Help I could use some guidance on Implant and Doctor

[TANGERINE]

And here is the article in menshealth regarding "what it is like to sleep with a man who has a penile implant"

Why Penile Implants Are the New Boob Job
A woman tells you what it’s like to sleep with a man who has a medically enhanced erection
By Anka Radakovich Sep 22, 2015 Men'sHealth

I recently met a guy with a sexual secret.
He was 39, in great shape, and in his spare time was a CrossFit athlete. But he had diabetes, and he told me that it made him impotent.
After a few years of taking Viagra and Cialis, the pills just didn’t work for him anymore. So he got a penile implant; the female equivalent of a boob job—a “boner job,” if you will.
He was so cute and funny, I didn’t really care. Besides, an erect, on-demand, rock hard schlong that could go for hours? I was in.
And now that women are getting vaginal rejuvenation to tighten their baby makers, it seemed silly to be afraid of the latest improvements in medical technology.
The implant consists of two plastic rods that go into the penis and an attached reservoir filled with saline solution is placed in the lower stomach. Then a pump with a valve is implanted in their scrotum.
I’d seen a penile implant before, at a nudist resort. A guy in his 70s—who called his “The Pump”—played volleyball erect, chatted erect, and even dined erect.
But seeing it is one thing. For something more intimate, like actual sex, would I be able to tell the difference between a regular raging boner and a medically enhanced one?
“Some single or divorced men who are in new relationships don’t even tell their partners they have the implant, and their partners never find out,” says Dr. William Brant, M.D. a urologist and advisor to http://www.edcure.org, who specializes in the procedure.
After a few dates, I was curious to road test this innovative inflatable device. I admit I was nervous when he came over. And when it came to actual intercourse, I got scared for a second.

There are four levels of hardness: limp, half-chub, hard, and “OMG you’re going to kill me with that thing.” I feared it would feel like I was fornicating with a baseball bat.

We made out for a while, and then he grabbed his manhood and did about 20 or so “squeeze pumps,” taking his thumb and forefinger and squeezing a grape-like bulb underneath his junk.
I watched it inflate in a few seconds, like one of those balloon animals at a carnival.
And the results? It felt like a normal stiffee in my hand, and I didn’t feel the pump or valve when I road tested it in my mouth.
It was rock hard, like it should be, but I didn’t feel like I was sucking a tail pipe or anything. And by the time we actually did the deed, I forget all about the implant and enjoyed myself.
After he finished, the thing was still standing at attention. Since there is no refractory period, his bazooka was ready to go. It was bionic.
“Dude, you should go over to CrossFit and see if anyone wants to use that thing as a pull-up bar,” I told him.

To deflate, a quick pump or two of a valve—located next to the pumper upper—released the saline solution back into the reservoir and it went back down.
In the end, our summer romance ended, and my “Penile Implant Guy” moved out of New York. But someday we will meet again. We might be 80 by then, but he’ll have the boner of an 18-year-old.

Anka Radakovich
Men'sHealth Sep 22, 2015

[Agfa13]

Well, I would differ to say it is the equivalent of a boob job. You are not pumping anything with boobs and you are not enhancing anything. Like my Doc says, what you went in with, you will come out with. You may see things get bigger and what not, but that is because it was hidden in the body. You can definitely lose stuff, like me, if you have girth and elect to use a malleable, but for the most part from what I have read and been told by Dr., getting an implant is a procedure that fixes something that is wrong, it is not plastic surgery, but insurance companies will differ, lol.

[TANGERINE]

yes, I agree that there are very real differences between a boob job and a penile implant.

The implant is a surgical cure for a disease, and it is often covered by insurance. The implant is an attempt to restore penis function to what it used to be; it is not an enlargement.

In contrast, the boob job is very much a cosmetic procedure -- it is only done to look better. Also, there are no moving parts to the boob job, so it is a much simpler operation I think.

