Misc question

[danny1553]

I have a couple of unrelated questions about the implant procedure.

1. Why the Implant procedure is considered to be irreversible? What exactly gets removed/altered so that it cannot be undone? Is that irreversible right at the moment of the implant insertion; or irreversibility gets developed over time?

2. Since I have a defective gene that is causing venous leak (derived from my father) I think this is the matter of biological responsibility not to spread the condition by passing it to children. So I am thinking about the vasectomy (sterilization). Since both procedures (implant & sterilization) require access to the scrotum, I am wondering if 2 procedures can be combined in the same time?

[Minnesota]

I do not know about #2 but as far as #1, the tissue inside the penis is actually removed and replaced with the implant. There for if the implant was taken out, I would think something would have to replace it (new implant or a non inflatable one).

[Dave48003]

I'm not sure of the exact cause, but the procedure permanently gives you a leak, the penis no longer has the ability to hold the blood. I never asked for the particulars. You might watch some of the videos of the exact procedure.

As far as not having kids. Come on, there are a lot of worse things than E D to pass on to your kids. None of us is perfect, if everyone did that we would die out as a species! I've had E D all my life, I have 3 kids, 9 grand kids, and 2 great grand kids. There are ways!

Dave

[danny1553]

Thank you guys.

As for (2) - I do have already 3 kids (thanks God) so being sterile is more about not "spreading more" the genetic condition. Though if I knew about the leak before having kids I would have tough time thinking whether or not I have a right to pass my problem to future generations... I have 2 boys so I prey my "leaking gene" did not get passed to them; or at least got "compensated" by my wife's genetics.

[LGX_Man]

I just want to clear up a misconception from emails above and below this one. The tissue inside the penis (Corpora Cavernosa) is "cauterized or dilated", meaning that a rod is sent through the middle of it to make way for the new chamber of the implant. It is NOT REMOVED as I've been hearing people claim here at FT. It is simply reamed out through the center and the new chambers are run right through the center of the old Corpora Cavernosa. This is what makes the operation irreversible as the CC are now filled with new implant chambers.

Other people are saying that the Corpora Spongiosum (CS) is removed from the Corpora Cavernosa (CC). Wrong!! The CS is below the CC on the bottom side of the penis. The CS runs along both sides of the urethra, which delivers urine from the bladder. The CS is a completely separate entity from the CC and there is no way to remove it from the CC since it is separate. This doesn't even make sense ... whomever is saying it.

In my case, I had an LGX 700 installed and it made for a much larger girth because of being put down the middle of the old Corpora Cavernosa. I gained a good inch in girth with the implant.

NOTHING GETS REMOVED when having an implant, not even the CC. It just gets dilated.

I just don't like seeing misinformation here and hope that you all do your investigating to realize that the misinformation in other messages isn't always correct. DO YOUR HOMEWORK! Get the correct information!

LGX_Man

[danny1553]

Thanks LGX_Man

If it the tissue doesn't get removed, do you know why that procedure is concidered to be irreversable? Theoretically, removing "something foreign" from your body should just restore the original setup.
The claim or "irreversability" also doesn't explain how trans-genders (female-to-male) gets erectable penis since they get it "from scratch"...

[LGX_Man]

It's irreversible because the Corpora Cavernosa is cauterized/dilated/reamed through the middle and, therefore, will no longer function again as it was designed. In most cases the CC is no longer working anyway and ED has taken over. That is why a man is having an implant put in anyway!

[djvictor45]

The corpus cavernosum is not cauterized. It is destroyed by basically dialating out this spongy tissue that fills with blood during an erection. The same instrument that is used to ream out the cavities measures the corpus for the size of the implant. Once dialated the corpus can never be restored and is replaced by the tubes of the implant. During recovery scar tissue forms around the tubes and eventually the tubes of the implant expand the penis after some recovery. I am not a doctor but I have a Titan implant and have studied the proceedure at some length (no pun). Because of the destruction of the corpus to accomodate the tubes you can never have a natural nerve induced erection again. since I was not getting those anyway I'm glad I chose an implant and I am very successfull in bed these days.

[bama1gem]

There are some complete pump installation videos on youtube.com here is a link to one of them http://www.youtube.com/watch?v=WKPKbFyP2YA You play the first one and there should be other videos of different types of pumps installed. I need to watch one again to find out what they do with those sutures they stick out the head of the penis. I know they help pull the implants in, but didn't notice if they tie them off or cut them off after installation.

BTW, Those of you on your way home from Mardi Gras, I heard someone say not to use your credit cards to buy gas, You get very low mileage and ZERO points....Roll Tide!!

[bob1138]

I underwent the Coloplast Titan Penile Implant Procedure in December 2007 and djvictor has it right about why the procedure is considered non-reversible. BTW the spongy material which is removed from the corpora cavernosa to make room for the Bioflex cylinders of the Titan is called the Corpus Spongiosa. This is the material which becomes engorged with blood causing a natural erection.
My personal experience with the Titan over the past 4+ years is that I can have a rock hard erection 24/7 just by squeezing the pump in my scrotum and I remain erect until I press the release bars on top of the pump.

The following Q & A from the Coloplast Straight Talk about Erectile Dysfunction Patient Guide clarifies the issue:

"Q. Will I be able to have spontaneous erections with a penile implant?

A. No, In order to place the implant in the body, the corpora containing the spongy tissue is removed to make room for the cylinders. If you are still able to have erections on your own, which are satisfactory for intercourse you should consider very carefully whether or not an implant is the right fix for you.
However, if you cannot have erections or if they are not satisfactory for intercourse, then an implant will be able to provide you with a more "instant" erection when compared to pills or vacuum devices."

Hope this has been helpful.

Bob