Infrapubic or penoscrotal

The final frontier. Deciding when, if and how.

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ETGuy71
Posts: 201
Joined: Thu Jul 19, 2018 10:58 pm
Location: Texas

Infrapubic or penoscrotal

Postby ETGuy71 » Thu Sep 13, 2018 5:28 pm

Ok I need some real input here, which approach is the best for implant placement?
My urologist says infrapubic because it heals faster with less pain, he said most of his patients healed in two weeks.
The urologist at the seminar I attended said scrotal is better because he has better angle to measure giving best length. Healing time 4-6 weeks!
I asked my urologist about that he said it doesn’t matter which approach, the length he measures would be the same even if he went scrotal.
I’m all for faster healing and less pain but I also want maximum lenght and I seem to have conflict of opinion between urologists.
Let me hear from you guys.
69 yrs old. Diagnosed venous leak. Headed towards implant. Urologist canceled surgery due to elevated WBC’s. I got another opinion. Injected with a different dosing of Trimix. Erection for 2.5 hrs. Going with injections rather than implant.

tomas1
Posts: 1384
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Infrapubic or penoscrotal

Postby tomas1 » Thu Sep 13, 2018 5:44 pm

I'd also be interested in answers to this question.

I asked my Uro if he did the scrotal approach since I thought I heard mentioned that it might be less invasive.
He seemed offended that I would say that.

I'm scared shitless to have him implant me when the time comes.
The only FT member I know of who used him had a serious infection and almost died.
He said he does several each week, but I'd like to get a more warm and fuzzy feeling about him.

He is cited on the AMS website as the go to guy here.
I hesitate to mention him by name.
I didn't see him mentioned when guys stated their implant doc.
81 years
Inject testosterone weekly.
Got implant on 1/22/19 by Dr Avila.
Scrotal, horizontal incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc reservoir
Diagnosed with Gleason 6 prostate cancer. Monitoring it for now.

Ricardo70
Posts: 24
Joined: Wed May 30, 2018 6:20 am

Re: Infrapubic or penoscrotal

Postby Ricardo70 » Thu Sep 13, 2018 6:00 pm

Dear friend:

Do not worry because of it.
It´s not important.
You are scared like all and want the best of the results.
Calm.
He trusts in your doctor.
Both options are good.
Your doctor will do the one that does better, that is quite.
Do you prefer a doctor that it does to you infrapubic if it has done 5000 escrotales?
Or the other way round.
A good professional looks and that does what more he dominates.

A hug

oldbeek
Posts: 1360
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Infrapubic or penoscrotal

Postby oldbeek » Thu Sep 13, 2018 6:35 pm

Perito urology has a video of infrapubic. Lots of guys have good results with infra pubic as I did.
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5

Hawkman
Posts: 556
Joined: Sat Aug 25, 2012 3:09 pm
Location: PA
Contact:

Re: Infrapubic or penoscrotal

Postby Hawkman » Thu Sep 13, 2018 7:15 pm

Lots of guys have good results with both. That is just a fact. Both guys have been messed up with both. That is also a fact. Eid's scrotal approach has you cycling in 3 days and sex in 21 days. Who claims to be faster than that?]

One unarguable fact is that a verticle 3 stitch incision on the seam of your scrotum is invisible even on close inspection.

Other than that the proponents of each argue the benefits of their approach. Scrotal approach guys will say that the tubing is routed better and has less chance of being felt at the base of the penis, especially on lean men.
Prostatectomy 2004-Bimix caused Peyronies-Viagra had little effect. Active sex life with wife of 50 yrs- been dependent on a VED for 10 yrs. 22cm Titan w/Dr. Eid Aug 7th See my Implant Journal -> http://www.peyroniesforum.net/index.php/board,56.0.html

wolfcreek
Posts: 187
Joined: Wed Sep 28, 2016 4:16 am

Re: Infrapubic or penoscrotal

Postby wolfcreek » Thu Sep 13, 2018 8:29 pm

There is also a third approach available.

ETGuy71
Posts: 201
Joined: Thu Jul 19, 2018 10:58 pm
Location: Texas

Re: Infrapubic or penoscrotal

Postby ETGuy71 » Thu Sep 13, 2018 8:42 pm

What is third approach
69 yrs old. Diagnosed venous leak. Headed towards implant. Urologist canceled surgery due to elevated WBC’s. I got another opinion. Injected with a different dosing of Trimix. Erection for 2.5 hrs. Going with injections rather than implant.

oldbeek
Posts: 1360
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Infrapubic or penoscrotal

Postby oldbeek » Thu Sep 13, 2018 8:46 pm

Hawkman wrote:Lots of guys have good results with both. That is just a fact. Both guys have been messed up with both. That is also a fact. Eid's scrotal approach has you cycling in 3 days and sex in 21 days. Who claims to be faster than that?]

One unarguable fact is that a verticle 3 stitch incision on the seam of your scrotum is invisible even on close inspection.

Other than that the proponents of each argue the benefits of their approach. Scrotal approach guys will say that the tubing is routed better and has less chance of being felt at the base of the penis, especially on lean men.


I do not know about feeling the tubes scrotal approach. I do know I am skinny and I do feel the tubes at the base of my penis with pubic approach. It might cause problems with rough pubic bone bashing. Anyone know where I could get some of that. I only need it for research :D
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5

oldbeek
Posts: 1360
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Infrapubic or penoscrotal

Postby oldbeek » Thu Sep 13, 2018 8:49 pm

wolfcreek wrote:There is also a third approach available.


I think that is where they cut all the way around just below the glans. Peel all the skin down to the pubis and do the install. Sounds like torture. Skinned alive. :shock:
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5

Greg1956
Posts: 1717
Joined: Sun Aug 06, 2017 8:35 am
Location: Atlanta, GA USA

Re: Infrapubic or penoscrotal

Postby Greg1956 » Thu Sep 13, 2018 9:22 pm

My urologist uses both and decides for each patient which method is best. I am a nude model for artists and sometimes shave my pubes so I preferred the Penoscrotal method due to no visible scar.
I am 64 and had ED from a VL. Implanted by Dr. Ronald Anglade in Atlanta on 9/18/17. I have an AMS700LGX 21 cm via a Penoscrotal incision. Very happy with results. 5 3/4” soft and 6 3/4” x 5 5/8” hard.


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