Worst Case Scenarios

The final frontier. Deciding when, if and how.
defiant
Posts: 525
Joined: Mon Apr 25, 2016 9:35 am

Worst Case Scenarios

Postby defiant » Sun Jun 10, 2018 6:09 am

What are the worst case scenarios?

Also, people seem to talk about infection with dread, what exactly are the implications of an infection post-implant? Removal of it and replacement, right?
37, mild to moderate ED since age 21, 3 Dopplers - 1 result VL & 3 later results 'no physical problem', dependent on cialis (efficacy now waning), overcame Lymophoma at age 26, ED causing immense/profound psychological distress. Considering implant.

Larry10625

Re: Worst Case Scenarios

Postby Larry10625 » Sun Jun 10, 2018 7:55 am

defiant wrote:What are the worst case scenarios?

Also, people seem to talk about infection with dread, what exactly are the implications of an infection post-implant? Removal of it and replacement, right?



When I went into septic shock I lost my implant. 6 months later he put another one. It is totally healed now and I am getting a fair amount of use out of it. ;)

Larry

defiant
Posts: 525
Joined: Mon Apr 25, 2016 9:35 am

Re: Worst Case Scenarios

Postby defiant » Sun Jun 10, 2018 8:14 am

Larry10625 wrote:
defiant wrote:What are the worst case scenarios?

Also, people seem to talk about infection with dread, what exactly are the implications of an infection post-implant? Removal of it and replacement, right?



When I went into septic shock I lost my implant. 6 months later he put another one. It is totally healed now and I am getting a fair amount of use out of it. ;)

Larry


Septic shock is extremely serious.

You got through it though and now you have another one. So all is well that ends well.
37, mild to moderate ED since age 21, 3 Dopplers - 1 result VL & 3 later results 'no physical problem', dependent on cialis (efficacy now waning), overcame Lymophoma at age 26, ED causing immense/profound psychological distress. Considering implant.

jelquinginjury
Posts: 195
Joined: Wed Feb 15, 2017 9:52 am

Re: Worst Case Scenarios

Postby jelquinginjury » Sun Jun 10, 2018 9:11 am

you lose size with an infection
Injury that caused venous leak.
In my 20s thinking about implant

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Quincy
Posts: 413
Joined: Tue Mar 27, 2012 6:03 pm
Location: Boise, ID

Re: Worst Case Scenarios

Postby Quincy » Sun Jun 10, 2018 10:27 am

I didn't do a lot of research before the implant on what happens with an infection, but my understanding was that the implant had to be removed and there would be a 6 month wait before trying again. Since both of the corpus cavernosum have been heavily damaged, I would imagine that the penis would be extremely limp and unresponsive. While I've had severe ED for a long time, I did get some response to stimuli. I just got implanted and infection is my only real fear.

Your question made me realize I needed to know more, so I just looked up some info and got this from www.ncbi.nlm.nih.gov/pmc/articles/PMC3126071/

In the presence of an infection the implant and all foreign material should be removed. A salvage procedure, during which the wound is thoroughly washed with antiseptic solutions after device removal and placement of a new implant during the same procedure, has a high success rate and is becoming a popular approach. The alternative, device removal with return at a later date for placing a new implant, entails a more difficult corporal dilation, and the resulting erection is noticeably shorter. Patient and partner satisfaction with a penile implant is the highest among all of the treatments for ED.

Hope this helps answer your question. Thanks for bringing it up.
Quincy
71, Boise area, Married
ED from type 2 diabetes and PCa radiation.
AMS LGX surgery 6/5/18 with Edward Karpman in Silicon Valley, 18cm+3RTE

Larry10625

Re: Worst Case Scenarios

Postby Larry10625 » Sun Jun 10, 2018 4:54 pm

defiant wrote:
Larry10625 wrote:
defiant wrote:What are the worst case scenarios?

Also, people seem to talk about infection with dread, what exactly are the implications of an infection post-implant? Removal of it and replacement, right?



When I went into septic shock I lost my implant. 6 months later he put another one. It is totally healed now and I am getting a fair amount of use out of it. ;)

Larry


Septic shock is extremely serious.

You got through it though and now you have another one. So all is well that ends well.



Absolutely... my doctor is freakin AWESOME. I do not blame him in the least. My sepsis was one month post op. Sometimes... shit happens. :)

Larry

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bldoink
Posts: 3684
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: Worst Case Scenarios

Postby bldoink » Sun Jun 10, 2018 7:28 pm

The success rate for implants is very good and the infection rate is low. However, as with any serious surgery the "Worst Case Scenarios" are pretty much the worst you can imagine. That why they're call worst case scenarios. Like with most everything in life there are some bad endings. I won't provide any links. You can find those on your own. They are there. All surgeries involve risks and a percentage of all surgeries go very, very badly.
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. 10+ yrs. It works. Treasure coast of FL.

TomW46
Posts: 180
Joined: Mon Sep 18, 2017 5:52 pm

Re: Worst Case Scenarios

Postby TomW46 » Sun Jun 10, 2018 10:03 pm

I'm almost 8 months out now. Some kind of infection started around the second week. And I've lived with it ever since. My implant is coming out tomorrow. Dr. Carrion in Tampa. He said he might replace it depending on what he finds when he cuts me open.
Age 72, wife is 52. 20+1 cm Titan Touch implanted by Dr. Kramer on 18 October 2017. Revision to AMS LGX 21+2 cm on 11 June 2018 by Dr. Carrion at Tampa General. Age-related ED + slight Peyronies bend (left) and slight hourglass in the center.

CTR5000
Posts: 170
Joined: Wed Apr 01, 2015 9:51 pm

Re: Worst Case Scenarios

Postby CTR5000 » Mon Jun 11, 2018 2:31 am

I've had my implant for 3 years now. Never researched what infection might imply or require before getting my implant. And to go looking into it now seems a rather moot point. I'll cross that bridge if or when infection occurs. I knew my AMS implant itself was treated with some antibacterial called "Inhibizone" and that was enough for me to know. I'd already looked into infection rates at various hospitals within roughly a 100 mile radius long before I ever even thought about an implant so I knew what hospitals I'll never set foot in for just that reason, no matter who the operating surgeon there might be. There are far too many "definites" in life that I do need worry about. I'm not going to add to any worries and concerns with "what if's" that may never happen. With all the amazing specialists who know and tend to me (including Infectious Disease) I'm in good hands whatever contingencies may occur.

Larry10625

Re: Worst Case Scenarios

Postby Larry10625 » Mon Jun 11, 2018 7:23 am

jelquinginjury wrote:you lose size with an infection



A little but the doctor is confident it will come back with the AMS LGX. :)

Larry


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