Considering an implant in the next 3 months

[Antonio1010]

Hello All,

New to the group. My story is the following:

I m 44 years pretty healthy. Never really had any issue with ED. However at the age of 40 I got an injury wich led me to belive i had peyronie's. Thank God my scars went away after many P-shot, shockwave therapy, pump, and the help of pills like viagra. Even though at that time I had some pain I dint have ED. About 2 years ago I had my first prostatitis which resolved within one month. However because of that I developed chronic inflammation or pelvic pain syndrome. When I have a flare things get pretty bad. I can still perform and Pentrate but its not what use to be. I was symptoms free for the last 8 months and I was felling great. The though of an implant was no longer invading my brain. Unfortunately I just had another flare about 3 months ago. This one is lasting longer. I m still able to have intercorse my erections are not the same but still pretty good. The issue now is that I may ejaculate within one minute. If I try to go again I may have to wait 8 hours and this is with me taking 50MG of Viagara and so many other healty supplements like ginseng, maca, L-Arganine, etc....I would rate my ED at 20% and not permanent. However looking at my wife face when she is not able to orgasm because my timing is off and not reliable it kills me. I m little scared that I may be jumping into the implant to quick but then what I have to lose? Things will eventually get only worse if I don't do anything. I want to take my sex life back.

Plus I m still my original size when i have a good erections so better to do it now before I experience any shrinkage. P.S I tried for the first time trimex yesterday 10 units. It gave me a good erection after 10 minutes. I was able to have intercorse with my wife but once again I came within 2 minutes. I was hoping that trimex will keep me harder after that but it went down. I feeled like I was deflated lol. I guess I will increase my dose to 20 untis and so on as the farmacist instructed me untill I received the disired result.

My question are the followings.

When you have an implant can you still contract the pelvic muscle like when we ejaculate especially the ischiocavernosus and bulbocavernosus?

I was never able to have anal sex with my wife when I tried because she is way to tie and my erection was not hard solid rock for that kind of task. Will I be able to finally experience anal sex?

My glans is pretty solid alots of blood flue there since I done many p-shot. Will there be any deficiency with my glans like soft glans? I ejaculate alot will the valume go down?

When flaccid if I hug my wife at nigth in bad will she be able to tell the diference?

Will I be able to feel the reservoir in my pelvic? I hope it won't make my pelvis floor syndrome any worse...

Based on my extensive research I m split between AMS 700 or Coloplast Titan. I ear that the Titan may be the Gold one for someone that wants to have sex more often and is looking for stronger erections. Any suggestions?

I narrow down to two doctor.

Dr. Eid in New York
Dr. Jonathan Clavell in Huston

I was considering Perito but he comes across money oriented and over confident.

Thank you so much for your imput and help. I have been very stressed out about this.

[Jage64]

Have you discussed all of your concerns with the doctors you mentioned? I have no experience with Eid, but I can tell you firsthand that Clavell is very easy to talk to and would take your concerns seriously and address them to your benefit. He is very interested in men getting their sex lives back on track with the best outcome possible. If that's an implant, he'll tell you...if it's not, he'll tell you that too.

You've got a lot going on with your own health, best to take your questions straight to a trained and experienced urologist.

My answers to your questions:
I'm not sure what "ischiocavernosus and bulbocavernosus" are, but as far as the pelvic muscles I can still do a kegel exercise and I can still make my flaccid penis twitch if I want to. When I'm spooning with my wife, she can tell when I twitch it, just like the old days. I don't notice any difference with any muscle movements down there.

Yes, you will be as hard as you need to be for any sexual activity. Many men report that they don't even go to 100%, it can be too hard.

Amount of ejaculate has nothing to do with cylinders in your penis.

Glans could be affected, but the blood flow to the glans is separate from the blood flow to the penis where the cylinders are. Some men take a half pill to help with glans engorgement or use some sort of gel inserted in the urethra to address that. I'm only 6 weeks out from surgery, and my glans responds largely the same way it did when I didn't have ED.

