Implant Journal

The final frontier. Deciding when, if and how.
equusAz
Posts: 28
Joined: Mon May 22, 2023 9:16 am

Implant Journal

Postby equusAz » Tue Sep 17, 2024 11:35 am

Hey all -

So I posted in here before about possibly needing an implant, so this is kind of an update then. I have some slight deformation due to Pyrionie's at the base and slight curve as a side effect of a prostatectomy due to cancer. I'm 48yo, bi (married to a man) healthy male, not overweight, and other than the prostate cancer (which has been cleared as the surgery was in July of 23), I'm in excelent health. After the RP, they told me they removed one of the nerves for erections due to possible encroachment of the cancert which turned out to NOT be the case. Better safe than sorry, however, it lead to total ED with no nerve recovery. I tried the pills even at 100mg of Cialis I had nothing. The only way to get an erection was with bimix and they were incredibly painful (burning sensation). I've done my best to maintain size and eleasticity with injections and VED but - still have had some loss but I had enough to start with that I'm only interested in getting FUNCTION back now.

Today I had a Cystoscopy to ensure all my plumbing is good and that the damage from the Pyrionie's is minimal - which it is, so I'll be scheduling my surgery next. I'll be going with the Coloplast Titan XL - measurements to be done during of course. I'm nervous but anxious to be functional again. So I plan on using this thread as a journal to document my journey. My physician is Dr. Segal from Chesepeake Urology in Baltimore and he's done quite a few implants and came recomended from my primary Urologist.

More to follow...
48yo gay married male - Prostatectomy done 7/2023. Severe ED due to nerve removal for possible cancer encroachment (none detected). Size before cancer / ED = 7.5" x 6.25"

jwdetails
Posts: 83
Joined: Thu Oct 12, 2023 4:43 pm

Re: Implant Journal

Postby jwdetails » Tue Sep 17, 2024 11:39 am

equusAz wrote:Hey all -

So I posted in here before about possibly needing an implant, so this is kind of an update then. I have some slight deformation due to Pyrionie's at the base and slight curve as a side effect of a prostatectomy due to cancer. I'm 48yo, bi (married to a man) healthy male, not overweight, and other than the prostate cancer (which has been cleared as the surgery was in July of 23), I'm in excelent health. After the RP, they told me they removed one of the nerves for erections due to possible encroachment of the cancert which turned out to NOT be the case. Better safe than sorry, however, it lead to total ED with no nerve recovery. I tried the pills even at 100mg of Cialis I had nothing. The only way to get an erection was with bimix and they were incredibly painful (burning sensation). I've done my best to maintain size and eleasticity with injections and VED but - still have had some loss but I had enough to start with that I'm only interested in getting FUNCTION back now.

Today I had a Cystoscopy to ensure all my plumbing is good and that the damage from the Pyrionie's is minimal - which it is, so I'll be scheduling my surgery next. I'll be going with the Coloplast Titan XL - measurements to be done during of course. I'm nervous but anxious to be functional again. So I plan on using this thread as a journal to document my journey. My physician is Dr. Segal from Chesepeake Urology in Baltimore and he's done quite a few implants and came recomended from my primary Urologist.

More to follow...



congrats on making the decision and taking the first step!
62 year old, ED+PD, Coloplast Titan 22 cm no RTE in 2019 with Dr. Irwin Goldstein => failure, now with plaque excision/tunical expansion to Coloplast Titan 26 no RTE in 2022 by Dr. Darshan Patel, now with classic pump 2024 :D

equusAz
Posts: 28
Joined: Mon May 22, 2023 9:16 am

Re: Implant Journal

Postby equusAz » Wed Sep 18, 2024 9:19 pm

Thanks - though the decision was made FOR me by cancer - but hey - I can either run from it or embrace it - and make the best with what I'll have. :lol: So - I'm going with the former...
48yo gay married male - Prostatectomy done 7/2023. Severe ED due to nerve removal for possible cancer encroachment (none detected). Size before cancer / ED = 7.5" x 6.25"

