32 old and severe ED. Considering an implant. Is there any world class surgeon in Europe?

[smphead]

Come to the us and get it done right the first time. Penoscrotal, no floppy glans, low risk of infection. That being said, I would encourage you to try to see if you find the root of your issues and try doing some lifestyle changes at first before getting an implant. Dietary habits, overconsumption of porn and masturbation, high bp, being dehydrated, prostate issues, tight pelvic floor muscles, medications, and Peyronie’s disease can all play a role in causing Ed in a young man. At our young age we shouldn’t have ed so there must be something causing it and if it’s reversible we should explore it before jumping into a implant.
A implant is a irreversible treatment option that irreversibly changes your penis for the rest of your life. Sensation will not be completely the same you will never know how you feel about having it until you can’t go back. There is nothing like a natural penis, an implant is a great solution if you really are at the end of the road and that natural penis is entirely gone. I know it sucks to have Ed as a young guy and the implant with its everlasting erection sounds like the holy grail, but I encourage you to really think about the making decision and not rush into it until you give it time and try other avenues.

‘Come to the US and get it done right the first time’

Yeah because the US is the only country in the entire world with skilled surgeons.

Give me a break! Get over yourself.

Dr Ralph in London is essentially the don of Urology and an implant specialist. He does approx 200 a year.

I am over myself. I’ve read many threads of people getting implants done elsewhere and they are short changed and left with floppy glans. The majority of the threads I’ve read that have been success stories have been from the well known us doctor’s.

I’m sorry if I offended you or your country, but perhaps it is you that has to get over themselves.

Your post makes people who can't afford a trip and a procedure by an US 'topdoc' depressed, you are taking their last hope away. Sure, there are shitty doc's with shitty outcomes, but their are more well-skilled surgeons, even whose names never been mentioned here

[jimmi85]

You absolutely do not have to go to the US for an implant. To imply this is simply absurd. If you want the best, such as Eid then yes you will need to go to NYC. Is this to say that anywhere else in the world you will come out with a less than perfect outcome?

Clearly going to a surgeon anywhere in the world who does one a month is likely not going provide one with an optimal outcome although that one a month he does could be perfection. However, a surgeon that does 200 per year can also make a mistake and a revision may still be needed. However the % of something going wrong decreases as the surgeons volume increases.

[defiant]

Simply misguided, illogical, incorrect, prejudiced thinking.

Plenty of high-volume implant experts in the UK and EU combined.

OP, you’ve been give a few names now. There are more. But no need to go to the States.

[SwissTalk]

Ok, well so far Antonini and Ralph were mentioned. Definitely will look into those names.

But first another CT has to be performed and the doc wants to look into a disc hernia from 2018...
Not sure if anything would change my options. I almost wish for a venous leak, so at least embolization could be tried.

[tomas1]

I really don't have an opinion about using local doctors or not but my experience was that I took a leap of faith and used my local urologist.

I only saw one guy on Frank Talk who had my doctor and he nearly died from an infection.

I believe he does several a week and I think as someone has said that even a low volume guy who knows his craft may be better than a high volume guy who probably has an associate doing the actual work.

No knock intended, but does Dr Ralph do most of his own operations?

[Youngmen]

I had mine done by dr osmonov in germany. Haven't lost any length or girth. He makes 100-150 a year.

[Whywhywhy]

‘Come to the US and get it done right the first time’

Yeah because the US is the only country in the entire world with skilled surgeons.

Give me a break! Get over yourself.

Dr Ralph in London is essentially the don of Urology and an implant specialist. He does approx 200 a year.

I am over myself. I’ve read many threads of people getting implants done elsewhere and they are short changed and left with floppy glans. The majority of the threads I’ve read that have been success stories have been from the well known us doctor’s.

I’m sorry if I offended you or your country, but perhaps it is you that has to get over themselves.

Your post makes people who can't afford a trip and a procedure by an US 'topdoc' depressed, you are taking their last hope away. Sure, there are shitty doc's with shitty outcomes, but their are more well-skilled surgeons, even whose names never been mentioned here

Your right man and I shouldn’t be doing that. Just do your research and pick the doctor that you trust and feel the most Comfortable with.

