Should I stay or should I go?

The final frontier. Deciding when, if and how.
android912
Posts: 31
Joined: Sun May 07, 2023 7:45 pm

Should I stay or should I go?

Postby android912 » Wed Jul 12, 2023 6:37 pm

I am in consultation with a highly skilled surgeon and I am considering an implant. I would like the FT community to share your experience with any of the following subjects to broaden my decision making.

1) Sensation: did you lose or gain sensation? I have some sensation loss from RP (May ‘21) and yes my orgasm is indeed different. Obviously I have no ejaculation due to the removal of my prostate and seminal vesicles. Sometimes my orgasm (pelvic floor muscles spasm) can be a bit painful…

2) Anorgasm: with bimix (my current method, and yes my dosage continues to increase) did it make reaching climax more difficult? With VED and constriction ring (my alternative method) did that make climax more difficult? -Did becoming implanted assist you with climax (I know there is a healing period to transcend).

3) Did your implant solve or exacerbate items 1&2?

I know psychologically I will definitely benefit from becoming bionic as well as give me some spontaneity back. Sex now is like a space launch…way too much to hassle with just to get to the pad…
A huge shout out to everyone who has shared their wisdom and courage here. I am grateful I have found this resource.

64 yo RP ‘21, PSA currently undetectable, VED with constriction, Bimix becoming problematic.
65 yo. PCa Mar 21, RARP May 21 ED immediately following. VED therapy. Trimix failed with pain. Used Bimix but losing efficacy and developing scarring. Pills never worked. Implant (Coloplast Titan One Touch 18cm 1 rte 9/14/23) pre op 'BPL 5.75 G 5:25

JohnHC
Posts: 219
Joined: Mon Apr 24, 2023 9:35 am

Re: Should I stay or should I go?

Postby JohnHC » Thu Jul 13, 2023 9:24 am

android912 wrote:I am in consultation with a highly skilled surgeon and I am considering an implant. I would like the FT community to share your experience with any of the following subjects to broaden my decision making.

1) Sensation: did you lose or gain sensation? I have some sensation loss from RP (May ‘21) and yes my orgasm is indeed different. Obviously I have no ejaculation due to the removal of my prostate and seminal vesicles. Sometimes my orgasm (pelvic floor muscles spasm) can be a bit painful…

For me no change in sensation.

2) Anorgasm: with bimix (my current method, and yes my dosage continues to increase) did it make reaching climax more difficult? With VED and constriction ring (my alternative method) did that make climax more difficult? -Did becoming implanted assist you with climax (I know there is a healing period to transcend).

I was on Trimix for several years then suddenly had to start taking a stronger mix and increase dosage, that never interfered with my climax, and so far no notice of any change - but I've only had sex twice since being implanted.

3) Did your implant solve or exacerbate items 1&2?

I guess you can say it very much solved any issues I had, I no longer have to pre draw my Trimix or wait for it to thaw in order to use it then wait 5-10 minutes for it to work, when I'm ready just pump it up ( all of about a minute at most ) and then get busy.

I know psychologically I will definitely benefit from becoming bionic as well as give me some spontaneity back. Sex now is like a space launch…way too much to hassle with just to get to the pad…
A huge shout out to everyone who has shared their wisdom and courage here. I am grateful I have found this resource.

64 yo RP ‘21, PSA currently undetectable, VED with constriction, Bimix becoming problematic.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

CuzznClark
Posts: 78
Joined: Sat Mar 26, 2022 6:03 pm

Re: Should I stay or should I go?

Postby CuzznClark » Thu Jul 13, 2023 10:21 am

android912 wrote:I am in consultation with a highly skilled surgeon and I am considering an implant. I would like the FT community to share your experience with any of the following subjects to broaden my decision making.

1) Sensation: did you lose or gain sensation? I have some sensation loss from RP (May ‘21) and yes my orgasm is indeed different. Obviously I have no ejaculation due to the removal of my prostate and seminal vesicles. Sometimes my orgasm (pelvic floor muscles spasm) can be a bit painful…

2) Anorgasm: with bimix (my current method, and yes my dosage continues to increase) did it make reaching climax more difficult? With VED and constriction ring (my alternative method) did that make climax more difficult? -Did becoming implanted assist you with climax (I know there is a healing period to transcend).

3) Did your implant solve or exacerbate items 1&2?

