Infrapubic or penoscrotal

The final frontier. Deciding when, if and how.
Donnie1954
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Re: Infrapubic or penoscrotal

Postby Donnie1954 » Sat Sep 15, 2018 8:41 pm

My incision was infrapubic. I was totally healed and fucking, (gently of course) in 28 days. The thought of anyone cutting around my nuts terrified me. No nerve damage. My Uro is tops.
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

Hawkman
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Re: Infrapubic or penoscrotal

Postby Hawkman » Sat Sep 15, 2018 10:30 pm

Donnie1954 wrote:My incision was infrapubic. I was totally healed and fucking, (gently of course) in 28 days. The thought of anyone cutting around my nuts terrified me. No nerve damage. My Uro is tops.
donnie1954@mail.com


What is the difference in putting an invisible 1" incision on your scrotum skin and cutting your pubic area horizontally and suffing a pump down through that all the way into your scrotum ??? :)

btw, I was having intercourse (gently of course) in 21 days with no nerve damage. Those that think the infrapubic approach is faster recover are incorrect. There might be some arguments for its advantage (or maybe not), but being a faster recovery is NOT one of them.
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

Donnie1954
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Re: Infrapubic or penoscrotal

Postby Donnie1954 » Sun Sep 16, 2018 8:11 am

I can't compare a scrotal approach because I didn't have one. I had infrapubic and my incision healed quickly.
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

Lester33
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Re: Infrapubic or penoscrotal

Postby Lester33 » Sun Sep 16, 2018 1:00 pm

mine was infrapubic too but can't argue with the experts on healing or cleared for sex :roll:
IPP on 6/22/2018 by Dr. Perito, Miami, FL.
22cm Coloplast Titan, 2 RTE
Testosterone therapy
Cancer free seven years, married fifty years, wonderful sex life

TANGERINE
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Re: Infrapubic or penoscrotal

Postby TANGERINE » Sun Sep 16, 2018 4:09 pm

here is a quote from an article on the subject:

from Dr Bruce Garber

The scrotal and infrapubic approaches each have advantages and disadvantages. The scrotal approach provides excellent access to the corpora, which is especially helpful in patients with corporal fibrosis or Peyronie’s disease, who may require penile straightening procedures or extensive intracorporal dis- section. It provides excellent access to the scrotum, so that the pump can be fixed in place, and usually allows the procedure to be done with less tissue dissection than that which is required via an infrapubic approach. The scrotal approach allows cylin- der insertion with essentially no chance of injury to the dorsal penile nerves. However, the scrotal approach requires ‘blind’ transinguinal reservoir insertion, which may be difficult, risky or impossible in patients with prior hernia repair with pros- thetic mesh, cystectomy, renal transplant or morbid obesity. The infrapubic approach requires more tissue dissection (through the infrapubic fat pad) and care must be taken to avoid injuring the dorsal penile nerves during cylinder insertion or replacement. However, it allows reservoir insertion into the prevesical or extraperitoneal space under direct vision.


article reference:

Inflatable penile prostheses for the treatment of erectile dysfunction: an update Bruce Garber MD
Expert Rev. Med. Devices 5(2), 133–144 (2008)

Personally, I would not want the infrapubic since the tubes course over the top side of the shaft, so a woman might be able to feel them against her clit during deep intercourse, also, there are more numbness issues, also, the pump does not get placed as preceisely in the scrotum with the infrapubic -- and for many, the pump position is a source of discontent from us bionics.

So, I am a big supporter of penoscrotal -- but, it is better to go with a super talented high volume surgeon and follow their preferred approach.
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

Tsanchez12369
Posts: 227
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Location: SAN Francisco

Re: Infrapubic or penoscrotal

Postby Tsanchez12369 » Sun Sep 16, 2018 9:04 pm

I’ve heard it said more than once that the infrapubic approach requires the tubing to loop over the top of the cylinders. How is this if the tubing exits st the bottom of the cylinders? Is this incorrect or depends on the surgeons technique?
Sept 11, 2018: excision, grafting (human cadever tissue) and implant. Doc is Dr Edward Karpman in Mountain View, surgery at El Camino Hospital, LOS Gatos CA. AMS 700 CX infrapubic 18 cm + 3 cm RTE. http://www.peyroniesforum.net/index.php

