Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

The final frontier. Deciding when, if and how.
ViaSwiss
Posts: 602
Joined: Fri May 24, 2019 9:09 am

Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby ViaSwiss » Tue Jun 18, 2019 1:16 pm

So I am 32, I've had ED for 12 years due to Post Finasteride Syndrome. Viagra and Cialis are hit or miss, requiring higher doses, and the side effects arent always fun to deal with. It sucks popping one and hoping it works, and then hoping the lady end up in the mood. Otherwise its time, money, and will power wasted.

Anyways I was just diagnosed with Venous Leakage. Dr prescribed BiMix and wants me to give it a whirl. He said "if I were you I would exhaust all your option prior to deciding to implant". He said he is open to it if I decide its what I want, but at my age he isn't fully for it. Said he does around 50 or 60 a year, has spent time learning from Dr. Perito. Said he would probably do Titan and incision through the scrotum. Price would be $13,500 if insurance does not cover.

Here is the thing though. I'm 32. I dont really want to be injecting into my dick for the next 40 or so years. I hate the non-spontaneity. I've read hundreds of implant stories here and even though I would require multiple revisions in my life, I think I'm ready for it. Hopefully my insurance covers.

Btw, He did not do TriMix because I've tried alprostadil on its own and it was painful and not very effective.
Age 35. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby Lost Sheep » Tue Jun 18, 2019 1:28 pm

ViaSwiss wrote:So I am 32, I've had ED for 12 years due to Post Finasteride Syndrome. Viagra and Cialis are hit or miss, requiring higher doses, and the side effects arent always fun to deal with. It sucks popping one and hoping it works, and then hoping the lady end up in the mood. Otherwise its time, money, and will power wasted.

Anyways I was just diagnosed with Venous Leakage. Dr prescribed BiMix and wants me to give it a whirl. He said "if I were you I would exhaust all your option prior to deciding to implant". He said he is open to it if I decide its what I want, but at my age he isn't fully for it. Said he does around 50 or 60 a year, has spent time learning from Dr. Perito. Said he would probably do Titan and incision through the scrotum. Price would be $13,500 if insurance does not cover.

Here is the thing though. I'm 32. I dont really want to be injecting into my dick for the next 40 or so years. I hate the non-spontaneity. I've read hundreds of implant stories here and even though I would require multiple revisions in my life, I think I'm ready for it. Hopefully my insurance covers.

Btw, He did not do TriMix because I've tried alprostadil on its own and it was painful and not very effective.

At 32 years of age, you may see within your lifetime a better treatment than implant. Slim odds, certainly, but if a treatment that could actually cure your VL would be preferable to an implant, waiting is an option (if you can continue to have satisfactory sex or are willing to wait). Other options for sex other than coitus can be satisfying to both partners. Women are incredibly understanding and supportive if they feel trusted, respected and secure.

An implant forever destroys any other known or potential treatments.

I know one surgeon who implanted a young man just a few months before Viagra was approved by the FDA. This many years later, he is troubled by that decision, though it was the only choice at the time (other than waiting).

Having said that, note that I am an implanted man, do not regret my decision and would certainly have had a more satisfying sex life had I found this solution when I first began to suffer E.D. (in my 30s).

Note that I dodged the bullet on marriage to women who rejected me for the shallow fact of my E.D. Those women would have been bad matches for me. But that marital advice is for another forum.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

ViaSwiss
Posts: 602
Joined: Fri May 24, 2019 9:09 am

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby ViaSwiss » Tue Jun 18, 2019 2:41 pm

@lostsheep - that is the crux of the issue and a fear. What if a cure is found or something better than Viagra? Either way, I think I am content if that happens. I've probably lost a few relationships due to ED (even with V). I dont think I am ready to lose my current GF over it and am ready to be able to "get it up" whenever and wherever". would absolutely relieve so much stress and embarrassment.
Age 35. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

ViaSwiss
Posts: 602
Joined: Fri May 24, 2019 9:09 am

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby ViaSwiss » Tue Jun 18, 2019 2:42 pm

How does one find out if my insurance will cover the implant? Does my Dr have to call to find out or can I?
Age 35. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby Gt1956 » Tue Jun 18, 2019 3:53 pm

ViaSwiss wrote:How does one find out if my insurance will cover the implant? Does my Dr have to call to find out or can I?

