Decision process for surgeon

The final frontier. Deciding when, if and how.
william7
Posts: 19
Joined: Sun May 15, 2011 9:59 pm

Decision process for surgeon

Postby william7 » Wed Aug 13, 2014 5:06 pm

I'm curious to know how everyone who has had an implant came to their decision regarding the surgeon they used. What was your decision process? Was it based on the number they implanted versus their infection rate, location, insurance accepted or even method used (pubic vs. scrotal), device used (Coloplast vs. AMS) or ultimate cost of the procedure? If you could share how you came to decide which surgeon to use, I would greatly appreciate it!

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Decision process for surgeon

Postby dg_moore » Wed Aug 13, 2014 6:00 pm

I am fortunate enough to live 30 minutes away from one of the best implant surgeons in the country - Andrew Kramer at U of MD Medical Center in Baltimore. I had a consultation with him and also spoke with one of his recent patients and knew that he was the surgeon for me. Ask your uro or PCP for a referral, or check with the urology department at your nearest medical school. Look for somebody with lots of experience (hundreds if not thousands of implants) and low infection rate. If you can't find anybody nearby there's nothing wrong with traveling to a good center.
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

stringerbell
Posts: 135
Joined: Fri Apr 11, 2014 8:02 pm

Re: Decision process for surgeon

Postby stringerbell » Wed Aug 13, 2014 7:00 pm

I went to Kramer in Baltimore as well… I believe he's the 3d highest volume surgeon in the world, but a really skilled, terrific guy- no baggages, lawsuits, ego, etc.

JDavid
Posts: 221
Joined: Sat Mar 16, 2013 5:58 pm

Re: Decision process for surgeon

Postby JDavid » Fri Aug 15, 2014 9:07 am

I was willing to travel across the U.S. if need be but learned of a surgeon a few hours away who was well recommended here in California. It has been great.
I am sixty-six years of age and dealing with gradually worsening ED for twenty years. At sixty-three I wanted something that worked reliably. I got an AMS 700 LGX implant in 6/25/13. I am entirely pleased with the outcome. My surgeon was Dr. Karpman.

Olivero66
Posts: 92
Joined: Thu Nov 07, 2013 2:24 pm

Re: Decision process for surgeon

Postby Olivero66 » Sat Aug 16, 2014 11:24 am

The most popular names are Eid(NY), Kramer(Baltimore), Garber(Philadelphia), Milam(Tennessee), Perito(Florida), Morey(Dallas) and some more like Karpman, Goldstein, Burnett with not so high volumes.
The highest volume guy is Perito, and Kramer, for instance, underwent training at his center (I guess for the infrapubic technique.) Perito is highly appreciated, albeit some say he received a lot of lawsuits. At last he's done more than 6000.
A high volume guy of the past is Steven Karl Wilson, but by now he's got very old and tends to operate sloppily, as I experienced painfully myself.
The problem is: When someone has a volume of some thousands - how can you know the botched amount of his work? I'd prefer someone with a total of 800 among which 20 failed to someone of 5000 among which 943 failed. But it's quite impossible to gain that information.

Charlie999
Posts: 90
Joined: Sun Apr 27, 2014 3:49 pm

Re: Decision process for surgeon

Postby Charlie999 » Sun Aug 17, 2014 8:31 pm

William, I will gadly share my experience with you. First thing for me was how many implants and patients Satisfaction. Since this was one of the most important decisions for me, I wanted the best. I chose dr Perito. I was impressed by the number of implants he has done, and bio info. He really lives in this implant world. During my exam there, he, with my permission, invited a dr he is training to observed my case. My procedure went picture perfect. Very little pain. Dr p. Gave me his cell nr to call with any concern. I am now about nine weeks post surgery, and all is great, and I thank God for this. Also, my wife, who is an MD, was very impressed with his work. If I can answer any question to help you, let me know.

God Bless,

Charlie
85 married 36 yrs. implanted by Dr. Paul Perito June 14. Complete revision by Dr. Ralphael Carrion May 17 because of leaking Coloplast.


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