I know psychologically I will definitely benefit from becoming bionic as well as give me some spontaneity back. Sex now is like a space launch…way too much to hassle with just to get to the pad…
A huge shout out to everyone who has shared their wisdom and courage here. I am grateful I have found this resource.

64 yo RP ‘21, PSA currently undetectable, VED with constriction, Bimix becoming problematic.


@android912 I have been thru a similar journey; I'm now 66 and had the RP in March of '21. PSA was undetectable until last month, but went detectable in early June. I'm now on ADT for 6 months and will be adding 2 months of radiation in August.

As for ED; the pills worked for me before the surgery, but needed to switch to Trimix for the last 18 months. However not knowing where I will be in 6 months; I have an appointment with a high-volume implanter next week for two reasons 1) How best to maintain penile health during this salvage treatment, and 2) get on his schedule for going bionic in early 2024.

I know I didn't speak to your questions, but just sharing so that you know at least one other person is in the same boat, and I look forward to others answers to your questions
67 yrs old, married ro my beautiful wife for 43 years..oral meds did the job beginning at 58 until undergoing RPS at age 64, Trimix worked until it didn't. Implanted with 20cm Titan (no RTEs) by Dr Levine on 3/18/24

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Should I stay or should I go?

Postby FinallyBionic » Thu Jul 13, 2023 12:19 pm

IMO, I do not think implant affects any of the above. Your sensation and climax should not change. It could be affected for a couple of months after your implant surgery but should get back to what you already had before.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

android912
Posts: 31
Joined: Sun May 07, 2023 7:45 pm

Re: Should I stay or should I go?

Postby android912 » Sat Jul 15, 2023 10:58 am

Thank you guys for your comments! I lost my wife after 17 years of fighting breast cancer a few years ago. She learned way more from other patients as they will tell you the truth!! Doctors are busy people…FT members and posters have been a great resource.

I wish you all the best! We deserve it after all that we’ve been through.
65 yo. PCa Mar 21, RARP May 21 ED immediately following. VED therapy. Trimix failed with pain. Used Bimix but losing efficacy and developing scarring. Pills never worked. Implant (Coloplast Titan One Touch 18cm 1 rte 9/14/23) pre op 'BPL 5.75 G 5:25

oldbeek
Posts: 2547
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Should I stay or should I go?

Postby oldbeek » Sat Jul 15, 2023 11:56 am

android 912, I am also in the process(hospice) of loosing my wife of 61 years to breast cancer. My implant is 5 years old.. To your questions, the implant makes you hard and it hangs large when not inflated. Your sensitivity is in direct relation to the amount of nerve damage during RP. Implant does not change that. For 3 years after RP my members cold and white from 0 blood flow but I still could orgasm. At 4 years after I am getting nice color and warmth. My glans is warm and pink 90% of the time. I dont think I will ever see a dark purple raging glans again. I had a warm chubby this morning. A skilled surgeon like mine will not destroy your erectile tissue, but push it to one side. 1 in a 1000 will still get some erectile function after the nerves repair. Definitely get that implant. Just the new flaccid size is worth the operation. No more 1 1/2 inch turtle. As your nerves heal in the future all will get better. I had no choice as my RP he removed all my nerves and trimix caused PD. I hope this helps with your decision. You can PM me former info.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Bigdave
Posts: 342
Joined: Sun Feb 26, 2023 1:23 am
Location: VA

Re: Should I stay or should I go?

Postby Bigdave » Sat Jul 15, 2023 2:23 pm

oldbeek wrote:android 912, I am also in the process(hospice) of loosing my wife of 61 years to breast cancer. My implant is 5 years old.. To your questions, the implant makes you hard and it hangs large when not inflated. Your sensitivity is in direct relation to the amount of nerve damage during RP. Implant does not change that. For 3 years after RP my members cold and white from 0 blood flow but I still could orgasm. At 4 years after I am getting nice color and warmth. My glans is warm and pink 90% of the time. I dont think I will ever see a dark purple raging glans again. I had a warm chubby this morning. A skilled surgeon like mine will not destroy your erectile tissue, but push it to one side. 1 in a 1000 will still get some erectile function after the nerves repair. Definitely get that implant. Just the new flaccid size is worth the operation. No more 1 1/2 inch turtle. As your nerves heal in the future all will get better. I had no choice as my RP he removed all my nerves and trimix caused PD. I hope this helps with your decision. You can PM me former info.


