principles wrote:Day 54 (Week 7 post op) :
14 days in the hospital. Pain is virtually gone at this point. I'm taking some antibotics and pain medication but nothing compared to 14 days ago. Still, the IV antibiotics were not able to kill the infection. I still have discharge from the unhealed incision, the pump is adhered to the scrotum wall, and another unexpected thing happened with the tips, the left migrated down about 1/2 centimeter and the right one is so up in gland that is has become an impending extrusion risk, the right tip is pushing the gland skin higher than the pee hole. This caught me by surprise, I knew the right tip was higher than it should've been even from surgery n1, but it was never a problem for me, it wasn't pushing skin either, until now. Somehow, this happened between weeks 3 and 7.
Scheduling is not yet confirmed but I'll have to go through a revision from my revision this upcoming friday 13th. They'll remove the 24+2 Titan and install a 13mm Tactra of X cm (I'm hoping for my previous 25cm, but I think 23-24cm is a possibilty). Size loss is expected, I already feel slightly smaller. Previously, I wasn't concerned about size at all (I didn't thought I'd have an infection) since I knew that a couple months of cycling would've brought it all just back like in my first surgery. That is not happening, and has become a new concern, but it is what it is, I intend to do vacuum therapy even with the malleable and try to regain any size loss for a potential revision in the future, even if that revision is upsizing the Tactra to a lengthier malleable. Surgery n1 I measured 25cm, Surgery n2 26cm, for reference.
Because of the impeding extrusion risk of the right tip, a new "tunnel" may need to be explored, and that could require a semi-circle subcoronal incision for proper tip placement, which is something I'm extremely opposed to, and this has been the biggest stressor about this whole ordeal so far. So, I did some reading and found that Dr. Clavell has a publication on "Extracapsular Tunneling" and also has a video about the technique, so I sent it to my Dr. and he was very receptive about learning of this technique, of which he wasn't aware, he is willing to try since it appears to be a very simple way to avoid the subcoronal incision. Here's a video of this technique:
https://www.youtube.com/watch?v=9Zwu0xX ... clavelluro
In conclusion, this was a revision for a premature tubing failure in which everything was replaced except the reservoir. During this revision, the new device was infected, infection was suspected but not confirmed until week 4 or 5 IIRC, it got really bad as far as pain goes, shaft was extremely sensitive, I couldn't sit, put any pants or underwear, icing and codeine were providing temporary relief of shorter and shorter durations, I was in alot of pain. I'd say a constant 7-8/10 for about 7-10 days. So, I was hospitalized and was heavily medicated with alot of IV antibiotics and analgesics. 14 days later, pain is mostly gone, but not the infection. So, a salvage procedure will be required and likely performed this friday. I opted for a Tactra device against my Dr.'s recommendations since the Tactra doesn't have hydrofilic coating, it's a bit harder to install, it requires a lengthier incision for it to be placed in the cavernosum and it's not as smooth as a Genesis per say, specially with an infection. Regardless, the Dr. agreed to install the Tactra device.
Size loss is expected, a semi-circle subcoronal incision is a real possibility, but, I get to have my balls back, which I'm kinda looking forward to.
Reality check. Life is complicated, but it'd be even more complicated if implants didn't exist. This hasn't been an easy revision journey, let's face it. Let's also realize that 50 or 60 years ago, none of this would've been an option, and we're kinda lucky to be living in a time where current medicine and technology is evolved enough at this point to provide us with safe alternatives, and regardless of all the hardship this journey brings at times, the end goal, which is an erection, regardless of all the problems we could face, is in fact, almost guaranteed.
Regardless of size or having another scar or having to go through yet another surginal procedure, I'm still thankful I've been given a second (third actually, hehe) chance of having a fullfilling sexual life. I'm confident I'll be returning to my sexual activities within a month or two.
More updates after surgery. I might start a new journal for the second revision (which will be my 3rd surgery).
Do you plan to keep the malleable always or are you having another ipp after 6 months of healing?
