Is erectile dissatisfaction a reason to be implnated

The final frontier. Deciding when, if and how.
BeardedMan
Posts: 27
Joined: Thu Apr 25, 2019 8:35 am

Re: Is erectile dissatisfaction a reason to be implnated

Postby BeardedMan » Mon Sep 09, 2019 5:41 pm

Lost Sheep that was a GREAT answer.

I just want to add that although after implant you can not get a natural erection, I am finding (after 4 weeks) that I do have some reaction even without using implant. It's not enough for intercourse but it is for masturbation. If you have some natural reactions you may keep those post surgery. A fella I know lost his ability after cancer treatments killed them in his case there's nothing without the implant. Basically the message is that for each it's a different journey and only you can know when you're ready to take this step. I simply couldn't continue to stick myself with needles. I'd been doing that for almost 20 years.

None of that negates what Lost Sheep wrote. It's not reversible so all of the other solutions (pills, VED, trimix, alternative activities) should fall short in your head. Surgery is a last option in most all circumstances.
61 yo gay married; ED since 2000. Retooling on 8/8/19 by Dr Andrew Kramer. Titan 22cm plus 1cm extender.

Lost Sheep
Posts: 2397
Joined: Mon Jul 04, 2016 11:16 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby Lost Sheep » Mon Sep 09, 2019 6:34 pm

BeardedMan wrote:Lost Sheep that was a GREAT answer.

I just want to add that although after implant you can not get a natural erection, I am finding (after 4 weeks) that I do have some reaction even without using implant. It's not enough for intercourse but it is for masturbation. If you have some natural reactions you may keep those post surgery. A fella I know lost his ability after cancer treatments killed them in his case there's nothing without the implant. Basically the message is that for each it's a different journey and only you can know when you're ready to take this step. I simply couldn't continue to stick myself with needles. I'd been doing that for almost 20 years.

None of that negates what Lost Sheep wrote. It's not reversible so all of the other solutions (pills, VED, trimix, alternative activities) should fall short in your head. Surgery is a last option in most all circumstances.

BeardedMan, you are quite correct. Sometimes (but it is rare) it is possible to get an erection (perhaps by means or residual corpus cavernosum, if the surgeon has left it and blood flow intact - difficult, thought) and most of the time engorgement of the corpus spongiosum remains as it was before the implant. Spongiosum engorgement may be more noticeable in the absence of cavernosum activity, but that is just my speculation.

There was one study wherein about 50% of the studied cohort of men (implanted with a tissue-sparing technique) actually gained some erectile ability and one was able to achieve penetration on at least one occasion without pumping up the implant. I speculate this was due to the implant partially fixing venous leak, but the study did not go that far.

So, you are right. Spongiosum engorgement can bestow warmth and fullness just as before the operation. Maybe some firmness, too, but it is not to be counted on because it is fairly subtle if it occurs at all.

My post was long enough as it was. I did not want to make it any longer by mentioning peripheral facts. But thanks for bringing those up.
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

SW0110
Posts: 240
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Is erectile dissatisfaction a reason to be implnated

Postby SW0110 » Tue Sep 10, 2019 10:39 am

If I had found a doc who said they could have given me back my natural pre ed erection with some type of viable and legitimate surgical procedure I would have done it.

I do not believe you should jump into any surgery first though. First step is to take a good hard look at yourself and see if lifestyle changes could fix it. Ie. Drink, drugs, overweight, unhealthy diet, etc.

I like good bourbon but usually in moderation. Exercise regularly. No meds. Mine started like a light switch. One day fine next not. So I knew mine had some reason. Once I found a doc who diagnosed a cause rather than just old, I made the decision to go for implant. At 57, i am not wasting any more years sexless. I might be sexless for any number of reasons but if there is a surgical procedure that can fix it, i am fixing it and moving forward. If my wife and I now want to and we both feel like it we do.

Now if she says how about a blow job at night while watching tv. I just pump it up sit back and enjoy. Prior to implant, answer was probably no and she offered less.

