Dr. Clavell posts informative video about revisions.

The final frontier. Deciding when, if and how.
Jage64
Posts: 704
Joined: Sat Oct 22, 2022 9:38 pm

Dr. Clavell posts informative video about revisions.

Postby Jage64 » Tue Oct 28, 2025 12:56 am

May answer some questions for some of you. I can highly recommend Dr. Clavell.

https://www.youtube.com/watch?v=35UZdAp-yBc
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. was 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant. 2+ yrs post op: 7 3/4" x 5 7/8", now 60yrs old in 2025

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Kodixx
Posts: 686
Joined: Wed Jan 08, 2025 5:32 pm

Re: Dr. Clavell posts informative video about revisions.

Postby Kodixx » Tue Oct 28, 2025 12:28 pm

Good video, thanks for posting.

- Chuck
Feb 2025 58yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling-sex @ 7wks, minor discomfort @ 10wks, felt like 'new normal' @ 16wks

lasthope2.0
Posts: 44
Joined: Sat Oct 11, 2025 1:23 pm

Re: Dr. Clavell posts informative video about revisions.

Postby lasthope2.0 » Thu Oct 30, 2025 12:49 am

Excellent presentation. Thank you for sharing!
40, 2024 - Coloplast Genesis malleable 22cm-13mm with 1cm RTE. Subcoronal Incision. Distal Lymphedema. Significant loss in sensitivity. Happy otherwise. Considering an IPP.

sambalamba
Posts: 210
Joined: Tue Jul 02, 2024 9:31 am

Re: Dr. Clavell posts informative video about revisions.

Postby sambalamba » Thu Oct 30, 2025 7:20 am

Dr Clavell avoids using a JP drain post surgery. Does anyone know why while other surgeons use it? I never remembered to ask him and don't want to bother him anymore. But still curious.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant. 6.4 inches bone pressed length to tip, 5 inches girth base, 4.5 inches girth mid-shaft.

cbinspok
Posts: 863
Joined: Wed Feb 03, 2021 7:45 pm

Re: Dr. Clavell posts informative video about revisions.

Postby cbinspok » Thu Oct 30, 2025 9:28 am

Good video, thanks for posting I hope to use him if/ when a revision is necessary, will probably switch to a cx. I ve read he takes medicare. I hope.
67years,fighting ed for over twenty years. A sever break, vit E, pataba, Viagra, massage Ved cilas, and I'm tired- throwing in the towel, Op for implant Mar 18, 2021 AMS LGX 18 x12 + 1 3cm RTE, gained girth and length, very glad I took the hard step.

Jage64
Posts: 704
Joined: Sat Oct 22, 2022 9:38 pm

Re: Dr. Clavell posts informative video about revisions.

Postby Jage64 » Thu Oct 30, 2025 11:34 pm

sambalamba wrote:Dr Clavell avoids using a JP drain post surgery. Does anyone know why while other surgeons use it? I never remembered to ask him and don't want to bother him anymore. But still curious.


I don't know what his reasons are, but I know firsthand that I didn't need one. I had VERY little bruising or any excess fluid that needed draining. Major reasons I chose Dr. Clavell was for his pain management protocol and that he didn't use a catheter or drains. Although I'm not a doctor, it makes sense to me that the fewer access points for bacteria and infection, the better.

After the surgery I went straight back to my hotel room, laid about as my wife waited on me, and 44 hours post surgery I was on a 5 hour plane flight home. No pain, not even any discomfort. Surgery on a Wednesday, flew home Friday, sitting in my home office chair at work on Monday. Only ever took alternating Advil and Tylenol for a couple of days the following week as the nerve block wore off. No drains, no catheter, no problem.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. was 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant. 2+ yrs post op: 7 3/4" x 5 7/8", now 60yrs old in 2025

sambalamba
Posts: 210
Joined: Tue Jul 02, 2024 9:31 am

Re: Dr. Clavell posts informative video about revisions.

