Possible/Likely infection!

[Rider1400]

Had a revision due to horrible placement of reservoir and tips migrating with progressive risk of tip erosion in the lower glans. Had it almost 4 years and function was perfect just tired of reservoir irritation, and tips causing pain for wife and myself the last year.
At two weeks out things were going good then woke up one morning and there was a large swelling in the area where the old reservoir was removed from! I panic and email Dr and within hours I got a call. He and I agreed that it was away from the new implant area by a couple inches so was put on a strong regimen of antibiotics. A week later things started getting better. Then a week after that when the antibiotics ran out it swelled again. Started another round of antibiotics. Things would swell during day and go back down every nite for next two weeks. At this point I’m 6 weeks out and went in for check up and was allowed to start cycling. This was slower than my first implant and was way more painful due to a tunneling procedure he did to properly place tips in glans. Had sex at 7 weeks which was painful and caused terrible pain in glans for next 12 hours. Continues cycling with typical pain for next few days and figures would try sex again in a week or so. A few days later around my 8 week mark I woke up with aching in my scrotum. By end of day my scrotum was hurting and swelling. That was a Sunday, by Monday morning ( little sleep Sunday nite) scrotum was big and terribly uncomfortable! Emailed Dr and he again called me within the hour. Gave me option to do total removal and not replace with anything- remove implant and replace with malleable- or remove and replace with new IPP. Obviously not putting anything was out of question. Eventually going back with new IPP after a good wash out was a flip of the coin with another infection. Agreed to go with malleable for 4-6 months and see if I could then go back with new IPP. I was put on two extremely strong antibiotics to get me thru a week til I could have the revision surgery.
48 hours later the swelling had gone down noticeably and just 72 hours after starting antibiotics the swelling was gone!!! Reported to Dr by email and he again called me soon after and gave me option of staying on these strong antibiotics for 4 weeks ( and start probiotics to help with side effects of strong antibiotics) and again flip of a coin to possibly avoid replacement! Now been on antibiotics for8 days and wondering if I’ve made the right decision! Still no swelling but lots of pain in glans when attempting cycling. After cycling yesterday my glans were on fire for 12 hours straight!!! Had to take pain pills! But no swelling. Today cycling went good and made the 30 minutes hard inflated with little pain for a few minutes after deflation and had a good day.
So sick of the roller coaster!!! Have a 8 day cruise been booked for a long time scheduled for 6th of June and a 10 day Canada fishing trip scheduled for second week in July… also been booked since way before revision. Going to try to decide weather to hang in there and possibly cancel both plans if I have to do another revision and then deal with a genesis malleable for 4-6 months or hang in there for the flip of the coin and possibly keep what I have and cruise thru this unscaved! Only attempted sex one other time and had same pain in glans for many hours afterwards so that’s another thing I’m having to hold off on for who knows how much longer!!
Still feel like there’s infection in glans but beginning to have doubts about it all going away. This is like being stuck between the proverbial rock and a hard place!!! WHAT TO DO???

[Kodixx]

Rider1400, wow that sounds rough Sure hope the wash out was effective and that what you're experiencing now isn't some latent infection. Best wishes and anxious to hear how things go.

- Chuck

[MissionInflatable]

So sorry to hear you have been through all of that. What a frustrating nightmare it must be.
Unfortunately, I have no words of wisdom to impart as I have never experienced this or have any knowledge revisions, infections etc.
Did the Doc actually tunnel the tips into your glans? My understanding is that the tips are supposed to rest underneath the glans. I'm three months post-op with a Titan and find the tips sit directly underneath the glans, covered only by a very, very thin layer of skin. The tips are the most sensitive thing for me and I'm always thinking they will break through the skin!

[ready2go]

i would stay on the antibiotics .
if you opt for any surgery ,you will be on them again anyways .
2 things im greatful from pharma is antibiotics and pain releavers .

