For all men who have an implant how many had severe ED?

The final frontier. Deciding when, if and how.
CigareVolant
Posts: 81
Joined: Wed May 25, 2022 6:13 pm

Re: For all men who have an implant how many had severe ED?

Postby CigareVolant » Mon Apr 22, 2024 4:42 pm

I got my implant "early" compared with many men here, and skipped straight from pills to implant. Almost two years later, I am pleased I did it.

I could generally get hard, but it would often go down and stay down. Over the years, this was true even as I increased up to the maximum dose of Cialis. I started with Viagra but switched because Cialis lasts longer. As the dose increased, so did the side effects. I would get a really stuffy nose and sometimes a bit of a headache. For my girlfriend at the time, having a cock right near her pussy helped her orgasm, but she didn't care much whether it was soft or hard. Hard while I was still in her was fine, soft after I finished, or soft simply because it went soft — all were great for her. So I did the implant for me. I wanted to be able to get hard without side effects, whenever I wanted, and stay hard as long as I wanted. Now I do.

I skipped from pills to implant. I didn't want the muss and fuss of injections or pumps. I especially didn't want something that had to be refrigerated. I like to travel and I wanted to be able to conveniently have sex whenever and wherever. At first I was thinking of implants as a "last resort", but the more I learned, the more I questioned that. People here who had them seemed happy, even thrilled. Many said, I should have done it sooner. In the old days, the "official recommendation" was apparently that you shouldn't try an implant until you had tried everything else. But more recently, that has changed. They still recommend pills first, but beyond that, an implant is considered a reasonable choice whether or not you have tried the other things. (This is based on the guidelines from the American Urological Association.)

I can't say what's right for you, but for me, going straight from pills to implant was the perfect choice. Knowing what I know now, and having the positive experience that I have, I wish that I'd learned about it sooner and had the opportunity to do it earlier. I'm about 60 and I wish I had done this at 50 or even 45.
Implanted June, 2022 by Dr. Karpman. 22cm Titan with 1.5cm RTE.

Jage64
Posts: 545
Joined: Sat Oct 22, 2022 9:38 pm

Re: For all men who have an implant how many had severe ED?

Postby Jage64 » Mon Apr 22, 2024 11:49 pm

There is a questionnaire that's internationally recognized as an indicator of ED severity. I was asked to complete one prior to my consultation with my first urologist. Here's a link to it, just from a random Google search result.

https://www.browardurologycenter.com/pd ... nnaire.pdf
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

niall4473
Posts: 29
Joined: Sun Apr 24, 2022 4:33 am
Location: Northern England

Re: For all men who have an implant how many had severe ED?

Postby niall4473 » Tue Apr 23, 2024 3:21 am

I think that questionnaire is a rather flawed tool as it does not have any options of "never", you cannot answer it truthfully if you cannot get an erection at all.
I pulled a muscle in my groin about 13 years ago, ( which my urologist said must have been incidental, and cannot have been the cause), and never had an erection again, pills, VED, injections and now an implant, and still cannot get one!

Never_Enough
Posts: 153
Joined: Fri Nov 24, 2023 7:54 am

Re: For all men who have an implant how many had severe ED?

Postby Never_Enough » Tue Apr 23, 2024 6:20 am

I'd say the questionaire is flawed for other reasons.

For example I would score 5 in a lot of those because I only actually have sex when I'm hard.

It would be more appropriate if my partner spring it on me more suddenly rather than me being in the mood to start with.
38 m UK

Psychogenic ED since a teenager, no problems being fully erect alone.
2 kids, long term partner but also a new relationship.
Chronic pelvic pain developed in late 2023 making ED worse.
Extreme stress levels
Cialis 5 mg daily and 15 mg as prn

Never_Enough
Posts: 153
Joined: Fri Nov 24, 2023 7:54 am

Re: For all men who have an implant how many had severe ED?

Postby Never_Enough » Tue Apr 23, 2024 6:21 am

niall4473 wrote:I think that questionnaire is a rather flawed tool as it does not have any options of "never", you cannot answer it truthfully if you cannot get an erection at all.
I pulled a muscle in my groin about 13 years ago, ( which my urologist said must have been incidental, and cannot have been the cause), and never had an erection again, pills, VED, injections and now an implant, and still cannot get one!


You have an implant and can't get one?
38 m UK

Psychogenic ED since a teenager, no problems being fully erect alone.
2 kids, long term partner but also a new relationship.
Chronic pelvic pain developed in late 2023 making ED worse.
Extreme stress levels
Cialis 5 mg daily and 15 mg as prn

Never_Enough
Posts: 153
Joined: Fri Nov 24, 2023 7:54 am

Re: For all men who have an implant how many had severe ED?

Postby Never_Enough » Tue Apr 23, 2024 6:28 am

CigareVolant wrote:I got my implant "early" compared with many men here, and skipped straight from pills to implant. Almost two years later, I am pleased I did it.

