Penile Implant

Lakeshore

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After 30 years of post-surgical, erection difficulty caused by the removal of my urinary bladder and removal of my prostate in 1989, then a severe case of Peyronie's disease and the corrective surgery in 2003 my doctor has recommended a penile implant. I must say I am ready to stop swallowing erection pills that only gave me about 25-50% hardness of a normal erection. However the ED pills were 100% effective in causing headaches, severe sinus problems, stomach upset & a strange blue vision. The most heart-breaking for me was to see the 2" inches of length Peyronie's disease robbed me of. Crazy to go from 7.5" to 5.5".

Has anyone else had Peyronie's or bladder/prostate surgery requiring a penile implant to facilitate normal erections? If so, what device and who was your doctor?

Thank you in advance for your info. This has been a long and frustrating experience of swallowing every brand of erection pill on the market. And, no, my Urologist will not prescribe any inject-able tri-mix or any inject-able medicine due to my having the disgusting Peyronie's disease.

Thank you
 

cincinnatus1951

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Lakeshore Here is my take. I am currently four years out with my implant. It was an 18cm titan .I had it done in Houston. Wife and I are very pleased with it. Takes all the hassle out of sex. Yuo might check out Franktalk.org for more info,

Guys: I’ve been doing a lot of thinking about the “right” time to decide on an implant. A lot of discussion about pumps and injections as well as pills indicates that a lot of men get some initial positive results, but, after time, the effectiveness declines. With injections, many report scarring and penile distortion. What’s not nearly as clear is what percentage of injection and pill users continue to have erection difficulties. Human nature teaches that the satisfied folks rarely complain. There are plenty of examples of marginal effectiveness of pills and injections, what I can’t tell is how large the percentage is.
In my own case, I went for about six months with pumps and pills with marginal results. My prostate surgeon recommended injections, which I used for about a year with inconsistent results. ( I had a Robotic assisted nerve sparing prostatectomy in July, 2013.) Sometimes, very little, sometimes too long, and never knowing how long the erection would last. I did have good firmness and longitudinal stability when it worked. At my two year surgical follow up visit, the surgeon suggested we consider an implant. My initial reaction was “They are not doing that to me!!!” We continued to bumble along. If the injection did not work (rarely) or did not last long enough, we would resort to toys and tongue. We were both able to climax; but, it was certainly not as satisfying as traditional penetrative sex. We were also getting tired of the hassle with injections. We visited one urologist (sexual medicine) specialist and he recommended “combination therapy” of pills and injections. He also recommended we consider an implant, showed us the prosthesis, gave us web sites where we could watch the surgery. We also learned of FrankTalk through a prostate cancer support group.
As we learned more about the surgery, risks, aftercare, healing, etc. the thought of surgery became less scary. My wife initially discouraged it saying we can do OK with toys and tongue, is it worth the risk? We agonized and went to see another sexual medicine specialist. He did not try to sell us on an implant, however, said none of the other therapies were working for us. At that stage 21/2 years out of prostate surgery, the likelihood of spontaneous erections returning were essentially nil. After one particularly frustrating love making session, I said to the wife, “Heck with it “I’m signing up for the implant. She agreed. I had the implant in January 2016. We had a text book recovery and we both wish we had not wrung our hands for so long. The implant removes all the hassle and uncertainty of the lesser methods.
That brings me to the point of this note. I have advised a goodly number of people both in public and private posts not to consider an implant unless nothing else works. While I still believe that to be the case. For the above reasons, I would recommend seriously thinking about an implant as soon as frustration begins to build. Essentially, once pills become less effective and you have tweaked your formulation and injection dosage without satisfactory results, I have come to believe that further avoidance of an implant is not helpful. In talking with my docs, they too, believe couples get frustrated and just give up on sex. My cardiologist even offered he would like to see way more men go for implants. He says many patients report that they have just given up.
Bottom line is I do not know how to accelerate the process to an implant. We believe we waited six to nine months too long. I also recall my almost complete rejection of the first implant recommendation. For guys who are say over age 55, are frustrated and have systemic ED regardless of the cause, I would say “Go for it”.
Sorry for the long post. Just food for thought. Cincinnatus
 

Lakeshore

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Lakeshore: Any progress on managing your ED? Still willing to do a show and tell if it would help you.
Cincinnatus

Cincinatus1951, I am to have an office visit with Dr. Charles Pritchard in Tulsa on the 26th. A decision will be made after the visit. I received a message from his office in May recommending a vacuum erection device in the meantime. Any experience with one of those?

Thank you for your willingness to show me how an implant works.
 
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I'm curious about how firm the head of your penis is while using the implant. Will the glans remain soft as in the flaccid state or does it become engorged and firms up when using the implant? My glans nearly double in size with an erection and are much more sensitive to sensation in this state which has a huge effect on the climax. So how does an implant affect the penis glans? I don't think I've read or seen this talked about in any of my research on having an implant done.