[fucked0ne]

Had a revision due to horrible placement of reservoir and tips migrating with progressive risk of tip erosion in the lower glans. Had it almost 4 years and function was perfect just tired of reservoir irritation, and tips causing pain for wife and myself the last year.
At two weeks out things were going good then woke up one morning and there was a large swelling in the area where the old reservoir was removed from! I panic and email Dr and within hours I got a call. He and I agreed that it was away from the new implant area by a couple inches so was put on a strong regimen of antibiotics. A week later things started getting better. Then a week after that when the antibiotics ran out it swelled again. Started another round of antibiotics. Things would swell during day and go back down every nite for next two weeks. At this point I’m 6 weeks out and went in for check up and was allowed to start cycling. This was slower than my first implant and was way more painful due to a tunneling procedure he did to properly place tips in glans. Had sex at 7 weeks which was painful and caused terrible pain in glans for next 12 hours. Continues cycling with typical pain for next few days and figures would try sex again in a week or so. A few days later around my 8 week mark I woke up with aching in my scrotum. By end of day my scrotum was hurting and swelling. That was a Sunday, by Monday morning ( little sleep Sunday nite) scrotum was big and terribly uncomfortable! Emailed Dr and he again called me within the hour. Gave me option to do total removal and not replace with anything- remove implant and replace with malleable- or remove and replace with new IPP. Obviously not putting anything was out of question. Eventually going back with new IPP after a good wash out was a flip of the coin with another infection. Agreed to go with malleable for 4-6 months and see if I could then go back with new IPP. I was put on two extremely strong antibiotics to get me thru a week til I could have the revision surgery.
48 hours later the swelling had gone down noticeably and just 72 hours after starting antibiotics the swelling was gone!!! Reported to Dr by email and he again called me soon after and gave me option of staying on these strong antibiotics for 4 weeks ( and start probiotics to help with side effects of strong antibiotics) and again flip of a coin to possibly avoid replacement! Now been on antibiotics for8 days and wondering if I’ve made the right decision! Still no swelling but lots of pain in glans when attempting cycling. After cycling yesterday my glans were on fire for 12 hours straight!!! Had to take pain pills! But no swelling. Today cycling went good and made the 30 minutes hard inflated with little pain for a few minutes after deflation and had a good day.
So sick of the roller coaster!!! Have a 8 day cruise been booked for a long time scheduled for 6th of June and a 10 day Canada fishing trip scheduled for second week in July… also been booked since way before revision. Going to try to decide weather to hang in there and possibly cancel both plans if I have to do another revision and then deal with a genesis malleable for 4-6 months or hang in there for the flip of the coin and possibly keep what I have and cruise thru this unscaved! Only attempted sex one other time and had same pain in glans for many hours afterwards so that’s another thing I’m having to hold off on for who knows how much longer!!
Still feel like there’s infection in glans but beginning to have doubts about it all going away. This is like being stuck between the proverbial rock and a hard place!!! WHAT TO DO???

I had a phone convo with Hakky, maybe last summer, and he told me that a ketogenic diet mitigates infection risk. You might try eating low carb and starving the bacteria. It couldn’t hurt. Try it along with the antibiotic and a good probiotic, and see what happens.

[staphylococcusecoli]

Wow, that’s quite a situation, man

I’m really hoping you find success eventually. Keep your chin up and you’ll definitely come out of this stronger than ever. I want to see you going strong after cleaning up these bugs that make the implant experience scary for the well-informed and successful men. If even a top high-volume surgeon like Dr. Clavell can get infections, what do you think about those of us who use community hospitals and VA surgeons who only perform 20-40 implants each year?

If you’re considering the malleable space saver option, why not explore something with higher stiffness, like Tactra? My surgeon uses that even for infections. It doesn’t have that sticky whatever coating they call, but the rods usually tend to get infected less often, according to what he’s told me. It doesn’t bend as well, but it might be better than that Genesis for sex, which my surgeon avoids because of its lower rigidity, which some of his patients complain about.

