DC Implant Journal

[Implant2025]

Greetings brothers!

I'm starting a Journal today to track my ups and downs after penile implant surgery.

Background:
Worked in IT for 35 years. Married 20 years, 2 kids. Last job I got gradually sucked into sales. Loved the income and perks, hated the stress and "what have you done for me lately" bosses attitude. Looked at my age and bank account and decided to chuck it all. I went back to school for a crash course in Nursing. Afterwards spent 11 years as an Oncology RN, then retired at age 70. I loved the work helping patients survive cancer, even if sometimes that's only temporary.

ED:
Kind of snuck up on me. I came out pretty late as gay (age 42), spent several subsequent years as a total man whore. DIdn't really notice that it was taking me longer to get hard for sex until I noticed I was starting to have problems keeping an erection up. Took the typical route: pills with gradually increasing dosage until they no longer were reliable. Then vacuum pump and cock rings - worked for a while keeping me hard, until it didn't. Finally started on Trimix injections a year ago. I'm good at giving shots (RN) even to myself. But I noticed that I was having to gradually increase the dosage to stay hard enough for long enough. Plus pausing intimacy for injections is a real buzz kill. The final straw was the post-coital aching I was getting in my penis. I developed anorgasmia along the same time line, so I went online looking for solutions for that. Which is where I learned about inflatable penile implants.

Pre-surgery:
My criteria for selecting my surgeon were
- Let me specify a preference for AMS over Coloplast
- Surgery in a regular hospital, not a surgical clinic
- No catheter or drain in place at the time of hospital discharge
- Penoscrotal incision, not infrapubic
- Well organized to treat out of state patients
- High volume surgeon
You may have different criteria than me, but everyone should have some criteria... cuz you only have one cock.

Surgery:
Today is surgery day -1. This morning I had hospital pre-admission, labs, RN assessment and filled post-op prescriptions. Surgery day is tomorrow AM! I'll post updates as I'm able.

Attached are a couple "before" pics of mini-me.

- Alex

[equusAz]

Welcome to the club!

You say DC - I take it the Washington DC region! GBMC (Baltimore) and Chesapeake Urology did mine on Dec 9th of 2024 (7 weeks ago)!

Good for you taking the plunge. You say you went with AMS. I take it either the LGX or CX, especially with a 5.5 girth. CX is better for maintaining girth. Be prepared for LOTS of ice - LOTS of pain meds - and doing LOTS of nothing for a while. They "say" you can walk and stuff in a week or so. Sure...you CAN - you'll wish you didn't. Sitting is a challenge too. If you didn't already get one - order one of those doughnut cushions! They saved my life (at least thats what it felt like).

Best of luck and look forward to seeing the results and your progress!

[Implant2025]

Welcome to the club!

You say DC - I take it the Washington DC region! GBMC (Baltimore) and Chesapeake Urology did mine on Dec 9th of 2024 (7 weeks ago)!

Good for you taking the plunge. You say you went with AMS. I take it either the LGX or CX, especially with a 5.5 girth. CX is better for maintaining girth. Be prepared for LOTS of ice - LOTS of pain meds - and doing LOTS of nothing for a while. They "say" you can walk and stuff in a week or so. Sure...you CAN - you'll wish you didn't. Sitting is a challenge too. If you didn't already get one - order one of those doughnut cushions! They saved my life (at least thats what it felt like).

Best of luck and look forward to seeing the results and your progress!

I'm not really concerned primarily with girth, i'm more focused on comfort when flaccid. Tentatively I'm getting an LGX, but the doc will decide once i'm on the table since it'll be the first time he's seen my dick in person.
Bad news: I have to be at the hospital at 0530. Good news: won't have as long to be hungry/thirsty since I'll be NPO after midnight.

[equusAz]

Either AMS product should be comfortable - I have the CX and now that I'm 7 weeks out I barely notice its there - the pump I do - but thats because its filling my sack out. lol

Best of luck to you! I also had an early morning surgery - was home by 1pm.

[GoodWood]

Best of luck to you. I’m in the process of getting everything lined up to do this as well. A couple months behind you. I’ll be interested in learning from your experience. Thanks for making the journal.

[Implant2025]

DAY 0

Surgery today at HCA Houston Hospital by Dr Clavell.

Plan:

Place an AMS LGX implant, go home to DC on Day 2.

Actual:

Dr Clavell found significant Peyronie's disease with 45 deg L curvature, requiring modeling. So I'll need a stiffer implant. AMS CX implant 18 cm on R, 17.5 cm (implant trimmed) on L with MS pump in posterior scrotum. Penoscrotal incision for the implant, penis shaft incision on L required for correction of Peyronie's. Implant left partially inflated.

After Surgery:
Could not pee for 6+ hours. Per hospital policy, I was straight cathed to drain my bladder. This hurt like FUCK. Discharged with a spare straight cath kit to use when needed. If I didn't pee normally again by midnight it's back to the hospital.
Finally able to pee 8 hours after surgery. This also hurt like fuck.

I'm back at my hotel with a dick that looks really beat up, as expected. Will post again when something changes. See pics below.

