Considering implant after trying everything else. Experienced guys: please help.

[jwitten567]

You've been through it all. The implant was the right choice for me - it isn't like a natural erection but the coincidence knowing that it is going to work makes it worth it. I can enjoy sex without worrying about the logistics that I experienced with pills, injections, etc. I am very happy with my implant. My one piece of advice is make sure you find the right surgeon for you (not only someone that does a lot, but has seen it all in terms of complications). You also want someone that you connect with and trust that they will work with you if any problems arise. You really want to get it right the first time with the surgery since all revisions are much more complicated and higher risk.

[Discovernew]

Discovernew - I would keep it of course and so far even with the hiccup of having a defective one implanted and getting it replaced a few months later I'm 100% happy with it. While on Trimix most you were supposed to use it was maybe 3-4 times a week, at least around 24 hours between uses. Now with the implant I can get it up anytime I want and keep it that way as long as I want, much better than even when I was a teenager and would get those random erections out and about. But my case and others are different, like others have said once done it's done, if you have some issues during or after surgery and it has to be removed, then you're done - there's no way back.

If you can live with sex 3 or 4 times a week then keep with the pills or injections, if you want it several times a day, every day of the week or if the injections are getting to the point where they don't work ( mine the strength and dosage was way too high and was more miss than hit in working ) so then I'd say get the implant. Again my case is different as is every other guy on here, it's a decision you need to make with your Dr, but do your due deligence and research it, understand what is about to be done, watch a full surgery from start to finish both penoscrotal and infrapubic ones.

After you fully understand what's going to happen and how and what recovery will most likely be like for you, then go for it. It's major surgery and should never be taken lightly, this isn't one of those things that if it goes wrong I can always do it over, you might be able to or you might not. Not trying to scare you, just make sure you fully understand what you are about to have done and have realistic expectations of the outcome.

What do you mean by "if you have some issues during or after surgery and it has to be removed, then you're done - there's no way back." What would be a specific case where that would happen?

[Discovernew]

You've been through it all. The implant was the right choice for me - it isn't like a natural erection but the coincidence knowing that it is going to work makes it worth it. I can enjoy sex without worrying about the logistics that I experienced with pills, injections, etc. I am very happy with my implant. My one piece of advice is make sure you find the right surgeon for you (not only someone that does a lot, but has seen it all in terms of complications). You also want someone that you connect with and trust that they will work with you if any problems arise. You really want to get it right the first time with the surgery since all revisions are much more complicated and higher risk.

Thank you! i am reading your signature. Why did you decide to change the titan for an AMS? And having one of the very few people who have tried both implants first hand. Which one did you like more of the two, and why? Or are they basically the same thing at the end of the day?

[Discovernew]

My two cents which isn't much. I had good luck with pills but only with Cialis. Insurance moved it into a higher tier on my plan which made it impossible to afford. So I then started Trimix. Big difference. Yes you have to overcome the fear of the injection, but they are small insulin needles and I really didn't feel them as much after I quit focusing on the fact I was sticking a needle there. Now your body could acclimate to the Trimix causing you to go to a stronger dose and having to increase the amount over time, that happened to me, but isn't that bad.

But even though it needs refrigeration, it can be left without a few days. Normally you will pre draw your dosage in several syringes and keep them in the fridge or freezer. You can leave them out a few days without issue - I have left a dose out 3 days, and used it without issue. Now you can't leave it out in high heat, but room temp should be ok.

Like others have said, a implant is the nuclear option, once done it can't be undone and without a implant you will never get an erection normally again. Most Drs prefer you to have tried all available options before resorting to an implant, but that depends on the Dr, what you've tried, how you responded, and your current health.

I know the planning involved with pills and Trimix, Trimix is a little better in that it usually works fast - mine usually took no longer than 5 minutes before it was working, not like the pills which would take over 30 minutes to get in your system.

Personally for me I would try everything else that I could first before getting a implant unless my Dr recommended it due to my health issues, etc. Which is exactly what I did before I got mine.

Interesting, for me Cialis was the worst of the ED pills. It gave me all the side effects with the least benefit to ED. It never really worked well for me even when i first tried it many many years ago. The best one for me was alwas sildenafil (V). I used to have super strong erections with only 50mg and little to no side effects (except stomach reflux when i mixed it with alcohol). Now i am at 100mg and it doesn't always work even at that dosage. I know my erections will not get better with the years, this is going in only 1 direction. This is is why i would rather be proactive than wait until there is nothing i can do.

Injections are a no-no for me. I am single, i want the freedom to have casual partners whenever i want and however often i want. I cannot imagine injecting myself multiple times per day for example. And as i read everywhere, also injections eventually stop working.

[Discovernew]

Johns post made me think of something….. how many times a week do you get sex? I want 5-7 days a week, i was told injecting would work but the doc said only twice a week.

How many times you have sex could help in your decision…. I also did NOT want injections, the potential for scare tissue, having to plan for sex = less sex, and only 2x a week were deal breakers.

