New Guy Looking at an Implant

[ElbowRoom]

Hey all, I've been lurking here and vacuuming up information for a while, but I'm finally posting.

I'm a 58yo in good shape, have had ED off and on since I've been sexually active, and I've done "all the things" short of an implant. I did the pills for a long time and thought Cialis was great, but eventually it failed me. Moved on to Edex, which was expensive but worked well. I switched to Trimix because the expense was far lower per dose and more effective. I'm still using the Trimix, and it works well. My dose has gone up a little over the years, but I can't say it doesn't give me a rock hard erection.

But I'm tired of the decade of injections, bruising, lack of spontaneity, and having an erection that often lasts longer than I need it and leaves me waiting around for it to go away when I want to do other things. I think an implant is in my future, unless this board talks me out of it!

I've done a lot of research and I have had consultations with Dr. Clavell in Houston and Dr. Hakky in Atlanta. I really like them both and both have top-notch reputations. I'll probably have Dr. Hakky do the surgery since he's more-or-less local to me and that makes logistics far easier. Dr. Hakky did a doppler and found no scarring, fibrosis, or signs of Peyronie's Disease (my penis is straight as an arrow). They did note significant systolic flow insufficiency -- my numbers were 6/14 in the two cavernosa and Hakky said 25-35 is normal. Diastolic was normal at 0 per side, so no evidence of venous leak.

I am um...decently endowed, and Dr. Hakky said I wasn't a good AMS candidate as a result; from what I told him and eyeballing during his physical exam he thought I'd probably need a ~26cm Coloplast Titan implant. That was fine with me, I know both the AMS and Titan are excellent. I am aware of the tubing being the weak spot for the Titan...I don't ride bikes, horses, motorcycles or do other activities that might accelerate wear.

Dr. Hakky seemed pretty ambivalent about whether to get the implant now or wait. He said I'm a good candidate, but it all came down to deciding if I want to "get on the implant rollercoaster" as he put it. He meant the surgery, recovery, possible complications, eventual failure, revision, etc. cycle that implant patients deal with. I think I'm getting close to the "just get it done" attitude, and then deal with whatever arises. My wife is fine either way, but she did mention that more spontaneity in our sex life would be good. I know the recovery can be longer than expected for many men.

Anyway, I'd love it if anybody wants to chime in with information, wisdom, tips & tricks, caveats and warnings, whatever. I'm new here and I'm sure I'll be posting a lot as this process unfolds and I really appreciate everybody here and the wealth of information this site provides.

Thanks!

[ragingbull]

Thanks for spilling your thoughts! I’m digging your vibe and the way you write. I’m wondering what Hakky or Clavell would say about a malleable. It’s usually a one-and-done surgery that lasts a lifetime for most, kinda like a smooth cruise with just a tiny adjustment curve. Tons of folks, like thedriver, have dished on their wild rollercoaster rides and the chill, steady vibes they got after getting a malleable! Just a thought!

[ElbowRoom]

Thanks for spilling your thoughts! I’m digging your vibe and the way you write. I’m wondering what Hakky or Clavell would say about a malleable. It’s usually a one-and-done surgery that lasts a lifetime for most, kinda like a smooth cruise with just a tiny adjustment curve. Tons of folks, like thedriver, have dished on their wild rollercoaster rides and the chill, steady vibes they got after getting a malleable! Just a thought!

I brought it up for completeness in the discussion, Dr. Hakky said due to my size he wouldn’t use a malleable on me…he couldn’t get the girth he would want out of it and it would end up looking long and thin and weird.

[SWorks17]

Elbowroom, glad you have joined the FrankTalk Brothers. I did take PD5's for a good while from my mid 40's till 62, I never did injections. Every time I would get a prescription for Viagra or Cilias at the military pharmacy they would say, oh!, you need some little Blue Diamonds. I never knew how much the pills cost per pill, since I got them for free with military health care.

The reason I got on the implant bandwagon, I went to my military urologist at Brooke Army Medical Center here in San Antonio, for prostrate problems that I was having emptying my bladder and sudden urgency to pee or I just couldn't hold it. While I was at my appointment, they had a patient surgery covering the gambit for men's health and a ton of questions were about sexual health. I realized at that time that I did have a problem and that I needed a solution. So they talked to me about fixing my benign enlarged prostrate using the Boston Scientific Rezume procedure that would inject steam into the prostrate tissue. This would reduce the size of the prostrate but still leave me with the ability to still have ejaculate spurt out. (which I definitely wanted)
I had the prostrate procedure and I had to heal up for three months before I could get the implant.
So, they gave me a iPad that had a movie about solving ED permanently with an implant. I skipped the injections and went straight to the implant. My wife really didn't know how bad my erections were. It was such a pain to try and take a pill, time it right, eat right and then get horny with my wife to have sex, if my wife was in the mood for sex and then you wasted a little blue diamond.
Elbowroom, the implant has really changed our sex life for the better in spades My wife is also getting HRT therapy the past year, which has really jump started her libido to have sex and she gets super wet. Love, Love that because we don't have to use lube anymore.
Our sex life is really better than when we were starting off 36 years ago.
It's great now, to just pump up, start foreplay and then start banging away
I have the AMS LGX, which is for smaller dicks, I'm around 6.5 inches fully pumped, my wife likes it super hard I'm jelly that you've got a weapon of mass destruction but I do make use of my weapon
There are a lot of guys now that are looking to the MPP malleable implant and I might lean that way, if I have a failure, but I would probably go to the CX, if it failed because it is stiffer and my wife doesn't like me to have a big bulge out in public, which I think the MPP would show more.

