wolfpacker wrote:Breakthrough wrote:wolfpacker wrote:
A Dr or scan test can't tell you if an implant is needed .. only you can answer that. If you can't have satisfactory erections and pills don't work, tried injections, pumps, all other treatments etc, then implant is the only option left. Don't need a scan to tell you that
I just read that doctors put patients through MRIs to confirm the extent of the fibrosis before they counsel the patient on the need for an implant. If that’s true then I need that scan as well.
Can you share any link where you read that? Never heard that
Yes you can check out the podcast episode below. It’s a conference from the American Urology Association in 2022. They discuss what they do in order to determine if implant should be recommended. They first confirm if the smooth muscle is dead and use length of priapism, blood gas, and scans - namely MRI.
https://podcasts.apple.com/us/podcast/a ... 0604359423
I understand that if erectile function is lost and there are no solutions then that only leaves implant as the solution. But for instance if there is ED but say PDE5 still work that could indicate only partial smooth muscle death which could have a different prognosis than other prolonged untreated priapism patients that might experience complete tissue death. Similarly, one drowning victim might have a different cognitive impairment and brain damage profile than another drowning victim, this recommending surgery before getting all the data might be an injustice to one or both of them.
An image may also show the amount of fibrosis present which from what I understand is the biggest factor in determining the timing of the surgery.
