Request Guidance !!

[krishna]

Hella Gentlemen:

My name is Krishna,and iam a 33 yr old who's been advised to have penile implant due the ED.
My ED was caused by self inflicted trauma to penis.. at the age of 21,i bent my erect penis and experienced a shrinking sensation inside my penis.. and since then unable to have a proper erection.. the erection also doesnt last for more than a few seconds... anyways i came across the below article which DISCOURAGES implants...
i have copied the article and posting here so that i may get some adivce from the forum members... Kindly appreciate ur advice

the gentleman calling him "shorter and sadder" posted in http://www.steadyhealth.com/Removal_of_ ... 44248.html
"

If you ask me, it is a sham. Shorter length is guaranteed because of he sutures and healing, which amount to one big (an irremovable) plaque deposit. I was a fool to tune into the Peyronies Disease Society chat room; it's full of cheerleaders, which makes me believe that it is corporate run. AND DON'T LISTEN TO CORPORTATE REPSl they are like asking a car salesman if you need a new car. I would never do it again. My life took a sever hit. I now know what the inside of a therapist office is like, what major depression is like, what insomnia is, and headaches. If there is anyone out there who is in the process of making a decision, I have 18 questions you need to know (below) and their answers BEFORE doing this surgery.
<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
Your surgeon is obligated legally to tell you certain things about the penile prosthesis, like you will lose your natural ability to get an erection, and there could be serious side effects such as infection. There are myriads of things he is not obligated to tell you, and in the interests of making his living, he won’t tell you. A small list follows. You need to know these things and ask these questions of your specialists. And get two, or better three, opinions from surgeons for surety.
Will penile prosthesis surgery cause my penis to become shorter?
Answer: Unless you are having penile reconstructive surgery, surgery to implant a prosthesis is guaranteed to make your penis shorter because of the stitching of the penis tissue involved during the operation. Testimonies in chat rooms range up to two inches.
You would do well to assume that a shortening of the penis is a side effect that will occur to 100% of all prosthesis recipients. You cannot escape it.
In addition, the scar tissue from the incisions will likely thicken, gathering up more skin and affecting shortening. From the viewpoint of the corpus cavernosa (the inflatable cylinders of the penis) the incision and placement of the prosthesis represents not cosmetic surgery but a mutilating procedure. So another question would be, “What will the scar you make in the shaft from the incision do to the length of my penis? Take note on how the surgeon tries to wiggle out of this.
In addition to the shortening process during surgery, and perhaps the continuation of Peyronies plaque formation, as time goes on the device will inflate less and less due to the membrane sheath which the body will construct around the device. (See question #3, #4, and #8.) These will shorten the penis according to their effect.
And if you’re concerned about penis length, you’re probably concerned about your testicles. Know that the pump of the device that is placed in your scrotum will dominate your scrotal sack because of its size, corners, and contours. Just another consideration to be aware of.
What about girth?
Answer: Girth will not increase, though your doctor might say it could. Actually, your penis has a better chance of coming out with less girth than more. Your body will treat the prosthesis as an invader and bind it in a membrane of organic plastic (plaque) as a way of sealing it off from the rest of the body. In time the connective tissue will harden and thicken, impairing use. As the connective tissue casing around the prosthesis gets thicker and older, you will likely be squeezed out of both girth and even more length.
Will I have to perform any daily manipulations of the prosthesis device after surgery?
Answer: Yes. You will be required to perform daily manipulations of the implant device to prevent shrinkage and gain back a portion of your previous length. This is for two reasons (which the doctors will not mention): 1) the Peyronies disease will in all likelihood continue after the surgery, and the stretching of the penis will be necessary to stem some of this (covered in more depth in Question #8); 2) the body will grow a tissue membrane over the implanted device to seal it off from the body as a protective measure, and this in time will constrict and prevent full expansion of the cylinders, rendering your penis shorter (covered more in depth in question #4). Hardly things your surgeon will mention because never forget that his job consists of performing surgery, not talking patients out of having surgery.
As an additional way to stem the encroachment of the protective membrane, you may be advised to inflate your penis to a semi-erect state more or less permanently to keep it stretched out. In other words, it works against you to carry your surgically treated penis in a flaccid state.