Donnie1954
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Re: Infrapubic or penoscrotal

Postby Donnie1954 » Sun Sep 16, 2018 9:13 pm

I had infrapubic and my tubes are where they are supposed to be. My surgeon did an awesome job. Only an excuse for a surgeon does a lousy job. My tubes are placed perfectly as is my pump.
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

kosh200
Posts: 105
Joined: Mon Jun 18, 2018 12:49 pm

Re: Infrapubic or penoscrotal

Postby kosh200 » Sun Sep 16, 2018 11:35 pm

TANGERINE wrote:here is a quote from an article on the subject:

from Dr Bruce Garber

The scrotal and infrapubic approaches each have advantages and disadvantages. The scrotal approach provides excellent access to the corpora, which is especially helpful in patients with corporal fibrosis or Peyronie’s disease, who may require penile straightening procedures or extensive intracorporal dis- section. It provides excellent access to the scrotum, so that the pump can be fixed in place, and usually allows the procedure to be done with less tissue dissection than that which is required via an infrapubic approach. The scrotal approach allows cylin- der insertion with essentially no chance of injury to the dorsal penile nerves. However, the scrotal approach requires ‘blind’ transinguinal reservoir insertion, which may be difficult, risky or impossible in patients with prior hernia repair with pros- thetic mesh, cystectomy, renal transplant or morbid obesity. The infrapubic approach requires more tissue dissection (through the infrapubic fat pad) and care must be taken to avoid injuring the dorsal penile nerves during cylinder insertion or replacement. However, it allows reservoir insertion into the prevesical or extraperitoneal space under direct vision.


article reference:

Inflatable penile prostheses for the treatment of erectile dysfunction: an update Bruce Garber MD
Expert Rev. Med. Devices 5(2), 133–144 (2008)

Personally, I would not want the infrapubic since the tubes course over the top side of the shaft, so a woman might be able to feel them against her clit during deep intercourse, also, there are more numbness issues, also, the pump does not get placed as preceisely in the scrotum with the infrapubic -- and for many, the pump position is a source of discontent from us bionics.

So, I am a big supporter of penoscrotal -- but, it is better to go with a super talented high volume surgeon and follow their preferred approach.


TANGERINE

Did you get any numbness from your surgery and has it affected your ability to perform? My surgeon went penoscrotal and I have numbness to the top scrotum/lower third of shaft underside. Any insight would be appreciated.
45 years old. Diagnosed with Peyronies over 5 years ago. Successfully implanted on 9/6/18 with a Coloplast Titan 18 cm + 3 cm RTEs 4.5”-1st Activation, 6.25” three months of cycling. Dr. Levine. Chicago, Illinois

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: Infrapubic or penoscrotal

Postby TANGERINE » Mon Sep 17, 2018 1:45 am

today, I have zero numbness and all sensation is back to where it was before surgery.

however, for the first 6 months, I had mild numbness on the undersurface of my penis --- it helped to improve my premature ejaculation so I did not mind, but now I am back to regular sensitivity.

(yes indeed, my situation seems similar to what you describe in the above message -- I suspect that this will improve over six to twelve months)
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."

TANGERINE
Posts: 843
Joined: Wed Feb 15, 2017 11:10 pm

Re: Infrapubic or penoscrotal

Postby TANGERINE » Mon Sep 17, 2018 2:01 am

Tsanchez12369 wrote:I’ve heard it said more than once that the infrapubic approach requires the tubing to loop over the top of the cylinders. How is this if the tubing exits st the bottom of the cylinders? Is this incorrect or depends on the surgeons technique?


I looked up my operating room record, and I notice that the type of titan that I have is:
"touch scrotal zero degree angle cylinder set with pump"

I believe The point here is that the surgeon would use a different type of cylinder for the infrapubic approach, because the tubing comes out the top for the infrapubic. For some guys, this tubing over the top issue is a bother. HOWEVER, I am not totally sure since I have scrotal approach and thus my tubes are totally hidden and cannot be felt since they hide behind the balls.

I do remember seeing a picture, I think alibaba, where you could see the tubes over the top, though not sure.
"Strive to find the best surgeon--experience really matters"
(63 yo, Titan 22cm implant Feb 2017 by Dr Eid) I'm super pleased with my length/girth/implant performance. See my story at "The road to becoming a bionic male: Answers ..."


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