Titan Premature Failure 2y > Infection from Revision > Tactra Salvage and length loss

The final frontier. Deciding when, if and how.
principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Fri Nov 25, 2022 5:40 am

Day 7:

Pain at 2/10 and only when standing/walking. Laying down is fine 0/10. Much better than the first surgery so far. Pain was 8/10 then when I tried to stand for any duration of time and increased to 8.5-9/10 if I insisted. So far, so good.

Today, during my shit shower routine, I might have strained a bit too hard during the poop session and/or scrubbed hard the portion of the skin where the drain was located while showering and it started leaking a bit of blood. Nothing to bad but I did make a mess.
The incision still hasn't fully closed either, it still does bleed a bit as well.

I'm taking codeine for pain once a day but not that it's been trully needed, however I do have flashbacks of pain from my first surgery and at this point, I don't want to feel any pain given the option, so when the pains gets to a 2.5/10, I'm taking codeine.

I didn't want to alarm myself before needed but I do have what appears to be a kink on the left base of the penis. I thought it was just swelling at first but it is indeed the cylinder raising the skin a bit and forming a small lump, barely visual, but clearly palpable. It did get me a little concerned, but it's too early for any signs of trouble. The cylinders have to soften up, I have alot of cycling to do after healing, and I'm hoping this turns out to be nothing.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

AmansinCali
Posts: 315
Joined: Mon Apr 20, 2020 2:30 pm
Location: SoCal

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby AmansinCali » Fri Nov 25, 2022 10:34 am

Principles,

I am enjoying your report, please keep posting. There is a lot of interest in the differences between the implants, it is rare we have a brother who has first hand knowledge of two different styles of implants

Also, I think an explanation of the costs involved for the revision would be nice to share, it might reduce sticker shock in the future.

Thanks!
Used Viagra & Cialis until lost vision in one eye due to AION, therefore can never use pills again, then tri-mix 1 1/2 years until unreliable. Implanted 9/20/22 at 77 years old by Dr. Yafi, UC Irvine. Married 55 years wife 76. 20cm Coloplast Titan.

Rufian
Posts: 167
Joined: Sun Nov 20, 2022 10:28 pm

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Rufian » Fri Nov 25, 2022 11:34 am

this is bs for such expensive surgery and they can design stuff that wont fail?

Craigohbig
Posts: 273
Joined: Sun Aug 22, 2021 7:03 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Craigohbig » Fri Nov 25, 2022 11:59 am

Im in the middle of dealing with a failure. I’m not saying the doc doesn’t care, but it’s definitely not a top priority for him. He “hopes” to squeeze me in within the next few weeks. It feels like I’m an inconvenience
42 ED for 9 years vl after a fall. Pre implant 8 1/4 bp x 6 1/8 ish
Clavell titan 26+1 rte…post op very excited: 8 5/8” x 6 1/4” (7” base)
Starting to lose some length

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Fri Dec 02, 2022 10:44 am

Day 10:

Had a doctor's appointment this monday, we're meeting once a week until I'm healed. This surgeon has been great so far. Communication goes a long way as far as making the procedure less stressful.

At his office, he squeezed a bunch of "old blood" out of my scrotum through the incision. So much stuff came out, the texture and color resembled some sort of jelly. This procedure reduced the swelling by a significant amount.

Day 11:

Had cautious sex for the first time since surgery with the partial inflation I had from the procedure. Also masturbated twice. Been masturbating every other day since surgery. It doesn't really help with the recovery, but it's like going to the bathroom, it needs to be done.

I've tried to deflate the semi I had from surgery but I was unable to do it, and from all the fiddling and applied force trying to find the release button, I hurt myself a bit, increased swelling and consequently increased pain from 1/10 to 4/10. To help with the pain, I took lots of codeine.

Day 13:

I've tried some methods to help me deflate the painful and annoying semi I've had since surgery but was unable to. One of the methods involve "unlocking" the pump by squeezing it hard a couple times, it's a common occurence with the Titan, which is something I learned from my previous device. So I thought I might try squeezing a couple hard pumps in order to get the deflating mechanism working. It didn't work, and now I had an even bigger erection and I was already in pain, so that took the pain up a notch.

Not happy, I took 2 codeine pills and decided to give it one last shot, and for this last attempt, I had the "brilliant" idea to squeeze the opposite site of the deflate button. Miraculously, it worked, I was finally able to fully deflate the implant. WOW, immediate splendid relief.

Turns out, apparently, this pump's been installed the opposite from my previous device. On my previous Titan, from my POV, the deflate button was located on the right side of the pump, however, with the current setup, the deflate button appears to be on the left side, and that's why I wasn't being successful with my deflation attempts, I wasn't pressing the correct side! I'm not sure which side is the correct side for the deflate button, however, both seem to work. I was just naturally trained and used to it being on my right side (from my perspective).

Day 14:

Pain has been drastically reduced to less than 1/10 after I managed to deflate the device yesterday. I can't say I have any pain right now, just some extremely minor discomfort that is also quite infrequent.



Some reflections after having a partial erection for two weeks post surgery:

The pain from having a constant pressure being applied to the perineum AND the glands was subtle but ever present. I was very much bothered not by the annoyance of having a constant erection (even if partial) but the subtle pain that was subconsciouly weighting on me, which made me wonder if this is something that for those who opt for a malleable implant, if they ever get over this pain/discomfort treshold of always having a device pressing on both ends of your corpus cavernosum. I suppose eventually this pain goes away, otherwise it'd be too bothersome to live with, and I don't think this issue is reflected in most publications so I infer this type of pain is indeed temporary.

