Questions before I get my implant - I'm very scared

[arazon]

If you’re near NYC you should definitely check into Eid. He’s a pioneer and in the top in the world hakky or Vlavell or Perito are also in the top

I had my original revision due to terrible placement of the tips of cylinders practically just under the skin on bottom of glans.and a basically herniating reservoir. The Dr I used that made this mess was supposedly a good high volume Dr but turns out he was not good at his craft at all. .

I'm in NYC but I can't see Dr Eid because he doesn't accept my Medicaid bundled with a community insurance. I can see Dr Hillelsohn though who does accept it.

Who was the doctor who messed up your implant? How did you know know he was NOT high volume after all? Did he also do your revision?

Looking forward to your reply!

[arazon]

So, fortune dropped a newly transferred surgeon (literally and figuratively) i my lap, I went for the implant with no regrets.

Who was your doctor who did your implant?

[arazon]

Find a urologist who also specializes in Men's Sexual Health. Have them check you out, get an ultrasound to know whether or not you have venous leak or whatever. They can advise from there. If they say implant, find a high-volume surgeon with a good reputation.
.

As I mentioned in my 1st post, my doctor is Dr Hillelsohn with whom I'm considering to have an implant. He said that before an implant, he must do an ultrasound 1st which I dont want because that entails injection with trimix to get an erection and I've had bad experiences with trimix in the past. I really dont want trimix injection.

Instead of trimix, is it possible to use VED instead for the ultrasound?

[Lost Sheep]

So, fortune dropped a newly transferred surgeon (literally and figuratively) i my lap, I went for the implant with no regrets.

Who was your doctor who did your implant?

Dr Tavis Shaw (spelling is correct, not "Travis", but "Tavis")

Active duty Air Force at the time. Now (I believe) in private practice in Anchorage, AK.

[Bearskin777]

Find a urologist who also specializes in Men's Sexual Health. Have them check you out, get an ultrasound to know whether or not you have venous leak or whatever. They can advise from there. If they say implant, find a high-volume surgeon with a good reputation.
.

As I mentioned in my 1st post, my doctor is Dr Hillelsohn with whom I'm considering to have an implant. He said that before an implant, he must do an ultrasound 1st which I dont want because that entails injection with trimix to get an erection and I've had bad experiences with trimix in the past. I really dont want trimix injection.

Instead of trimix, is it possible to use VED instead for the ultrasound?

I thought you were debating between Hillelsohn and Hakky, but OK. And again, I'm not an expert, but I think they need you to be as firmly erect as possible for X amount of time to get a reliable ultrasound. The VED doesn't do that as well (for me, anyway) and expands tissue differently so they might not be able to get as clear an image as they need. Trimix isn't fun, but if the doc says they need to use that, well... your choice might be yes or no.

[arazon]

I thought you were debating between Hillelsohn and Hakky.

I was until the 12k price tag came up for the clinical trial associated with Hakky. I thought that clinical trial was free. But since I have medicaid I can have the implant with Hillelsohn for free.

. Trimix isn't fun, but if the doc says they need to use that, well... your choice might be yes or no.

If I say no, I dont think the doc will implant me. Hopefully if injecting is a requirement before the surgery I'll ask if he can lower the dose or use a less potent injection.

[Lost Sheep]

Find a urologist who also specializes in Men's Sexual Health. Have them check you out, get an ultrasound to know whether or not you have venous leak or whatever. They can advise from there. If they say implant, find a high-volume surgeon with a good reputation.
.

As I mentioned in my 1st post, my doctor is Dr Hillelsohn with whom I'm considering to have an implant. He said that before an implant, he must do an ultrasound 1st which I dont want because that entails injection with trimix to get an erection and I've had bad experiences with trimix in the past. I really dont want trimix injection.

Instead of trimix, is it possible to use VED instead for the ultrasound?

Arazon, I am a layman, so this is a speculation, but grounded in some research. I will speculate that the injection with ultrasound is to induce a strong erection and then allow observation (and potential estimation of) venous leak (VL). If you do not have VL, your ED may have anothr cause which might be treatable. For a surgeon to do surgery without being certain there is not a less invasive way than implant might be less than due diligence.