Some doctors recommend two erections a day for five minutes, pretty much forever. Fun, huh? It’s called daily mechanical masturbation. And the directions to these maneuvers are scant. Ask four surgeons what exercises should be done after surgery and you’ll get four different answers, with at least one neglecting this aspect. Most doctors either do not know or won’t give you specific post-operative rehab directions on how to do this. Why? I suspect this leaves them an out should things turn against you in time.
One user reports that as the protective membrane gets older (and presumably thicker and more constrictive), the expansion of the cylinders is hindered. In other words, the membrane thickens and constricts the penis so the inflating process is lessened with the passing of time. This makes the faux erection less rigid as time passes, another dirty little secret your surgeon won’t bother with.
Another consideration: for some, this mechanical masturbation may cross boundary lines of their spiritual lives. Once you have the operation, you have no choice; either practice the erection exercises or settle for a smaller penis.
Also, because the inflating exercises are related to the length of your penis, they are always on your mind. A constant and bothersome nag.
If you give your same mechanical masturbation time to Thacker’s Formula, you can cure yourself of the disease entirely.
Questions to contemplate: Wouldn’t you agree this is something you should know before surgery? Why wouldn’t your doctor volunteer this information?
What about the antibiotics coating the prosthesis?
Answer: The prosthetic device is impregnated with antibiotics, some of which are known to produce serious side effects in certain doses. This has nothing to do with your body rejecting the device; it has everything to do with infection. If you are concerned about your health because of the harmful effects of antibiotics, you should be concerned about PI surgery.
In addition, your body will treat the prosthesis exactly like it would a cancer or acidic salts—encase it with protective tissue, trying to seal it off and minimize its effects, thereby creating a "tumor." This will harden the device, create hardness and shrinkage, and speed up time for a replacement. This is the reason for daily exercises.
If the device needs to be replaced, any surgeon will tell you that second surgeries for the same purpose and twice as difficult, carrying twice the risks, and twice the scarring implications.
Also, do not settle for “the prosthesis is impregnated with antibiotics which cuts down on infection.” Find out the names of these antibiotics and look up their side effects. Side effects means that people have contracted these problems using the drugs. Know also that if you are acidic, your chances of contracting these side effects are increased.
Before reading another word, it is strongly suggested you look up “Minocycline” and “Rifampin”, two anti-biotics which coat the prosthesis, and meticulously study the side effects.
Will I need to take any antibiotics as a result of this surgery?
Answer: Before any subsequent dental surgery you will need to take antibiotics. Check with your dentist to make sure. That is, tell your family dentist and his staff you have a penile prosthesis. That should be fun.
Will I have any trouble with body scans at airports?
Answer: Plenty. When traveling by air, you will have to notify TSA of your prosthesis surgery to prevent an agent from being alerted to the device via body scans. If the TSA agent is alerted via the body scan, you will be pulled from the line under scrutiny for an explosive device. You may ask for a pat-down but you will have to give the reason.
Will the device perform as well as my natural erection?
Answer: It won’t be as well as your normal, natural erection. Nothing can be.
Will the prosthesis stop the shortening process of Peyronies?
Answer: No. On what basis would it? The shortening process of Peyronies will continue after surgery, with the aid of the scarring and protective tissue coating. It may even stimulate further Peyronies, if the theory that plaque forms over microscopic scars and microscopic tears is true. The more you fornicate, the more tears will be created.
Your best chance at resisting further shrinkage will be with your skill in doing the mechanical exercises of the device, though this is no guarantee. You must fight shortening with daily inflations of the device, diligently and painstakingly. Don’t think you can skip this mechanical manipulation. Again, as time goes by, depending on how well your exercises go, the protective coating the body constructs around the prosthesis will thicken and constrict, rendering the cylinders shorter and more inelastic. And you must devise your own program with this, as many surgeons consider the job finished once the sutures are in place.
This is the dirtiest secret in the penile prosthesis process. From the moment the prosthesis is placed, the body commits war on the device. In time, it will cover the prosthesis with a membrane as a way of sealing it off from the rest of the body. Over time, this membrane will thicken and render the contents inelastic, and only the most dedicated and thorough mechanical masturbation exercises can hold this at bay. This reduced elasticity will fight the efforts to inflate the device, so that the inflation will diminish with time, further reducing size and rigidity. The standard five-year guarantee can be seen as a timeframe in which this process plays itself out. It’s a war between your body and the latex, and your body will win. Thus, in time the erection qualities of the device will lose their effectiveness. You could opt for a new model every several years or so, with increased shrinkage to the scarring and Peyronies, which is under no obligation to stop.
