Interesting sequence of events

The final frontier. Deciding when, if and how.
Dlareg
Posts: 25
Joined: Thu Nov 18, 2021 6:22 am

Interesting sequence of events

Postby Dlareg » Mon Apr 25, 2022 9:23 pm

Implanted by Dr. A on 15 Feb. At two week follow up, saw his PA (Dr. was on vacation). At five week follow up/activation my head was flopped over like a newborn as I laid on my back. Dr. did not comment about that, but did discuss my reservoir location and the belief it should be relocated (it's very visible in lower abdomen). He recommended a colleague and provided a referral. Dr. hastily gave brief instructions to cycle daily and wait for Dr.B's staff to call with an appointment date. I thought that was odd at the time, but what the heck -- go with what the Dr. Recommends. Saw Dr. B today and his first question was "What can I do for you?" Another oddity, I thought at the time. I explained what Dr. A said about the reservoir, but told him I was more concerned with the floppy head. He examined briefly while slightly inflated and concluded the implant was too short and immediately recommended a revision with a Titan vice AMS. I knew after a couple weeks of cycling the implant was too short, making intercourse with my wife next to impossible without significant pain for both of us, and I expected some push back from Dr. B when I brought it up, but it seemed he expected my question.

In hindsight, I believe Dr. A realized immediately I was undersized, and for whatever reason decided he wanted nothing to do with the revision process. That's why Dr. B opened our conversation with the open ended question like he did. What I can't figure out it's why. Any thoughts?
AMS 700 18cm +2 rte Feb 2022 (under sized)
Titan 20cm +2 rte Jul 2022
59 yo, married since 1985
Ed since 2009, pills, injections both worked until they didn't.

FMLFML85
Posts: 606
Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Mon Apr 25, 2022 10:06 pm

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Last edited by FMLFML85 on Sun Jun 12, 2022 3:23 pm, edited 1 time in total.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Interesting sequence of events

Postby Lost Sheep » Mon Apr 25, 2022 11:09 pm

I recommend you get just a little paranoid at this point.

Takes notes. Write down every person's name you talk to and what was discussed, any agreements and promised made.

Do not make a point of it, you don't want to alienate anyone, but better to have contemporaneous records and not need than than to wish you had more than memory to present in a dispute with your insurance company or anone else.

Geet the operation report from Dr A and read the measurements he took of your penis (or their absence).

Find out the name of the manufacturer's Patien Liaison (and find out if he was present during the operation-they often are).

Good luck.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

FMLFML85
Posts: 606
Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Mon Apr 25, 2022 11:57 pm

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Last edited by FMLFML85 on Sun Jun 12, 2022 3:22 pm, edited 1 time in total.

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Interesting sequence of events

Postby newbie443 » Tue Apr 26, 2022 12:11 am

1st of all you need to know that not all doctors that do virgin implants do not do revisions or repairs. Revisions are more difficult for the doctor. My local euro's do 2-3 implants a year each and none do revisions or repairs. It is very possible that the doctor that did your implant dose not do repairs or replacements.
Last edited by newbie443 on Sat Jul 23, 2022 11:15 pm, edited 1 time in total.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Dlareg
Posts: 25
Joined: Thu Nov 18, 2021 6:22 am

Re: Interesting sequence of events

Postby Dlareg » Tue Apr 26, 2022 9:36 pm

One day later and revision scheduled, no insurance concerns. Easy as that.
AMS 700 18cm +2 rte Feb 2022 (under sized)
Titan 20cm +2 rte Jul 2022
59 yo, married since 1985
Ed since 2009, pills, injections both worked until they didn't.

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: Interesting sequence of events

Postby nuance » Sat Jul 23, 2022 5:47 pm

Dlareg wrote:One day later and revision scheduled, no insurance concerns. Easy as that.


How do you like your new implant? Did it fix your floppy glans and are you happy with the reservoir now? Any idea what went wrong with placement of the reservoir in the first surgery?

Dlareg
Posts: 25
Joined: Thu Nov 18, 2021 6:22 am

Re: Interesting sequence of events

Postby Dlareg » Sat Jul 23, 2022 6:02 pm

Too early to tell how it will turn out but first impression was positive. Revision was two weeks ago and I partially cycled today. No floppy glans. No idea what went wrong the first time other than bad sizing by surgeon. For what it's worth, revision recovery was pretty much pain free.
AMS 700 18cm +2 rte Feb 2022 (under sized)
Titan 20cm +2 rte Jul 2022
59 yo, married since 1985
Ed since 2009, pills, injections both worked until they didn't.

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: Interesting sequence of events

Postby nuance » Sat Jul 23, 2022 8:33 pm

That's pretty good if they replaced it entirely.

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Interesting sequence of events

Postby dg_moore » Sat Jul 23, 2022 9:20 pm

newbie443 wrote:1st of all you need to know that not all doctors that do virgin implants do revisions or repairs. Revisions are more difficult for the doctor. My local euro's do 2-3 implants a year each and none do revisions or repairs. It is very possible that the doctor that did your implant dose not do repairs or replacements.

When my Titan failed after 12 years I contacted my original surgeon Andrew Kramer. He advised me it could be repaired, replaced, or removed, or I could just forget about it. Since he had moved far from my area (south of Baltimore to Cape Cod) he suggested a doc with whom he had worked at Chesapeake Urology, but noted that he would trust him only for removal because he didn't have the necessary skill and experience for a revision. So because I had never used the implant and never would, I decided to forget about it. It's been over two years and I have had no issues or problems with it
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.


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