Hakky or Clavell?

The final frontier. Deciding when, if and how.
indeed
Posts: 128
Joined: Fri Sep 30, 2022 3:25 am

Hakky or Clavell?

Postby indeed » Tue Feb 14, 2023 11:59 am

Hey Guys

As Eid is currently out of the question, i'm deciding between Hakky and Clavell. I doubt someone here has had surgery with both of them, but maybe someone has some input that could help me decide?

Cost is similar, travel time for me is similar. ATL a bit closer.

Any advice appreciated.

Thanks
30 years old. Suspensory ligament repair with Dr. Ralph March 23.
20cm Titan OTR, no RTEs. Dr. Clavell - May 10, 23.

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: Hakky or Clavell?

Postby ThailandBound » Tue Feb 14, 2023 12:14 pm

Flip a coin. They are both among the pre-eminent most respected surgeons in the world specializing in implants.

I had mine with Clavell 5 1/2 weeks ago and everything has been textbook in terms of placement, size, and recovery. I have no doubt Hakky’s patients say the same in regards to their praise of him.

One consideration. Clavell uses a nerve block that will keep you pain free for 3-5 days. Works like a charm and made my trip home (3 1/2 flight + 2 hour drive) comfortable “enough”. Not going to lie, traversing the airport having been implanted only 2 days prior is a bit unnerving.

This 3-5 day block, i think, spares the patient the initial post surgical pain, which i have read can be rather uncomfortable. When mine wore off i was expected to hurt. Sore. Yes. Pain. No. Only took 1 pain pill and a few Tylenol the entire time. If this is important to you, perhaps it’s a question for Hakky.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

AmansinCali
Posts: 317
Joined: Mon Apr 20, 2020 2:30 pm
Location: SoCal

Re: Hakky or Clavell?

Postby AmansinCali » Tue Feb 14, 2023 1:42 pm

Indeed,

At this point you are only choosing the personality of the surgeon and perhaps his office staff, they are essentially equal.

I don't know for sure, but I think most surgeons use the technique Thailandbound described, mine did. It would be something I would ask though.
Used Viagra & Cialis until lost vision in one eye due to AION, therefore can never use pills again, then tri-mix 1 1/2 years until unreliable. Implanted 9/20/22 at 77 years old by Dr. Yafi, UC Irvine. Married 55 years wife 76. 20cm Coloplast Titan.

Old Guy
Posts: 2703
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Hakky or Clavell?

Postby Old Guy » Tue Feb 14, 2023 2:13 pm

I'd go with the first doc who has an opening. Both are well qualified.
The outcome will be the same no matter who does it.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

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

Re: Hakky or Clavell?

Postby Gt1956 » Tue Feb 14, 2023 3:23 pm

Old Guy wrote:I'd go with the first doc who has an opening. Both are well qualified.
The outcome will be the same no matter who does it.

Best idea, let their schedule decide for you. Btw, will yoir insurance cover both of them?
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

Txagq8
Posts: 885
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Hakky or Clavell?

Postby Txagq8 » Tue Feb 14, 2023 5:07 pm

ThailandBound wrote:
One consideration. Clavell uses a nerve block that will keep you pain free for 3-5 days. Works like a charm and made my trip home (3 1/2 flight + 2 hour drive) comfortable “enough”. Not going to lie, traversing the airport having been implanted only 2 days prior is a bit unnerving.

This 3-5 day block, i think, spares the patient the initial post surgical pain.


Just a word of wisdom about nerve bocks. They aren’t created equal and it’s impossible to predict exactly how long they’ll last.

I had both rotator cuffs done. They were supposed to be 3 months apart but I did so well they did them 6 weeks apart. They did a nerve block on each. Told me to expect them to last 48 hours.

On the first one, 48 hrs came and went. So did 72. Then 96. I called the doc. They assured me it would wake up (entire arm was numb and motionless, I couldn’t wiggle fingers.) finally, after 5 days, I started to get a little feeling back and could move hand, fingers. It was freaking weird while it lasted. Absolutely no pain, though.

Six weeks later we did the other shoulder. I expected the same thing. Day surgery. Got in car, daughter driving us home, about 70 miles. We didn’t get 30 miles from hospital before arm started to wake up. Fortunately, the pain wasn’t bad and I had meds and all was well. It (the shoulder) healed as well & quickly as #1. Bottom line is anerthesiology is an art, not a science, and sometimes the anesthesiologist artist doesn’t get the nerve medicated exactly like he thought he would.

