Best type and where to go for surgery

[Steve5231]

I’m looking for information. What is the best type of implant? Who is the best surgeon? And what facility is the closest to northern Illinois? Any guidance much appreciated.

[gjmjoe017]

Sent you a PM.

[LuisFernandez]

best type of operation is penoscrotal
best implant is titan
best doctors are dr eid hakky kramer or clavell

[Txagq8]

The word “best” is pretty subjective. And in the realm of implants, there are many variables.

The best surgeon or doctor is one whom you trust to do the best job and can work with your wants, needs, and special requirements.

Example: if you have Tricare as insurance, you are probably better off finding a surgeon who accepts it unless you pay out of pocket. If you are someone who expects to need frequent follow up or supportive care after surgery, finding someone closer to your home may be better than traveling 2000 miles.

There is no doubt that the big names…..Eid, Hakky, Clavell…..are all really good. It would also be a lie if I told you those were your only viable options. Generally, you’re going to do better with someone who does a hundred a year or more than you will if you get the guy who has done three.

Both Coloplast (Titan) and AMS (the CX orLGX) manufacture great equipment. Your anatomy might dictate what’s best for you. The Titan has fewer limitations on girth expansion. The AMS LGX will give you a dick that acts, more or less, like the one you had before surgery. I’ve read some medical papers that suggest there might be a slight edge to AMS in terms of mechanical failure, but the difference was barely statistically significant. I lost a little girth by getting the LGX instead of a Titan. Then again, I was 6” in circumference. Guys with average girth typically see no change at all.

Best type of surgery? It is not one size fits all. Have you had inguinal hernias? If so, infrapubic will allow installation while minimizing the risk of running into a lot of scar tissue problems. If not, a lot of surgeons like penoscrotal because of the way it allows them to size and install. Then again, and the infection rate is small, but some surgeons prefer not to make incisions on scrotum because the skin folds can possibly harbor hard-to-get-at bacteria.

This ultimately is all about trust and you have to be able to trust someone cutting your junk. What you want is to find the doctor you trust. THEN, let him develop the plan that gives your implant the best chance of making you happy and being successful. The reasonable doctor is going to take everything…..age, lifestyle, anatomy, medical history into consideration.

Don’t be afraid to ask tough questions and demand clarification. I knocked one doctor off my list because he took exception to the phrase “aggressively size.”

We’re guys. We all want our size back and we all want a dick that works. However, the doctrine of your can’t put 10 lbs of shit in a 5 lb bag still applies and we don’t want the end of a cylinder poking a hole in the end of our glans.

Find someone you trust. If that means you travel, so be it if that means you can stay local, great. I attribute much of my overall satisfaction to the follow up care I got for the first month or so. Then again, we all have differing expectations.

[October26]

I went to the Mayo Clinic in Rochester, Minnesota and had as my surgeon Dr. Sevann Helo. I had an absolutely perfect result in every way and could not be happier.

I regained all the size I lost to a lifetime of ED and later PD. (Actually amazed by the length and the straight as an arrow penis.). Also, the procedure was really simple and not the big deal some seem to experience. I met twice with the surgeon and the went in for the procedure. One night in the hospital and home to rest. I also had a scrotoplasty at the doctor’s suggestion, and real glad I did. Almost no swelling or bruising, and the pain was not a big deal at all with the medication. I took hydrocodone for three days and switched to Tylenol. If you check other FT posts from those that went to Dr. Helo, they had the same experience. I was very concerned about many things before the procedure but looking back on it I think I “over thought” it. Dr. Helo explained that as surgeries goes, it is relatively simple, but obviously a lot can go wrong. If you would like to see some pics after surgery, PM me. Good luck!

[October26]

Oh, forgot to say above that Titan was the choice based on the surgeon just doing a quick stretch test in the office and saying based on size and my age, Titan would be best. I did not want the scar above the penis but I don’t think she does surgeries that way. (Your surgeon will do an actual measurement during the procedure.) I was hoping for 6” and now one year later I am over 7”.

[68CatFan]

I believe Dr Laurence Levine is based in Chicago still. I've heard nothing but good things about him. You might want to search his name on FrankTalk and see what people have said about him.

[TheCanalGuy]

From the common knowledge of this forum and the medical literature, my personal conclusion is that from a brand perspective Coloplast is more for active people that enjoy a very hard erection and are willing to accept, or actually enjoy, to have a much bigger bulge even though much more difficult to hide given that a fully deflated Coloplast is more prominent than a fully deflated AMS, and consequently more noticeable between your legs.
As for the specific type of implant, unless you are on a budget you really want to go with a 3 pieces vs a 2 pieces vs a malleable. I don't think surgeons in the USA are doing 2 pieces anymore or anyway not a lot of them, in the past the rational of going with a 2 pieces Vs a 3 pieces was the increased risk of mechanical failure in an implant with more mechanical parts. Nowadays, given the very low rate of failure, thanks to science progress, it won't make sense to go with a 2 pieces anymore. You have to know that the 2 pieces is lacking the reservoir so the quantity of saline water stored is limited and as such the max hardness that you can achieve is limited too. With respect to a malleable, unless you are unable to squeeze the pump, for whichever reason, or you really cannot afford to spend a little more, you don't want to go with a malleable, the overall satisfaction rate is extremely low compared with a 3 pieces inflatable and you would have to deal with a permanent hard dick that you can only change orientation to vaguely dissimulate, besides the fact that the malleable erection is nothing in compare with an inflatable counterpart.

[tomas1]

I agree with all the replies.
I took a chance by using my urologist in Phoenix at Ironwood Urology and had a great result.

We use it almost every day and my wife seems to like it.

I like the scrotal incision and would have preferred the LGX, but surgeon won't use it in lengths of 18cm or larger.
I don't agree with that, but the CX is actually OK and hangs naturally albeit nearly erectile length.
That isn't a big deal for me, but though she won't say it, I think my wife likes the looks of it.