So, yes, I agree, the title of the menshealth article is misleading; but I think it is fascinating to read about a woman's opinion on "what's it like to have sex with an implant guy"

[Waynetho]

(d) regarding the titan versus AMS debate, it comes down to your baseline size. If you are nearly six inches or longer, then titan, otherwise, probably AMS (though this topic is very much debated here on franktalk). A very good you tube video on this topic can be found at:

Tangerine, it's interesting you should say "nearly six inches" is the baseline for the Titan. My doctor implanted an AMS 700 CX in me. Now I'm not "nearly six inches" but rather right at 5" before surgery and now over two months after surgery. I had some email exchanges with Dr. Eid trying to get some answers to my concern about 15cm or 5.9" in a 5" penis (how much is proximal and can that be healthy to have only an inch or less in the body?)

Dr. Eid was surprised that my doctor implanted an AMS 700 CX with me being 5" long. He said they are normally reserved for thinner individuals and then he commenced to ask me about my weight and height which is 200 lb and 5'8.5" (or previously 5'10" before last year when nurse re-measured my height). I haven't gotten any further replies from Dr. Eid after I answered his weight/height questions but it's been over the holidays so he's probably been busy or off or both.

It sounds like Dr. Eid may have been suggesting that my doctor should have used a Titan and it should have gone further into the proximal corpora than 1" (2:1 typical ratio says 5" distal would mean 2.5" proximal, my ratio is about 50:9).

[merrix]

Hey Guys, i'm a 52 year old male with the beginning stages of ED. 50% of the time I can achieve a full erection without any meds or rings.The problem that I have is when I have sex i slowly go from hard to soft. Meds work great but, I do not like taking the medications or TriMix shots. I spoke with my Urologist and she suggested having a Penile Implant. This would assure a permanent fix for erections and eliminate me taking any meds. The idea sounds great to me. My wife is 21 years younger than myself.This procedures sounds exciting to her as well. I know as I get older this is going to gradually get worse. I would like to do this as much for me as I would for my wife.

Questions I have:

1st: I don't mind traveling to find the best Penile Implant Dr in the United States. Any recommendations would be greatly appreciated. ( My Insurance has approved the surgery )
2nd: Which surgery is the better of the two, incision in the scrotum ( https://youtu.be/z7WwTMTgCws ) or incision in the pubic area ( https://youtu.be/_JBLpvVtCLE )?
3rd: What is the average recovery time finally have sex? I am not a diabetic or have any other health issues. I would hope to heal rather quick, but some of the stories I read are scary.
4th: Do you prefer the Titan OTR 3-Piece Inflatable Penile Implant- Coloplast or the AMS 700 series—LGX, CX and CXR
5th: What are your Pro's and Con's of having this procedure done?
6th: On average how many of you guys can still achieve somewhat of a natural erection after having surgery or are you always limp until you pump?
7th: How did you mentally handle not being able to have sex, have an erection or have your wife leave your penis alone for all of the estimated recovery time. Scares the hell out of me.

Here are the two Doctors I'm thinking about. Any feedback would be great. Dr. Brian Christine in Alabama or Dr Paul Perito in Miami
Happy New Year to everyone.

I haven't even read the answers prior to mine, maybe repeating theirs or maybe totally opposite...
But anyway, here are my answers to your (good) questions:

1: I have said numerous times that I always recommend anyone to go to the best, most reputable, high volume surgeon their financial situation allow them. There is simply a difference between the best and an average doc. And even greater difference between the best and a poor one. You can do all the research you want, but facts, supported by research, are still that the high volume docs have lower infection rates. And based on this site, they have better results as well.
My recommendation is Eid, but I would be confident doing it with any of the top handful docs. If that is out of your scope, then first be honest with yourself why it is. Money? If so, what do you spend on tobacco, alcohol, useless shit you buy, holidays, take-away food, soda, snacks, candy, movies, netflix etc, etc, during a year. If cancelling those spendings for one or a couple of years would cover your surgery, then can you really say you cannot afford it?
If it is travelling that limits you, then ask yourself why. A medical condition making it impossible? Or just laziness and you not liking to travel and stay in a hotel? If the latter, then could it not be worth it to minimize your risk of infection and other issues?

2: Nobody here would know for sure. What I have read is that infrapubic basically has one advantage: Easier to install the reservoir. Which is good if you have some pre-existing issues which makes reservoir placement difficult. But the infrascrotal makes it easier to get a good pump placement, to route tubings to the pump and to install cylinders all the way into the glans.
But at the end, I would first pick the surgeon I want, and then trust his judgement on which procedure to use.