I feel grateful to have a soft limp dock for a change. For all the headaches and worries an inflatable device might cause, when it's perfectly functioning and if you assume it will stay that way, it's just great.

Will report more next week!
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Fri Dec 02, 2022 10:56 am

Craigohbig wrote:Im in the middle of dealing with a failure. I’m not saying the doc doesn’t care, but it’s definitely not a top priority for him. He “hopes” to squeeze me in within the next few weeks. It feels like I’m an inconvenience


This is exactly the reason I didn't opt for the same surgeon that performed my first surgery. He was very talented and I liked the outcome of my first surgery. However, the communication was firewalled by his secretaries and I felt myself being handled with complete indifference.

Current surgeon is lower volume, but definitely very qualified. He follows my recovery process weekly at his office, messages me frequently asking how I'm feeling and quickly replies any of my questions. Communication has been great and that counts for alot with a procedure like this.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

principles
Posts: 161
Joined: Thu Mar 26, 2020 5:48 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby principles » Fri Dec 02, 2022 11:02 am

AmansinCali wrote:Principles,

I am enjoying your report, please keep posting. There is a lot of interest in the differences between the implants, it is rare we have a brother who has first hand knowledge of two different styles of implants

Also, I think an explanation of the costs involved for the revision would be nice to share, it might reduce sticker shock in the future.

Thanks!


Sure, I'll continue to report the process. I did find myself going back to my own thread from the previous surgery to remember some of the details and found that to be really helpful having to go through another surgery. Frankly, I might continue to journal (even if not that frequently) for my own selfish reasons but hopefully it can help somebody at some point during their journey.

I'm not sure I'll notice the subtle differences between the 24cm XL and the 22cm Titan, but if I do, I'll certainly report back!

As far as the expenses, Coloplast provided me with another implant free of charge (warranty), insurance provider paid for the hospital and I had to pay out of pocket for the medical team. Total cost was about 6000$ usd.
Healthy 31y
08/2020 Titan 22+3. Post op was rough. Best sex of my life. Tubing failed after 26 months.
11/2022 Titan 24+2. Infected from Revision.
01/2023 Tactra 23 13mm. Salvage.
08/2023 Titan 20+3. Infected (3 weeks in)
08/2023 Scheduled Tactra Salvage.

willing
Posts: 20
Joined: Tue Jul 05, 2022 4:22 pm

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby willing » Fri Dec 02, 2022 12:24 pm

principles wrote:I feel grateful to have a soft limp dock for a change. !

thanks for posting your experience. Now on day 3 post-op from my first implant and that comment hit home ( a case of 'careful what you wish for'). Will be erect and sore (but steady decrease so far) until my post-op appt, 12/7
11/29/22 Coloplast Titan 22cm, Touch pump, Es2822, 125cc . Dr. Karpman, infrapubic

Floridaspeedo
Posts: 294
Joined: Fri Jun 17, 2022 11:15 am

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Floridaspeedo » Fri Dec 02, 2022 12:38 pm

principles wrote:
AmansinCali wrote:Principles,

I am enjoying your report, please keep posting. There is a lot of interest in the differences between the implants, it is rare we have a brother who has first hand knowledge of two different styles of implants

Also, I think an explanation of the costs involved for the revision would be nice to share, it might reduce sticker shock in the future.

Thanks!


Sure, I'll continue to report the process. I did find myself going back to my own thread from the previous surgery to remember some of the details and found that to be really helpful having to go through another surgery. Frankly, I might continue to journal (even if not that frequently) for my own selfish reasons but hopefully it can help somebody at some point during their journey.

I'm not sure I'll notice the subtle differences between the 24cm XL and the 22cm Titan, but if I do, I'll certainly report back!

As far as the expenses, Coloplast provided me with another implant free of charge (warranty), insurance provider paid for the hospital and I had to pay out of pocket for the medical team. Total cost was about 6000$ usd.




I am curious why didn't the insurnce company pay for the medical team. Usully on revisions they pay easier than a new implant.


Will be interesting to know how the XL compares.

Best of luck.
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

Gt1956
Posts: 2882
Joined: Fri Apr 05, 2019 2:47 pm

Re: Revision 18/11 Titan Touch 22+3 to XL 24+2 due to tubing failure 2 years after initial surgery

Postby Gt1956 » Fri Dec 02, 2022 1:16 pm

Floridaspeedo wrote:
principles wrote:
AmansinCali wrote:Principles,
Also, I think an explanation of the costs involved for the revision would be nice to share, it might reduce sticker shock in the future.
Thanks!

As far as the expenses, Coloplast provided me with another implant free of charge (warranty)y tierthey're in. , insurance provider paid for the hospital and I had to pay out of pocket for the medical team. Total cost was about 6000$ usd.

I am curious why didn't the insurnce company pay for the medical team. Usully on revisions they pay easier than a new implant.
Will be interesting to know how the XL compares.
Best of luck.

Actually, we don't know the whole story. There could of been a change in the terms of his policy. Some of the staff might of been out of his network. Finally, those pesky co pays.
Sounds like the insurance did pay relatively easily. The part where you're hung up at is the out of pocket cost. Considering its a $20k to $30k surgery normally. His out of pocket, while seemingly high. Might just reflect his co pays for this years policy.
I've read that the cost of Covid has hurt the insurance industry. Seems likely that rather than raise premiums that they could adjust co pays to balance out the books. This time every year my insurance sends me a large list of adjustments to the drugs they cover & what co pay tier they are in. Rumors are that some new expensive alzheimers drug was prescribed less in 2022 than they anticipated so the drug co pays are a bit better for 2023.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months


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