Another mid-30’s implant journal

The final frontier. Deciding when, if and how.
SearchingUSA
Posts: 72
Joined: Wed Dec 22, 2021 4:18 pm

Another mid-30’s implant journal

Postby SearchingUSA » Tue Jan 25, 2022 7:33 pm

I’m 35 and have been suffering ED since becoming sexually active. I had some trauma to my penis from a motorcycle accident at 19, but I healed and my diagnosis was psychological origin, though Cialis definitely helped. Effectiveness for me has diminished in recent years, and now all it does is give me a headache.

Regardless of cause, the end result is the same: my dick doesn’t work, and with my last 5 or more hookups I had no serviceable erection, or one that lasted only minutes, or only with my partner on top. You’re all familiar with the embarrassment, and that fear of whether I’ll be able to get it up and keep it up has colored every sexual encounter I’ve had my entire life.

I looked into an implant 5 years ago, but was hesitant to go down an irreversible surgical path, especially because I had read accounts of losing size. So in addition to the pharmaceuticals I tried everything else: getting in shape to deal with body insecurity, lots of cardio to help with blood flow, hypnosis, testosterone replacement therapy to go from low-average to high-average.

Well, none of it worked, and in December I finally had that moment of clarity: despite all efforts, my ED has only gotten worse and will not improve with age. I’m faced with 3 possible paths forward:
1. No implant, dick doesn’t work
2. Implant fails, dick doesn’t work
3. Implant succeeds, dick works

The only path with a positive outcome is the implant, so my decision was easy. I did a video consult with Dr. Clavell in December, and a month later I’m in Houston for surgery tomorrow. I’ll stay here for a few days to rest and ice before flying home on Saturday.

I know the recovery can be long and uncomfortable. I know that if I’m lucky enough to live an average lifespan I’ll have this surgery another half-dozen times or more. But I have no doubt that I’m making the right choice, and I hope to be in the 95% of patients who are satisfied with their implant. I feel confident in my decision, eager to put my dating anxieties behind me, and nervous about complications — all simultaneously, somehow.

I greatly appreciate the information shared on FT by members of all ages, and I found the journals from members in my age range to be particularly helpful at giving me the reassurance to finally pursue an implant at a younger age than most. I don’t have the writing stamina to match Merrix’s wealth of journaling, but I will try to keep a log of the meaningful milestones for the next few months as another resource for those young(ish) men doing research like I was.
Last edited by SearchingUSA on Thu Jan 27, 2022 5:18 pm, edited 1 time in total.

Mid 30’s. ED since early 20’s. Pharmaceuticals were helpful initially, but stopped working. Implanted with Titan 22cm -.5cm (no RTEs) by Dr. Clavell 1/26/2022.

My Mid-30s Implant Journal

oldbeek
Posts: 2466
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Another mid-30’s implant journal

Postby oldbeek » Tue Jan 25, 2022 7:51 pm

Good luck on your journey. You will not loose size.
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

defiant
Posts: 525
Joined: Mon Apr 25, 2016 9:35 am

Re: Another mid-30’s implant journal

Postby defiant » Tue Jan 25, 2022 8:02 pm

SearchingUSA wrote:I’m 35 and have been suffering ED since becoming sexually active. It was diagnosed as psychological, but Cialis definitely helped. Effectiveness for me has diminished in recent years, and now all it does is give me a headache.

Regardless of cause, the end result is the same: my dick doesn’t work, and with my last 5 or more hookups I had no serviceable erection, or one that lasted only minutes, or only with my partner on top. You’re all familiar with the embarrassment, and that fear of whether I’ll be able to get it up and keep it up has colored every sexual encounter I’ve had my entire life.

I looked into an implant 5 years ago, but was hesitant to go down an irreversible surgical path, especially because I had read accounts of losing size. So in addition to the pharmaceuticals I tried everything else: getting in shape to deal with body insecurity, lots of cardio to help with blood flow, hypnosis, testosterone replacement therapy to go from low-average to high-average.

Well, none of it worked, and in December I finally had that moment of clarity: despite all efforts, my ED has only gotten worse and will not improve with age. I’m faced with 3 possible paths forward:
1. No implant, dick doesn’t work
2. Implant fails, dick doesn’t work
3. Implant succeeds, dick works

The only path with a positive outcome is the implant, so my decision was easy. I did a video consult with Dr. Clavell in December, and a month later I’m in Houston for surgery tomorrow. I’ll stay here for a few days to rest and ice before flying home on Saturday.

I know the recovery can be long and uncomfortable. I know that if I’m lucky enough to live an average lifespan I’ll have this surgery another half-dozen times or more. But I have no doubt that I’m making the right choice, and I hope to be in the 95% of patients who are satisfied with their implant. I feel confident in my decision, eager to put my dating anxieties behind me, and nervous about complications — all simultaneously, somehow.

I greatly appreciate the information shared on FT by members of all ages, and I found the journals from members in my age range to be particularly helpful at giving me the reassurance to finally pursue an implant at a younger age than most. I don’t have the writing stamina to match Merrix’s wealth of journaling, but I will try to keep a log of the meaningful milestones for the next few months as another resource for those young(ish) men doing research like I was.


Good luck, man.

I will be following this thread with an eagle eye. We sound pretty similar.

Seems you’re in good hands.

Please do keep us updated.

And I’m quite hopeful you will live a long life and need far less replacements than half a dozen. I have a feeling reliability and durability of future models will improve. Here’s hoping.

