Is erectile dissatisfaction a reason to be implnated

The final frontier. Deciding when, if and how.

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QuestionGuy
Posts: 119
Joined: Tue Sep 22, 2015 6:50 pm

Is erectile dissatisfaction a reason to be implnated

Postby QuestionGuy » Mon Sep 09, 2019 11:02 am

With the right stimulation I can become erect, and just prior to orgasm, I am as hard as a tire iron. But much like pumping a tire with a leak, if that stimulation stops: so does the erection. I am ready to move forward with implant, but am concerned that my issue falls into the realm of "erectile dissatisfaction".

On the one hand : I do not have a penis usable for intercourse, therefore I am a candidate.

On the other hand: The technical definition of ED is : no erection functionality regardless of pills, injections, or stimulation. I will be forever severing connective tissue which up until 2019, did have the capacity for erection.

On the other hand: We now understand that psychology, physiology and endocrinology all work together synergistic-ally
to produce a usable erection, so there is no such thing as the old : "its all in your head"..... and I've been hassling with this for 12 years now

I know its a really a personal judgement call, and not a medical question, but was interested to know if anyone has any info on such situations.
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

DaveKell
Posts: 465
Joined: Tue Sep 04, 2012 7:39 pm
Location: Texas

Re: Is erectile dissatisfaction a reason to be implnated

Postby DaveKell » Mon Sep 09, 2019 11:27 am

My experience prior to being implanted was somewhat similar to you. I still occasionally had throbbing morning wood. If I was getting a blow job I could stay hard until the end. With tons of stimulation I could be ready for sex, but as soon as I'd move my body slightly the hardon would disappear. The frustration caused a lot of issues between me and my wife. The situation wasn't improved with any of the pills or injections. I looked at it like this. There is an old Richard Pryor comedy routine where he kept repeating the phrase "how long can this bullshit go on? How LONG?". It seemed to me the bullshit wasn't ever going to stop. You either want an ultimate solution or you're willing to muddle along with the frustration endlessly. I wanted the ultimate solution, I've never looked back or regretted it for an instant. I've got over two years now with effortless (to produce a hardon), extremely satisfying sex I never have to entertain any anxiety about. It was the best decision I could've made. Do I like feeling tubes and a pump ball in my sack? Hell no, but I disliked a disappearing hardon even more. I wasn't put off by the fact that an implant forever negated any naturally occurring hardon ever taking place again. So what? The implant meant I'd have a hardon any time I wanted and always without any chance of a frustrating failure. The only thing that was ever "in my head" about it was the overwhelming need to have great sex again. Mission accomplished.
Last edited by DaveKell on Mon Sep 09, 2019 12:52 pm, edited 1 time in total.
Became DaveKell 2.0 on July 18th with Dr. Allen Morey in Dallas, TX. AMS 700 CX implant. 18cm with 5.5 RTE's.

QuestionGuy
Posts: 119
Joined: Tue Sep 22, 2015 6:50 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby QuestionGuy » Mon Sep 09, 2019 11:40 am

Thanks DaveKell. When weighing the positives and negatives, the implant does, indeed, seem to be an equitable trade.
I'm 55. PostFinasterideSyndrome/Peyronies . Initially had good erections but numbness. Now erections are compromised, but good sensitivity. I see Dr. Irwin Goldstein and do : TRIMIX-Clomiphene-Arimidex –Cabergoline -Cialis -Traction-VED-Pshot-gainswave

NeedleD
Posts: 196
Joined: Thu Mar 17, 2016 4:35 pm
Location: Midwest

Re: Is erectile dissatisfaction a reason to be implnated

Postby NeedleD » Mon Sep 09, 2019 11:42 am

DaveKell wrote:My experience prior to being implanted was somewhat similar to you. I still occasionally had throbbing morning wood. If I was getting a blow job I could stay hard until the end. With tons of stimulation I could be ready for sex, but as soon as I's move my body slightly the hardon would disappear. The frustration caused a lot of issues between me and my wife. The situation wasn't improved with any of the pills or injections. I looked at it like this. There is an old Richard Pryor comedy routine where he kept repeating the phrase "how long can this bullshit go on? How LONG?". It seemed to me the bullshit wasn't ever going to stop. You either want an ultimate solution or you're willing to muddle along with the frustration endlessly. I wanted the ultimate solution, I've never looked back or regretted it for an instant. I've got over two years now with effortless (to produce a hardon), extremely satisfying sex I never have to entertain any anxiety about. It was the best decision I could've made. Do I like feeling tubes and a pump ball in my sack? Hell no, but I disliked a disappearing hardon even more. I wasn't put off by the fact that an implant forever negated any naturally occurring hardon ever taking place again. So what? The implant meant I'd have a hardon any time I wanted and always without any chance of a frustrating failure. The only thing that was ever "in my head" about it was the overwhelming need to have great sex again. Mission accomplished.



