Dr’s experience

The final frontier. Deciding when, if and how.
newbie443
Posts: 1841
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Dr’s experience

Postby newbie443 » Sat Nov 30, 2019 4:02 am

Those answer's are not anything that would cause me concern. We all are different and have different issues to deal with. The only thing I might have asked is given your 2" loss of size from 95 to 19 is if VED or other stretching might have helped prior to surgery. But your problems may not have permitted that.

When I talked to my doctor I told him I wanted either a Titan or LGX but would leave the choice to him. He said LGX. But I have read that like the pre stretch length that things can change when you are opened up and the doctor see's what is there. So that was on my mind a bit going into surgery. Just what the doc would find. Sounds to me like he did what he thought was best for you and you are very close to your pre op length and a bit over your pre op girth. I also have lost size from my prime years. There is nothing I can do about that now. But the last almost 2 years have been really good for me. Once I made the choice to have the surgery I was a different person. I have that part of me back again.

keep up your cycling and best of luck to you going forward with this.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Dr’s experience

Postby Waynetho » Sat Nov 30, 2019 4:56 am

newbie443 wrote:Those answer's are not anything that would cause me concern. We all are different and have different issues to deal with. The only thing I might have asked is given your 2" loss of size from 95 to 19 is if VED or other stretching might have helped prior to surgery. But your problems may not have permitted that.


I did ask him about VED use and he told me that it might help and it wouldn't hurt to try. I used the VED 2-3 times a day for 15-20 minute at a time and it brought me back from 4" to just at 5" but I couldn't regain anymore. I started pumping around July 4 of this year and I was right at 1" in gains by mid-September when I stopped pumping because I was no longer getting anymore improvement. I also stopped because I knew my implant surgery was only about a month away and I didn't want to injure myself and risk missing out on the surgery. One inch in two months though wasn't too bad.

Also, I wasn't using a medically approved VED devices. They were purchased at a local adult toys shop. Mojo Momentum was the first, then I also got a LeLuv 2.125" diameter cylinder and a vacuum pump with gauge off of Amazon. I dabbled in tension rings but they aren't needed for vacuum therapy, only for if I was attempting intercourse after I used the vacuum.
Last edited by Waynetho on Sat Nov 30, 2019 11:56 am, edited 1 time in total.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

stephen54
Posts: 481
Joined: Sun Nov 10, 2019 11:43 am
Location: Chicago

Re: Dr’s experience

Postby stephen54 » Sat Nov 30, 2019 6:53 am

Be dubious of anything and everything you hear or read from medical device manufacturers. I say this as a guy who works in the medical device industry. Separate marketing prowess and an industry referral list in your mind from clinical acumen.

I think the truth really is - it is not easy to know and to make surgical decisions. And it shouldn't be easy. I don't think most people undergoing (most) surgeries really prepare by seriously educating themselves on the medical situation at hand, on the surgical options, pros, cons, and also by being steadfast and tenacious asking very focused, very pointed questions of the surgeon. And expecting and receiving detailed, forthright answers. And if you don't get a patient, thorough, forthcoming and transparent response to your questions....then that's not...your...surgeon. Or shouldn't be. I have worked with physicians all my life and the unfortunate reality is that, regardless how prepared many patients think they will be going in, they frequently let up, relent, give in, and just sort of ultimately let go and let the surgical process unfold around them. Trust is fine. But at least for me, I am looking for a physician who has clearly, demonstrably earned that trust over and over and over and over and over. There's a really small finite community of physicians who have performed penile implants by the thousands of patients and over a long period of time. Crazy short list. I started with that list and exhausted myself calling them, asking focused questions, etc. I invested a lot of time having a lot of tough conversations with physicians who (and this is just a reality to be dealt with) didn't always want to spend the amount of time I wanted getting interrogated. These are guys with egos and they overwhelmingly are not accustomed to a layperson/patient grilling them in a focused way. But you just have to. And having said that - for sure, procedural volume in and of itself is not a sufficient measurement, at least not for me. But it is a really relevant consideration, too. For me, I wanted a surgeon who had seen absolutely fucking everything in the OR, a ton of times, and over a ton of years. That was my starting point, anyway.

I agree so much with the other guys who questioned the 80% success rate statement. That could be viewed as utterly and flamboyantly incompetent, but again, it all depends on the metric. What are we actually assessing and measuring? If an interventional cardiologist had an 80% success rate placing coronary stents into arteries (as defined simply by the stent opening the blockage in question and the patient going home that afternoon) at only 80% he would be laughed out of his profession. But if 80% of his stented vessels remained open at 10 years? Arguably a highly successful and competent reputation.

Arm yourself, ask hard questions, and when you think you have enough information you probably still need to force yourself to dig deeper! One guys' opinion at day 13 post-op, anyway!
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.


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