Implant after RP

The final frontier. Deciding when, if and how.
buddypayne
Posts: 83
Joined: Sat Jan 29, 2022 3:26 pm

Implant after RP

Postby buddypayne » Mon Jul 03, 2023 9:53 am

I have a question for guys who have an implant after radical prostatectomy, particularly guys who don't respond to PDE5 inhibitors for glans enlargement.

Are you happy with your implant and are you able to orgasm without glans enlargement?

I'm concerning a penis implant and I'm concerned about sex without glans enlargement.

Any information concerning this subject would be appreciated.

android912
Posts: 28
Joined: Sun May 07, 2023 7:45 pm

Re: Implant after RP

Postby android912 » Mon Jul 03, 2023 12:07 pm

Hey Buddy…I am also an inquiring mind on this subject. This is my first post on FT and I am so grateful for this community of brave men (!) and I want to thank you all. I had my RP in May of 2021 and must admit they (urology / oncology) certainly minimized the fact that you will in a high probability lose your ability to have an erection. Enter the world of pumps and needles…and the struggle pervades your walk. Truly it becomes a physical challenge coupled with the mental torment ….And a huge shout out to Tangerine and his pamphlet….it has given me hope.
65 yo. PCa Mar 21, RARP May 21 ED immediately following. VED therapy. Trimix failed with pain. Used Bimix but losing efficacy and developing scarring. Pills never worked. Implant (Coloplast Titan One Touch 18cm 1 rte 9/14/23) pre op 'BPL 5.75 G 5:25

SteveD
Posts: 41
Joined: Thu Jun 02, 2022 1:34 pm

Re: Implant after RP

Postby SteveD » Mon Jul 03, 2023 1:21 pm

I had my RP 4 years ago - an implant 2 years ago. I chose not to use injections and stayed with a VED and Viagra. Glans enlargement has not affected my ability to orgasm or wife's enjoyment - for us stimulation and lubrication are more supportive. As so often said - seek out a very experienced surgeon - understand the options available - and follow your surgeon's recommendations for pre-op prep and post-op activities.

I also think we guys have to 'get our heads on straight!' Yes - the lead up with prostate cancer - the surgery - the 2 years after - and even the first year with the implant were 'mind-benders.' But now - a well-adjusted attitude, implant and willing partner beats all!

Questions welcomed - and I'm sure others will join in...
Somewhere on the journey after prostate cancer surgery 2019 - AMS 15/5 IPP 2 years later - saved by a very supportive wife and a great surgery team at Johns Hopkins.

oldbeek
Posts: 2472
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Implant after RP

Postby oldbeek » Mon Jul 03, 2023 2:56 pm

All of my nerves were remove according to my PC surgeon. My glans was cold and white. My entire penis was cold but I could still orgasm. 3 1/2 years after implant nerves started to heal. I used trimix gel in my urethra to get glans engorgement for a short period of time. 5 years since IPP and my glans is usually pink but never gets to that purple swollen state as before the rarp. I have gone from PTSD to accepting what I can get now.
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

HikerMan
Posts: 175
Joined: Sun Aug 14, 2022 9:33 am

Re: Implant after RP

Postby HikerMan » Mon Jul 03, 2023 3:38 pm

SteveD wrote:I had my RP 4 years ago - an implant 2 years ago. I chose not to use injections and stayed with a VED and Viagra. Glans enlargement has not affected my ability to orgasm or wife's enjoyment - for us stimulation and lubrication are more supportive. As so often said - seek out a very experienced surgeon - understand the options available - and follow your surgeon's recommendations for pre-op prep and post-op activities.

I also think we guys have to 'get our heads on straight!' Yes - the lead up with prostate cancer - the surgery - the 2 years after - and even the first year with the implant were 'mind-benders.' But now - a well-adjusted attitude, implant and willing partner beats all!