This is a great point.

Honestly, in my peak sexuality time, when i was in my 30s, my max record was 5 different women within 24hs. At the time, sildenafil 50mg was working great, so that means i had to pop 5 times 50mg within 24hs. Which was doable and it was all fun.

I cannot imagine injecting myself 5 times in a single day. Let alone once to be honest. Sildenafil is not as effective as it used to be and even if i take 100mg i am still having anxiety wether it would work or not. So even the time that i do spend with a woman is not so fun anymore, thinking my D can go down at any time.

Nowadays i am in my 40s but i still consider myself attractive and i am pretty sure i could do a lot more in the sexual department if i had the confidence 100% that my erection will be there exactly when i need it.

Except injections, which i don't see as a very practical option for me, i think i tried pretty much everything else.

[Discovernew]

I would get the implant and skip the pills, for me that would have been 9 years ago. My implant experience is amazing so far, better than oem at any age. Man, can’t even imagine how good sex would have been at 18 with this thing.

I have been reading your experience with Dr Clavell. From all the posts i have read, yours seems to be the most positive experience ever. Almost no pain from the beginning and all sunshine and rainbows. I hope this question does not bother you, but is there any way you could prove you are a real patient and not anyone advertising Dr Clavell's work here?

I mean, anyone can create an anonymous user here, and this would be the perfect platform for Drs to create fake usernames and advertise their services.

I hope you don't mind me asking this question, as much as i wish you are real and i end up having such a positive experience as yours, i'd just rather be super skeptical about the info i get before doing a life changing surgery.

Thanks!

[easymoney]

Cannot see any Dr. trying to pose as a "satisfied" customer ... no Dr. worth their salt would ever resort to this. There are some great high volume dr's out there so your going to hear their names more often. My dr is Dr. Carrion in Tampa Fl .. His father helped invent the first inflatable implant back in the 70's. He is one of the highest implanters of malleable implants in the country. Head of the urology dept at USF in Tampa. He has fellowships there that he teaches advanced techniques penile implants .. He does many hard to do revisions and mistakes from other dr's .. Not as flashy or heard about as some other surgeons on here. Also many tend to go for surgery in the general area where they live. There are a ton of low volume "good" dr's out there but you only have one dick who do you want to trust it to?

[JohnHC]

Discovernew - the biggest concern would be a really bad infection, though rare now, it can still happen. If it's bad enough and the damage is bad you might not be able to have another implant, most times I hear they either remove the implant and don't put anything back in, or the put in a malleable until everything is healed up well enough to possibly put in another inflatable one. You could also end up having an accident that damages the implant and it has to be removed, there are things that can happen but that's life, most of the time the damage would or can be repaired, but there are times that is not the case.

[Discovernew]

Discovernew - the biggest concern would be a really bad infection, though rare now, it can still happen. If it's bad enough and the damage is bad you might not be able to have another implant, most times I hear they either remove the implant and don't put anything back in, or the put in a malleable until everything is healed up well enough to possibly put in another inflatable one. You could also end up having an accident that damages the implant and it has to be removed, there are things that can happen but that's life, most of the time the damage would or can be repaired, but there are times that is not the case.

Damn that's scary.

Anyway if i were to have an accident that would damage my penis, probably that would be bad either with or without implant. But yeah i am assuming it is a small risk to consider.

Thanks for the input

[Lost Sheep]

I have been reading your experience with Dr Clavell. From all the posts i have read, yours seems to be the most positive experience ever. Almost no pain from the beginning and all sunshine and rainbows. I hope this question does not bother you, but is there any way you could prove you are a real patient and not anyone advertising Dr Clavell's work here?

I mean, anyone can create an anonymous user here, and this would be the perfect platform for Drs to create fake usernames and advertise their services.

I hope you don't mind me asking this question, as much as i wish you are real and i end up having such a positive experience as yours, i'd just rather be super skeptical about the info i get before doing a life changing surgery.

Thanks!

While shills might be posting here, it is highly unlikely a Doctor or employee would. (Though there have been instances of hopeful firefighters setting blazes in hopes of securing employment, this is also, thankfully, rare.) The downside of discovery is to great and far outweighs the upside.

You can also see the truth of outcomes by reading medical journals (legitimate peer-reviewed journals, not popular press and certainly not paid advertisements) which report outcomes (both good and bad).

My experience was virtually 100% perfect and my surgeon had NO economic interest in increasing his patient count. He was on salary with no incentive for surgeries performed, overtime, office visits or anything of the sort. (Active duty in the USAF and performed the surgery in conjunction with the U.S. Veterans Administration.) I interviewed him and was impressed with his attitude and dedication to my welfare. I was not disappointed.

Many surgeons will give their patients your contact information (those patients who are willing to give testimonials) if you ask the doctors to do that. Such patients will give favorable comments, of course, but you should be able to judge their demeanor and veracity for yourself.