3: Forget what the average is. Again, I am sure there is a huge difference between e.g. Dr. Eid's patients and Dr. Low-Volume in Redneck County. If it takes on average two weeks for Eid's patients and two months for Dr. Low-Volume's, then what does the number 5 weeks say? Nothing.
I had sex after 13 days, on the first day I met my wife after surgery. My guess is I would have done it after around 8-10 days if she would have been there.
My point is, there will be a difference in how quick you recover depending on which doc you choose to do the surgery. On average. Of course, luck will always play a role in everything, but you can't trust luck.

4: 99% of people here will say they prefer the one they have installed. Which if we think rationally about it means all advice in this matter are useless. Everybody giving advice is biased, except a few who have had both brands. But they will still be biased more often than not because there was a reason they changed. Maybe infection, maybe the implant broke down prematurely, or the doc did a shitty installation job. They did not get the average results, and hence are still biased against the first model they got installed.
I have the Titan and I am very happy with it. I think the consensus is that an AMS, with its silicon cylinders, will have a softer flaccid. As a consequence, it also has a less rigid, less axial load, erection.
Then there will be people, like me, saying that the flaccid is still more than good enough on a Titan, and there will be people saying the erection is more than stiff enough with an AMS. So who knows. Maybe it is a matter of taste. And maybe a matter of whether you have a big dick or not. If so, the consensus seem to be pointing to the AMS being better for small dicks and Titans for big dicks.
There is also the fact that an AMS LGX shrinks in length when deflated. This is good if you want your flaccid smaller than your erection. Some think that's great, and some are sick and tired of their tiny dicks and want to be a shower with a larger than before flaccid.
Finally, there is the fact that Titan cylinders have larger diameter. Again, good if your dick is very thick, probably meaningless if it isn't.
To sum it up, I would again say that once you've picked the surgeon you prefer, then go with what he thinks is best for you.

5: Compared to what?
Compared to being impotent? One huge pro: You can fuck like a king whenever you want.
Compared to pills, injections? Pros: You always have it with you. You can be spontaneous (with the possible exception of the guys who dare not show their partner they are pumping it up). It never fails. It works every bloody time.
Cons compared to pills, injections: You need surgery. Revisions. You don't get hard by your woman's actions/appearance. You get hard by pumping.
But most of all, remember to add to your question, pros and cons compared to WHAT. Don't compare to your previous non-ED natural dick. Nothing beats that. But the problem is that that dick ain't there anymore. It is gone. Now you have ED. So get your benchmark right.

6: What does it matter? Apparently your current natural erection is useless, so why do you need it after surgery when you can use your pump and get rock hard? And >99% likely, whatever erection ability you have now, it will be much worse after surgery. I can still get some action down there. But nothing I could use for sex. I could probably get a blowjob without pumping it up. It would get full enough to feel good for me and the person with the mouth doing the job. But why the heck would I do that? I got implanted because my erections were crap. Now they are even more crap, and I can get rock hard in 45 seconds. Why care about the leftovers of my natural erection? And in the specific case of a BJ, I can actually adjust my hardness. For some reason, I think a BJ feels better at slightly less inflation than what I use for penetrative sex. So I can easily start off pumped to a semi which folds nicely in my pants. Then I can pump up to "BJ-hardness" while giving oral. After getting my BJ, I can either return to giving her oral and continue to pump to fuck-hardness meanwhile. Or I just let her wait for 20 seconds while I pump from BJ-hardness to fuck-hardness.
Point is, you can choose the perfect hardness for each activity. And whatever the leftovers are of my natural erections, it is not perfect for any scenario...

7: Not an issue for me. I was just excited of getting it done, and the problem of being without sex for 10-14 days faded in comparison to the excitement of looking forward to decades of stallion-king sex. If you find a good doc who does a good job, it won't be a problem.

8: Never heard of Christine. Perito is famous, but for some reasons, he is not the one I would choose out of the famous high-volume docs. As I said above, my first choice would be Eid. Probably Kramer as second, and then I guess Karpman, Carrion and a few other experienced doctors. Apart from them, I wouldn't let anybody do it if I could avoid it.

Good Luck.

[David_R]

It is really nice (if that's the word) to wake up with a nice full chub, and to have chubs every so often during the day. These are all swellings but not firm enough for penetration -- that's what my implant is for.