If he just needs to observe the collapse of an erection, you might discuss inducing an erection with viagra, levitra or some such oral pill or something (even urethral suppository).

If he insists that an injection (even after you describe your prior bad experience) you have a choice. 1) You are going to trust this surgeon with a knife and your privates; why not trust him now with a needle and trimix? 2) If you don't fully trust this surgeon or feel like you are not being adequately "heard", perhaps another surgeon with whom you are more comfortable.

I spent a year searching for such a surgeon for me and do not regret it. (I used a V.E.D. -not for sex- to keep my penile tissues elastic and oxygenated.)

[arazon]

Find a urologist who also specializes in Men's Sexual Health. Have them check you out, get an ultrasound to know whether or not you have venous leak or whatever. They can advise from there. If they say implant, find a high-volume surgeon with a good reputation.
.

As I mentioned in my 1st post, my doctor is Dr Hillelsohn with whom I'm considering to have an implant. He said that before an implant, he must do an ultrasound 1st which I dont want because that entails injection with trimix to get an erection and I've had bad experiences with trimix in the past. I really dont want trimix injection.

Instead of trimix, is it possible to use VED instead for the ultrasound?

Arazon, I am a layman, so this is a speculation, but grounded in some research. I will speculate that the injection with ultrasound is to induce a strong erection and then allow observation (and potential estimation of) venous leak (VL). If you do not have VL, your ED may have anothr cause which might be treatable. For a surgeon to do surgery without being certain there is not a less invasive way than implant might be less than due diligence.

If he just needs to observe the collapse of an erection, you might discuss inducing an erection with viagra, levitra or some such oral pill or something (even urethral suppository).

If he insists that an injection (even after you describe your prior bad experience) you have a choice. 1) You are going to trust this surgeon with a knife and your privates; why not trust him now with a needle and trimix? 2) If you don't fully trust this surgeon or feel like you are not being adequately "heard", perhaps another surgeon with whom you are more comfortable.

I spent a year searching for such a surgeon for me and do not regret it. (I used a V.E.D. -not for sex- to keep my penile tissues elastic and oxygenated.)

Thank you Lostsheep, I gratefully appreciate your input. Thank you.

[Rider1400]

If you’re near NYC you should definitely check into Eid. He’s a pioneer and in the top in the world hakky or Vlavell or Perito are also in the top

I had my original revision due to terrible placement of the tips of cylinders practically just under the skin on bottom of glans.and a basically herniating reservoir. The Dr I used that made this mess was supposedly a good high volume Dr but turns out he was not good at his craft at all. .

I'm in NYC but I can't see Dr Eid because he doesn't accept my Medicaid bundled with a community insurance. I can see Dr Hillelsohn though who does accept it.

Who was the doctor who messed up your implant? How did you know know he was NOT high volume after all? Did he also do your revision?

Looking forward to your reply!

The original Dr I used came with a certificate of working with Perito and claimed to be doing several hundred a year. After about a year I got a letter from his office stating he will not be doing implants anymore.it was another year before my reservoir herniated to the point it was giving me issues and the tips of cylinders were eroding. I went to Clavel where rumor has it the Dr I. Dallas I went to was no longer in practice at all. My guess is he got sued multiple times from his pitiful installs. I wouldn’t have gone back to him if he offered me free coverage and a room at the ritz!! Dr Clavell did my revision. Now I totally understand why it’s best to hk with a high volume surgeon. I had one tiny bruise the size of a quarter and very little swelling with all 4 surgeries I had with him. Also love the location of the reservoir just to the side of my belly button and above my pants line. It’s under the muscle but outside the abdominal wall so it actually presses into abdomen and doesn’t show. Also the pump is in a pouch he builds with the different layers of tissue in scrotum and it never gets in the way of my testicals like my other one did. Also the tubing is almost impossible to find. Barely feel a little coming out of top of pump but at that it’s about a 1/4” you can feel. Placement of cylinders is in center of glans up and down and 3/4 way towards the top. Function and feel are a major improvement over my original Dr. his name was Wiersham won’t even put the Dr in front of his name!