Implant failure

The final frontier. Deciding when, if and how.
JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Implant failure

Postby JohnHC » Fri Jun 02, 2023 2:14 pm

My Dr just informed me that he could swap out the CX for the LGX but because of my internal measurements it's recommended to have the CX. The LGX in that size with extenders would not be as rigid as the CX and Boston Scientific only recommends doing the CX when measurements are over a certain amount, which apparently I exceed. He said he could put it in, but that even fully inflated it would most likely be a bit "floppy" and not as rigid/firm as the CX. So that being said I'll be sticking to the CX model as I don't want it to be wobbly while having sex.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

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SWorks17
Posts: 473
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: Implant failure

Postby SWorks17 » Fri Jun 02, 2023 9:38 pm

JohnHC wrote:My Dr just informed me that he could swap out the CX for the LGX but because of my internal measurements it's recommended to have the CX. The LGX in that size with extenders would not be as rigid as the CX and Boston Scientific only recommends doing the CX when measurements are over a certain amount, which apparently I exceed. He said he could put it in, but that even fully inflated it would most likely be a bit "floppy" and not as rigid/firm as the CX. So that being said I'll be sticking to the CX model as I don't want it to be wobbly while having sex.


JohnHC, I was supposed to get the CX because it is the stiffer harder implant, but the Boston Scientefic Representative and my Doctor decided to go with the LGX during the surgery, I’m not sure why but it works fine.
Age 66, Garden Ridge Texas, Progressive ED after Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18 w 3cm rear tips installed 5 Nov 2021 by Dr Shane Barney, Brooke Army Medical Center, San Antonio, Texas, Married 36 years

JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Implant failure

Postby JohnHC » Sun Jun 04, 2023 10:04 am

JohnHC, I was supposed to get the CX because it is the stiffer harder implant, but the Boston Scientefic Representative and my Doctor decided to go with the LGX during the surgery, I’m not sure why but it works fine.[/quote]

I believe it has to do with the measurements they take and your internal anatomy as to which they feel will be the best fit for you overall.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

genesis316
Posts: 2
Joined: Fri Sep 05, 2014 12:14 pm

Re: Implant failure

Postby genesis316 » Tue Jun 06, 2023 10:29 pm

I have had my AMS for 9 years. Found out last night my bulb when mashed just goes fold. Told need a replacement. Have a referral in praying it gets to the right doctor. I am in Dallas Texas. Good luck to all who are having this process.

JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Implant failure

Postby JohnHC » Sun Jun 11, 2023 11:32 pm

Well blood work tomorrow ( 6-12-23 ). I was just wondering how often does a implant fail around 2 weeks post op? And is it normal for a manufacturers representative to be present and in attendance during a replacement surgery? My Dr said the rep would be present in the operating room during the surgery and wondered how often that happens or is this something special seeing as my implant failed about two weeks post op with no warning or reason. Personally I hope everything goes right and smooth, surgery scheduled for the 22nd and hoping he'll tell me what everyone thinks happened to cause it to fail. I really don't want to have another do over ( I'd much rather the replacement phase happen several years down the road and not 2 weeks after implant ) this having a implant fail two weeks after and then not getting it replaced until 10 weeks after initial implant sucks, I'd much rather be using it right now like I should have been.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

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

Re: Implant failure

Postby Gt1956 » Mon Jun 12, 2023 5:49 am

JohnHC wrote:Well blood work tomorrow ( 6-12-23 ). I was just wondering how often does a implant fail around 2 weeks post op? And is it normal for a manufacturers representative to be present and in attendance during a replacement surgery? My Dr said the rep would be present in the operating room during the surgery and wondered how often that happens or is this something special seeing as my implant failed about two weeks post op with no warning or reason. Personally I hope everything goes right and smooth, surgery scheduled for the 22nd and hoping he'll tell me what everyone thinks happened to cause it to fail. I really don't want to have another do over ( I'd much rather the replacement phase happen several years down the road and not 2 weeks after implant ) this having a implant fail two weeks after and then not getting it replaced until 10 weeks after initial implant sucks, I'd much rather be using it right now like I should have been.

