alibaba wrote:I think the entire methodology of infrapubic is flawed and should be reserved for certain cases only. Just the idea that the body is made for everything to hang down but infrapubic installs the tubing exiting the cavernosas on the top side and then wraps them around to hand down if they can reach that far and crossing the very nerves we want to preserve. I am sure an extra skill set is required to protect those nerves that have nothing getting close to them in a scrotal approach. If you have lots of lard growing in the crisco can above your pecker then that in itself may offer some cushion to protect the nerves but if not, slapping 3 tubes on top of them does not seem a good idea. The pluses to infrapubic are, avoiding possible scrotal bacteria, ease of reservoir installation in an obese person or one with hernia mesh. Once you get past those issues, I find nothing but disadvantages, a list that is long and the reasons some doctors will not do infrapubic...
I have read another benefit of the infrapubic approach is less post op pain and a faster recovery time.
Sure, "some doctors" will not do infrapubic. Some doctors won't do Coloplast while some doctors won't do AMS. Some doctors apply the scrotal approach while some use the infrapubic approach. I believe Dr. Karpman in Cailifornia is an infrapubic man and he's one of the most respected penile implanters in the country.
Looks like you experience bad luck and/or a botched surgery. Perhaps the infrapubic approach wasn't the right one in your case--or the doctor just messed it up. I don't doubt there are many patients who have undergone penile implant surgery with the infrapubic approach who are quite happy with it.
KMeister