Your flaccid will be a little more stiff than a natural flaccid. AMS implants are softer when flaccid than Coloplast implants. One reason I chose the AMS product was because it seems to be more comfortable flaccid, and I'm unfortunately aware that I'll be using my penis for sex MAYBE 6-8 hour per week if I'm beyond lucky. That means for the other 160 hours a week it'll be in my pants waiting for me to use it to pee. I don't want to think about it for those 160 other hours I'm not using it. Either implant will feel different flaccid, if you're hugging your wife naked she'll feel a difference....but is it a bad thing?

Unless Dr. Clavell had told me, I would have no idea where my 100cc reservoir is located. You can't see it, you can't feel it, he pointed to the side it's on and I would have never known. Never had any pain there, absolutely 100% not an issue.

The AMS CX and the Titan are comparable in terms of strength of erection. Titans are a bit girthier than the CX. LGX is not as strong of an erection, but MAY offer some length growth if their advertising is to be believed.

If you haven't already, go to YouTube and find Dr. Clavell's channel. There are a number of great videos there that will help with some of your questions.

Finally, stress is part of the process. All of us that have had IPP have been where you are and know what you're feeling. You're normal. Start a conversation with one of the doctors you listed, take notes, ask questions. The way forward will become clear with more information.

Good luck!

[Antonio1010]

Thanks much. One question I forgot to ask. Are do you know when you have pumped to the max like 100%? I read 20 pump is the standard? If the Glans may be effected it won't compromise penatration?

Wow 7-8 of sex per week sound great. I guess this is the one of the benefits of the implant. Once you have it it's party time and the wife is all in lol....

Thabks

[Jage64]

I'm still learning what 100% is, I've only been cycling for 2 weeks. At first, I could put in 100 pumps and not really feel like it was at max hardness, but I stayed with it and kept doing what I could. About a week later I was in my hot tub and cycled for the first time in the tub. I got to 8 pumps and it was harder than it had ever been. My doctor would tell me to get it rock hard, and I never really felt I got to rock hardness. That evening in the hot tub with 8 pumps it felt like I was finally getting to rock hardness. I was only able to give it 3 more pumps before the bulb would not compress, it was like a marble.

At 11 pumps I was finally rock hard. (I had my wife check and she confirmed it too, I was harder than I had ever been while cycling for the week prior). I did the stretching exercises over the next hour and was able to get in 3 more pumps and could finally feel the stretch in the tips too.

I think the valve finally sort of 'seated' and was broken in. Now wherever I pump (in or out of the hot tub) it's 10-12 squeezes to get rock hard and a few more over time.

Everybody is different; the size of the cylinders, the manner in which you pump, your specific anatomy, the status of your mechanical pump, the clear routing of the hoses, etc. There doesn't seem to be a standard number of pumps.

The goal here is a usable boner. 15 or 100, whatever it takes!

[ThailandBound]

Jage64 and I were implanted by Dr. Clavell within weeks of each other snd seem to be in lockstep in terms of the recovery and result experience. I concur with everything he said.

Couple of additional thoughts:

You asked about anal sex. My girlfriend and I exclusively have anal sex. You understandably wonder about this because you realize this can represent a bit more resistance initially and perhaps somewhat more vigorous than vaginal sex.

My report: It’s great. You can hammer it home for a long time and my lady loves it.

Pumps. As Jage reported, the number to “max hardness” varies as things break in. At first it took me about 50, which included micro pumps after about 30-35 big pumps. The pump has now softened, i can do about 20 1-handed pumps, and 10+ 2-handed pumps until it’s rock hard.

[sswinsfba]

My question are the followings.

When you have an implant can you still contract the pelvic muscle like when we ejaculate especially the ischiocavernosus and bulbocavernosus?

Yes. Whatever you could/did do pre OP, you should be able to do post OP.

I was never able to have anal sex with my wife when I tried because she is way to tie and my erection was not hard solid rock for that kind of task. Will I be able to finally experience anal sex?