Does Dr. Clavell recommend VED with a malleable to preserve your Titan girth? That's one huge downside with a malleable space saver. Cylinder diameter is limited to 13mm and not 21mm like the Titan.

[staphylococcusecoli]

Had a revision due to horrible placement of reservoir and tips migrating with progressive risk of tip erosion in the lower glans. Had it almost 4 years and function was perfect just tired of reservoir irritation, and tips causing pain for wife and myself the last year.
At two weeks out things were going good then woke up one morning and there was a large swelling in the area where the old reservoir was removed from! I panic and email Dr and within hours I got a call. He and I agreed that it was away from the new implant area by a couple inches so was put on a strong regimen of antibiotics. A week later things started getting better. Then a week after that when the antibiotics ran out it swelled again. Started another round of antibiotics. Things would swell during day and go back down every nite for next two weeks. At this point I’m 6 weeks out and went in for check up and was allowed to start cycling. This was slower than my first implant and was way more painful due to a tunneling procedure he did to properly place tips in glans. Had sex at 7 weeks which was painful and caused terrible pain in glans for next 12 hours. Continues cycling with typical pain for next few days and figures would try sex again in a week or so. A few days later around my 8 week mark I woke up with aching in my scrotum. By end of day my scrotum was hurting and swelling. That was a Sunday, by Monday morning ( little sleep Sunday nite) scrotum was big and terribly uncomfortable! Emailed Dr and he again called me within the hour. Gave me option to do total removal and not replace with anything- remove implant and replace with malleable- or remove and replace with new IPP. Obviously not putting anything was out of question. Eventually going back with new IPP after a good wash out was a flip of the coin with another infection. Agreed to go with malleable for 4-6 months and see if I could then go back with new IPP. I was put on two extremely strong antibiotics to get me thru a week til I could have the revision surgery.
48 hours later the swelling had gone down noticeably and just 72 hours after starting antibiotics the swelling was gone!!! Reported to Dr by email and he again called me soon after and gave me option of staying on these strong antibiotics for 4 weeks ( and start probiotics to help with side effects of strong antibiotics) and again flip of a coin to possibly avoid replacement! Now been on antibiotics for8 days and wondering if I’ve made the right decision! Still no swelling but lots of pain in glans when attempting cycling. After cycling yesterday my glans were on fire for 12 hours straight!!! Had to take pain pills! But no swelling. Today cycling went good and made the 30 minutes hard inflated with little pain for a few minutes after deflation and had a good day.
So sick of the roller coaster!!! Have a 8 day cruise been booked for a long time scheduled for 6th of June and a 10 day Canada fishing trip scheduled for second week in July… also been booked since way before revision. Going to try to decide weather to hang in there and possibly cancel both plans if I have to do another revision and then deal with a genesis malleable for 4-6 months or hang in there for the flip of the coin and possibly keep what I have and cruise thru this unscaved! Only attempted sex one other time and had same pain in glans for many hours afterwards so that’s another thing I’m having to hold off on for who knows how much longer!!
Still feel like there’s infection in glans but beginning to have doubts about it all going away. This is like being stuck between the proverbial rock and a hard place!!! WHAT TO DO???

I had a phone convo with Hakky, maybe last summer, and he told me that a ketogenic diet mitigates infection risk. You might try eating low carb and starving the bacteria. It couldn’t hurt. Try it along with the antibiotic and a good probiotic, and see what happens.

Any studies to back this up? Even if it's only an expert opinion, it's a fascinating concept that's worth trying.

[cbinspok]

Rider, So sorry to feel this with you!
It all simply sucks! I think I might opt for an alternative Doc for a second opinion regarding treatment plan. Just for your sanity, Keep us inthe loop. life happens when you're making other plans, thats the booger that always takes me down.
sending positive thoughts and hugs,
damn bro. Hang in there.