Incision Locations???

The final frontier. Deciding when, if and how.



jssherrard
Posts: 80
Joined: Thu Apr 04, 2024 1:47 pm

Incision Locations???

Postby jssherrard » Sun Dec 22, 2024 1:07 pm

Just out of curiosity, I'd like to know where other guys have their implant incisions. I'm a prostate cancer patient (in durable remission, thank goodness), and have previous surgical scars in my pelvis area which may have left my implant surgeon with limited options. I ended up with two horizontal incisions for my implant. The first was a 2.5 - 3 inch incision across the upper part of my scrotum. The second was a 6 inch incision above my pubic bone. The scrotal incision healed surprisingly quickly and is now nearly impossible to see. The larger pubic incision was much slower to heal, and will probably always be somewhat noticeable. So, for my bionic brothers, how many incisions did you require and where? Oh, and how well have your scars healed over time?
Aggressive prostate cancer (genetically predisposed) at 52. Required immediate intervention. Robot Assisted Radical Prostatectomy (RARP) in December 2021. Erectile function never returned. Penile implant (AMS-700) in March 2024. Bionic Boys Club FTW!

Mikedsy
Posts: 34
Joined: Fri Jul 09, 2021 10:23 am
Location: Baltimore, MD

Re: Incision Locations???

Postby Mikedsy » Sun Dec 22, 2024 9:42 pm

My sugeon used seprate incision for the saline sac placement. The horizontal scrotal one looked kind of gnarly and I thought it would be noticeable but once healed and a lttle time passed I can't see either one.
Prostatectomy 1/2021 @ age 62
No response from pills, Injections 4/2021, Salvage radiation 3/2022, Injections stopped working 8/2022, Implant 4/2023 AMS CX 18 w/1 cm rte on right side only. Penoscrotal with separate incision for reservoir.

jssherrard
Posts: 80
Joined: Thu Apr 04, 2024 1:47 pm

Re: Incision Locations???

Postby jssherrard » Mon Dec 23, 2024 11:26 am

Mikedsy wrote:My sugeon used seprate incision for the saline sac placement. The horizontal scrotal one looked kind of gnarly and I thought it would be noticeable but once healed and a lttle time passed I can't see either one.


Yeah, I was impressed by how quickly the scrotal incision healed. But my pubic incision is still noticeable after nine months. How long ago was your procedure?
Aggressive prostate cancer (genetically predisposed) at 52. Required immediate intervention. Robot Assisted Radical Prostatectomy (RARP) in December 2021. Erectile function never returned. Penile implant (AMS-700) in March 2024. Bionic Boys Club FTW!

JohnHC
Posts: 289
Joined: Mon Apr 24, 2023 9:35 am

Re: Incision Locations???

Postby JohnHC » Mon Dec 23, 2024 11:39 pm

Both my failed ones were penoscrotal and only 1 incision where the "sack" hits the penis. And yes both times they healed up fast and Dr Hakky who I'm using for this third revision says he had a hard time seeing where the incision was. Dr Hakky says the scrotal incisions heal very fast and leave basically no sign of surgery.
AMS 700 CX 21 cm X 12 mm with 2 cm rear tip extenders. Tenacio pump and 100 ml conceal reservoir done by Dr Hakky on Feb 18th 2025

jssherrard
Posts: 80
Joined: Thu Apr 04, 2024 1:47 pm

Re: Incision Locations???

Postby jssherrard » Tue Dec 24, 2024 1:46 pm

JohnHC wrote:Both my failed ones were penoscrotal and only 1 incision where the "sack" hits the penis. And yes both times they healed up fast and Dr Hakky who I'm using for this third revision says he had a hard time seeing where the incision was. Dr Hakky says the scrotal incisions heal very fast and leave basically no sign of surgery.

How soon is your third revision surgery?

