Potential Risks

[MovingForward]

May I ask since how long you have had ED

Have you tried oral pills or injections

It's been a 6 year battle, with things slowly getting worse and worse. Pills worked great for a while, until they have slowly become unreliable. I have tried them all and I get awful side affects.
Have not tried injections yet. Being my age and single, I don't know how I can rely on injections. I even got sick of having to rely on pills when they worked.

[Mark1974]

One thing to mention here is diagnostic criteria that determines if an implant is the most beneficial option for you.

You want to go to a urologist that specializes in male sexual health. We hear the word urologist and because sex is our favorite thing to do with our penis (at least it's mine) we assume that the urologist is an expert in male sexual function.

Actually that isn't always the case. Urology is a very broad field and in many cases (probably most) the urologist are more focused on cancers, prostate issues, kidney issues, urinary function etc.

They will often start with blood work to determine your problems aren't with your hormones. Then they will prescribe pills. The most they will offer to assist in sexual function are prescriptions for pills or injections.

I can tell you my local urologist only prescribed me Viagra and suggested I stop using marijuana

You need to see a specialist.

The urologists who specialize in male sexual function are often also implantologists. They will perform diagnostic tests to determine your erectile function/dysfunction. The gold standard is the Doppler Ultrasound that assesses your blood-flow into and out of the penis. This can determine if there are arterial problems or venous leak. These issues are the most common causes of erectile dysfunction.

My doctor (Dr. Laurence Levine) also had his assistant physician perform a test on my nerves.

In my first visit I started with the nerve test. Everything was fine.

Dr Levine then injected me twice with a medication that causes erection. The first injection only gave me minor engorgement that subsided and then the second gave me engorgement that hung around 5'oclock. I already could see I was in bad shape.

He then performed the Doppler. He could see that my arteries were in good shape, but the venous trapping was a different story. The arteries were bringing the blood in just as they should, but I was losing the blood that went into my penis as fast as it went in there. He showed me the results in real time and compared them to numbers for a healthy penis.

His determination was that my best option was an implant. At that time I fully resisted, but I knew he was right. He had given me injections and we could see they weren't very effective and then he performed the best diagnostic test that exists for this specific problem. He showed me the numbers and everything was objective, everything was based on math and science.

So you see, you have to go to a specialist who will do the correct tests. Then you can see where you stand and if an implant is your best option.

[Hillywilly]

One thing to mention here is diagnostic criteria that determines if an implant is the most beneficial option for you.

You want to go to a urologist that specializes in male sexual health. We hear the word urologist and because sex is our favorite thing to do with our penis (at least it's mine) we assume that the urologist is an expert in male sexual function.

Actually that isn't always the case. Urology is a very broad field and in many cases (probably most) the urologist are more focused on cancers, prostate issues, kidney issues, urinary function etc.

They will often start with blood work to determine your problems aren't with your hormones. Then they will prescribe pills. The most they will offer to assist in sexual function are prescriptions for pills or injections.

I can tell you my local urologist only prescribed me Viagra and suggested I stop using marijuana

You need to see a specialist.

The urologists who specialize in male sexual function are often also implantologists. They will perform diagnostic tests to determine your erectile function/dysfunction. The gold standard is the Doppler Ultrasound that assesses your blood-flow into and out of the penis. This can determine if there are arterial problems or venous leak. These issues are the most common causes of erectile dysfunction.

My doctor (Dr. Laurence Levine) also had his assistant physician perform a test on my nerves.

In my first visit I started with the nerve test. Everything was fine.

Dr Levine then injected me twice with a medication that causes erection. The first injection only gave me minor engorgement that subsided and then the second gave me engorgement that hung around 5'oclock. I already could see I was in bad shape.

He then performed the Doppler. He could see that my arteries were in good shape, but the venous trapping was a different story. The arteries were bringing the blood in just as they should, but I was losing the blood that went into my penis as fast as it went in there. He showed me the results in real time and compared them to numbers for a healthy penis.

His determination was that my best option was an implant. At that time I fully resisted, but I knew he was right. He had given me injections and we could see they weren't very effective and then he performed the best diagnostic test that exists for this specific problem. He showed me the numbers and everything was objective, everything was based on math and science.

So you see, you have to go to a specialist who will do the correct tests. Then you can see where you stand and if an implant is your best option.

IMO if pills are not working what else is there to know? You have injections or the implant to choose from.

[Hillywilly]

Hey guys,

I hate to ask questions about the possible negative aspects of the implant-

I was finally able to see a urologist in my country (I'm not in the US) and he said I'm too young for injections and too young for an implant (I'm 30). Leaving me with no solutions. He said that "If there are any complications or if the device gets infected and needs to be removed, you will never get an erection or have sex again." This Dr also said that they have limited or no access to malleable implants for post-infection re-implantation.

However, when I had a meeting with Clavell, he said that he has never met anyone that he has not been able to implant.

So I am now confused as to how serious the risks are if there is an infection. Is there actually a chance of "never getting an erection again"?


Thank you

99% of people who get an implant will never be able to get a natural erection again. On the other side of that, implants are the final solution. There is no going back, there is no other solution that is still working if you're considering an implant (or that's how it should be.) That said being extremely young you should expect to replace your implant at some point they last as long as they last based on your use and how hard you are on them and just luck. There are guys on here who have had three plus implants and guys on here who are 20 years on one.

Why you say that? Leading urologists say ALL that is required to be a candidate for the IPP is failure of PDE5’s but scarring your dick with injections is a better idea? I (and most experts in field of sexual medicine) think treatment path is a choice. Also, I don’t buy that this will be the only option for the next 4 decades or so of my life (hopefully or longer). As we speak they are implanting bioengineered corpra’s and tunica’s from patients own cells https://clinicaltrials.gov/ct2/show/NCT03463239

Your telling me and young guys this treatment paradigm is set in stone for the rest of our lives and that medical advancement will come to a halt?

