I can't understand why every surgeon doesn't copy Dr Eid's protocol

[Gt1956]

Dr. Eid has the lowest infection rate and gets seemingly the best results. He has done the most implants and has the most experience.
I can't understand why other surgeons don't copy his approach to anaesthesia, surgery, stitching, recovery, bathing, cycling and more.

Lots to your statement. Anytime a person self proclaims that they're the best, lowest ectera. I get suspicious.
Lets break this down. Most urologists do other work besides implants. Case in point. My surgeon only operates 1 day a week. He has other patients with other problems that need care. He & his staff claim around 250 implants a year. I believe that Eid is a great surgeon for implants. But there are others. I will agree that he could be the current highest volume implanter in the USA.
Infections are not tracked very well. For him to say his is the lowest might be a bit of a stretch. But I'll quickly agree that I don't remember very many FT members of his with infections. There is at least 2 points in Eids favor on this.
#1 The Garber study shown a few posts above this one clearly showed that the risk of infection goes up the fewer implants that a surgeon does. A person could argue that the highest volume implanter should have the lowest infection rate. But at some point in the number of implants done. Most surgeons should be fairly close to Eid.
#2 Due to his experience, he might be quicker to reconize the signs of infection. Thus he could get it under control quicker.
#3 Don't be quick to dismiss a surgeons operating room staff. Literally most if not all of the prep work is done in a secondary area by staff. I'm willing to bet that Eid has been using the same staff for a long time. I do know that upon querying my surgeon. He knew of & used the same techniques as Eid.
So in my opinion if you follow the common FT advice to chose a higher volume surgeon you'll likely be getting as close to Eids infection risk rate as you can get.
Be aware that during fitting the cylinders that Eid might do a thing or two that might not be approved by Coloplast. I.E. he is willing to trim a bit off of the tip of a Titan cylinder to customize its length. You could say that he is willing to create a half increment cylinder.

[frank66665]

established that for me too eid is the n.1 in the world, every implantologist says that his infection rate is the lowest, unfortunately in this bisness there is no real data in too many things, even if I am 7 days away from my implant too many things leave me in doubt and perplexed, one obvious thing that is false is the average duration of a system of at least 10 years, then you should explain to me why coloplast and boston s. they give a guarantee of 5 in Italy, which means that they don't believe that a system lasts at least 10 years, don't you think?

[Gt1956]

established that for me too eid is the n.1 in the world, every implantologist says that his infection rate is the lowest, unfortunately in this bisness there is no real data in too many things, even if I am 7 days away from my implant too many things leave me in doubt and perplexed, one obvious thing that is false is the average duration of a system of at least 10 years, then you should explain to me why coloplast and boston s. they give a guarantee of 5 in Italy, which means that they don't believe that a system lasts at least 10 years, don't you think?

I think if you read the Gaber document. It says that at the 10 year mark. The surviving implant rate is in the low 90%.
Whatever time a company choses to offer a warranty for is a business decision & isn't base upon the real life span.
An example. I have a car that the factory's warranty was maybe 5 years or 50,000 miles. Whichever came first. It is currently 18 years old & has 260,000 miles on it.
How long of a warranty do you offer on the work that you do?

[newbie443]

established that for me too eid is the n.1 in the world, every implantologist says that his infection rate is the lowest, unfortunately in this bisness there is no real data in too many things, even if I am 7 days away from my implant too many things leave me in doubt and perplexed, one obvious thing that is false is the average duration of a system of at least 10 years, then you should explain to me why coloplast and boston s. they give a guarantee of 5 in Italy, which means that they don't believe that a system lasts at least 10 years, don't you think?

I think if you read the Gaber document. It says that at the 10 year mark. The surviving implant rate is in the low 90%.
Whatever time a company choses to offer a warranty for is a business decision & isn't base upon the real life span.
An example. I have a car that the factory's warranty was maybe 5 years or 50,000 miles. Whichever came first. It is currently 18 years old & has 260,000 miles on it.
How long of a warranty do you offer on the work that you do?

It also shows a longer life span of the device with higher volume surgeons. So surgeon skill and experience not only makes a difference in infection but cosmetic outcome and device life span as well. Looks to be about 5% higher with the highest volume doctor group than the lowest volume group for survivability at 10 years. And I would think that would even be greater for the top doctors in the world. This would reflect not only the difference in infection rates but device failures due to improper implant and other problems like cross over or floppy glans and many other problems.

