Hopeful Implant Journal

The final frontier. Deciding when, if and how.
Waynetho
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Location: Dallas, TX

Re: Hopeful Implant Journal

Postby Waynetho » Mon Jul 27, 2020 7:42 pm

hopeful_future wrote:I'm probably most frightened of the catheter they are going to put in for the operation. Trying out muse (urethral suppository for alprostadil) was one of the most painful experiences in my life. My urethral opening is pretty small. Other than that, I'm a medical nerd, so I had absolutely no issues watching the surgery performed by Dr. Karpman...I think it actually encouraged me!


Don't sweat it, dude! The catheter is minorly annoying but shouldn't be overly painful. The catheter is nothing like administering MUSE. It's an inert material (usually latex or silicone) whereas MUSE is a highly irritating drug, alprostadil. That's why you get the burning from MUSE, not because something is inserted in the urethra.

Depending on your urethral size, they might use a smaller catheter but so you can get an idea what may happen, I have used catheters "recreationally" without a doctor's prescription and I always use the typical 14 french size. One "French" is 0.333 mm so 14 fr is 4.666 mm in diameter.

When I went in to get my UroLift procedure (monofilament urethral "LIFTS" in my prostate), they fitted me with a 20 fr (6.666 mm) catheter that I had to wear until the next day. That wasn't comfortable at all but it was to reduce the chance of bleeding from my prostate.

When I went in for my implant, they inserted a 16 fr or 5.333 mm diameter catheter which was only slightly larger than I've used recreationally. They inserted it while I was on the table, unconscious and they removed it the next morning in my hospital room. I did stop the nurse and give her a bit of advice on easier pain-free removal though (that she'd never heard) - Don't aspirate or suck out *ALL* of the saline from the balloon. Let it flow naturally into the syringe and leave it slightly inflated. It reduces the wrinkles in the balloon and makes it so much more comfortable to remove - it almost falls out on its own without any scraping sensation.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Mon Jul 27, 2020 11:33 pm

Waynetho wrote:Don't sweat it, dude! The catheter is minorly annoying but shouldn't be overly painful. The catheter is nothing like administering MUSE. It's an inert material (usually latex or silicone) whereas MUSE is a highly irritating drug, alprostadil. That's why you get the burning from MUSE, not because something is inserted in the urethra.

Depending on your urethral size, they might use a smaller catheter but so you can get an idea what may happen, I have used catheters "recreationally" without a doctor's prescription and I always use the typical 14 french size. One "French" is 0.333 mm so 14 fr is 4.666 mm in diameter.

When I went in to get my UroLift procedure (monofilament urethral "LIFTS" in my prostate), they fitted me with a 20 fr (6.666 mm) catheter that I had to wear until the next day. That wasn't comfortable at all but it was to reduce the chance of bleeding from my prostate.

When I went in for my implant, they inserted a 16 fr or 5.333 mm diameter catheter which was only slightly larger than I've used recreationally. They inserted it while I was on the table, unconscious and they removed it the next morning in my hospital room. I did stop the nurse and give her a bit of advice on easier pain-free removal though (that she'd never heard) - Don't aspirate or suck out *ALL* of the saline from the balloon. Let it flow naturally into the syringe and leave it slightly inflated. It reduces the wrinkles in the balloon and makes it so much more comfortable to remove - it almost falls out on its own without any scraping sensation.


I'm hoping you're right about that! There is zero chance 6mm would fit in there, the slit when my urethra is closed is 4mm, so the diameter is probably about 3mm. It wasn't the meds from the muse, it's that the applicator, even with lots of lube, stretched the hell out of my urethral opening. I was in a cold sweat by the time I deployed the pellet. Either way, I'm glad they put it in while I'm out.
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

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ImplantMan
Posts: 73
Joined: Thu Jul 25, 2019 4:42 am
Location: Fullerton, Nebraska

Re: Hopeful Implant Journal

Postby ImplantMan » Tue Jul 28, 2020 12:50 am

Your not kidding your a grower, that’s a nice dick. I did everything, VED worked but left me with a cold dusky hard-on, viagra, cialas and that stuff worked for a while, muse suppositories didn’t work, I have an aunt that Is a naural Cure type of person and se fed me some vitamins no go, mother-in-law gave me some stuff you squirt under your tongue, no boner, finally I went for the shots and was pleased with the results but there was still a failure rate or maybe do the shot and someone comes calling and it’s one shot a night, there is no “load up another” cause it don’t work, I like to go a couple rounds at times, nope, shoot your load and that’s it. So I decided to get a implant, it’s rainbows and lollipops, railroad spike hard for as long as I needed it. A few years after I got it I got divorced and started swinging, I’m bisexual so it was great, I’d fuck a girl then fuck a guy and then another and another, had a blast, now IM with a woman and am monogamous, but you get the picture, you will love it, I’ve had it replaced and there was no issues with that, it’s well worth the short time of pain (which isn’t bad) to have a rock hard cock In a couple squeezes and not worry about going limp. I will attach a pic of my results so you can see what I’m working with.my cock is my best friend and partner in crime.
mail.jpeg
mail.jpeg (13.26 KiB) Viewed 1606 times

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Tue Jul 28, 2020 1:11 am

ImplantMan wrote:Your not kidding your a grower, that’s a nice dick. I did everything, VED worked but left me with a cold dusky hard-on, viagra, cialas and that stuff worked for a while, muse suppositories didn’t work, I have an aunt that Is a naural Cure type of person and se fed me some vitamins no go, mother-in-law gave me some stuff you squirt under your tongue, no boner, finally I went for the shots and was pleased with the results but there was still a failure rate or maybe do the shot and someone comes calling and it’s one shot a night, there is no “load up another” cause it don’t work, I like to go a couple rounds at times, nope, shoot your load and that’s it. So I decided to get a implant, it’s rainbows and lollipops, railroad spike hard for as long as I needed it. A few years after I got it I got divorced and started swinging, I’m bisexual so it was great, I’d fuck a girl then fuck a guy and then another and another, had a blast, now IM with a woman and am monogamous, but you get the picture, you will love it, I’ve had it replaced and there was no issues with that, it’s well worth the short time of pain (which isn’t bad) to have a rock hard cock In a couple squeezes and not worry about going limp. I will attach a pic of my results so you can see what I’m working with.my cock is my best friend and partner in crime.


