For Christmas I got a new implant
Posted: Sat Dec 26, 2020 9:40 am
Had implant revision surgery for my broken AMS CX on december 23rd. I swapped the CX for a Titan. The procedure was performed by Dr. Alex Tatem in Indianapolis. Arrived at the surgery center at 6, was checked in by a nurse, then went into a room where I changed into a gown and got into a gurney. A nurse asked me some basic health history questions and went over a few aspects of the procedure while another nurse administered an IV drip of antibiotics. She also gave me gabapentin and an anti-inflammatory, the name of which escapes me.
They took my blood pressure and then Dr. Tatem came in and looked at the defective device and explained his intentions for the surgery. He wanted to go Infrapubic and he would remove the existing reservoir only if it seemed easy enough, but he would be willing to do the drain and retain, where the reservoir is decommissioned but left in the place, and then a new reservoir is placed on the other side of the abdomen. He seemed very confident and relaxed and his manner put me at ease, although I was still feeling some nerves, even though I have gone through this before.
The anesthesiologist came in next and I told him that I reacted poorly to the anesthesia in my last surgery. I projectile vomited and had to stay in the hospital the whole day because I kept puking, and I believe all the coughing and retching jostled things around made my recovery more arduous and protracted. The anesthesiologist said he would keep that in mind and give me anti-nausea medication.
Then the nurses wheeled me to the OR, a gleaming and technologically sophisticated place with many people in scrubs adjusting various instruments and making last minute preparations. In my last surgery I was out before I got to the OR so this was a new experience. The nurse introduced me to the team and they put me on the table. Laying down was the last thing I remembered.
I woke up with considerable pressure in my abdomen and on my bladder, but absolutely no nausea, and very little pain. The nurse said everything went well. Dr Tatem came by and said he was happy with the surgery and that I did great. He implanted a 24 cm Titan with no rear tips and the original genesis pump. He left the old reservoir in on my right and put in the 125 cc reservoir on my left. Coming out of the surgery I had no catheter and two drains, one on either side, to help with reducing swelling.
After only about an hour, I was wheeled out to my dad and sister and we drove the hour and a half home. The most uncomfortable parts were the drains and the reservoir. I had virtually no scrotal or penile pain, unlike last time. When I got home I went to pee and it burned like the fires of hell. It worried me for a second but I calmed myself down. At least I could pee.
I spent pretty much the next 48 hours on my back in bed, with my dad bringing me food. I had a good appetite and ate heartily, again with no nausea. Yesterday I removed my dressing and was shocked to see very little bruising and swelling on the penis or scrotum. I seem to be completely or almost completely deflated. The Titan is very soft and pliable, contrary to what most people report. I can bend it up or down and feel all the crinkles and small folds, but it's not uncomfortable at all. The worst swelling is around the infrapubic incision site, but it's not terrible. I could easily feel the genesis pump low and centered in the scrotum. The only slight flaw I can detect is that some of the exit tubing on the left side is palpable along the base and underside of my penis, but it's down there pretty low and I don't really foresee it being a problem for sex. Finally this morning I was able to poop. I was getting a little nervous about that but it made me feel much better.
The big task for me today is removing the drains, which I am somewhat dreading. Normally I would have been scheduled to have that done at their clinic yesterday, but because it was Christmas, that was not an option. So I can either do it myself today, or wait until monday, when I go back up for a follow up. I really want to get these things out, as they are at this point the most uncomfortable part of this recovery, but it seems kind of intense to do myself. I am currently trying to steele myself for the act.
I have attached a pic from early yesterday. You can kind of see the drains on either hip, which are kind of gross. But this is how it looks with no inflation and very little if any swelling. Don't mind my cat Marj, lol. She has been in bed with me pretty much the entire time. I will keep the board updated on my progress, as well as my reflections on the experience.
They took my blood pressure and then Dr. Tatem came in and looked at the defective device and explained his intentions for the surgery. He wanted to go Infrapubic and he would remove the existing reservoir only if it seemed easy enough, but he would be willing to do the drain and retain, where the reservoir is decommissioned but left in the place, and then a new reservoir is placed on the other side of the abdomen. He seemed very confident and relaxed and his manner put me at ease, although I was still feeling some nerves, even though I have gone through this before.
The anesthesiologist came in next and I told him that I reacted poorly to the anesthesia in my last surgery. I projectile vomited and had to stay in the hospital the whole day because I kept puking, and I believe all the coughing and retching jostled things around made my recovery more arduous and protracted. The anesthesiologist said he would keep that in mind and give me anti-nausea medication.
Then the nurses wheeled me to the OR, a gleaming and technologically sophisticated place with many people in scrubs adjusting various instruments and making last minute preparations. In my last surgery I was out before I got to the OR so this was a new experience. The nurse introduced me to the team and they put me on the table. Laying down was the last thing I remembered.
I woke up with considerable pressure in my abdomen and on my bladder, but absolutely no nausea, and very little pain. The nurse said everything went well. Dr Tatem came by and said he was happy with the surgery and that I did great. He implanted a 24 cm Titan with no rear tips and the original genesis pump. He left the old reservoir in on my right and put in the 125 cc reservoir on my left. Coming out of the surgery I had no catheter and two drains, one on either side, to help with reducing swelling.
After only about an hour, I was wheeled out to my dad and sister and we drove the hour and a half home. The most uncomfortable parts were the drains and the reservoir. I had virtually no scrotal or penile pain, unlike last time. When I got home I went to pee and it burned like the fires of hell. It worried me for a second but I calmed myself down. At least I could pee.
I spent pretty much the next 48 hours on my back in bed, with my dad bringing me food. I had a good appetite and ate heartily, again with no nausea. Yesterday I removed my dressing and was shocked to see very little bruising and swelling on the penis or scrotum. I seem to be completely or almost completely deflated. The Titan is very soft and pliable, contrary to what most people report. I can bend it up or down and feel all the crinkles and small folds, but it's not uncomfortable at all. The worst swelling is around the infrapubic incision site, but it's not terrible. I could easily feel the genesis pump low and centered in the scrotum. The only slight flaw I can detect is that some of the exit tubing on the left side is palpable along the base and underside of my penis, but it's down there pretty low and I don't really foresee it being a problem for sex. Finally this morning I was able to poop. I was getting a little nervous about that but it made me feel much better.
The big task for me today is removing the drains, which I am somewhat dreading. Normally I would have been scheduled to have that done at their clinic yesterday, but because it was Christmas, that was not an option. So I can either do it myself today, or wait until monday, when I go back up for a follow up. I really want to get these things out, as they are at this point the most uncomfortable part of this recovery, but it seems kind of intense to do myself. I am currently trying to steele myself for the act.
I have attached a pic from early yesterday. You can kind of see the drains on either hip, which are kind of gross. But this is how it looks with no inflation and very little if any swelling. Don't mind my cat Marj, lol. She has been in bed with me pretty much the entire time. I will keep the board updated on my progress, as well as my reflections on the experience.