Questions welcomed - and I'm sure others will join in...
AMS 700 installed 12/22/22
REAR TIP Extender 5.0CM MR Conditional
AMS 700 SPHERICAL RESERVOIR 100 ML.
AMS 700 LGX INFRA PUBIC 18 cm
Dr. Jeffrey Loh Doyle- USC KECK
Prostate cancer survivor- RP performed 8/20
56, Marathon runner, John Muir Trail fanatic.

woodturner
Posts: 117
Joined: Fri Dec 20, 2013 1:48 pm

Re: Implant after RP

Postby woodturner » Tue Jul 04, 2023 5:29 pm

I had an Titan installed about 4 years after the radical prostatectomy. I would have done it sooner, but insurance wouldn't cover it. When I was put on Tricare at age 60 (they cover it) I had the implant a couple of months later.

I strongly recommend you spend 20 - 30 minutes a day using a VED. That will pull oxygenated blood into the penis. This will prevent atrophy which is a common cause of size loss.
Because I did the VED daily I did not loose any size when I got my implant
Total ED since a 6/2010 RPA. Pills and injections didn't work. 2nd revision with a Coloplast Titan (24CM w & 2CM RTEs)on 12/15/2022. 68 years old

FinallyBionic
Posts: 305
Joined: Fri Jul 22, 2022 8:12 am

Re: Implant after RP

Postby FinallyBionic » Wed Jul 05, 2023 6:06 pm

I had my RP in Oct 17 and got the implant in Jan 21. I really wish I had it sooner, but I didn't know about it till I found FT.
Implant won't affect your glans enlargement. You will continue to have what you have now. The positive side is, when you have sex several times a week, you will get more blood flow from being aroused. Orgasming won't be affected by the implant as well. Some guys had difficulty during the first couple of months after implant but got every sensation back after completely healing.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

armygolfer
Posts: 45
Joined: Wed Jan 15, 2020 4:33 pm

Re: Implant after RP

Postby armygolfer » Thu Jul 06, 2023 4:58 pm

Had my non sparing RP 1 Aug 2019. My doc was honest with me and said I'd never have an erection again. Hard pill to swallow. Immediately started using a VED. Tried shots and they worked but too good. Had raging erections for hours and hours. Hurt like hell. I knew that wasn't going to work either. Had a consult with his associate, a female doc who specialized in implants. She didn't have to convince me. Scheduled it right then and by December was bionic. Best decision I ever made. Has given me, and my wife, our sex life and it's better than ever. Only downside is my glans does not have natural blood flow. I now use a trimix gel inserted in my urethra. A little messy and you have to time it with your upcoming sex session to do it in advance but I can tell you it works amazingly well. It not only swells the head of my cock but adds girth too. I'm 6 3/4 in length and 5 1/2" girth without it. With it I'm over 7 and almost 6 in girth.
65y.o. Very healthy fit and strong.
Radical Prostatectomy 1 Aug 2019
Implanted 30 Jan 2020 with Titan 18cm with 4cm RTE on one side and 2 1/2 RTE on the other
First implant failed at 6 months. Revision done 12 July 2020 with 20cm Titan, 2cm RTE's

LMCatman
Posts: 1007
Joined: Wed May 08, 2013 11:11 am
Location: South Florida, USA

Re: Implant after RP

Postby LMCatman » Thu Jul 06, 2023 5:40 pm

A side benefit of being a post-rp implantee is the "never ending orgasm".....It takes a while to get there but, if one of us can keep moving, I can keep coming. And after I catch my breath, the orgasms are easier to achieve. I can keep going and going and coming and coming. It's astonishing! Whodathunk old age would be like this! Good luck man!
73 Years old. RP Oct 2010, No erections after, Botched Titan implant April, 2013, Successful Titan revision, April , 2014 by Dr. Paul Perito, Miami. Titan failure Feb 2017. Rev. by Dr Perito March 1st, 2017. Titan failure Nov 2020. New Titan January 2021


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