What happens after an infection?

The final frontier. Deciding when, if and how.
Benjohn
Posts: 90
Joined: Mon Mar 15, 2021 6:44 am

What happens after an infection?

Postby Benjohn » Thu May 06, 2021 11:32 am

Hey fellow Frank talkers.

Can anyone tell me what happens when an implant gets infected? Is it removal and the end of your sex life? Has anyone here had an infection and can talk me through their experience?

Just looking to my future and it's almost certain that I'll need more than one implant during my lifetime. From what I read, more implant replacements = increased risk of infection. Is this accurate?

Thanks in advance :)
Ben
British, 32 yrs old. ED caused by Paraphimosis in 2019. 100mg Sildenafil for sex. Trialled Invicorp as advised by doctor in 2021 but it was too strong. Taking 50mg-75mg of Sildenafil every night at 3am to stimulate morning erections, good response so far.

Stenlie_
Posts: 118
Joined: Sat Dec 07, 2019 9:47 am

Re: What happens after an infection?

Postby Stenlie_ » Thu May 06, 2021 12:04 pm

Hi, I also want to know exactly this, but nowhere is there an exact answer to what is happening and why at some point there is nothing to do.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: What happens after an infection?

Postby Waynetho » Thu May 06, 2021 1:08 pm

Benjohn wrote:Hey fellow Frank talkers.

Can anyone tell me what happens when an implant gets infected? Is it removal and the end of your sex life? Has anyone here had an infection and can talk me through their experience?

Just looking to my future and it's almost certain that I'll need more than one implant during my lifetime. From what I read, more implant replacements = increased risk of infection. Is this accurate?

Thanks in advance :)
Ben

Check with agfa13. Typically the doctor determines the extent of the infection while the patent is on the table and may try to do a salvage operation and just flood the area with antibiotics, but most often the implant is removed, replaced temporarily with a malleable implant to keep the corpora open and stretched, for several months while the infection resolves. After the infection has resolved the individual may opt to keep the malleable or go back to another IPP (inflatable).
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

Stenlie_
Posts: 118
Joined: Sat Dec 07, 2019 9:47 am

Re: What happens after an infection?

Postby Stenlie_ » Thu May 06, 2021 2:41 pm

Thanks, but I guess BenJhon wanted to know when the end was coming. Ie what determines the situation in which a penis implant can no longer be placed and everything is removed. Because there are many young boys who have to choose which part of their lives to have an active sex life. What is the reason why a boy of 25 has an implant and has to end his sex life at 40, because nothing can be done anymore

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: What happens after an infection?

Postby newbie443 » Thu May 06, 2021 4:14 pm

This is like many of the things with implant. Some depend on us and some with the doctor. As Waynetho posted it depends on the severity of the infection and also your treating doctor. If caught early it can be treated with medication. No surgery. Some doctors are able to do salvage where the device is removed and washed out and another put in. Many do not. they just remove and wash out and will not try again for 6 months. Many will place a malleable in but again some do not. And in really severe cases where it is let go yes it can be game over. But this is where local after care with a really good doctor is important. And why wound care and getting in touch with your doctor at the first sign of infection is so important. Caught early and with quick attention it can be resolved with minimum bad results. But if your doctor does not place a malleable in and you are left empty for 6 months the there is a fair amount of size loss. And even with a really good doctor if not caught early this is a possibility. Only in the most severe cases though is this a game over result.

The bio film that surround's the device can have a lot of bacteria. When I had my repair 3 weeks ago the doctor took 3 swabs of the fluid that surround my pump, tubing, and left cylinder. This was the inside of the Pseudo-capsule that surrounded the components he removed to do the repair. All were negative for infection and I was lucky. I cannot remember the percentage but it was something like 40 or 60 percent of all men have this infection but it is sealed off and not a problem until you have another surgery. So my doctor did the swabs and checked for this. I would guess had they come back positive that additional steps would have been taken. He did do a wash out of my left corporal body and the other components. 3 1/2 weeks and so far no infection. This is why infection rates are higher for revision surgeries than for the first implant surgery. But a really good doctor that takes the proper steps and checks for this can reduce this greatly.

So it is very very important to follow your doctors instruction and have strict wound care. And be as healthy as you can before and after surgery. 3 days prior to my surgery I showered with antibacterial soap, used hibiclens to wash from my belly button to mid thigh, and wiped down penis, scrotum, inner thighs and pubic pad with alcohol wipes. And I had white cotton underwear that I washed in bleach and put in plastic baggies from the dryer to prevent being contaminated. And was very strict on wound care and following my doctors instructions. You can also add a cup of bleach to your bath water and set in this for 30 minutes for the 3 days prior to surgery. This bleach soak was recommended in the past by a well known NY doctor. His opinion was that a good percentage of infection came from the man who was being operated on as it was in the skin.

