Implant Surgery A Bust

The final frontier. Deciding when, if and how.
Notgivingup
Posts: 78
Joined: Tue Aug 13, 2019 1:13 am

Re: Implant Surgery A Bust

Postby Notgivingup » Thu Jan 02, 2020 9:12 pm

Texas, ouch! I feel for you, brother. I’m sure we all are pulling for you and hoping for a successful resolution. Let us know how you are feeling and how this plays out. I hope the repair costs you no money.
69 years old. Implanted 3 Dec 2019 by Dr. Andrew Kramer, Baltimore, AMS 700 LGX, 21 cm + 2 cm RTE.

young_and_impotent
Posts: 215
Joined: Mon Apr 23, 2018 1:00 pm

Re: Implant Surgery A Bust

Postby young_and_impotent » Fri Jan 03, 2020 2:32 am

Did you feel your hardon getting softer as the leak was happening?
28 year old with severe lifelong ED.
Implanted in New Delhi on 26/12/19 with AMS CX (15x12) + 4cm RTE
Post op length 4.5 inches from ~ (5.5 to 6) inches. Disappointed!
Wish to have a revision to LGX some day.

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

Re: Implant Surgery A Bust

Postby stephen54 » Fri Jan 03, 2020 7:41 am

Texas75008 wrote:I was implanted with an AMS 700 LGX on November 11, 2019. I had a fair amount of pain and more so, discomfort, falling the surgery, but all of that mostly subsided in the many weeks subsequent to surgery. The last to subside was the pain in my scrotum which delayed attempts at cycling the device. About 2-3 weeks ago, the surgeon attempted to inflate the device for the second time post surgery, and was unable to do so. I was still a bit soar, so we waited until today to re-attempt, for what would now be the third time. The pump was working, the pain in the scrotum substantially less. Yet, the cylinders would still not inflate, essentially the same issue we had 2-3 weeks ago. The surgeon has been consulting with Boston Scientific/AMS (both several weeks ago, and then today while I was at his office). Based on the consultation, he made several successful attempts to reset the system, deflating the cylinders, returning any saline to the reservoir. Boston Scientific/AMS advised him that it was possible the reservoir had either folded over, or there was a leak in the system. He then did an ultrasound where he was able to measure the size of the reservoir, perform another reset, and yet another measure of the reservoir size. Shape of the reservoir was as expected, so no fold over. However, the reservoir is suppose to have 100cc of saline, and both times measured 67cc. I was able to see both my bladder and the reservoir on the ultrasound. The assessment is that there is a leak somewhere in the system. Surgery is a bust.

After much discussion, I will continue on with this surgeon and repeat the implant. He is in a large, highly regarded, urology group in the Dallas/Fort Worth area, and does about two of these a week, second only to one other doctor in that practice. He has also done a prior urology procedure on me, and I have not lost my confidence in him, despite this outcome. He is a solid individual, with impressive credentials and is a highly competent surgeon. I don't know whether the device was "nicked" during the original procedure, or, whether the device had a leak to begin with. When they suspect a device problem during surgery, they immediately go to a new device. In my case, where the leak was discovered post surgery, they will replace 100% of the device to ensure there are not any remaining leaks. He indicated recovery should be a bit easier, as the nerve damage done in the surgery has now already been done with the prior surgery. Nerves just don't regenerate that quickly.

Honestly, I have mixed emotions. This has been a tough recovery, made worse by an unsuccessful outcome. I have suspected for the last 2-3 weeks this might be the outcome, so I was not overly surprise today. I was both prepared and disappointed. Yet, my choice is to either (i) give up, or (ii) press on. I am choosing to press-on.

Next step is to get this scheduled (in about six weeks) and understand what insurance will cover. The first time through my out-of-pockets were minimal; I am on Medicare with a good supplemental policy, and had met all of my 2019 deductibles. Never in a million years did I see my 2020 spending coming into play, until today!


I'm so sorry for this experience you are having.

But I'm equally happy to see you orienting yourself toward the "choosing to press-on" mindset. And the high road, as you said. I trust you are going to look back at some point in the not too distant future, probably while you are having some amazing robo-sex, and really see this problem you're now in the midst of as, in the bigger picture, just a frustrating detour toward ultimately awesome things. Go forward man, get it done, stay positive!
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.

Texas75008
Posts: 21
Joined: Fri Nov 15, 2019 10:08 pm

Re: Implant Surgery A Bust

Postby Texas75008 » Sat May 30, 2020 4:00 pm

I posted the original post in this thread in January, 2020 and am remiss in following up. I had the revision surgery on February 18, 2020. Prior to the surgery, he was able to get the pump to work, but never consistently. We thus suspected a fault with the pump device itself. The surgeon only needed to replace the pump, which he also slightly relocated.

Recovery was far less painful than the original surgery in November, 2019. I didn’t need any pain medication. I waited about 6 weeks to begin cycling, and commenced to have sex a few weeks after that.

I am pleased to say the revision surgery was very successful! We are having sexual intercourse 3x per week and it is just awesome! No worries about loosing hardness, and plenty of opportunity to have long, intimate sex in multiple positions. I feel like I new man, many years younger. It’s nice to have sexual intimacy back in our marriage where we can “go all the way” (use your imagination)

My penis is a little shorter than I would like - I am hopeful that I will regain some length over time with the LGX. it can be mildly uncomfortable when cycling to 100%. Interestingly, I am never uncomfortable when having sex! And it gets more comfortable over time with regular cycling. I cycle when I shave and shower or when reading before bed (if it’s an off night!).

My only regret is messing with ED drugs, injections and vacuum pumps - I wish I had had the implant about 4 years ago when the ED drugs weren’t sufficient to result in a hard penis sufficient for sexual intercourse.

I will eventually get a report from Boston Scientific on the pump failure - it was not available because of furloughs caused by Covid 19, or so they say. Frankly, I am just delighted to have a working implant!

OregonStrong
Posts: 377
Joined: Mon Mar 02, 2020 10:15 pm

Re: Implant Surgery A Bust

Postby OregonStrong » Sat May 30, 2020 6:59 pm

awesome to hear, thanks for getting back to us on what happened and great success story!
50 yrs old. E.D. issues started around age 35, combo venous leak/testicular failure. Bilateral testicular implants for severely atrophic testes. Implanted 6/11/20 Dr. Kramer LGX 21cm + 1.

Old Guy
Posts: 2504
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Implant Surgery A Bust

Postby Old Guy » Sat May 30, 2020 7:45 pm

Great to hear you got things fixed, but what a bummer to have to do a repair so soon.
Isn't it great to have that confidence in the bedroom back?
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

68CatFan
Posts: 393
Joined: Fri Mar 27, 2020 12:58 pm

Re: Implant Surgery A Bust

Postby 68CatFan » Sat May 30, 2020 8:07 pm

Congrats Texas. I am very happy for you!!
Fifty-one years old. ED started at age forty. I took Cialis for eight years and used Trimix for almost three. Implanted 12/6/22 by Dr. Jonathan Clavell. AMS 700CX 21cm.

ViaSwiss
Posts: 602
Joined: Fri May 24, 2019 9:09 am

Re: Implant Surgery A Bust

Postby ViaSwiss » Thu Jun 04, 2020 2:45 pm

Congrats!

Glad that you stuck it through and now are in a better spot. I love seeing how many people say they wish they would have done this sooner!
Age 35. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky


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