Normally, when in discussions with your surgeon, you'll give his office people all of your insurance information. They will contact your insurance for coverage then ask for a prior approval. It can be a fine dance to get approval. His office people will know the correct words & codes to use. They should of done this many times in the past. It is common to get denied the first time. Don't worry, it's just part of the game. The insurance may ask for more testing, maybe a different medicine for you to try. It's all normal. I have been told unofficially by some doctors staff that companies like to spread major costs out a little. So being slow might just mean they've paid for more implants recently than their actuarial people had predicated. Another possibility I think, they just want to make sure that you are sure that you want/need this.
Btw, my wife got coverage for a sugery that was denied by our insurance company. They offered to cover it at a higher co-pay than standard & we took the offer.
I forgot to say that in my opinion you won't find much help with this anywhere but this forum & your doctor. It just isn't talked about much & there isn't as many implanted men around to talk to. Best of luck.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

oldbeek
Posts: 2454
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby oldbeek » Tue Jun 18, 2019 3:56 pm

ViaSwiss, About the tri- mix. I had extreme pain from trimix, but Bi mix did not do the job. I came up with a dosage of a tiny amount of trimix and 20 units of bimix that worked great IF I didn't miss the sweet spot. That is the problem with shots. Partner gets super horny and you go to administer the shot. Being excited you miss the proper location. Bang nothing happens. More stress. She is still extremely wanting it. Do you shoot again?? What if both doses take effect. I will be in the emergency room getting blood drained. Hell with it . I injected again anyway. Never leave a really hot woman wanting. This, and developing a serious bend from scaring, is why I went implant.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby Lost Sheep » Tue Jun 18, 2019 4:56 pm

ViaSwiss wrote:@lostsheep - that is the crux of the issue and a fear. What if a cure is found or something better than Viagra? Either way, I think I am content if that happens. I've probably lost a few relationships due to ED (even with V). I dont think I am ready to lose my current GF over it and am ready to be able to "get it up" whenever and wherever". would absolutely relieve so much stress and embarrassment.

Trust her.

Women are incredibly supportive, understanding and accepting if she feels trusted and safe in the relationship. Tell her the COMPLETE truth (leaving out details of past relationships).

If she is worth you staying with her, she will stay with you even without coital sex if you satisfy her in other ways, by other means. If she won't stay, then you should let her go, as she is not a good partner for you.

As for the implant procedure, it appears from your testimony that nothing available today works for you (though you did not mention constriction rings or Vacuum Erection Device/V.E.D. with constriction ring, which is a viable solution for many couples).

So, do your research, make your choices (A-implant now, B-try other treatments, C- be satisfied with non-coital sex while waiting for better options, etc) and proceed. Once you have enough information, you will have no doubts. When you have no doubts, you have your clear choice. So it was with me. I put up with 30 years of slowly progressing E.D. (which I did not recognize until the last few years), researched solutions and eventually got implanted. Never a moment's doubt or misgivings once I had enough information. If I had not enough information, I would have waited until I did have enough to be absolutely certain. I was and I proceeded. Franktalk was a major source of that information, along with some helpful surgeons and medical journals.
Last edited by Lost Sheep on Tue Jun 18, 2019 8:06 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

ED2013
Posts: 1217
Joined: Tue Mar 05, 2013 8:15 pm

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby ED2013 » Tue Jun 18, 2019 6:09 pm

Your doc should inject you himself to try it out... there’s a chance injections may not even work.

thereishope
Posts: 190
Joined: Sat Oct 27, 2018 3:22 am

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby thereishope » Wed Jun 19, 2019 10:50 am

Lost Sheep wrote:
ViaSwiss wrote:So I am 32, I've had ED for 12 years due to Post Finasteride Syndrome. Viagra and Cialis are hit or miss, requiring higher doses, and the side effects arent always fun to deal with. It sucks popping one and hoping it works, and then hoping the lady end up in the mood. Otherwise its time, money, and will power wasted.