[returntocenter]

DAY 0

Surgery today at HCA Houston Hospital by Dr Clavell.

Plan:

Place an AMS LGX implant, go home to DC on Day 2.

Actual:

Dr Clavell found significant Peyronie's disease with 45 deg L curvature, requiring modeling. So I'll need a stiffer implant. AMS CX implant 18 cm on R, 17.5 cm (implant trimmed) on L with MS pump in posterior scrotum. Penoscrotal incision for the implant, penis shaft incision on L required for correction of Peyronie's. Implant left partially inflated.

After Surgery:
Could not pee for 6+ hours. Per hospital policy, I was straight cathed to drain my bladder. This hurt like FUCK. Discharged with a spare straight cath kit to use when needed. If I didn't pee normally again by midnight it's back to the hospital.
Finally able to pee 8 hours after surgery. This also hurt like fuck.

I'm back at my hotel with a dick that looks really beat up, as expected. Will post again when something changes. See pics below.

Thank you for sharing your updates sir, I am following them closely. Please let us know how you're doing when you can! any recovery tips and tricks, other than icing frequently?

Also, did you have a noticeable erection coming out of the hospital? Did you get looks?

[sambalamba]

Greetings brothers!

......

- Alex

Hi Alex,

Thanks for your journal and wishing you an excellent recovery. Since you're a RN, a few questions about your criteria because of your medical background:

- Surgery in a regular hospital, not a surgical clinic: Why do you prefer a regular hospital over a clinic? I have heard that some surgeons (Eid as example) prefer small surgical clinic to lower infection risk. Do you see any merit to this claim?
- No catheter or drain in place at the time of hospital discharge: Understand about the catheter. But why don't you like the idea of a drain? Some surgeons like to place a drain to drain out any hematoma. For example Hakky does this and claims he can allow patients to cycle early because of placing the drain since if there is any hematoma that forms during early cycling it drains out very easily. Also research suggests that a negative pressure drain pipe doesn't allow bacteria to creep back into the would and once the pipe is removed the opening starts healing within a day or so. Thoughts?

Also is HCA Houston Medical Center very big hospital?

[Implant2025]

DAY 0

Surgery today at HCA Houston Hospital by Dr Clavell.

Plan:

Place an AMS LGX implant, go home to DC on Day 2.

Actual:

Dr Clavell found significant Peyronie's disease with 45 deg L curvature, requiring modeling. So I'll need a stiffer implant. AMS CX implant 18 cm on R, 17.5 cm (implant trimmed) on L with MS pump in posterior scrotum. Penoscrotal incision for the implant, penis shaft incision on L required for correction of Peyronie's. Implant left partially inflated.

After Surgery:
Could not pee for 6+ hours. Per hospital policy, I was straight cathed to drain my bladder. This hurt like FUCK. Discharged with a spare straight cath kit to use when needed. If I didn't pee normally again by midnight it's back to the hospital.
Finally able to pee 8 hours after surgery. This also hurt like fuck.

I'm back at my hotel with a dick that looks really beat up, as expected. Will post again when something changes. See pics below.

Thank you for sharing your updates sir, I am following them closely. Please let us know how you're doing when you can! any recovery tips and tricks, other than icing frequently?

Also, did you have a noticeable erection coming out of the hospital? Did you get looks?

I have a straight forward erection at the moment but very very swollen since I have an incision all the way up the shaft of my penis. Doing lots of icing, like everyone says to do.

[Implant2025]

Greetings brothers!

......

- Alex

Hi Alex,

Thanks for your journal and wishing you an excellent recovery. Since you're a RN, a few questions about your criteria because of your medical background:

- Surgery in a regular hospital, not a surgical clinic: Why do you prefer a regular hospital over a clinic? I have heard that some surgeons (Eid as example) prefer small surgical clinic to lower infection risk. Do you see any merit to this claim?
- No catheter or drain in place at the time of hospital discharge: Understand about the catheter. But why don't you like the idea of a drain? Some surgeons like to place a drain to drain out any hematoma. For example Hakky does this and claims he can allow patients to cycle early because of placing the drain since if there is any hematoma that forms during early cycling it drains out very easily. Also research suggests that a negative pressure drain pipe doesn't allow bacteria to creep back into the would and once the pipe is removed the opening starts healing within a day or so. Thoughts?

Also is HCA Houston Medical Center very big hospital?

- Surgery in a regular hospital.
It's true that hospitals are also a source of infection. But I wanted to be in a hospital with trained nurses in PACU (post anesthesia care unit), and a separate Rapid Response Team on call if I ran into any problems.

- No catheter or drain.
Catheters and drains are an avenue for infection. Also, catheters hurt like hell coming out. In my case I had the worst of both worlds - unfortunately I had to have a straight cath in and out before I could go home. Then it hurts like hell to pee for about the next 12 hours. Surgeons have their own protocols so do what they tell you. I never would have told my surgeon he couldn't put a catheter in me if he felt it was necessary at the time. I just picked my surgeon because I watched his YouTube video of an actual IPP surgery and I really liked his No Touch technique.

HCA Houston Medical Center is a 372 bed acute care facility.