Sounds like you are getting the proper amount of use out of it! Thanks for sharing your story! I sure do know that feeling of going from one thing to another hoping that this time it'll do something, but it never does. Definitely looking great in that shot, looks like you take good care of yourself on top of having a nice dick! Really glad I found this forum, looking forward to telling more of my tale as things progress! Only a few weeks to the main event!
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

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ImplantMan
Posts: 73
Joined: Thu Jul 25, 2019 4:42 am
Location: Fullerton, Nebraska

Re: Hopeful Implant Journal

Postby ImplantMan » Tue Jul 28, 2020 1:14 am

Have you ever been with more than one person

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: Hopeful Implant Journal

Postby MK1965 » Tue Jul 28, 2020 9:48 am

ImplantMan,
I don’t see from your post what you had, Titan or AMS and what is lenght of your cylinders and ant RTE?
If it is a Titan, I really would like to see how it looks flaccid and at what angle it is.
MK
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.

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Happy Toy
Posts: 1130
Joined: Fri May 11, 2018 9:30 am

Re: Hopeful Implant Journal

Postby Happy Toy » Tue Jul 28, 2020 11:31 am

I have a Titan, installed 2 yrs. ago. Here is what it looks like flaccid. BTW, I'm 4" flaccid and 5.5" erect.
flaccid front 2.JPG
flaccid front 2.JPG (197.7 KiB) Viewed 1574 times
flaccid side.JPG
flaccid side.JPG (110.23 KiB) Viewed 1574 times
Implanted 6/26/2018, Coloplast Titan 20cm, no RTE'S, infra pubic, Dr. Rhee, Kaiser :o 8-) 80 yrs., married 57 yrs. ED for over 20 yrs.

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: Hopeful Implant Journal

Postby MK1965 » Tue Jul 28, 2020 12:06 pm

Happy Toy,
Here is what my flaccid looks like at 23 months.
Not even close to your flaccid angle.
Attachments
9E35C9E9-8824-4A44-83CE-9DA5728FCCA3.jpeg
9E35C9E9-8824-4A44-83CE-9DA5728FCCA3.jpeg (70.21 KiB) Viewed 1571 times
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.

Igor za
Posts: 25
Joined: Mon Jun 24, 2019 1:50 am
Location: UK,...

Re: Hopeful Implant Journal

Postby Igor za » Tue Jul 28, 2020 2:38 pm

hopeful_future wrote:So, finally made my appointment, and I'll be seeing Dr. Karpman for an implant in about 3 weeks. I'm nervous as hell, but the resolve is there. To give a little context, I've had erectile problems all my life, tried damn near everything to fix it. I can get erections, sometimes really great ones, but cannot maintain them for intercourse without heroic doses of cialis, which is of course followed by 3 days of being stuffed up and terrible headaches. Even cialis works maybe 40% of the time (but the side effects are 100%). Trimix barely does anything, and it took several shots in the doc's office to get a 60% erection so they could do the ultrasound test, which showed mild-to-moderate veinous leak.

I have so many emotions about this. As a gay man, I could very easily have a satisfactory sex life as a bottom...I can orgasm, I look good, and I like my dick. But I've been in so many situations where I wanted to top, and had to deal with the utter frustration of not being able to perform, and I'm tired of it. Honestly, I think by the time someone is willing to jab a needle into their dick, they've got to be pretty desperate...And so I am risking loss of some natural function for the promise of utter dependability (provided the implant is in working order). So there's some guilt there, I guess.

But I wanted to share with the forum, because without people sharing here, I don't think I would have had the courage to move forward and remain hopeful. So I'll try to include as much information as I can.

I've been to Dr. Karpman for several appointments. He has done a stretch test and has tentatively sized me at 16cm, but mentioned that he measures during the surgery to ensure proper fit. His suggestion was to go with a Coloplast Titan. I admittedly was drawn to the AMS LGX because I do like having a flaccid penis at times, but my priority, especially for this first surgery, is to work with the best doctor I can find, and let them guide me. I will have a revision, assuming I live a normal lifespan. I can try an LGX (or whatever cybernetic solution they have by then) if I have complaints about the Titan.

I am an extreme grower...I'll attach some pictures that demonstrate this and attach them as "before" pictures, both flaccid and hard. I will definitely miss my highly portable shrinkydink, which was convenient for workouts and non-sexual situations. I worry a bit about how backpressure on the device during healing might affect things as the skin tries to get me back into my small flaccid state, but I think this is something that they've surely encountered before, and there's enough stretch for me to be erect. Who knows. I'll try to keep this updated at least for the first few weeks/months, and probably will return now and then to add more info and/or pictures.

I've been told that I should be able to return to work 1 week after surgery (at a computer desk), and workouts/sex about 3 weeks in at the earliest. I'm not setting my hopes on that timeframe, that seems really really short. Either way, I'm locked in, so whatever this ride is going to throw at me, I'm going to have to deal with that!

Wish me luck, folks!

Hi mate, may I text you

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Wed Jul 29, 2020 10:34 am

Igor za wrote:Hi mate, may I text you


Feel free to PM me.
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.


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