Hakky or Clavell?

[LastHope]

Fantastic. What do these payments mean? Are they research grants (marketing donations ) or some other type of payments such as warranty coverage payments or something else?

Duke said it well!
I've attached some examples from the "compensated for" sections in the dataset.
I think it's a good tool for:
1) Fishing out conflicts of interest on why a specific physician may be excessively biased towards a specific device/drug brand.
2) It's not uncommon for certain doctors highly compensated by Novo Nordisk, for example, to excessively tweet about that new Novo drug, mostly prescribe that drug, and rave about it on their YouTube channel.
3) Seeking out brand specific highly compensated physicians for product expertise. For example, a personal consult I had with a 'Coloplast Only' compensated expert was unable to answer my questions about the Boston Scientific Tactra malleable prosthesis competently. When I sought out the Boston Scientific compensated expert, she was able to explain exactly what I was asking about!

Its a shame at how prolific so called "influencers" have become. Your research is coming on the heels of news that some celebrities were highly compensated to endorse presidential candidates.
If you can't trust the motives of your dr? What is our medical system coming to? But I guess I shouldn't be surprised. Dr Kramer was rumored to pitch Titans in his YouTube days. He seemed to always comment on the surgery on how great the Titan was.

Looking at Rigicon's data, I already see Dr. Kramer at #2 on the list. It's low budget now with the Rigicon malleables, but when the IPP hits the US market, some of these guys are going to be the influencers.

[IndianRasputin]

Titan and rigicon two shit brands. If I get a revision I’ll choose an all American genesis

Why do you feel this way?

I just think the American brands are more reliable and don’t have much faith in rigicon and have heard their customer help is not good ..

[LastHope]

I just think the American brands are more reliable and don’t have much faith in rigicon and have heard their customer help is not good ..

A month ago, when I reached out to all three companies with questions, I was most impressed by Boston Scientific's follow-up. They took the time to hear my voicemail, call me back, and discuss over the phone for 25 minutes. Coloplast was mostly into short email responses. Rigicon was the worst, their response had a condescending tone like, 'If you are not a surgeon, we have nothing to do with you'

[IndianRasputin]

I just think the American brands are more reliable and don’t have much faith in rigicon and have heard their customer help is not good ..

A month ago, when I reached out to all three companies with questions, I was most impressed by Boston Scientific's follow-up. They took the time to hear my voicemail, call me back, and discuss over the phone for 25 minutes. Coloplast was mostly into short email responses. Rigicon was the worst, their response had a condescending tone like, 'If you are not a surgeon, we have nothing to do with you'

See, Boston scientific is the best and coloplast at least does something. Rigicon is the worst.

[Thisworld]

A month ago, when I reached out to all three companies with questions, I was most impressed by Boston Scientific's follow-up. They took the time to hear my voicemail, call me back, and discuss over the phone for 25 minutes. Coloplast was mostly into short email responses. Rigicon was the worst, their response had a condescending tone like, 'If you are not a surgeon, we have nothing to do with you'

Last hope what is your definitive opinion as far as you can tell on the new tenacio pump vs the old ms?

[LastHope]

Last hope what is your definitive opinion as far as you can tell on the new tenacio pump vs the old ms?

Hey Thisworld, I just looked it up and found that the first day of TENACIO's US availability was on June 10, 2024. I personally feel it needs more real-world usage to work out the new design/first-gen bugs. It's too early to even find clinical outcomes from studies. I wouldn't go for it unless it's for advancing science, I get it for free, and am compensated to take part in a clinical trial!

[nuance]

if anyone's been to see both Hakky and Clavell recently, how is the hospital/institute as a whole? Which one has more support staff? Are there other doctors that work at these places? Is there an ER staff at these places if one were to stay for a few weeks after surgery or do we have to go somewhere else if something were to happen at night?