I see no downside to implant at all.
Central KY. Fell around 2.5 yrs ago on the boys. ED, venous leak, and Peyronies developed since. Implanted March 7, 2018, Dr. Kevin Campbell, Cincinnati, OH. Titan was used due to 30 to 35 degree curve. 18 plus 1. Excellent experience so far. Happy so far

DaveKell
Posts: 435
Joined: Tue Sep 04, 2012 7:39 pm
Location: Texas

Re: Is erectile dissatisfaction a reason to be implnated

Postby DaveKell » Tue Sep 10, 2019 11:39 am

SW0110 wrote:
Mine started like a light switch. One day fine next not. So I knew mine had some reason.


Mine came on also light a bolt out of the blue. My wife and I booked a B&B for a weekend to celebrate our 20th anniversary. I was also nearly recovered at the time from the 12th surgery on my intestines. I got suspicious in the evening when I noticed I wasn't responding as I normally did to thoughts about sex. I had my first total failure that night, first ever in my life. I was devastated. When it happened the second night I nearly was berserk and inconsolable. My wife said it was probably because I wasn't recovered enough from the surgery where my sigmoid colon was removed (the last loop of the large intestine). I knew it was something else. Years and years passed with me in a hopeless downward spiral of no self esteem or confidence. None of the available meds ever helped as well as injections being of no use. It wasn't until my urologist reviewed my surgical history and he asked me "how long after the sigmoid colectomy did your ED start?". When I said immediately he informed me a high percentage of men who have that surgery end up with ED that won't respond to any treatment. I was livid that the surgeon who did that to me never mentioned that outcome possibility, but too much time had passed to initiate a malpractice suit against him. He was one of those cavalier "I'm a great surgeon, let's do this!" type of doctors. It turned out I had been a great candidate for an implant for many years.

I had one more obstacle to overcome after I was cleared for sex after being implanted. A few weeks later I wanted to say to my wife something like "aren't you glad all your resentment towards me for the way I've become distant and withdrawn during the years of ED magically evaporated after I could have sex again?". Of course, women aren't wired like that. It's like I had to start over building a relationship with her again. The first few weeks of sex were like when we first met. She was a virgin, 7 years younger than me. I realized right away she was hopelessly in love with me. At 25 years old, I finally began thinking about marriage and proposed to her a scant 3 months later. I departed from years of successful womanizing to settle down with just one and have never regretted once the decision. I was still baffled by how she wasn't as over the moon as I was at our ability to make love again. She finally told me how I'd acted for years that eroded our relationship. I had a choice. I could take my new found capability on the road and start over with someone else or put in the work rebuilding with my wife. I realized what I had in a woman who stayed with me all that time, continued to care for me, and lived with my lack of enthusiasm for life. Two years later we're in great shape and she always accompanies me to the seminars I speak at with urologists for men who are looking for solutions to ED. She connects with the wives/girlfriends in attendance and answers some downright personal questions they throw out. It's funny but the main concern that keeps coming up with women is "does it feel the same?". I've seen guys ask that repeatedly on this forum. My wife's forthright assurances to them has brought smiles to the faces of a number of women. Yep, I have a real keeper.
Became DaveKell 2.0 on July 18th with Dr. Allen Morey in Dallas, TX. AMS 700 CX implant. 18cm with 5.5 RTE's.

merrix
Posts: 824
Joined: Tue Oct 27, 2015 1:08 am

Re: Is erectile dissatisfaction a reason to be implnated

Postby merrix » Wed Sep 11, 2019 4:29 am

QuestionGuy wrote: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 was like you describe as well. Out of 10 times I had sex, I could penetrate 9 or 10. But never without working for it. I either had to put in right away as soon as it got hard, and sometimes it never got hard enough by itself. Less than half the times. Or I had to get help with oral from my partner and then quickly move into position and stick it in.
Once inside, I could most of the times finish, let's say 7-8 of 10. 2-3 times it would go down before I could come.
And this meant I normally went on like a rabbit for a few minutes which wasn't very good for the receiver...

So should I have fallen in the category of Ereictile dissatisfaction as well, and not have gone on with my surgery? Hell no.
I remember asking my doc about this. Was my ED not bad enough for an implant? Was it only for those with complete ED who could never penetrate, never come?
According to him, definitely no. It was definitely for me. And in my case he was right.

I actually discussed this issue with my wife the other night. She is super happy that I did the surgery as well. For the same two reasons as I am myself.

