How long for Revision

The final frontier. Deciding when, if and how.
alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: How long for Revision

Postby alibaba » Thu Jul 26, 2018 10:52 pm

Re: How long for Revision

When the doctor say 8", GO FOR IT. THAT IS LONG ENOUGH! Cheers.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

pianoman1349
Posts: 3
Joined: Fri Jul 20, 2018 9:47 pm

Re: How long for Revision

Postby pianoman1349 » Fri Aug 10, 2018 6:00 pm

A brilliant infectious disease specialist recommend to me that after 2 implant infections that I wait a year without any implant before reimplanting. This is based on literature for other implants like knees. There are no big studies on penile implants. Antibiotics do not totally clear the body of an infection. The body naturally clears the rest of the infection long after the antibiotics are stopped.

I actually waited 10 months with no implant which, of course, meant I lost a lot of size during that time. I used a peripro vacuum penile extender to try to preserve length. I only lost 1 cm in length during the 10 months, but I lost a lot of girth going from 18 mm cylinders to 14 mm cylinders. But at three weeks postop I do not have a postop infection.
age 71. 4 implants: AMS 700 CX 18cm + 5 rte, nonfunctional placement. 2nd: Titan 22 cm posop infection. Titan 20 cm postop infection. no implant for 1 year. AMS 700 CRX narrow cylinder 16 cm + 3 rte by Dr. Kramer. no postop infection.

pianoman1349
Posts: 3
Joined: Fri Jul 20, 2018 9:47 pm

Re: How long for Revision

Postby pianoman1349 » Thu Aug 16, 2018 6:11 pm

There are no published studies on how long to wait before replacing an infected implant. Due to small sample sizes, we are stuck with anecdotal reports ("in my experience") and single case reports. We do know that after an infection (say of a knee prosthesis) that the antibiotic removes much of the infection, say over a month or so. But the body on its own then cleans out the rest over a year or so.

I waited three months after my first infection for a replacement of a temporary semirigid device. The second implant became immediately infected. In my case then, 3 months was not long enough. My third inflatable prosthesis was placed 10 months after removal of the infected second implant and after going without any implant for 10 months. I am now 4 weeks postop with no sign of infection (whew). So for me 3 months was not long enough, and 10 months appears to be so far ok. But I lost a lot of penile volume. For me the choice was small but functional or no function at all. If you decide to go without any implant consider using a peripro penile extender, shoulder strap version, to try to preserve penile length. I found all extenders to be very uncomfortable, except for this one. I did not try VAC devices. This is just a single case report; hope it is helpful.
age 71. 4 implants: AMS 700 CX 18cm + 5 rte, nonfunctional placement. 2nd: Titan 22 cm posop infection. Titan 20 cm postop infection. no implant for 1 year. AMS 700 CRX narrow cylinder 16 cm + 3 rte by Dr. Kramer. no postop infection.

RayChez
Posts: 336
Joined: Sat Mar 17, 2018 11:25 pm

Re: How long for Revision

Postby RayChez » Thu Aug 16, 2018 7:25 pm

I never had an infection on my first implant which lasted fifteen years. What happened was that the pump failed. The small ball just stayed collapsed and just stopped working, but no infection caused it. I guess you could say mechanical part broke. So I had a revision about 1.5 years ago. Love it (except) I do not like the MS pump. Sometimes it gets stuck in the open position. Eventually it will re-seat itself by pressing the release button several times. I do not like that.
age: 75 First implant around 2001, 59 at the time. AMS 700 Ultrex
revision Dec 2016. 2ND implant 21CM, 1rte AMS 700 LGX MS pump

Limpbizcit
Posts: 80
Joined: Tue Nov 21, 2017 6:39 am

Re: How long for Revision

Postby Limpbizcit » Fri Aug 17, 2018 10:07 am

pianoman1349 wrote:There are no published studies on how long to wait before replacing an infected implant. Due to small sample sizes, we are stuck with anecdotal reports ("in my experience") and single case reports. We do know that after an infection (say of a knee prosthesis) that the antibiotic removes much of the infection, say over a month or so. But the body on its own then cleans out the rest over a year or so.

I waited three months after my first infection for a replacement of a temporary semirigid device. The second implant became immediately infected. In my case then, 3 months was not long enough. My third inflatable prosthesis was placed 10 months after removal of the infected second implant and after going without any implant for 10 months. I am now 4 weeks postop with no sign of infection (whew). So for me 3 months was not long enough, and 10 months appears to be so far ok. But I lost a lot of penile volume. For me the choice was small but functional or no function at all. If you decide to go without any implant consider using a peripro penile extender, shoulder strap version, to try to preserve penile length. I found all extenders to be very uncomfortable, except for this one. I did not try VAC devices. This is just a single case report; hope it is helpful.


Thanks for your responses. They are very helpful and give me hope!
Age 47. ED for over 20 years. Diagnosed with Hypogonadism. Pills and trimix do not work consistently. Implanted with 24cm AMS CX 12/12/17. Infected implant removed and replaced with AMS Spectra 2/18/18. Implanted with 26CM Titan 10/02/18. So far so good.


Return to “Implants”

Who is online

Users browsing this forum: Google [Bot], oldbeek and 68 guests