Penoscrotum vs infrapubic

[Straightshooter]

I have been lurking around FT for a while in anticipation of my own surgery in May. I note that there seems to be many more men receiving the penoscrotal surgery than the infrapubic. I also noticed that those with the infrapubic surgery seem to experience less pain and scrotal swelling as well as a quicker return to sex than those who had the penoscrotal approach. My own surgery will be the with the infrapubic approach and my surgeon predicts that I will be having sex in 3 wks. I hope he is right, but other than the usual surgical risks, am I being a bit naive to trust this prediction? If 3 weeks is not out of the question, then why aren't more surgeons using the infrapubic approach? Just asking and not being judgemental here.

[tomas1]

I had the scrotal surgery and also began after3 weeks.
I would worry about palpable tubing, but I really don't know. I believe the pubic approach is easier for the surgeon since the reservoir would be easier to install.
Good luck with your surgery though.

[Rider1400]

My first implant was 4 years ago and had it infrapubic. I had sex at 3 weeks and was still tender but little problems. My pump was placed perfectly and had little to no scrotal swelling. Pump was placed perfectly did have 3 tubes going around side of penis that you could feel but wasn’t an issue. They were buried deep around the side and were never an issue. The biggest issue was the reservoir placement was terrible!! I had double hernia with mesh 20 years prior to implant asi he put it directly under my belt line just to the left of center. He said it was under fascia but was more so just under the skin. It bulged like half an egg! It only got worse over the years to where it was a constant irritation.
My revision was done by Clavell and was done scrotal. Still had almost no swelling and only one small bruise the size of a quarter on my scrotum. Clavell is a great surgeon and spends a lot of time being sure there’s no bleeders which result in swelling. Pump placement is further back where he says he made a pocket for it to stay in and not get involved with nutz. It’s in a different location and can’t be seen from outside! It was a little more difficult to get a grip on at first but I’ve adjusted to that and have no issue now. Dr placed my reservoir all the way up just above my belt line under the muscles of my abdomen. When I deflate it bulges in toward my inside and doesn’t push out at all! It’s at least 7-8” above the incision he made in scrotum but is still placeed perfectly! There’s only one tube going from scrotum around right side of penis that goes to reservoir! I had to dig a lot with my fingers to find it so it will never be an issue. If it wasn’t a little sore I doth think I could have found it at all! Overall this time has been rougher recovery but think it’s due to some tunneling work he did in my glans to place cylinders properly. I’m 6 weeks out and things are definitely turning for the good! Overall I think the scrotal is a better option in the long run but….. the whole process should be considered a long run project!!!

[Friday121224]

I've had both approaches and can give you a direct comparison. With my infrapubic I couldn't walk for three weeks — genuinely couldn't. I'm 3 days post-op from my penoscrotal revision and I feel like I could literally run to work tomorrow. (Not that I'm going to test that, following protocol.) The difference in recovery pain has been night and day for me. Obviously everyone is different, but if minimizing downtime matters to you, my personal experience strongly favors PS.