Any Other Wives Initially Against an Implant

[jeb6294]

I suppose I’m getting a little bit ahead of myself because I still need to see what they have to say at my appointment on Thursday, but when I initially brought up what I was told at my last appointment at the urologist, my wife was not in favor of an implant at all.

It’s the first time it’s really come up, but she still believes my issue is all mental. The urologist put me on 5mg daily Cialis and I’ve taken up to 200mg of viagra on top of that and still only managed to get to half-mast. There a new specialist at the urology office who recently came from the Cleveland Clinic who I have my appointment with. I talked to him briefly at my last appointment and he seemed to think that if that much medication isn’t working, it’s more than a mental issue. He said I may need to try the injection before insurance would sign off on an implant. I’m at the end of my rope so if I need to go with the injection that’s what I’ll do, but I worry about all the issues that I’ve heard go along with the injections.

[tomas1]

I also went to injections when the pills stopped working.
I got 4+ years from the injections and suffered no ill effects from it.

My wife told me I should have got the implant 20 years ago.
Not having Medicare would have had to influence that decision though.

[notaes]

I used the injections for FOUR years and all the sudden I developed hard places on both sides of my penis. Finally injections were not an option as I had no where to inject! Finally decided I should go via route of implant. My regular Urologist had suggested I needed the implant eight months before. I refused to listen to him kept using injection and finally had to stop because I had no where to inject as former inject places just felt hard as a rock. Went straight to implant. Hindsight I should have stopped and listened but had to get implant straight in my head Before I could have surgery on my cock. All is well now as I finally got implant.

[Lost Sheep]

I suppose I’m getting a little bit ahead of myself because I still need to see what they have to say at my appointment on Thursday, but when I initially brought up what I was told at my last appointment at the urologist, my wife was not in favor of an implant at all.

It’s the first time it’s really come up, but she still believes my issue is all mental. The urologist put me on 5mg daily Cialis and I’ve taken up to 200mg of viagra on top of that and still only managed to get to half-mast. There a new specialist at the urology office who recently came from the Cleveland Clinic who I have my appointment with. I talked to him briefly at my last appointment and he seemed to think that if that much medication isn’t working, it’s more than a mental issue. He said I may need to try the injection before insurance would sign off on an implant. I’m at the end of my rope so if I need to go with the injection that’s what I’ll do, but I worry about all the issues that I’ve heard go along with the injections.

Yep, if the holders of the "keys to the kingdom" (the money) says you have to jump through the hoops, you have to jump through the hoops. I was lucky to get my primary care physician on my side (because I impressed him with the knowledge I had gained from extensive research) about E.D. and its treatments (from pills, to suppositories to injections, to implants) and several years of diminishing results from the pills.

On the bright side, you may find that injections work for you well enough. They are a LOT less invasive than an implant and do not destroy your erectile tissues like an implant does (that is, they do not make you entirely and irreversibly dependent on the implant for erections). If a true cure for your condition is discovered, you can discontinue injections and take that cure. An implant cuts off such possibilities. However, such possibilities are slim, despite being actively sought.

On the other hand, you might seek a waiver for the injection route. If your urologist and any other medial specialists support bypassing (and you will probably have to convince them that you are not just trying to "shortcut" the "system") injections, you might be able to get that requirement waived.

The usual advice on dealing with bureacracies applies.

Take notes, name time, date and a summary of the conversation.

Use names, thank everyone at the end of each call (Even if they have not been helpful, they did give you their time.). Recognize them by name in subsequent calls. People love to be remembered and will be disposed to be friendlier towards ones who do. Or they might be intimidated by someone who does; but don't try to be.

If someone has been particularly helpful, call their supervisor and let them know. (I once had a person go further than their supervisor would have wanted - in that case, I made sure to call their supervisor's supervisor and explain why "bending" the rules was necessary and a good thing!)

I usually let it be apparent that I AM taking notes but not obviously. It helps to have the people on the other end of the call know I am not going away.

Be polite at all times and share your story (this last part worked for me in this way: I shared with a travel booking clerk/nurse my reasons for wanting to travel to the East Coast for a prominent surgeon. She remembered that and upon finding out that a well-practiced surgeon who had TAUGHT the procedure had been recently assigned to my local hospital, called me and asked if I would consider him. It worked out wonderfully for me.) If you get the people you talk to to WANT to help you out, they often will surprise you.

[stephen54]

I suppose I’m getting a little bit ahead of myself because I still need to see what they have to say at my appointment on Thursday, but when I initially brought up what I was told at my last appointment at the urologist, my wife was not in favor of an implant at all.

It’s the first time it’s really come up, but she still believes my issue is all mental. The urologist put me on 5mg daily Cialis and I’ve taken up to 200mg of viagra on top of that and still only managed to get to half-mast. There a new specialist at the urology office who recently came from the Cleveland Clinic who I have my appointment with. I talked to him briefly at my last appointment and he seemed to think that if that much medication isn’t working, it’s more than a mental issue. He said I may need to try the injection before insurance would sign off on an implant. I’m at the end of my rope so if I need to go with the injection that’s what I’ll do, but I worry about all the issues that I’ve heard go along with the injections.