1 - Yes, of course, we have better sex now. We take our time before intercourse (if we want to), and sex lasts longer (when we want to). Both of us always orgasm, and we simply enjoy it more.
2 - None of us have to think about this crap called ED anymore. It used to be a mix of excitement and anxiety before sex in the past. None of us wanted my crap-dick to fail. Of course, because then there would be no sex. But mostly because of the disappointment that always would come with the failure. And my wife suffered with me. She almost started to avoid sex just to avoid putting me in that situation of disappointment and shame. Now it is all different. All that anxiety is gone, and sex is just fun and pleasure. It will always work.

I am 100% sure that if I hadn't done the surgery, I would be in a much worse place now than I was just before I did it. Of course, as time goes by, my ED would probably just have kept getting worse. But I am also pretty sure that by time, heavy problems would have popped up. With our marriage, with my general happiness and enjoyment of life, etc.

A man (or very, very few at least) cannot go through life feeling like a loser in bed all life. It will eventually and definitely have some impact on other apsects of life.

So I would say "Erectile Dissatisfaction" is, when defined with realistic benchmarks, definitely a good reason for an implant.
Just know what you are getting in to.
You will have a plastic prosthesis in your dick and a manual pump in your scrotum.
The getting hard process is not like it is for a man without ED.
You will have to pump your dick up, you cannot hide it for every woman for the rest of your life.
Sometimes you will (probably) end up in an awkward situation.
But every time you will have a dick that is ready to go as long as you are.
Every time you will be able to satisfy your partner. If you don't, it has nothing with your dick to do.

And what is more awkward by the way?
Picking up a sexy girl who is turned on by you, getting her home, getting her in bed, and after 1 minute your dick goes down. She gets dressed and goes home and you lie there starring in the ceiling.
Or you get that same girl home, you pump your dick up in the shower before you walk out in the bedroom with a raging hardon and enjoys sex for as long time as you want, take your time and give here sex with the hardest, most durable dick she ever encountered.
And maybe in the process of doing so she will feel your pump and you will come up with some explanation. But is that more awkward than the first scenario?
Of course not.

So the downsides of an implant are irrelevant when comparing to ED. It is no point comparing the implant to a pornstar dick. Becuase we don't have one. Will never get one.

I am closing in on 4 years now and I am still amazed how well it works. So is my wife.
It has literally changed our lives and maybe saved our marriage.

Good Luck.
43 yo, ED forever from VL
Fit and active
Implanted 151215
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

Lost Sheep
Posts: 2397
Joined: Mon Jul 04, 2016 11:16 pm

Re: Is erectile dissatisfaction a reason to be implnated

Postby Lost Sheep » Wed Sep 11, 2019 11:56 am

merrix wrote:
And what is more awkward by the way?
Picking up a sexy girl who is turned on by you, getting her home, getting her in bed, and after 1 minute your dick goes down. She gets dressed and goes home and you lie there starring in the ceiling.
Or you get that same girl home, you pump your dick up in the shower before you walk out in the bedroom with a raging hardon and enjoys sex for as long time as you want, take your time and give here sex with the hardest, most durable dick she ever encountered.
And maybe in the process of doing so she will feel your pump and you will come up with some explanation. But is that more awkward than the first scenario?
Of course not.

So the downsides of an implant are irrelevant when comparing to ED.

Very well put, Merrix.
There is a third alternative. Some time in the "picking up" process, you tell her.

How to accomplish that can be tricky, though. (This applies whether or not you have an implant, take injections, pills or even use a constriction ring with or without V.E.D. or are completely impotent). For example, "My penis is not your usual. But I can get you to orgasm nevertheless and I promise you satisfaction because..." My penis doesn't work, but my tongue is a cunning linguist. I am enhanced by medical means. Or you could just reveal one of the t-shirts in this thread

viewtopic.php?f=6&t=12167
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

radioradio
Posts: 996
Joined: Tue Aug 09, 2016 2:44 pm
Location: Philly Burbs

Re: Is erectile dissatisfaction a reason to be implnated

Postby radioradio » Wed Sep 11, 2019 3:31 pm

Wow!

Dave, Merrix, Lost, and others....
Great posts. Great insights. (As usual)
Thanks
Born '52. Married '79. RALP 3/1/17. ED 50+% prior to surgery even w/ meds. VED, Injections, ineffective. Considering implant even before PCa diagnosis. Dr. Kramer 8/2/17. LGX 21cm+0.5 RTE. Kramer replaced/repositioned pump 12/13/17. Willing to Show/Tell.


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