[Thisworld]

Do you think that majority of doctors cuold give less then a fuck about what others surgeons do? Trust me probably they just carry on the same procedure that they learned 10 years ago when they started operating and I also believe they surely don't spend times on forums getting informed on how others colleagues work. I know surgeons who operate since ages and still they tell their patients that losing about 2cm during the procedure is expected and normal so...not much hope about that. For a lot of people is difficult to think outside of their box , no matter what degree they have
Edit: of course I don't want to generalize too much, this just refers to a part of the people operating in this field

[Bwtbbb]

It makes it seem that all other surgeons don't care about what's best for their patients

[newbie443]

What I have found is that a large number of doctors out there do not consider implant surgery as real medicine. In other words, you will not die from ed, and it will not keep you from walking or seeing or hearing or moving. All my local uro groups are like this. And a certain amount of this is due to insurance companies hating to pay for the device. After all doctor's work for our insurance companies not us anymore. Added to that doctors have learned from other men asking questions listed on this site how to lie to men to make it seem they care when they don't. My local docs are the only doctors for this in most of my home state so they just come right out and say men that go to them will lose 1-2" (2.5-5cm). And the business office even told me the doctors results were so poor that men ended up having the device removed. This was because the doctors do not do any repairs or replacements. So either live with the results of a bad surgery or have the device removed.

So the question is not why doctors all don't use one very good doctors' surgery technique. I mean why this doctor and not some other very good doctor in the world. And this doctor while having a very good system has not made any advancements to his procedure or any new publications in some time. So why not another doctor that is working on advancements to implant surgery. The question as I see it is why doctors are permitted to keep doing this surgery with such bad results. Why it is still acceptable in places to suture the glans down on the cylinder tips causing even more loss instead of putting the proper size device in. Seems to me that it comes down to location. If you are lucky enough to live close to one of the many very good doctors, you get quality care. If you live in a area with doctors like my local urologist, then you either receive poor care or you pay and travel to a very good doctor. So why are those doctors permitted to operate on men with such poor results. That seems to me to be a better question to ask and one I cannot find an answer to.

[Gt1956]

Do you think that majority of doctors cuold give less then a fuck about what others surgeons do? Trust me probably they just carry on the same procedure that they learned 10 years ago when they started operating and I also believe they surely don't spend times on forums getting informed on how others colleagues work. I know surgeons who operate since ages and still they tell their patients that losing about 2cm during the procedure is expected and normal so...not much hope about that. For a lot of people is difficult to think outside of their box , no matter what degree they have
Edit: of course I don't want to generalize too much, this just refers to a part of the people operating in this field

FWIW, I have talked to my surgeon & his operating room nurse about FT. The nurse says that she checks out FT occasionally to see how men are feeling.
I do know that my surgeon did some kind of "ask me anything" type of post here a few years back. So I would counter that the better doctors do in fact keep checking on how the population sees the treatment of ED is perceived.
Back to harping on surgeon selection. Cruise YouTube for implant medical seminars. Its a great way to see who is attending these as they are a form of idea sharing & continuing education.
Lost sheep says it best. I believe it was Eid that told him to find a surgeon that loves his craft. You don't want a surgeon that just goes through the motions.

[Harleydawg53]

Just would also say that part of any infection rate is also the responsibility of the Patient , after the procedure is done , ie; cleanliness and following the doctors after procedure care .

Also ; before i had the procedure done , along with reading everything i could find , I watched every episode of MTP by Doctor Perito , all very informative . And many visiting surgeons to his episodes ( EID ) being one of them . ( EID ). I believe uses the Perito founded procedure of the infrapubic .

Distance for a patient to travel to a qualified surgeon is also high on the list for a patient, not everyone can afford to travel long distance to have the procedure done . I had considered having it done in my home state , but happened to be in south florida and wanted a High Volume implanted for my procedure .. totally satisfied with Perito and would recommend him to anyone considering the procedure .

[Gt1956]

Newbie443.
You raise excellent points. As for why are poor doctors allowed to practice. I think part of it is as long as they can keep surgery privileges at a hospital & can pay the malpractice premiums their allowed. Yes, if that is true it really sucks.
I place alot of blame on where they received their advanced training. I have difficult to treat sleep apnea. I went through 3 pulmonologists before I realized they all recieved their training at the same center. My primary doctor watched for several years for a new pulmonologist for me. Finally 1 showed up that had got his training somewhere else. Only then did I get better treatment.
I will speculate that at least for a caring surgeon for implants. Using one that has spent some time working at a VA hospital might be an advantage. It worked for Lost sheep. I live in a sparsely populated state. There seems to be only 2 implant surgeons of any skill here. Its about 600 miles to the next good implant surgeon. One of the 2 here does spend part of his time at the local VA hospital.