Is it time for an implant? Opinions welcomed

[oldbeek]

On the other side of slow orgasms, the injections caused pyronies with a bend to the right at midship. I had used less than 30 injections. Had to stop them. Injections cause scaring. I have little lumps all over my now hard penis from injections. Also they do not take any spongimaous material out, so if you do regain spontaneity, the implant does not ruin that.

[Happy Toy]

I guess I was one of the lucky ones, I used injections for 12+ years and did not have any of the problems that have been described here. On the contrary, over the years of using trimix, I gained an inch in girth, 6.5+". Since my implant I have lost that inch, but will gladly give that up for what I have gained
Andy

Before implant

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Today

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[Josef007]

Some doctors warn against too many injections because it can form scar tissue which is an issue when you go to have implant surgery. My situation was 30 years of ED, trying everything to help, but nothing was effective. It ended up I had a Venous Leak which never would have corrected itself so for me it was a waste of time waiting.

Greg

Scar tissue because of injections ? Means futur infection when you get the implant , hmmmmmmmmmmmmmm...and may the doctor will not recommand the implant bcz of that.
Well yep i can imagine that , no it must be medically sure .
Claps claps claps , thanks gents this is very safe , i was thinking ab injections but yea thank you , thanks a lot.

[cincinnatus1951]

Here's my take:
April 1, 2017

Guys: I’ve been doing a lot of thinking about the “right” time to decide on an implant. A lot of discussion about pumps and injections as well as pills indicates that a lot of men get some initial positive results, but, after time, the effectiveness declines. With injections, many report scarring and penile distortion. What’s not nearly as clear is what percentage of injection and pill users continue to have erection difficulties. Human nature teaches that the satisfied folks rarely complain. There are plenty of examples of marginal effectiveness of pills and injections, what I can’t tell is how large the percentage is.
In my own case, I went for about six months with pumps and pills with marginal results. My prostate surgeon recommended injections, which I used for about a year with inconsistent results. ( I had a Robotic assisted nerve sparing prostatectomy in July, 2013.) Sometimes, very little, sometimes too long, and never knowing how long the erection would last. I did have good firmness and longitudinal stability when it worked. At my two year surgical follow up visit, the surgeon suggested we consider an implant. My initial reaction was “They are not doing that to me!!!” We continued to bumble along. If the injection did not work (rarely) or did not last long enough, we would resort to toys and tongue. We were both able to climax; but, it was certainly not as satisfying as traditional penetrative sex. We were also getting tired of the hassle with injections. We visited one urologist (sexual medicine) specialist and he recommended “combination therapy” of pills and injections. He also recommended we consider an implant, showed us the prosthesis, gave us web sites where we could watch the surgery. We also learned of FrankTalk through a prostate cancer support group.
As we learned more about the surgery, risks, aftercare, healing, etc. the thought of surgery became less scary. My wife initially discouraged it saying we can do OK with toys and tongue, is it worth the risk? We agonized and went to see another sexual medicine specialist. He did not try to sell us on an implant, however, said none of the other therapies were working for us. At that stage 21/2 years out of prostate surgery, the likelihood of spontaneous erections returning were essentially nil. After one particularly frustrating love making session, I said to the wife, “Heck with it “I’m signing up for the implant. She agreed. I had the implant in January 2016. We had a text book recovery and we both wish we had not wrung our hands for so long. The implant removes all the hassle and uncertainty of the lesser methods.
That brings me to the point of this note. I have advised a goodly number of people both in public and private posts not to consider an implant unless nothing else works. While I still believe that to be the case. For the above reasons, I would recommend seriously thinking about an implant as soon as frustration begins to build. Essentially, once pills become less effective and you have tweaked your formulation and injection dosage without satisfactory results, I have come to believe that further avoidance of an implant is not helpful. In talking with my docs, they too, believe couples get frustrated and just give up on sex. My cardiologist even offered he would like to see way more men go for implants. He says many patients report that they have just given up.
Bottom line is I do not know how to accelerate the process to an implant. We believe we waited six to nine months too long. I also recall my almost complete rejection of the first implant recommendation. For guys who are say over age 55, are frustrated and have systemic ED regardless of the cause, I would say “Go for it”.
Sorry for the long post. Just food for thought. Cincinnatus

[andrew1959nj]

I'm scheduled for my Robo cock 10/25. After 10 years horrible results from pills and trimix I don't even try to have sex anymore. For me, Trixmix eliminated all spontaneity, hurt like a chihuahua was attached to the end of my cock, numbed my cock and always failed when I needed it most. When I have tried to have sex, even a HJ at a massage parlor, I spent all of my energy trying to stay hard and cum. An implant will enable me to get my freak on whenever and wherever the mood strikes. MS has diminished some of my feelings but even if I have to finish by hand sometimes, once again I'll be able to enjoy all the charms of women.