Yes. If she's wants you to fuck her in the ass, there's no reason you won't be able to do it w/an implant.

My glans is pretty solid alots of blood flue there since I done many p-shot. Will there be any deficiency with my glans like soft glans?

Results vary. Some men complain that they've lost glans engorement and others not. Threre's no way to predict what will happen to you in particular.

I ejaculate alot will the valume go down?

Again, what you had pre OP, you "should" still have post OP but there are men here who have complained that the amount and velocity of their cum shots diminshed post OP and again, there's no way to predict what will happen to you in particular.

When flaccid if I hug my wife at nigth in bad will she be able to tell the diference?

If she can feel your implanted dick when you hug it probably will feel "different" to her because an implanted dick is not as soft and pliable as a natural one is.

Will I be able to feel the reservoir in my pelvic

No, you shouldn't be able to feel the reservoir.

Based on my extensive research I m split between AMS 700 or Coloplast Titan. I hear that the Titan may be the Gold one for someone that wants to have sex more often and is looking for stronger erections. Any suggestions?

Men will generally suggest the doc they chose & the brand of impant they got because that's what they know.

I am no different.

However, if you've done your research, you should already know that AMS is reported to appear more "natrual" when flacid than the Titan does. On the other hand, the Titan is more likely to provide you with an immediate increase in girth beyond what you'd get w/an AMS. And, if you read the stories posted here, you will find far more complaints about the AMS than you will about the Titan. Titans are also reportedly more rigid than the AMS.

I've got a Titan Touch. I almost immediately gained 1/4" in length & 1/2" in girth: 5.75x5.5" to 6x6" inflated. It's not what I'd call "rock hard" but it's harder than any erection I ever had before I got ED.

However, when flacid, the Titan remains partially inflated to about 5x6" in size, which takes some getting use to if you were previously a grower like me.

I narrow down to two doctor.

Dr. Eid in New York
Dr. Jonathan Clavell in Huston

I was considering Perito but he comes across money oriented and over confident.

I have no personal experience with any of these doctors and cannot comment about them.

Dr. Karpman in Mt. View, CA did my implant and, if you're still open to suggestions, I'd highly recommend him.

Like Perito, Karpman uses the infrapublic implant method which involves a shorter surgical and recovery time than penoscrotal which is used by Eid & Clavell. Karpman also only uses Titan Touch implants because of problems he had w/AMS.

Karpman does not uses the Titan Classic, which some others docs still use because they say it's more reliable than the Touch but Karpman does not share that opinion While the Classic "may be" more reliable than the Touch, the Classic is noted for the loud noise that it makes while pumping; loud enough for your sex partner to hear.

Good luck in making your choice of surgeons but remember the choice involves not only the expereince of the surgeon but also the method used (infrapublic vs penoscrotal) and which brand of implant (AMS or Titan) to choose. Your experience will vary markedly depending on these choices.

[Antonio1010]

Sounds great. I hear that some Doc will clear a patient to start pumping within one week post surgery and other within 5-6 weeks. To avoid scar formation should pumping start sooner than later? Also, will the pump squiky noice go away after a few weeks?

Thanks

[sswinsfba]

Sounds great. I hear that some Doc will clear a patient to start pumping within one week post surgery and other within 5-6 weeks. To avoid scar formation should pumping start sooner than later? Also, will the pump squiky noice go away after a few weeks?

One wk for infrapublic and 4-6 wks for penoscrotal. My implant was infrapublic and started cycling in 1 wk.

Start cycling when your doc approves it based on the type of implant you got which should be the same periods as noted above.

Your implant isn't fully deflated until you are approved to begin cycling. Before that, you're usually infalted to around 60%.

No squeak w/a Titan Touch. The Titan Classic squeaks. IDK about the AMS.

[Jage64]

And, if you read the stories posted here, you will find far more complaints about the AMS than you will about the Titan.

here you go again sswinsfba, stating your (likely incorrect) opinion as fact.

