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I have a common question that may not easily be answered.

When I visited my Urologist/Surgeon for the first time, I had already done extensive reading here, we discussed penile implants, he expressed concern regarding my age, and mentioned that it would definitely not last my lifetime, which I already knew, but I was surprised by how he said it.

However he said he has never heard from any of his patients, long term, so doesn't know the longitudinal success.

His general advice was to try Trimix until any complications occur, which I think is good advice.

I was just alarmed by his concern regarding my age (45). I suppose I can hope to push out requiring an implant until I'm 50.

Is it reasonable to expect a penile implant solution, with revision/replacement, to last 25-30 years as a solution?

This has being playing on my mind afterward.

Thanks.

Your implant probably will not last 25 to 30 years. I wouldn't bank on that. But it's really a question of what is potency worth to you?

The odds are in your favor of getting at least 10 years, after that things get shaky. You need to attain some clarity about your actual position and values. Have you always been impotent, are you desperate and obsessed, do you feel you need to know what it is like to have sex without the anxiety and shame of ED? Did you have normal functioning in the past but recently started to have trouble?

How important is sex to you? I know we tend to get locked into the assumption that it's central to our identity, but maybe it would be worthwhile to figure out if that's even true for you. Maybe you're being led by pressure from a culture, which, quite frankly, is degrading and stupid in its sexual obsession.

Say it's something like this: you've struggled with ED for a long time, you can't concentrate on anything else, you've never really known good sex, you've been unable to form solid relationships: in that case I would say you really shouldn't worry about what could happen in ten years. You need to free yourself of this burden. You should give yourself the gift of that reliable ability and take everything else one day at a time.

On the other hand, say you knew incredible potency in your teens and twenties, you've seen some slow decline, you use pills, etc, and you like the idea of an implant because you like the idea of marathon fuckfests or you just don't want the hassle of remembering pills, shots, or whatever, but then the idea of revision surgery scares you to the point of wanting assurance that you'll get 30 years out of an implant, then I would question the urgency of your condition.

If the idea of revision is enough to put you off, then I'd say you might want to consider the fact that you don't really need the surgery.

May I suggest that you exhaust all methods before getting an implant as you never know what new things science will find for ED. Once you get an implant there is no going back.

One of my first urologists said the same thing to me don’t get an implant your too young and that’s even when nothing worked for me I in no way could have sex and he still said this to me!!! Extremely bad advice that was when I was about 20/24 then with years of counselling coz my head was completely messed up I found a new urologist and he couldn’t believe with my history that the implant wasn’t done much sooner so he set up the appointment with the implanter in London!! He wanted me to have the best and he said he would go to Dr Ralph if it was him!! I am so delighted that I got the implant and should have got it sooner and that means possibly 1 more revision than you maybe 2!!! As clab said in a post above it is true about where your at.. So if your mentally screwed up over your current situation get the implant if your not than wait

I suppose the question I have is, while sure one implant will last 10-15 years, shouldn't it be fairly safe to presume two implants will last 25 years, and while getting a replacement has risks, this is manageable?

I would think that with time and improvements in technology implants will get better and better and will last longer and longer. I would think a reasonable expectation would be for an implant to last ten years. I got mine last January and not even had a hicupp with my implant. Thank God! I just wish I had paid attention to my urologists the first time he said you need an implant. I would have saved myself a lot of grief. Oh well...we live and learn!

I see a huge problem in this delay logic. Why would you trade 5 years of sex at age 45 for 5 years at 75? Take the 5 younger years. Best sex of your life. Ok, so you get to 70 & the implant fails. Maybe you can pass on a new implant because sex isn't interesting any more. But to give up 5 years of younger sex is insane. Very simple in my mind.

Gt1956 wrote:I see a huge problem in this delay logic. Why would you trade 5 years of sex at age 45 for 5 years at 75? Take the 5 younger years. Best sex of your life. Ok, so you get to 70 & the implant fails. Maybe you can pass on a new implant because sex isn't interesting any more. But to give up 5 years of younger sex is insane. Very simple in my mind.

Well yeah, and the thing is, what I'm reading from the forum is that implants do seem like a viable long-term solution, but it's just that there's not enough study on this yet.

my 2 cents try every option available before you get a implant nothing better than a natural erection even if it involves bimix trimix whatever the case may be don't get me wrong i love mine but there is no going back your young try all options first good luck on your journey lots of info on here read read read
jim

I agree with biker's assessment even though the lack of punctuation is setting off my ocd. Your urologist is correct. Enjoy marathon sex with Trimix for as many years as you can. By the time it begins to fail there will be new innovations in implant technology that will be more reliable and longer lasting.