So why is an implant "the last resort?"

The final frontier. Deciding when, if and how.
JDavid
Posts: 221
Joined: Sat Mar 16, 2013 5:58 pm

So why is an implant "the last resort?"

Postby JDavid » Sun Nov 06, 2016 11:42 am

Here and elsewhere I hear implant surgery referred to as the last resort. My question is: Why is the intervention that sufferers are most pleased with delayed and avoided? I skipped injections due to medical contraindications and refused to attempt with a VED and I am so glad I bypassed my previous urologist and went to Dr. Karpman. I will say that I have had to have quite a few surgeries and have become somewhat nonchalant about them. I also don't imagine or remember pain very well.
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.

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: So why is an implant "the last resort?"

Postby tomas1 » Sun Nov 06, 2016 11:47 am

I suppose it's "The last resort" because there's no going back after it's done.
I find injections very easy to get used to, but I know some guys can't imagine sticking themselves there.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

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

Re: So why is an implant "the last resort?"

Postby dg_moore » Sun Nov 06, 2016 12:16 pm

tomas1 wrote:I suppose it's "The last resort" because there's no going back after it's done.
I find injections very easy to get used to, but I know some guys can't imagine sticking themselves there.

Many people worry about the "no going back" issue, but if you have tried all other solutions and none of them work, exactly what would you be going back to if you received an implant and then had it removed? You had previously established that no available solution works for you - how would going back to that status change anything?

I suspect that most who put off the surgery, me included, are hoping that some new solution will suddenly appear, or that there is a solution that they were unaware of, or that some miracle will happen and the problem will go away.
Last edited by dg_moore on Sun Nov 06, 2016 5:41 pm, edited 1 time in total.
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.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: So why is an implant "the last resort?"

Postby Lost Sheep » Sun Nov 06, 2016 3:35 pm

dg_moore wrote:I suspect that most who put off the surgery, me included, are hoping that some new solution will suddenly appear, or that's there is a solution that they were unaware of, or that some miracle will happen and the problem will go away.

That is my situation. I get erections with oral medications irregularly and no longer sufficient for sex. But that occasional erection,is pleasant to experience. One that comes all by itself is somehow more "real" to contemplate than one I produce mechanically.

Lost Sheep
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: So why is an implant "the last resort?"

Postby tomas1 » Sun Nov 06, 2016 4:06 pm

I agree that when all else fails, an implant is a viable option.
I'd be interested to see if at my age or when I get even older, I'd consider getting one?
At least I could visit my childhood home in Baltimore.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
Contact:

Re: So why is an implant "the last resort?"

Postby Donnie1954 » Sun Nov 06, 2016 4:26 pm

I decided to consider an implant when the only intercourse I could have was an erection produced by a VED. Practical for me but not pleasant for my wife at all. :oops: An implant was my last resort and the best decision ever! :)
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

Ronnie62
Posts: 4
Joined: Mon Dec 22, 2014 10:43 am

Re: So why is an implant "the last resort?"

Postby Ronnie62 » Wed Nov 09, 2016 10:54 am

I had my prostate removed at 52 ys of age. The shots worked for a while but the erection never felt "normal" and the preparation and down time was a real pain. Then I tried Viagara and Cialis and they worked for a few years - but I hated that you needed to prepare in advance. After a few years the pills made me naseous about 45 minutes after taking them. If I wanted to get it up and have sex, I'd have to be prepared to be nauseous afterwords.
Once I saw the Tital Coloplast Implant online I was sold. I now have it 2 years and it has had a major affect on my overall well being and happiness. My wife also likes that we can "just do it"!!!!! The last resort issue reffers to the fact that once this is done you can not have it removed and get an erection. No problem!!!!

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

Re: So why is an implant "the last resort?"

Postby JDavid » Fri Nov 11, 2016 10:56 am

Thanks for your comments,guys. The pills cause me vertigo and facial flushing. My original urologist ruled out injections due to my having Dupuytren contractures (spontaneous scarring under the skin in the palms of my hands). He wanted me to use a pump and I really did not want to do that. My partner also ruled out that course of action. I might have been able to talk him into it but really did not like that option either. I guess that implied in my original post is the question of why some physicians seem to steer guy away from getting an implant? We repeatedly see here that guys who get one say that they wish they had done it many years earlier. That is certainly true for me. I wish I had not gone through the emotional agony of ED for so long before finding a great solution.
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.

ED2013
Posts: 1273
Joined: Tue Mar 05, 2013 8:15 pm

Re: So why is an implant "the last resort?"

Postby ED2013 » Fri Nov 11, 2016 3:09 pm

I think a lot of it has to do with the confidence of the surgeon. The best surgeons know they are good and recommend implants more readily.


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