I could generally get hard, but it would often go down and stay down. Over the years, this was true even as I increased up to the maximum dose of Cialis. I started with Viagra but switched because Cialis lasts longer. As the dose increased, so did the side effects. I would get a really stuffy nose and sometimes a bit of a headache. For my girlfriend at the time, having a cock right near her pussy helped her orgasm, but she didn't care much whether it was soft or hard. Hard while I was still in her was fine, soft after I finished, or soft simply because it went soft — all were great for her. So I did the implant for me. I wanted to be able to get hard without side effects, whenever I wanted, and stay hard as long as I wanted. Now I do.

I skipped from pills to implant. I didn't want the muss and fuss of injections or pumps. I especially didn't want something that had to be refrigerated. I like to travel and I wanted to be able to conveniently have sex whenever and wherever. At first I was thinking of implants as a "last resort", but the more I learned, the more I questioned that. People here who had them seemed happy, even thrilled. Many said, I should have done it sooner. In the old days, the "official recommendation" was apparently that you shouldn't try an implant until you had tried everything else. But more recently, that has changed. They still recommend pills first, but beyond that, an implant is considered a reasonable choice whether or not you have tried the other things. (This is based on the guidelines from the American Urological Association.)

I can't say what's right for you, but for me, going straight from pills to implant was the perfect choice. Knowing what I know now, and having the positive experience that I have, I wish that I'd learned about it sooner and had the opportunity to do it earlier. I'm about 60 and I wish I had done this at 50 or even 45.


I thought you meant early in terms of age, then I realised you meant early in terms of Ed severity.

I'm 38 and seriously considering it despite being able to get a decent erection.

The stress is outstanding.
38 m UK

Psychogenic ED since a teenager, no problems being fully erect alone.
2 kids, long term partner but also a new relationship.
Chronic pelvic pain developed in late 2023 making ED worse.
Extreme stress levels
Cialis 5 mg daily and 15 mg as prn

Never_Enough
Posts: 153
Joined: Fri Nov 24, 2023 7:54 am

Re: For all men who have an implant how many had severe ED?

Postby Never_Enough » Tue Apr 23, 2024 7:36 am

niall4473 wrote:I think that questionnaire is a rather flawed tool as it does not have any options of "never", you cannot answer it truthfully if you cannot get an erection at all.
I pulled a muscle in my groin about 13 years ago, ( which my urologist said must have been incidental, and cannot have been the cause), and never had an erection again, pills, VED, injections and now an implant, and still cannot get one!


I read your story, sorry to hear about your experience.

I see
You are from the UK?

Who did you get yours done with?

Thanks.
38 m UK

Psychogenic ED since a teenager, no problems being fully erect alone.
2 kids, long term partner but also a new relationship.
Chronic pelvic pain developed in late 2023 making ED worse.
Extreme stress levels
Cialis 5 mg daily and 15 mg as prn

Jage64
Posts: 545
Joined: Sat Oct 22, 2022 9:38 pm

Re: For all men who have an implant how many had severe ED?

Postby Jage64 » Tue Apr 23, 2024 12:29 pm

niall4473 wrote:I think that questionnaire is a rather flawed tool as it does not have any options of "never", you cannot answer it truthfully if you cannot get an erection at all.
I pulled a muscle in my groin about 13 years ago, ( which my urologist said must have been incidental, and cannot have been the cause), and never had an erection again, pills, VED, injections and now an implant, and still cannot get one!


Well....uh.....then I don't think you need a questionnaire.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

Musson
Posts: 403
Joined: Wed Nov 17, 2021 12:59 pm

Re: For all men who have an implant how many had severe ED?

Postby Musson » Tue Apr 23, 2024 1:40 pm

I think there are 2 variables in this equation: 1) degree of ED and 2) sexual demands of your relationship/lifestyle.

I have moderate ED that responds to meds but out of preference I prefer Trimix injections. This has fewer side effects for me and less chance of going limp half way through the deed. My wife is not very sexually demanding so I do t feel compelled to go for an implant. However, if I ever find myself divorced or widowed my first appointment is with an implant surgeon.

So as long as I have a mostly working erection I’m good with it. But if I ever find myself single i would be immediately implanted and ravaging every available vagina in a 10 mile radius.
63yr old. PDwith 40% dor. Curve. Pre-PD 7”x6”.lost 2 in. due to PD. ED prior to PD. Switched from Sildalifil to Trimix Nov 2023 . Currently titrating Trimix for optimization.

Jage64
Posts: 545
Joined: Sat Oct 22, 2022 9:38 pm

Re: For all men who have an implant how many had severe ED?

Postby Jage64 » Tue Apr 23, 2024 3:35 pm

Musson wrote:But if I ever find myself single i would be immediately implanted and ravaging every available vagina in a 10 mile radius.


haha, I think there's a registry for guys like you. ;)
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"


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