Is over 200 a year considered a high vollume implant surgeon?

The final frontier. Deciding when, if and how.
Never_Enough
Posts: 176
Joined: Fri Nov 24, 2023 7:54 am

Is over 200 a year considered a high vollume implant surgeon?

Postby Never_Enough » Mon Apr 22, 2024 3:00 pm

If I ever had an implant it would be through Dr David Ralph in London, and he implants over 200 a year.

Is this considered a high volume implanter?

Thanks,
38 m UK

Psychogenic ED since forever fewer problems being fully erect alone.
2 kids, 3rd on the way. Long term partner.
Chronic pelvic pain pudendal neuralgia and muscle tightness in late 2023 onwards making ED worse.
Cialis 5 mg daily and 15 mg as prn

Juerhareb
Posts: 165
Joined: Tue Jun 30, 2020 11:57 pm

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby Juerhareb » Mon Apr 22, 2024 3:42 pm

Never_Enough wrote:If I ever had an implant it would be through Dr David Ralph in London, and he implants over 200 a year.

Is this considered a high volume implanter?

Thanks,

High enough in my opinion. My doctor was supposed to do 2 per week and the result was almost perfect.
Late twenties. ED since very early twenties. Unable to have sex.
Implanted 20-03-2024 AMS LGX 21+3 cm. Dr Juan Ignacio Martínez Salamanca (Spain).

Rider1400
Posts: 1073
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby Rider1400 » Mon Apr 22, 2024 7:39 pm

Dr Ralph has been mentioned a bunch over the years on FT. Do a search and see what pops up… and in my opinion 200 a year would qualify for me. My Dr said around 250 and he did a great job except for placement of the resivour which his excuse was my 20 year prior double hernia with mesh.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

easymoney
Posts: 604
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby easymoney » Mon Apr 22, 2024 8:36 pm

My dr. does over 300 a year he told me it is also a teaching hospital so that may make a difference. Out of all the implants only about 50 a year are MPP's

newbie443
Posts: 1930
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby newbie443 » Mon Apr 22, 2024 9:37 pm

Never_Enough wrote:If I ever had an implant it would be through Dr David Ralph in London, and he implants over 200 a year.

Is this considered a high volume implanter?

Thanks,


I think this has been lost with recent posts. The things is you do not need a doctor that does 200, 300, or more a year. The doctors doing those numbers are certainly specialist and good doctors to go to. This large number study has the top group at greater than 31 implants a year. https://www.garber-online.com/pdf/Highe ... ctions.pdf What you want to try to avoid is the lower 0-2 implants a year doctors if you can. The thing is if you look at that study you find a large percentage of implants are done low volume doctors. If I read this correctly over 50% of implants are done by low volume doctors. And even so implanted men report over 90% satisfaction.
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.

jwitten567
Posts: 88
Joined: Thu May 25, 2023 12:24 pm

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby jwitten567 » Mon Apr 22, 2024 11:26 pm

agree with the previous post. Definition of high volume is probably just avoiding the urologist that does 0-2 implants/month. >200 a year a one of the higher volume surgeons. Dr. Ralph is a very well known Urologist and implant surgeon - many folks on frank talk as well as many scientific publications and videos. He handles a lot of complex cases.
Radical Prostatectomy in 2015; failed pills, straight to Coloplast Titan in 2019 by Dr. Valenzuela in NYC, Replaced with AMS 700 CX in 2022 by Dr. Darshan Patel in San Diego, CA. Wish I jumped to an implant even before prostate cancer!

Dutchie
Posts: 78
Joined: Wed Mar 27, 2024 4:50 am

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby Dutchie » Mon Apr 22, 2024 11:41 pm

easymoney wrote:My dr. does over 300 a year he told me it is also a teaching hospital so that may make a difference. Out of all the implants only about 50 a year are MPP's


What is MPP?
Dutch male born 1978. Post Finasteride Syndrome induced ED. LGX 21, 1rte, implanted 10th april 2024, Dr. Andrianne, CHU Liège.

LastHope
Posts: 722
Joined: Sun Feb 18, 2024 1:26 am

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby LastHope » Tue Apr 23, 2024 2:59 am

Dutchie wrote:
easymoney wrote:My dr. does over 300 a year he told me it is also a teaching hospital so that may make a difference. Out of all the implants only about 50 a year are MPP's


What is MPP?


Maximum Pee Power or Mega Painless Procedures

JUST KIDDING

Malleable Penile Prosthesis

frank66665
Posts: 1463
Joined: Wed Mar 25, 2020 11:18 am

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby frank66665 » Tue Apr 23, 2024 4:04 am

These numbers 100/200/300/400 implants per year are super inflated, where is the data? To make themselves bigger, every doctor says to do many more implants than he actually does
56, ED since 2010, pills work but not always and well, trt in progress improved but not so much, myocardial infarction january 2016, new stent september 2016, hypertension, venous on 1/23/23 titan one touch 22, no rte dottor Gabriele Antonini Italia

Never_Enough
Posts: 176
Joined: Fri Nov 24, 2023 7:54 am

Re: Is over 200 a year considered a high vollume implant surgeon?

Postby Never_Enough » Tue Apr 23, 2024 4:19 am

Thanks guys.

I'm going to see him next month to talk about my options. Pelvic pain hard flaccid getting worse and now making keeping an erection longer than a minute difficult even with stimulation.
38 m UK

Psychogenic ED since forever fewer problems being fully erect alone.
2 kids, 3rd on the way. Long term partner.
Chronic pelvic pain pudendal neuralgia and muscle tightness in late 2023 onwards making ED worse.
Cialis 5 mg daily and 15 mg as prn


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