[nuance]

Also do either Dr Hakky or Dr Clavell talk about how they manage to avoid too much tubing and proper pump placement? I believe Clavell say he places it low behind the twins. Do they decide on rte based on that? Does Hakky always size aggressively? Do they ever splice the tubing and add connectors?

I've watched surgery videos of both and Clavell's seemed more straightforward.

[Sempiternal]

if anyone's been to see both Hakky and Clavell recently, how is the hospital/institute as a whole? Which one has more support staff? Are there other doctors that work at these places? Is there an ER staff at these places if one were to stay for a few weeks after surgery or do we have to go somewhere else if something were to happen at night?

Dr Clavell performs his surgery at HCA Houston Medical Center. This is a large hospital fully staffed, with ER. He has his own team. Yes, other doctors work here & other surgeries performed. In This part of downtown Houston, you’re surrounded by world renowned hospitals and specialists. The hotels are very accessible to hospitals. Uber is very accessible too. I couldn’t have felt safer if things took a turn for the worst here, again you’re surrounded by world renowned hospitals and specialists.

Also, he has a new clinic Vitality Urology Institute. I didn’t visit this location though. I went straight to surgery at hospital.

You can go on his Instagram page for photos/ videos. YouTube as well.

[LastHope]

Dr. Eid has a piece on his blog that compares big hospitals with small surgical centers. He makes some interesting points worth considering. While I’m not dismissing the benefits of this procedure at a big hospital for quick ER and multi-specialist team access if things go deeply south, they also come with certain risks. This piece below is more centered around Dr. Eid, but I can't imagine if this won't apply to others. Of course, a location near huge facilities is not a bad idea.


Where should I have penile implant surgery?

Once you’ve made the decision to get an internal penile pump, you must then decide who will perform your penile implant surgery and where to have the procedure. While many patients believe that large, big-name hospitals are the best choice for surgery that is not always the case. With highly specialized procedures such as penile prosthesis surgery, surgeon selection and procedure location are of utmost importance.

Why Dr. Eid recommends outpatient surgical centers for penile implants

In order to ensure the most sterile conditions possible for each patient, Dr. Eid performs all penile implant surgeries as outpatient procedures at a small surgical center.Successful penile implant surgery requires:

A highly experienced surgeon
Extreme sanitary conditions
Informed, compassionate nursing

Penile implants are highly effective in helping patients overcome erectile dysfunction (ED). During surgery, however, the risk and consequences of infection can be considerably greater than with other surgical procedures. For that reason, Dr. Eid spent years honing his patented No-Touch Technique for penile implants. With his surgical enhancements combined with reduced operating time, the use of coated implants, and custom-packaged surgical instruments, Dr. Eid successfully reduced his penile implant infection rate to less than 0.5% percent, the lowest in the world.

Penile implant risks – infection concerns at large hospitals

At the surgical center, Dr. Eid has significant control over the sanitary conditions and the overall patient experience. While hospitals are sanitary, exposure to other sick and infected patients drastically increases the risk of infection during penile implantation. Exposure to virulent bacteria is greater in hospital operating rooms and during post-operative recovery than at the surgical center. At high-volume hospitals, there is heavy traffic of medical professionals and patients, which also jeopardizes the infection-free recovery.Large institutions may be associated with teaching hospitals with residents or doctors in training. In such cases, these less-experienced professionals may be involved in the surgical process and/or the administration of anesthesia. Their presence in the operating room also slows the time necessary to complete the procedure, thereby increasing the patient’s risk of exposure to microorganisms.

Nursing limitations at large hospitals

As mentioned above, the medical support staff in hospitals—especially the nurses—interact with patients of every illness, infection, and condition. As they move from room to room and patient to patient, the risk of transferring virulent bacteria is nearly impossible to prevent. Witness the Ebola epidemic. Hospital nursing staff also tends to be stretched very thin and priority must be given to those most in need. As such, recovering penile implant patients would not receive the level of dedicated care and recovery support that Dr. Eid and his team are able to provide at the surgical center.

https://www.urologicalcare.com/best-pla ... t-surgery/