Pain block

The final frontier. Deciding when, if and how.
rooster2
Posts: 21
Joined: Thu Nov 02, 2017 2:15 pm

Pain block

Postby rooster2 » Tue Sep 25, 2018 4:08 pm

Do you have to ask your surgeon for a pain block at time of surgery, or is a pain block automatically given by all surgeons? I saw the following utube video, and just wonder.

https://www.youtube.com/watch?v=9KBYS3g2USA
Age 72, married 30 years, had Robotic RP 8/06.17, non nerve sparing. Lengthy recovery problems after surgery & radiation. On hormone therapy so no libido. Use Trimix with results. Considering implant, concern re painful recovery

Ruktitan
Posts: 212
Joined: Thu Nov 16, 2017 2:51 pm
Location: Uk

Re: Pain block

Postby Ruktitan » Tue Sep 25, 2018 7:39 pm

You would be asleep for the surgery.at least i would hope so!
29 years old. Suffered with ED since 17. No known cause. First Implanted date 23/3/2018. Cylinders way too short and revised by different surgeon 2019. 22cm titan.
Cylinders still short and now pump is upside down and protruding. Awaiting 3rd revision

navy6587
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Joined: Mon Apr 23, 2018 8:22 pm
Location: Providence Forge, VA
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Re: Pain block

Postby navy6587 » Tue Sep 25, 2018 8:50 pm

All...first time, I think, I'm hearing the term 'pain block'. Can someone enlighten me about this? I watched the YouTube video but the only nugget I got was that he had it done by his surgeon during the procedure and then, in the succeeding weeks, had little to no pain. How does it work? Is it like an insulin pump in its application? Anyone else have one? Granted, I'm watching 'The Voice' at the same time...

Edd
77; ED at 50. Fired by 1st doc (Szobota - VA Uro) too many q's & contact w/ Coloplast rep. New doc: Ellen (VA Uro) implanted 11/8/18. 22cm Titan + 2cm RTEs; moron docs, product rep, intake/ dischg nurses! NEVER again! L- 6.75"; G- 5.5" oval.

Preacher1957
Posts: 16
Joined: Thu May 31, 2018 6:04 pm

Re: Pain block

Postby Preacher1957 » Tue Sep 25, 2018 9:08 pm

Some surgeons will give a nerve block before surgery and this will numb a certain area for up to 36 hrs. I had this last year when I had surgery on my foot. There is also something called a pain pump that is used in a hospital and at home. It is preloaded with medication and you press a button to have the pain meds delivered into your body

rooster2
Posts: 21
Joined: Thu Nov 02, 2017 2:15 pm

Re: Pain block

Postby rooster2 » Tue Sep 25, 2018 9:32 pm

I just don't read of guys talking about getting a pain block during implant surgery. Is this just not done much, do you have to ask for it prior to surgery??
Age 72, married 30 years, had Robotic RP 8/06.17, non nerve sparing. Lengthy recovery problems after surgery & radiation. On hormone therapy so no libido. Use Trimix with results. Considering implant, concern re painful recovery

roksolid
Posts: 58
Joined: Mon May 07, 2018 4:35 pm
Location: Montgomery County, MD

Re: Pain block

Postby roksolid » Wed Sep 26, 2018 10:09 am

rooster2 wrote:I just don't read of guys talking about getting a pain block during implant surgery. Is this just not done much, do you have to ask for it prior to surgery??


I think I have read reports of Dr. Eid applying a pain block (aka Spinal anesthesia) to remove all sensation below the waist. It's similar to an epidural, but where the epidural is inserted (and maintained) around the dura, I believe the Spinal anesthesia penetrates the dura and is applied to the spinal cord in the lower lumbar/upper sacral region.

Basically a mix of bupivicaine and lidocaine.

rok
The Rok is now solid! Implanted 8/14/18. AMS700CX (21+1)

"That magic in your pants is making me blush!" --Kesha

Hawkman
Posts: 556
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Re: Pain block

Postby Hawkman » Wed Sep 26, 2018 11:20 am

I have no idea what the term "pain block" means. I am not sure that is a medical term. Dr. Eid always uses a spinal block because it naturally relaxes all muscles and blood vessels from the waist down. If you choose, the anesthesiologist also gives you a general anesthesia to "knock you out" and make you unaware. I chose to be awake and aware during my surgery (but i did NOT actually view the surgery). The spinal is beyond perfect and kill all feeling of any kind from the waist down. When I sat up in recovery I kept thinking I was sitting on a wadded up sheet or pillow until I checked and discovered it was my own collapsed flabby ass cheeks. I do a lot of lunges and squats and have a very firm butt for an old man. I could not flex my butt muscles if my life depended on it. They were like ground hamburger meat for well over an hour after surgery.

The spinal killed all pain all sensation during surgery and an hour in recovery. It continued to kill all pain (but not sensation or muscle use) for about 3 1/2 hours after recovery.

PS: If anyone decides to be awake I highly recommend it. It is nothing to deal with. You are hooked to an IV and anytime you ask, anytime you need it, or anytime you just get too chatty with the doctor doing the surgery you will get shut down without ever knowing it happened.
Prostatectomy 2004-Bimix caused Peyronies-Viagra had little effect. Active sex life with wife of 50 yrs- been dependent on a VED for 10 yrs. 22cm Titan w/Dr. Eid Aug 7th See my Implant Journal -> http://www.peyroniesforum.net/index.php/board,56.0.html

Tsanchez12369
Posts: 227
Joined: Fri Dec 23, 2016 7:52 pm
Location: SAN Francisco

Re: Pain block

Postby Tsanchez12369 » Wed Sep 26, 2018 6:25 pm

Dr Karpman gave me a pain block into the scrotal area which lasted 36 hrs I believe. I didn’t even know to ask for it. Maybe he does it routinely or because my implant involved excision and grafting for peyronies. That plus the general anasthesia.
Sept 11, 2018: excision, grafting (human cadever tissue) and implant. Doc is Dr Edward Karpman in Mountain View, surgery at El Camino Hospital, LOS Gatos CA. AMS 700 CX infrapubic 18 cm + 3 cm RTE. http://www.peyroniesforum.net/index.php

Hawkman
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Re: Pain block

Postby Hawkman » Wed Sep 26, 2018 7:19 pm

My suggestion is that if we are going to discuss "pain blocks" first we need to define what the hell it is because I for one have no idea. I do know exactly what a spinal block is. I also know what an epidural is. I have no idea what a pain block is and even though all the information in the world is on the internet I cannot find anything with any medical authority on the term pain block.
Prostatectomy 2004-Bimix caused Peyronies-Viagra had little effect. Active sex life with wife of 50 yrs- been dependent on a VED for 10 yrs. 22cm Titan w/Dr. Eid Aug 7th See my Implant Journal -> http://www.peyroniesforum.net/index.php/board,56.0.html

Vagabond127
Posts: 737
Joined: Sun Aug 08, 2010 9:37 pm

Re: Pain block

Postby Vagabond127 » Wed Sep 26, 2018 8:26 pm

I'm guessing if a dr gives you a block for 36 hours the most excruciating day of the recovery (the first) would allow for a much more comfortable recovery.. As Dr Eid states the first day is the worst then it just keeps getting better and better.
Implanted with Titan 1/15/19 with Dr. Eid.
6-length 4.5-girth.


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