BRAVO! Well put!
Venous leak for sure! Using Super Quadmix, Injecting for over 2 1/2 years. Implant not available unless I pay Outta pocket. :

Greg1956
Posts: 1417
Joined: Sun Aug 06, 2017 8:35 am
Location: Atlanta, GA USA

Re: Is erectile dissatisfaction a reason to be implnated

Postby Greg1956 » Mon Sep 09, 2019 12:24 pm

I woke up with morning wood almost every day prior to implant surgery. I could maintain a hard dick as long as I was on my back and did not move. Even if my wife was on top, doing all the thrusting, I would lose hardness from that motion. Therefore none of the alternative treatments works for me and I was cleared for implant surgery. I was pretty much forced to try everything before that could happen. I am not sure if that is standard practice or if my doctor just wanted to know we tried it all before taking that big step.
I am 63 and had 30 years of ED. Implanted by Dr. Ronald Anglade in Atlanta on 9/18/17. I have an AMS LGX 18cm w/3cm RTE via a Penoscrotal incision. Currently 5 1/2”deflated and 6 1/2” inflated, with 5.5” girth.

Quester
Posts: 90
Joined: Mon Nov 19, 2018 9:10 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby Quester » Mon Sep 09, 2019 12:47 pm

ED also includes not being able to maintain an erection until satisfaction.
I tied it all before going to surgery and getting my bionic dick last week. It's really up to you to decide when you have had enough and go bionic
ED 20 years, Peyroine's Disease diagnosed in 2018, at 57 years I was implanted September 3rd 2019 at the Salt Lake City VA Medical Center, AMS700 CX 21cm x 12mm + 2cm RTE

DaveKell
Posts: 465
Joined: Tue Sep 04, 2012 7:39 pm
Location: Texas

Re: Is erectile dissatisfaction a reason to be implnated

Postby DaveKell » Mon Sep 09, 2019 12:55 pm

NeedleD wrote:
DaveKell wrote:My experience prior to being implanted was somewhat similar to you. I still occasionally had throbbing morning wood. If I was getting a blow job I could stay hard until the end. With tons of stimulation I could be ready for sex, but as soon as I's move my body slightly the hardon would disappear. The frustration caused a lot of issues between me and my wife. The situation wasn't improved with any of the pills or injections. I looked at it like this. There is an old Richard Pryor comedy routine where he kept repeating the phrase "how long can this bullshit go on? How LONG?". It seemed to me the bullshit wasn't ever going to stop. You either want an ultimate solution or you're willing to muddle along with the frustration endlessly. I wanted the ultimate solution, I've never looked back or regretted it for an instant. I've got over two years now with effortless (to produce a hardon), extremely satisfying sex I never have to entertain any anxiety about. It was the best decision I could've made. Do I like feeling tubes and a pump ball in my sack? Hell no, but I disliked a disappearing hardon even more. I wasn't put off by the fact that an implant forever negated any naturally occurring hardon ever taking place again. So what? The implant meant I'd have a hardon any time I wanted and always without any chance of a frustrating failure. The only thing that was ever "in my head" about it was the overwhelming need to have great sex again. Mission accomplished.



BRAVO! Well put!

THANKS! In my estimation, this is the best, most succinct comments I've ever made on this forum. I'll probably directly quote this in my next seminar.
Became DaveKell 2.0 on July 18th with Dr. Allen Morey in Dallas, TX. AMS 700 CX implant. 18cm with 5.5 RTE's.

David_R
Posts: 1860
Joined: Mon Nov 02, 2015 1:03 pm
Location: Northeast Maryland

Re: Is erectile dissatisfaction a reason to be implnated

Postby David_R » Mon Sep 09, 2019 3:42 pm

Quester wrote:ED also includes not being able to maintain an erection until satisfaction.

