merrix wrote:I get questions like the one below now and then. As I know that this is very typical questions, I thought I might as well answer it here instead of in a PM.
I read a few of your posts on implants and Dr. Eid and was hoping you could help me with an advice as our situations seems to be somewhat similar.
I am 35 and have been on sildenafil ever since I got married at 25. Before marriage and I could masturbate with no issues, but sex was not possible a few times I tried. I had 90% success with viagra in the past 10 years until it stopped working about 2 months ago. Nowadays I get some erection, but barely enough for penetration. About 50% of times I get no erection at all.
I tried VED but it did not work for me and was painful. I do not want to try injections, as even if they were effective this will lead to scarring and fibrosis at some point, which I want to avoid at such a young age. I still get good nocturnal erections though.
I am seriously considering an inflatable implant with Dr. Eid, but I am worried that doing it at such a young age I would need multiple revisions and it would lead to loss of length, numbness, scarring etc. Do you think I could have 3-4 more revisions without an issue?
If I had a complete ED, getting an implant would be a no brainer, but having good erections at night, being able to have good sex with viagra until recently it is a tough decision to make. On the other hand, I had no decent sex with my wife past two months and it feels terrible, especially with the libido I have at 35. My balls literally hurt from being full.
Feeling really down and confused. Please help. "
Yes. Good questions, valid questions.
But instead of jumping in to statistics on infection rates for multiple revisions, and discussing how bad ED needs to be before going for implant, let's look at it from the helicopter perpspective first.
What is the option?
Think about it.
Yes, at 35 you will need revisions. I did it in my early forties, and I calculate on having to do a few revisions as well.
But so what?
Based on what you write, you cannot have sex anymore. Pills stopped working. Or your ED got worse, which means the effect from the pills are not enough anymore. Same shit.
You could not have sex with your wife for two months.
Then so what if you need a few revisions if you get implanted?
Are you going to sit there and say, for the rest of your life, that because you never got an implant, then: "Yes!! I never needed any implant revisions! Great!" But you will only be able to bang your wife once every six months when the pills luckily worked. For five minutes.
What is more important, being able to have sex or not having to do revisions?
I think the first question we all must ask ourselves in your situation is: Am I OK with the sexual performance I have now? If I can maintain what I have now for the rest of my life, is that ok?
If the answer is yes, I can live with this. It is not perfect, but it is within some reasonable standards, and at this level I will be ok, then fine. Don't risk the implant surgery and the following revisions.
But if you say that, fuck no, this is definitely not ok. It makes me feel miserable, it makes my wife feel miserable, and I know that this is not going to work in the long run - then you have to do something.
If that is moving on to another treatment instad of pills (e.g. injections), then so be it. But you have to do something.
And if the next step is implant, then so it is. Don't stay away from an implant you need because you are afraid of revisions.
It is like when people have miserable sex, but they hesitate to get implanted because they are afraid they will lose half an inch of length. I never understood the logic of that. What they say then is that it is better to have a dick that COULD be 5 inches when erect if it just could get hard (but it can't) than it is to have 4.5 inches rock hard whenever you want.
Same logic with the revisions. So it is better to not have sex, or just having shitty sex once in a while, than it is to treat the problem and then having to do multipe surgeries to keep it that way?
If you really think so, then of course, go ahead with a sex-less life.
But if sex is important enough to have a surgery every ten years, then go the implant route.
Bottom line, we must stop comparing the implant to something we WISH we had, but don't actually have (i.e. a working penis), and start comparing the pros and cons of an implant with what we ACTUALLY have. Which in most cases is a crap dick which doesn't work as it should, or as it needs to for us to feel good overall.
And to go into some details, as you are young, you will most likely need more revisions than a guy who gets implanted at 75. All the more important to let a top surgeon do the work.
Infection risk is slightly higher with a revision than a virgin surgery.
Let's say they are double.
if you do 1+3 surgeries with a top surgeon (0.3% infection rates on virgin, 0.6% on revisions), then your chance of never getting infected is (1-0.003)*(1-0.006)^3 = 98%
If going with a low-volume surgeon who has a 1.5% virgin infection rate and 3% revision infection rate, you end up at (1-0.015)*(1-0.03)^3 = 90%.
So you will have 2% of getting infected with the top doc and 10% with the low-volume doc.
One might not think that 0.4% or 2% makes much of a difference. But in the long run, when doing multiple revisions, it sure does.
Do you research, look at infection statistics of the doctors you are considering. If thy don't keep any statistics, I'd stay away.
Am new here and just stumbled across this old (and new/revived) thread. Love it. What a treasure trove of great information. Your patience and forthright bluntness play well here and are what a lot of guys need to hear, I think. This post in particular crisply and correctly dissects one of the key (and in my opinion) illogical elements to the implant consideration arguments.
What you said here always made entirely perfect sense to me. Assess your current day status quo, whatever that means to you. If you are genuinely and deeply unhappy with it...and if there is
a next-step approach you have not tried...then fucking try it
. Whatever it is. And don't look in the rearview
. Go have the best sex you can have with pills. Then, go have the best sex you can have with VED and then injections and then the piggybacked combinations of all of those. When those run their courses and you're staring at the end-of-the-continuum reality of implants...and if...IF...excellent sex remains a very high priority in your life...then leap, embrace the implant, and embrace that thing with whatever inevitable idiosyncrasies and nuances it (and everything) inevitably brings. Roll with it. Have rock hard on demand sex. Stop contemplating the unachievable ED-fix-Utopia.
People are so different, and with such different qualities in terms of their risk-tolerance and their caution vs faith/just leap mentalities. I only know myself and my wife firsthand on this subject of ED leading to implant...and she, for sure, had more questions and concerns than I seemed to (to her). But I had been thinking, reading, questioning, researching, and communicating with others on the implant topic for the better part of 2 years. I was well-armed with information and I had done the math in my head, for myself, about the risk vs upside. On balance, if I'm being honest with myself...I knew perfectly well 2 years ago that, with my very high dose injections faltering and failing and causing pain, fibrosis, etc...I for sure obviously knew where things were heading.
And at the end of the day, the highly sexual situation/relationship I am in was going to very, very dramatically change (already was changing) if I did not do something. She's too highly sexual. I'm too highly sexual. No risk. No reward. That fucking simple. We were (and are, still) in a situation where we cannot un-know the absolutely ridiculously awesome sex which is possible with a reliable rock hard dick. You can lie to yourself, but ultimately you cannot un-know awesome sex. The 2 of us, our basic natures said, "Ok let's leap here and give ourselves the best possible chance at the closest version of that" - ie, what it was like when injections worked with perfection, reliability, and crazy duration. Only speaking for the 2 of us, but we deeply sought a return to that.
I'm day 22 post implant. Not even activated yet, that's a week out. But one thing I've learned here for sure, is that the consideration of the entire spectrum of ED therapies from pills to injections to implants...it's deeply personal, of course...but it's also not fundamentally different from so many other things in life where people second guess and get paralysis by analysis noise unrelenting in their heads. We're all different. I get it, we all need encouragement and a push at times and for someone to throw back the veil on the contradictions in our thinking. Not to push an implant agenda on us, per se...but rather, to challenge our thinking
. What a great thread and a great post here to help do just that.