Nervous

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6156
Joined: Mon Jul 04, 2016 11:16 pm

Re: Nervous

Postby Lost Sheep » Thu Feb 18, 2021 11:01 pm

jisherwood wrote:I flew to Seattle, had doctor appointment, never saw doctor before. After appointment it was decided to do surgery the next morning. Mo time to get nervous. I had made my decision to have it done as I was tired of my ED. Tried Cialis with a little success, then tried injectables with little success but urology doctor monitoring the injections was little to no help and after 14 months of paying him BIG buck in health care costs found new urologist in Spokane. He in turn reviewed my medical records and do to having a neobladder recommended me go see his ex partner in Seattle. So made appointment with him. Had appointment and then the next day became bionic. With little to no issues in the last 18 months. :D
Comments anyone....

It happens that I spent 14 months to find the right surgeon after deciding I would have an implant. Not because of nervousness (see my next post) but because I wanted to be as sure as I could possibly be on my choice of surgeon
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

newbie443
Posts: 1876
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Nervous

Postby newbie443 » Fri Feb 19, 2021 12:04 am

I had nothing that worked for sex with a partner. And did nothing about it for years. I tried a couple of times but had trouble with deciding. And I am not alone. I read a paper where nearly 1/2 of men with ED have not even talked to a doctor about it. Some call in courage to make the choice to have this surgery. But what drove me to it was wanting this part of me back again. So the choice was my nothing and not feeling like a whole man or the surgery. At some point prior to the surgery I just felt like a weight had been lifted from me. I was going to do this and be whole again. I was excited more than nervous and could not wait. Problems can be fixed and you can have a lot of fun getting used to the new you. It is estimated that most current implants will last 10-15 years. But this is an average and a few will last as little as 3-5 and a few others 20-25. But really a no brainer. Either years of ED or years without.

Congratulations on deciding to do this and get this part of you back again. Many on this site including me only wish we would have done this earlier. Best of luck to you going forward with this. This is the start of the difficult time. Or the waiting was for me. Waiting before surgery. Waiting after surgery to heal. But follow your doctors instructions and everything you can to avoid infection. It will be worth it.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: Nervous

Postby AST2123 » Fri Feb 19, 2021 7:25 am

jisherwood wrote:I flew to Seattle, had doctor appointment, never saw doctor before. After appointment it was decided to do surgery the next morning. Mo time to get nervous. I had made my decision to have it done as I was tired of my ED. Tried Cialis with a little success, then tried injectables with little success but urology doctor monitoring the injections was little to no help and after 14 months of paying him BIG buck in health care costs found new urologist in Spokane. He in turn reviewed my medical records and do to having a neobladder recommended me go see his ex partner in Seattle. So made appointment with him. Had appointment and then the next day became bionic. With little to no issues in the last 18 months. :D
Comments anyone....

It is surprising that you got the implant the next day of appointment. I believe this is the best part of your experience. Waiting for a scheduled surgery was killing me. When it was becoming real, ie one or two days before the surgery, I wasn't nervous at all. I was just excited.
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: Nervous

Postby AST2123 » Fri Feb 19, 2021 7:32 am

fade3W wrote:My implant surgery is scheduled for a couple weeks from now and it’s starting to get real. I’m panicking a little to be honest. Doctor wants to give me a Titan but I see here there seems to be a lot of titan failures after 2 or 3 years? Is this normal?

My doctor also recommended Titan for me, saying that it has a better girth. from all I read on FT, I was pretty sure both Titan and AMS could produce an excellent result, depending on the surgeon and healing process of individual patients. I told the doctor that I prefer AMS for its flaccid look. He agreed, and later when I asked about what AMS he is going to use, LGX or CX, he said CX. So, I accepted.
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic

Lost Sheep
Posts: 6156
Joined: Mon Jul 04, 2016 11:16 pm

Re: Nervous

Postby Lost Sheep » Fri Feb 19, 2021 1:29 pm

knowledge is power. It dispels fear, confusion and is a powerful tool against frustration. I spent nearly two years researching. Sadly, a lot of it was wasted before I was shown where to find FrankTalk. But when I did, I spent a weekend reading through a couple years of posts on all the forums in FrankTalk, spending time on any that looked relevant. I gained a "feel" for the E.D. problems that plagued me for over 3 decades and learned a lot about the various solutions and treatments.

