AMS Ambicore Experience

The final frontier. Deciding when, if and how.
pitmanm
Posts: 32
Joined: Mon Dec 28, 2020 4:43 pm

Re: AMS Ambicore Experience

Postby pitmanm » Thu Jun 03, 2021 5:10 pm

Thanks for the feedback.

Visited Doc today. Incision will be infrapubic. I hope that will hasten healing.

I have been considering this for 3 years. It is time.
64 years old. Began experiencing ED in 2007. Pills worked well until 2012. Began injections in 2018. Could not maintain through completion. AMS Ambicor implanted June 9, 2021 by Dr Michael Wierschem at Baylor, Scott, and White, Plano, Texas. Single.

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: AMS Ambicore Experience

Postby AST2123 » Sun Jun 06, 2021 7:23 pm

Hey Pitmann,
Good luck with your implant!
Are you sure the approach will be infrapubic? I see in Boston Scientific website that Ambicor is only available as Penoscrotal.
https://www.bostonscientific.com/en-US/ ... hesis.html
Besides, it makes sense that the surgeon will keep away from the area above the penis.
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic

pitmanm
Posts: 32
Joined: Mon Dec 28, 2020 4:43 pm

Re: AMS Ambicore Experience

Postby pitmanm » Mon Jun 07, 2021 11:38 am

AST2123 wrote:Hey Pitmann,
Good luck with your implant!
Are you sure the approach will be infrapubic? I see in Boston Scientific website that Ambicor is only available as Penoscrotal.
https://www.bostonscientific.com/en-US/ ... hesis.html
Besides, it makes sense that the surgeon will keep away from the area above the penis.


He did allow for the possibility, but indicated a desire for infrapubic, which would be my hope. I will be asleep, so I guess the decision will be made then.

48 hours to go after a years long wait. I'm still apprehensive. But it is a done deal.
64 years old. Began experiencing ED in 2007. Pills worked well until 2012. Began injections in 2018. Could not maintain through completion. AMS Ambicor implanted June 9, 2021 by Dr Michael Wierschem at Baylor, Scott, and White, Plano, Texas. Single.

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: AMS Ambicore Experience

Postby AST2123 » Mon Jun 07, 2021 1:09 pm

pitmanm wrote:
AST2123 wrote:Hey Pitmann,
Good luck with your implant!
Are you sure the approach will be infrapubic? I see in Boston Scientific website that Ambicor is only available as Penoscrotal.
https://www.bostonscientific.com/en-US/ ... hesis.html
Besides, it makes sense that the surgeon will keep away from the area above the penis.


He did allow for the possibility, but indicated a desire for infrapubic, which would be my hope. I will be asleep, so I guess the decision will be made then.

48 hours to go after a years long wait. I'm still apprehensive. But it is a done deal.

Yes. I know. Waiting is the real pain. You will be very happy with it :).
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic

pitmanm
Posts: 32
Joined: Mon Dec 28, 2020 4:43 pm

Re: AMS Ambicore Experience

Postby pitmanm » Wed Jun 09, 2021 11:24 pm

Well...I joined the bionic brotherhood this morning.

The doctor, as one of you suggested, chose to do the implant through a scrotal incision. This was to insure no possible encounter with the bypass I referenced in a earlier post.

Of course, this caused significant swelling in my testicles. About baseball size. I am interested in knowing from you all if this is normal? Or any cause for concern. Keeping ice on pretty much all the time.

No catheter, nor drain. Told to remove bandages and shower in 2 days. No followup appointment for 2 weeks.

Thanks in advance. Everyone on this forum has contributed to my journey and decisions.

It was done at the best hospital in this area (Baylor, Scott, and White in Plano, Texas) by Dr Michael Wierschem.

The staff at BSW are just off the chart great.

Monte
64 years old. Began experiencing ED in 2007. Pills worked well until 2012. Began injections in 2018. Could not maintain through completion. AMS Ambicor implanted June 9, 2021 by Dr Michael Wierschem at Baylor, Scott, and White, Plano, Texas. Single.

