Implant?

[wunhunglo]

I had a monster cock before my implant but my erections would last only minutes and could only do missionary or doggie. There is nothing more amazing than havig a beautiful woman on top of you riding you like a mechanical bull. I get less compliments on my cock but great compliments on how I fuck. So, o looking back.

[splitpeach]

The decision to implant yes or no is so difficult. I am on 7.5 mg Cialis daily, for sex I have to add 20 mg Cialis or 100 mg Viagra, but I feel sexually incapable, all the pleasure and dominance from before is gone, for almost 10 years now, and I am getting older.

Should I stretch out the time until the implant as long as possible with higher and higher doses of PDE 5 inhibitors until I can't take it anymore, or should I get a rescue implant so that I can fuck everything that comes my way in the next 10 years before I get too old for something like that?

Difficult...

My suggestion is to see a urologist. There could be underlying issues as to WHY the pills are innefective. I've seen posts on here where the position you are in can 'correct' a venous leak - but my bet is you DO have a venous leak - i.e. blood gets in fine, but comes out faster than it can be filled in some cases. There are treatments for this - but not are all effective. Ask for a doppler test to see if you have leakage occuring.

I wouldn't recomend an implant unless you've gone down the route of examining WHY you are having the issues you are having. Injections work fine for some folks - not for all.

I have seen all the top urologists. My erectile function was suddenly impaired after trans-uretheral low level laser therapy against prostatitis. I think instead of the inflammation cells, the nerve bundle around the prostate was sclerosed, what nonsense back then, I know this “doctor” should burn in hell. That is the only explanation, because the MRI shows: erectile tissue intact, prostate intact, bladder has nothing. Inflow is OK, outflow is OK, T levels are OK. Most urologists say: Psychological cause, but, hey, before the laser therapy I had sex like a porn star, exactly since then... - well, what better proof of causality is there?

Don't get too hung up. You had your whole youth with a great working dick and now at 50 you get an implant. I suffered with ED since I was 16 and all other stigma even before then.

And anyway, I thank my lucky stars that things like implants exist and are at a decent level of medical standard that they're quite safe, effective and reliable.

Just imagine if we were all born 50 years earlier. We'd all be swinging from the rafters. Fortunately we could save the embarrassment of being caught with our pants down as we wouldn't have been able to get it up for the last celebration handshake anyway.

[Chevalier]

Wise words of British humour, thank you, I have to look at it from the bright side!

I just wonder whether the talk of high volume surgeons, who are mainly to be found in the USA, should make us fly there, or whether there are also good surgeons in Europe who are just less PR-savvy...

My impression is: In the USA there is a tendency to implant too quickly, in Europe too late and too cautiously. Ralph is certainly good, but I haven't yet found anyone in Germany that I would really trust...

[Chevalier]

Have you tried injections? I really regret that I skipped them.

Nope, they make pain, I d like to skip them

[Implant2025]

Wise words of British humour, thank you, I have to look at it from the bright side!

I just wonder whether the talk of high volume surgeons, who are mainly to be found in the USA, should make us fly there, or whether there are also good surgeons in Europe who are just less PR-savvy...

My impression is: In the USA there is a tendency to implant too quickly, in Europe too late and too cautiously. Ralph is certainly good, but I haven't yet found anyone in Germany that I would really trust...

I don't know if PR-savvy has much to do with it. There are plenty of competent high volume surgeons in the US who aren't YouTube stars. Both doctors and lawyers advertise their services in the US. Not so in Europe.

In the US you mostly pick your own doctors in private insurance programs. If you don't like your doctor, you get a new one. Like it or not, that forces doctors to at least listen to their patients preferences and concerns. In the UK NHS, you see the doctor they tell you to see. What you see is what you get.

[splitpeach]

Wise words of British humour, thank you, I have to look at it from the bright side!

I just wonder whether the talk of high volume surgeons, who are mainly to be found in the USA, should make us fly there, or whether there are also good surgeons in Europe who are just less PR-savvy...

My impression is: In the USA there is a tendency to implant too quickly, in Europe too late and too cautiously. Ralph is certainly good, but I haven't yet found anyone in Germany that I would really trust...

I don't know if PR-savvy has much to do with it. There are plenty of competent high volume surgeons in the US who aren't YouTube stars. Both doctors and lawyers advertise their services in the US. Not so in Europe.

In the US you mostly pick your own doctors in private insurance programs. If you don't like your doctor, you get a new one. Like it or not, that forces doctors to at least listen to their patients preferences and concerns. In the UK NHS, you see the doctor they tell you to see. What you see is what you get.

