Replacement Surgeries Down The Line

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

Replacement Surgeries Down The Line

Postby defiant » Wed Nov 10, 2021 7:46 pm

Being south of 40 I have some obvious concerns about the number of replacements I would potentially need were I lucky enough to live a full life.

I understand that a replacement is a tougher surgery for the surgeon and carries a slightly higher risk of infection (but still a low risk).

But what are the implications of each replacement?

Does the penis lose more and more sensitivity with each replacement?

Does the penis typically lose size? (I know this largely down to the skill of the surgeon)

In essence, what, if any, are the downsides of having to have multiple replacements over the next few decades?

Thanks!!
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.

Tmansdorfer
Posts: 183
Joined: Wed Sep 14, 2016 2:36 pm

Re: Replacement Surgeries Down The Line

Postby Tmansdorfer » Thu Nov 11, 2021 9:41 pm

I have been through 8 surgeries for the implant and size loss due to various issues and now that I have a functioning implant I can say that I would do it all over again. The one thing that I do have is scar tissue near the base of the penis due to every time they implanting the cylinders at the same location. I have lost size due to the hell of an infection I had for a year but I did not loose any sensitivity. Don’t let the worry of revisions deter you from having a functional penis.
39 01/24/19 USC Dr Doumanian LGX 15cm 3, lGX 18 +2, revision 6-20 18+3 pump failure, revision 8-20 left cylinder in scrotum, 1-21 removed infection switched to dr Doyle, Boyd 10.05.21 a 15+3 cx,revision 01,23,24 with switch to LGX 15+6 fat pad removal.

oldbeek
Posts: 2472
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Replacement Surgeries Down The Line

Postby oldbeek » Thu Nov 11, 2021 10:16 pm

Tmansdorfer wrote:I have been through 8 surgeries for the implant and size loss due to various issues and now that I have a functioning implant I can say that I would do it all over again. The one thing that I do have is scar tissue near the base of the penis due to every time they implanting the cylinders at the same location. I have lost size due to the hell of an infection I had for a year but I did not loose any sensitivity. Don’t let the worry of revisions deter you from having a functional penis.
. Good to hear you finally got it fixed.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Gt1956
Posts: 2891
Joined: Fri Apr 05, 2019 2:47 pm

Re: Replacement Surgeries Down The Line

Postby Gt1956 » Thu Nov 11, 2021 10:59 pm

defiant wrote:Being south of 40.............

In essence, what, if any, are the downsides of having to have multiple replacements over the next few decades?

I'm thinking that the upside is somewhere around 40 years of pretty good sex. If your dick isn't working now. What can be a worse downside than that?
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

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

Re: Replacement Surgeries Down The Line

Postby defiant » Fri Nov 12, 2021 3:27 am

Tmansdorfer wrote:I have been through 8 surgeries for the implant and size loss due to various issues and now that I have a functioning implant I can say that I would do it all over again. The one thing that I do have is scar tissue near the base of the penis due to every time they implanting the cylinders at the same location. I have lost size due to the hell of an infection I had for a year but I did not loose any sensitivity. Don’t let the worry of revisions deter you from having a functional penis.


Oh gosh! I’m so sorry to hear this. So young too.

May I ask why you’ve had 8(!) surgeries for it?

Each should last 10-15 years.

The financial implication alone, let alone the psychological distress of that must be hugely considerable.
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.

Old Guy
Posts: 2514
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Replacement Surgeries Down The Line

Postby Old Guy » Fri Nov 12, 2021 2:45 pm

defiant wrote:Being south of 40 I have some obvious concerns about the number of replacements I would potentially need were I lucky enough to live a full life.

I understand that a replacement is a tougher surgery for the surgeon and carries a slightly higher risk of infection (but still a low risk).

But what are the implications of each replacement?

Does the penis lose more and more sensitivity with each replacement?

Does the penis typically lose size? (I know this largely down to the skill of the surgeon)

In essence, what, if any, are the downsides of having to have multiple replacements over the next few decades?

Thanks!!


