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Im quite young at 25. I was forced to see a different uro because my insurance changed. I was scheduled to get a doppler redone, but now this new uro is telling dopplers are outdated and that getting one wont change anything. Also she says no one will put an implant in at my age, that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

If she is trying to convince you to explore all other options first, then she is right. An implant should be a last resort for someone your age. However, if you have already explored all other therapies and are still not able to have sex, then she would be wrong to steer you away from an implant. If you can’t have sex, regardless of age, a good uro would offer that as an option to you. I’ve never really understood why people say to just delay the implant until you’re older. I’d rather have 40 years of good sex in my prime than 40 years of sex when I’m older. But again, you should try anything and everything else first. Really depends on your situation specifically and what your current condition is, and what all you’ve tried.

goose1235 wrote:Im quite young at 25. I was forced to see a different uro because my insurance changed. I was scheduled to get a doppler redone, but now this new uro is telling dopplers are outdated and that getting one wont change anything. Also she says no one will put an implant in at my age, that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

She’s not totally wrong…

My urologist wasn’t interested in a Doppler either. He explained that it didn’t change the treatment in any way. If you can’t get hard: pills, shots, and implant are the options. It doesn’t matter what the Doppler says. The treatment choices are STILL pills, shots, and implants.

Implant is irreversible, so REALLY exploring all the options is imperative. Have you exhausted pills, cockrings, talking with a therapist, and shots? If not, think about the remaining options and if you are at all interested in them. But some guys don’t want to have anything to do with shots and they go straight from pills to implant. As long as you have thought about it, it’s your decision.

She is right that getting an insurance company to pay is DIFFICULT. One of our FT brothers here got an implant after a prostatectomy for prostate cancer. Even though the insurance company initially approved the surgery they have now changed their mind and say they won’t pay. He has exhausted all of his dispute avenues and got a hospital bill for over $100K. He will be able to negotiate that down considerably, but still. Plan to have to pay for it. Figure $20,000-$35,000 depending on the circumstances.

Loss of length is a concern. Most guys here get their full length back by having a good surgeon and religiously cycling (inflating the implant) for the first few months to year post op. But some guys do lose some length.

Infection is a consideration but wouldn’t keep me from getting an implant.

It’s absolutely NOT true that no one will put an implant in a 25yo. If they think it’s reasonable they will. There are men here who got them earlier than 25.

goose1235 wrote:Im quite young at 25. I was forced to see a different uro because my insurance changed. I was scheduled to get a doppler redone, but now this new uro is telling dopplers are outdated and that getting one wont change anything. Also she says no one will put an implant in at my age, that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

I never got a doppler or any kind of test. My dick didn't work and wouldn't respond to pills after years of them being effective. I was not interested at all in using shots. I had no use for whatever information a doppler would tell me, nor did my urologist at Kaiser. It was never even mentioned. I had a flat tire, didn't need to know how big the hole was.

It's not "gruesome", sounds like she doesn't like to participate in the surgeries though. Perito brags he can do an implant in 15 minutes...how gruesome can that be?

Does not shorten your penis, what shortens your penis is not getting an erection for an extended period of time. Will it be exactly what you had prior to the implant? Probably not, but some report a bigger or thicker dick than they had naturally. The quality of the surgeon and his/her expertise is the variable here. If she thinks it's "gruesome" she's not looking to maximize the outcome.

Does she guarantee you an infection on a revision? She sounds great! Of course there are risks, but they are minimal in the overall scheme. Would you live your life with a bad ACL because you might get an infection if you had it repaired? Or maybe chewing on that rotten tooth is better than a root canal.

What's clear here is you need to see a different uro, this one is not giving you good counsel with which to make an important decision.

goose1235 wrote: that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

I think your uro is totally wrong on these points, i got the same initial crap then went to a specialist, Clavell said the opposite and he was right in my case. Get a second opinion.

About insurance, i have no clue. Losing length will definitely happen if you have ED. If you cant get insurance coverage and or cant pay out of pocket I would recommend using an all day stretcher, hanging weights and or a vacuum device until you can get an implant. Unless you need to lose some size?

Most experts (and insurance) would say you have to fail pills or have another medical reason for severe ED and an implant. Seems that younger guys getting ultrasound is appropriate (more objective support for getting implant). I would see a different Urologist or someone that knows what they are talking about.

