If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

The final frontier. Deciding when, if and how.
proctor
Posts: 171
Joined: Thu Feb 13, 2020 3:01 pm

If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby proctor » Mon Jan 04, 2021 12:14 am

Did anyone do penescrotal in the first time and infrapubic for the revision? Or vice versa? I am just curious.
Rigicon Infla 10 AX , 18 Cm, 2 RTE, 110 ml. Dr Andrew Kramer

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby Waynetho » Mon Jan 04, 2021 12:25 am

Yes, someone recently posted a link to their surgical video in which they went from penoscrotal to infrapubic with their revision and the doctor spoke specifically about how easy it is to go between the two different methods during revisions.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

OregonStrong
Posts: 386
Joined: Mon Mar 02, 2020 10:15 pm

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby OregonStrong » Mon Jan 04, 2021 12:45 am

I've wondered how this would be possible, the cylinders are exiting through holes on the underside of the corpora in the penoscrotal method, if they then made an incision on the top side of the corpora in a suprapubic, I could see that they could cut the tubes and pull the ends through, but wouldn't you have to stitch up the holes on the underside of the corpora? Otherwise you'd have the old exit holes on the bottom open and new exit holes on the top. I would think that could lead to tearing of the corpora. Maybe the holes just naturally close up quickly once there is no tube coming through keeping it open. I would love to see that video.
50 yrs old. E.D. issues started around age 35, combo venous leak/testicular failure. Bilateral testicular implants for severely atrophic testes. Implanted 6/11/20 Dr. Kramer LGX 21cm + 1.

C_lab34
Posts: 166
Joined: Sun Jun 01, 2014 8:34 pm

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby C_lab34 » Mon Jan 04, 2021 5:12 am

It is not only possible, it is not a big deal, if you go to a dedicated surgeon with experience in both approaches. I just had a revision surgery almost two weeks ago where I went from an AMS CX that was placed penoscrotally to a Titan that was placed infrapubically. My surgeon, Dr. Alex Tatem in Indianapolis did a beautiful job, and you can see it here if you'd like.

So far I am very impressed with infrapubic placement.


https://www.youtube.com/watch?v=ma_MdeHGcNI

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby Waynetho » Mon Jan 04, 2021 8:13 am

C_lab34 wrote:It is not only possible, it is not a big deal, if you go to a dedicated surgeon with experience in both approaches. I just had a revision surgery almost two weeks ago where I went from an AMS CX that was placed penoscrotally to a Titan that was placed infrapubically. My surgeon, Dr. Alex Tatem in Indianapolis did a beautiful job, and you can see it here if you'd like.

So far I am very impressed with infrapubic placement.


https://www.youtube.com/watch?v=ma_MdeHGcNI

Sorry, I couldn't remember who but it was to your story I was referring on my first post.

I was particularly impressed by his addition of additional "water proofing" stitches (presumably to the old corporotomies, but I really don't know) to allow any remaining natural tumescence to still properly function (i.e., remaining natural erection).
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

proctor
Posts: 171
Joined: Thu Feb 13, 2020 3:01 pm

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby proctor » Mon Jan 04, 2021 9:15 pm

C_lab34 wrote:It is not only possible, it is not a big deal, if you go to a dedicated surgeon with experience in both approaches. I just had a revision surgery almost two weeks ago where I went from an AMS CX that was placed penoscrotally to a Titan that was placed infrapubically. My surgeon, Dr. Alex Tatem in Indianapolis did a beautiful job, and you can see it here if you'd like.

So far I am very impressed with infrapubic placement.


https://www.youtube.com/watch?v=ma_MdeHGcNI


That's very impressive..... Thanks for sharing... I have my question answered....
Rigicon Infla 10 AX , 18 Cm, 2 RTE, 110 ml. Dr Andrew Kramer

mike123
Posts: 61
Joined: Fri Jul 10, 2020 4:01 pm

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby mike123 » Fri Jan 08, 2021 8:14 pm

C_lab34 wrote:It is not only possible, it is not a big deal, if you go to a dedicated surgeon with experience in both approaches. I just had a revision surgery almost two weeks ago where I went from an AMS CX that was placed penoscrotally to a Titan that was placed infrapubically. My surgeon, Dr. Alex Tatem in Indianapolis did a beautiful job, and you can see it here if you'd like.

So far I am very impressed with infrapubic placement.


https://www.youtube.com/watch?v=ma_MdeHGcNI


Hey C_lab, which pump did you get? I had the same pump with the crossbar release implanted six weeks ago, but my surgeon doesn't know the name. I've been googling trying to find pictures of it but without knowing the name, I haven't had any success.
Implanted 2020 Nov 30 with Titan 22cm, no RTEs by Dr Dineen in Daytona Beach.
TURP for BPH 2020 Jul 27. Resulted in RE.
ED started around 2005.

ViaSwiss
Posts: 624
Joined: Fri May 24, 2019 9:09 am

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby ViaSwiss » Sat Jan 09, 2021 10:50 am

Genesis is the pump name I believe
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

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

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby medhatg » Sat Jan 09, 2021 2:33 pm

proctor wrote:Did anyone do penescrotal in the first time and infrapubic for the revision? Or vice versa? I am just curious.

I have penescrotal in the first time and infrapubic for the revision.
I'd take infrapubic any time over penescrotal.

proctor
Posts: 171
Joined: Thu Feb 13, 2020 3:01 pm

Re: If you do penescrotal in your virgin surgery - can you go for infrapubic for revision?

Postby proctor » Sat Jan 09, 2021 8:53 pm

medhatg wrote:
proctor wrote:Did anyone do penescrotal in the first time and infrapubic for the revision? Or vice versa? I am just curious.

I have penescrotal in the first time and infrapubic for the revision.
I'd take infrapubic any time over penescrotal.

Thanks for sharing. Why do you prefer infrapubic over penescrotal?
Apart from the obvious swollen sack, don’t you think pensescrotal has some advantage over IP like better sizing etc...
Rigicon Infla 10 AX , 18 Cm, 2 RTE, 110 ml. Dr Andrew Kramer


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