My wife was also initially very cautious and reserved and skeptical about my pursuing implant. The entire time we've been together I have been on some mix of Viagra and then 9 years of TriMix injections. As far as injections go? Don't hesitate to try them, and to try them aggressively. By this I mean get informed, really informed (there's a ton of firsthand information here on this board) and be prepared to challenge your physician and compounding pharmacy and be flexible with titrating drug and dosing. Injections can make your dick do entirely ridiculous things you may find difficult to believe. It did for us, and for a really long time.

My wife's challenges with supporting my drive toward implantation were strictly about the permanence of the surgery and then, also, about her thinking that there was a physical reason for my ED and that maybe we could work through pelvic floor exercises, etc, to try and establish better blood flow and so on. She finally came to accept that the technology around implants was established enough and solid enough overall, and she finally over a few months of us really discussing this, she was able to see that I was simply not happy with more and more time passing by and with maybe, maybe...MAYBE...some little incremental improvement over the next couple years by looking at other root causes. I just fucking wanted it fixed.

Implant fixes it, I can confirm that. I'm 11 months out from surgery and my wife now sort of laughs at the memory of last year when she was resisting it. It's not your old, organic penis, to be sure. There are adjustments and things to adapt to with the implant. But for us it nearly immediately freed us both from the associated anxiety and unknowns of ED. Sex on demand however, wherever, whenever, and literally however long we want. It's extraordinary.

Pursue injections if that much Viagra isn't delivering the results you want. Get as many awesome years out of injections as you can. If you're lucky, by the time you confront implant there will be some crazy next-gen implants waiting for you.

Good luck, man. Be positive.

[Waynetho]

On the other hand, you might seek a waiver for the injection route. If your urologist and any other medial specialists support bypassing (and you will probably have to convince them that you are not just trying to "shortcut" the "system") injections, you might be able to do that.

Please note that every doctor and every insurance company doesn't need you to follow every last step to rule out any other treatment before considering the implant. I was worried that my insurance was going to require arterial tests, venous ultrasound, and a slew of other tests to get approval for my implant. My doctor said "Nobody ever does those tests anymore but if you want to, you can go to the medical school in Dallas and get them done." Also, I never did MUSE, or injections or intraurethral trimix gel or any such treatments. I took Cialis on-demand for a couple of weeks and didn't like the side-effects so I started cutting my 20mg tablets into quarters and took them as a 5mg daily dose instead. I was also taking Alfuzosin (Uroxatral) for BPH. Since I had Peyronie's disease, very advanced proximally along with hourglassing and a slight upward bend distally, and the Cialis didn't help much, my doctor said he would submit pre-approval for the IPP but said "They won't approve it!" I told him to put anything he could on the pre-approval that he thought would help my case. He said he was putting severe Peyronie's, low libido, erectile dysfunction and one or two other things I can't remember now. They approved it in less than a week without an appeal! It too me three appeals to get a simple UroLift procedure approved for my BPH symptoms but my IPP approval went through without a hitch.

[dg_moore]

My wife recoiled at the idea, and said "don't think for a minute you're doing this for me. If you want it for yourself, have at it."
So I went ahead. This was in 2008, and the implant quit working a couple of months ago after 12 years of zero use. She meant what she said.

[Gt1956]

Jeb6294, I've said it before & I'll keep saying it. Most women don't understand an erection. It has always been there & always worked. If there was something wrong with it why did it used to work? I.E. how did it break after all these years?
My own wife, just said at our last discussion that she will sure miss the ejaculations. WHAT, I said. Men only lose that if they've had their prostate removed for cancer. She was shocked that she was wrong. Said she was misinformed. After thinking about it for a while. She knows several women friends who's husbands have had prostate cancer. I'm guessing that they've warned her & she has decided that with an implant that ejaculations are no longer possible. I think learning otherwise brought her a big relief.
Like I said. I think women just don't understand erections.

[irishguy]

Jeb,does any part of you think it could be psychological? If so before an implant I would and have tried everything. If I was you, for you and your wife I would persue counselling/psycho-sexual counselling while taking your injections. Your mental state could absolutely destroy the chance of erection. When I used to masterbate I could always get my erection!! of course I had a venous leak so couldn’t keep it without constant stimulation. But when I was with a woman and I took any of them drugs. Zero blood went in. All I got was bad headaches and seeing funny colours.. so my stress and fear completely stopped the drugs from working so I don’t agree with your doctor about that. For pills you still have to be seriously turned on for them to work!! I think there’s a lot to be said for counselling actually it prob saved my life!! But us as men generally don’t even see that as an option

[vajim1]

My wife was very much against me getting an implant but she also hated me injecting into my cock. I still had to use a ved after injecting and still did not work good. Finally we talked to another urologist about an implant and when told that the infection rate was less than 1-2 % she agreed but not with that doctor. We ended up with one 3.5 hours away.
Now she LOVES it!