So true. Thank you for explaining this part of E.D.
Age 70. Prostatectomy in 2000. My urologist (for over 20 yrs) has been Dr. Marc Siegelbaum of Chesapeake Urology in Baltimore, and Chief of Uro. at Univ. of Md. St. Joseph Medical Center. I have LGX, and have regained my original length. Nice n hard!

GoodWood
Posts: 112
Joined: Sun Jun 16, 2019 1:07 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby GoodWood » Mon Sep 09, 2019 3:51 pm

I don’t think you are describing dissatisfaction. You don’t have a functional erection. That is disfunction.

Up until now trimix is giving me functional erections. My dose has been continually increasing. When I reach a point that my erections are no longer functional I’ll get an implant.

You may be there now. Only you (with your doctor’s guidance) can decide.

Wish you the best. Keep checking in to let us know how you proceed. It helps all of us who are on a similar journey.
51yo. Progressively worsening ED over 6 years. No HTN, DM, or related health issues. 20-40mg of Sildenafil or TriMix (30mg, 4mg, 40mcg) 25units. Doses have been increasing so staying open to the idea of an implant. Pumping daily to maintain size.

Lost Sheep
Posts: 2521
Joined: Mon Jul 04, 2016 11:16 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby Lost Sheep » Mon Sep 09, 2019 4:55 pm

I believe my situation was similar to yours:

For years, I could get an erection, but could not keep it without vigorous and sustained stimulation (hand, mouth or vagina).

As a result, I could penetrate my lover sometimes, but the stimulation required to sustain the erection quickly exceeded what produced orgasm, ejaculation and subsequent loss of the erection to a refractory period.

The "window" between the stimulation level required to sustain my erection and that level which would produce orgasm was narrow and continued getting narrower. Ultimately that window closed.

If I got close to orgasm, I could lessen the stimulation to prevent orgasm. But if I lessened the stimulation too much, the erection would collapse on its own, without orgasm. a couple decades ago, the length of time I could stay erect was seldom more than a minute.

So, there was a "window" of time where I could stay erect. Too much stmulation, and I would orgasm, triggering a collapse of the erection. Too little stimulation and the erection would collapse on its own. The range of stimulation (the "window") became narrower and narrower.

Before implant, the oral medications worked very well and expanded the window. But each one lost effectiveness over time. And the window narrowed again.

Constriction rings, alone or in conjunction with a Vacuum Erection Device (V.E.D.) could have worked but were very unsatisfactory.

Injections or penile suppositories would have been next, but discussions with my primary care physician and a couple of urologists suggested an implant was the best solution for me.

An implant is the best solution for many men, but it irreversibly forever destroys any and all future hope of a natural erection. You will be dependent on the implant for erections for the rest of your life.

Electing to implant a poorly functioning penis is similar to man electing to amputate a poorly functioning foot in favor of an artificial foot. He could choose the alternative - continue to limp on his natural foot keeping the hope for repair of his natural foot to full function. Or, a man could continue with a poorly functioning penis (made functional by reversible treatments like pills, VED with constriction rings or injections), keeping the hope alive for an actual cure for impotence/E.D.

The procedure preparing the penis for insertion of an implant is tantamount to "amputating" the erectile capacity of the corpus cavernosum, forever eliminating potential for new treatments that could possibly cure E.D. (gene therapy, etc). While these are over the horizon and not highly hopeful, they would be precluded by an implant.

(Like Geordi LaForge of "Star Trek: The Next Generation, who was blind but enabled to see by an appliance - his visor - even better than natural sight. Ultimately he preferred natural eyesight. Restoration of eyesight to LaForge (in the movie "Star Trek Insurrection") was possible. Restoration of erections to an implanted man is not, so be aware of that caveat. Do not chose implantation lightly.)

So, I urge you to explore the less invasive solutions available. If they do not work or are otherwise untenable for you, then consider implant. Also consider that other forms of sexual expression are available (cunnilingus and fellatio or marital aids are sometimes quite satisfactory in the long term or the short term).

Implant is the best treatment for impotence currently available, but is not a cure. It does make you forever ineligible for any cure that might come tomorrow.

Ultimately it is the route I chose, but only after fully considering (and rejecting) the other options.

Good luck to you.
Lost Sheep
Born 1948 AMS LGX 18+3 implant Nov 6, 2017 by Dr Tavis Shaw. Spent 14 months researching in effort to optimize outcome. After 30 yrs of progressive unrecognized ED I will do this RIGHT; no second chance with one's first.
Anchorage AK, USA


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