All the best!
37, mild to moderate ED since age 21, 3 Dopplers - 1 result VL & 3 later results 'no physical problem', dependent on cialis (efficacy now waning), overcame Lymophoma at age 26, ED causing immense/profound psychological distress. Considering implant.

tomas1
Posts: 1956
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Another mid-30’s implant journal

Postby tomas1 » Tue Jan 25, 2022 8:07 pm

Good luck tomorrow.
You didn't mention any Peyronies or other physical problems that would complicate your surgery.
I don't believe you'll lose any size.

I also predict that you won't need more than 2 revisions in your life.
Mine just turned 3 on the 22d and it gets a lot of work.

Did doc say which implant he'll use?
I think, but really don't know, that the Titan or AMS CX will prove a bit more durable especially it it comes pre-connected obviously the tubing to the reservoir isn't pre-connected.
85 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

SearchingUSA
Posts: 72
Joined: Wed Dec 22, 2021 4:18 pm

Re: Another mid-30’s implant journal

Postby SearchingUSA » Tue Jan 25, 2022 8:29 pm

Thanks for the good wishes, all. Defiant, yes, your experiences resonated strongly with me.

Tomas1, correct, no physical problems or pre-existing conditions, so I’m optimistic about the outcome. I came in to the consult with Dr. Clavell preferring the Titan, but asked for his recommendation. He said it came down to how I felt about the flaccid state of the implant — do I mind dog ears? Do I want it to be as discrete as possible when clothed? I don’t care about either, so he recommended the Titan. I believe durability and girth advantages were mentioned, but maybe I’m just inserting the anecdotes from all the other pro/con discussions on hardware.

Honestly, if Dr Clavell made a game time decision tomorrow and I woke up with an AMX I’d be just as happy, plenty of members on the forum on either piece of hardware that testify to them being positively life changing when installed by the right doctor.

Mid 30’s. ED since early 20’s. Pharmaceuticals were helpful initially, but stopped working. Implanted with Titan 22cm -.5cm (no RTEs) by Dr. Clavell 1/26/2022.

My Mid-30s Implant Journal

LuisFernandez
Posts: 408
Joined: Tue Jun 16, 2020 8:45 pm

Re: Another mid-30’s implant journal

Postby LuisFernandez » Tue Jan 25, 2022 9:41 pm

did you try injections?
Born 1986. ED. Peyronie's.
Considering an Implant. Consulting with Dr. Eid.
Using Cialis 10mg/day + 20mg for sex. Injections of PGE-1.
See my story: viewtopic.php?t=15016

SearchingUSA
Posts: 72
Joined: Wed Dec 22, 2021 4:18 pm

Re: Another mid-30’s implant journal

Postby SearchingUSA » Tue Jan 25, 2022 10:30 pm

LuisFernandez wrote:did you try injections?


No, were I in a relationship and had an understanding partner I probably would have given that a try. But after trying VED + restriction bands, I considered the lack of spontaneity (not so much the time to take effect after injection, but the logistics of keeping one at hand when out and about) to be a big downside to injections.

Though the ultimate deal breaker for me is that injections are likely to eventually lose their effectiveness like other pharmaceutical solutions, and the potential for build-up of scar tissue from that usage would make the eventual implant surgery more difficult.

My ED is only headed in one direction, so I prefer to skip the temporary solution and its side effects in order to proceed to the inevitable, superior option.

Mid 30’s. ED since early 20’s. Pharmaceuticals were helpful initially, but stopped working. Implanted with Titan 22cm -.5cm (no RTEs) by Dr. Clavell 1/26/2022.

My Mid-30s Implant Journal

SearchingUSA
Posts: 72
Joined: Wed Dec 22, 2021 4:18 pm

Re: Another mid-30’s implant journal

Postby SearchingUSA » Tue Jan 25, 2022 10:39 pm

Luis, by the way, much respect for the “party trick” you share in your dating thread, you are an absolute madman and I mean that as a high compliment. Might have to give that a try when I’m healed and back in the game. But it also sounds kind of horrifying, so maybe not.
Last edited by SearchingUSA on Wed Jan 26, 2022 2:05 am, edited 1 time in total.

Mid 30’s. ED since early 20’s. Pharmaceuticals were helpful initially, but stopped working. Implanted with Titan 22cm -.5cm (no RTEs) by Dr. Clavell 1/26/2022.

My Mid-30s Implant Journal

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Another mid-30’s implant journal

Postby Lost Sheep » Wed Jan 26, 2022 1:35 am

SearchingUSA wrote:Luis, by the way, much respect for the “party trick” you share in your dating thread, you are an absolute madman and I mean that as a high compliment. Might have to give that a try when I’m healed and back in the game.

SearchigUSA, please provide the URL or a link to where we can read about this "party trick". Or, at least the full thread name so we can do a search for it.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

SearchingUSA
Posts: 72
Joined: Wed Dec 22, 2021 4:18 pm

Re: Another mid-30’s implant journal

Postby SearchingUSA » Wed Jan 26, 2022 1:57 am

Most recent post here: viewtopic.php?t=16845&start=70
The thread is a good read for anyone considering injections. Luis has a lot of success and uses the injections to their fullest, but still gets let down somewhat regularly by the inconsistent effects. Doesn’t seem fair - anyone brave enough to put a needle in their dick deserves a gold star and solid erection every time.

Mid 30’s. ED since early 20’s. Pharmaceuticals were helpful initially, but stopped working. Implanted with Titan 22cm -.5cm (no RTEs) by Dr. Clavell 1/26/2022.

My Mid-30s Implant Journal


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