Penile Implant the cons.?

Hi guys I am new to this forum and on top I do not have PC but have a bad case of ED and my reason for the posting is due to what seems to be good experienced people.

I am 36 and in my early 20's after using a pump I managed to damage something which has left me with a bad case of ED.

My main problem has always been maintenance and so far:

1. Viagra - easy to bring up but lets me down in under a minute.

2. Cialis same as above

3. Muse pellets - useless - just gives me pain in corona (head)

4. Injections so far up to 20 MG but again has not risen for the occasion and gives me pain in corona

5. Levitra - first attempt 7 minutes (without touching it and keeping mind occupied with sexual material)
2nd attempt a week later same scenario 3 mins then after continuous retries it came down to 1 minute and left with real bad back ache (hardly worth it for 1 min)


Without any of these around 10 seconds before it drops.

Question 1:

The pattern with the above seems to be tolerance - the first attempt or if none of the pills not touched for a few months (6 months or so) I get better results than doing it regular. Is there any information on this ? are some people likely to build up a tolerance more than others for it to be less effective.

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I could try taking injection dose up then again unhappy with injecting myself and get the shakes.


So my options left are the implants

Semi rigid has quite a few downsides (pencil penis, it bursting through, not as big as it could be, concealment for things such as beach)

the pump system - silicon leaks, life span

I was told if I was to use the pump system once a year it would last a life time, right OK but this also means if a silicon leak was to occur it would take me another year to find out.

Question 2:

My question is would the people agree here that my only real option left is implants or should i still pursue the injection

Question 3:

If I went for the pump system and got active and used it once/twice a day how short would the life time become?


Question 4:
What would happen in the cases that I felt in the mood (alone) and wanted to release but did not want to pump it (to maximise its life span)

being in mid 30's you can see that to do replacements once every 10 years (if I used probably once a week) is still a lot of pain and operations


Or do I just give up being a man, since this is really the stage I am at.

Just a word about MUSE and injections. It might be worth trying bimix, without the prostaglandin. That is the ingredient in trimix that is most often associated with pain. I couldn't tolerate trimix, but have good success with bimix. It takes a higher dose, I'm currently at 45-50 and I'm pretty happy with the results. There's a thread or two here with tips for techniques that might help. You also might want to try something like the Inject-Ease to help make injecting a little less intimidating.

Thanks guys yes it has been caverjet that I have used to will ask the the doctors for the bimix and inject ease.

After trying Levitra yesterday I got a severe back ache (amongst other side effects), the back ache is still ongoing today and I find this hardly a worth while solution for the result achieve although I did have a mild erection this morning.

I also wanted to ask :

NPT test produced weak erections. They then asked for it to be done with 100MG viagra (which whilst awake does not do much, helps in easier gain but does not last ). The results of this test produced good outcome and they said you could not ask for more.

What I found towards the morning is although awake lying in bed I would get an erection with the device on (which if you ask me, for some one who can gain erections using hands to stimulate this kind of takes away accuracy since it is a bit like using hands to keep it maintainted) but as soon as I stood up it dropped, standing up or sitting up made it both drop.

Tried this 3 times in a row before I took it off and found lying in bed seemed ok as soon as standing up/sitting up it dropped ?

Was wondering if was a common reaction to venous or is this more likely to be linked to T11-L2 and the second is S2-S4. (back nerves)

http://www.spinalcordcenter.org/manual/pdf-files/scimanual-chp17-nov2009.pdf
pg20 talks about people with spinal injury

I have been in a car crash but its not left me disabled or anything obvious but do suffer from lower back aches quite a bit

Thanks for the positive advice and attitude, (I presume you understand without oral meds it was weak erections and with them things seemed ok)

I believe you mean peyronie's disease which can develop with injections. Yes to be honest with 20 when i got a slight raise I had noticed it slightly (it looked more wonky than per normal) will check out with nurse if and when I do injections next (will call them tomorrow to arrange more) and ask them to confirm and if not will be looking out for it.

will also enquire if the pumps are a good idea since initially when things went wrong it was the pump that caused it and initial doctors not much help but suggested never again.

Also for those with peyronie's disease or those suspect of it should read this:

http://www.ncbi.nlm.nih.gov/pubmed/8230513

Patient-partner satisfaction with semirigid penile prostheses for Peyronie's disease: a 5-year followup study.

Montorsi F, Guazzoni G, Bergamaschi F, Rigatti P.

Institute of Human Anatomy, Scientific Institute H. San Raffaele, Milan, Italy.

Comment in:

* J Urol. 1993 Dec;150(6):1833.

Abstract

The long-term acceptance of and satisfaction with penile prostheses were assessed in patients with Peyronie's disease and their partners. From 1985 to 1987, 50 men with advanced Peyronie's disease and associated erectile dysfunction were treated with a semirigid penile implant without additional plaque surgery. A total of 48 patients and 29 partners was reassessed at a followup of at least 60 months. Only 23 patients (48%) and 12 partners (40%) were totally satisfied with the long-term functional result and would repeat the same operation. Among the 25 dissatisfied patients (52%) loss of complementary erection resulting in a pencil-like penis, decrease in penile sensitivity, poor concealment and persistence of penile deviation were the major complaints. Of the partners 17 (60%) were dissatisfied due to poor penile girth, sensation of a cold glans penis, sensation of unnatural intercourse and dyspareunia. Eight patients (16%) chose to substitute the semirigid implant with a 3-component inflatable prosthesis. On a long-term basis, placement of a semirigid penile prosthesis for Peyronie's disease is associated with a significant patient-partner dissatisfaction rate.

PMID: 8230513 [PubMed - indexed for MEDLINE]

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It seems that if it gets to that stage implants (semi rigid) seems to have 50/50 satisfaction.

I guess having this problem has made me research quite deep and get a good over all understanding but nice to talk with others and exchange views for even a better understanding.

sonar,   After my PC surgery and resulting ED I tried all the options (i.e.: pump, pills, shots...) without satisfying results.  I finally made the choice to get a penile implant and went through with that surgery in March '09.  This was the best choice for me and I have been very satisfied with the results.  I know that there are a some men that simply would be scared to make that choice for themselves, but I am happy I did.   If you wish to discuss this further and want any details in regard to what the operations was like or what the results were please feel free to let me know.  I will be happy to discuss it in whatever details you may need.   Sincerely, Ted.

Hello DHM089,

I've started a new thread for you so folks can say hello and tell you if they have had a similar problem.

Welcome to the forum. Sorry you need to be here but glad you found us.