Sorry for the long response,
I hope I helped a little
SWorks

[Craigohbig]

Get it. It’s going to break and you’ll just get it again. It’s not that big of a deal.

[ElbowRoom]

Elbowroom, glad you have joined the FrankTalk Brothers. I did take PD5's for a good while from my mid 40's till 62, I never did injections. Every time I would get a prescription for Viagra or Cilias at the military pharmacy they would say, oh!, you need some little Blue Diamonds. I never knew how much the pills cost per pill, since I got them for free with military health care.

The reason I got on the implant bandwagon, I went to my military urologist at Brooke Army Medical Center here in San Antonio, for prostrate problems that I was having emptying my bladder and sudden urgency to pee or I just couldn't hold it. While I was at my appointment, they had a patient surgery covering the gambit for men's health and a ton of questions were about sexual health. I realized at that time that I did have a problem and that I needed a solution. So they talked to me about fixing my benign enlarged prostrate using the Boston Scientific Rezume procedure that would inject steam into the prostrate tissue. This would reduce the size of the prostrate but still leave me with the ability to still have ejaculate spurt out. (which I definitely wanted)
I had the prostrate procedure and I had to heal up for three months before I could get the implant.
So, they gave me a iPad that had a movie about solving ED permanently with an implant. I skipped the injections and went straight to the implant. My wife really didn't know how bad my erections were. It was such a pain to try and take a pill, time it right, eat right and then get horny with my wife to have sex, if my wife was in the mood for sex and then you wasted a little blue diamond.
Elbowroom, the implant has really changed our sex life for the better in spades My wife is also getting HRT therapy the past year, which has really jump started her libido to have sex and she gets super wet. Love, Love that because we don't have to use lube anymore.
Our sex life is really better than when we were starting off 36 years ago.
It's great now, to just pump up, start foreplay and then start banging away
I have the AMS LGX, which is for smaller dicks, I'm around 6.5 inches fully pumped, my wife likes it super hard I'm jelly that you've got a weapon of mass destruction but I do make use of my weapon
There are a lot of guys now that are looking to the MPP malleable implant and I might lean that way, if I have a failure, but I would probably go to the CX, if it failed because it is stiffer and my wife doesn't like me to have a big bulge out in public, which I think the MPP would show more.

Sorry for the long response,
I hope I helped a little
SWorks

Thanks for the info SWorks, it sounds like you’ve had a really excellent experience! I might need to look into the Rezume procedure myself at some point.

Dicks are like tits…some are big, some small, some pert, some floppy. But they’re all great! 6.5” is an inch bigger than average and size is less impressive than skill anyway.

[ElbowRoom]

Get it. It’s going to break and you’ll just get it again. It’s not that big of a deal.

Directly to the point, I like it! I know a lot of guys say they should have done it sooner. I’m 90% there, I just have to get the timing worked out and prepare for a $22k bill. I hope my insurance will chip in, but I’m not counting on it.

[SWorks17]

Dicks are like tits…some are big, some small, some pert, some floppy. But they’re all great! 6.5” is an inch bigger than average and size is less impressive than skill anyway.

You got that right Carl

That's a phrase that my Dad would use when he agreed with you

SWorks

[markwal6]

Hey Bud, i got the cx and its the 24cm with 2 cm rt extenders. My girth gained about an inch and length dang near same. Point being depending on your girth is what id be concerned with. If your under 5.5 or less your good with the cx..over id do titan. I had some nerve damage because my surgeon said he could do inphrapubic. Not as sensitive as i was but still can get there. Id do it again in a second..mrs smiles a lot more than before

[adkd124]

I understand that trimix gives you inconvenience but implants it just another form of inconvenience (anxiety). If your wife satisfied with your erection on trimix I would not recommend you getting implant. Lifespan of Inflatable implants are questionable. Here a lot of dudes who have broken implants only after few years. With malleable implant you will loss the girth. Maybe if you have fat dick I would recommend you mpp but if you average I don't. Whith Inflatable you will need to do revisions in the future. So I think you anxiety with trimix it's not so bad like you think and probably you gonna just change one form anxiety on another.