Hopeful Implant Journal

The final frontier. Deciding when, if and how.
hopeful_future
Posts: 173
Joined: Thu Oct 31, 2019 7:58 pm

Hopeful Implant Journal

Postby hopeful_future » Sat Jul 25, 2020 10:35 pm

So, finally made my appointment, and I'll be seeing Dr. Karpman for an implant in about 3 weeks. I'm nervous as hell, but the resolve is there. To give a little context, I've had erectile problems all my life, tried damn near everything to fix it. I can get erections, sometimes really great ones, but cannot maintain them for intercourse without heroic doses of cialis, which is of course followed by 3 days of being stuffed up and terrible headaches. Even cialis works maybe 40% of the time (but the side effects are 100%). Trimix barely does anything, and it took several shots in the doc's office to get a 60% erection so they could do the ultrasound test, which showed mild-to-moderate veinous leak.

I have so many emotions about this. As a gay man, I could very easily have a satisfactory sex life as a bottom...I can orgasm, I look good, and I like my dick. But I've been in so many situations where I wanted to top, and had to deal with the utter frustration of not being able to perform, and I'm tired of it. Honestly, I think by the time someone is willing to jab a needle into their dick, they've got to be pretty desperate...And so I am risking loss of some natural function for the promise of utter dependability (provided the implant is in working order). So there's some guilt there, I guess.

But I wanted to share with the forum, because without people sharing here, I don't think I would have had the courage to move forward and remain hopeful. So I'll try to include as much information as I can.

I've been to Dr. Karpman for several appointments. He has done a stretch test and has tentatively sized me at 16cm, but mentioned that he measures during the surgery to ensure proper fit. His suggestion was to go with a Coloplast Titan. I admittedly was drawn to the AMS LGX because I do like having a flaccid penis at times, but my priority, especially for this first surgery, is to work with the best doctor I can find, and let them guide me. I will have a revision, assuming I live a normal lifespan. I can try an LGX (or whatever cybernetic solution they have by then) if I have complaints about the Titan.

I am an extreme grower...I'll attach some pictures that demonstrate this and attach them as "before" pictures, both flaccid and hard. I will definitely miss my highly portable shrinkydink, which was convenient for workouts and non-sexual situations. I worry a bit about how backpressure on the device during healing might affect things as the skin tries to get me back into my small flaccid state, but I think this is something that they've surely encountered before, and there's enough stretch for me to be erect. Who knows. I'll try to keep this updated at least for the first few weeks/months, and probably will return now and then to add more info and/or pictures.

I've been told that I should be able to return to work 1 week after surgery (at a computer desk), and workouts/sex about 3 weeks in at the earliest. I'm not setting my hopes on that timeframe, that seems really really short. Either way, I'm locked in, so whatever this ride is going to throw at me, I'm going to have to deal with that!

Wish me luck, folks!
Attachments
penis_flaccid.jpg
Before Pic: Flaccid
penis_flaccid.jpg (66.1 KiB) Viewed 2062 times
penis_erect2.jpg
Before Pic: Erect
penis_erect2.jpg (240.92 KiB) Viewed 2062 times
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

LuisFernandez
Posts: 51
Joined: Tue Jun 16, 2020 8:45 pm

Re: Hopeful Implant Journal

Postby LuisFernandez » Sat Jul 25, 2020 11:07 pm

Good luck, a good surgeon should keep your length. Make sure you hold them accountable to it. Based on an average 6cm to the crux of your pelvis you should be getting a 22cm implant.

From the picture it seems you may have some Peyronie's as i see some indentations. These should be fixed by the inflation of the titan implants, unless there's tough scar tissue.

In order to maximize your results I'd do aggressive traction (RestoreX) and VED (Somaerect, with small as possible cylinder) before surgery.

Traction you do 90 minutes total per day and VED you can do two times a day 20 min sessions each. Stop two weeks before surgery to make sure there's no cuts in the skin for the operation.

You would not do either traction or VED after implant as it's really risky and not worth it IMO.