I think reps are present at almost all of the surgeries. They bring a broad selection of implant supplies & take back what isn't used.
In your case, since there'll be a claim for a free implant. I bet the rep will inspect for obvious dr damage. Someone has to pay for this replacement implant.
Only my opinion. I've seen YouTube videos where the tubing is pinched closed to keep saline from being lost while the dr is working. Sometimes this might be done at a table in the surgery room by staff. I've often wondered if an poorly trained person clamps the tubing too tightly or uses the wrong tool. Thus causing a weak spot or even a very small pin hole leak to form.
As much as we harp about choosing your dr. Some of the other staff is very important also.
My drs nurse is on the operating team. She's been doing this job for him for 12 years. Btw, she greeted my just before being wheeled into surgery.
I'm a bit curious just how honest the dr will be with you about the failure.
Good luck with this.
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

JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Implant failure

Postby JohnHC » Mon Jun 12, 2023 7:31 am

[/quote]
I think reps are present at almost all of the surgeries. They bring a broad selection of implant supplies & take back what isn't used.
In your case, since there'll be a claim for a free implant. I bet the rep will inspect for obvious dr damage. Someone has to pay for this replacement implant.
Only my opinion. I've seen YouTube videos where the tubing is pinched closed to keep saline from being lost while the dr is working. Sometimes this might be done at a table in the surgery room by staff. I've often wondered if an poorly trained person clamps the tubing too tightly or uses the wrong tool. Thus causing a weak spot or even a very small pin hole leak to form.
As much as we harp about choosing your dr. Some of the other staff is very important also.
My drs nurse is on the operating team. She's been doing this job for him for 12 years. Btw, she greeted my just before being wheeled into surgery.
I'm a bit curious just how honest the dr will be with you about the failure.
Good luck with this.[/quote]


I had wondered about that, most of the times I've read about and in the surgeries I've watched they talk about "taking one from inventory and ordering a new one to replace it" making it sound like the hospital has a selection there on hand for this. And yeah my Dr seems to be very honest about everything so far, guess I'll find out after the surgery...
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Implant failure

Postby JohnHC » Tue Jun 13, 2023 7:48 pm

Well I might be in a terrible bind. Before my surgery I contacted my insurance provider, gave them my info, the cpt codes and that it was for IPP surgery. They informed me saying they looked at my plan and that everything is covered including the device. Now I get an EOB ( explanation of benefits ) letter today saying they are denying the charges for the surgery - all the charges - to the tune of $87000 plus dollars. Since they denied the original surgery and my revision is just over a week away I'm afraid that the hospital might deny the surgery unless or until I pay that bill off first. I've got to call them tomorrow and do some serious butt chewing all the way up the line and hope that this isn't going to screw me out of my replacement/revision which if it does would leave me totally impotent and unable to do anything. If anyone has any ideas or good information I would appreciate it very much, totally devastated right now especially if the hospital says no surgery till paid.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector

Jage64
Posts: 616
Joined: Sat Oct 22, 2022 9:38 pm

Re: Implant failure

Postby Jage64 » Tue Jun 13, 2023 9:08 pm

JohnHC wrote:to the tune of $87000 plus dollars.


Is that right, $87,000? I paid less than 1/4 of that much out of pocket and can't think of a single thing I would rather have spent the money on.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

Bigdave
Posts: 342
Joined: Sun Feb 26, 2023 1:23 am
Location: VA

Re: Implant failure

Postby Bigdave » Tue Jun 13, 2023 9:16 pm

Doctors and hospitals always shoot for the moon when billing.
Mine initially cost almost $80k, but once the insurance company got through with they ended up getting around $30k IIRC.

It does suck that they went back on their initial approval.
You should definitely appeal that decision.
Good luck and God Bless.
Age 59. AMS 700 LGX 21cm + 2cm RTE.
Peniscrotal, 2/23.
6.25" OEM with Cialis, about 5" post-op. (11/01: Length 6.75" and girth is up to 4.75" mid shaft.) Still growing, albeit slowly. :D
Cycling daily. Hoping to get to 7". ;)


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