1) I don't believe that's true, I'd like to see some form of calculating that other than your own confirmation bias.

2) There are studies showing that AMS devices are implanted at about 2x the rate of Coloplast devices. There are roughly twice the number of AMS dicks in the world than Coloplast dicks.

3) If there were "far more complaints" about the AMS, do you think surgeons would choose to install them at twice the rate of Titans?

4) One device being implanted twice as often MAY experience an increase in complaints just due to volume alone. There are double the complaints about Honda Civics than there are Nissan Sentras, to you that indicates a Sentra is a far superior vehicle than a Civic....? (similar sales ratio to AMS vs. Coloplast)

5) How many of these complaints you read about on FT are due to operator error, and how many are manufacturer or surgeon defect?

6) FT is like working at an auto parts store, RARELY does someone come to an auto parts store to thank the employees for the great alternator they sold him a couple years back. No, there is a line of people at the counter mad as hell that their 25 yr old water pump failed, or 6 yr. old battery died, or bald tire is flat.

7) Did you know that AMS devices COST the doctor more to purchase? Do you think that keeping more of your money could possibly be a motivator for some doctors?

Basing your opinions on FT is folly. It's up to every man looking into this surgery to do his own research, or not. FT is great place to learn what questions to ask and what concerns give you pause. Don't rely on opinions posted here as fact, they're more often than not just merely opinions.

This is a place to read of others' experiences, tips, tricks, worries, recoveries, concerns, etc. Gather facts from entities that try to find and show demonstrable facts, and qualified urologists with experience to draw from.

Not all surgeons (even not many) will offer you both Coloplast and AMS, there are pros and cons to both. A surgeon that only offers one solution can only offer that one solution, you'd better get familiar with both on your own or you get what they have in stock.

[Jage64]

And, if you read the stories posted here, you will find far more complaints about the AMS than you will about the Titan.

here you go again sswinsfba, stating your (likely incorrect) opinion as fact.

1) I don't believe that's true, I'd like to see some form of calculating that other than your own confirmation bias.

2) There are studies showing that AMS devices are implanted at about 2x the rate of Coloplast devices. There are roughly twice the number of AMS dicks in the world than Coloplast dicks.

3) If there were "far more complaints" about the AMS, do you think surgeons would choose to install them at twice the rate of Titans?

4) One device being implanted twice as often MAY experience an increase in complaints just due to volume alone. There are double the complaints about Honda Civics than there are Nissan Sentras, to you that indicates a Sentra is a far superior vehicle than a Civic....? (similar sales ratio to AMS vs. Coloplast)

5) How many of these complaints you read about on FT are due to operator error, and how many are manufacturer or surgeon defect?

6) FT is like working at an auto parts store, RARELY does someone come to an auto parts store to thank the employees for the great alternator they sold him a couple years back. No, there is a line of people at the counter mad as hell that their 25 yr old water pump failed, or 6 yr. old battery died, or bald tire is flat.

Basing your opinions on FT is folly. It's up to every man looking into this surgery to do his own research, or not. FT is great place to learn what questions to ask and what concerns give you pause. Don't rely on opinions posted here as fact, they're more often than not just merely opinions.

This is a place to read of others' experiences, tips, tricks, worries, recoveries, concerns, etc. Gather facts from entities that try to find and show demonstrable facts, and qualified urologists with experience to draw from.

Not all surgeons (even not many) will offer you both Coloplast and AMS, there are pros and cons to both. A surgeon that only offers one solution can only offer that one solution, you'd better get familiar with both on your own or you get what they have in stock.

@ThailandBound was implanted with a Titan a couple of weeks before I was implanted with an AMS, both Dr. Clavell. The morning of my surgery the man before me got a Titan, I received the AMS. I'm beyond thrilled with my implant, as ThailandBound is very forthcoming with how happy he is with his. Sounds like we were both guided in the right direction by a Doctor that had access to both products and guided us to what was best for us.