Revisions and reservoirs

[wilsonmill]

Good morning, I am preparing for a revision after 5 yrs with a coloplast titan that failed. I spoke with my surgeon yesterday and we discussed the procedure and what we were going the replace it with, AMS 700 LGX. I asked if the Titan reservoir would be removed and more than likely not as it would have attached itself to my other organs and that trying to remove it could create other issues and I have read that somewhere in one of the papers written by surgeons. My question is you fellas that have had multiple revisions and went back with IPPs are all your reservoirs still in place or did they remove them. This dawned on me and woke me up this morning thinking about that. Thanks for your response.

[rdnkbiker]

When i had my revision last July the doc said he would try to get the old revisor out.... mine had been in 6+ years...he said he tried but the first doc we won't mention put it in so deep he was afraid to remove it ... just have to beware if you ever have x-rays it will show 2 they might think you have a mass of some kind he told me let them know and if you cant your wife or family member needs to know to prevent unnecessary surgery

[wilsonmill]

Thanks rdnkbiker, I hadn't thought of any of this till last night. I guess if they cannot remove it, (remains to be seen), then if this failed down the road a malleable probably would be next. Thanks again for the heads up on the X-rays.

[newbie443]

The really good doctors can and do remove old reservoirs. The big thing is a large blood vessel that can rupture and then it needs to be located fast and closed. Just like only a small number of really good doctors can do a wash out and implant another IPP with infection of the first. On the lower end of things doctors will do a virgin IPP but will not do any repairs or replacements. Just depends on skill level. My original doctor was one that would remove old reservoirs and wash out infection with reinstalling IPP. There are others.

[Titan2]

I had my revision six weeks ago, and Dr.Eid told me prior that he would probably leave the old reservoir in, and he did.

[wilsonmill]

I had my revision six weeks ago, and Dr.Eid told me prior that he would probably leave the old reservoir in, and he did.

Thanks Titan 2, by talking yesterday with my surgeon he said it could do more harm than good by trying to remove if it has attached itself to other organs but will look when he is in there, Tuesday.

[Titan2]

Good luck on Tuesday and keep in touch.

[Gt1956]

I suspect that attaching a different brand IPP, to a reservoir isn't possible. I doubt that the tubing is the same. Thus an adapter fitting would be needed. Too much involved so it'll be left in if you change brands.

This isn't like changing a kitchen faucet. Each company developed their own tubing.

[wilsonmill]

Good morning, had the revision yesterday with a new to me AMS700 ?, do not know which one yet as I have been out of it. The big news is that he had removed the titan reservoir as he was allowed to due to the placement from the first surgeon, per what he told my wife. So far so good, pain is about 3, but that still maybe the meds, but not taking any yet this morning. My surgeon was Dr Andrew Chang with associated urology in Raleigh NC and the hospital was Rex Hospital in Raleigh, both outstanding. Will post more as time goes by.

[wilsonmill]

Also one more thing, icing for the swelling. I am using a cold circulation machine that I had to use right after rotor cuff surgery a yr. Ago, I sit on the pad making sure there are no rolls in the pad to prevent circulation along with a ice bag that you fill with ice that I put on the top side, really works well.