This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, pediatric urology, prostate, sexual dysfunction and urological cancers.
I see that you are only 33 years old from your profile. At your age you should not be looking at an implant.
I'm 46 and have had severe ED since about 2000. Viagra, Cialis did notheing for me. In 2003 while being undergoing treatment for other medical issues, I was asked if I wanted to see a uorologist to consult about my ED.
The urologist was quite up from and while in the office as if I wanted to try Caverject. After agreeying I was instructed to lay down on the examination table. The urologist used a buttefry needle and injected my penis with the Caverject. After about 10 minutes I could feel a change in my penis, and the urologist checked to see how firm it was. After 15 to 20 minutes I was checked again and it was determined that the penis was firm enough for penetration.
After this consultation the urologist prescribed me with California Tri-mix double strength. After some time of learing I was able to inject my penis and was able to obtain better erections than what I used to have. The erections can last for over an hour, but care must be taken that you don't over use the medication and that an erection does not exceed 3 hours. Should it go over 3 hours medical hlep is needed.
Should you opt for an implant, and if you could find a urologist who would be willing to do the procedure at your age, you should consider the following.
An implant might not take and needs to be removed due to that fact. In order to put an implant in the erectile tissue of the penis is removed to make room for the implant. This means that there is no way of going back. Once the tissue is removed that penis is damaged and there is no hope of it functioning on it's own again.
There could be complications during the surgery like infections etc. if they are severe enough it could mean amputation of the penis. I'm think that you would not want to risk that.
If you have severe problems with ED ask your doctor about trying Caverject. California Tri-mix is also cheaper than Viagra or Cialis. Injecting your penis does not hurt as much as it sounds. If it is done propperly it does not damage the penis, like an implant would.
The other thing that you should consider is the fact that an implant is a mechanical device and is subject to failure. Should this happen you will need to be evaluated to determine if another implant is option. It may not.
If I was only 33, I would not want to take that risk. I have both neurological problems as well as urological problems. For the last two years I have had an indwelling catheter. Should things improve and I'm able to resume in sexual activity, I would not even entertain the idea of a penile implant. Should my penis no longer get erect, it would be better than taking the risk of loosing it all together.
Implants are meant for elderly patients in good health. It is not meant for younger patients.
I disagree with you. There is such a thing as an exception for someone who is young, say in their 20's, suffering from severe ED. Last stage ED patients don't respond to injections like trimix or bimix or oral drugs like viagra or cialis. These are the patients who can really benefit from receiving a prosthetic penile implant. There are several reasons why someone that young would need this: injury, vascular disease, childhood diabetes, vascular birth defect. Also, the chance of a successful implant is increased by youth. You've misleadingly stated the cons of the surgery and probably stated the most unrealistic complication to the surgery (infection and removal of penis). If an infection occurs, it is usually in someone who is suffering from diabetes and has tactile issues in their extremities. Like not feeling the tension or pressure in their penis to know that an infection is present and thus the infection can become severe enough for that to happen. This is rare at best. The AMS 700 is a great option for men who cannot achieve a natural erection and they need help. Not just for the elderly who need help.
I agree with you to a certain extend. I believe all non invasive methods should be tried first. If no satisfactory result is seen then an implant can be considered.
It is very easy to try a penile injection first. As I have mentioned, this can be done in a office visit during a consultation. In my case it took about 15 to 20 minutes before it was determined that this would work for me.
I myself have a neurological, peripheral neuropathy that causes damage to the nerves when pressure is applied to exposed areas. I also lost my left testicle as the result of an infection and have had several urological surgeries that could result inproblems with ED. I was about the same age as this man when I started to experience severe problems with ED.
At the age of 30 in 1995, I underwent a TURP and resection of the bladderneck to remove an ubstruction.
To me it makes a lot more sense to try less invasive techniques first. Just recently I have been going through more problems, and a correction that first was suggested is no longer being considered by the urologist due to my age, and the low success rate of the surgery. I'm glad for the fact that this urologist thought about the other implications that may result.
At about 29 when I first experienced problems with a neurogenic bladder, one urologist did not want to do the TURP and bladderneck resection for me since he thought that I was too young at the time. The problem was that I could not empty my bladder and used to come down with infections at the rate of about every 3 to 4 months. One would assume that this would of a higher priority than preserving erectile function.
Infections are a very real posibility. In 2000, I lost my left testicle due to a Strep infection. About a year prior to that I had a vasectomy, but ended up with a hematoma a day after the procedure. Surgery was done to deal withe hematoma. After the surgery a small hole in the scrotum never closed right. A urologist dismissed it as not being anything to worry about.
Putting an implant in like that cannot be undone. All the erectile tissue is removed when an implant is done. There are several different implants,and they all carry risks. When I first thought about getting an implant for the missing left testicle, I was adviced of possible rejection of the implant, infection and other problems that can take place. With that knowledge, I determined that the benefits were not worth the risks.
I was not telling this person not to go through with an implant, but recommend that he'd try other methods first.
For myself, had I know that I had a neurogenic bladder prior to having the TURP at the age of about 30, I would not have opted for it. It can also be very difficult to find a urologist who would be willing to perform this surgery on a patient this young. At the age of just a few days short of 47, the urologist thought that I was too young to have cetain surgical options. I respect a doctor like that. There are many who would do the procedure without any regards to the outcome of the surgery.
Any man made device is at risk of failure, a penile implant is not different. 99 cases might go without a problem, but there is allways the 1 case where it does not. If I was in this man's shoes, I would try an less invasive measures first.
