Implant considerations and concerns at 22

[tryfied]

Hi

I have had ED for the past 3 years. My situation is described here viewtopic.php?f=19&t=2782.

I'm considering to get a penile implant. I recently visited a doctor, who does these kinds of surgeries regularly. He gave me a brochure about implants. I read about the risk of infections being 5 percent and that nothing can be done, if you get infected. If this happens, you will be impotent for the rest of your life.

I'm also worried about the floppy head thing. My doctor told me, that this was inevitable. Some patients supposedly benefited from this thing by using Viagra or similarly. If my glans won't fill with blood (or salt water if I get the implant), then it will be floppy. Can you even penetrate with this floppy head syndrome? It sounds terrifying to me.

I read that Dr. Eid in New York with his surgeries has a low infection rate. Furthermore he supposedly has the code for "floppy heads" - http://www.prnewswire.com/news-releases ... 85373.html

I'm also worried about losing size. The urologist told me, that my erect size will be equal to my pre-surgery erect size. But the brochure I got said, that my erect penis length will be equal to that of my flaccid penis.

Also how long will an implant typically last? And is it replaceable if it breaks? Will a possible replacement maximize the risk of getting infected?


/tryfied

[billylee]

t,
I certainly feel your concerns, I have them also. I am so borderline at 68. Unlike so many men on this site that tremendously need help due to prostrate surgeries and accidents, my condition seems so minor. I do have erections but I just do not last to suit me. My partner is aganist surgery and says I please her fine, but then she has lost so much desire, which I credit to my often failures, but possibly just age produced lack of libido. To do IPP is a huge step, but I at least have an appointment with Dr. Morey in Dallas in early December. There I can get consultation, then make a decision. I want the surgery to be more of the the man I have so long wanted to be.....but then is it worth the risk, the twice daily pumps, the wait, and all for weekly, monthly, or whenever spantaneous moments she rarely gets.

But, for you at 22, I believe the decision is more important and IMO you should appeal to a top notch surgeon's consultation immediately.

Good luck.

billy

[Neisseria]

Hi, im 23 and im also going for the implant soon. There are some wrong concepts in what you wrote:

1) The floppy head is a bad result of the surgery, it is not the common. It happens when there is not enough distal dilatation so the implant is shorter and ends before de head. The cold head is another thing: The implant only produce an erection in the corpora cavernosa, the bottom shaft of the penis and the head is part of the corpus spongiosum and is up to your body if it engorges or not, the implant don´t affect that.

2) The Erect length should be practically the same as your stretched length prior to the surgery. Grab your penis, stretch it and what you see is what you are going to get. The flaccid and erect length POST-OP will be close, depending on : 1) Your implant (the lgx changes length in activation the rest not) 2) Latent erections on your corpus spongiosum

3) The infection rate is between 1 and 2% (with surgeons of experience). The replacement is usually a simpler surgery comparing to the first one because the dilatation is already done, they only have to replace the implant, but the infection rate is a little more like 3-5% (in the past was much higher).

4) If you get an infection is not over. They can do a salvage protocol were they clean the site and insert another implant with high succes. We don´t win nothing getting depressed, god won´t give you another dick, so we have to do the best we can. I have a lot of faith.

I hope this helps you

[Bionic_by_AMS]

tryfied,
If your URO actually told you that floppy head was inevitable ... Run! ... run very fast to another URO. It certainly is not normal and indicates poor skills on the part of the doctor ... plain and simple ...

The actual infection rate (USA) is about 1% ... I'll take a 99% success rate any day! ... and "you will be impotent for the rest of your life" - huh? As Neisseria stated ... if you do get an infection ... they simply replace it with another one.

If an Implant fails ... yes they will replace it with another ... it's well worth it to resolve your ED issues.

[soulforged]

i think you mistunderstood him
you glans probably wont fill up with blood but it shouldnt be "floppy" as long as you get a proper size implant
the infection IS a very serious thing,the salvage procedure can be done with high success(like 80%) but not all urologists even know of that procedure ,its a relatively new idea AND it can only be done if the infection isnt too agressive,if the infection is extremely agressive(for example if it presents with puss of abcess) salvage is impossible
the standart treatment for an infection is implant removal,treatment of the infection and a new implant after at least 3 month(and you will build up quick a bit of scar tissue after that)
im in a very similar situation as yours (22 year old with severe post trauma peyronies - complete ED) and to be honest,i think were fucked
but on the other hand we have really nothing to lose,so i guess your best option is to find the best surgeon you can afford and just do it

[JDavid]

