28 yo, impotent, need advice

The final frontier. Deciding when, if and how.
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Re: 28 yo, impotent, need advice

Postby PeaceofPain07 » Fri Sep 06, 2019 1:58 pm

dalmatian wrote:Honestly, I don't like the idea of injections... not because I don't like needles, but the fact it often causes priapism which I'm very afraid of as it can make permanent damage which cannot be fixed not even by an implant. Is this a real concern?

That is actually my main concern. A question I have yet to ask the doc. If untreated priapism from injections occurs (or I suppose even from pills for that matter) and damage occurs, what is the success rate of restoring erections thru implants?
Last edited by PeaceofPain07 on Fri Sep 06, 2019 2:25 pm, edited 2 times in total.
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Lost Sheep
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Re: 28 yo, impotent, need advice

Postby Lost Sheep » Fri Sep 06, 2019 2:01 pm

A lot of that would depend on how much tissue death occurred. I believe that in the most severe cases, amputation has been required. Implant after that would be challenging.

Here are just a couple of journal articles
http://www.urologyannals.com/article.as ... aulast=Pal

The good news is that a quick trip to an emergency room (before 4 hours is the standard advice) resolves priapism with little chance of bad after-effects and it is usually 24-48 hours that yields the most dire consequences.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017 Dr Shaw.
READ OLD THREADS to ask better questions and better understand answers.
Make yourself 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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Re: 28 yo, impotent, need advice

Postby ED2013 » Fri Sep 06, 2019 6:02 pm


Give it some time. If you’ve been improving, that’s a great sign. I’d start using pills right away. Talk to your uro.
Ams 700 cx. Dr Karpman.

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Re: 28 yo, impotent, need advice

Postby Evinrude » Sat Sep 07, 2019 7:12 am

Man... that’s horrible.. poor guy
Age 68, widower in 2017, remarried 2019. ED symptoms just 3 years ago, Viagra worked at first but less and less so as time went on. Never tried injections. AMS 700 LGX 15cm (2cm RTE) Implant 6/19/19 Broderick @ Mayo C. JAX.

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Re: 28 yo, impotent, need advice

Postby oldbeek » Sat Sep 07, 2019 11:54 am

ED2013 wrote:Dalmation,

Give it some time. If you’ve been improving, that’s a great sign. I’d start using pills right away. Talk to your uro.

This is good advice. At your age if you don't have venous leakage, or sever internal nerve damage, I would never do an implant. Nothing feels as good as a blood filled dick. Try all your options first. There are even new nerve grafting experiments in the works now.
78, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .08 11/18,.07 1/19,.05 4/19, .06 2/20 Pain with trimix, implant 4-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6 x 4.5, 800 AUS 7-21-20

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