Implant w/Dr Loh Doyle (USC) - LGX700 15cm/5cm RTEs & Scrotoplasty

[Lost Sheep]

These guys are so soft. Don’t tell unless you want to. Women don’t understand anything about size. 8.75 and 8.3 is basically the same number to them. As far as getting pipe hard for her…she will just think that your relationship is stronger than ever. Women don’t understand anything

I am compelled to disagree. I have plenty of evidence but too much to list (or find links).

Let me just say this; women understand a lot more than men think. They just 1) understand differently than men do and 2) don't always tell us what they understand.

Why they do that second thing, I don't understand. But if you find a woman who will explain it to you, she's a keeper.

[Gt1956]

Thanks for sharing, blankloads. For those without insurance, or Europeans unfamiliar with how ridiculous our healthcare system is, let me reassure you before you die of sticker shock: the cost won't actually be $106,000. Those prices are marked-up in order to be heavily discounted. Your cost without insurance will be somewhere in the $15k-$30k range depending on who you go with. Still a pretty penny, but much more attainable than if it cost $100k+.

I've said the same many times. It's just a stupid game the insurance & healthcare groups play while we are the spectator's.

[Lost Sheep]

Thanks for sharing, blankloads. For those without insurance, or Europeans unfamiliar with how ridiculous our healthcare system is, let me reassure you before you die of sticker shock: the cost won't actually be $106,000. Those prices are marked-up in order to be heavily discounted. Your cost without insurance will be somewhere in the $15k-$30k range depending on who you go with. Still a pretty penny, but much more attainable than if it cost $100k+.

I've said the same many times. It's just a stupid game the insurance & healthcare groups play while we are the spectator's.

and the victims. Collateral damage.

And the ones funding it as well.

[Blankloads69]

Today I finally looked at my doctor's notes that he took after the implant procedure. Thought it might be interesting to some of you folks.

SURGEON: Jeffrey Loh-Doyle, M.D.
ASSISTANT:
1. Stuart D. Boyd, M.D.
2. Dordaneh Sugano supine, M.D.
PREOPERATIVE DIAGNOSIS: Medication refractory erectile dysfunction
POSTOPERATIVE DIAGNOSIS: Medication refractory erectile dysfunction.
OPERATIVE PROCEDURE:
1. Implantation of an inflatable penile prosthesis.
2. Scrotoplasty

INDICATIONS FOR PROCEDURE: Mr. _____ is a 31-year-old male with arterial insufficiency erectile dysfunction. The patient has been a poor responder to oral therapeutics. The patient is here today for definitive repair. The patient also has mild scrotal tethering at the penoscrotal junction.

PROCEDURE:
The patient was taken to the operating room and after adequate induction of general anesthesia, he was placed in the supine position. He was prepped and draped in the usual sterile manner. A 3-cm incision was made in the midline of the infrapubic area of the penis. We dissected through the underlying tissues until we encountered the underlying penile structures. The neurovascular bundle was identified in the midline. We then placed stay sutures just lateral to the neurovascular bundle in both the right and left corpora.

We first incised the right corpora. Sequential dilation was performed using Hegar dilators up to size 12 Hegar, both proximally and distally. The right side measured 20 cm. We then repeated this on the left side. The left side also measured 20 cm. The patient was quite deep posteriorly. We then placed 15cm LGX cylinders with 5 cm rear tip extenders into each corpora using the Furlow introducer. The resulting fit was excellent. We then reapproximated the corporotomies using 3-0 PDS suture in a running watertight fashion. A Luer-Lok syringe was then used as a surrogate reservoir and the erection was tested. The resulting erection was quite straight. The patient had some very mild dorsal curvature, which is anatomic and natural. Gentle modeling was performed. The penis was left partially inflated. We then placed the pump towards the midline of the scrotum.

Lastly, because the patient did not have any previous surgery in the space of Retzius, we then accessed the space using a small incision in the midline of the anterior rectus fascia. We split the rectus muscle atraumatically and created a space adjacent to the bladder on the left side. We then placed a 65 mL reservoir into the space and this was pressurized with normal saline. We then connected the reservoir to the pump using a straight connector. The anterior rectus fascia was reapproximated using 0 Vicryl suture. A 10-French Jackson-Pratt drain was placed through a separate stab incision and this was made to lie adjacent to the pump in the infrapubic wound. We then reapproximated the infrapubic wound in multiple layers of 2-0 PDS suture, a 3-0 Monocryl suture, and 4-0 Monocryl suture.

We then proceeded to perform our scrotoplasty. The patient had mild penoscrotal tethering at the penoscrotal junction. We made a small elliptical incision at the penoscrotal junction where we excised the excess scrotal tissue. We then proceeded to delineate the tissue quite deeply near the urethra so that we could perform a pexing stitch so that we could reconstruct the penoscrotal junction in a more proximal location on the penile shaft. This was done using 3-0 Vicryl suture. This achieved a nice exposure of the proximal penile shaft. We then reapproximated the subcutaneous tissue using 3-0 Vicryl suture and the skin was reapproximated using interrupted 4-0 nylon suture. This terminated the procedure.

A 16-French Foley catheter was placed easily with clear return of urine. Compression dressings were applied to both the scrotum and the penis and the infrapubic wound was dressed with Steri-Strips and Mastisol.

ESTIMATED BLOOD LOSS: 5 mL.
COMPLICATIONS: None.

[Blankloads69]

I had sex for the first time after surgery. Went through 3 episodes of a TV show in the background before she had to stop from being sore. It was great to be able to stay hard the whole time, but I think it's still to early after surgery. I didn't cum during sex because there was a lot of soreness still, and it's made my dick more sore than usual these last few days to where cycling hurts again. At least she came all over me though. That helped my confidence immensely.

[RoboCock69]

I had sex for the first time after surgery. Went through 3 episodes of a TV show in the background before she had to stop from being sore. It was great to be able to stay hard the whole time, but I think it's still to early after surgery. I didn't cum during sex because there was a lot of soreness still, and it's made my dick more sore than usual these last few days to where cycling hurts again. At least she came all over me though. That helped my confidence immensely.

Hell yes! These are the kinds of stories we need more of around here. Pump and hump!

[oldbeek]

Thanks for sharing, blankloads. For those without insurance, or Europeans unfamiliar with how ridiculous our healthcare system is, let me reassure you before you die of sticker shock: the cost won't actually be $106,000. Those prices are marked-up in order to be heavily discounted. Your cost without insurance will be somewhere in the $15k-$30k range depending on who you go with. Still a pretty penny, but much more attainable than if it cost $100k+.

. USC is a teaching hospital. They always bill insurance high. I think it is a way to fund them. Medicare paid 76,000 to Usc for my implant.

[HikerMan]

Hi , I got inplanted by Doc Loh Doyle 12 days ago. Great guy. Great Doctor. My penis remained the same color, no major bruises. If you need to chat, hit me up, Bill

Hi Bill, seriously considering Dr. Loh Doyle?

quick question.
Do you have any regrets?
thank you.

[ventura]

No regrets at all, great guy , great surgeon. My Penis was original color after surgery. I thought it would be all purple , but not. Old Beek went to USC also

[Tmansdorfer]

I agree as well, Dr Doyle and dr Boyd are great , after my nightmare of surgeries dealing with infection they knew how to fix me. They have great bedside manner and make you feel like they actually care about you.