Pre-Op Questions

[Bii4x4]

So, after years of having ED that pills didn't help, I went to the urologist. They put me on Trimix and I worked my way up to 50 units. I have mixed results with it, and still have to wear a very tight ring to maintain an erection. I was told then that it's a veinous leak, and that I'm pretty young (34) for an implant as I'll likely need a couple revisions in my lifetime. But they scheduled me for surgery on June 1st. I'm mostly excited, but I'm terrible at asking important questions. What all should I go over with the surgeon pre op?

He said I have a wide penis (7" girth erect) but he only saw it flaccid. I'm not super concerned about losing girth or length (6.75") because both are a bit much for my wife anyway, but he is using the coloplast titan to maintain more girth.

It's Dr Leeroy Jones in San Antonio TX also, I live close by and see good reviews online, not sure if anyone here has experience with him.

[Happy Toy]

I have had a girth of 5.5" since my teen years but after using Trimix for 12 yrs., that grew to 6.5+". I really liked that increased girth, nice hand full, but I lost that "gained" girth with my implant, back down to 5.5". I went with the Titan in hopes of keeping the 6.5" girth or close to it but it didn't work out that way for some reason. However, I'm very happy with my 5.5 x 5.5 hard dick over my girthy soft dick. It's so nice to have a hard erection "on demand" for as long as I want it. Another plus with my implant is my flaccid size went from less then an inch to 4", really love that.

[Bii4x4]

So I was 7" before trimix. I've only been using it a few months, but it's not really effective, soaybe I'll keep all 7", maybe not. If it's smaller maybe my wife can finally get her mouth around it, and if it's shorter I can go balls deep without destroying her cervix.

[newbie443]

So, after years of having ED that pills didn't help, I went to the urologist. They put me on Trimix and I worked my way up to 50 units. I have mixed results with it, and still have to wear a very tight ring to maintain an erection. I was told then that it's a veinous leak, and that I'm pretty young (34) for an implant as I'll likely need a couple revisions in my lifetime. But they scheduled me for surgery on June 1st. I'm mostly excited, but I'm terrible at asking important questions. What all should I go over with the surgeon pre op?

He said I have a wide penis (7" girth erect) but he only saw it flaccid. I'm not super concerned about losing girth or length (6.75") because both are a bit much for my wife anyway, but he is using the coloplast titan to maintain more girth.

It's Dr Leeroy Jones in San Antonio TX also, I live close by and see good reviews online, not sure if anyone here has experience with him.

Welcome to the site. Are you doing VED therapy to slow down or prevent size loss? I would ask about how the procedure is done by your doctor. Infrapubic incision or penoscrotal. How long will it be after surgery until you are activated. Will you have a drain. The most important is does your doctor do repairs and revisions. If that answer is no then ask where you are sent for that. And that is where I would look for a doctor for this.

The thing is doctors vary a lot and even the really well known ones. There are 2 well known ones not a great distance from you in Huston. But local care is best. As far as you doctor goes I did not find much really good things about my Healthgrades search for him. A little over 3 stars out of 5 rating. Did not list complex penile surgery in his experience check. And just Performs for penile implants. So he is not a high volume doctor. At least according to Healthgrades. Some men have really good luck with low volume local doctors. But studies show higher risk of infection and reoperations with the low volume doctors. My short Healthgrades search only found one local doctor for you that is similar to your doctor Jones. Same experience but slightly higher 4 star out of 5 rating. Go to the General section of this site and check out the documents worth reading. That will help you ask better questions on this board and of your doctor so you can make a better choice.

Good luck going forward with this and keep asking questions.

[Bii4x4]

I still use trimix for now and am somewhat active, it just doesn't work everytime, and doesn't give me a full erection, so there wasn't a need for a bed currently. After, I'll have to ask.

I know it's a penoscrotal, I'll have a catheter and drain that will be removed the following day at a follow up appt. No overnight stay in the hospital. And he does do revisions and repairs. The reviews I saw were from my health insurance website.

[newbie443]

Men start having nocturnal erections (multiple times a day, mostly at night) before we are born and are necessary for penis health. When these stop or diminish a mans tissue will have some loss of elasticity. And will cause size loss. So VED therapy can help by drawing blood in and stretching the tissue much like our nocturnal erections. Be careful though and do not pump up to fast or to high. Even low vacuum applied to fast can cause damage to the very fine blood vessels.

