Implant Scheduled for Jan 24, 2023

[ThailandBound]

Thanks for your thoughts.

I also hope that I'm in the 95% satisfied group as well.

I noticed the difference between my doc's advice and the other "advice" I've seen mentioned here.

I'm going to do my best to follow my doc's instructions but if any of them aren't working for me, I'm not going to promise not to do something else to see if it works or not. Like using ice, for example.

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I'm pretty good at managing pain w/o the need for drugs

The point of the story is that I have a high tolerance for pain. I also am not a fan of Norco. I've take it before and it just makes me sleepy and doesn't really alleviate the pain for me. Acetaminophen works on headaches but not much for other types of pain. Not sure what if anything ibuprofen does for me either.

I promise you. Your implant will be a walk in the park after what you went through in Boliva!

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Was your implant method peno-scrotal or infra-pubic?

Peno-scrotal. I originally was going with Dr. Perito who does only infrapubic. Changed course along the way and went with Dr. Clavell who favors peno-scrotal. I was concerned about that pump-pulling, and Dr. Clavell said peno-scrotal would allow him to put the pump in the perfect spot and keep it there. From what i can tell that's exactly what happened. It's aft of the original scrotal neighbors but ahead of my perinium, so although tender when sitting until recently, i do believe soon i won't perceive it at all. I wouldn't worry though. Lots of guys do infrapubic with good results.



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Regarding BMs, I know that I should but I do not eat a lot of fiber. Mostly protein. Nonetheless, my BMs aren't that hard or difficult. The Colace made my BM last night so loose, it was almost like diarrhea.

Me too. I normally keep things low carb with a typical western breakfast of bacon and eggs. But for this brief period I've loaded up on high fiber breakfasts as i mentioned. Haven't had to push at all during BM's, but i totally get your concern. Don't want to be straining at all those first few days. An impending sneeze freaked me out and i'd rub my nose furiously and consciously stifle it. I can cough now easily and have even sneezed a time or two. No problem.

I've got a lot of oatmeal & popcorn on hand, as well as flax seed and other psillium supplements to add more fiber to my diet if need be.

[sswinsfba]

I'm sure you're already aware of this, but wanted to mention that those nocturnal erections bode very well for you in terms of recovering your length. I was still getting them, occasionally, and like you they wouldn't last, but i was aware of them until the end. I also was still responding fully to trimix....for about :20 - :30 minutes before the VL would rear it's head and I'd lose it. But, those factors meant i was still getting blood flow in until the surgery date (VED helped also that final month). My doctor commented that I had very good tissue still and hopefully this translates to minimal or no loss of size. Your prognosis should be the same. Good luck!

Thanks again for your thoughts and well wishes.

Based on what I've read, I'm not too worried about losing length because those who have seemed to have suffered from ED that was much worse and for a much longer period than I have, in which case the penis is more likely to atrophy.

My doc says that he learns towards oversizing and thinks that cycling reguarly is all that's need to maintain/increase size. So, unless it doesn't look like it's working, I'm just going w/that.

I've never used Trimix so can't comment on that but have read that my continued daily use of 5mg Cialis may help w/glans engorgement and a better sexual experience post-implant. We'lll see . .

[sswinsfba]

I promise you. Your implant will be a walk in the park after what you went through in Boliva!

LOL!

The motocycle accident occured in La Paz near the southern tip of the Baja Peninsula in Mexico which is locatd about miles from the US border. Would have been tough to ride from Bolivia to Nogales AZ in just 5 days.

I edited the original post to clarify this.
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Was your implant method peno-scrotal or infra-pubic?

Peno-scrotal. I originally was going with Dr. Perito who does only infrapubic. Changed course along the way and went with Dr. Clavell who favors peno-scrotal. . . .

So, I think this explains the difference the the advice between your doc and mine.

My 1st doc and your Dr. Clavell who do peno-scrotal recommend "dick up." My 2nd doc, who's doing the infra-pubic surgery next week, recommends "dick down."

"Dick up" w/peno-scrotalmakes sense because it allow air to circulate around the peno-scrotal incision and prevents moisture/bacteria from forming in that location.

"Dick down" w/infra-pubic makes sene too because lifting the penis where it may rub against the incision would not be a good idea. No problem letting it hang because there are no incisions in the web of the scrotum.

At least it makes sense to me.

[ThailandBound]

"Dick up" w/peno-scrotalmakes sense because it allow air to circulate around the peno-scrotal incision and prevents moisture/bacteria from forming in that location.

"Dick down" w/infra-pubic makes sene too because lifting the penis where it may rub against the incision would not be a good idea. No problem letting it hang because there are no incisions in the web of the scrotum.

At least it makes sense to me.

Makes perfect sense to me too. Then again, I'm just pedestrian-level.

[frank66665]

I had a pre-op appointment w/my doc yesterday 01/19/2023.

Here are the highlights of that meeting, as well as other pre-op info that I’ve been given, which I’m posting mainly as a reminder to myself but this information may also be of interest to others:

1) Surgery will take about 30 mins. Staying overnight in hospital. Penis will be fully inflated after surgery and will be 70% inflated upon discharge. Using the Titan One Touch.

