Finally taking the plunge

[Kiwias]

I've been lurking for about 2 months. Thanks guys for sharing your experiences and providing lots of useful info.

This morning I fired of the following email to a high volume surgeon. ChatGPT helped me put it together after I supplied it with all the information. Technology is fooking amazing nowadays

Here's the email
Request for Penile Implant Consultation (International Patient – New Zealand)


Dear Dr. **** and **** Team,

I am a 65-year-old man based in ******, New Zealand, seeking a consultation regarding inflatable penile prosthesis surgery. I have a history of erectile dysfunction and Peyronie’s disease following a nerve-sparing radical prostatectomy 9 years ago. Erectile function initially returned post-operatively but has gradually declined over that time and most noticeably over the past 3 years.

Over the past 5 months, I have developed mild Peyronie’s disease. Curvature has improved from approximately 20° to 15° with non-surgical therapy. I am currently following an intensive penile rehabilitation protocol in preparation for potential implant surgery.

Summary of Current Protocol:

RestoreX traction therapy twice daily (15 minutes straight stretch + 15 minutes counter-bending), resulting in approximately 1 cm gain in stretched length.

VED (vacuum erection device) used daily for 15 minutes with 30-second cycles to max tolerable pressure.

Medications: Tadalafil 20 mg every other day, Pentoxifylline 400 mg twice daily, L-arginine, and Citrulline.

Stretched penile length (bone-pressed): approximately 6 to 6.5 inches.


Partial erections occur with Tadalafil and occasional morning semi-erections.


I am now strongly considering penile implant surgery, hopefully within the next few months, and would appreciate the opportunity to discuss:

Device options (AMS 700 LGX, Coloplast Titan, Rigicon Infla10 AX/X). From my own limited research I am drawn towards the Rigicon AX device but obviously my knowledge is limited.

Your surgical approach and post-operative protocol,

International patient logistics, including pre-op preparation and recovery planning.


A video consultation would be ideal for the initial discussion. I am prepared to travel to ******* for surgery and follow-up care if we proceed.

Thank you for your time and consideration. I look forward to hearing from your team regarding next steps.

Kind regards,
*****

[Kodixx]

Kiwias, congrats on going for it, and best wishes on your journey ! In case you didn't see these, below are a couple of threads with info that may be helpful to you.

Questions? Begin here !
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26527#p253593

Comprehensive List of Questions for your Surgeon
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26352#p251513

- Chuck

This morning I fired of the following email to a high volume surgeon.

[Kiwias]

Thanks Chuck,
Those are very useful. Wish I had seen them earlier as they would have helped me understand much better what was being discussed in some posts in relation to terminology etc.
Better late than never though and still very much worth reading.

[LGXDownunder]

Kia ora bro,
It sounds like we've followed similar paths. Your plan looks solid, best wishes if you go ahead.
Just curious, you didn't consider having the surgery done in New Zealand?
I confess that I'm completely ignorant of implant surgery options there but would have thought it similar to Oz.

[Kiwias]

Yes I have considered having it done here. There are a few urologists who do them. However they are not high volume and while they are very competent and well respected they are likely to be more conservative in their approach. Also they all seem to specialise in one device. That being said I am organising an appointment with one and will be asking him if he recommends me going to Oz to get the outcomes and the choice I want.