Basic questions...

The final frontier. Deciding when, if and how.
corporatestiff
Posts: 17
Joined: Sun Jun 18, 2017 1:25 am

Basic questions...

Postby corporatestiff » Sun Feb 14, 2021 12:52 am

I'm sure these have all been answered already, but that's a lot of posts to wade through and time is not my friend right now. My urologist thinks I'd be a good candidate for an implant. I have been reluctant to even consider it, but it may be my only option now. Trimix so far isn't working at the level I had hoped for and I'm at the strongest mix. Starting to think more seriously about the implant option.

Shape - I have a downward curve to my penis. With an implant, will that go away or can it be maintained? Odd to ask since I used to want a straighter cock, but now it would seem kind of weird to change it.

Temperature - will it be cold like when using a VED? Even though I can't get an intercourse worthy erection with trimix, the increased blood flow does make it hot. I'd hate to give that up. My wife likes it too.

Natural feeling - would it still feel like me to me? Not sure how to word the question... In my mind it seems like the tissue would want to move around on the implants; not be one solid (for lack of a better word) object.

Also, since I have had bladder cancer and can look forward to cystoscope exams fairly regularly for the next few years, are there any issues or concerns with that in relation to implants?

Thanks
53 years old, Type 1 Diabetic since 35, Heart attack at 48- stent and triple bypass, Bladder cancer at 51. Currently cancer-free for 2+ years.
ED for about 6 years. Probably really more like 10 years.
Tried pills, VED, and injections. Implant in future.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Basic questions...

Postby Waynetho » Sun Feb 14, 2021 3:46 am

corporatestiff wrote:Shape - I have a downward curve to my penis. With an implant, will that go away or can it be maintained? Odd to ask since I used to want a straighter cock, but now it would seem kind of weird to change it.


It will very likely become more straight, maybe even "board" straight with the implant inflated.

Temperature - will it be cold like when using a VED? Even though I can't get an intercourse worthy erection with trimix, the increased blood flow does make it hot. I'd hate to give that up. My wife likes it too.


The glans and urethral bulge (corpus spongiosum) get their blood supply separately from the two corpora cavernosa so if your glans and underside always engorged before, you will likely also still have this engorgement and subsequent heat. Also it is remotely possible that if all of the tissue in the cavernosa is not destroyed during dilation to install the implant, that one might get semi-erections when not pumped. This is not guaranteed to occur and as they say on drug commercials, no case is typical. My penis can get hot and chubby at times, from the erectile bodies (where the implant cylinders are located) and unrelated to the spongiosum. If I pump up to have sex but I'm not getting a chubby, it won't be hot, and won't be quite as thick or long.

Natural feeling - would it still feel like me to me? Not sure how to word the question... In my mind it seems like the tissue would want to move around on the implants; not be one solid (for lack of a better word) object.


You will never have what you remember feeling before ED or even before surgery. You'll always be aware that there's something else inside there that wasn't before. There are hard tips that go up into the glans and you can feel these when deflated. There are tubes that you'll feel in your scrotum coming from the underside of your dick (or from around the top side, down to the pump). You'll probably also feel the crinkles or kinks in the cylinders inside the shaft when deflated but they appear to disappear once you're inflated. Nonetheless, the implant will in time become a part of you and you will accept that it's you and not some foreign object, even though you'll obviously know there's an implant there.

Also, since I have had bladder cancer and can look forward to cystoscope exams fairly regularly for the next few years, are there any issues or concerns with that in relation to implants?
Thanks


I read one medical journal entry about a year ago regarding a patient with an IPP undergoing "UroLift" implantation even though he already had a working IPP. UroLift is a series of monofilament implants that are inserted into the prostate by way of the urethra that require insertion with a rigid cystoscope.

The patient in question was successfully implanted with the urethral lift devices and his IPP functioned properly after recovery from the UroLift implant surgery and afterward was able to have penetrative intercourse using the IPP. I can't cite sources now but it was I who posted the references a year ago so a quick search of my posts from 2019-2020 should find that one.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

barrylandon
Posts: 266
Joined: Sun Nov 03, 2019 1:09 am
Location: Los Angeles, CA

Re: Basic questions...

