I do not really understand when people advise to go with an implant as a last resort.
Well, pump + constriction ring always works, no matter what because this is mechanics of pressure. So there is never "last resort".
That means never go with an implant? Am I missing something?
Size after implant
Re: Size after implant
In this case, I think that "last resort" means "when every other possible solution has been tried and found wanting."
G
G
Born 1948, wed 1969. BPH & Type II Diabetes at age 35. TURP-2002; ED even before that--diabetes. Cardiac valve surgery: 2007 & 2019. Poor results with pills. Started trimix injections in Nov, 2010. Great results from the very beginning.
Re: Size after implant
pump and constriction ring do not always work for all people. Used to work good for me but not usable after prostate removal.
age 74 married, Robotic RP Dec.2009. Implanted Jan 2011 with AMS 700LGX and AMS 800 AUS. (AMS 1500). IPP failed March 2018 , leak. Planning an AUS revision (total replacement) in 2018, now I need the IPP too.
Re: Size after implant
danny1553 wrote:I do not really understand when people advise to go with an implant as a last resort.
Well, pump + constriction ring always works, no matter what because this is mechanics of pressure. So there is never "last resort".
That means never go with an implant? Am I missing something?
With the pump I got engorgement but not enough rigidity for sex. So, it is not always true that pump plus constriction bands always work.
My surgeon made me sign papers at least twice (maybe 3 times, I forget) stating that I had tried everything, and he enumerated pills, pumps, injections and maybe other things, I forget, and that either a) they didn't work well enough for an erection or b) they were totally unsatisfactory to me. That seems to me a reasonable definition of "last resort".
The very worst case scenarios, while very rare, are also very bad. If something works and is at all satisfactory, you don't want to do an implant. Ask the guy who was recently in the paper. After having an implant, he got so infected they amputated his penis. Or, another guy in this forum, who had such a bad infection they had to remove his implant and his surgeon told him another implant would be impossible due to the scarring and damage.
22cm Coloplast Titan OTR implanted Feb 2012 by Dr Francois Eid in NYC.
Initial implant experience here: viewtopic.php?f=6&t=1308
Initial implant experience here: viewtopic.php?f=6&t=1308
Re: Size after implant
rlm1818 wrote:The very worst case scenarios, while very rare, are also very bad. If something works and is at all satisfactory, you don't want to do an implant. Ask the guy who was recently in the paper. After having an implant, he got so infected they amputated his penis. Or, another guy in this forum, who had such a bad infection they had to remove his implant and his surgeon told him another implant would be impossible due to the scarring and damage.
Thank you. I had a doubt about whether or not I should go with an implant since I can satisfy my wife while using the constriction ring. Now my doubts are doubled. After all maybe long waiting list of the public health care is not that bad since it gives a chance to think very well before accepting the risk
Re: Size after implant
Of course each method has its own drawbacks. For some, injections cause enough penile carring to cause other metheds to fail when the injections, can cause penile bending, and can cause other problems. The internal scarring that is the worst side rffct as it reduces the utility of other remedies. The vacuum methods can cause tissue damage if the time limits for the constriction ring are not carefully observed.
Therefore while implants should be given a low priority in the order of chosen remedies, all remedies should be evaluated thoroughly before adoption. An implant is just the one that is for all intents and purposes irreversible. You can stop injecting or pumping and except in rare cases return to the prior conditions unless there are complications.
Radiodec
Therefore while implants should be given a low priority in the order of chosen remedies, all remedies should be evaluated thoroughly before adoption. An implant is just the one that is for all intents and purposes irreversible. You can stop injecting or pumping and except in rare cases return to the prior conditions unless there are complications.
Radiodec
70 - married 47 years: RP - 2000, injections till 2012, AMS700LGX with 21cm tubes 2cm extenders 11/7/2012, failed 6/5/2017 --- Re-implanted 8/18/2017 with AMS 700CX -- Implants by Dr. David Morris, Hendersonville,TN
Re: Size after implant
I have said and will always say... only go with the implant when all else is inadequate to you. Find a surgeon who will be upfront with what to expect. Ask questions and do the research. Am I back to my original size? no. Did I expect to get back? no. Am I happy with results? yes. Because my doc was honest with me on what my results would most likely be. I made an informed choice. I knew well ahead of time that I had severe scarring. He even asked for my okay to insert only one cylinder if the right cavernosa was too scarred to dilate. (Fortunately he was able to place both sides although scarring does effect the expansion of the right cylinder) He told me that I would have less girth than before, but much less with one cylinder, but that I would be harder than anything I ever had before. My wife and I discussed our options and went with the implant. Is sex the same? Not exactly. Is sex satisfying? You bet it is. Would I do it again? Only if I had to.
55 years old. ED since 2002 total venous leakage after penile fracture. Tried all the pills and injections all failed to help. Some success with VED, but felt too unnatural to both of us, seldom used. Implanted 06/21/12. Trying to wear IT out.
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