Need some input on an Implant

Bigal,

Don’t know much about pumps.

I've also been told that it could take between 18 to 24 months for ED to resolve itself (if at all) I'm 10 months post op, and Levitra is showing promising results. I also use Trimix sparingly (don’t exceed 0.1cc). Considering I still have months to go for the 24 months target, I think its early days for me to expect a full recovery, however, if things aren’t shipshape two years post Op, I might begin to consider other options including pumps.

Did your Uro tell you how long you should wait before you can expect positive results, because it does take time. There is also the kind of op you had that effects your recovery; was it nerve sparing or not. Although it appears that "nerve sparing" does not resolve ED in some.

There are also websites like www.franktalk.org that has a special section devoted to pumps and implants. They too might have some good information to help you make your decision. Everything of the best with your deliberations.

All the best!

.

Big AL
I have had a penile implant for over 20 years and I thinks it it best things since bubble gum.
Have it put in 11 month after my RRP surgery , it just the basic one .I think it the ams malleable 650 and
I am really happy with it and so are the women . Later i found out i couldn't take the pill because of my blood pressure ,Claucoma , and cholesterol medication .

Big all I recommend that you check out Franktalk.org. Lots of good info there on implants.

Cajun Jeff

BTW, BigAl, like Cajun said, there is a ton of info by people who have had it done over here:
www.franktalk.org/phpBB3/viewforum.php?f=6
Might be something useful over here also, but I bet you have already been there, if not both places:
www.peyroniesforum.net/index.php

Post Edited (BillyBob@388) : 9/20/2014 6:36:00 PM (GMT-6)

Hammer,
Thx, Good to hear!
Bill

If you just have mild Ed maybe you should wait before you decide. It is a big step as you will never be able to a natural erection again after the implant. There is a lot of pain and soreness especially the first two are three weeks. I seriously doubt that you will be able to work for at least ten days, maybe more post op. Standing on your feet will be painful during that time as pressure will cause aching that is uncomfortable you will need some compression underwear or supporter for several weeks. There is a lot of trauma to your penis for the "dilation" or really rodding out of the two main chambers to make space for the implant cylinders. Then there will be a large pump that will always be there, the pump is uncomfortable for the first few weeks, the pump does get comfortable but sitting can always cause pain if you sit wrong or, say, slide across a car seat. By the time you get "activated" that is pumped up at six weeks or so you should feel comfortable but getting there is no cake walk. Then depending on which implant you get your flaccid length be more or less the same as the erect length, anyway that is not natural and if you leak some it makes it difficult to have it stay on the pad. I would not count on having the same sensitivity due to the large amount of trauma that was created. It does however give you a very firm erection. For me there was no choice as nothing worked but you seem not to be in that situation. And after the activation you will have maybe six months of rehab, that is daily pumping and holding it for an hour. This rehab should eventually get your length back and make it comfortable. I wasn't able to comfortably use it until about 4 months out. I've had mine for about 3 1/2 years and I guess I would do it again and certainly would get it fixed if it broke. But I don't think an IPP would ever feel as good as a natural erection and I don't think I've ever heard anybody say that it was. So, you won't, in my opinion, be get implant, four months and done. However all that said, I didn't have Peyronies either and that changes things. Another poster mentioned the Vacurect pump, I used one pre-op and you might want to try that before you go in for an implant. I actually didn't go into my implant operation to get the IPP, I was scheduled for an AUS and decided to have the IPP done at the same time. Good luck on your decision. Bottom line I am happy with my IPP and glad I did it, but it is not as simple as just get it put in and go on.
Ron

BigAl,
Check out this thread, especially JackPTenn's report re: Peyronie's:
www.franktalk.org/phpBB3/viewtopic.php?f=6&t=48
"We discussed my success with the implant and the impact it had on my life. I am happy to say the impact has been better than I ever expected. During the discussion Todd asked what is the most common complaint with men with pryronies. Loss of size, length and girth. The AMS 700 LGX is the only implant that can help restore length.

I wish I had a recording but I will tell you basically what Todd said. The AMS 700 LGX will straighten out a peyronies curve. Peyronies is not normally in the erection chambers when the implant is activated it will straighten out the penis. I said to Todd that some men go into surgery expecting an LGX and come out with a CX or other implant. I asked if there was a reason for that. He said that when that happens the doctor does not fully understand the anatomy of the penis and the workings of the implant. Dr. Milam was an engineer before becoming a surgeon and fully understands the mechanical function of the implant and penis. He said that all there patients, with peyronies, that have the LGX have a straight erection like mine."

