Artificial Erection given prior to surgery?

The final frontier. Deciding when, if and how.

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Bailey
Posts: 130
Joined: Mon Apr 08, 2019 1:45 pm

Artificial Erection given prior to surgery?

Postby Bailey » Mon May 27, 2019 2:46 pm

Have watched you tube videos of Implants being done with artificial erections given prior to surgery. Does anyone know if all surgeries are performed this way? It appears this would be the best method to determine if a patient has any abnormalities, & to get the correct sizing of cylinder length. I’m assuming my surgeon uses the best method for my 6/18/19 surgery.
77 yo with ED for over 20 years.Tried everything, & found injections were the only thing that worked.I am so grateful for FT. Was implanted 6/18/19 with a 18cm AMS LGX w 3.0cm RTE,100ml reservoir, infrapubic procedure by Dr. Richard Roach, “Bailey”

Bailey
Posts: 130
Joined: Mon Apr 08, 2019 1:45 pm

Re: Artificial Erection given prior to surgery?

Postby Bailey » Tue May 28, 2019 11:14 am

I know I’ve had 95 views on the question of surgeons doing an artificial erection on penis prior to the surgery, but no one has provided any answer to my question yet. Is there anyone on FT that will kindly post an answer. I feel if my surgeon doesn’t perform an artificial erection at the time of my scheduled 6/19/19 surgery, I’m going to cancel, & go elsewhere. Thanks guys, Bailey
77 yo with ED for over 20 years.Tried everything, & found injections were the only thing that worked.I am so grateful for FT. Was implanted 6/18/19 with a 18cm AMS LGX w 3.0cm RTE,100ml reservoir, infrapubic procedure by Dr. Richard Roach, “Bailey”

George03
Posts: 48
Joined: Tue Aug 07, 2018 2:25 am

Re: Artificial Erection given prior to surgery?

Postby George03 » Tue May 28, 2019 11:40 am

In my conversations with the surgeon when discussing length, I am fairly sure that he said that they do AE in the room prior to surgery, then "they would put the longest tubes they can". I am 9 months post surgery, almost 8 months past the first activation. Getting closer to the original length and girth. My journey has been likely many others, disappointment at first, then things gradually getting better. Still hoping to stretch a little more, but if not, I am already like the energizer bunny. Ask your surgeon how he/she preserves length.
Prostate removal August 2017, AMS 700 LGX Implant August 2018 60's, generally good shape and health. PSA zero so far.

Lost Sheep
Posts: 2595
Joined: Mon Jul 04, 2016 11:16 pm

Re: Artificial Erection given prior to surgery?

Postby Lost Sheep » Tue May 28, 2019 12:06 pm

Some surgeons do and some don't. Some surgeons do an injection before surgery to evaluate your erection before even scheduling surgery. (And, I speculate, to also give the patient a taste of what treatment by injection could do for him.)

An artificial erection is not necessary for the surgeon to measure your erection. He does that (if he is proper) DURING the surgery after making incisions so he can place the measuring tool inside your penis' corpora and stretch it to maximum length and measure both up (distally into your glans) and down (proximally, into your pelvic crus).

DO NOT reject a surgeon because he does not perform an unnecessary procedure (induced erection). That erection does have probative value in some circumstances (revealing abnormal curvature, weaknesses in the erection, or other details), but absent indications some sort of abmormalities, is wasted effort.

Of course, such an erection might give reassurance to an understandably nervous patient.

I am a strong advocate of deep patient involvement in the medical decisions and would not have a surgeon with whom I did not have meaningful conversations about the medical decisions he or she made on my behalf. Can you develop such a relationship with your surgeon?
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
Perennial advice:
Read old threads to ask better questions, understand answers and be part of your medical team.
Document your current penile size: photos and written records.
Pre-op V.E.D. therapy helps.

St1pan2019
Posts: 22
Joined: Tue Mar 12, 2019 3:41 pm

Re: Artificial Erection given prior to surgery?