Hopefully you do live a long life, but do you want to do it without sex?
From what you can read here in FT, most report the revision was easier than the original surgery. Infection risk is quite low if you follow the surgeons instructions. Some report a gain in size with a revision.
The only downside I see is having to take time off for a few weeks IF you need a revision.
The upside is technology is advancing, and in 10 years who knows what kind of implants will be available? There is a company working on a Bluetooth/remote device currently.
Good Luck with your decision.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

Benjohn
Posts: 90
Joined: Mon Mar 15, 2021 6:44 am

Re: Replacement Surgeries Down The Line

Postby Benjohn » Fri Nov 12, 2021 4:18 pm

defiant wrote:
Tmansdorfer wrote:I have been through 8 surgeries for the implant and size loss due to various issues and now that I have a functioning implant I can say that I would do it all over again. The one thing that I do have is scar tissue near the base of the penis due to every time they implanting the cylinders at the same location. I have lost size due to the hell of an infection I had for a year but I did not loose any sensitivity. Don’t let the worry of revisions deter you from having a functional penis.


Oh gosh! I’m so sorry to hear this. So young too.

May I ask why you’ve had 8(!) surgeries for it?

Each should last 10-15 years.

The financial implication alone, let alone the psychological distress of that must be hugely considerable.


Holy hell! I don't think I could handle that mentally. Thank you for being an example to all of us of how we can come through the toughest of adversities.

One plus point.. I've heard that replacement surgeries often result in a slightly upsized implant. I got this information from Dr Perito's online series. I think this is the right link:
https://youtu.be/bDHvqyJwks8
British, 32 yrs old. ED caused by Paraphimosis in 2019. 100mg Sildenafil for sex. Trialled Invicorp as advised by doctor in 2021 but it was too strong. Taking 50mg-75mg of Sildenafil every night at 3am to stimulate morning erections, good response so far.

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Replacement Surgeries Down The Line

Postby SW0110 » Fri Nov 12, 2021 10:39 pm

If it breaks. You get it fixed.

Pills may work. Or not.

I am not injecting due to existing peyronies.

If you are soft. Limited options. Now I am hard when I want.

This thing breaks. I am back to doc. If they cannot fix it I am no worse off.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

Tmansdorfer
Posts: 183
Joined: Wed Sep 14, 2016 2:36 pm

Re: Replacement Surgeries Down The Line

Postby Tmansdorfer » Sat Nov 13, 2021 11:12 am

Thanks guys

The first implant was short and I had floppy glans so after three months I had a revision were I had 2cm installed. That implant was great for a year and then the pump failed. I again got a revision with an added 1cm but after only two months one of the cylinders came out and was in my scrotum. After that surgery I thought I was past everything when I got an infection rhat would not completely go away. I ended up having several surgeries to clear that up. Finally I decided to switch dr’s and a month ago I was infection free and had the implant re installed. It has been a journey but I am hopeful that this one is going to last. I ended up with the same size implant as I started ( which was small and gave me a floppy head) due to the infection and not being able to stretch the tissues for a year. At least now I am infection free and have a hard penis
39 01/24/19 USC Dr Doumanian LGX 15cm 3, lGX 18 +2, revision 6-20 18+3 pump failure, revision 8-20 left cylinder in scrotum, 1-21 removed infection switched to dr Doyle, Boyd 10.05.21 a 15+3 cx,revision 01,23,24 with switch to LGX 15+6 fat pad removal.

newbie443
Posts: 1841
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Replacement Surgeries Down The Line

Postby newbie443 » Sat Nov 13, 2021 1:56 pm

As has been written the smaller implant at revision is most always from an infection where the implant has to be removed and nothing else placed for a long time. 6 + months. With regular revisions 5 + years many times a larger implant is used. So there are things we can do to prevent infection. One is to question our doctor about infection rate and if the doctor has any special prevention for infection. No touch surgery, alcohol prep, ect. We can also do our part by keeping on top of any health issues we have and be as healthy as possible before surgery. And we can prep ourselves. One doctor has written that most sources of infection are brought into the OR by the patient. I washed new cotton underwear, socks, sweat pants, and t-shirt in bleach and placed then in zip lock baggies for the day of and after surgery. Showered with anti bacterial soap and then again with Hibiclens from my chest down. And then used alcohol wipes to wipe down my genitals and the surrounding area. If you take baths one doctor will have you soak for 30 minutes with a cup of bleach added for the 3 days prior to surgery. Then following wound care strictly. I also washed white cotton hand towels in bleach and sealed then for use of ice packs. I use dried beans so there was no water of moisture that could be a possible source of infection. Follow your doctors instructions to the letter. And if you have any signs of infection seek help right away. If caught early some infections can be treated and resolved with medication. Make sure you doctor does revisions. Some including all my local doctors do not. Then if you do have an infection and the implant has to be removed there is a better chance a malleable can be place to reduce size loss while waiting for the inflection to clear and for full healing before a second attempt for an inflatable can be done.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.


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