[2435tjklAS]

tl;dr (too long, didn't read): my ranting opinion about how the bad stories you hear about implant surgeons is, in my uneducated opinion, counterintuitively a reason why you can confidentially trust most any trained urologist.

I'm not offended cause I spew out irrational stuff all the time, lol, but fwiw here I'd suspect that you hearing bad stories about certain other doctors is a case of how the only stories you'd ever hear about them are "bad ones" but that has little to nothing to do with their skills.

I got mine done by my urologist I've been seeing for a few years now. He's never been mentioned here or on google about implants. He's my doctor, I have zero reason to doubt anything. If my surgery went bad and I end up with floppy glans or whatever, I (or at least a lot of people in my situation) would show up here to complain. If it goes good? Why would I ever come here to say anything? "Yep my doctor Steve you've never heard of did a great job with my dick surgery, I recommend!" So you're only ever hearing the rare outliers, that one time something did go wrong.

That's relevant to what I cited earlier:

Patients treated by higher volume implanters are less likely to
require reoperation after inflatable penile prosthesis insertion than those treated
by lower volume surgeons

Less likely? By how much? So, Dr. Rosselló Barbará or Dr. Ralph you would be less likely to have problems. Your regular urologist? Well, slightly more likely. I guess. But common? No.

Dr. Ralph isn't batting .1000 here. And your urologist doesn't have a batting average of .400. It's just a little less likely for them to screw up.

Also,

Penile implants are no exception to this general rule of surgical outcomes; ergo, it may be preferable that penile prosthesis surgery not be performed by “dabblers” but rather by individuals who have had intensive training and/or extensive experience with implant surgery.

Implant surgeries are no exceptions from neck surgery or whatever. A world-class one who does 3 a week gonna have better odds of not screwing up than someone who doesn't. Does that mean there's like a 35% chance of failure with your local one? No, no doctors practicing medicine in America or Europe or wherever else are doing hack jobs. But that one time they did, the outlier, you hear about that.

And keep in mind if a patient of the "world class" ones you all talk about, if a patient does get the floppy glans, what's he gonna do? Come here and yell about how upset he is with the expert? No, he's prob gonna talk to his freaking doctor about it, not you all.

This is kind of the same concept as why media is screwing up our lives and making everyone scared. When you turn on the news you hear and read bad stories all the time, so you think bad stuff is always happening out there in the world. Problem is our world is safer today than it's ever been in history (you can fact check that - you are less likely to get murdered or robbed today than in the 1950s - those times were more dangerous) - the only difference is now we have a 24/7 news cycle that profits off of the shock stories. Russia and Ukraine killing each other now gets more viewers, more ad money, more profit. That triple homicide somewhere 400 miles from you? You hear about it on three social media platforms and the 7 news stations and articles. 1950s happened more often, but you didn't hear about it like we do today.

About all that though, I would never blame anyone for wanting the best-of-the-best for an implant. It's our freaking dicks, so I completely understand how virtually every man would want and desire the best of the best, because...it's our freaking dicks.

It's just my opinion that not trusting my urologist in anything would be wrong. That's why he's a freaking doctor.

Cliffs: Bad implant stories you hear about don't really mean anything. If you talk to your doctor about an implant and they think the procedure is good for you, freaking trust them. Hasn't the older generation always trusted their doctors wholeheartedly while it's the young generations today who base everything they believe off google and what they read online?

What made this clash between generations different?

For the ending: I said earlier I don't actually know anything and am just an idiot with a brain injury who smokes far too much weed and likes to go on tl;dr philosophical rants online before bed, though it's my opinion that believing you need to be flying to different continents for your 45 minute procedure is not warranted.

[smphead]

I am over myself. I’ve read many threads of people getting implants done elsewhere and they are short changed and left with floppy glans. The majority of the threads I’ve read that have been success stories have been from the well known us doctor’s.

I’m sorry if I offended you or your country, but perhaps it is you that has to get over themselves.

Your post makes people who can't afford a trip and a procedure by an US 'topdoc' depressed, you are taking their last hope away. Sure, there are shitty doc's with shitty outcomes, but their are more well-skilled surgeons, even whose names never been mentioned here

Your right man and I shouldn’t be doing that. Just do your research and pick the doctor that you trust and feel the most Comfortable with.

Thanx for your comment!