2) Catheter, drain and any dressings to be removed before discharge. Have to be able to pee before discharge.

3) All internal sutures are self-absorbing. The infra-pubic incision will be surgically glued; no sutures. The 2 sutures that pass thru the head of the penis to insert the cylinders will be removed during surgery.

4) I’m having my GF pick me up but doc said that I could still drive myself home if I liked. Will see how I feel at that time and whether I think I could have driven myself home as he said.

5) Surgery will be performed under general anesthetic. Perito says he does using IV & local anesthetic.

6) Started taking Bactrin (an antibiotic) 2x/day starting yesterday 1/19/2023 which am to continue to take for 9 days following surgery.

7) Also started taking Colace 2x/day starting yesterday 1/19/2023 which I’m told to continue as needed as long as 25 days following surgery. Reason for colace: To prevent “straining” while doing #2 which could negatively affect healing.

8) After surgery, instructed to start taking hot showers 2x/day beginning 2 days after surgery on 01/26/2023 and to start taking warm baths 2x/day beginning 3 days after surgery on 01/27/2023. Use Hebiclens to wash the area w/each shower/bath.

9) Told to start pulling on (& reorienting, if necessary) the pump IMMEDIATELY after surgery to insure that the pump remains positioned properly. This should minimize the possibility of pain or discomfort associated with the pump’s location in the scrotum.

10) Told to NOT use ice because ice is a vasoconstrictor which limits blood flow which could delay healing. If there’s any infection causing that may be causing swelling, told to contact the doc ASAP.

11) Told to use ibuprofen and acetaminophen to treat for inflamation and pain. Also given a prescription for Norco (hydrocodone plus acteaminophen) for pain to use as needed.

12) Told to lay/sit in whatever position is most comfortable during recovery. What is important is to keep my “junk” unencumbered; no tight shorts or pants during the first week of recovery. Going to be wearing cotton boxers and sweatpants.

13) Also told to keep my penis pointed down (not up) following surgery. Doc said he’d be giving me a jock strap which facilitates this. Not sure how you can keep a 70% inflated dick pointed down, but I’ll find out on 01/25/2023 when I’m discharged from the hospital.

14) Have a post-op appointment on 02/02/2023 (9 days following surgery) to assess progress. Doc will deflate/inflate the implant to make sure it’s working properly and will clear me to start cycling, as long as I can show him that I know how to inflate/deflate the implant properly.

15) Cycling at least 2x/day to begin on 02/02/2023 for the next 2 weeks until the next post-op appt.

16) Next post-op appointment to be scheduled on or about 02/16/2023 to assess progress and to clear me for sex and other physical activity. Doc says that 85% of his patients are able to start having sex only 3 weeks after surgery.

This forecast seems overly optimistic to me but I'm hoping that I'm included in the 85%. We’ll see . . .

hello sswinsfba, who is the doctor who will operate on you, it is the same procedure that he will do on me, ip, I will stay 70% inflated for 1 week, then he deflates me and sends me home, he bets that at 3 weeks I will start using it, titan touch for me too

[sswinsfba]

hello sswinsfba, who is the doctor who will operate on you, it is the same procedure that he will do on me, ip, I will stay 70% inflated for 1 week, then he deflates me and sends me home, he bets that at 3 weeks I will start using it, titan touch for me too

Dr. Edward Karpman with the El Camino Urology Medical Group in Mt. View, CA is my surgeon.

Sounds like he may be yours too.

[frank66665]

hello sswinsfba, who is the doctor who will operate on you, it is the same procedure that he will do on me, ip, I will stay 70% inflated for 1 week, then he deflates me and sends me home, he bets that at 3 weeks I will start using it, titan touch for me too

Dr. Edward Karpman with the El Camino Urology Medical Group in Mt. View, CA is my surgeon.

Sounds like he may be yours too.

my gabriele antonini, has been many years with paul perito his teacher

[sswinsfba]

my gabriele antonini, has been many years with paul perito his teacher

That's interesting. Perito has trained many docs using the infra-public method. If fact, I was warned that if I went w/Perito, he wouldn't actually been doing the surgery.

I've mentioned Perito to Karpman but he never indicated that he had any connection to him.

[sswinsfba]

I was just watching the movie "Downsizing" starring Matt Damon which involves skrinking people as a means of reducing the impact of people on the planet.

There's a line, not really meant to be funny, which seemed relevant to my (and other men's) decision to get an implant.

Damon & his wife are on a bus going to the processing center to be made "small" (which is an irreversible process) when a small woman on a separate section on the bus told them (and I'm paraphrasing): "

You' won't regret it. It's the best decision you could have ever made."

It didn't work out that way for Damon's character, whose wife baled out on him at the processing center before he was made "small" and he had to fend for himself in the small world which was rife w/economic/racial inequities.

I just reminds me of all of the testimonials from implantees here claiming that getting an implant (which is also irreversible) is the "best thing you could do."

I'm hoping that's the case but am ready for the worse in the event it's not.

[Lost Sheep]

(edited for focus) the small world which was rife w/economic/racial inequities.

There is no evidence I have seen of discrimination against implanted men. If there ever is, the ADA can be amended, I suppose.