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(I can almost guess the answer to my question from reading thru this board - but I think it is worth the discussion)

I've received this general advice from two well respected urologist in my area.
Both have suggested that once I see that I'll need an implant, I should just do it before I get much scaring or loss.

I've been taking hormones and some occasional Trimix shots for about ten years.
About five years ago, my urologist suggested that eventually the Trimix will likely stop working well or I'll get some minor scaring. And I should keep in mind to get an implant once that starts happening (while I am mostly healthy) rather than waiting the few years for things to deteriorate. [I was very resistant to this message at the time]

Recently, I started having some minor curvature plus my Trimix dosage has gotten stronger over the years.
My new urologist diagnosed Peyronie's and recommended traction and Pentox. He also suggested that I should consider an implant. Basically, the implant now will be a straightforward surgery and will likely have great success. I can continue with my modest erections and trimix, but I'll likely be back at this point in a year, or two, or five. [Now this seems more logical]

So, the question is - what is really the decision point for an implant? Once everything else really fails - or once it becomes clear that the implant is the right long-term solution.

Yodarb wrote:Recently, I started having some minor curvature plus my Trimix dosage has gotten stronger over the years.
My new urologist diagnosed Peyronie's and recommended traction and Pentox. He also suggested that I should consider an implant. Basically, the implant now will be a straightforward surgery and will likely have great success. I can continue with my modest erections and trimix, but I'll likely be back at this point in a year, or two, or five. [Now this seems more logical]

So, the question is - what is really the decision point for an implant? Once everything else really fails - or once it becomes clear that the implant is the right long-term solution.

Lets boil this down. You've been told that this day was coming. Your own words say that day has arrived. The deterioration has started cause its been noted by you & your dr.
So where is the freaking decision needed? I'm sure you've read the many posts saying they should of gotten their implant sooner.
Sounds to me like you've already passed the decision point. Your problems will only continue while you're arrainging surgery. Depending on where you live this can be a significant amount of time. Thus even more damage will occur. Its your penis. How much do you care about your penis is the better question.

Agreed, get it now, its not a big deal for the vast majority. I love the implant, wish i had it at 18 when i could cum double digits a day.

It sounds like the time has come to get the implant. The damage has begun, I wouldn't let it get any worse before pulling the trigger. If it's sooner or later, looks like sooner is the best choice.
Best of luck on making that decision.

Yodarb wrote:(I can almost guess the answer to my question from reading thru this board - but I think it is worth the discussion)

I've received this general advice from two well respected urologist in my area.
Both have suggested that once I see that I'll need an implant, I should just do it before I get much scaring or loss.
………………..

Recently, I started having some minor curvature plus my Trimix dosage has gotten stronger……
My new urologist diagnosed Peyronie's and recommended traction and Pentox. He also suggested that I should consider an implant. Basically, the implant now will be a straightforward surgery and will likely have great success………..

So, the question is - what is really the decision point for an implant? Once everything else really fails - or once it becomes clear that the implant is the right long-term solution.

The answered my friend, is in your own words.
Just read the highlighted comments and skip the rest
IMO, the ideal decision point is NOW. Curvature has begun indicating scarring from the stronger trimix dosages. The longer you defer the more complicated the surgery becomes thereby reducing your chances of great success and potentially increasing the recovery time.

Thanks all for your replies - it was not unexpected.

I think first, I need to overcome my irrational concerns around the implant. This is probably the main reason many men are here asking questions on this board. Frankly, I hope these are mostly resolved for me now.

My other issue is that I had decent 80%-strength erections just a few months ago. Maybe the Peyronie's has reduced these to 60% for now.
Most doctors (or patients) would consider this good - and certainly not recommend an implant.
But at a larger view - it seems like the implant is actually a reasonable decision. In fact, I should consider myself lucky to be in this position to be both (mostly) healthy and in a position to move forward with the implant.

My plan is to do my eight or so weeks of treatment for the Peyronie's - and then connect with my urologist. This will be the discussion around the implant. Luckily, he is also a leading implant surgeon for this area.

Yodarb wrote:Thanks all for your replies - it was not unexpected.

I think first, I need to overcome my irrational concerns around the implant. This is probably the main reason many men are here asking questions on this board. Frankly, I hope these are mostly resolved for me now.

My other issue is that I had decent 80%-strength erections just a few months ago. Maybe the Peyronie's has reduced these to 60% for now.
Most doctors (or patients) would consider this good - and certainly not recommend an implant.
But at a larger view - it seems like the implant is actually a reasonable decision. In fact, I should consider myself lucky to be in this position to be both (mostly) healthy and in a position to move forward with the implant.

My plan is to do my eight or so weeks of treatment for the Peyronie's - and then connect with my urologist. This will be the discussion around the implant. Luckily, he is also a leading implant surgeon for this area.

From your first post I figured you'd get a lot of "Do It Now" answers.
What fears do you have regarding an implant? It's not a tough surgery. Maybe 2-4 weeks healing up and all should be good.
Hope your treatment for Peyronies helps and you are able to move forward.

I remember all too well when I was at the decision point. Do lots of research, Find the best Dr that you can get to. Make up your mind and then don’t look back. Implant is a great therapy and in most cases fixed pyronies. Some of the leading Drs specialize in both and I would definitely find one that does both. Dr. Label in Houston has many specialty techniques he uses in treating pyronies during surgery. I would definitely get with a specialist and have a set down ASAP to discuss if an implant could be the best therapy for your given situation. Fill out a signature at the bottom of your page to let us know a little more about you. Especially your age and helps to know where in the world you live. Good luck with your decision.

Sooner!

I think my fears had been mostly the typical - size, sensitivity, "you're going to cut me where?" But I'm over these.
Still concerned about the surgery in general - but this is resolved by finding a great surgeon - and I think my urologist is one.

My previous urologist mentioned an implant to me about 5-6 years ago and my reaction was 100% negative.
But now my current urologist mentions the same and I need to take him seriously.

I think the biggest problem for me is that I'm really fairly healthy - even ED-wise.
Up to a few months ago, I could typically get 80% erections naturally, and 100% erections with Trimix (maybe 1 time in 3 or 4)
The PD has reduced this to 60% erections - and this sucks.
Not sure if I would be diagnosed with ED normally. Today, this is called erectile insufficiency. But it is still a problem.

And if I were diagnosed with ED - I would normally take the typical treatments - pills and/or shots.
But now both pills and shots are contraindicated for me.
So, the final option is really the implant. I think I may be a few years ahead of where most people would face this same decision.

All that said - I am seriously leaning towards the implant.
thx