subcoronal approach for implant?

[wolfcreek]

My last implant device, a CX, was put in via a subcoronal approach (involved degloving, said to be useful when there is a lot of plaque). Anyone else had an implant using a subcoronal approach?

[oldbeek]

That is the preferred method. I had pubic approach and don't advise it.

[ETGuy71]

Oldbeek, why don’t you recommend pubic? My urologist says that’s what he prefers to use for me because healing is faster and less painful!
Thanks

[oldbeek]

I am skinny and the tubing wraps around the base of my penis. The tubes enter the top of my penis instead of the bottom. Now I am having reservoir pains and testicle pain. My dr had 30 yrs experience. Pains around the tubing.

[Greg1956]

Oldbeek, why don’t you recommend pubic? My urologist says that’s what he prefers to use for me because healing is faster and less painful!
Thanks

ETGuy,
Each of us is built differently and have different things going on. This post told of one method used due to scarring. If you don’t have that issue there would not be a need for that approach. The other two common methods are Infrapubic and Penoscrotal. My surgeon told me about both. At first he suggested Infrapubic for my car, but when we decided he would also perform Scrotoplasty at the same time to remove scrotal webbing he switched to Penoscrotal so my surgery would be less complixated.

When you get to the point of having a consultation with an implant surgeon, they can explain the ins and outs of both methods for your specific situation.

[ETGuy71]

Thanks Greg,
I’ve had two consults with urologist that will do the implant. He just insists the infrapubic is the best method, he’s also a friend of Dr. Perito had has trained with him! Which is why I think he’s a “true believer”, as it were, it that approach. I too have some scrotal webbing that I was wondering if he would suggest trimming. But I thought of that after the last consult. One thing I do find odd is he has not ever done an actual examination of my penis or scrotum! The female nurses have been the only people in his office to see my penis, when one did the trimix injection with a nurse that was training before Doppler and the nurse tech that did the ultrasound exam. I even asked him when he was reviewing the ultrasound results if he was going to examine me and he said he didn’t need to! He told me to just call his office when I was ready and they would start the process and schedule the surgery and it would be infrapubic.

[Tsanchez12369]

ET, I’d maybe ask a few more questions. Since he’s recommending that approach due to scarring, is that so he can address the scarring? I’d do, what will he be doing? Releasing the plaque, excision and grafting, or? It does seem odd he didn’t personally do an exam but maybe others have heard of this?

[ETGuy71]

I have zero scaring or Peyronies according to ultrasound. Just VL! You’re correct though need to ask more questions.

[oldbeek]

Hey guys, my apology. I read the title as" sub scrotal", not subcoronal. I have a reading impediment. I still don't like my results. My URO also studied with Dr Perito and had done thousands of them. Maybe I just got a bad job. My URO kept me inflated for 4 weeks, not touching the pump or moving the pump. My left testicle was attached to the pump at the end of 4 weeks. Going in tomorrow after 6 months to deal with sever testicle pain and pain at the resevoir site.. I also had some scaring and minor pyronies. I am straightened out and the scaring lumps just went away over the months since the implant. subcoronal sounds like torture to me.

[Larry10625]

Going in tomorrow after 6 months to deal with sever testicle pain and pain at the resevoir site..

Your reservoir is in your scrotum??? Is that even possible??

Larry