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

Mine was general.

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.

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.

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

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.

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?

It will depends on your health and the Doctors assessment, in my case it was general.

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

I had general anesthesia.