Early 30s considering implant - MANY questions

[LetoMan]

Have you been tested for Venous Leakage? It is a quick, easy test to do and not very expensive.

My urologist had an interesting approach to this question. He said there really isn’t a point to testing for venous leak, because it doesn’t change the treatment plan. The test involves inducing an erection with an injection and b serving with Doppler the rate at which blood then escapes your corpora. My doc essentially said I had a very high probability of venous leak, based on my description of a lifetime ability to get an erection under certain circumstances, but extreme difficulty in maintaining it.

Venous leak is essentially a failure in preventing blood from leaving your cavernosa once it gets in. It hinders getting an erection in the first place, but also in keeping it. For those that have it, it can often manifest as something that looks psychological, because you are capable of getting erections, especially when relaxed, such as when masturbating by yourself. And as a result it is deeply intertwined with our history of blaming ED on psychological issues.

Let’s say a Doppler test confirms you have venous leak. So what? It doesn’t change the treatment plan, which is pills first line, injections second, and implant if neither work or produce a satisfactory sex life.

Let’s say it doesn’t confirm you have venous leak. Now what? It could be your insurance doesn’t cover the implant, claiming it’s psychological. Or the patient gets confused and blames their psychology. Or it could even be a false negative. Or whatever.

The point is: the treatment plan is for erectile dysfunction, not for venous leak. It doesn’t really matter *why* you have ED, what matters is how you solve it.

Venous leak can come about because of an injury. So a Doppler test may make sense if you are trying to rule out a sudden onset of ED for psychological reasons. But if your ED is chronic and not responding to pills, it’s not psychological.

My advice: if your urologist recommends a Doppler test, great. But I would focus more on the solution for your ED rather than the reason for it, because the reason doesn’t matter for your treatment.

[HikerMan]

Sorry about your trauma and subsequent problems.

I am not qualified to advise about implants but I don't think you mentioned whether you have tired a high quality VED that is designed for men with E.D. I have one and am able to achieve good erections that are sufficient for intercourse.

There will be a solution that works for you, this is for certain. Best of luck.

I haven't tried a VED and I haven't tried Trimix or anything, I guess I should try? They're just expensive and seem like stop-gap measures that will result in an implant down the road anyways?

Hey Brother.

I have posted this many times here and you may have already seen this, but the Doctor who handled my IPP procedure Dr.Jeffrey Low Doyle (HIGHLY recommended) did a tele-seminar specifically on VED's and I found it really informative and informational.
Apologies to the people who've already seen this post.


Its about an hour long and I really learned a lot.
I hope you do too.

Best wishes.

https://youtu.be/uIwKd_4xdZ4?si=MeLSR32uctg8HzOi

[Lawrence13]

Brother, I have been able to have sex from age 17 till now. That past 5 years was a decline but I sustained by using injections. Point is… the loss of spontaneity alone, was enough to get my to take the leap.

What you just described in your post….i can’t imagine a more compelling reason for someone in their early 30’s to do this. You deserve to experience a real sex life you can enjoy. You deserve it now.

I have no notes. I think you should do it and do it as soon as you find a surgeon you are comfortable with. I wouldn’t wait.

Once I decided, I moved quickly and I’m so glad I did.

I'm curious - do you know what caused your decline? When you finally opted for injections/implant, were you not able to get even a little bit hard? Or was it like, blood could still flow down there, but not enough, or it wouldn't maintain, etc.

Part of me is still stuck on this line of thinking that because I'm not 100% flaccid at all times, and I can masturbate myself to like maybe half-hard, that that isn't enough dysfunction to justify the surgery, basically.

I have my suspicions about what caused my initial decline but the truth is I can’t state it with certainty. I do know that injections immediately fixed the problem. I could get rock hard and that never changed in the 5 years. The issue became the injections them self’s caused me damage. Scar tissue, fibrosis which led to a hypoxic priapism like event of two. Injections worked right up till my surgery but the damage was already done. Waiting would very likely but me on track to losing real length from atrophy and fibrosis setting in.

[Lawrence13]

Brother, I have been able to have sex from age 17 till now. That past 5 years was a decline but I sustained by using injections. Point is… the loss of spontaneity alone, was enough to get my to take the leap.

What you just described in your post….i can’t imagine a more compelling reason for someone in their early 30’s to do this. You deserve to experience a real sex life you can enjoy. You deserve it now.

I have no notes. I think you should do it and do it as soon as you find a surgeon you are comfortable with. I wouldn’t wait.

Once I decided, I moved quickly and I’m so glad I did.

I'm curious - do you know what caused your decline? When you finally opted for injections/implant, were you not able to get even a little bit hard? Or was it like, blood could still flow down there, but not enough, or it wouldn't maintain, etc.

Part of me is still stuck on this line of thinking that because I'm not 100% flaccid at all times, and I can masturbate myself to like maybe half-hard, that that isn't enough dysfunction to justify the surgery, basically.

I have my suspicions about what caused my initial decline but the truth is I can’t state it with certainty. I do know that injections immediately fixed the problem. I could get rock hard and that never changed in the 5 years. The issue became the injections them self’s caused me damage. Scar tissue, fibrosis which led to a hypoxic priapism like event of two. Injections worked right up till my surgery but the damage was already done. Waiting would very likely but me on track to losing real length from atrophy and fibrosis setting in.

The bit about you feeling like you don’t qualify because you sometimes can manage a hand chub. I will be blunt… based on what’s you’ve posted you are essentially in capable of physically getting or sustaining erection sufficient for sex. That’s all the reason. You need. As I stated I could still get hard with injections right up until surgery.