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Nineteen years ago, I took a five-week bike trip at age 32. Ever since midway through that trip, I've suffered from ED.

Over the years, I sought help from PCP's, counselors, urologists, a heart specialist, and a neurologist. The neurologist ultimately concluded that I'd damaged my pudendal nerve while on my bike trip.

For years until February of this year, I've lived in a state of resignation. I've relied on Levitra and a cock ring to get erections, so I can have sex. But the effectiveness of the drug has decreased, so now I'm only able to sometimes maintain an erection in a couple of positions while having sex.

My ED has had devastating effects on me, my wife, and our marriage. Things were really bad between us last winter, so I sought out a urologist who specializes in ED, hoping he might have some new suggestion for me. He told me about penile implants.

I couldn't believe what he had to say. I was energized. Finally, I could return to a sex life like I'd had 20 years ago. So, between the pandemic and wrangling with insurance, it took until August to get surgery for the implant approved by my insurance company.

My surgery is scheduled for the end of October, and I have my pre-surgery meeting with my urologist in early October. I have a lot more thoughts to share, and some questions based on what I've read here. But this is the start to my story.

Time2Change

Your life is about to change! Give it time and you will love your new bionic cock. Had mine in a January 2020. Great results! Feel free to ask any questions you may have.

You really should make a list of questions to ask the doc.
There are many, but some are:

Implant model to use.
Type of incision, infra-pubic or peno-scrotal.
(sorry about the spelling)
Use of RTEs

Do a lot of researching here for other questions to ask.

Your Urologist diagnosed nerve damage. Another possible cause of E.D. from bicycling is damaging the arteries that supply blood to the cavernosum

Has your urologist ruled out such damage? Such damage is repairable with an arterial graft, much less invasive surgery. I expect a simple non-invasive doppler test would tell the tale.

Implantation is generally understood to be a last resort after all other efforts have failed. The implantation procedure renders you essentially impotent but for the implant continuing to work.

https://en.wikipedia.org/wiki/Penile_artery wrote:
The penile artery (also known as the common penile artery) is the artery that serves blood to the penis.

It is a terminal branch of the internal pudendal artery, along with the scrotal artery.

It subdivides into three arteries, the bulbourethral artery, the dorsal artery of the penis and the cavernosal artery.

The penile artery is susceptible to trauma. Impact to the groin causing damage to the artery may cause erectile dysfunction in young men. In select patients surgery may correct erectile dysfunction.

Noteas,

Thank you for the encouragement.

One question I have is about relearning how to be sexual again. I'm not romantic anymore. I don't know how to flirt anymore.

What are people doing to change behavior now that they can follow through easily?

Noteas,

Thank you for the encouragement.

One question I have is about learning how to be sexual again.

I'm not romantic anymore. I don't flirt anymore. What are people doing to change their behavior, now that they can follow through in bed?

tomas1,

Thank you for the suggestion.

I have spent a fair amount of time reading posts here.

I'm assuming my urologist will use a Coloplast because he gave me a brochure on that brand. I believe he will use the infrapubic technique because he's co-authored a paper on it.

What are RTE's?

Lost Sheep,

Thank you for the information.

It was a neurologist, over 10 years ago, that came up with the diagnosis.

This is the third urologist I've brought this problem to. I also saw a cardiovascular doctor. None of them suggested damage to the artery, even though all of them knew my history.

I will ask the doctor in my meeting.

Make sure to ask your surgeon all the questions you want to know about, size, healing, precautions, etc. No question is dumb when you haven't been through this. Wish I would of found FT before my implant and not 5 months after.

As far as getting romantic you'll get back in the groove once you realize nothing will stop you from completing the task. For me and my wife things were going downhill in the sex department too fast when I couldn't hold an erection. She doesn't like a fake penis (dildo) either, so that really killed all sex between us for a while. Once I healed she couldn't wait for our first time. From there I just went back to my old ways, always horny and wanting sex. Romance is just part of the game we men play to get some. "Just be nice" is my motto now. Treats for her, back rubs, foot rubs, what ever it takes.

Time2Change wrote:What are RTE's?

RTE Rear Tip Extender. Since implants are incremented at 3 cm increments (e.g. 15, 18, 21 cm, etc) it is necessary to get a more precise fit to apply shims or adjusters to accommodate in-between sizes of men's tunicas.

There is a glossary up top in the forum defining a lot of terms we commonly use here. General Discussion / Acronym List

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