts: 139
Joined: Mon Apr 23, 2018 9:24 am

Re: Torn on a decision and need advice/guidance

Postby Maverick2dog » Wed May 06, 2020 2:40 pm

Dr Christine, did a very complex revision for me a little over a year ago. It turn out well, better than expected. I would use him again.

Mav
59 years old. Forth revision 10/2021
Third revision 9/21 moved pump replaced one cylinder AMS CX 21+ 3. Second revision January 31st 2019 AMS CX 21,+2CM RTE. First revision November 15th, 2018 24CM CX .5RTE. Implanted 4/2018, Titian 22CM 2.5 RTE

TANGERINE
Posts: 849
Joined: Wed Feb 15, 2017 11:10 pm

Re: Torn on a decision and need advice/guidance

Postby TANGERINE » Thu May 07, 2020 12:49 am

I just saw this question and I am willing to put in my opinion here.

Choosing a surgeon is very difficult, because you do not really have the capability to figure out how talented they are for your particular situation.

I think one of the good thing about your situation is that it is very likely that you will have "at least as good and big" of an implant as what you have now since the surgeon will know exactly what was installed before and can use those install tracks as a guide.

It seems that the complaints that implant guys have regarsding their surgeon is:
a) infection
b) sizing
c) inflate bulb location
d) numbness

For a revision, sizing is likely not an issue (for the reasons mentioned above). the bulb location is tricky, and does require a talented surgeon (but talent is NOT a monopoly to just a few docs). The infection rate depends on your surgeon and on the surgi-center and on your immune system (so the quality and cleanliness of the surgery center is imporant). Numbeness is known to be a problem for repeat operations done from infrapubic (above the penis) incisions.

So, I think going with a surgeon who is really good at peno-scrotal is very key. I think going to a place that has really solid infection control is key (but you have no real way of figuring that out).

Your pricing was very useful, and the price reflects not just the fame and notoriety of the surgeon but also the overall price of medical care in that particular geographic region.

I have personal experience with Dr Karpman (though he did not do my original install) and I like him very much and he is truly a rock star quality implant surgeon (ie, you are getting great value for his price). I wonder if the ten thousand dollar price differential was because some offices quoted you a rate that included the cost of the implant (roughly 9 thousand dollars)---do realize that many revision cases are able to get the implant cost waived because manufacturers have a lifetime guarantee ?

I wish I could be definitive here, but as you can tell from other posts, if you have had a great result, then you love your surgeon, and if you have a lousy result, you hate your surgeon. so I guess the most important thing is to ask the office for a list of guys that you can call to see if they are happy.

good luck (and yes, covid 19 means that things are on hold likely until the summer)
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

medhatg
Posts: 300
Joined: Thu Sep 14, 2017 10:34 pm

Re: Torn on a decision and need advice/guidance

Postby medhatg » Thu May 07, 2020 5:41 pm

Thank you gentlemen for all the great advice. I settled on Dr. Karpman and my revision is being scheduled this month.

WindWizard
Posts: 73
Joined: Sun Feb 17, 2019 4:53 am

Re: Torn on a decision and need advice/guidance

Postby WindWizard » Thu May 07, 2020 7:14 pm

medhatg wrote:Thank you gentlemen for all the great advice. I settled on Dr. Karpman and my revision is being scheduled this month.


Dr. Karpman did my implant surgery in October of last year. So far I am very satisfied with my results.

You are in good hands if you go with Dr. Karpman, he will take top care of you.
20 years old. Severe ED for the past 5 years due to scar tissue.
Tried shockwave therapy in Greece, and PRP shot from Dr. Goldstein in San Diego. Both with no results.
Implanted with a AMS LGX 18cm + 2 RTEs, performed by Dr. Edward Karpman - 10/8/2019

TANGERINE
Posts: 849
Joined: Wed Feb 15, 2017 11:10 pm

Re: Torn on a decision and need advice/guidance

Postby TANGERINE » Sat May 09, 2020 10:49 pm

congrats on your choice. Please realize,in my opnion, going with karpmann is not "settling"....

Everything I read here on franktalk, and also based on my office visits with him, seems to indicate that he is talented and gets great results. I do not remember ever reading a negative review on franktalk about karpman.

so you are in great hands, and it will be useful to all of us for you to post your experience so we can learn about karpman, who many have said , is "the best in the US west"
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."


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