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I am looking into scheduling implant surgery with Dr. Irwin Goldstein and am curious as to why I see so many Goldstein patients on this site, but seldom hear FRANKTALK users mention him as an implant surgeon. He actually trained some of the other doctors that everyone raves about here. Is he part of some by-gone era, and the new young guys have added so much to his initial pioneering, so as to have surpassed him? I think he's the smartest man I have ever met. I do, however, only have one dick, and kind of need to get this right.

QuestionGuy wrote:I am looking into scheduling implant surgery with Dr. Irwin Goldstein and am curious as to why I see so many Goldstein patients on this site, but seldom hear FRANKTALK users mention him as an implant surgeon. He actually trained some of the other doctors that everyone raves about here. Is he part of some by-gone era, and the new young guys have added so much to his initial pioneering, so as to have surpassed him? I think he's the smartest man I have ever met. I do, however, only have one dick, and kind of need to get this right.

Dr. Goldstein is certainly a legend among urologists. He's been in the game for a long time, he's been a pioneer in the fight against ED for decades, and he's been performing implant surgeries since the 70's. That being said, I do think he is part of a by-gone era and has been surpassed by his students as it were. As he has admitted to me himself, he doesn't perform many implant surgeries regularly. I don't know about how many he's performed over his lifetime, but when I spoke to him in 2018 on the subject, he estimated he performed about a dozen a year.

Meanwhile, guys like Kramer and Eid live and breathe implant surgeries. That's what they've made their living on, that's their specialty. When I told Goldstein this year that I was going to be pursuing an implant, he offered his services, but when I told him I was considering Kramer, he was very supportive of that choice. He also highly recommend Eid, talking about how many hundreds of implant surgeries Eid does in a year.

Personally, Goldstein was also off the table for me because he doesn't work with my insurance. Also, while I do respect and like him well enough, he's very difficult to reach, that, paired with his recommendations that I peruse Shock Wave Therapy and PRP treatments, neither of which had any effect, have both left a slightly bitter taste in my mouth towards him. I think he talked the treatments up a lot more than he should've done.

Regardless, while he's probably a much better choice than your average urologist, if you really need to get the implant surgery done right, I might advocate you consider pursuing surgery with a high-volume implant surgeon like Kramer, Karpman or Eid. I think Goldstein himself would tell you as much.

Qualified but doesn't take medicare. Karpman in San Jose if you are on west coast. Amazing that there is no high volume surgeon in the LA area mentioned. My, Dr Boyd retired last year. His under study is Dr Loh Doyle at USC. He is the only urologist at USC that specifically does implants. USC claims they do more implants than any other institute on the west coast.

thanks for the info guys. I also did the plasma shots and shock-wave therapy, and must admit that they both did seem like something from the Victorian era of medicine. Like something Dr. Kellogg might have come up with. I have a history with Goldstein, and he is super knowledgeable, but he did remark "you'll lose length" when examining me.....so I am interested in understanding this new assertion being made by new doctors regarding "length preservation". Obviously, anyone can say anything, so I would not choose a doctor based on that assertion alone .....but would certainly be interested in knowing if these young whippersnappers have some new fangled technique that makes that possible. I've got alot of scar tissue, and I know it will take something a kin to a power tool to "bore through it", so that may be an extra complication.

QuestionGuy wrote:thanks for the info guys. I also did the plasma shots and shock-wave therapy, and must admit that they both did seem like something from the Victorian era of medicine. Like something Dr. Kellogg might have come up with. I have a history with Goldstein, and he is super knowledgeable, but he did remark "you'll lose length" when examining me.....so I am interested in understanding this new assertion being made by new doctors regarding "length preservation". Obviously, anyone can say anything, so I would not choose a doctor based on that assertion alone .....but would certainly be interested in knowing if these young whippersnappers have some new fangled technique that makes that possible. I've got alot of scar tissue, and I know it will take something a kin to a power tool to "bore through it", so that may be an extra complication.

I would question any provider offering treatments such as the shock wave and p-shots. These procedures are not covered by any insurance and the providers charge 2 to 3K for treatment. A full series of Xiaflex cost your insurance 40K because it is FDA approved. Google the marketing info for the p-shot. As for loosing length, Peyronies took 3 inches of mine. Implants can help expand tissues especially with plaque. However, there are no guarantees you will get length back with any procedure.