That's not really true actually on the NHS you can choose to see whoever you like. It gets a lot of criticism mostly because of the delays and wait times, but I have to say I think it's pretty great otherwise. No frills at all, you're kinda rushed in your appointments but it's a free service. You need to do some work. Do your research so you know who to see and precise questions to ask.

The benefit is that the doctors have no bias one way or another on what treatment or product to offer. They're not selling anything and the service is all scrutinized. Ive had better care and treatment on NHS than I've often had privately.

However, if not a UK citizen this is pointless as he'd have to go private anyway.

From what I've researched there really aren't that many more skilled and experienced than Professor Ralph. He created the entire UCLH andrology department on the NHS. That's not a small thing.

He does penile creation (trans / accident victims) and reconstruction. He is also a skilled microsurgeon.

If I was in Europe I dont think there's anyone else I would want to see. He has a private practice of course so maybe worth checking out. But undoubtedly expensive and maybe one of the most. Not to mention accommodation and expenses in London...

[Budward]

Have you tried injections? I really regret that I skipped them.

Nope, they make pain, I d like to skip them

To bad, my injections as I do them by hand very slowly inserting needle is a breeze and I am usually rock hard within 10 minutes.
If injections stop working I would consider a malleable but at 68 I am praying that the injections will continue to work there magic.
Problem is my wife is getting a lot of lady problems down below, (don't know if its the whopper causing them) but it has slowed us down. Luckily seeing the Doc next week and hopefully a Gynecologist if need be. We need to get this sorted as I like to do it at least once a week. In 7 days I build up quite the load.

[Chevalier]

I had a monster cock before my implant but my erections would last only minutes and could only do missionary or doggie. There is nothing more amazing than havig a beautiful woman on top of you riding you like a mechanical bull. I get less compliments on my cock but great compliments on how I fuck. So, o looking back.

Why is your girth lower than pre-OP?

[Chevalier]

Wise words of British humour, thank you, I have to look at it from the bright side!

I just wonder whether the talk of high volume surgeons, who are mainly to be found in the USA, should make us fly there, or whether there are also good surgeons in Europe who are just less PR-savvy...

My impression is: In the USA there is a tendency to implant too quickly, in Europe too late and too cautiously. Ralph is certainly good, but I haven't yet found anyone in Germany that I would really trust...

I don't know if PR-savvy has much to do with it. There are plenty of competent high volume surgeons in the US who aren't YouTube stars. Both doctors and lawyers advertise their services in the US. Not so in Europe.

In the US you mostly pick your own doctors in private insurance programs. If you don't like your doctor, you get a new one. Like it or not, that forces doctors to at least listen to their patients preferences and concerns. In the UK NHS, you see the doctor they tell you to see. What you see is what you get.

That's not really true actually on the NHS you can choose to see whoever you like. It gets a lot of criticism mostly because of the delays and wait times, but I have to say I think it's pretty great otherwise. No frills at all, you're kinda rushed in your appointments but it's a free service. You need to do some work. Do your research so you know who to see and precise questions to ask.

The benefit is that the doctors have no bias one way or another on what treatment or product to offer. They're not selling anything and the service is all scrutinized. Ive had better care and treatment on NHS than I've often had privately.

However, if not a UK citizen this is pointless as he'd have to go private anyway.

From what I've researched there really aren't that many more skilled and experienced than Professor Ralph. He created the entire UCLH andrology department on the NHS. That's not a small thing.

He does penile creation (trans / accident victims) and reconstruction. He is also a skilled microsurgeon.

If I was in Europe I dont think there's anyone else I would want to see. He has a private practice of course so maybe worth checking out. But undoubtedly expensive and maybe one of the most. Not to mention accommodation and expenses in London...

Well said.. in my country all penile implant surgeries are considered as "lifestyle medicine" (!) and are not covered. So its an out of the pocket for me anyway. I am thinking of choosing between Ralph, Clavell or Eid...

[Implant2025]

the doctors have no bias one way or another on what treatment or product to offer. They're not selling anything and the service is all scrutinized.

From what I've researched there really aren't that many more skilled and experienced than Professor Ralph. He created the entire UCLH andrology department on the NHS. That's not a small thing.

He does penile creation (trans / accident victims) and reconstruction. He is also a skilled microsurgeon....

You just covered two important pre-op surgeon selection criteria:

1. He's not just a high volume implant surgeon, he does advanced cases too.
- I excluded surgeons who focused exclusively on penile implants, even if they were high-volume. Who knows what issues may arise during surgery?

2. They're not selling anything.
- I excluded surgeons who only used one brand of penile implant: in the US that would be Boston Scientific's AMS700 or Coloplast's Titan. They both have pluses and minuses.