A surgeon with a 5% infection rate should not be doing the surgery. A surgeon who consistently undersizes the implants resulting in a floppy head, and probably a floppy penis due to the implant not being long enough to be properly anchored in the pelvic floor, shouldn't be doing the surgery. My doctor had me on oral antibiotics for a week before surgery, started me on IV antibiotics several hours before surgery, and continued IV antibiotics for twenty-four hours after surgery. Fully inflated the tips of the implant come within a milimeter or two of the skin of the head. Fully inflated I can feel the pressure of the implant near my prostate gland. Fully inflated I can hang a bath towel on my penis. This is the kind of outcome you should expect.
Members in countries other than the US seem to report a fairly high rate of substandard outcomes and subsequent physician indifference. The US healthcare system is substandard at delivering health care to the entire population yet paradoxically is great at serving those who do their research carefully and can pay. If you are going to do this, I think you should build traveling to the best doctor into your considerations.

[tryfied]

I think you are right, that I misunderstood him. I thought the missing filling of blood to the glans was called a floppy head. I understand, that an implant won't change, whether my glans is going to fill. Is it possible to penetrate, if the glans doesn't fill? How would it feel to her?

One of the "appealing" ideas about getting an implant, was the fact, that you wouldn't get the drawbacks of using Viagra or similar. I know you can use that kind of stuff to improve the fillment of blood to your glans, but still find it frightening.

If you say they have 1% infection rate in the United States, I will be getting mine at some doctor over there. I hear that it's possible to have a phone consultation with Dr. Eid, so I think I will be trying that to hear what he has to say about this. Do you have an idea, of what a surgery would cost with a good US doctor - i.e Dr. Eid in New York?

On a side node, I can say that I just met a nice and smart girl. We have had moments alone, but sex has been out of questions for me, as I'm too afraid of her reaction of my inabilities. I want to keep seeing her, but she must think I'm gay - not that I have a problem with people being gay. But not getting a chance of experiencing your real sexuality, just feels so empty.

The mechanical drawbacks of getting implanted is somewhat terrifying to me too. Of course she will most likely be satisfied. Her experiencing that joy about my abilities, will make me feel better. But all the spontanity will be gone. Shirly I have no clue how it's going to be. But it's the desicion over all other desicions to be making.

[Neisseria]

Tryfied, if you don´t get good erections with pills... there is not other option for young guys, except the implant: You can´t inject yourself each time you want to fuck being so young, that is not spontaneus, is only an option for married guys that have sex few times a month. The ved is the same. The implant should give you spontaneity, as i read it takes like a minute (in some guys a little more) to get a good pumped erection, and if you know you are going to have sex, you can pump it some before, with the benefit that you can fuck whenever you want as long as you want, and that is not even possible for a guy without ED. It can be awkward with someone you meet in the same night, but it will not be a matter for most girls, i talked about it with various single implantees. The girls like the security and self-steem in a man, if you are ok with your condition and you can perform with the implant, they will be happy.

I bet you will have engorgement of the spongiosum being so young, the venous leaks in the corpus spongiosum (gland) are very rare. Even if you don´t get the engorgement, penetration is not a problem if the implant is correctly installed. But i insist, you will get some engorgement for sure, don´t worry about that.

It will "cure" your ED for like 10 years. And then you can have a replacement and get probably more years of use in that time. Implant technology is in constant evolution, and the enlargement surgery is progressing with grafting injerts if you need more length.

I am almost 24 years old and in the same boat, i had ED that worked perfect with pills but then all went in downhill and pills stopped working. I got an injection bad done by a stupid nurse for a diagnostic purpose and left me with a little scar tissue in my left cavernosa. And now i am going to get the implant soon without any regrets because is my only course of action. Don´t be stupid to wait for stem cells because you will probably spend all your young life waiting without any security it will work, and if it works it will cost a fortune.

[JDavid]

Tryfied, my surgeon is Dr. Edward Karpman. He is located in the San Francisco Bay area and does more implants than any surgeon in California. He has implated several members here all of whom are pleased with their results as I certainly am. It is my understanding that he has an arrangement with the hospital he uses to provide the surgery for a total cost of about $18,000. You stay in the hospital overnight getting pain management and antibiotics. He's a great surgeon and a very nice man. Send me a private message if you want to know more.

[ED2013]

I second that about Dr Karpman. He did my implant and I'm very happy with it. I lost no length and my girth is increasing. Imagine being able to get rock hard, super hard, harder then other guys and be able to perform whenever, wherever for as long as you want. Bringing women to climax again and again and again until they beg you to stop. Then laugh when you see them walking funny because they are sore.