This is the Healthgrades information on your doctor. https://www.healthgrades.com/physician/ ... ones-xsgg2 And the only other one I found on HG with as good or better than your doctor. https://www.healthgrades.com/physician/ ... ella-ydbm6 There may be more that I did not find. If you trust your doctor for this then that is the important part. Just follow the doctors instructions.

Your doctor is listed on the AMS specialist locator site. And as has already been posted the Titan is most often used for men with larger girth and length. Did your doctor say if he uses both AMS and Coloplast?

[Bii4x4]

He does do both AMS and Titan. Recommend the Titan to maintain girth however.

And yeah, reading over health grades, google, and some local reviews, all the complaints are not something I have experienced, or doesn't effect me. All the reviews on surgery and results are 5 star that I have found.

[newbie443]

I did find him later on Coloplast's specialist finder site also. Sounds to me like you have answered your own question or the part of it about doctor. Are you wanting more information on getting ready for surgery and recovery?

[Bii4x4]

Anything on what to expect. I am not new to going under the knife. 2 knee surgeries in my teens, carpel tunnel mid twenties, and this will be my 4th surgery in the 15 months. 1 on each shoulder last year, and a gastric bypass 1 month ago.

Not sure what kind of pain to expect.
It seems this will change me from a grower to more of a shower, is that accurate?
6 weeks with no sex, and I'm guessing no usage at all, so is that time spent with them partially inflated? Don't really want to be showing a larger bulge than I'm normally stuck with at work.
I just fully healed from bypass and was cleared to begin exercise, I assume this will put that on hold for another 6 weeks minimum.

[newbie443]

Anything on what to expect. I am not new to going under the knife. 2 knee surgeries in my teens, carpel tunnel mid twenties, and this will be my 4th surgery in the 15 months. 1 on each shoulder last year, and a gastric bypass 1 month ago.

Not sure what kind of pain to expect.
It seems this will change me from a grower to more of a shower, is that accurate?
6 weeks with no sex, and I'm guessing no usage at all, so is that time spent with them partially inflated? Don't really want to be showing a larger bulge than I'm normally stuck with at work.
I just fully healed from bypass and was cleared to begin exercise, I assume this will put that on hold for another 6 weeks minimum.

I can help a bit with that I think. Pain will be less if you stay as flat as you can for the three days following surgery. When you wake up be sure to stay flat as you can and ask for an ice pack. If you have someone to care for you at home that is best. If not have everything ready so you are on your feet as little as possible. The trip back the next day with the being up will not help. Have ice packs and follow your doctors instructions on use. I used dry beans. There is no water to leak or clump like ice packs or frozen veggies. And they form well around everything. 4th day gradually increase moving around. NSAIDS help with the swelling if you can take them after surgery. Between now and then get in as good a shape as you can. This will help with healing and maintain this through recovery. I had a 10 lb weight lifting restriction for a while and your doctor will tell you what yours is and for how long. But walking should be ok after a week or 2 but again follow your doctors instructions. The key is ice packs and staying as flat as you can the first three days to help with swelling and pain.

Some report very little or no change in length between deflated and inflated Titan. I cannot say as I have an lgx but I am a shower now and it feels good and arousing when I move around.

Check with your doctor about the 6 weeks. Doctors differ. They sometimes leave to inflated for a while then deflate a bit. Varies. My repair a little over 3 weeks ago I was 50% inflated after surgery and at my 2 week check up I was deflated 50%. And next appointment is the 6 week post surgery activation and can have sex point. Some though activate you earlier but have you wait after that for sex. So ask your doctor. You will have to do a bit of concealing and can tell them at work you had surgery and cannot wear tight clothes for a while.

Depends on the exercise. walking as I said should be able to be done but again ask your doctor about when and what other exercise you can do. This will help blood flow and speed healing so do what you can when you can.

There is a lot more. Wound care, infection risk reduction, ect. This is the most difficult part of waiting. Then after surgery you wait some more. Then activation and cycling work. After that there will be a lot of changes like you shoulder rehab. So more time waiting for things to work them selves out. You would not expect to pitch a fast ball right after shoulder surgery so give this 3 months at least post op. That is the time most of us are fully healed by. And 6 months is the time before most repairs would be made and another surgery done. I gave my self a year before I would judge my outcome.

Keep asking questions and reading and using the search function. If you'd like to talk send me a private message by clicking on my user name and then clicking on send private message and I will get you my phone number.