Postby barrylandon » Sun Feb 14, 2021 3:52 am

Heart disease and cancer both...and at such a young age...gets my empathy, corporatestiff. So, I'll do my best to answer your questions and provide some advice in addition to what waynetho just posted.
Obviously, the first consideration is how implantation surgery will affect or be affected by your other health issues. If an implant surgeon and your other doctors do not perceive a problem due to your co-morbidities, then go forward with the implant. You'll be able to get hard and stay hard for as long as you and your wife desire. No more painful injections of Tri-Mix and worrying about whether it will "work" this time...no more waiting for pills, urethral gels or nasal sprays to kick in...no more concerns about your ability to have intercourse. You will be free to be totally in the moment.
The downward curve to your penis sounds like PD. I believe that the insertion of cylinders into your corpus cavernosum will result in you having a straighter erection. If you want to keep the curvature, this is definitely a question to ask the implant doctors you consult with.
Concerning temperature, a lot of complaints I've read on FT are from bionic men who have a "cold" glans after surgery. My normal was and still is "cool" to the touch and doesn't vary much from that temperature.
My most aggravating side effect from the surgery is that my glans no longer fill with blood and I don't have sufficient sensitivity on my shaft or glans to reach orgasm/ejaculation. But my case is unusual so chances are you will continue to maintain sensitivity to your shaft and fullness in your glans since blood flows to it from an artery that should not be affected by the penile implant surgery.
At 9+ months post-op, I'm now unaware of my implant except when I have sex with my wife or cycle the implant (you will be instructed on how much to inflate your device and for how long daily by your surgeon). You will not feel tissue "moving around".
I hope this helps. Feel free to post a response or PM me with any other questions you might have.
Implanted 5/6/20 by Dr. Jesse Mills at UCLA; AMS 700 LGX 18 cm w/2 cm RTEs. I'm 73 & fit but had ED for 20 years. Pills/injections ultimately failed, including 3 ER trips for Priapism; Shockwave & embryonic stem cell therapies didn't help either.

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Basic questions...

Postby SW0110 » Sun Feb 14, 2021 7:54 pm

I have zero regrets for mine. My only regret was that I did not do it right after my accident and spent a couple years dealing with stuff I never needed to have.

My viewpoint is if you cannot get a hard dick naturally, get the implant.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

barrylandon
Posts: 266
Joined: Sun Nov 03, 2019 1:09 am
Location: Los Angeles, CA

Re: Basic questions...

Postby barrylandon » Mon Feb 15, 2021 2:10 am

My viewpoint is if you cannot get a hard dick naturally, get the implant.

As you might recall, SW0110, you and I have exactly the same equipment. Anyway, I generally agree with your viewpoint on this subject. However, if you read the guy's post entirely, consideration must be given to his overall health. He's had bladder cancer and other medical issues...
Making the decision to get an implant is definitely more complicated for corporatestiff and other men with multiple, serious health problems.
Implanted 5/6/20 by Dr. Jesse Mills at UCLA; AMS 700 LGX 18 cm w/2 cm RTEs. I'm 73 & fit but had ED for 20 years. Pills/injections ultimately failed, including 3 ER trips for Priapism; Shockwave & embryonic stem cell therapies didn't help either.

544kenmatt
Posts: 221
Joined: Sun Nov 17, 2019 10:17 am
Location: ROCHESTER , NY

Re: Basic questions...

Postby 544kenmatt » Mon Feb 15, 2021 8:24 am

Waynetho's experience is almost identical to mine. I think we were both implanted around the same time.
AMS 700 LGX 10/31/2019. age 63

Old Guy
Posts: 2473
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Basic questions...

Postby Old Guy » Mon Feb 15, 2021 8:36 am

With all your other health issues you're gonna get run through all your doctors to get cleared for an implant surgery. The surgery itself isn't bad, it's the healing part. Expect to spend a few weeks or more laying on the couch until healed.
I will say after dealing with pills and injections that failed and had side effects my implant is the best decision ever.
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

corporatestiff
Posts: 17
Joined: Sun Jun 18, 2017 1:25 am

Re: Basic questions...

Postby corporatestiff » Tue Feb 16, 2021 11:18 pm

Old Guy wrote: Expect to spend a few weeks or more laying on the couch until healed.

So if I read this correctly, I'm looking at potentially several weeks of missed work to recover from this surgery? That's probably a deal breaker if that's the case :(
53 years old, Type 1 Diabetic since 35, Heart attack at 48- stent and triple bypass, Bladder cancer at 51. Currently cancer-free for 2+ years.
ED for about 6 years. Probably really more like 10 years.
Tried pills, VED, and injections. Implant in future.

corporatestiff
Posts: 17
Joined: Sun Jun 18, 2017 1:25 am

Re: Basic questions...

Postby corporatestiff » Tue Feb 16, 2021 11:25 pm

Thanks for the feedback. Lots to think about. I still have two teenagers at home which will add greatly to the awkward factor if I proceed. Also, as far as I know, no PD. I've always had the downward curve. I don't believe it ever changed much if at all, and never caused any trouble for me or my partners.
53 years old, Type 1 Diabetic since 35, Heart attack at 48- stent and triple bypass, Bladder cancer at 51. Currently cancer-free for 2+ years.
ED for about 6 years. Probably really more like 10 years.
Tried pills, VED, and injections. Implant in future.

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Basic questions...

Postby Waynetho » Wed Feb 17, 2021 8:57 am

corporatestiff wrote:
Old Guy wrote: Expect to spend a few weeks or more laying on the couch until healed.

So if I read this correctly, I'm looking at potentially several weeks of missed work to recover from this surgery? That's probably a deal breaker if that's the case :(

I took two weeks from work but was up and getting around after a few days. I was out driving at 2 to 3 days, and going to a social event I usually attend after only six days.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0


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