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Looking for input from guys whose implant was installed infrapubicly instead of scrotally. Dr. Milam insists on installing my implant infrascrotally, provided I get a date to do it. I have heard one guy say no issues, I've heard of tubing kinks that keep a cylinder or the pump from working, I heard the tubes can be seen and felt when it is put in this way and a couple of guys said it made their pump to high to get hold of.I've heard of shorter cylinders due to this approach though Dr. Milam said he can use longer ones this way. For those who had the upper approach, what is you opinion of it now? Any likes or dislikes?
Thanks guys. d

Mine was done that way about three months ago. The only problem I had was that the stitch line bubbled up for a while as
the stitches dissolved. I think it made the pump easier to operate because the incision is much higher. I never experienced
swelling or bruising and was off pain meds on the second day after surgery.

I've been implanted many times and every type of approach has been used.

Dr. Milam did my infrapubic implant and it's by far the best result I've ever had. You can't go wrong with Dr. Milam. He is a true implant artist. Trust him and be happy. He does not use a shorter implant for infrapubic, and my pump (for the first time) is placed perfectly (without revision needed).

Oh, and the tubes (for me) are not noticeable at all with Dr. Milams work. I can't say that about any other ipp surgery I've had.

I had mine done infrapubic as well. Advantages over penoscrotal are faster healing time and less pain. You've got a good surgeon. That's the key. I recommended anybody looking to be implanted to go with a top surgeon, and let the surgeon use whatever method they prefer. Most surgeons prefer one method over the other as well as one brand of implant over another.

Thank you very much for your input. Seems you always hear of the bad experiences but not the good. Makes me feel more confident. All day today while working I was asking myself if I should try again to get into Eid since he prefers scrotal. With this input, I am ready to schedule a date with Dr. Milan if Phyllis calls. Dr. Milam seems like a very nice guy. d

My first (botched) implant was peri-scrotal. I chose my surgeon poorly and he implanted me poorly. The incision itself was never really a problem but the many other problems led to a revision one year later. Dr. Paul Perito (I say again "My Hero").... used the infra-pubic method (his specialty, I think) to remove the first implant and reservoir and (miraculously!!!) install a new Titan. I occasionally laugh at the term "Titan", 'cause mine is certainly not a "Titan"....but it is a "great little fucker"....

The expertise of the surgeon is far more important the the method he prefers..............my opinion..........

Good luck!!

Milam is certainly one of the best, my original choice, but took his office's advice to Morey due to some scheduling issues. I would just do as he say do....completely. if, for you, he suggest scrotal, then go with it.
Good Luck.
B

I had the infrapubic and am very happy with it. The scar does not interfere with pumping and is barely visible through a minimum amount of pubic hair. My Surgeon was Dr. Robert Kaplinsky out of Lutheran General in Park Ridge outside of Chicago.

I am using DR. Karpman and will have surgery in 3 weeks. I met with him yesterday and what a personable person. He uses the infra pubic approach and says to trust him and to just follow his instructions (protocol) and things will work out great. He says he uses the infra pubic incision because of less discomfort and faster healing. He claims sex in 3 weeks. I will follow up in 4 weeks and let everyone know how things went.

http://www.jurology.com/article/S0022-5347(15)01397-X/fulltext

As always, I think differences between different choices (insertion method, implant brand etc) is a minor issue. More important is how well the surgeon perform and how well the patient follows his protocols.

We will always find individual surgeons saying that method X is better than method Y, and Brand A is better than Brand B. They may or may not believe so, but even if is their true belief, it doesn't mean they are right or wrong.
Many successful people in different fields are equally successful but have different methods to achieve their success. Look at sports coaches for example. One can choose an offensive, skill-based, quick tactics, while another equally successful team is managed by a coach advocating a defensive, physical game.
Is one better than the other? Evidently not. It is just two different ways to achieve results. Each coach following his way and he would not have success if following another philosophy.

Regarding faster healing time as ED2013 says, I don't believe in that either. I have spoken to (and seen with my own eyes) Eid scrotal insertion patients who were inflating in 3-4 days with minimal swelling and pain.
So again, I think there are good and bad examples of healing time with both methods. Method is not the number one factor. Surgeon skill, random variation, and pre-conditions are.