I received a private message regarding some advice on whether or not it is time to get the implant and answered some concerns regarding issues with sensations and glans engorgement and angle. I worked hard on my answer, and i thought others on franktalk would benefit from reading this:
I've met with Dr xyz and we agree I'm a candidate. I'm still frankly scared of getting the surgery because we won't really know how good the outcome is until it's been done, and then there's no going back
If Dr xyz says that surgery is a reasonble thing to do, then that is good. I am quite biased in a positive way in favor of the implant since I had a fantastically good recovery and a fantastically good result. I wish I had done it sooner. However, I totally respect your point about being worried and agree that this is a "nuclear option which is irreversible". So, when it comes to penile surgery, you need to be in a desperate mindset -- meaning, you want to restore your penis so bad that you are willing to do anything to get there. If you are not yet that desperate, then yes, I understand your hesitation. Dr xyz also understands and knows that you will only come back when you "really really want it" which is the frame of mind that you need to be in. In a nutshell, if your life is crap because of your poorly functioning dick, then get the surgery. If your life is OK because of your OK functioning dick, then you are not yet bad enough to get the surgery.
I'm especially concerned about ensure I keep sensation, a full glans, and have a natural angle and hinge post surgery...basically I want to come away with what I had before the surgery, of course with having to pump.
Sorry brother, an implanted dick is not as good as a natural one (assuming the natural one can stay rock hard for 30 minutes). The reason implant is inferior to natural is that the glans does not engorge and because you will probably lose some length. If you have AMS brand of implant, you will lose girth as well (not the case with titan where you might gain girth), also the angle of erection might be 3:00 rather than 2:00 so you might not be as good at "hands free entry" as you are now. So, prepare now, you will not be as good as you were when you were 20. The analogy is a knee replacement. The natural knee is better: it is more flexible, more stable, has better shock absorbing capability and can self heal. But if you natural knee has such bad arthritis that you have pain with every step, the decision to accept the limits of the artificial knee joint are acceptable and justifiable. So, your dick needs to be a piece of crap now, and if it is, then you will be happy with the surgery. If your dick is "good enough for your lifestyle" then there is a real chance that you will be unhappy with the surgery (because of the glans issue, the length issue, the angle issue, the unnatural issue, and the 10 year longevity issue). Regarding sensation, I kept 100 % of sensation. With Dr xyz , sensation does not appear to be an issue (though, for first 9 months, I was a little numb on the underside of my penis. That is now fully healed and all sensation is back to normal)
With all that said, with your experience what would you do in my shoes? How long would you wait to have the surgery ?
a) I would wait to have the surgery until the day that I wake up and say to myself "my ED is so bad that it is causing me to be depressed and has risen to the point of becoming a negative obsession" Restating my other comments: "If your dick works good enough to keep your dating life intact and your mental state happy, then do NOT get the surgery"