[Mark1974]

[
I think any implantologist will want some objective measurements.

Did you get a Doppler before your implant?

[Gt1956]

For whatever you want to take from this. My dr didn't do any testing. A very intensive interview. Asked about my use & experience with oral meds. He might of asked about any cardiology visits I had made.
His diagnosis was based upon my medical interview history.
Medicare & my Aetna Advantage insurance both approved it on the first application based on his diagnosis. The only issue that came up was when I went for the lab work. I was warned that Medicare was denying my A1c test & the urine culture. The A1c I understood cause they only cover it every 90 days & I was at about 60 days. My culture showed that I had a minor bladder infection so I was put on 10 days of antibiotics.
I never got a bill for the two denied tests so I guess they covered them. No huge issue, the cash cost for the 2 tests would of been $200. If push came to shove. I figured that was a good deal.

[phliptrip]

Hey guys,

I hate to ask questions about the possible negative aspects of the implant-

I was finally able to see a urologist in my country (I'm not in the US) and he said I'm too young for injections and too young for an implant (I'm 30). Leaving me with no solutions. He said that "If there are any complications or if the device gets infected and needs to be removed, you will never get an erection or have sex again." This Dr also said that they have limited or no access to malleable implants for post-infection re-implantation.

However, when I had a meeting with Clavell, he said that he has never met anyone that he has not been able to implant.

So I am now confused as to how serious the risks are if there is an infection. Is there actually a chance of "never getting an erection again"?


Thank you

99% of people who get an implant will never be able to get a natural erection again. On the other side of that, implants are the final solution. There is no going back, there is no other solution that is still working if you're considering an implant (or that's how it should be.) That said being extremely young you should expect to replace your implant at some point they last as long as they last based on your use and how hard you are on them and just luck. There are guys on here who have had three plus implants and guys on here who are 20 years on one.

Why you say that? Leading urologists say ALL that is required to be a candidate for the IPP is failure of PDE5’s but scarring your dick with injections is a better idea? I (and most experts in field of sexual medicine) think treatment path is a choice. Also, I don’t buy that this will be the only option for the next 4 decades or so of my life (hopefully or longer). As we speak they are implanting bioengineered corpra’s and tunica’s from patients own cells https://clinicaltrials.gov/ct2/show/NCT03463239

Your telling me and young guys this treatment paradigm is set in stone for the rest of our lives and that medical advancement will come to a halt?

If I was 18 years old I would take the current penis implant over ED in the prime years of my fucking around. Without a doubt no question asked even if better solutions came down the road.

If I'm being really honest I think this is better than my natural penis except for a slight loss in length but a lot of that is due to my current weight.

He also stated he's been struggling with this for 6 years and pills already don't work.

[Antonio1010]

Before you proceed with the implant ask your self these questions:

What kind degree of ED di you have?
Have you tried anything like, pills, cream, etc...?

In my case I have some great weeks where I have all kinds of natural erections and morning woods and some other week not so great. Nontless, I can always have intercorse. My issue is that I may not be able to go as long as I used to and i finish before my wife (which I hate). I take 50 mg of Viagra so my next step may be to increase the dose. In the meantime, I m experimenting Enjection.

Still I set up a consultation with Dr.
Clavell next month. Why m i considering an implant? Well because I love the idea to have never ending sex. To me the implant is an upgrade. If the injection and the increase dosage of Viagara won't make me last as long as I want I will be getting an implant in the next 3 moths.

Life is short. The change of getting an infection is 1%. Even if that happens a great doctor can clean thugs up and put another implant. Quite that doctor of yours ASAP.

[mbambo]

Never go under this dr knife
He is for sure not a high volume implanter

Here in egypt giving a lifetime grantees for the implant whether its malleable or ipp
In addition affording to migrate from malleable to ipp with deducting the malleable cost

[Jage64]

It's been a 6 year battle, with things slowly getting worse and worse. Pills worked great for a while, until they have slowly become unreliable. I have tried them all and I get awful side affects.
Have not tried injections yet. Being my age and single, I don't know how I can rely on injections. I even got sick of having to rely on pills when they worked.

This is EXACTLY where I was, granted I'm much older than you, but I was exactly where you are. The pills worked until the side effects and unreliability became more painful than the sex was enjoyable. That was a bad day.

I have no interest in injecting myself to gain an erection. I hoped there was something else out there. That's when I stumbled on Dr. Clavell's YouTube videos. I showed my wife after I binged them all. This was the answer. I met with my local insurance-paid urologist and although very nice, he did not inspire confidence in me that the outcome would be optimal. He did no tests and just asked me minimal questions. I wondered if I should have gotten tested after reading about various tests here on FT.

I booked an online consultation with Dr. Clavell, we chatted, he looked me over (via video), he asked me a few questions, then he answered all my questions and then I asked if he would do some tests prior to the surgery. His answer was basically - why? do you have ED? Does your penis work the way you want it to? Have pills stopped working and you don't want to do injections? Then no need for tests, this is the next step. He was absolutely right, IMO there's no need to pay for a bunch of tests to tell you why your penis doesn't work, IT DOESN'T WORK. The fix for whatever the tests tell you is the same- implant. Injections over time can cause issues for when you finally do decide to get an implant.

I ended up flying 2000 miles to Dr. Clavell and paying 100% of the cost out of pocket. This is not a service you shop price on. This is your sex life and so much more at stake.

I've had mine for 2 months. I love it.