Is there any reason to wait?

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Is there any reason to wait?

Postby Lost Sheep » Tue Oct 18, 2022 6:51 pm

indeed wrote:Hello everyone

I've pretty much decided on getting an implant with Dr. Eid. As you surely can understand, this is a very difficult decision and i would like to get some input.

I'll be 30 years old in December. I suffer from ED since over one year (following sex accident, dick got bent down - MRI showed no structural damage). Pills help my erections a bit, but it's not sufficent for sex. I had a Doppler and a cavernosonography that confirmed venous leak. The injections (caverject) for the tests only got me engorged, not hard.

This last year has been the worst of my life. I need to do something about this asap.

So pills are not sufficient, injections don't work. Is there any reason to wait at this point? Am i missing something?

Any advice or opinion is appreciated.

Thanks a lot!
Cheers

Welcome to the forum, indeed. Thanks for asking a VERY reasonable question. It needs to be considered by every man (or woman) before any life-altering decision, not just penile implants. But here is my essay on the answer.

Short answer - Maybe two reasons. 1) If your function is at all satisfactory and you would regret losing that function if the implant does not succeed for any reason. 2) If there is potential for any other treatment to make things better or if you can have satisfactory sex without the implant (there are a lot of other ways, you know.)

Long answer:

The first surgical consult I got was with a urological surgeon who does a lot of implants but he told of one he regretted doing.

It was on a fairly fit man (military pilot, who HAVE to be fit) who would have been a ideal candidate for Viagra. Unfortunately, Viagra had not yet been released. So, the man got an implant a few months before Viagra was available. Almost 20 years later he (the surgeon) still feels badly for that decision, though it was the best option at the time. But just a couple of months would have meant a huge difference to his patient.

An implant virtually destroys any remaining erectile function, rendering you 100% impotent, but for the erection the implant provides. And the implant erection is not perfect. But it is pretty good.

If you are willing to lose what erectile function you have now, you can go for the implant. There is no miracle cure on the horizon (that we know of).

The chance that you will lose your own erectile function with an implant is 100%. The chance that the implant will give you erectile function is very high (failure rate is very low).

I rolled the dice because I calculated the odds were good and I hade very little erectile function to lose. All sex was oral except for the rare penetration which never lasted more than a minute or two.

I miss giving my girlfriend the joy of a rising penis when she touches me. So does she. But the trade-off for an erection that is reliable and durable is worth it.

Getting an implant is like a man with bad ankles who can hobble through a 20 minute mile but is offered prosthetic feet that allow him to run a 5 minute mile. But if/when they fail, puts him in a wheelchair - until he gets new prostheses. I was that 20 minute miler with complete failure looming on the horizon, so I opted for the prosthesis. I do not regret it.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

aussiePeyronies
Posts: 681
Joined: Thu May 05, 2022 9:44 am

Re: Is there any reason to wait?

Postby aussiePeyronies » Tue Oct 18, 2022 10:46 pm

frwmw1 wrote:Interesting story...

A reason given to me by a Urologist surgeon I saw, was that the implant would not last my lifetime. I then asked about revisions. The Urologist then quickly commented that he rarely ever sees patients after successful implant procedure, and so is unsure of that outcome.

This puzzled me for awhile, and it wasn't I read this forum that I picked up that what I think occurs is that revisions are a speciality among Urologists, as it is a more difficult procedure, so only a subset do it, so most Urologists err on consulting patients to delay implants.


Interesting post. I have also read the same, some urologists state that the revision surgery is harder, some state it's easier. So, there is some conflicting views. Would love to get some info from someone who's actually had the revision surgery. Will really help us guys in our 20s/30s considering an implant.
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Is there any reason to wait?

Postby Lost Sheep » Wed Oct 19, 2022 12:05 am

aussiePeyronies wrote:
frwmw1 wrote:Interesting story...

A reason given to me by a Urologist surgeon I saw, was that the implant would not last my lifetime. I then asked about revisions. The Urologist then quickly commented that he rarely ever sees patients after successful implant procedure, and so is unsure of that outcome.

This puzzled me for awhile, and it wasn't I read this forum that I picked up that what I think occurs is that revisions are a speciality among Urologists, as it is a more difficult procedure, so only a subset do it, so most Urologists err on consulting patients to delay implants.


Interesting post. I have also read the same, some urologists state that the revision surgery is harder, some state it's easier. So, there is some conflicting views. Would love to get some info from someone who's actually had the revision surgery. Will really help us guys in our 20s/30s considering an implant.

The recovery is said to be easier on the patient. I have no idea if a revision is more difficult for the surgeon.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Stupid
Posts: 50
Joined: Tue Sep 13, 2022 2:40 am

Re: Is there any reason to wait?

Postby Stupid » Wed Oct 19, 2022 3:40 am

I asked my urologist about an implant, he said that all the people he talked to that get it don't use it, so what is the use? He basically discarded my comment about it and did not recommend it, I guess I am supposed to just keep seeing him and using trimix?
My questions are
1 - doesnt scarring occur over time that cancels or shortens or make impossible regaining any length? 2 - doesnt trimix eventually stop working and for me, (used to use 30 years ago) and
3 - what is the solution to the pain after the shot: the Pain is most most uncomfortable afterwards for hours/days. At a dose size of 50 now, maybe need to go to a 60 to work, plus anyone notice that trimix now expires way faster and way more expensive than before. University Compounding in San Diego.
RP 2015. all downhill real fast. 2022 consulting doctor at USC. Apptmt is in November going bionic??

