First consultation

The final frontier. Deciding when, if and how.



Livingstonguy
Posts: 106
Joined: Mon Sep 26, 2022 8:18 am
Location: Livingston, TN

First consultation

Postby Livingstonguy » Thu Nov 10, 2022 8:25 am

I had my first consultation this week with Dr Dean Knoll in Nashville. Very nice guy and answered all my questions. His insurance girl has been with him 33 years and he's confident that she can use the right codes to get the insurance to pay. This Dr Knoll has done over 7000 implant and AUS surgeries.

I have consultations with 2 other surgeons, but I feel confident that I found my guy with my first consultation. I might go ahead and meet with the other 2 Dr's just to make sure my impression was right about the first Dr.

Nervous, but excited about the future!
Implanted 12/22/2022 AMS 700cx 21cm with 1 cm RTE at St Thomas midtown in Nashville
Livingston, TN (BFE)
Contact:gregandkelly63@hotmail.com
Born in 1963 Prostate cancer at 58 with RP at Vanderbilt

Married 42+ years to my best friend

BearsWin
Posts: 51
Joined: Thu May 12, 2022 11:37 pm

Re: First consultation

Postby BearsWin » Thu Nov 10, 2022 9:20 am

Good for you! I had 4 different initial consultations set up but after my first one I felt confident enough I just went with him. Decided flying around the country to hear what I already knew just to get more “gut feels” wasn’t productive. Others have found multiple consults valuable.

Me, i just wanted to get on with getting fixed. So far so good.

Keep us posted.
Born 1966. PDE-5s since age 40. Decreasing efficacy age 50. Started on Trimix 2022 - variable response even at high doses. Coloplast Titan 11/1/22 Dr. Yafi UCI, submuscular/ectopic reservoir. History of hypertension. Married, Nevada.

Floridaspeedo
Posts: 313
Joined: Fri Jun 17, 2022 11:15 am

Re: First consultation

Postby Floridaspeedo » Thu Nov 10, 2022 10:39 am

I had 3 urology consults with 2 of them doing implants. I went with the 2nd Dr. He was less of a volume implanter than the first consult but I felt better about his explanations, understanding, demeanor, etc.

Zero regrets. Works perfectly.
ED survivor 5 years. Tried pills, Gainswave, PRP, Bi-Mix/Tri Mix (worked 50% but very painful for 24 hours after injection.) 55 Gay - Single Titan Coloplast implanted June 1st, 2022, scrotal in Miami by Dr Billy Cordone..,very happy. Zero regrets

robcb1
Posts: 30
Joined: Sat Jul 16, 2022 6:48 am

Re: First consultation

Postby robcb1 » Thu Nov 10, 2022 11:31 am

I thought about having multiple consultations, but only had one. I felt very comfortable with my doctor, he was recommended by Coloplast, he works at a Center of Excellence, and I felt he really cared about my concerns going into the procedure. My surgeon also is recommended by Boston Scientific, so I could have chosen their implant over the Titan. I couldn’t be more pleased with the results.

I think multiple consults can be helpful, but in the end it comes down to who you feel most comfortable with. If possible, I would try to have the surgery at a Center of Excellence where a lot of these procedures are done.
Implanted 8/23/22. Coloplast Titan 20cm, no RTE’s, infrapubic. Married 40 years.

Rider1400
Posts: 1148
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: First consultation

Postby Rider1400 » Thu Nov 10, 2022 1:54 pm

BearsWin wrote:Good for you! I had 4 different initial consultations set up but after my first one I felt confident enough I just went with him. Decided flying around the country to hear what I already knew just to get more “gut feels” wasn’t productive. Others have found multiple consults valuable.

Me, i just wanted to get on with getting fixed. So far so good.

Keep us posted.

Submuscular/ectopic resivour? What is that? I had previously had double hernia surgery with mesh in both sides and they put my resivor just under the top layer of muscle… it stands out like a growth!! About 1-1/2” by 3”. And probably stands out 3/4”. If I was ever in a locker room and people saw me they would never notice my semi erect looking dick but would surely notice my bulge directly under my belt line and about 3-4” to the left of my belly button.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

BearsWin
Posts: 51
Joined: Thu May 12, 2022 11:37 pm

Re: First consultation

Postby BearsWin » Thu Nov 10, 2022 2:07 pm

Rider1400 wrote:Submuscular/ectopic resivour? What is that? I had previously had double hernia surgery with mesh in both sides and they put my resivor just under the top layer of muscle… it stands out like a growth!! About 1-1/2” by 3”. And probably stands out 3/4”. If I was ever in a locker room and people saw me they would never notice my semi erect looking dick but would surely notice my bulge directly under my belt line and about 3-4” to the left of my belly button.