Of course that's just one opinion but still you might find it useful.
Bill

Al, I believe you've already heard from me but I'll reiterate. I have Peyronie's and had the AMS 700 LGX implanted over a year ago (two now?). The implant completely corrected the Peyronie's. If I had to do it over again I would. If you have any specific questions I'll do my best to answer.
Jeff

Bigal, where are you located? Sounds like this Dr. Doug Milam of Vanderbilt(Nashville) is quite skilled and experienced, at least form a couple of reports I have read. And they were based on surgeries done 5 and 6 years ago, so even more practice now. But, no doubt there are numerous other very experiences and skilled ones out there, you just have to figure out who they are.

If I ever end up going that route- and sometimes I wish I was already there - Vandy will also be convenient for me since that is where I had my RRP done by Dr. Joseph Smith.

EDIT: And this is strictly personal opinion which should not influence you in any way. But first assuming I still wanted a sex life with my wife or a wife/girlfriend I was hoping to get some day, and if I was going through what you have reported, I'm pretty sure I would not have any doubts and would be all over getting an implant ASAP! But circumstances, and what is important, are different for every one of course.

Heck, I am already thinking of a possible implant in the future, and I am not even yet suffering with Peyronie's! Though fear of it does make me use far fewer injections than I would like to.
Bill

Post Edited (BillyBob@388) : 9/23/2014 9:42:59 AM (GMT-6)

Billy Bob,

    I'm located about 60 miles north of NYC. I go to NYC every 2 weeks for the Peyronies treatment -- expensive, tough in and out. There has got to be a great Implant Doctor around here somewhere. I just have to start the journey.

Jeff,

     My current Doctor wants me to run the gamut of injections for months to correct the Peyronies. It doesn't sound that promising for the outcome either.

I'm sure there are down sides to the implant but I see where my choices are narrowing down to the implant. Unfortunately my beautiful fiance gave up on me after this 2 year ordeal so I'm single and alone for now so I imagine that makes this decison even tougher to make. I have to do something for sure can't see spending the next 20 years impotent, deformed and alone. Knotreel says there is a price to pay for sure and I appreciate that honesty very much, but I dont think I can go on in my current situation for much longer without it seriously effecting my entire outlook on life in a negative way.

It's good to hear you are happy you did it. It's got to be great to not have the fear of sex.

Jeff I've read where there is some sensitivity loss, some length loss, some glans flopping, some points in the front that a women might feel, has anything like that happened to you? Has you women gotten the "williies" or a little weirded out at anytime because you were bionic?

Thanks Al

Al said...
Jeff I've read where there is some sensitivity loss, some length loss, some glans flopping, some points in the front that a women might feel, has anything like that happened to you? Has you women gotten the "williies" or a little weirded out at anytime because you were bionic?

Al, I would say there is a small amount of sensitivity loss. However, I had trouble reaching orgasm prior to getting the implant since my prostatectomy (probably just due to the amount of distraction there was with the whole ED adventure), and after I got the implant I can regularly have an orgasm again. To me, the small amount of sensitivity is more than compensated for by the lack of anxiety.

My wife loves the implant. I lost length after the prostatectomy, prior to the implant, I believe due to the lack of regular erections (no nocturnal erections after the surgery). Whatever length I might have lost due to the implant surgery has been recovered over the past year or two of regular use (I inflate it every day in the shower even if it is not otherwise used). Definitely, the effective length was much less due to the peyronies - it was difficult to maintain intercourse due to the bend, so for me, the implant actually improved things rather than the opposite. Now, I do not expect that I would be able to hide the fact that I have an implant - that solid third nut would definitely be noticeable. No willies from my wife - she is very happy with it, especially compared to the Peyronie's, which she expressed regular frustration about (so she is not shy about telling me how she feels). I figure most of us going through this condition will find ourselves with more mature potential mates - who I expect will be more understanding than a 20-something-year-old over the whole "I'm bionic" topic. If they can't handle that, then I predict that they would have found some other fault to leave you over anyway (I'm with CaptainHuff on that one).

Concerning the surgery, I am in San Diego - pretty far away from you, and it sounds like there are some good docs near you anyway. My doc gave me much better odds on infection (his record is 1%) than Huff mentioned. He did say that you have to play the Peyronie's on a case-by-case basis, sometimes during the surgery you have to amend your planned prosthesis depending on the severity. I was very happy with him, although he is not one of the surgeons that does 1 or more per week (he averages 1/month).

If your doc has a treatment course for you to follow, I would follow it - as mentioned, this is a one-way road, so you need to be committed.
Jeff