As a last example, a few years ago it was suggested by an ophthalmologist that I should have corrective laser surgery since I did not like to use glasses and was using contacts at the time. About 4 years later, I ended up with sever loss in my visual fields aw well as having relatively poor central vision. After having done a test for the rods and cones of the eyes, it was discovered that I have Rod/Cone dystrophy. Currently I only have about 15 degrees of central vision left. With corrective lenses, my vision on the right is 20/55 and 20/60 on the left. Laser surgery in this case would have been senseless and might even have resulted in more damage to my eyes.
All things in life have risks, when it comes to my health and well being, I would try all other options before opting to surgery.
In the case of the originally planned urological surgery, ther is a high possibilty that things might end up being worse if I opt for surgery. When I first was under the impression that the fistula was on option, I was very much in favor of this idea as I believed that this would give a better quality of life.
An implant does not affect ejaculation or orgasm. I had surgery in May 2011 for prostate cancer. Since then I've been completely impotent. I tried Viagra and Cialis without any success. I then tried Caverject, but the dose required to give me an erection, gave me a very painful one which lasted for over 3 hours! I'm now using a vacuum pump, but that's not working either. My last hope is an implant. I'm only 53, so I still want and need a sex life.
Approximately 7 years ago, I had a radical prosectomy. I was given several sample of Viagra and others, but to no avail. Later, I was given the shots that seemed to work for about a year plus, but I was starting to increase my injections to get the same results and I allows changed sides as not to cause any dysfunctional shapes with the injections. Reading about the implants and doing a considerable investigation, I went for the implant. It is the Titan by Dr. Perito in Coral Gables. I was in overnight and returned for an outpatient twice. This was approximately 3 years ago. I lost approximately 1" in length, but am not complaining. I and my wife have a normal sex life and I am 69 at present. I would have any other way since I have had this done. It took me approximately 3-4 months to feel comfortable, but when you look at the time of life to live, that is a very short time to heal. I hope I have given you some serious thought.
At the age of 43, I was having erectile problems that were resilient to papravine injections, yohimbine HCL. The papravine increased blood flow to the point of creating an uncomfortable red and hot penis, but no erection. I opted for an inflatable prosthesis by Mentor. That was 19 years ago. My prosthesis lasted longer than Mentor who went out of business due to legal liability over breast implants. On the 28th of September I had the old one removed due to leakage of the saline and had a new unit installed at the age of 62. My new prosthesis is an AMS 700 CX. I am a week out of surgery and other than itchy hemorrhoid which will dissipate in one more week. I am fine. It will be another four weeks before I will be ready for sexual activity. In the mean time I will focus on technique and stamina.
I have had diabetes for 48 years but the original prosthesis was installed due to leakage of the venous plexus. I got no complaint.
Im a 53 year old diabetic, I started having problems getting and maintaining an erection in my early forties.
In the begining my wife at the time was vey understanding. but as it happened more and more often it became an issue, so much so that we ended in divorce after 18 years together..
so at 44 years old I found my self back on the market.
I dated and tried all the magic pills with no help they just did not do the job good enough to keep or sestain an erection to finish the job.and while being a lesbian in a mans body was enjoyable for the moment it too was not enough
so at 47 years old I started reseaching the penile implant option
I saw vidoe of the operation that just scared the crap out of me.
but afterr a couple more fail relationship for the same reason I knew I had to do something.
I could not picture my life staying this way.
I made an appointment with my doctor to discuss my options on what implant to use and went with the ams 700 cx
scheduled my time off work(took 1 week off should have been 2)
surgury took under an hour cost was
my insurance covered all of it
after i woke up my penis and testicals were swollen and very very bruised
the pain was intense but tolerable and subsided in a few days i returned to work in a week wearing lose clothes but i could definitly have used the 2nd week to recover more.by the second week the bruising was almost gone
by the fourth week when I was told I would be ok to use it I was still to tender to pump it up but by the sixth week did not have any more pain so pumping it up was not a problem
Right at the time I was ready to preform I found the girl I dated when I was sixteen on facebook i was neavouse as to how she would react to me having an implant, would it feel different to her but she assured me that there was no issues there. she was very happy with my "bionics"
and I must say I was the energieser bunny after not being able to preform all those years before
I wish i had done this sooner!!!!!!!!!!!!!
In my earlier post I did not mention healing time. You are told you could go back to work in a week to 10 days which you can, however the healing time is longer. Within a month the unit is ready for use, however the scrotal edema must have subsided before operating the pump is comfortable. Still, all in all, I would do it again.
I am 59 and I am considering and implant because I do not want to go through the pills and the injections I really want to eliminate my performance anxiety. Can I find a way to get the name of your doctor and where he is located. Let me know and I will give an email address.
I had my CMX700 implanted 2-3 yrs ago after RP and radiation. I was disappointed in the follow up post surgery office visit. The nurse did not know the device responded differently from the Titan, and they just had a broken office model. This was their 1st 700CMX operation. The Titan only requires 6-8 pumps to fill whereas 6-7 pumps on my apparatus did nothing. She said that's just the way it would be.
My squish ball doesn't seem to depress all the way. So I pump it as far as it will go, but it usually takes about 100 (hundred) mini pumps to get to a satisfactory fill! I haven't bothered going back to my Urologist. The plant does little for the libido which is another issue. But when I am in the mood, I have better sex now than at any other time in our 35yr marriage, and we can go for 40mins! But that's once every 3-8wks. When I found myself no longer staring at the mall's Victoria Secret or Hour Glass windows, I felt something was amiss.
Intense visual stimuli works on occasion & libido is better at 3am for some reason. I wonder if Cialis or Viagra even after implantation will still assist my fullness.
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