Daily (nightly nocturnal erections) tend to keep a man's penis healthy, elastic and full-sized. If you are not getting those, the oxygenation and stretching provided by daily Vacuum Therapy can substitute. I will write more about that if you ask. Used in this way, the V.E.D. is not for sex but for therapy. 30 minutes twice a day, pump and release, pump and release to get blood exchange through the penis and maintain elasticity and size.

In the pantheon of treatments, implant is the one that is guaranteed to be irreversible and irretrievably destroy what erectile ability you still have. So do not go into it lightly, but only when no other treatment is satisfactory. If a true cure were to be discovered the day after you are implanted, it will do you no good once the implant operation has destroyed, damaged or compromised those erectile tissues (corpora cavernosum inside the tunica albuginea). Only go to an implant if there is nothing to go back to.

If you decide to get an implant:

Remember that an implant is not a cure, but it is a darned good treatment. Not perfect. But the best we have at the moment if nothing else works.

I stood at 1 O'clock in my youth and my penis darned near reached my belly when erect. As I aged, my erection did not point up so much, but still came close to my belly (which was itself reaching out to my penis). With the implant, I am at about 2:30. Many men point at 3 o'clock and a significant number point lower. But whatever angle you point, you point firmly, and that is a good thing. You get to choose positions for sex that fit your new angle. Make it an adventure with your trusted wife.

I interviewed two local surgeons with implant experience. corresponded with both Dr. Eid and Dr. Kramer and flew to Seattle (I live in Anchorage) to interview Dr. Walsh and Dr. Ostrowski (but wound up interviewing a Resident because Dr. Walsh had left the V.A. and Dr. Ostrowski was on leave). Then Dr. Shaw (literally and figuratively) fell into my lap. He was expert enough to have taught the procedure and met the criteria for selection that Dr. Eid gave me, "Find a surgeon in love with his craft." Dr. Shaw wisely told me "you will be over-flying a lot of good surgeons if you go to the East coast." I felt rapport with Dr. Eid and Dr. Kramer and Dr. Shaw, so I stayed local for the convenience of followup with the same surgeon who did the procedure. You are closer by far than I was and I did not relish the idea of flying 5 to 8 hours after surgery (or even before the surgery, for that matter).

If you do travel, rent or borrow a small motor home or van so you can lie down in the back while your wife drives you home.
Last edited by Lost Sheep on Fri Feb 19, 2021 5:03 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

fade3W
Posts: 129
Joined: Tue Dec 29, 2020 6:19 pm

Re: Nervous

Postby fade3W » Fri Feb 19, 2021 2:11 pm

Thank you Lost Sheep, I appreciate all your help. In all my research on this forum I see your name a lot and it’s amazing that you still give your time and knowledge to guys like me. I’m very grateful to you and the other guys that are generous with their info.

My doctor had me start VED a few weeks ago. Fortunately, I still get nocturnal erections. Unfortunately, because of Peyronies, they’re useless. So the implant is being done to fix the ever evolving problem before it gets even worse.
Mid-30s
Titan 20 cm + 1 RTE to fix Peyronies, March 2021

oldbeek
Posts: 2481
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Nervous

Postby oldbeek » Sat Feb 20, 2021 3:10 am

The Titan is more rigid and a good choice for a PD 50 degree bend. I had a slight 15 degree bend and the 700lgx straightened it, BUT, the doc had me pumped 80-90% for 4 weeks to straighten me. The pain was nearly unbearable.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20


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