Postby sambalamba » Fri Oct 31, 2025 7:32 am

Jage64 wrote:
I don't know what his reasons are, but I know firsthand that I didn't need one. I had VERY little bruising or any excess fluid that needed draining. Major reasons I chose Dr. Clavell was for his pain management protocol and that he didn't use a catheter or drains. Although I'm not a doctor, it makes sense to me that the fewer access points for bacteria and infection, the better.

After the surgery I went straight back to my hotel room, laid about as my wife waited on me, and 44 hours post surgery I was on a 5 hour plane flight home. No pain, not even any discomfort. Surgery on a Wednesday, flew home Friday, sitting in my home office chair at work on Monday. Only ever took alternating Advil and Tylenol for a couple of days the following week as the nerve block wore off. No drains, no catheter, no problem.


I'm glad to hear you had such a smooth recovery. Reading some of the recent implant journals some folks end up with tons of fluids and swelling. Everyone reacts to surgery differently.

I had visited him recently and forgot to ask him about this. Again found him very approachable and he has a great way of reassuring his patients.
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant. 6.4 inches bone pressed length to tip, 5 inches girth base, 4.5 inches girth mid-shaft.

Rider1400
Posts: 1215
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Dr. Clavell posts informative video about revisions.

Postby Rider1400 » Fri Oct 31, 2025 11:14 am

Jage64, I’m about the same age and had my implant just a little longer than you. I just watched that video a couple days ago. I had infrapubic done first time with a titan . Absol will use Clavel when the time comes for revision. I will see if he can do scrotal next time. Seems like he is among the best! Im 6 hours drive from Houston so will just drive when the time comes.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

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Kodixx
Posts: 686
Joined: Wed Jan 08, 2025 5:32 pm

Re: Dr. Clavell posts informative video about revisions.

Postby Kodixx » Fri Oct 31, 2025 12:29 pm

Jage64, you are a very very very lucky guy ! You should buy lottery tickets !!

- Chuck
Jage64 wrote:Only ever took alternating Advil and Tylenol for a couple of days the following week as the nerve block wore off. No drains, no catheter, no problem.
Feb 2025 58yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) pre-op L:7", post-op @ 9 mo L: 6.5=>7.0" G: 5.5=>5.75"
2wks pain, cycling-sex @ 7wks, minor discomfort @ 10wks, felt like 'new normal' @ 16wks

prguy3
Posts: 31
Joined: Mon Feb 17, 2025 6:59 pm

Re: Dr. Clavell posts informative video about revisions.

Postby prguy3 » Fri Oct 31, 2025 1:22 pm

sambalamba wrote:
Jage64 wrote:
I don't know what his reasons are, but I know firsthand that I didn't need one. I had VERY little bruising or any excess fluid that needed draining. Major reasons I chose Dr. Clavell was for his pain management protocol and that he didn't use a catheter or drains. Although I'm not a doctor, it makes sense to me that the fewer access points for bacteria and infection, the better.

After the surgery I went straight back to my hotel room, laid about as my wife waited on me, and 44 hours post surgery I was on a 5 hour plane flight home. No pain, not even any discomfort. Surgery on a Wednesday, flew home Friday, sitting in my home office chair at work on Monday. Only ever took alternating Advil and Tylenol for a couple of days the following week as the nerve block wore off. No drains, no catheter, no problem.


I'm glad to hear you had such a smooth recovery. Reading some of the recent implant journals some folks end up with tons of fluids and swelling. Everyone reacts to surgery differently.

I had visited him recently and forgot to ask him about this. Again found him very approachable and he has a great way of reassuring his patients.


Even though I cannot speak directly for Clavell, I remember I asked him about this. He only places drains when doing revision surgery and he has to remove the old reservoir.

He explained that the drain is placed to "suck" blood and fluid after surgery. Most of the blood comes from the corporotomy and he does things in a way that the corporotomy is "shut closed" and "water tight". The gauze around the scrotum that he puts in afterwards keeps things tight to avoid swelling developing.
41 yo ED for several years. Coloplast 22 (trimmed 0.5cm), no RTE. Classic on 5/28/25. Dr. Clavell.


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