32 and impotent - Two urologists refused me the implant. feeling very depressed..

[vincentmh]

vincentmh, first, really sorry to hear about your situation especially at your age. A question about your comment below -- who is them ? Meaning, is it the urologist that has the final say/approval for an implant, or, is it a hard rule in the health system that patients under a specific age can't get an implant ? That seems to be a big fork in the road.

- Chuck

absolutely, but i still give myself until end of 2026 to convince them.

Hi, ''them'' is the two urologists i saw (from the public system). private is out of my budget.

i dont know if its an ''hard rule'' but i know he told me he never implanted a patient as young as me. they are wayyy more conservative here.
I have another meeting in 6 months. i will try to push it more.

[vincentmh]

Vince
Sorry to hear you have to deal with so much on this. I went through my share of doctors and uros prior to mine. Keep up the fight till you find the one. Search and ask questions, call patients if you can before seeing your next. Hell as long as it takes to get into seeing a doc make an appointment for three of them.
You already have an unsatisfactory Doppler so ask that question about whether the doc has a problem doing surgery due to your age.
Carry on don’t stop.

that's the thing, the doctor who did my doppler said my result were fine and no venous leak or arterial problem detected. i was like ''man i did not even get an erection from the shot''.. and he is a reputed urologist in Montreal..

[Kodixx]

vincentmh, seems like I saw a list of Canadian urologists who are implant friendly on Franktalk not too long ago.

Anyone remember that list ?

- Chuck

Hi, ''them'' is the two urologists i saw (from the public system). private is out of my budget.

[vincentmh]

vincentmh, seems like I saw a list of Canadian urologists who are implant friendly on Franktalk not too long ago.

Anyone remember that list ?

- Chuck

Hi, ''them'' is the two urologists i saw (from the public system). private is out of my budget.

i wish i could see that list !

[LGXDownunder]

vincentmh, seems like I saw a list of Canadian urologists who are implant friendly on Franktalk not too long ago.

Anyone remember that list ?

- Chuck

Hi, ''them'' is the two urologists i saw (from the public system). private is out of my budget.

i wish i could see that list !

I can't remember the list but this thread has some relevant discussion that might be at least a starting point:
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26018&hilit=Canada

[QuestionGuy]

I do not see in this thread that you have tried BIMIX/TRIMIX. This may well why the urologist does not want to jump to the implant. It would be analogous to installing a colostomy bag onto someone who might have been cured by taking antacids 3 times a week. This site is a wealth of information about the implant....but it has a very strong bias. After spending sometime reading threads here, it can seem like the implant is a "no brainer" for any and all erectile issues.....but make no mistake: it is not a trivial thing. I know there are people here that insist that having an implant is so much better than having to take a pill, or sneak to the bathroom for an injection....but at 32, I would try to exhaust other options, and experiment a bit, before insisting that someone install an implant. This is as much for you as the many lurkers and curious folk who read these threads....(and I'm not bashing the implant, or the people who evangelize for it....I just feel that the other options are sometimes to quickly dismissed here).

[vincentmh]

I do not see in this thread that you have tried BIMIX/TRIMIX. This may well why the urologist does not want to jump to the implant. It would be analogous to installing a colostomy bag onto someone who might have been cured by taking antacids 3 times a week. This site is a wealth of information about the implant....but it has a very strong bias. After spending sometime reading threads here, it can seem like the implant is a "no brainer" for any and all erectile issues.....but make no mistake: it is not a trivial thing. I know there are people here that insist that having an implant is so much better than having to take a pill, or sneak to the bathroom for an injection....but at 32, I would try to exhaust other options, and experiment a bit, before insisting that someone install an implant. This is as much for you as the many lurkers and curious folk who read these threads....(and I'm not bashing the implant, or the people who evangelize for it....I just feel that the other options are sometimes to quickly dismissed here).

i have tried every pills so many time. i did not try BIMIX/TRIMIX because it is so expensive anyway (using it for 10 years would cost the price of an implant)
But anyway i did not get hard from the doppler injection from the urologist, so i can BIMIX/TRIMIX would not work ?

[LGXDownunder]

...But anyway i did not get hard from the doppler injection from the urologist, so i can BIMIX/TRIMIX would not work ?

It's difficult to say. In that situation often "white coat syndrome" can kick in. The practice nurse first got me to inject TRIMIX in my uro surgeon's office while she watched and instructed me. She said something like "you may not get an erection this time because there is nothing sexy or erotic happening".
She was right, I didn't feel remotely aroused (and she is quite attractive). I went and got a coffee then came back after 15-20 minutes with only some engorgement. But when I did it on my own at home just before sex my erection was hard as a rock.

[AussieGuy81]

I thought with Trimix, it doesn't actually matter if you're arousedor not?