Someguy90 wrote:IntroAs the title of this topic states, i am getting a penile protheses in The Netherlands where overall compared to the USA is a surgical low penile implant volume country.
I'm 32, and I have been hiding my start of impotence since the age of 20-21.
On New Year's Eve 2012/2013 I almost got into a ketoacidosis coma (The day we discovered diabetes 1) and they rushed me to the hospital. I can still remember saying to my family after sitting down on the kitchen floor; My mind wants to continue, but my body gave up. --Roughly translated from Dutch.
Lost weight from 91 kilos (200 Pounds), to 47 kilos (103 Pounds) before it got discovered.
Apparently, I had been walking around with diabetes type 1 for 1,5 year. Even tough going to the doctor more than 7 times in that period, it was undetected.
You can imagine this disease dissolved my wannabe athlete body and caused tremendous irreversible damage.
My mother got diagnosed with Diabetes Type 2, 3 days later due to the discovery that I have diabetes. She also had been walking around with diabetes for a shorter period undetected, by the same doctor.
At the age of 19-20 my size was (from pressing on the bone) erected 8.54" (21.7 Cm) - This is without pump or anything 100% natural.
Currently, I have a maximum of 6.6 (17 Cm) written on the pump when pumped, but I'm unable to measure it correctly from the bone due to the pump.
I'm a short man tough; 1,62m in length, around 58 Kilos (127 Pounds).
The thought of getting the implant has been on my mind for 7 years, but I kept refusing (denial) and I have used all other options. Androskat injection have never worked (2ml) let along all the other things...
This thread of our fellow bionic friend pushed me over the edge to do it, also the reason why I am creating this thread;
viewtopic.php?f=6&t=20761Doctor & HospitalIn the Netherlands, 7 hospitals do penile protheses (Here we call it erectile prosthesis), to give an idea how many a year get "installed".
Source: https://mijn.bsl.nl/vijf-jaar-regionali ... -/20139876My doctor does 10+ implants a
year (All the implants in hospital Antonius). Compared to what i read on this forum, other doctors do 4+ implants a
day.
Source: https://www.antoniusziekenhuis.nl/behan ... ieprotheseHospital: St Antonius Ziekenhuis
Doctor: Dr. J.J.H. (Jack) Beck, PhD -
https://www.antoniusziekenhuis.nl/speci ... k-beck-phdYears of Experience: Unknown - Hospital website states; Dr. Beck has a lot of experience with this treatment and has been performing it for years. This operation is performed more than 10 times a year by the specialized urologist dr. J.J. H Beck.
Update 1: After asking, he stated he does around 25-50 erectileprotheses a year, and he is experienced with diabetic patients.
Doctor assisted by: J.P. Verkerk-Geelhoed, MSc, nursing specialist. -
https://www.antoniusziekenhuis.nl/speci ... elhoed-mscYears of Experience: Unknown - Hospital website states; This operation is performed more than 10 times a year by the specialized urologist dr. J.J. H Beck. He is supported for treatment and guidance by Mrs. J.P. Verkerk-Geelhoed, MSc, nurse specialist.
Source: https://www.antoniusziekenhuis.nl/behan ... ieprotheseYoutube Video provided by the hospital, in the video you can see/hear the doctor and his assisted that are treating me.
https://www.youtube.com/watch?v=XgK449On0EwAround 00:26 the doctor clearly states; I think that we have a lot of experience in treating these conditions such as erection problems.
Financial: 100% Covered by standard
(default) Insurance
(erectile prosthesis cover added in September 2016. Health insurance is required by law).
Start Date: 4th of August, first appointment.
Please know that i might not add images or update this topic due to various reasons, I'm having a hard time doing this.Start of getting an erectile prosthesis 4th of August 2023: Coming up (writing this 2nd of August) is the first meeting with dr. J.J. H Beck.
My trusted friend, and ex-girlfriend
(From when I was 19), are going with me to drag my ass through this.
That implies that I have an appointment in 2 days.
I'm bouncing around by the thought of doing this. What if it gets infected because I'm diabetic, and they need to remove it? I will be left with nothing. Things like that are bouncing around in my head.
#Update 1:I've met my surgeon for the first time, and honestly, he gave me a lot of comfort.
Good thing I had my 2 buddies with me to be my ears because they remembered details I missed/forgot.
I'm a good candidate for the protheses, he said, BUT my A1C is a few points too high to be covered by insurance (did blood work before the appointment)!
It's currently 66 and the insurance requires 58 or lower.
I believe the typical diabetes type 1 "Somogyi effect" had increased my A1C between blood works. So I need to work on that immediately.... blood work end of August!
--I hope quitting smoking 1 week before will help decrease it. Smoking was the absolute last thing I had left of enjoyment...
Meanwhile, I will be meeting with a sexologist as it is also required before surgery.
He did a quick size measurement, and wrote down 14.5 CM flassed. I missed if he included the glans or not. Need to ask him about it next time, because my own measurement was higher, like with all men that measure themselves
Most noticeably is that he was surprised/excited that I read the research papers and conclusion that has been publicized last year (The screenshot in this thread was from that publication). It brought me a lot of comfort that the quality and result in numbers have increased, including the yearly amount of surgery performed by his team (From 10+ to 25 - 50 a year).
It was also a big + that I've been pumping to regain my losses before making the appointment. And that my wish was an AMS 700 LGX to keep working on it, he agreed and noted it down. He also preferred the AMS 700 series and explained the active 2 weeks of antibiotics that he soaks it in before placement.
1 Noticeable thing was; I'm pretty thin, so he noted that he might place the reservoir elsewhere and that he might need to make a small incision above the penis to avoid me having a noticeable "bulp" (the rest Penoscrotal). That is a good thing! He cares about a lot of things Quality, regain of size, shape, look and feel.
My main issue is infection due to my diabetes, I need to lower my A1C to < 58. To have the same infection rate as healthy people and not an increased risk.
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I'll do my best to edit this post and add more info. So if you want to follow this, just keep an eye on the (this) first post.
