Staying local vs traveling-Revision Surgery

The final frontier. Deciding when, if and how.



Friday121224
Posts: 15
Joined: Fri Dec 13, 2024 2:37 am

Re: Staying local vs traveling-Revision Surgery

Postby Friday121224 » Mon May 05, 2025 3:00 pm

wilsonmill wrote:Are you going back with a Titan or are you going with something else?


Probably Titan as it’s covered by the warranty.
Pills failed in my 30's. Moved on to Trimix. Had a priapism at age 40 on Tri-Mix. End of Tri-Mix.
Implanted Titan 22 cm with Dr. Tajkarimi in Washington D.C. on 4/21/21. Implant failed
12/12/24.
Currently considering options and awaiting revision.

wilsonmill
Posts: 415
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: Staying local vs traveling-Revision Surgery

Postby wilsonmill » Mon May 05, 2025 6:19 pm

It will be interesting to know what failed on your Titan, mine was tubing, after 5yrs to the month, the tubing going to the left cylinder developed a hole and lost all the saline.
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

Friday121224
Posts: 15
Joined: Fri Dec 13, 2024 2:37 am

Re: Staying local vs traveling-Revision Surgery

Postby Friday121224 » Thu May 15, 2025 11:29 am

Appreciate all the feedback guys. I have a consult with the local Doc this afternoon, I am going to keep an open mind and just see what he says. I’ll post what I find out.
Pills failed in my 30's. Moved on to Trimix. Had a priapism at age 40 on Tri-Mix. End of Tri-Mix.
Implanted Titan 22 cm with Dr. Tajkarimi in Washington D.C. on 4/21/21. Implant failed
12/12/24.
Currently considering options and awaiting revision.

ElbowRoom
Posts: 180
Joined: Mon Mar 17, 2025 1:58 pm

Re: Staying local vs traveling-Revision Surgery

Postby ElbowRoom » Thu May 15, 2025 2:40 pm

I think Dr. Hakky would be (and is in October) my choice. I don't know Dr. Ortiz, but Hakky seems to consistently come up as one of the top four docs in the USA (Eid, Hakky, Clavell, Perito in no particular order). It doesn't mean you can't get a great result with anybody else, even low volume docs. It's just an odds game.

Why not fly instead of drive? It's less than a two hour hop. I guess the advantage of driving is more control over body position and you can make stops as needed, even if it takes longer.

Good luck, sounds like both choices are great ones.
58yo Coloplast Titan implant scheduled for 10/23/2025 with Dr. Hakky. Pre-op erect measurements:
8.5"L and 6.5"C

Courage
Posts: 125
Joined: Thu Oct 26, 2023 8:51 pm

Re: Staying local vs traveling-Revision Surgery

Postby Courage » Thu May 15, 2025 3:15 pm

I'm facing similar dilemma. Given my last experience was bad--with a Center of Excellence, fellowship trained guy--I'm strongly considering traveling to one of the super high volume guys who do a version of no-touch. I saw Clavell, have a consult scheduled with Hakky, and will see a more local guy Clavell and my last uro mentioned. I think I'd rather shoot my shot on minimizing infection and risk seeing local uro for complications.
Middle-aged SGM with lifelong ED. IPP Implanted January 2025. IPP explanted due to infection February 2025 and replaced with salvage malleable. Looking to get revision.to IPP.

krh9999
Posts: 45
Joined: Fri Aug 25, 2017 2:52 am

Re: Staying local vs traveling-Revision Surgery

Postby krh9999 » Thu May 15, 2025 5:52 pm

Friday121224 wrote:Does anyone have any experience with Dr Ortiz of UVA?

My Titan failed on me after 4.5 years. It was life changing when it worked but not it doesn’t. I have been saving money and I am switching insurances soon because AETNA does not cover IPP surgery even if it a revision.



I have AETNA PPO and dealing with them now for a revision. What kind of AETNA plan do you have?
52 yo Gay Male. LA/Palm Springs CA. Had Dr. Elist penile/ball implants in 2009. Had it all removed about a year later (don't do it!!!). Silicone injected into scrotum. ED for about 15 years. Was about 8", now 6.5-7" due to venous leak.


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