Prostactectomy AFTER Implant

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Prostactectomy AFTER Implant

Postby Lost Sheep » Sun Nov 05, 2023 1:14 am

Prostactectomy AFTER Implant

Six years ago in 2017, I had an implant. It worked great. Six months ago I was diagnosed with prostate cancer, so I had my Prostate taken out.

Complication:
The prostate was close to the Reservoir, and the reservoir was adhered fascia. So, the reservoir was removed.

Anyone have this happen?

my surgeon believes replacing the reservoir and putting me back in action will be easy. But I have questions.

At six years old will my AMS LGX be reaching the end of his service life? That is, should I consider a full replacement?

if offered a CX or a Titan (if a replacement is offered) I wonder about that choice.

my LGX has proved very satisfactory to me and to my partner.
Last edited by Lost Sheep on Mon Nov 06, 2023 11:23 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

SteveD
Posts: 46
Joined: Thu Jun 02, 2022 1:34 pm

Re: Prostactectomy AFTER Implant

Postby SteveD » Sun Nov 05, 2023 4:43 am

I had my implant after an RP and the reservoir placement was not an issue given the Da Vinci robot's multiple (? 6) entry points into the abdomen. Your surgeon may also choose to put the reservoir on the opposite side from the original.
Re: implant life cycle and type: that's a great 2-way discussion with your surgeon. One scenario/approach: you've got 5 - 10 years remaining implant life cycle; what's the 'best guess' on your personal life cycle. Otherwise, I often read postings on FT about up-sizing on revisions due to space dilation. And similarly, there are frequent posts about the implant brand characteristics when inflated and not.
My bottom-line at 70 years old if in need of a reservoir only: I'd go for the full revision and seek a larger AMS product.
Somewhere on the journey after prostate cancer surgery 2019 - AMS 15/5 IPP 2 years later - saved by a very supportive wife and a great surgery team at Johns Hopkins.

cbinspok
Posts: 671
Joined: Wed Feb 03, 2021 7:45 pm

Re: Prostactectomy AFTER Implant

Postby cbinspok » Sun Nov 05, 2023 7:28 am

Awh geeez Lostsheep
Sorry to hear this news, its a fear that we all have. I’m sure you will make the right choice, you’re a smart guy, keep us in the loop if you choose.
I think I would consider a Titan if this happens to me,Ive grown to embrace my shower. The Lgx shrinks over 1.5” for me with a dog ear on left. Maybe except dog ears and enjoy the shower.
Best of luck LS. Your contribution hear is appreciated
67years,fighting ed for over twenty years. A sever break, vit E, pataba, Viagra, massage Ved cilas, and I'm tired- throwing in the towel, Op for implant Mar 18, 2021 AMS LGX 18 x12 + 1 3cm RTE, gained girth and length, very glad I took the hard step.

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Prostactectomy AFTER Implant

Postby FinallyBionic » Sun Nov 05, 2023 8:52 am

It is good to hear that everything went well with the removal of the prostate, especially the infection risk. It seems that your surgeon is a competent one and made the right decisions during the surgery.
In my opinion, keeping your current implant will be a good idea, since it is still working. No one knows how long it will still go, and if you get a new one, there is still the possibility of failure at anytime, in addition to the other complications of surgeries.
Time is also an important factor: with the removal of reservoir, you might now be totally deflated, or maybe a little saline left. The removal of prostate shortens the length and getting back to inflating very soon will help you keep your current size. I think the bright side of having RP after implant is that you can still keep you size and shortening doesn't occur. This is just my assumption, not sure if it medically correct.
Wish you a quick recovery. Don't forget about doing kegel exercises as much as you can everyday. I could stop incontinence in about a month after my RP with kegel.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

Rider1400
Posts: 1073
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Prostactectomy AFTER Implant

Postby Rider1400 » Mon Nov 06, 2023 6:23 pm

I’ve been curious about what happens when you already have an implant and then have RP. My concern is they remove the portion of the urethra which in most people causes them to loose length. I’m sure you’ll have to be completely healed before ever considering getting a new resivour and then for sure before you pump it up as this will put a lot of pull on the now shortened urethra. I would ask my implant Dr his opinion of replacement of the whole implant. I personally would probably do a complete revision. But it’s totally up to you and your surgeon. I have a Titan and at the time was very adamant about using it over an AMS. Now after living with it I don’t think it would really matter which one I received next. Either will get harder than you will ever need. The softer AMS sounds nice as the Titan took 6-8 months to get soft enough to be comfortable.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

philly444
Posts: 168
Joined: Sat Mar 11, 2017 4:43 pm
Location: Philadelphia, PA

Re: Prostactectomy AFTER Implant

Postby philly444 » Mon Nov 06, 2023 9:42 pm

I am so sorry to hear about your cancer. Most of us are the other way around. Cancer first, implant afterward. I personally would have everything replaced if possible. If you are happy with what you have I would do the same. I wish you the very best going forward.
AMS 700 LGX 18cm, implanted December 16, 2016, University of Pennsylvania, Dr. Wm. Jaffe Married to a Man

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Prostactectomy AFTER Implant

Postby Lost Sheep » Mon Nov 06, 2023 10:18 pm

Rider1400 wrote:I’ve been curious about what happens when you already have an implant and then have RP. My concern is they remove the portion of the urethra which in most people causes them to loose length. (Edited for focus) .

I questioned whether the removed portion of the urethra would make things shorter thus more difficult. I heard from multiple medical sources that this is not a problem, as the bladder will move down, leaving the shortened urethra still long enough to reach from bladder to metatus, just as before the Prostactectomy.

That is, the bladder moves down to where the prostate used to be. The kidneys & all tend to follow suit. Apparently, our innards are flexible enough.
Last edited by Lost Sheep on Tue Nov 07, 2023 1:21 am, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Tmansdorfer
Posts: 193
Joined: Wed Sep 14, 2016 2:36 pm

Re: Prostactectomy AFTER Implant

Postby Tmansdorfer » Mon Nov 06, 2023 11:21 pm

I think most surgeons replace the whole thing at once due to the infection risk ,
39 01/24/19 USC Dr Doumanian LGX 15cm 3, lGX 18 +2, revision 6-20 18+3 pump failure, revision 8-20 left cylinder in scrotum, 1-21 removed infection switched to dr Doyle, Boyd 10.05.21 a 15+3 cx,revision 01,23,24 with switch to LGX 15+6 fat pad removal.


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