TYPE OF SURGERY

The final frontier. Deciding when, if and how.
GaryRN
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TYPE OF SURGERY

Postby GaryRN » Sun May 26, 2013 10:10 am

Which type of surgery did you have?

Mine was above the penis with a vertical incision which descended into the penis.

Other have a horizontal incision above the penis.

Some others an incision in the scrotum which does not leave a scar which can be scene.

I am interested in this.

I saw videos on You Tube and medical sites which showed incisions above the penis with a horizontal incision. I saw a couple which went through the scrotum.

The day of the surgery I expected a horizontal incision above the penis. The next day when I took the dressing off I almost passed out. The incision was vertical which extended into the base of the penis, and my scrotum was the size of a large navel orange. The day after that it was the size of a large grapefruit,
My other question is "does the type of incision increase the possibility of severe edema?"

Thanks,
Gary

Steven1111
Posts: 103
Joined: Tue Feb 26, 2013 2:31 pm
Location: Seattle WA

Re: TYPE OF SURGERY

Postby Steven1111 » Sun May 26, 2013 1:36 pm

I had a scrotal incision and to look at it about 14 days post surgery I can barely see it now and the stitches are almost all dissolved. I had very little swelling for only about 3 days and I used a lot of ice to keep it down which made a big difference I think. I can't answer your other question definitively, but from my own scrotal incision I had very little and short lived edema. I hope yours is getting better rapidly for you now.

Best of luck to you Gary,
Steve
64 year old gay man. Brachytherapy Radiation for Prostate Cancer Oct. 2010. Permanent ED Nov. 2012. Failed pills, pumps and injections. Happily implanted with AMS CX May 9th, 2013. Sex Rocks again! Thanks to everyone for such caring support.

rlm1818
Posts: 380
Joined: Tue Sep 06, 2011 10:33 pm
Location: Midwest USA

Re: TYPE OF SURGERY

Postby rlm1818 » Sun May 26, 2013 3:48 pm

I had a scrotal incision. The scar is invisible if it exists. I had almost no swelling or bruising. OTOH some docs claim the pubic incision is the most "minimally invasive". I don't know how my scrotal surgery could have been more minimally invasive than it was. AFAIK there are great results with both pubic and scrotal incisions. I am not a medical professional and have no expertise. Based on results reported here in FT I really doubt that scrotal vs pubic makes all that much difference in general.
Last edited by rlm1818 on Sun Jun 02, 2013 1:48 pm, edited 1 time in total.
22cm Coloplast Titan OTR implanted Feb 2012 by Dr Francois Eid in NYC.
Initial implant experience here: viewtopic.php?f=6&t=1308

Dave92014
Posts: 265
Joined: Fri Nov 02, 2012 4:25 pm
Location: San Diego, Ca.

Re: TYPE OF SURGERY

Postby Dave92014 » Sun May 26, 2013 5:15 pm

I had an incision in the scrotum. From what I have seen that incision can be either horizontal or vertical. Mine was vertical, about 1 1/2 inches long and ended below the penis. My doc used the glue that is like crazy glue to seal the incision. Therefore there were no stitches to be removed. I did have one stitch that was poking out slightly at the bottom of the incision. I asked my doc about it at my visit 3 weeks post-op. He whipped out his scalpel, put a liquid on to numb the area and did something to remove the stitch. There was a drop or two of blood but no pain in that. After a month or two post-op my incision could not be seen, although I did not care if it could or not.

I can't comment on which is the best technique since I have only my own experience. I assume docs consider it and they seem to have different opinions.

Dave
Implant surgery by Dr. John Greisman 10/31/2012 - Installed AMS CX700

bob1138
Posts: 449
Joined: Wed Sep 28, 2011 6:41 pm

Re: TYPE OF SURGERY

Postby bob1138 » Sun May 26, 2013 6:34 pm

Hi Gary,

I was implanted with the Coloplast Titan in December 2007 via infrapubic incision (horizontal incision above the penis).
I had some swelling and discoloration for a short time --- healing process was unremarkable and my wife and I have been fully enjoying my Implant for the past 5+ years and counting.
Wishing you a lifetime of enjoyment with your new Implant.
Bob

inthezone
Posts: 44
Joined: Wed Mar 06, 2013 11:33 am

Re: TYPE OF SURGERY

Postby inthezone » Sun May 26, 2013 8:40 pm

I recall there were some benefits to the surgical incision above the penis. Mine was at the scrotum and swelling was significant but I stayed on the couch, with everything brought to me except a few trips to the bathroom. The swelling was mostly gone in the first few days and now I'm at 3 months and have regained the baggy scrotum and the pump hides much better. Scar is practically gone.
AMS 700 LGX Feb 2013.

Dave92014
Posts: 265
Joined: Fri Nov 02, 2012 4:25 pm
Location: San Diego, Ca.

Re: TYPE OF SURGERY

Postby Dave92014 » Mon May 27, 2013 12:26 pm

I forgot to mention in the description of my scrotal surgery that I did not focus after surgery on staying horizontal as some others have suggested. From the time I came home the day after surgery I sat in a desk chair at my computer doing stock market analysis about 12 hours per day. And 3 days post-op I drove myself 20 minutes down the freeway to the rehearsal for a chorus I sing with and sat on a metal folding chair, with a foam donut cushion, during a 2 hour rehearsal. Still I did not have the swelling some had. I did use an ice pack the first two days after coming home and a heating pad for 10 days after that. I don't say this to brag but just to point out that different people have different reactions so see what your own body needs and follow that. If you have a lot of swelling, horizontal is probably best, but if you don't you can be more active.

Dave
Implant surgery by Dr. John Greisman 10/31/2012 - Installed AMS CX700

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greggshere
Posts: 66
Joined: Wed Aug 22, 2012 5:58 am

Re: TYPE OF SURGERY

Postby greggshere » Mon May 27, 2013 8:09 pm

I had a scrotal incision about 2.5 - 3" long in the seam. Now that it is healed it just looks like the seam again, not a scar. Almost no swelling with the procedure. Oh I also had a horizontal incision on my abdomin for the resevoir.

danny1553
Posts: 301
Joined: Sun Nov 27, 2011 6:49 pm

Re: TYPE OF SURGERY

Postby danny1553 » Fri May 31, 2013 1:04 pm

From I've learned from my uro, the incision above the penis is less painful and cause less discomfort. However there is a minor chance of the nerve injury in which case there will be a loss of sensitivity.
On the other hand, scrotum incision is painful and sometimes looks scary first few days but there is no risk of the nerve damage.


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