So what happens depends on many things. My local doctors do not do revisions and would have just removed the implant and done a wash out. But other doctors would have place a malleable if surgery was required. And only in extremely severe cases can this be a game over deal. A past moderator of this board had a really severe case by a not really good doctor in Canada. But did not accept the game over and had multiple surgeries to restore what had been taken away. So even in some of the severe cases there can still be a path back.

So if you figure the odds and really good doctors having infection rates below 1% and then the very small percentage of that less than 1% that can have severe infection then your odds are really great. But you really should not even let it get close to being severe. As long as we do our part and get help at the first sign of infection this is not a game over condition and it can be resolved.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Benjohn
Posts: 90
Joined: Mon Mar 15, 2021 6:44 am

Re: What happens after an infection?

Postby Benjohn » Thu May 06, 2021 5:28 pm

Hi chaps.

Thank you for your detailed responses, this really helps.

There's so much uncertainty with this ED game! Do I have 3 years or 30 years before I need an implant? How long will my first implant last for? Will I get an infection?... So much uncertainty. I guess we're all on our own journeys... Will have to deal with each hurdle as it arrives.
British, 32 yrs old. ED caused by Paraphimosis in 2019. 100mg Sildenafil for sex. Trialled Invicorp as advised by doctor in 2021 but it was too strong. Taking 50mg-75mg of Sildenafil every night at 3am to stimulate morning erections, good response so far.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: What happens after an infection?

Postby Waynetho » Thu May 06, 2021 6:29 pm

newbie443 wrote:So what happens depends on many things. My local doctors do not do revisions and would have just removed the implant and done a wash out. But other doctors would have place a malleable if surgery was required. And only in extremely severe cases can this be a game over deal. A past moderator of this board had a really severe case by a not really good doctor in Canada. But did not accept the game over and had multiple surgeries to restore what had been taken away. So even in some of the severe cases there can still be a path back.


I'm quite lucky to have found my local doctor who is part of a urology group and has his own full practice (both genders). For IPP and complex penile repairs he rated 98th percentile compared to his peers on Healthgrades.com and when I asked if he also did revisions should the need arise and he didn't even wait for the full sentence to leave my lips before quickly replying, "YES."
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

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: What happens after an infection?

Postby newbie443 » Thu May 06, 2021 6:57 pm

Benjohn wrote:Hi chaps.

Thank you for your detailed responses, this really helps.

There's so much uncertainty with this ED game! Do I have 3 years or 30 years before I need an implant? How long will my first implant last for? Will I get an infection?... So much uncertainty. I guess we're all on our own journeys... Will have to deal with each hurdle as it arrives.


That is a great understanding of this. Well said.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: What happens after an infection?

Postby newbie443 » Thu May 06, 2021 6:59 pm

Waynetho wrote:
newbie443 wrote:So what happens depends on many things. My local doctors do not do revisions and would have just removed the implant and done a wash out. But other doctors would have place a malleable if surgery was required. And only in extremely severe cases can this be a game over deal. A past moderator of this board had a really severe case by a not really good doctor in Canada. But did not accept the game over and had multiple surgeries to restore what had been taken away. So even in some of the severe cases there can still be a path back.


I'm quite lucky to have found my local doctor who is part of a urology group and has his own full practice (both genders). For IPP and complex penile repairs he rated 98th percentile compared to his peers on Healthgrades.com and when I asked if he also did revisions should the need arise and he didn't even wait for the full sentence to leave my lips before quickly replying, "YES."


I have thought of moving many times and Texas is on my list.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

DougAnd
Posts: 1536
Joined: Sun Jul 08, 2018 5:10 pm
Location: Melbourne, Florida

Re: What happens after an infection?

Postby DougAnd » Wed May 12, 2021 3:06 pm

Benjohn wrote:Hey fellow Frank talkers.

Can anyone tell me what happens when an implant gets infected? Is it removal and the end of your sex life? Has anyone here had an infection and can talk me through their experience?

Just looking to my future and it's almost certain that I'll need more than one implant during my lifetime. From what I read, more implant replacements = increased risk of infection. Is this accurate?

Thanks in advance :)
Ben


Ben
We've had at least 2 guys who had bad infections after implant. Both had their IPP removed for several months. During that time it is vital that you use vacuum therapy daily or you will permanently lose an inch or more in length. Larry never regained his even with an LGX and daily VED. Wes was luckier I think. But he never got it all back either.
So yes there is sex after infection and yes you can still have more implants.
LGX 18cm+3cmRTE 8 / 8/18 by Docs Saracino , Prody of FL Disfigured by Implant. Married 31 years, Functionally impotent 2+ years. 4" day of surgery now 7" inflated after VED 6.5" without. Pump moved 12/4/18 by Dr Kata


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