Anyways I was just diagnosed with Venous Leakage. Dr prescribed BiMix and wants me to give it a whirl. He said "if I were you I would exhaust all your option prior to deciding to implant". He said he is open to it if I decide its what I want, but at my age he isn't fully for it. Said he does around 50 or 60 a year, has spent time learning from Dr. Perito. Said he would probably do Titan and incision through the scrotum. Price would be $13,500 if insurance does not cover.

Here is the thing though. I'm 32. I dont really want to be injecting into my dick for the next 40 or so years. I hate the non-spontaneity. I've read hundreds of implant stories here and even though I would require multiple revisions in my life, I think I'm ready for it. Hopefully my insurance covers.

Btw, He did not do TriMix because I've tried alprostadil on its own and it was painful and not very effective.

At 32 years of age, you may see within your lifetime a better treatment than implant. Slim odds, certainly, but if a treatment that could actually cure your VL would be preferable to an implant, waiting is an option (if you can continue to have satisfactory sex or are willing to wait). Other options for sex other than coitus can be satisfying to both partners. Women are incredibly understanding and supportive if they feel trusted, respected and secure.

An implant forever destroys any other known or potential treatments.

I know one surgeon who implanted a young man just a few months before Viagra was approved by the FDA. This many years later, he is troubled by that decision, though it was the only choice at the time (other than waiting).

Having said that, note that I am an implanted man, do not regret my decision and would certainly have had a more satisfying sex life had I found this solution when I first began to suffer E.D. (in my 30s).

Note that I dodged the bullet on marriage to women who rejected me for the shallow fact of my E.D. Those women would have been bad matches for me. But that marital advice is for another forum.



Hey lost.. Sorry to correct you, but post finasteride symptom is different from venous leak. It's really bad. Here's some more info:

https://youtu.be/kzb5PJBoawA

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Age 32. Venous Leakage. Rxed BiMix, Dr open to implanting

Postby SW0110 » Wed Jun 19, 2019 10:04 pm

I might be in the minority, but I would not inject my d### with anything. If you have ever dealt with peyronies you would never in a million years do one thing to possibly cause it. A lot of cases that can be traced to injections.

I will never feel like an implant is a last resort. Period. You could get hit by a truck tomorrow. Lots of younger people on here who are more than happy with the implant as the best option. While viagra was prescribed as the end all for ed. That is crap. Give someone viagra who has a venous leak. I mean really. Take viagra cialis. Things look good. Attempt to have sex and start going soft. Then potentially injure yourself. Bam peyronies shows up. Now you have a curve, plaque, potential length loss.

Should have gotten my implant right after I fell. Problem was wrong doc who did no tests. Just take viagra see me in 6 months. Tried to have sex with a semi soft erection. Peyronies curve a couple months later. Then plaque and a d## which would point up at 30 or do degree angle. Lose 1.5 inches. Had to buy a traction device and ved. That was my what the f moment. Never in a million years would I have thought I would need to buy or use either of those things. After 8 months using them got 3/4 of an inch back before surgery. Still short 3/4 inch.

An implant is a great option. Bests hell out of viagra or cialis. In my opinion. If we want to have sex by the pool, in the porch swing, in the car, we just do it now. Just like old times. Feels exactly the same to me. I had no other health issues affecting my orgasms though.

Just my opinion and we all got one. If you have a physical reason for ed. Docs tell you what they are and an implant will fix it. Schedule it and get it done. Life always has risk. 3.5 months since my titan. No real issues. Enjoying it a lot. Wish I had my old erections back but that is not a realistic expectation. Implant is pretty close.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.


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