Prayers for you and your wife. May God bring you both peace.
Age 59. AMS 700 LGX 21cm + 2cm RTE.
Peniscrotal, 2/23.
6.25" OEM with Cialis, about 5" post-op. (11/01: Length 6.75" and girth is up to 4.75" mid shaft.) Still growing, albeit slowly. :D
Cycling daily. Hoping to get to 7". ;)

HikerMan
Posts: 279
Joined: Sun Aug 14, 2022 9:33 am

Re: Should I stay or should I go?

Postby HikerMan » Sat Jul 15, 2023 11:54 pm

android912 wrote:I am in consultation with a highly skilled surgeon and I am considering an implant. I would like the FT community to share your experience with any of the following subjects to broaden my decision making.

1) Sensation: did you lose or gain sensation? I have some sensation loss from RP (May ‘21) and yes my orgasm is indeed different. Obviously I have no ejaculation due to the removal of my prostate and seminal vesicles. Sometimes my orgasm (pelvic floor muscles spasm) can be a bit painful…

2) Anorgasm: with bimix (my current method, and yes my dosage continues to increase) did it make reaching climax more difficult? With VED and constriction ring (my alternative method) did that make climax more difficult? -Did becoming implanted assist you with climax (I know there is a healing period to transcend).

3) Did your implant solve or exacerbate items 1&2?

I know psychologically I will definitely benefit from becoming bionic as well as give me some spontaneity back. Sex now is like a space launch…way too much to hassle with just to get to the pad…
A huge shout out to everyone who has shared their wisdom and courage here. I am grateful I have found this resource.

64 yo RP ‘21, PSA currently undetectable, VED with constriction, Bimix becoming problematic.



* Sensation: did you lose or gain sensation? *

No,; I didn't feel.any difference in orgasm, and like you I've also had a Prostatectomy

*Anorgasm: with bimix (my current method, and yes my dosage continues to increase) did it make reaching climax more difficult? With VED and constriction ring (my alternative method*

Sorry, I don't know.
The only thing I tried was Cialis and I got "mushy* results at best with that
I simply didn't want to.spend my time going thru the plethora of pills , injections, voodoo dance rituals or whatever else may or may not work.
I knew.after my Prostatectomy my natural erection days came to a grinding halt and I HAD to do something.


* Did your implant solve or exacerbate items 1&2*

My implant.completely solved my problem.
100% satisfied.

A little personal.information.
I'm 56, after my Prostatectomy I entered into something I never felt before.
Depression.
I was a guy who never had an issue.in the bedroom, but man did those "Mister Softee" days hurt.
It really.screwed with my head.

Now that depression.is.gone.
I can go as long as I (Or my wife ) want to.go .

Incredible!
This implant.has been a life changer
I would repeat this process in a second.

Best wishes.
AMS 700 installed 12/22/22
REAR TIP Extender 5.0CM MR Conditional
AMS 700 SPHERICAL RESERVOIR 100 ML.
AMS 700 LGX INFRA PUBIC 18 cm
Dr. Jeffrey Loh Doyle- USC KECK
Prostate cancer survivor- RP performed 8/20
56, Marathon runner, John Muir Trail fanatic.

android912
Posts: 31
Joined: Sun May 07, 2023 7:45 pm

Re: Should I stay or should I go?

Postby android912 » Sun Jul 16, 2023 10:18 am

Again thank you brothers!

OldBeek I'm sorry for your situation and I pray for comfort for you and your dear wife. Grief is a real bitch. There is no emotion like it. Believe me, I know.

CuzznClark hang in there. I'm not sure what your timeline is but one of my questions to my urology/oncology group was can I have radiation treatment with an implant? The answer was absolutely. In fact, the new question becomes in what order are treatments (implant and radiation) indicated for the best outcome? Do you implant first? My understanding is once tissues are radiated they become damaged. My wife had radiation to her breast and chest wall, left hip, and brain (stereotactically) throughout the years. I don't know the answer to these questions and it begs for a new thread...best of luck.I'll tell you all i know.

Finally to Hikerman.....thanks. I need encouragement from gents like you. Going nuclear takes some real guts. I sincerely appreciate your positivity. My old fantasies were sex with extremely hot women in all kinds of situations.....now it's just simply to have a hard penis...
65 yo. PCa Mar 21, RARP May 21 ED immediately following. VED therapy. Trimix failed with pain. Used Bimix but losing efficacy and developing scarring. Pills never worked. Implant (Coloplast Titan One Touch 18cm 1 rte 9/14/23) pre op 'BPL 5.75 G 5:25


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