As far as doctor, pick either. I personally would rather deal with Houston over Atlanta but that’s just me. Which one will your insurance pay for? Where can you get the most convenient flight? Decent lodging? Whose staff did you like the best?
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.

indeed
Posts: 128
Joined: Fri Sep 30, 2022 3:25 am

Re: Hakky or Clavell?

Postby indeed » Wed Feb 15, 2023 3:27 am

I'm from Europe, so i'll have to slef pay. Thanks for you advice, you're right, i only read positive reviews about both of them.

Thanks mate

Gt1956 wrote:
Old Guy wrote:I'd go with the first doc who has an opening. Both are well qualified.
The outcome will be the same no matter who does it.

Best idea, let their schedule decide for you. Btw, will yoir insurance cover both of them?
30 years old. Suspensory ligament repair with Dr. Ralph March 23.
20cm Titan OTR, no RTEs. Dr. Clavell - May 10, 23.

indeed
Posts: 128
Joined: Fri Sep 30, 2022 3:25 am

Re: Hakky or Clavell?

Postby indeed » Wed Feb 15, 2023 3:31 am

Thanks for your advide. Wow, i'm glad you healed quickly! Tbh, the nerve blocks aren't really an issue for me, i can take some pain if the end result is great. But ofc a nerve block will be nice :D
I self pay so insurance is not an issue. I'm not from the US, but from my research you're right, Houston seems a bit more comfortable for hotels and travel.



Txagq8 wrote:
ThailandBound wrote:
One consideration. Clavell uses a nerve block that will keep you pain free for 3-5 days. Works like a charm and made my trip home (3 1/2 flight + 2 hour drive) comfortable “enough”. Not going to lie, traversing the airport having been implanted only 2 days prior is a bit unnerving.

This 3-5 day block, i think, spares the patient the initial post surgical pain.


Just a word of wisdom about nerve bocks. They aren’t created equal and it’s impossible to predict exactly how long they’ll last.

I had both rotator cuffs done. They were supposed to be 3 months apart but I did so well they did them 6 weeks apart. They did a nerve block on each. Told me to expect them to last 48 hours.

On the first one, 48 hrs came and went. So did 72. Then 96. I called the doc. They assured me it would wake up (entire arm was numb and motionless, I couldn’t wiggle fingers.) finally, after 5 days, I started to get a little feeling back and could move hand, fingers. It was freaking weird while it lasted. Absolutely no pain, though.

Six weeks later we did the other shoulder. I expected the same thing. Day surgery. Got in car, daughter driving us home, about 70 miles. We didn’t get 30 miles from hospital before arm started to wake up. Fortunately, the pain wasn’t bad and I had meds and all was well. It (the shoulder) healed as well & quickly as #1. Bottom line is anerthesiology is an art, not a science, and sometimes the anesthesiologist artist doesn’t get the nerve medicated exactly like he thought he would.

As far as doctor, pick either. I personally would rather deal with Houston over Atlanta but that’s just me. Which one will your insurance pay for? Where can you get the most convenient flight? Decent lodging? Whose staff did you like the best?
30 years old. Suspensory ligament repair with Dr. Ralph March 23.
20cm Titan OTR, no RTEs. Dr. Clavell - May 10, 23.

indeed
Posts: 128
Joined: Fri Sep 30, 2022 3:25 am

Re: Hakky or Clavell?

Postby indeed » Wed Feb 15, 2023 3:34 am

Thanks everyone. I'll probably go with Clavell. He seemed super passionate and thoughtful about what he does. He asked me a lot of questions about my situation and seemed to really care. Hakky aswell, but i got a bit more info from Clavell.

Thanks a lot
30 years old. Suspensory ligament repair with Dr. Ralph March 23.
20cm Titan OTR, no RTEs. Dr. Clavell - May 10, 23.

Old Guy
Posts: 2703
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Hakky or Clavell?

Postby Old Guy » Wed Feb 15, 2023 7:27 am

indeed wrote:Thanks everyone. I'll probably go with Clavell. He seemed super passionate and thoughtful about what he does. He asked me a lot of questions about my situation and seemed to really care. Hakky aswell, but i got a bit more info from Clavell.

Thanks a lot


Best of luck. Keep posting your progress.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me


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