If the doctor is trying to talk you out of an implant - what other options has she proposed?? A lot of doctors selling shockwaves and PRP that just doesn't work but lines their pockets.

My urologist acts like he is annoyed by my seeking medical attention for Peyroines related ED. He lets one know that he is busy treating much more serious problems and if I can have penetrative sex, no matter how poor, I should be happy. Treatments like injections and implants are for serious patients like cancer, etc. I had to be a real dick ( pun intended) to get Trimix. He offered no ultrasound, no mention of depression ( guys, 25% of men with Peyroines become depressed). It wasn’t until I elbowed him out of my way and started treating with the PA that I got proper medical attention.

goose1235 wrote:Im quite young at 25. I was forced to see a different uro because my insurance changed. I was scheduled to get a doppler redone, but now this new uro is telling dopplers are outdated and that getting one wont change anything. Also she says no one will put an implant in at my age, that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

Well she is definitely wrong. You'll find that their are two schools of thoughts from urologists on implants:

Camp 1- Believes they should be used is a last resort. Many in this camp are either just conservative or worry about being sued and typically don't do much surgery

Camp 2- Believes it is a great solution if pills have failed and let patients choose.

If you are serious about an implant get rid of that urologist immediatley and find one that has a fellowship in andrology, training in sexual medicine and most important of all is a very well reviewed high volume surgeon. for example EID's infection rate for revisions is .5% so I reiterate she is wrong.

Lets just say if you asked a carpenter how to treat ED. Good chance that he'd reccomend using a hammer.

Your urologist is merely offering what she has in her toolbox. You need an urologist with a better toolbox. IE, better training. I doubt that all urologists are trained in implants. Thus they can't/won't offer what they don't know anything about.

Unfortunately your experience falls under the common advice to research your dr. She has told you she isn't the right dr. Please believe her unless she is willing to change her recommendations.

The bigger issue going forward is finding a better dr & hopefully your insurance will see your plight.

goose1235 wrote:Im quite young at 25. I was forced to see a different uro because my insurance changed. I was scheduled to get a doppler redone, but now this new uro is telling dopplers are outdated and that getting one wont change anything. Also she says no one will put an implant in at my age, that it’s gruesome, shortens penis, and Ill get an infection when I get it replaced. What do I do? Is she right or was my previous uro bad?

I can tell you I am not happy with mine. Since I have had mine, I have lost most "gym friends" as they see the guy walk in an unusual hardon pointing downwards, and when I sit down its pointed and hard petruding thru my gym shorts, not flaccid like it was pre-op. I lost length, but my girth stayed the same only it looks completely rediculous and fake as hell. 1 tube is way larger than the left and it bubbles out. The left smaller tube is inferior and gives way to the right larger tube causing a peyronie's disease look on steroids, whereas, I had a slight bend to the left before surgury.

Having 6 inch girth prior to surgery, it was kind of hard to hide in gym shorts or tight jeans, so I got looks from women constantly at the gym and in general. Post op I get looks of confusion, like they are thinking, "is he stuffing something down there?" and I think many women think just that. It looks freakishly unnatural, and let's say I want to do Yoga? Forget it, there would be complaints from multiple women thinking I am some pervert. I won't even think of trying it. Or maybe I want to learn self defense and go take Brazilan Ju-Jitsu. Um, every dude will think you are gay as Ffff, with your permanent hardon. It NEVER goes flaccid like you are now, at least with the Titan. I can't speak for the AMS, but I wish I could havd the AMS knowing what I know about the Titan. And don't think you are getting the full truth if you call Titan to get a consultant to call you back. They will tell you how great it is, and how much women love it. Some of that is probably true, but the cons far outweigh the pros. And if you schedule surgery, and cancel 3 times like I did, reps will call you and flat out lie to convince you to do it. At least they did with me.

This was supposed to help my confidence, but it has done nothing but make me not want to be in public. People litterly look at in and laugh. It's not mental either. You think people want you around their kids if they think you are a likely pervert? I can tell you my quality of life is much worse than before.

And for those old, retired guys here that are going to tell me to wear super baggy clothes, just save it, especially if you have the body shape like a bag of milk. Just save it, becuase I dont want to hear it. You will never understand if you work out zero days per year.