I wish I could have had just the scrotal incision. Like yours, it's pretty much undetectable! But my much larger pubic incision will likely always be visible. But, given how well the implant is working, that's a trade-off I'm happy to make!
Aggressive prostate cancer (genetically predisposed) at 52. Required immediate intervention. Robot Assisted Radical Prostatectomy (RARP) in December 2021. Erectile function never returned. Penile implant (AMS-700) in March 2024. Bionic Boys Club FTW!

wilsonmill
Posts: 387
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: Incision Locations???

Postby wilsonmill » Tue Dec 24, 2024 1:53 pm

Both of my implants were done pentascrotal, 1 incision and healed were you cannot see a scar.
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital

Rider1400
Posts: 1131
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Incision Locations???

Postby Rider1400 » Tue Dec 24, 2024 4:51 pm

I had infrapubic about 1-1/2” just above my penis. Had very little to no swelling in my scrotum afterwards and aided in quick use of the equipment. I do have a very fine white line of a scar just above my penis. Barely noticeable if looking directly at it. This was the only incision used in the surgery. Had stitches and drain removed at 11-12 days after surgery and was told I could gradually start pumping as long as I could deflate. Had first sex just less than 3 weeks after surgery but it was very uncomfortable to say the least! Just got better every time after that. Been 2.5 years now and going strong!
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 with Classic pump 20cm and 1cm RTE. Going strong

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Quincy
Posts: 425
Joined: Tue Mar 27, 2012 6:03 pm
Location: Boise, ID

Re: Incision Locations???

Postby Quincy » Tue Dec 24, 2024 7:58 pm

Infrapubic. One small incisions, horizontal, about one inch or so above base of shaft. Small hole for drain which was pulled out the day after surgery. Both sealed with surgical glue and I could get in a bathtub after 3 days. Very little swelling, scar from surgery impossible to see.

I chose infrapubic because it would provide faster recovery, which it did, and less trouble with the incisions. I was cycling within a week of surgery. Sex approved at 3 weeks but too uncomfortable until a couple weeks later.

Overall, very small incision.
71, Boise area, Married
ED from type 2 diabetes and PCa radiation.
AMS LGX surgery 6/5/18 with Edward Karpman in Silicon Valley, 18cm+3RTE

Mikedsy
Posts: 34
Joined: Fri Jul 09, 2021 10:23 am
Location: Baltimore, MD

Re: Incision Locations???

Postby Mikedsy » Wed Dec 25, 2024 3:48 am

jssherrard wrote:
Mikedsy wrote:My sugeon used seprate incision for the saline sac placement. The horizontal scrotal one looked kind of gnarly and I thought it would be noticeable but once healed and a lttle time passed I can't see either one.


Yeah, I was impressed by how quickly the scrotal incision healed. But my pubic incision is still noticeable after nine months. How long ago was your procedure?


Close to 2 years now and I do see a slight discoloration but nothing like a scar. Can't remember how long it took to get to that point.
Prostatectomy 1/2021 @ age 62
No response from pills, Injections 4/2021, Salvage radiation 3/2022, Injections stopped working 8/2022, Implant 4/2023 AMS CX 18 w/1 cm rte on right side only. Penoscrotal with separate incision for reservoir.

Floridaspeedo
Posts: 313
Joined: Fri Jun 17, 2022 11:15 am

Re: Incision Locations???

Postby Floridaspeedo » Wed Dec 25, 2024 8:08 am

I only have 1 scrotal incision and he cut at the seam between both balls.

Once healed. 100% invisible that I had any type of surgery.

Other doctors cut above the pubic bone and I didn't want that. I am not a hairy guy so would have been visible.
ED survivor 5 years. Tried pills, Gainswave, PRP, Bi-Mix/Tri Mix (worked 50% but very painful for 24 hours after injection.) 55 Gay - Single Titan Coloplast implanted June 1st, 2022, scrotal in Miami by Dr Billy Cordone..,very happy. Zero regrets


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