Postby St1pan2019 » Tue May 28, 2019 12:14 pm

If they stretch you out on the surgery table and / or artificially create an erection and then put in the appropriate size cylinders why does it take some people so long (6 months to over a year or more) for people to regain there pre implant erect size? Does the surgery cause that much scar tissue that it takes that long to push through? To me it seems that if they stretch you out at 6” then implant you, when you wake up and are able to pump fully in the next few weeks you should be at 6” right away?? Not sure what I’m missing here as I don’t understand why it takes so long. I understand those that have lost length due to years and years of ED and not doing anything about it, but to those that have been stretching with VED’s to maintain their pre ED elasticity it seems that they should bounce back quickly in terms of their size. Am I missing something?
40 yrs old, ED from Scleroderma complications since 2010, married since 2004 and struggling with idea of implant surgery, Currenty using VED and rings for sex, injections and pills don’t work, Also on Testosterone injection therapy
Ontario, Canada

Lost Sheep
Posts: 2595
Joined: Mon Jul 04, 2016 11:16 pm

Re: Artificial Erection given prior to surgery?

Postby Lost Sheep » Tue May 28, 2019 1:37 pm

St1pan2019 wrote:If they stretch you out on the surgery table and / or artificially create an erection and then put in the appropriate size cylinders why does it take some people so long (6 months to over a year or more) for people to regain there pre implant erect size? Does the surgery cause that much scar tissue that it takes that long to push through? To me it seems that if they stretch you out at 6” then implant you, when you wake up and are able to pump fully in the next few weeks you should be at 6” right away?? Not sure what I’m missing here as I don’t understand why it takes so long. I understand those that have lost length due to years and years of ED and not doing anything about it, but to those that have been stretching with VED’s to maintain their pre ED elasticity it seems that they should bounce back quickly in terms of their size. Am I missing something?

There are a number of possible answers. Here are three.

1) Memory of one's pre-operation size may be (shall we agree on a no-fault term?) "indistinct"? I carefully measured my size (immediately) pre-op for a few weeks when I was able to achieve erections (oral medications wieh vigorous stimulation and quickly measured). Comparison of one's immediately post-op size with one's size in sexual prime is not reliable, especially if size was remembered and not rigorously documented.

2) Tenderness post-op may prevent full inflation.

3) The weeks immediately post-op are rarely, if ever, fully inflated. This allows the formation of a capsule of scar tissue. See papers written about "the Coffin Effect" or references thereto in this forum. Stretching/breaking up this scar tissue can take a few months and some degree of discomfort.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
Perennial advice:
Read old threads to ask better questions, understand answers and be part of your medical team.
Document your current penile size: photos and written records.
Pre-op V.E.D. therapy helps.

Bailey
Posts: 130
Joined: Mon Apr 08, 2019 1:45 pm

Re: Artificial Erection given prior to surgery?

Postby Bailey » Tue May 28, 2019 4:33 pm

Thanks Lost Sheep. I appreciate the good advice.
77 yo with ED for over 20 years.Tried everything, & found injections were the only thing that worked.I am so grateful for FT. Was implanted 6/18/19 with a 18cm AMS LGX w 3.0cm RTE,100ml reservoir, infrapubic procedure by Dr. Richard Roach, “Bailey”

Lost Sheep
Posts: 2595
Joined: Mon Jul 04, 2016 11:16 pm

Re: Artificial Erection given prior to surgery?

Postby Lost Sheep » Tue May 28, 2019 4:50 pm

Bailey wrote:Thanks Lost Sheep. I appreciate the good advice.


I found a link to this thread on the "Coffin Effect", also known as "Pseudo-capsule"

viewtopic.php?f=6&t=6814

The article linked to therein suggests that any less-than full inflation, post op, will result in some (greater or lesser) amount of size that will need need to be regained after the implant surgery. And the point of the article is that as early as the patient can tolerate cycling the implant, the better.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
Perennial advice:
Read old threads to ask better questions, understand answers and be part of your medical team.
Document your current penile size: photos and written records.
Pre-op V.E.D. therapy helps.


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