Possible/Likely infection!

[sambalamba]

Sorry to hear about your situation. Hoping everything turns out well. I would also recommend giving antibiotics some more time. I have heard though if nasty bacterias have created a biofilm its very challenging for antibiotics to penetrate the film. Apparently though most implants develop a biofilm but the composition is an equilibrium eco system of good and bad bacteria. Hopefully your body channels some good bacteria into the biofilm if it has formed at all.

Among the 3 salvage options which one does the doc recommend the most?

[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.

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

Yes! Hakky DID send me a study … BUT, unfortunately, I no longer have access to it as it was on my old phone (he sent it as a text link). You might try contacting him or seeing if Grok can locate it.

Update:

Okay, I just did a Grok search and came up with this:

Ketogenic diet and general surgery/infection: Emerging evidence suggests potential benefits in broader surgical contexts:
• Keto diets can reduce visceral fat, improve glycemic control, lower insulin levels, and modulate inflammation/gut microbiota, which may indirectly lower surgical site infection (SSI) risk in obese or diabetic patients. 
• Some studies show promise in sepsis, wound healing, and reducing certain postoperative complications via metabolic shifts (e.g., ketone bodies like β-hydroxybutyrate have anti-inflammatory effects). 

So the study he sent me wasn’t specifically for IPP surgery but was applicable all the same.

[staphylococcusecoli]

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.

Yes! Hakky DID send me a study … BUT, unfortunately, I no longer have access to it as it was on my old phone (he sent it as a text link). You might try contacting him or seeing if Grok can locate it.

Update:

Okay, I just did a Grok search and came up with this:

Ketogenic diet and general surgery/infection: Emerging evidence suggests potential benefits in broader surgical contexts:
• Keto diets can reduce visceral fat, improve glycemic control, lower insulin levels, and modulate inflammation/gut microbiota, which may indirectly lower surgical site infection (SSI) risk in obese or diabetic patients. 
• Some studies show promise in sepsis, wound healing, and reducing certain postoperative complications via metabolic shifts (e.g., ketone bodies like β-hydroxybutyrate have anti-inflammatory effects). 

So the study he sent me wasn’t specifically for IPP surgery but was applicable all the same.

That's awesome. Thanks for sharing this.

[Dukeis_acheapboy]

The weird thing about this cult is that you never learn....today your surgeon is letting you pick a "salvage" procedure...tomorrow, with a significant probability, neither you or your H!gH VoluME D£d!KaTed SurGEON will determine what to do next...instead your cement block corpora and biofilms will...you know what a cement block corpora determines ? Permenant impotence...because no H!gH VoluME D£d!KaTed SurGEON will be able to insert another one...a condition called "end-stage penis"...no H!gH VoluME D£d!KaTed SurGEON brings it up...you won't find it in perito's mtps or hakky's cool bruh style clinic visit...and not only that...a cold shrinked clit.

You guys don't factor in that tissues won't care about the money you save for revisions or that you are "using" a H!gH VoluME D£d!KaTed SurGEON....you keep being steered like sheep by sales reps like letoman, danbionic and edjohn...I'm not against the only available treatment to refractory cases..Not against the concept or the need to have it...I was against the cult attitude that left us with poor ipp reliability and primitive surgical techniques...urology of penile prosthesis isn't taking us seriously..when a cult refers to a medical device as BIOnik WeaPON or "my new toy", they can absolutely trade with our lives and not even give us the dignity of an informed consent...And I don't think you would disagree on "lives" since end-stage penis for many means imminent suicide.

Wasn't wise to lable those who called for an action and cared for their future as "negative"....the Cult BroThErH00d ain't that significant now right ? I think you now started to realise that Elbowroom and kodixx wishfull mantra won't scare biofilms away.

[ElbowRoom]

The weird thing about this cult is that you never learn....today your surgeon is letting you pick a "salvage" procedure...tomorrow, with a significant probability, neither you or your H!gH VoluME D£d!KaTed SurGEON will determine what to do next...instead your cement block corpora and biofilms will...you know what a cement block corpora determines ? Permenant impotence...because no H!gH VoluME D£d!KaTed SurGEON will be able to insert another one...a condition called "end-stage penis"...no H!gH VoluME D£d!KaTed SurGEON brings it up...you won't find it in perito's mtps or hakky's cool bruh style clinic visit...and not only that...a cold shrinked clit.

You guys don't factor in that tissues won't care about the money you save for revisions or that you are "using" a H!gH VoluME D£d!KaTed SurGEON....you keep being steered like sheep by sales reps like letoman, danbionic and edjohn...I'm not against the only available treatment to refractory cases..Not against the concept or the need to have it...I was against the cult attitude that left us with poor ipp reliability and primitive surgical techniques...urology of penile prosthesis isn't taking us seriously..when a cult refers to a medical device as BIOnik WeaPON or "my new toy", they can absolutely trade with our lives and not even give us the dignity of an informed consent...And I don't think you would disagree on "lives" since end-stage penis for many means imminent suicide.

Wasn't wise to lable those who called for an action and cared for their future as "negative"....the Cult BroThErH00d ain't that significant now right ? I think you now started to realise that Elbowroom and kodixx wishfull mantra won't scare biofilms away.

What do you gain by harassing patients who are trying to navigate medical decisions and surgical recovery? You’re an awful human being. Can you simply not abide people having different opinions and choices than yours? Do you get on every forum related to things you don’t like or agree with, and try to bully people into agreeing with you? Or are you simply a rogue AI bot that’s gone clinically insane?