To summarize, when it comes to the body’s preventive and restrictive membrane versus plastic, the membrane will win. This makes it imperative that you realize this process, and try other methods first.
What will be the cost of the prosthesis surgery?
Answer: He'll downplay this question, feigning that it is of no importance, then charge you up to $40 K, times two if you need a replacement. You mean big business to him. This is why he is not mentioning these and other things.
The surgeon’s job is to do surgery. Don’t expect him to talk you out of it. Don’t expect him to help you with the questions you should be asking. That's up to you—don't expect him to play devil's advocate. The reasons relate to all of the above. The sooner you realize this, the clearer the image.
Should I try alternative therapies?
Answer: Your doctor won’t say much about alternative, non-medical therapies. He may encourage you to try them—knowing you don't know where to start or what works. He knows this will begin a web search on Peyronies, that you’ll eventually investigate the chat rooms, which are filled with surgery cheerleaders. But likely, he’s shrug his shoulders. Alternative medicine not in his realm of knowledge.
I notice that breast implants enhance the woman quite well. Can I expect the same with this operation?
Answer: The penile prosthesis doesn’t correspond in any way to breast implants, which universally enhance size and improve aesthetics. Your prosthesis will do neither. If you are talking about gaining size, unlike breast implants, you will lose size.
Penile prosthesis is not cosmetic surgery in any way, shape, or form. It subtracts length and will not function as well as a normal working penis.
Can I use alternative medications after having a penile prosthesis or implant?
Answer: NO! Many herbs and/or methods used in alternative medicine (like Thackers Formula) effect the body by dissolving mucuses, occlusions, blockages, tumors, warts, et cetera. The ingredients will attack your synthetic device and spread the chemicals and antibiotics through your system, possibly causing serious health problems. If you have surgery, all alternative therapy is pretty much out.
Should I take Vitamin E?
Answer: If your surgeon suggests Vitamin E as a treatment, question his competence. Vitamin E has never cured Peyronies in the history of man.
Doctor, do you want to see pictures of my erection?
Answer: Sorry, but this is necessary for a complete examination of the problem. If the urologist/surgeon does not want to see pictures of your erection, he is more interested in surgery than your penis.
Doc, advise me why I shouldn’t have this surgery. Why?
Answer: This question should be asked of every one of your specialists. Compare their answers. They might give you something useful.
16. What are the adverse after-effects to surgery?
Answer: This can be used as a follow up to Questions 15. Your surgeon sitting across from you has all the experience and information you would need to avoid this invasive surgery. He knows about the adverse reactions not contained in the literature, the immune system reactions, the potential harm of anti-biotics, and the physiological reactions to invasive surgery and implants. Likely, he has had patients who have experienced after-effects that, if you knew about them, you would run out of the office. But he’s not going to go into case histories so you can decide if you want to take the risk. You have to chip it out of him, and even then you probably won’t get everything. Never forget: Invasive surgery is a shock to the body and no one is certain how it will react and what it will come up with to cope. Your doctor is there to make a living and ply his trade. Your job is to protect yourself by getting all the information you need.
17. What will the antibiotics used during the surgery do to my body?
Answer: They will completely wash out the good bacteria from your colon, and if they aren’t carefully replaced, your colon will suffer through the subsequent digestion processes until they are. Also, the antibiotics will hamper your immune system. Your body will treat them exactly like poison and begin an emergency effort to neutralize them and get them out of the body pronto. They will triage this ahead of the acids in your tissues, that’s how important getting them out are.
18. Is there any pain or performance problems connected with this operation?
Answer: Yes. There can be pain in the glans (penis head) due to the prosthesis cylinders pushing against it with each thrust during intercourse. Also, some patients have complained of a “deadened” feeling, or loss of sensation, in the penis.
Performance issues are not a problem, if you mean getting an erection. An erection is guaranteed. This fuels the chat rooms and even surgeons to espouse that you’ll fornicate like an eighteen-year old again. Very enticing, until you realize that you are not eighteen-years old. If fornicating endlessly at age 50-70 sounds appealing, you ought to try it sometime. Many would say it is pure, annoying work, particularly for a spouse of the same age.





