I went to go see Dr. Yafi initially and he had me talked me into Coloplast Titan. Really excellent visit, informative and kind. I also more recently saw Dr. Patel in San Diego after read some posts about TEP which is does offer. He recommends Coloplast Titan for TEP, but in my situation after discussing the issues and the possible gain of anywhere from 1-3 cm at the expensive of a lot of risks (infection, longer recovery, etc), i'm deciding against it. He did make a plug about the AMS implant instead which I found very intriguing and am going back and forth between which implant to choose (leaning more towards AMS now) Thankfully many many posts and threads on that topic already.
My main question is how do you decide between two very amazing surgeons? Both are high volume, patient, very knowledgable. Both take my insurance. Both are about equidistance to my home.
Any thoughts?
Patel or Yafi?? Southern California here
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kjcustoms
- Posts: 6
- Joined: Thu Dec 04, 2025 2:44 pm
Patel or Yafi?? Southern California here
67 years young struggling with ED for more than 8 years. Cycled through pills, PRP, Shock therapy, stem cells.
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dradamas
- Posts: 37
- Joined: Sun Aug 10, 2014 2:29 am
Re: Patel or Yafi?? Southern California here
Hey,
I can't answer your question but I'm in the San Diego area as well. Due to my recent mishap was going to see Dr Patel. Made an appointment but cancelled it. Decided better to stick with Dr Karpman. He understands my situation. I did see Dr Gelman at UCI on Friday of the week it happened hoping it was some easy fix. It wasn't. Gelman wasn't very encouraging either. Said I should consider leaving it like it was.
I can't answer your question but I'm in the San Diego area as well. Due to my recent mishap was going to see Dr Patel. Made an appointment but cancelled it. Decided better to stick with Dr Karpman. He understands my situation. I did see Dr Gelman at UCI on Friday of the week it happened hoping it was some easy fix. It wasn't. Gelman wasn't very encouraging either. Said I should consider leaving it like it was.
Nov 2014 AMS 700 LGX 18cm+3RTE Length gain 0.5 cm
Nov 2019 AMS 700 CX
Edward Karpman
Nov 2019 AMS 700 CX
Edward Karpman
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Oz1958
- Posts: 26
- Joined: Sun Mar 16, 2025 11:17 pm
- Location: Adelaide, Australia
Re: Patel or Yafi?? Southern California here
I'm on the other side of the world, so have no experience with either, but when faced with a similar dilemma I had no trouble deciding.
The two surgeons I consulted had completely different offerings. Titan vs AMS, infrapubic vs penscrotal etc.
So I went with the guy who wanted to do the job I preferred. (There were some other considerations such as distance, but that was lower priority for me)
Everyone talks about choosing a high volume surgeon, but as soon as you ask them to do something that is not their normal procedure then IMHO they are no longer high volume for you.
The two surgeons I consulted had completely different offerings. Titan vs AMS, infrapubic vs penscrotal etc.
So I went with the guy who wanted to do the job I preferred. (There were some other considerations such as distance, but that was lower priority for me)
Everyone talks about choosing a high volume surgeon, but as soon as you ask them to do something that is not their normal procedure then IMHO they are no longer high volume for you.
ED since my 40s, managed by pills.
Increasingly severe BPH, emergency HoLEP prostatectomy Nov 2021.
Fixed the prostate but pills slowly became less and less effective.
AMS 700 CX 20th Jan 2026
Increasingly severe BPH, emergency HoLEP prostatectomy Nov 2021.
Fixed the prostate but pills slowly became less and less effective.
AMS 700 CX 20th Jan 2026
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dradamas
- Posts: 37
- Joined: Sun Aug 10, 2014 2:29 am
Re: Patel or Yafi?? Southern California here
KJ,
Please keep us posted on your decision. One thing I am curious about is how far out they schedule, once you decide; and how they prioritize cases. Thanks!
Please keep us posted on your decision. One thing I am curious about is how far out they schedule, once you decide; and how they prioritize cases. Thanks!
Nov 2014 AMS 700 LGX 18cm+3RTE Length gain 0.5 cm
Nov 2019 AMS 700 CX
Edward Karpman
Nov 2019 AMS 700 CX
Edward Karpman
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jwdetails
- Posts: 130
- Joined: Thu Oct 12, 2023 4:43 pm
Re: Patel or Yafi?? Southern California here
dradamas wrote:KJ,
Please keep us posted on your decision. One thing I am curious about is how far out they schedule, once you decide; and how they prioritize cases. Thanks!
I'm in San Diego most of the year. Dr. Patel is my surgeon moving forward. I would highly recommend him for his attention to detail, knowledge about the implants and surgery, and willingness to go the extra mile for you. I felt very well taken care of and his nursing team, anesthesia, are all top notch. I did not have great experience with my other surgeon and glad I found Dr. Patel.
62 year old, ED+PD, Coloplast Titan 22 cm no RTE in 2019 with Dr. Irwin Goldstein => failure, now with plaque excision/tunical expansion to Coloplast Titan 26 no RTE in 2022 by Dr. Darshan Patel, now with classic pump 2024 
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