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

[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).

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 ?

If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.

[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 ?

If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.

the thing is my implant would be covered by health public system but not the BIMIX/TRIMIX, over the years it gets expensive

[Gringoinparadise]

Yeah, but the point is that the implant is a one-way street and there’s no going back. The cost of injections would be spread out over years and if they’re getting you good functionality, I think most would agree it’s better exhausting that route first. The implant will always be there waiting. And maybe you can get it closer to the 40 year mark when your government would be willing to foot the bill for the implant.

[FinallyBionic]

Hey Vincent,
Sorry to hear about your issues. I believe the members here provided a lot of helpful opinions and advice. I totally agree with Old Guy on the implant age. The urologist statement doesn't make sense at all. Implant is a necessity at all ages, and when it comes to a comparison, I would rather implant younger men than older ones. For me, over 50, I already had enjoyed sex for more than 30 years. I needed an implant to continue enjoying it, although, at this age, I have a lot of other things that distract me and my partner away from having sex. But during my 20s and 30s, I would have sex almost everyday and my sex drive is way higher. You need this implant now, not after 40 or 50.
Regarding the insurance vs out-of-pocket, you are the one to decide, depending on your financial resources, but in my opinion, making sure that your surgeon is a competent and experience one is the top priority.

[Nordicguy]

As someone who got their implant through the public health system -- albeit not in Canada -- I was required to exhaust all other avenues, including injections & trimix, before the health care system would allow the implant. This wasn't expressly stated, but definitely implied. I told my urologist that I would try anything, and he put me on trimix+tadalafil+sildenafil - the works. This cocktail still didn't give me a hard enough erection for intercourse, so he then suggested the implant, if I was willing, and aware of the irreversible nature of the operation.

The injections need to be paid out of pocket here, too, and I was ready to accept that as a viable outcome, despite the costs. I would suggest working with the urologist and trying everything they throw at you: If/when nothing works, it should be clear to them, too, that an implant is required. If the injections should happen to work, then consider that a win, too.

[QuestionGuy]

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 ?

If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.

the thing is my implant would be covered by health public system but not the BIMIX/TRIMIX, over the years it gets expensive

The cost of a vile of BIMIX is about as much as dinner in a restaurant. The fact that we are cost comparing like this is an indication that we may be trivializing what the implant entails. If you spend any time on this forum, you can quickly come to believe that the implant is the only "real solution", and all other things are "workarounds", and that the implant is a one-and-done.... set-it-and-forget-it, miracle....and all other solutions involve a lifetime relationship with doctors and pharmacies and chemicals and needles. This is an oversimplification. I would give anything to be able to go back to BIMIX, so I can't emphasize enough that you owe it to yourself to at least give it several tries before dismissing it. (and this goes for anyone who gets ginnned up here, into jumping immediately to an implant)

Extra BIMIX/TRIMIX info: (since others here were contemplating it) :

- if you accidently land the need anywhere other than where it needs to deliver the solution....it does nothing...so its easy (in the beginning) to "screw it up" and think it does not work for you.

- you do build a tolerance if you use it allot, hence the increasing potency's from BIMIX to TRIMIX

- if you use it alot, you will develop scar tissue , which increases the possibility of injecting the solution into a useless location.

For a person who has sex a couple of times a week, BIMIX is a good solution, because the tiny pin pricks have time to heal and you won't really develop a tolerance fast enough to matter. If you become a fiend and inject multiple times a day...you will accelerate the process.....but even then....the implant is an option.

[vincentmh]

If you try BIMIX/TRIMIX and hate it, you can always get an implant. The reverse is not true. Your cost comparison suggests you have trivialized what is involved in the implant surgery. I've done both solutions for 5 years each .......and for me BIMIX/TRIMIX beats the implant. no contest.

the thing is my implant would be covered by health public system but not the BIMIX/TRIMIX, over the years it gets expensive

The cost of a vile of BIMIX is about as much as dinner in a restaurant. The fact that we are cost comparing like this is an indication that we may be trivializing what the implant entails. If you spend any time on this forum, you can quickly come to believe that the implant is the only "real solution", and all other things are "workarounds", and that the implant is a one-and-done.... set-it-and-forget-it, miracle....and all other solutions involve a lifetime relationship with doctors and pharmacies and chemicals and needles. This is an oversimplification. I would give anything to be able to go back to BIMIX, so I can't emphasize enough that you owe it to yourself to at least give it several tries before dismissing it. (and this goes for anyone who gets ginnned up here, into jumping immediately to an implant)

Extra BIMIX/TRIMIX info: (since others here were contemplating it) :

- if you accidently land the need anywhere other than where it needs to deliver the solution....it does nothing...so its easy (in the beginning) to "screw it up" and think it does not work for you.

- you do build a tolerance if you use it allot, hence the increasing potency's from BIMIX to TRIMIX

- if you use it alot, you will develop scar tissue , which increases the possibility of injecting the solution into a useless location.

For a person who has sex a couple of times a week, BIMIX is a good solution, because the tiny pin pricks have time to heal and you won't really develop a tolerance fast enough to matter. If you become a fiend and inject multiple times a day...you will accelerate the process.....but even then....the implant is an option.

Injections if would cost a fortune if i have sex 4-5 times a week no ? 300$ + per week. i absolutely dont have this budget at all. (medecine are wayyy more expensive in canada)

[ColoplastTitanUpOver]

No matter if you're looking in Canada or the US, make sure your surgeon is a high-volume dedicated implanter.

Nailing that choice puts you 90% of the way toward becoming a success story.

[GoodWood]

Just keep seeking out other urologists. Two said no. Thats OK. You only need one good one to say yes.

Keep at it.