Waiting for my revision surgery

The final frontier. Deciding when, if and how.
martinh
Posts: 30
Joined: Tue Nov 16, 2021 6:35 pm

Waiting for my revision surgery

Postby martinh » Sat Nov 20, 2021 10:58 pm

Hello,
I thought I would share my recent experience following the failure of my AMS 700LGX 2 weeks ago. My background is a radical prostatectomy in 2011, nerve sparing on one side only. 10 years on I am cancer free so the RP was successful.
Erectile function did not return after the RP and viagra and cialis had no effect. I tried Caveject at 2.5mg but I needed a higher dose. I tried 5 mg but the pain was terrible with erections lasting 3 hours. I then tried trimix worked well but within 3 months I had developed PD and a 30 degree bend in my penis. No more trimix so then back to Caveject (alprosadi) and I found that by using a seperate syringe and injecting 3.5 mg I could get a good erection for an hour with some tolerable pain. After 3 years of this I decided on an implant and had the AMS LGX. It was a good outcome with an excellent surgeon in Sydney.
However here I am now waiting for the revision later in November and missing my old friend who was always available on demand. I should mention that at times over the years I would wake at night and find I had an erection. Not as good as before the RP but serviceable enough if it would last, but of course it would not. I concluded that the spared nerves on one side must have come back to life at some stage. Given that it was now some weeks before my new surgery and then 4-6 weeks before really road testing the new device, I decided to try some cialis that I had from 2011. Using 20 mg cialis resulted in zero engorgement. I then tried 100mg of viagra and was pleasantly surprised by the result. With good stimulation I achieved an erection good enough for penetration not rock hard but OK, at 125mg it was even better.

I don't understand how it is possible to have even a viagra facilitated erection after the damage done to the inside of the corpora when the implant is fitted. Any ideas?
I will now explore the viagra result up to a dose of 200mg. I will also try viagra again with the new implant to test out if I can get engorgement of my glans which never happened with just inflation of the implant, no matter how aroused I was. I am hoping the revision will go well and I hope the new device will last at least as long the 7 years I have had with this one.
2011 RP, nerve sparing 1 side, Gleeson score 7. Injections with Caverject 5mgm caused severe pain, Trimix resulted in PD. Implant 2014 AMS LGX 18cm +2cm rte. Revision 2021, AMS LGX 18cm + 2cm rte

confused95
Posts: 219
Joined: Tue Mar 23, 2021 4:25 am

Re: Waiting for my revision surgery

Postby confused95 » Sun Nov 21, 2021 5:54 am

Hey bro,
No clue about why you are getting erections without pumping, but I suggest you consider having an AMS 700CX or a Titan instead of a LGX, as the latter is more fragile and may last less time wrt CX or Titan.
Btw may I ask you how many times a week have you used your nuclear weapon? Thanks
26yo from Italy. Psychogenic ed since dec 2019, got worse in Jan 2021. On Cialis 5mg every 24hrs, it works! But masturbation and sex bring me a lot of anxiety. On talk-therapy.
Update: diagnosed with slight Peyronie’s, investigating more on that

martinh
Posts: 30
Joined: Tue Nov 16, 2021 6:35 pm

Re: Waiting for my revision surgery

Postby martinh » Sun Nov 21, 2021 2:48 pm

Hi Confused95,
I used the implant about 2-3 times a week over the 7 years that it was working. Thats about 7000 times maximum, but I think the failure has occurred not from pumping up but friction in the area it creases (dog ears)when un-inflated. I felt the stinging of the saline solution at the lower lefthand side of my penis when the leak happened while pumping. The LGX cylinders are made of several layers of material and this creases on both sides just above where the pump tubes enter the cylinders when my penis is flaccid. I was doing daily jogging for exercise in the first few years of the implant and I think that this may have caused more wear as movement is likely to cause rubbing between the material layers in the folded areas.Based on the AMS statistics 70% last 7 years or more so I am just 1 in 3 that did not get more than 7 years. I read that the failure rates for AMS and Coloplast are much the same so I think I will go with the LGX again.
2011 RP, nerve sparing 1 side, Gleeson score 7. Injections with Caverject 5mgm caused severe pain, Trimix resulted in PD. Implant 2014 AMS LGX 18cm +2cm rte. Revision 2021, AMS LGX 18cm + 2cm rte

oldbeek
Posts: 2478
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Waiting for my revision surgery