Apparently there are a couple different places the surgeon can put the reservoir. The traditional placement I've learned is the retropubic space near the urinary bladder. Some surgeons these days (particulary if that space is compormised due to trauma or prior surgery) elect to put the reservoir between muscle layers of the abdomen to the side which I think is what you're describing yourself. It's actually been the most painful point of my recovery - that effing reservoir site burns and immediately postop hurt like hell. It's mostly better a week out. I can easily palpate it myself on my left lower abdomen.
Born 1966. PDE-5s since age 40. Decreasing efficacy age 50. Started on Trimix 2022 - variable response even at high doses. Coloplast Titan 11/1/22 Dr. Yafi UCI, submuscular/ectopic reservoir. History of hypertension. Married, Nevada.

Old Guy
Posts: 2875
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: First consultation

Postby Old Guy » Thu Nov 10, 2022 3:10 pm

Congrats on that first step! My thought is if you feel confident with him, go for it. Especially if he is the closest doc to you. (I remember you live in a rural area)
For me I met with one doc who did implants, but not many. He referred me to his partner, who does several a week. Felt confident enough to go with him, no regrets.
Insurance will be the hurdle. Good Luck.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me

Livingstonguy
Posts: 106
Joined: Mon Sep 26, 2022 8:18 am
Location: Livingston, TN

Re: First consultation

Postby Livingstonguy » Thu Nov 10, 2022 7:42 pm

Old Guy wrote:Congrats on that first step! My thought is if you feel confident with him, go for it. Especially if he is the closest doc to you. (I remember you live in a rural area)
For me I met with one doc who did implants, but not many. He referred me to his partner, who does several a week. Felt confident enough to go with him, no regrets.
Insurance will be the hurdle. Good Luck.



Thanks! All 3 doctors are about the same distance from us. 2 in Nashville and 1 in Knoxville. We live right between the 2 cities. I can't find a whole lot of info on the other 2 doctors, but I found a lot if info on the first. I'll sleep on it over the weekend and the wife and I will discuss how to proceed.
Implanted 12/22/2022 AMS 700cx 21cm with 1 cm RTE at St Thomas midtown in Nashville
Livingston, TN (BFE)
Contact:gregandkelly63@hotmail.com
Born in 1963 Prostate cancer at 58 with RP at Vanderbilt

Married 42+ years to my best friend

Rider1400
Posts: 1148
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: First consultation

Postby Rider1400 » Thu Nov 10, 2022 11:26 pm

BearsWin wrote:
Rider1400 wrote:Submuscular/ectopic resivour? What is that? I had previously had double hernia surgery with mesh in both sides and they put my resivor just under the top layer of muscle… it stands out like a growth!! About 1-1/2” by 3”. And probably stands out 3/4”. If I was ever in a locker room and people saw me they would never notice my semi erect looking dick but would surely notice my bulge directly under my belt line and about 3-4” to the left of my belly button.


Apparently there are a couple different places the surgeon can put the reservoir. The traditional placement I've learned is the retropubic space near the urinary bladder. Some surgeons these days (particulary if that space is compormised due to trauma or prior surgery) elect to put the reservoir between muscle layers of the abdomen to the side which I think is what you're describing yourself. It's actually been the most painful point of my recovery - that effing reservoir site burns and immediately postop hurt like hell. It's mostly better a week out. I can easily palpate it myself on my left lower abdomen.


That was also the most painful part of my surgery… although it has been 18-20 years since I had the hernia surgery, it still brought back to mind the pain I was in after that surgery. After first 7 days or so it began to get easier to set up from a chair and by 2 weeks it was just tender… at a little over 3 weeks it was just a little discomfort and after a month as now I put my pants right over it and tighten my belt also right over the top… it flattens out when I inflate and bulges when I deflate it.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong


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