Time2Change
Posts: 427
Joined: Sun Sep 13, 2020 7:32 am

Re: Is there any reason to wait?

Postby Time2Change » Wed Oct 19, 2022 5:16 am

Stupid wrote:I asked my urologist about an implant, he said that all the people he talked to that get it don't use it, so what is the use? He basically discarded my comment about it and did not recommend it, I guess I am supposed to just keep seeing him and using trimix?
My questions are
1 - doesnt scarring occur over time that cancels or shortens or make impossible regaining any length? 2 - doesnt trimix eventually stop working and for me, (used to use 30 years ago) and
3 - what is the solution to the pain after the shot: the Pain is most most uncomfortable afterwards for hours/days. At a dose size of 50 now, maybe need to go to a 60 to work, plus anyone notice that trimix now expires way faster and way more expensive than before. University Compounding in San Diego.


I don't have answers to your questions about injections.

But I am surprised by your urologist's comment. There are guys of a broad range of ages and situations here who report regularly and happily using their implants.

I'm one of that group.
55; ED for 23 years; Coloplast Titan implant on 10/26/20; Dr. Martin Gross; Happy to share my experiences in private messages

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Is there any reason to wait?

Postby Gt1956 » Wed Oct 19, 2022 3:32 pm

Stupid wrote:I asked my urologist about an implant, he said that all the people he talked to that get it don't use it, so what is the use? He basically discarded my comment about it and did not recommend it, I guess I am supposed to just keep seeing him and using trimix?
My questions are
1 - doesnt scarring occur over time that cancels or shortens or make impossible regaining any length? 2 - doesnt trimix eventually stop working and for me, (used to use 30 years ago) and
3 - what is the solution to the pain after the shot: the Pain is most most uncomfortable afterwards for hours/days. At a dose size of 50 now, maybe need to go to a 60 to work, plus anyone notice that trimix now expires way faster and way more expensive than before. University Compounding in San Diego.

A few opinions. Yes, your doctor seems to be either uninformed, believes hearsay or wants to keep a steady customer.
1. Internal scarring from any of several causes is not good. It can be permanent at worst to just difficult to deal with at best. My personal opinion is why risk scarring.
2. I think that time has proven that all treatments eventually fail. Implants are the final step & seem to last the longest. At least if an implant fails you can get a new one. That option doesn't exist with the early steps.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: Is there any reason to wait?

Postby nuance » Thu Oct 20, 2022 7:01 am

aussiePeyronies wrote:
frwmw1 wrote:Interesting story...

A reason given to me by a Urologist surgeon I saw, was that the implant would not last my lifetime. I then asked about revisions. The Urologist then quickly commented that he rarely ever sees patients after successful implant procedure, and so is unsure of that outcome.

This puzzled me for awhile, and it wasn't I read this forum that I picked up that what I think occurs is that revisions are a speciality among Urologists, as it is a more difficult procedure, so only a subset do it, so most Urologists err on consulting patients to delay implants.


Interesting post. I have also read the same, some urologists state that the revision surgery is harder, some state it's easier. So, there is some conflicting views. Would love to get some info from someone who's actually had the revision surgery. Will really help us guys in our 20s/30s considering an implant.


I read it's the reservoir that's hard to retrieve in a revision. Would love to hear from anyone that got a revision 5+ years after the previous surgery.

ScrewedbyDoctors
Posts: 201
Joined: Fri Dec 31, 2021 7:59 pm

Re: Is there any reason to wait?

Postby ScrewedbyDoctors » Thu Oct 20, 2022 7:09 am

newbie, Dr Eid is against the use of VED, are you sure is safe?
I had a trauma 2 years ago, caused me narrowing, dent and shortening. PRP injections three months ago=worse narrowing, and worse ED. Now I only have two choices: impotent or implant. Born in 1975, in a relationship with girlfriend fir 4 years

Gt1956
Posts: 3041
Joined: Fri Apr 05, 2019 2:47 pm

Re: Is there any reason to wait?

Postby Gt1956 » Thu Oct 20, 2022 3:04 pm

nuance wrote:
aussiePeyronies wrote:
frwmw1 wrote:Interesting story...
A reason given to me by a Urologist surgeon I saw, was that the implant would not last my lifetime. I then asked about revisions. The Urologist then quickly commented that he rarely ever sees patients after successful implant procedure, and so is unsure of that outcome.
This puzzled me for awhile, and it wasn't I read this forum that I picked up that what I think occurs is that revisions are a speciality among Urologists, as it is a more difficult procedure, so only a subset do it, so most Urologists err on consulting patients to delay implants.

Interesting post. I have also read the same, some urologists state that the revision surgery is harder, some state it's easier. So, there is some conflicting views. Would love to get some info from someone who's actually had the revision surgery. Will really help us guys in our 20s/30s considering an implant.

I read it's the reservoir that's hard to retrieve in a revision. Would love to hear from anyone that got a revision 5+ years after the previous surgery.

The reservoirs are normally reused rather than removed. I remember 1 FT member that had his old one left in place & a new one was installed.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

nuance
Posts: 303
Joined: Wed Feb 24, 2021 8:14 pm

Re: Is there any reason to wait?

Postby nuance » Fri Aug 23, 2024 4:45 pm

Do all implants have detachable reservoirs? I assumed some are connected to the pump and will need to be removed with the rest of the implant.


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