Anyone know how to fix AMS?

The final frontier. Deciding when, if and how.
JohnHC
Posts: 218
Joined: Mon Apr 24, 2023 9:35 am

Anyone know how to fix AMS?

Postby JohnHC » Fri Sep 06, 2024 12:50 pm

Ok since insurance has decided to play games and get the stupid rollercoaster of emotions going again, I'm pretty fed up. I'm thinking I'm just going to have to "fix" this on my own. I can feel both ends of the tubing that's separated, so I'm guessing numb the area, make a small incision, push the two ends out, sterilize and clean them, then flush the system with sterile saline and refill it. Figure out how to reconnect the ends ( feels like one end just "pulled out" of the connector ) push all the reconnected tubing back in and call it a day. I just have to figure out how to flush the system and how to reconnect it )I can't afford it because I already wiped out savings and maxed out all my credit cards to pay for these first two surgeries ( insurance did relent and pay the surgeries so I don't owe anymore money but I'm still out everything I already paid, and even though they reversed their denials of the procedures, it was only for those already done even though I asked for prior and this revision ) I'm just done, and it tore me up to have to answer the question my wife of 30 years asked me "does this mean we can't be intimate or have sex ever again?" I just told her I don't know, I just don't know. That if we have to wait till I'm on Medicaid that will be 7 or 8 years from now.... Sorry I just can't do that and have no other way to deal with this....
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: 218
Joined: Mon Apr 24, 2023 9:35 am

Re: Anyone know how to fix AMS?

Postby JohnHC » Fri Sep 06, 2024 1:32 pm

This picture shows where I believe mine has failed at. It feels like the tubing has separated at the white coupler circled in the photo as I can feel the coupler but no tubing the other side
Attachments
ams-700-940x940~2.jpg
ams-700-940x940~2.jpg (34.04 KiB) Viewed 1350 times
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: Anyone know how to fix AMS?

Postby Jage64 » Fri Sep 06, 2024 1:45 pm

are you suggesting that you will do this yourself?

Don't compound an issue by turning it in to a tragedy. You cannot do this safely by any means. Not only are you very likely to get an infection that could completely ruin any chance at a proper correction in a surgical suite (if you don't bleed out from an improper incision and digging around), but from what I've seen the connection you're looking to repair is initially made with a highly specialized tool designed for this particular task. You're not going to fix it with a pair of needlenose pliers from your filthy toolbox.

This is a bad idea on every level.
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"

SwedishDave
Posts: 71
Joined: Sat Aug 13, 2022 4:55 am

Re: Anyone know how to fix AMS?

Postby SwedishDave » Fri Sep 06, 2024 2:49 pm

Dont even think about it. You could get gangrene and have to amputate your whole scrotum or atleast your dick/balls. Im really sorry about your situation and i see your desperation. But please dont do the thing you're considering because theres possibly no way back from that.
30 YO,

Hourglass peyronies from stretching. Losing girth.
Several small circumferential fibrosises. Sex and masturbation makes it worse.

Before L: 6.8 G: 5.4
Current L: 6.3 G: 4.8

ED2013
Posts: 1273
Joined: Tue Mar 05, 2013 8:15 pm

Re: Anyone know how to fix AMS?

Postby ED2013 » Fri Sep 06, 2024 3:51 pm

No. Don’t do it!!

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Anyone know how to fix AMS?

Postby tomas1 » Fri Sep 06, 2024 4:07 pm

I think "on my own" means pay for it myself.
My wife and I do "do it yourself" wound repair whenever I cut myself, but that would be crazy.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Thisworld
Posts: 159
Joined: Sun Sep 06, 2020 3:01 pm

Re: Anyone know how to fix AMS?

Postby Thisworld » Fri Sep 06, 2024 4:27 pm

So were you just unlucky to get 2 failure in so short time or do you practice any particular sport or job?

I understand your frustation, but how much you think it wuold cost for have it repaired by a real doctor without anesthesia expenses? Still too expensive ?
Hard flaccid syndrome since 2019. Trying to get better with conservative treatments but an implant is on my radar

easymoney
Posts: 607
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Anyone know how to fix AMS?

Postby easymoney » Fri Sep 06, 2024 5:39 pm

You are opening a can of worms that you will never be able to put the lid back on trust me ...so much can and will go back .. what you see on the videos is nothing like it will be if you go probing around .. friend got shoot many years ago .. bunch of us got together and played "DR" .. we probed and got the bullet out ..sewed it up with nylon parachute thread .. found out later we were only a 1/4 inch from a main artery ... we never "played" dr again no matter what ..

SteveD
Posts: 47
Joined: Thu Jun 02, 2022 1:34 pm

Re: Anyone know how to fix AMS?

Postby SteveD » Fri Sep 06, 2024 10:23 pm

John I echo the other opinions - do not do it! Get in touch directly with your last surgeon and see if they will 'go to bat' with AMS, and alternatively contact AMS directly (describe the issue, the financial burden, etc). Insurance companies respond much better to MDs and medical device companies. Another alternative is to seek a 'cash price' from the surgeon after its determined what exactly is wrong. If a connector the repair is pretty straightforward - and you might get it done by taking a personal loan. Your option 1: DIY surgery - don't do it. Option 2: tell your wife (and yourself) know erectile sex for 7 - 8 years - really!?!?
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.

Mark1974
Posts: 369
Joined: Wed Feb 15, 2023 5:16 pm
Location: Central Illinois

Re: Anyone know how to fix AMS?

Postby Mark1974 » Sat Sep 07, 2024 7:26 am

I agree with the others. I don't think Dr Eid or Dr Levine would even try to fix their own implants (if they had them)

I know if I were in your situation I would reach out to my urologist who implanted me and see if I could finance a malleable. Then when Medicare becomes available I would re-implant an inflatable if it would be important to you to do so at that time.

If your doctor doesn't finance I would look for one who does. This is the most practical solution I can think of.
Born 6/15/74. I have substantial venous leak with fairly severe hour-glassing, but no hard plaques. My urologist is sexual health expert Dr. Laurence Levine who performed a Doppler Ultrasound and diagnosed me with VL in 2020. I also have mild BPH


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