EDIT: I see you're three weeks away from surgery, in that case just leave it alone and early cycling should be good. Best of luck.
Born 1986. Mild and worsening ED. Peyronie's. Post Finasteride Syndrome.
Considering an Implant. Consulting with Dr. Eid.
See my story: viewtopic.php?t=15016

RayChez
Posts: 237
Joined: Sat Mar 17, 2018 11:25 pm

Re: Hopeful Implant Journal

Postby RayChez » Sat Jul 25, 2020 11:44 pm

You will love the implant Fernandez. You will be telling yourself that you should have done that way back when you first started having ED problems. Best invention for men that suffer from ED.

Good luck!! After the surgery use plenty of ice packs to get the swelling down. That takes about a week or so for the bruising and swelling to go down. Do not try doing any thing too early. Let things heal up. There is plenty of time for sex. I have the LGX and I really like it. But on my first revision I rushed pumping it up and it opened up the incision. It scared the heck out of me. So let it heal completely before attempting stroking it or masterbation.
age: 75 First implant around 2001, 59 at the time. AMS 700 Ultrex
revision Dec 2016. 2ND implant 21CM, 1rte AMS 700 LGX MS pump

hopeful_future
Posts: 173
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Sun Jul 26, 2020 2:02 am

Thanks for the advice and encouragement. I can definitely say, my mind is very much on this, and it has been making it tough to concentrate on work. Makes corporate bullshit seem very unimportant when I'm thinking about upcoming surgery.
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

User avatar
Masonjames
Posts: 145
Joined: Sat Mar 16, 2019 3:54 pm
Location: Georgia

Re: Hopeful Implant Journal

Postby Masonjames » Sun Jul 26, 2020 2:40 pm

hopeful_future wrote:So, finally made my appointment, and I'll be seeing Dr. Karpman for an implant in about 3 weeks. I'm nervous as hell, but the resolve is there. To give a little context, I've had erectile problems all my life, tried damn near everything to fix it. I can get erections, sometimes really great ones, but cannot maintain them for intercourse without heroic doses of cialis, which is of course followed by 3 days of being stuffed up and terrible headaches. Even cialis works maybe 40% of the time (but the side effects are 100%). Trimix barely does anything, and it took several shots in the doc's office to get a 60% erection so they could do the ultrasound test, which showed mild-to-moderate veinous leak.

I have so many emotions about this. As a gay man, I could very easily have a satisfactory sex life as a bottom...I can orgasm, I look good, and I like my dick. But I've been in so many situations where I wanted to top, and had to deal with the utter frustration of not being able to perform, and I'm tired of it. Honestly, I think by the time someone is willing to jab a needle into their dick, they've got to be pretty desperate...And so I am risking loss of some natural function for the promise of utter dependability (provided the implant is in working order). So there's some guilt there, I guess.

But I wanted to share with the forum, because without people sharing here, I don't think I would have had the courage to move forward and remain hopeful. So I'll try to include as much information as I can.

I've been to Dr. Karpman for several appointments. He has done a stretch test and has tentatively sized me at 16cm, but mentioned that he measures during the surgery to ensure proper fit. His suggestion was to go with a Coloplast Titan. I admittedly was drawn to the AMS LGX because I do like having a flaccid penis at times, but my priority, especially for this first surgery, is to work with the best doctor I can find, and let them guide me. I will have a revision, assuming I live a normal lifespan. I can try an LGX (or whatever cybernetic solution they have by then) if I have complaints about the Titan.

I am an extreme grower...I'll attach some pictures that demonstrate this and attach them as "before" pictures, both flaccid and hard. I will definitely miss my highly portable shrinkydink, which was convenient for workouts and non-sexual situations. I worry a bit about how backpressure on the device during healing might affect things as the skin tries to get me back into my small flaccid state, but I think this is something that they've surely encountered before, and there's enough stretch for me to be erect. Who knows. I'll try to keep this updated at least for the first few weeks/months, and probably will return now and then to add more info and/or pictures.

I've been told that I should be able to return to work 1 week after surgery (at a computer desk), and workouts/sex about 3 weeks in at the earliest. I'm not setting my hopes on that timeframe, that seems really really short. Either way, I'm locked in, so whatever this ride is going to throw at me, I'm going to have to deal with that!

Wish me luck, folks!