Postby oldbeek » Sun Nov 21, 2021 9:36 pm

martinh wrote:Hello,
I thought I would share my recent experience following the failure of my AMS 700LGX 2 weeks ago. My background is a radical prostatectomy in 2011, nerve sparing on one side only. 10 years on I am cancer free so the RP was successful.
Erectile function did not return after the RP and viagra and cialis had no effect. I tried Caveject at 2.5mg but I needed a higher dose. I tried 5 mg but the pain was terrible with erections lasting 3 hours. I then tried trimix worked well but within 3 months I had developed PD and a 30 degree bend in my penis. No more trimix so then back to Caveject (alprosadi) and I found that by using a seperate syringe and injecting 3.5 mg I could get a good erection for an hour with some tolerable pain. After 3 years of this I decided on an implant and had the AMS LGX. It was a good outcome with an excellent surgeon in Sydney.
However here I am now waiting for the revision later in November and missing my old friend who was always available on demand. I should mention that at times over the years I would wake at night and find I had an erection. Not as good as before the RP but serviceable enough if it would last, but of course it would not. I concluded that the spared nerves on one side must have come back to life at some stage. Given that it was now some weeks before my new surgery and then 4-6 weeks before really road testing the new device, I decided to try some cialis that I had from 2011. Using 20 mg cialis resulted in zero engorgement. I then tried 100mg of viagra and was pleasantly surprised by the result. With good stimulation I achieved an erection good enough for penetration not rock hard but OK, at 125mg it was even better.

I don't understand how it is possible to have even a viagra facilitated erection after the damage done to the inside of the corpora when the implant is fitted. Any ideas?
I will now explore the viagra result up to a dose of 200mg. I will also try viagra again with the new implant to test out if I can get engorgement of my glans which never happened with just inflation of the implant, no matter how aroused I was. I am hoping the revision will go well and I hope the new device will last at least as long the 7 years I have had with this one.
My surgeon who is very experienced moves your erection material to one side. He does not destroy anything when installing the implant. He says having natural erections with also the implant is like winning the trifecta. That is great for us guys who had a RP. My Rp surgeon said he took all my nerves but after 3 1/2 years my glans is coming back to life a little bit.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

TwoStep
Posts: 222
Joined: Sat Mar 24, 2012 1:22 pm

Re: Waiting for my revision surgery

Postby TwoStep » Fri Jan 14, 2022 10:16 pm

martinh wrote:I used the implant about 2-3 times a week over the 7 years that it was working. Thats about 7000 times maximum, but I think the failure has occurred not from pumping up but friction in the area it creases (dog ears)when un-inflated.


Sorry how is that 7000 times? 3 times a week is around 150 times a year, and 7*150=1050

martinh
Posts: 30
Joined: Tue Nov 16, 2021 6:35 pm

Re: Waiting for my revision surgery

Postby martinh » Sun Jan 16, 2022 12:31 am

Sorry, typo, should have been 1000 times.
2011 RP, nerve sparing 1 side, Gleeson score 7. Injections with Caverject 5mgm caused severe pain, Trimix resulted in PD. Implant 2014 AMS LGX 18cm +2cm rte. Revision 2021, AMS LGX 18cm + 2cm rte

oldbeek
Posts: 2478
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Waiting for my revision surgery

Postby oldbeek » Sun Jan 16, 2022 2:03 pm

I keep my lgx pumped a few pumps when flaccid. no folds and it keeps me thinking of pussy all the time. :D
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

martinh
Posts: 30
Joined: Tue Nov 16, 2021 6:35 pm

Re: Waiting for my revision surgery

Postby martinh » Sun Jan 16, 2022 5:41 pm

Thanks for the tip Oldbeek I will try a few pumps.
So far I don't need any help with the idea of thinking of pussy all the time :D
2011 RP, nerve sparing 1 side, Gleeson score 7. Injections with Caverject 5mgm caused severe pain, Trimix resulted in PD. Implant 2014 AMS LGX 18cm +2cm rte. Revision 2021, AMS LGX 18cm + 2cm rte

raband
Posts: 11
Joined: Fri Jan 14, 2022 11:35 pm

Re: Waiting for my revision surgery

Postby raband » Sun Mar 06, 2022 8:44 pm

Hi martinh, I am just starting my research on a good surgeon in Sydney for my implant surgery.
Do you mind sharing who your surgeon was?
Thanks in advance.


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