Lakeshore Here is my take. I am currently four years out with my implant. It was an 18cm titan .I had it done in Houston. Wife and I are very pleased with it. Takes all the hassle out of sex. Yuo might check out Franktalk.org for more info,

Guys: I’ve been doing a lot of thinking about the “right” time to decide on an implant. A lot of discussion about pumps and injections as well as pills indicates that a lot of men get some initial positive results, but, after time, the effectiveness declines. With injections, many report scarring and penile distortion. What’s not nearly as clear is what percentage of injection and pill users continue to have erection difficulties. Human nature teaches that the satisfied folks rarely complain. There are plenty of examples of marginal effectiveness of pills and injections, what I can’t tell is how large the percentage is.
In my own case, I went for about six months with pumps and pills with marginal results. My prostate surgeon recommended injections, which I used for about a year with inconsistent results. ( I had a Robotic assisted nerve sparing prostatectomy in July, 2013.) Sometimes, very little, sometimes too long, and never knowing how long the erection would last. I did have good firmness and longitudinal stability when it worked. At my two year surgical follow up visit, the surgeon suggested we consider an implant. My initial reaction was “They are not doing that to me!!!” We continued to bumble along. If the injection did not work (rarely) or did not last long enough, we would resort to toys and tongue. We were both able to climax; but, it was certainly not as satisfying as traditional penetrative sex. We were also getting tired of the hassle with injections. We visited one urologist (sexual medicine) specialist and he recommended “combination therapy” of pills and injections. He also recommended we consider an implant, showed us the prosthesis, gave us web sites where we could watch the surgery. We also learned of FrankTalk through a prostate cancer support group.
As we learned more about the surgery, risks, aftercare, healing, etc. the thought of surgery became less scary. My wife initially discouraged it saying we can do OK with toys and tongue, is it worth the risk? We agonized and went to see another sexual medicine specialist. He did not try to sell us on an implant, however, said none of the other therapies were working for us. At that stage 21/2 years out of prostate surgery, the likelihood of spontaneous erections returning were essentially nil. After one particularly frustrating love making session, I said to the wife, “Heck with it “I’m signing up for the implant. She agreed. I had the implant in January 2016. We had a text book recovery and we both wish we had not wrung our hands for so long. The implant removes all the hassle and uncertainty of the lesser methods.
That brings me to the point of this note. I have advised a goodly number of people both in public and private posts not to consider an implant unless nothing else works. While I still believe that to be the case. For the above reasons, I would recommend seriously thinking about an implant as soon as frustration begins to build. Essentially, once pills become less effective and you have tweaked your formulation and injection dosage without satisfactory results, I have come to believe that further avoidance of an implant is not helpful. In talking with my docs, they too, believe couples get frustrated and just give up on sex. My cardiologist even offered he would like to see way more men go for implants. He says many patients report that they have just given up.
Bottom line is I do not know how to accelerate the process to an implant. We believe we waited six to nine months too long. I also recall my almost complete rejection of the first implant recommendation. For guys who are say over age 55, are frustrated and have systemic ED regardless of the cause, I would say “Go for it”.
Sorry for the long post. Just food for thought. Cincinnatus
 
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cincinnatus1951

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I'm curious about how firm the head of your penis is while using the implant. Will the glans remain soft as in the flaccid state or does it become engorged and firms up when using the implant? My glans nearly double in size with an erection and are much more sensitive to sensation in this state which has a huge effect on the climax. So how does an implant affect the penis glans? I don't think I've read or seen this talked about in any of my research on having an implant done.

Galivant" There are three tubes in the penis that deal with erections. for all three, blood flows in and is restricted resulting in an erection. Two of those tubes, the left and right corpus cavernosum are dilated in the implant operation to make room for the cylinders that will fill with saline solution. This renders them inoperative for typical blood capture. The third tube, the corpus spongiosum is on the underside of the penis and supplies the glans of the penis with blood. It is inaffected in the implant surgery. My glans still responds, but does take stimulation, physical or mental. If I just inflate the tubes with saline, the glans will still be flaccid. With a little stroking, sucking or other stimulation it fills with blood and expamds the glans. Also, I still have pre cum both post prostatectomy and post implant. Hope this helps.
Cincinnatus
 

Galivant

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@cincinnatus1951 Thank you very much for this info. I believe this may be something I'll explore once I exhaust other options.


Galivant" There are three tubes in the penis that deal with erections. for all three, blood flows in and is restricted resulting in an erection. Two of those tubes, the left and right corpus cavernosum are dilated in the implant operation to make room for the cylinders that will fill with saline solution. This renders them inoperative for typical blood capture. The third tube, the corpus spongiosum is on the underside of the penis and supplies the glans of the penis with blood. It is inaffected in the implant surgery. My glans still responds, but does take stimulation, physical or mental. If I just inflate the tubes with saline, the glans will still be flaccid. With a little stroking, sucking or other stimulation it fills with blood and expamds the glans. Also, I still have pre cum both post prostatectomy and post implant. Hope this helps.
Cincinnatus
 
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