I do wish you luck and the very best outcome possible. I am scheduled for an implant myself, on the 1st of September, and I'm feeling the jitters myself. I suppose that's normal when you contemplate the loss of natural function. It will be nice to have a good hard dick again. One the will stay that way until we get ready to make it soft again. Wish me luck also and keep the forum informed.

hopeful_future
Posts: 173
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Sun Jul 26, 2020 6:10 pm

Masonjames wrote:I do wish you luck and the very best outcome possible. I am scheduled for an implant myself, on the 1st of September, and I'm feeling the jitters myself. I suppose that's normal when you contemplate the loss of natural function. It will be nice to have a good hard dick again. One the will stay that way until we get ready to make it soft again. Wish me luck also and keep the forum informed.


Best of luck to you! I don't think anyone gets to this point without a lot of thought and weighing of options. Here's hoping things work well for both of us!
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

MK1965
Posts: 383
Joined: Thu May 24, 2018 5:32 pm

Re: Hopeful Implant Journal

Postby MK1965 » Sun Jul 26, 2020 7:04 pm

Hopeful,
You and I will have our surgeries just day or two apart.
I am scheduled for revision on 8.19.2020.
We can make it happen and we can pull through.
Wish you all the best.
MK
IPP 9/5/18; Coloplast TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED no usable erection,TRIMIX painful, BIMIX tolerable but ineffective,lost 2+ inches of length after RP
Revision on hold to insurance denial.

Depressed
Posts: 13
Joined: Mon Jan 02, 2017 1:13 pm

Re: Hopeful Implant Journal

Postby Depressed » Mon Jul 27, 2020 3:29 pm

First: congratulations for being so brave and fighting the erectile disfunction beast using the “heaviest sword”: the penile implant surgery. It is a hard path, but if all goes well, you’ll get your life back.
Second: Dr. Karpman is a good option if you cannot go to Eid or Kramer. There are also some videos on youtube showing his surgeries and he appears to be a skilled surgeon.
I hope you will update this journal. As you, I am an extreme grower and I have always asked myself what the outcome would be for people who are really short in flaccid state. I am considering an implant too but I have not found the courage yet to take this step. It’s a monumental decision. I wish you all the best for the surgery and stay in touch.
33 years old. Venous leak started at 21. Considering an implant.

hopeful_future
Posts: 173
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Mon Jul 27, 2020 7:17 pm

Depressed wrote:First: congratulations for being so brave and fighting the erectile disfunction beast using the “heaviest sword”: the penile implant surgery. It is a hard path, but if all goes well, you’ll get your life back.
Second: Dr. Karpman is a good option if you cannot go to Eid or Kramer. There are also some videos on youtube showing his surgeries and he appears to be a skilled surgeon.
I hope you will update this journal. As you, I am an extreme grower and I have always asked myself what the outcome would be for people who are really short in flaccid state. I am considering an implant too but I have not found the courage yet to take this step. It’s a monumental decision. I wish you all the best for the surgery and stay in touch.


Interestingly, it won't be really getting my life back, since I never had much function in the first place. Though enough meds got me where I needed to be sometimes. The idea of being able to use my dick without a raging headache to go along with it is a really nice one!

And of course I'm nervous as hell, but barring major major problems (nerve damage or some other catastrophic failure), I will be in no worse a state than I'm in right now...If I'm a little shorter than I was, or if I can't penetrate as well as I hoped, it's not like I will suddenly not be able to fuck. I already can't fuck, so not a ton to lose, in my opinion!

I'm probably most frightened of the catheter they are going to put in for the operation. Trying out muse (urethral suppository for alprostadil) was one of the most painful experiences in my life. My urethral opening is pretty small. Other than that, I'm a medical nerd, so I had absolutely no issues watching the surgery performed by Dr. Karpman...I think it actually encouraged me!
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

hopeful_future
Posts: 173
Joined: Thu Oct 31, 2019 7:58 pm

Re: Hopeful Implant Journal

Postby hopeful_future » Mon Jul 27, 2020 7:18 pm

MK1965 wrote:Hopeful,
You and I will have our surgeries just day or two apart.
I am scheduled for revision on 8.19.2020.
We can make it happen and we can pull through.
Wish you all the best.
MK


Thanks! Literally 1 day from mine! Best of luck and quick healing to you!
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.


Return to “Implants”

Who is online

Users browsing this forum: C_lab34, Google [Bot], jamesmercer, Josephette, Majestic-12 [Bot] and 29 guests