25 and impotent considering implant. HELP

[rcm900]

@dirtman i am glad to hear that things are going great for you after surgery. Also, i would like to ask if you can elaborate on the whole measuring process with Dr.Kramer...does he measure you while your laying down or standing up? Does he do the stretch test with errection or without? because without errection i measure 5 inches in a stretch test with errection i measure 5.5.
( i ask this because when i stand up my muscles and penis begins to spasm and this retracts my penis and makes it hard, when i lay down and relax this issue goes away aswell as when im urinating. i think my muscles relax when doing this and my penis returns to somewhat a normal state)

I do plan to tell my girlfriend at some point because i cant hide it from her forever. she says shell love me with or without sex (but i know how things work) she is only 23 and im 25 so this makes the situation even more difficult. i feel like im dragging her into some messed up shit.

[ED2013]

@PF fracture Yes i do have an injury i know this for a fact. My penis would always have blood flow everyday i felt like i was half aroused just by seeing a pretty girl. now its constantly retracted, cold, and have lost length and girth. and trust me i in no way think that getting an implant is the best way to solve my problem. I am currently seeing a psychologists and im taking ED pills. The purpose of my post was to get information to see if anyone has got an implant for similar reasons/symtpoms as the ones im experiencing. there seem to be many people on franktalk with an implant but that have a diagnosed medical condition prior to surgery. I would assume this helps them more easily accept the fact that there is no other alternative and helps them deal with expectations more easily. Clab an Idnboy seem to have gone through what im going through but they BOTh had penis to spare in length and girth. I am only 5.5 erect and 4 girth so i dont really have much to spare with if do get the surgery.

Ed2013 Do you know what the test is called?

No unfortunately I do not. I had it done at ucsf. It confirmed I have a huge venous leak. I don't know who else does it , but I highly recommend you try to have it done.

[rcm900]

@Ed2013 may i ask how old you are? i think ive read your story and you had edward karpman as your surgeon right?

i want to know if you had to provide him(or who ever your surgeon was) with any solid medical records before you had the surgery done? I called Dr. Kramer and explained to him that i have had my testosterone, STD, doppler, MRI of back, and other exams. He said if ive tried it all and felt like i needed him to contact his office to set up a date. Im glad to know there is light at the end of tunnel but like everyone else im looking for other solutions and explanations at this time.

[ED2013]

Pm sent

[merrix]

If you find nothing can be done other than the implant, you have selected the best and he will always be there to help. Great team of people working with him.

Why do you make such a meaningless statement?
You are one man, having had one implant with one doctor. And you draw the conclusion that he is the best. Very intelligent. Very good, well-founded advice. Thanks.

So if another man goes and see Dr. Crap in Crapsville, and has a good (whatever he defines as good) outcome, then by your logic Dr. Crap is the best. How smart is that?

You, and everyone else, must understand that nobody can use their own one or two implant experiences and make conclusions on who is best when there are thousands of doctors doing many thousands of implants every year.

Furthermore, since life is not black and white, probably nobody is the best. It's like asking who is the best hockey player. Well, one is the best skater, one is the best tackler and a third the best finisher. It depends on what you put most value in.
Maybe if your primary objective is to not lose size, one doc is the best. If it is minimizing risk of tip erosion, then most likely another doc will be a better choice since those two targets are contradictory.

And likely, there is one implant surgeon with lowest infection statistics, one who is best at preserving size, one who minimizes recovery time. And so on. So don't use your extremely limited experience to say one is best. Do you think C_lab got perfect results with Kramer? Do you think the guy I saw who had his revision with Eid after Kramer put his pump right on the penis' shaft was happy with Kramer?
All of them make mistakes. I had great results with Eid, and most do, but I am sure he screwed someone up as well and hence I won't be stupid to say 'he is the best'.

As far as we think we know there are a few out there with good reputation.
Most likely it is fair to say that having surgery with an experienced high-volume doc gives better odds than one only doing a few per year.

But you don't know who is best. Period.

[merrix]

@PF fracture Yes i do have an injury i know this for a fact. My penis would always have blood flow everyday i felt like i was half aroused just by seeing a pretty girl. now its constantly retracted, cold, and have lost length and girth. and trust me i in no way think that getting an implant is the best way to solve my problem. I am currently seeing a psychologists and im taking ED pills. The purpose of my post was to get information to see if anyone has got an implant for similar reasons/symtpoms as the ones im experiencing. there seem to be many people on franktalk with an implant but that have a diagnosed medical condition prior to surgery. I would assume this helps them more easily accept the fact that there is no other alternative and helps them deal with expectations more easily. Clab an Idnboy seem to have gone through what im going through but they BOTh had penis to spare in length and girth. I am only 5.5 erect and 4 girth so i dont really have much to spare with if do get the surgery.

Ed2013 Do you know what the test is called?

No unfortunately I do not. I had it done at ucsf. It confirmed I have a huge venous leak. I don't know who else does it , but I highly recommend you try to have it done.

Infusion cavernosometry after maximal vasodilatation. This is rarely employed owing to poor surgical results of venous leak though.

[Watsupp]

If you find nothing can be done other than the implant, you have selected the best and he will always be there to help. Great team of people working with him.

Why do you make such a meaningless statement?
You are one man, having had one implant with one doctor. And you draw the conclusion that he is the best. Very intelligent. Very good, well-founded advice. Thanks.

