Postby merrix » Tue Dec 22, 2015 3:05 pm
Sincerely thankful to all of you taking time to post your encouragement.
Today's report, Day 7 post op
Yesterday, day 6 was crap. I'd say it was the worst of them all. After Eid's exam yesterday, where he deflated me a bit, I had an ugly deep pain which really got to me. Went to bed with a stupid hope I could make it through the night without pain killers, but woke up after 2 hrs and took 2 Tylenols. Slept 5 hrs and woke up with pain.
Made it to the bath and stayed there close to an hour.
Pain free in the tub, but immediate return of pain when standing up afterwards. Feels like everything down there is pulsating with pain.
Gave up and took 2 Tylenols.
Immediate pain relief. Stayed in bed, got some work (emails and phone calls) done.
Surprised over the more or less complete pain removal.
Still some pain when getting out of bed, but not like yesterday.
Took my walk 200m walk to see Eid at 1pm. No painkillers since 8:30.
Walk is painful from the pulsating feeling, but not like yesterday. And yesterday was with painkillers at peak effect.
Eid was happy with what he saw. Everything a little looser. Everything looking a little bit better than yesterday.
Still risk for infection of course. It can never be ruled out, but within reasonable limits, if you're fine after 4 weeks, chances are very, very small you're going to get one.
(He actually told me he just had a case where a guy he implanted in 2005 developed an infection now. Guy was in very bad shape though. Diabetes, amputated foot with mismanaged wound, very unhealthy lifestyle etc).
He is honest and tells me that he can not for sure say that my pain is NOT signs of an infection.
All he can say is he believes it is not the case. Things are better today than yesterday and there were issues as I have described with my case.
Today he could feel the components of the pump better than yesterday. He could point my penis down to 4 o'clock without pain. Yesterday that would have been impossible.
He further mentioned more difficulties with my case (i.e. my penis):
It is twisted, not only bent. Something I know of course, but never paid attention to since it's always been and it has never caused me any issues. I would say that when I point my penis up, it is twisted about 45 degrees. This made inserting cylinders harder.
He also said the 'internal' part of my penis was substantially longer than usual and differently angled. This may give me a flaccid which will not hang and point down as perfect as deired.
His second setup during surgery (22cm no RTE being the first) was 22 cm + 1.5 cm RTE. This would probably have improved the angle of the flaccid, since the implant bends easier with RTE than without.
On the other hand, the downside of that is that the erection over time does not get the same rigidity, but tends to 'swivel'.
He decided to go for maximum erection quality and usable (i.e. external) length by finally choosing 24 cm and no RTE, and taking the risk with the flaccid. He is still not sure he took the right decision, time will tell.
He also kept asking about the Sclerotherapy.
I already wrote that he thinks the sclero closed veins definitely increased bleeding and hence swelling, but he also was surprised that considering his extremely aggressive sizing with cylinders really pushing the limit for what the glans can take without pain and without unnaturally feeling the tips of the cylinders through the glans - he can barely feel the cylinder tips. He said my glans has a swelling and fullness which makes the tips barely palpable even though they extend very far into the glans.
He said this was interesting, since this is a good thing with an implant. Especially for patients who've had glans atrophy.
The risk however, would be that by removing too much outflow, body would compensate by decreasing inflow. This could in worst case 'kill' the tissue in the glans.
He still thinks sclero cannot cure VL and that it is a high risk procedure which he thinks would not get FDA approved in US.
He also said healing from implant surgery is normally not linear, but exponential. Meaning slow, slow, slow and then faster and faster once it kicks in.
He is still abit worried about me, but overall with a more positive picture than yesterday.
He wll be off with his family over Christmas, but still only a couple of hours away from NY.
We will stay in touch via phone and I am scheduled to see him on 28:th, the day before I (hopefully) go back.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon