What type of anesthesia is used for this surgery?

The final frontier. Deciding when, if and how.
Notgivingup
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Joined: Tue Aug 13, 2019 1:13 am

What type of anesthesia is used for this surgery?

Postby Notgivingup » Fri Nov 29, 2019 10:53 pm

Just wondering what type of anesthesia has been used in your implant surgery. Local, IV sedation, general or other?
69 years old. Implanted 3 Dec 2019 by Dr. Andrew Kramer, Baltimore, AMS 700 LGX, 21 cm + 2 cm RTE.

newbie443
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Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: What type of anesthesia is used for this surgery?

Postby newbie443 » Sat Nov 30, 2019 3:05 am

Mine was general.
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.

oneperson
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Joined: Tue Oct 22, 2019 10:54 am

Re: What type of anesthesia is used for this surgery?

Postby oneperson » Sat Nov 30, 2019 4:55 am

Mine was epidural plus deep sleep.

General anesthesia gets your muscles (all of them) completely relaxed, so you need breath mechanical assistance, because your intercostal muscles cannot move to make the breaths. Deep sleep makes you unconscious but your muscles can move, so you don't need breath assistance. Is more dangerous general than deep sleep.

But because deep sleep let your muscles move, the epidural is neccessary, to inmovilice the half down part of your body. It is much less dangerous, wake up is easier, and for penile implant, epidural has de advantage that the blood falls to the pennis in a similar way of an erection, so it is easier for surgeon size your implant correctly.

The order, however, is the opposite: epidural is used because of its advantages, and then, in order the patient don't feel anything, don't move, don't be afraid, they get him unconscious.

I think they use epidural + unconscious it they can. Only general when its impossible the other way.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

GoodWood
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Re: What type of anesthesia is used for this surgery?

Postby GoodWood » Sat Nov 30, 2019 8:39 am

Although I work in this field I am not your doctor so the following is not personalized medical advice. Talk to your implant surgeon and anesthesia provider for more information.

Having said that:
Implant surgery can be done under general anesthesia or regional anesthesia.

With general anesthesia a variety of medications and anesthetic gases are used to get you off to sleep (and keep you asleep throughout). When the surgery is coming to an end they stop the medications or anesthetic gases and you wake up. Pain medication is given during the surgery, while you are asleep. When you wake up you should be pretty comfortable.

With regional anesthesia (spinal or epidural) local numbing medication is injected into the fluid that circulates around the spinal cord making a region of the body numb. You could be wide awake and you would not feel the surgery. That area of your body would be completely numb. You wouldn’t feel it at all. But typically sedation medication is given to reduce anxiety and relax the patient. Quite often enough is given that people sleep throughout the procedure.

So what kind of anesthesia would I get? Whichever kind is preferred by my surgeon. THAT is the person you want happiest in the room. You want a GREAT outcome so make sure he/she has their preferred work environment.

Caveat: get medical advice from your doctor.
55yo, NYC. ED started at 40. 50 units BiMix + Atropine (Pap 30/Phen 6/Atr 0.2). Prostaglandins caused aching. Doses increasing. A cock ring helps. Phallosan Forte tension devise to maintain size. Eager to talk about implant experiences.

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rdnkbiker
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Re: What type of anesthesia is used for this surgery?

Postby rdnkbiker » Sat Nov 30, 2019 8:55 am

Mine was epidural only way my doc would do which I was thankfull he said should also give pain relief for 3 days and he was right helped those first few days but like Goodwood said your doc will make that call seems they all have there method
Jim
HBP since my 20s Full ED i was 55 when i received my implant January 17th 2017 sever scare tissue through corpora cavernosa clear to the glands (no blood flow) complete revision new equipment july 10th 2023 AMS CX 21cm by DR.William Brant very happy

Waynetho
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Location: Dallas, TX

Re: What type of anesthesia is used for this surgery?

Postby Waynetho » Sat Nov 30, 2019 3:09 pm

Notgivingup wrote:Just wondering what type of anesthesia has been used in your implant surgery. Local, IV sedation, general or other?


My anesthesiologist said he would be using Propofol just to put me under and then a different sedative to keep me under.

I don't know for a fact about local anesthetic but from EVERY surgical video I've seen on Youtube before I received the implant surgery, the surgeon ALSO used a local (Lidocaine), liberally applied in various areas prior to each part of the procedure. This means that even though the patient is out either by sedation, general, nerve block, etc, there will likely be liberal doses of Lidocaine applied by needle in and around the scrotum, corpora, penis, etc. My theory is that it whereas the general and sedation stop the brain from registering pain, pain reflexes still exist in the local tissues.
The local (Lidocaine), even when the patient is already under, prevents spontaneous pain induced reflexes in the local tissues.
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

Waynetho
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Location: Dallas, TX

Re: What type of anesthesia is used for this surgery?

Postby Waynetho » Sat Nov 30, 2019 3:13 pm

rdnkbiker wrote:Mine was epidural only way my doc would do which I was thankfull he said should also give pain relief for 3 days and he was right helped those first few days but like Goodwood said your doc will make that call seems they all have there method
Jim


Jim, does that mean you were conscious during the surgery or did they induce some sort of twilight sleep or other sedative method to keep you unaware of the goings on in the OR?
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

Toronto67
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Re: What type of anesthesia is used for this surgery?

Postby Toronto67 » Sun Dec 01, 2019 1:00 am

It will depends on your health and the Doctors assessment, in my case it was general.
Born 1967, diagnosed with prostate cancer in 2016, prostatectomy performed in 2018, current PSA 0.10, implanted with LGX 700 on Jul 2019.

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rdnkbiker
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Re: What type of anesthesia is used for this surgery?

Postby rdnkbiker » Sun Dec 01, 2019 7:16 am

I was asleep the whole time with mine or at least I don't remember anything 5hours worth my surgery wasn't typical but didn't know that going in( surprise) lol I did wake up in my bed not a recovery room my doc makes you stay the night with the type of epidural they do I know they draw on your back before it all starts im sure someone more medical savy can explain
Jim
HBP since my 20s Full ED i was 55 when i received my implant January 17th 2017 sever scare tissue through corpora cavernosa clear to the glands (no blood flow) complete revision new equipment july 10th 2023 AMS CX 21cm by DR.William Brant very happy

BmorePaul
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Re: What type of anesthesia is used for this surgery?

Postby BmorePaul » Tue Dec 03, 2019 5:25 pm

I had general anesthesia.
47 with ED for years. Viagra/Cialis no change. Trimix worked, but painful erections and inconvenient. AMS 700 implant CX, 21 cm + 1.5 cm RTE, 10/22/2019, Andrew Kramer

https://youtu.be/N-N2mGWWEOg


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