If any of the forum members can give some clairifcation regarding the above article,it would be deeply appreciated

Thanks

[Bionic_by_AMS]

Krishna,
Welcome to Ft ... that article is total hogwash! If you have any specific questions ... just ask, we are not shy here.

[Dave48003]

Read the many historical postings on here. Several guys before my implant and after have carefully documented their whole journey, good and bad. I believe you can still search "LGX log" on google and it will take you to my posting. I took pictures and measured before the surgery, and took pictures and measured after the surgery. Much of what this guy mentions seems to be related to Peyronies. In my case, I simply had a dick that wouldn't stand up. Bottom line, now it does. And its is harder than it ever was, within 1/4" of the longest it ever was, and is as thick as it ever was. My scar is imperceptible. I have made standing offers to demonstrate this device personally to anyone who is genuinely interested and I believe I have sufficient documentation to debunk 90% of this guys ranting.

Read all of the posts on here, then come back with specific questions. Better yet, go back to Mr. Negative and ask him to justify what seems to be a minority opinion when compared to what you will find here. You say you request guidance, forget that, there is plenty of it already here. You just want someone to say it all again so you don't have to read it all. Sorry, this site isn't for a lazy person, you have to do the work yourself in order to make up your mind.

[bob1138]

Krishna,

Dave has it right --- get off your butt, do your homework --- then come back and ask some intelligent questions!!!

Bob

PS: I was implanted with the Coloplast Titan in December 2007 and am a proud member of
Dave's "Brotherhood of Bionic Boners"!!!

[Bxguy1]

Guidance? Can't you tell the difference between state of the art medical technology and a charlatan hack's blog trying to sell you some voodoo medicine? I understand your trepidation on having major surgery but there are other sources to look at to find out what you need to know. If you google penile implant procedure, you will find several legitimate research publishings which ascertain success rates for patients in different control groups..then there is FT and yahoogroup for penile implants..where the majority of men are regular men with ED trying to find answers...
Do yourself a favor ...pic and choose your sources wisely..quick fixes usually are gimicks for profiteering scammers!

[Neisseria]

There are lots of posts about length, i will try to resume: If the Surgeon performs a good surgery the final length should be your stretched penile length. The stretch length is not affected by the procedure, you don´t loose size there . The size will be smaller because the implant don´t affect the head, it´s up to your body if it engorges or nor. When you stop having erections for a lot of time the penis will loose size that can be recovered by penile traction or ved. If you have Cavernosal Fibrosis (trauma, priapism, injections, etc) the surgeon perhaps need to use smaller implants. If you have Peyronies disease the scar of the tunica albuginea will affect negatively the elasticity so the stretch length will be smaller so the final result the same. After Radical Prostatectomy you can loose up to 2 inches if you dont use Ved.

The real complication is infection and removal, the scar fills the empty space and you loose a lot of size , but its really rare nowadays with coated implants, security protocols and Mulcahy salvage procedure.

The infection occurs in 1% or less with coated, and like 3% in reimplatation ( in the past it was like 18% it really improved).
If you have the infection they remove the implant and you can opt to go for the salvage procedure: They clean the penis with 5 antibiotic , peroxid, etc its like an atom bomb for the bacterias haha and then they implant another new device. It´s effective in 80-85%

I think there are some people that seems to work for implants company but most people don´t. This is a great place for people with Ed =)

[tankerman]

NEISSERIA IS F'ING AWSOME I LIKE THIS GUY,,, CAN I CALL YOU FOR PENILE IMPLANT QUESTIONS? YOU REALLY SOUND LIKE YOU KNOW WHAT YOU ARE TALKING ABOUT,, THANKS AND I HOPE YOUR WEEKEND IS GOING GREAT.

[Neisseria]

I´m not an implantee, i´m an advanced medical student and i studied by my own about ed and implants . I will be glad to help, send me a message, but i recommend you to ask a real Doctor for the best answers.

[danny1553]

Krishna

Let's accept for a moment that you've convinced me.
Well, now what? My lazy dick is celebrating his victory and assures me he will not be any better in the future.
With my stupid venous leaks nothing works. Absolutely nothing! There is no therapy on this planet that would miraculously cure my condition. No medications make any difference, no matter what I try. No non-medical therapy makes a tiny bit of improvement.
So my options are either live the rest of my life with the limp dick; or with horrible implant...
Both options are so attractive that it is hard to chose...

[krishna]

Gentlemen,
I'm sorry for allowing my judgement to be clouded temporarily just by reading the rant of some random individual,on some random board

I was not fully convinced by that article either because if it were true then there would be a FT dedicated towards discouraging Implants rather an encouraging it !! ...and yet felt a bit nervous and thought it would be better to post it here and have it effectively Debunked on a point by point basis ,so that there would not be any doubts left in my mind or any other poor soul who has the misfortune to chance upon it

I liked the points raised by all the members here. The 3 Piece Implants are a proven state of the art technology and have 99% success rate and the 1% also failing due to infection(or careless attitudes)
The most important factor is to get a skilled and experienced Surgeon(Andrologist)

Danny's post was the best of all... from now on i will present the same choice to anyone expressing fear of implants ! Tough Choice !!!