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kampfmops
Posts: 106
Joined: Fri Apr 19, 2024 4:48 pm
Location: Michigan

Re: Implant Journal

Postby kampfmops » Thu Sep 19, 2024 8:20 am

Nerves are understandable. I was super anxious leading up to surgery. The morning of surgery I felt like I was on autopilot, then it was suddenly over. It's worth it in the end though. Better to have the implant than be floppy all the time. :)
GWM 57 ED+PD in MI. AMS 700 CX 24cm 6/27/24. I started a journal.

equusAz
Posts: 28
Joined: Mon May 22, 2023 9:16 am

Re: Implant Journal

Postby equusAz » Tue Sep 24, 2024 3:59 pm

Quick update - I've scheduled my surgery for December 9th. I've been through a lot of ups and downs over the last week or so waiting for the scheduling. I'm both terrified and excited at the same time. I think thats a first for surgery for me. Every time before was because of something bad that happened or negative health issues - but this? Its strange to have both feelings at once.

I have United PPO - so I SHOULD be good. The doctors office will be calling in to get approval as we get nearer. I have a work trip to get through in October - so thats good that I don't have to deal with going on that while healing. That would be insane!

Anyway --- now the waiting begins. Any advice? Things I should read up on?
48yo gay married male - Prostatectomy done 7/2023. Severe ED due to nerve removal for possible cancer encroachment (none detected). Size before cancer / ED = 7.5" x 6.25"

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

Re: Implant Journal

Postby easymoney » Tue Sep 24, 2024 4:59 pm

read all you can about infections and how to avoid them .. what type of implants? an IPP or a MPP and the pros and cons on each .. using a VED before surgery this and more can be found on this site just by searching subjects ..good luck to you ...

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

Re: Implant Journal

Postby Mark1974 » Tue Sep 24, 2024 5:08 pm

equusAz wrote:Quick update - I've scheduled my surgery for December 9th. ?

My surgery is also December 9. Looks like we might be going through this together
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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happycamper59
Posts: 193
Joined: Tue Aug 01, 2017 11:02 pm

Re: Implant Journal

Postby happycamper59 » Tue Sep 24, 2024 7:32 pm

excited and terrified --- that was what most of us who went through felt, I am sure of that.

Yeah, you don't want to do much of anything for at least one week post-op. Just ice, recline, watch TV and more ice. I hope you plan to take 2 weeks away from work -- they are a beast to get through. Then it starts getting easier by the day.

Good luck!
ED worsened over 25 years, likely VL. Went through pills and injections, and results faded over time. Implant AMS 700CX, 21 cm, no RTE, on 6/3/24.

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

Re: Implant Journal

Postby cbinspok » Wed Sep 25, 2024 8:02 am

Ditto on the VED recommendation, good luck moving forward, we are here when you have a question or get nervous, we’ve been through it.
Hugs brother
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.

equusAz
Posts: 28
Joined: Mon May 22, 2023 9:16 am

Re: Implant Journal

Postby equusAz » Fri Sep 27, 2024 1:35 pm

easymoney wrote:read all you can about infections and how to avoid them .. what type of implants? an IPP or a MPP and the pros and cons on each .. using a VED before surgery this and more can be found on this site just by searching subjects ..good luck to you ...


It'll be IPP.

On a VED - I used one but had to stop. It was causing issues bulging /and an indent. I do use injections every few days to keep on it - and just bear with the pain of it - but the VED was starting to cause deformity where the rings were used (indents). After talking to the doc, I stopped. I do have a bathmate I use gently - but for the most part I'm only partially using VED. Unfortunately the indent can't be mitigated without major surgery and its more asthetic at this point. I also had developed Pyriones during all of this. I've lost girth but I had a ton to begin with and can live with giving up some.

At this point I need functionality.
48yo gay married male - Prostatectomy done 7/2023. Severe ED due to nerve removal for possible cancer encroachment (none detected). Size before cancer / ED = 7.5" x 6.25"


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