So if another man goes and see Dr. Crap in Crapsville, and has a good (whatever he defines as good) outcome, then by your logic Dr. Crap is the best. How smart is that?

You, and everyone else, must understand that nobody can use their own one or two implant experiences and make conclusions on who is best when there are thousands of doctors doing many thousands of implants every year.

Furthermore, since life is not black and white, probably nobody is the best. It's like asking who is the best hockey player. Well, one is the best skater, one is the best tackler and a third the best finisher. It depends on what you put most value in.
Maybe if your primary objective is to not lose size, one doc is the best. If it is minimizing risk of tip erosion, then most likely another doc will be a better choice since those two targets are contradictory.

And likely, there is one implant surgeon with lowest infection statistics, one who is best at preserving size, one who minimizes recovery time. And so on. So don't use your extremely limited experience to say one is best. Do you think C_lab got perfect results with Kramer? Do you think the guy I saw who had his revision with Eid after Kramer put his pump right on the penis' shaft was happy with Kramer?
All of them make mistakes. I had great results with Eid, and most do, but I am sure he screwed someone up as well and hence I won't be stupid to say 'he is the best'.

As far as we think we know there are a few out there with good reputation.
Most likely it is fair to say that having surgery with an experienced high-volume doc gives better odds than one only doing a few per year.

But you don't know who is best. Period.

All comments here are basically subjective based on personal experiences so the term "best" is not to be taken literally. I'm sure when someone uses that term, it implies a positive experience not necessarily a claim of number one, top gun, top dog, alpha male etc. I assume Dirtman is stating his experience were positive to date. But enough said. This website is about personal experiences with some links for good patient information. So Dirtman, if you want to use the term the best then go ahead

Confirming a venous leak is like seeing a flat tire with a slash in the side of it, and checking the pressure. Why bother, just buy a new tire. So some urologist don't bother since they won't repair VL. The treatment plan won't change by the diagnostic test. There is not much permanent success in attempted repairs. Getting the test confirms what they already know clinically and then they will treat with all alternatives until last option being implants. Getting a 2nd and 3rd opinion may assist you, although expensive if out of pocket and not your insurance. Remember that each patient has different pathology hence varying results with even the most skilled surgeon. That pathology can lower the odds of a satisfying outcome.

[merrix]

Thanks for the feedback Watsupp. I always welcome a discussion, that's what I think will take this site and its usefulness forward!

Of course he can use the term 'best'.
He can use whatever term he wants, and so can everyone. It is called freedom of speech I guess.
But it doesn't change the fact that he is wrong.
Well, of course he could be right. Maybe Kramer is the best.
But Dirtman doesn't know, so it is a useless statement. He has no facts or evidence or data to back it up. I think it is fair to say that nobody has the data to back up any statement on who is the best implant surgeon.
Reading on this site can give a hint on a few docs to avoid and a few with whom one will have better chances of a good outcome.

I respect if people think I am overly logical or picky on wording. We are all different and together we all contribute in some way to the usefulness of this site.
I think the site would be better with a more factual approach and with less (what I call) useless statements such as 'Dr.X is the best, just get the implant, if you do it with him you can't go wrong, you will love it'. My opinion is that such statements are meaningless and has very low carry over effect on some other potential patients.

If, like you say, the meaning of such a statement is in reality that 'I am very happy with Dr. X. He and his team took great care of me, and I am very happy with the results', then why not say exactly that?

[PFracture]

@Merrix: You can consider yourself lucky. Nobody has included you in their signatures yet!

[Watsupp]

Thanks for the feedback Watsupp. I always welcome a discussion, that's what I think will take this site and its usefulness forward!

Of course he can use the term 'best'.
He can use whatever term he wants, and so can everyone. It is called freedom of speech I guess.
But it doesn't change the fact that he is wrong.
Well, of course he could be right. Maybe Kramer is the best.
But Dirtman doesn't know, so it is a useless statement. He has no facts or evidence or data to back it up. I think it is fair to say that nobody has the data to back up any statement on who is the best implant surgeon.
Reading on this site can give a hint on a few docs to avoid and a few with whom one will have better chances of a good outcome.

I respect if people think I am overly logical or picky on wording. We are all different and together we all contribute in some way to the usefulness of this site.
I think the site would be better with a more factual approach and with less (what I call) useless statements such as 'Dr.X is the best, just get the implant, if you do it with him you can't go wrong, you will love it'. My opinion is that such statements are meaningless and has very low carry over effect on some other potential patients.

If, like you say, the meaning of such a statement is in reality that 'I am very happy with Dr. X. He and his team took great care of me, and I am very happy with the results', then why not say exactly that?

This website is a blog, we can provide links to studies, findings based on research, but any and every members subjective statements are just that subjective.. So terms like ´best' are just qualitative. And we have no way to quantify the professional qualifications of our members. So your intent may have merit Mr. Merrix but I believe will be futile. I understand that you want us to be objective, logical and responsible in our statements, but the term best will always be primarily a subjective statement when used in this setting. This blog is like Yelp of implants lol. There are no scientist publishing on this blog or urologist advertising on this blog which would be unethical in my opinion. There is no professional agency other than moderators monitoring. As from my subjective experience and based on my professional knowledge, in searching for a blog from patients, the is the "best blog" I have read. And I get you Mr.Merrix, we do have a ethical responsibility to post reasonable statements. How that is enforced I don't know.


Advice to the young man, be careful on making decisions on your health based solely on this blog. Although helpful in many ways. Good luck