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: AMS Ambicore Experience

Postby AST2123 » Thu Jun 10, 2021 8:37 am

Congrats for joining the bionic world!
After my surgery, I didn't see a catheter, but there was a drain near the reservoir incision. I had infrapubic, not sure if the guys with penoscrotal. Installing the the Ambicore is way easier than other 3-piece implants. I believe you will recover quickly. Keep on icing and heating. All the best!
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic

pitmanm
Posts: 32
Joined: Mon Dec 28, 2020 4:43 pm

Re: AMS Ambicore Experience

Postby pitmanm » Thu Jun 10, 2021 12:03 pm

AST2123 wrote:Congrats for joining the bionic world!
After my surgery, I didn't see a catheter, but there was a drain near the reservoir incision. I had infrapubic, not sure if the guys with penoscrotal. Installing the the Ambicore is way easier than other 3-piece implants. I believe you will recover quickly. Keep on icing and heating. All the best!


Pain hasn't been a huge issue, but the swelling is bothersome. Using mainly cold with ice packs since yesterday. I will start switching between them tomorrow.

Another concern is the whether the stitches can withstand the swelling. Less blood in my urine today, but difficult to pee.

I have not unwrapped the bandaging yet. Doc told me to do so Friday, and shower. I may wait until Saturday, when I finally gross myself out.

Any advice from anyone on anything is greatly appreciated.
64 years old. Began experiencing ED in 2007. Pills worked well until 2012. Began injections in 2018. Could not maintain through completion. AMS Ambicor implanted June 9, 2021 by Dr Michael Wierschem at Baylor, Scott, and White, Plano, Texas. Single.

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

Re: AMS Ambicore Experience

Postby Waynetho » Thu Jun 10, 2021 4:59 pm

Hey pitmanm, another local guy! I had mine in October 2019 at BSW in Frisco by Mark Allen (also a Plano uro/surgeon).

Congrats and welcome to the brotherhood.

By the way, another reason I could see doing the Ambicore by penoscrotal is that it can be installed as a single sealed unit that way without having to connect any tubing together. Makes for an easier installation because there's no priming the pump, bleeding the bubbles from the lines or anything like that.

Probably makes for a more trouble-free device too since there are no interconnects to fail.
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

pitmanm
Posts: 32
Joined: Mon Dec 28, 2020 4:43 pm

Re: AMS Ambicore Experience

Postby pitmanm » Thu Jun 10, 2021 5:16 pm

Waynetho wrote:Hey pitmanm, another local guy! I had mine in October 2019 at BSW in Frisco by Mark Allen (also a Plano uro/surgeon).

Congrats and welcome to the brotherhood.

By the way, another reason I could see doing the Ambicore by penoscrotal is that it can be installed as a single sealed unit that way without having to connect any tubing together. Makes for an easier installation because there's no priming the pump, bleeding the bubbles from the lines or anything like that.

Probably makes for a more trouble-free device too since there are no interconnects to fail.


Thanks Wayne. I had considered Dr Leroy Jones in SA, but lost my job May 2020 due to Covid. I retired to Lake Texoma. I found myself widowed in 2018. I got really tired of the "talk" with potential partners. And to their credit, none of the women were negative, but I had to get the permanent fix.

Also, I found that I was not nervous at all yesterday. In 2002, emergency surgery caused my testicles swell up to grapefruit size. It took 4 days for a return to normal. I thought that this couldn't be worse, and this was to gain function.

Pain has not been overwhelming, but the swelling is very awkward. I hope to see improvement by Monday. I have to fly to Pittsburgh on July 1st for my only sons wedding, so I'm focused on the right things to do.

Thanks for the checkin and feedback.
64 years old. Began experiencing ED in 2007. Pills worked well until 2012. Began injections in 2018. Could not maintain through completion. AMS Ambicor implanted June 9, 2021 by Dr Michael Wierschem at Baylor, Scott, and White, Plano, Texas. Single.


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