from your posts it does look like there may be some psychological issues . My opinion is that if you can get a good erection from injection, then you should stay with injection until that mode quits working. For me, in the earlier days, I routinely got four hour erection from injection. Those were really good erections with big glans, and I was also able to keep thrusting even after orgasm, so, with injections, I was "able to fuck like a king". But then the erections quit working and I moved to implant. I like sex better with the implant because it is more spontaneous (I can have sex anywhere and at anytime) and that improves confidence and has removed any fear that I have about sex and being faced with a situation where I failed to perform.
in my implant wiki (posted in a adifferent thread here on franktalk), I have a chapter (chapter 3) which discusses reasons why NOT EVERYONE is a good candidate to have this surgery.
Part of that chapter discusses a paper written by Dr Gopal Narang at UNC, and Dr Gopal states:
"..."...To maximise satisfaction from penile prosthesis insertion, full and accurate pre- operative counselling of the patient and partner is mandatory. This will prevent unrealistic expectations, which are the major reasons for complaints. As insertion of a prosthesis involves replacement of the patients' cavernosal tissue with loss of any residual erectile function, surgery should only be considered when all non-invasive methods of achieving a natural erection have been exhausted....."
My response to the above quote is that you should always remember that you should not get an implant unless injections or pills have failed for you. Otherwise, you might regret 'going nuclear' too soon.
"...Both patient and partner should be aware that the erection achieved with a prosthesis is a compromise. The glans penis will not be ....."
And finally, I just ran across a nice lecture posted by Dr Tobias Kohler who cautions surgeons from operating on patients with the following slide and his stted remarks:
Dr Kohler says:
Complications are a harsh teacher: Patient Selection
....Dr. Trost, a good friend of mine, now a current partner at the Mayo Clinic, he wrote this paper .....basically it’s a mnemonic stated the type of characteristics of patients that you want to avoid putting an implant in. I would argue to avoid doing any kind of cosmetic surgery in. ....it talks about counseling the patient’s properly beforehand, giving everybody in your office staff veto power to say, “This is not a good candidate, et cetera.” I’ve learned the hard way that, sometimes, if you implant the wrong patient, you end up with a lot of misery.
Dr Trost's pneumonic "cursed" can be summarized as follows:
This pneumonic is essential for implant surgeons;..... Men who are not good candidates may have characteristics or conditions as listed below:
compulsive
Unrealistic
Revisions previously
Surgeon Shopping
Entitled
Denial
Psychiatric conditions
from J Sex Med 2013 Apr 10 (4):893-906
You asked for "no bullshit" response. I know the above is harsh with no sugar-coating. Sorry.
So, in your defense, you need to convince yourself that you are realistic, NOT entitled, NOT compulsive and NOT a psychatric case.
And one other thing, although I personally believe that a man should not go "nuclear" until all options (ie injections) have failed, I do acknowledge that some surgeons state that it is perfectly proper to implant men who have tried, but reject, injections.
As a final piece of advice, it looks like there is a member here on frank talk LeRoastBeef who is younger and who has esteem issues and who has not yet used his implant as he acknowledges in the below post:
LeRoastBeef » Fri Dec 10, 2021 9:13 am
I have an lgx 700.........I have not used the implant for sex yet, mainly because my self esteem is still very low, and I'm embarrassed about how to go about the logistics of things in the moment. Need to man up.
34 (Venous leak), UK
Implanted with AMS 700 lgx on July 2021.
Love Franktalk.
It sems like the two of you may have a lot in common. maybe a discussion is needed to share with since he has seen the other side, yet, is not over the moon "fucking everything that moves". I hoe that discussion can take place in the public sphere here at franktalk so that all can learn.