[purcelldds]

As someone suffering from Peyronie's and a history of penile fracture during sex (because of the PD), combined with ED, I think an implant is warranted sooner than later. From everything I've read on here, PD doesn't get better, only worse so I don't see the benefit of injections in this situation. Maybe for men with ED without the structural deformities of PD, injections and trying everything is the best course.

[Smetro]

My story is similar and I agree with Lost.
I found Caverject effective if a little inconsistent.
I’m sure there has been discussion on here about potential internal scarring through regular and prolonged injecting. I’m almost certain that my surgeon raised the point in the lead up to my procedure....I needed little convincing because I found injecting inconvenient in the extreme.
My Titan is now almost 20 months old and is simply amazing.
Sex is fantastic. There have been subtle changes over time.....re-gained length, improved girth and now a return of sensitivity....yes it was difficult to orgasm, but over the last couple of months it has resolved in the positive.
My only advice would be....don’t hesitate BUT do choose your surgeon carefully

Well Larry like all things physiological there’s no plain answer. Shooting inside a woman has many variables only one of which is penis sensitivity.
I’ve always been a bit of a stayer so the loss I experienced is perhaps compounded, but for a partner it’s a great thing.
The most noticeable change has been that now when I masturbate I am back to shooting within a minute or two whereas 6 months ago I had to work very hard and it would take double that time to climax


OK, question for you... how bad was your loss of sensitivity, where all was affected and how long before the return of the sensations and is it all back or just partially?? I know, I said one question...

Larry

[53@MVA]

I agree ,why wait, I had barely used tri mix and already @52 yo had peyrones scar tissue near the base. Prolonged injections scar the vascular network from what I understood. I have had 2 semi 3/4 erections and I had more issue with vaginal penetration ,mainly to do with pain, than with oral. Oral I had full sensation and no pain ,vaginal I had pain in the glans. Primarily my wife and I just tried both for a couple of minutes because with my medical history we were both worried about sensation. Once I said OK we quit both times and there appears to be no loss in sensation anywhere! GOD it felt so good to be inside her again. It really brought me to tears. We can't wait for the all clear set for the 19th I believe.

[Greg1956]

Some doctors warn against too many injections because it can form scar tissue which is an issue when you go to have implant surgery. My situation was 30 years of ED, trying everything to help, but nothing was effective. It ended up I had a Venous Leak which never would have corrected itself so for me it was a waste of time waiting.

Greg

Scar tissue because of injections ? Means futur infection when you get the implant , hmmmmmmmmmmmmmm...and may the doctor will not recommand the implant bcz of that.
Well yep i can imagine that , no it must be medically sure .
Claps claps claps , thanks gents this is very safe , i was thinking ab injections but yea thank you , thanks a lot.

Jose,
Scar tissue doesn’t mean infection if you have a good surgeon. It simply means the insertion of the implant may be more complicated. Scar tissue can also result in changing the shape of the penis.

[DougAnd]

As a newbie I can give you a perspective closer to your home. The main reason I waited was because of my fear of loss of length. I was totally impotent for 2 + years that means no night time erections to sustain length plus in my case rampant plaque and scarring steadily and permanently shrinking me. My max length at 6" girth was just over 7 inches. I had severe Peyronies disease and did not know it. In 2 years I shrank from 6" to 5 3/8" . That's how much waiting cost me in length. If you are not having nocturnal erections then you are slowly shrinking. You need to carefully measure your induced erections to see if they are enough to keep your length.
My case was very lucky VED therapy stretched me back out in less than 6 months time. Fully recovered both my length and my girth. Plus it opened me up so that an impossible surgery turned out to be more easy than ever a healthy one. Others do not have the same results.
Bottom line I got lucky. I struggled for two years trying to save my natural length and ended up losing an inch anyway. So let me put this in perspective. Had the VED not worked I would be right now with implant about 4 3/8 inches long. Or less because of them not being able to penetrate scarring. And instead of the LGX they would have had to use the CX, a much skinnier girth. If you are not already using the VED you should be.
So here is my two cents, you need to verify which way you are headed. If you know that you are already shrinking then subtract and inch from today and decide how much more you are willing to lose by waiting.
I final bright light. If you can afford it use Kramer of Baltimore and he should be able to save more than your typical surgeon. If you use a local guy figure an inch gone forever over night. If you actually get more then a bonus always brings a smile.