Implants in transplanted-inmunosupressed people.

The final frontier. Deciding when, if and how.



oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Implants in transplanted-inmunosupressed people.

Postby oneperson » Tue Nov 05, 2019 11:13 am

As requested by one member, I open a thread to talk about considerations and experiences related with implants in transplanted people. It may help somebody.

First the first. There are many organs which can be transplanted. At the moment, and in my knowledge, they are:

Liver, heart, lunge, pancreas, kidney, and small intestin. Other things that can be transplanted not being organs are cornea and bone marrow.

Each of them can be transplanted to solve a bunch of problems. Each one can have multiple illness that can be solved with a transplant. That makes the person who receives, and the transplant itself, totally unique. It is completely different a liver transplant needed because of a cirhosis due to an hepatitis C, than a cirhosis due to a Wilson syndrome. And both are in the same organ. If compared to a kydney one after years of dialisis due to a renal disorder, they have nothing to do.

But all of them have one thing in common: every pacient who receives a transplant, has to take live medication for inmunosupresion. If not, the organ will be rejected. That medication carries a well known problem: a tendency to infections. As the inmuno system is depressed, the capacity to fight agains bacterias and viruses is lower than a healty person, so that is more likely an infection.

This tendency goes lower as time passes. The chances of have infections are much bigger during first year post trasplant than 10 years after, and much lesser 20 years. But it will be there forever.

That involve special care when a transplanted person needs a surgery, or even a simple endodontics. More anthibiotics, more carefull with wounds manage, and the worst of all: more time to health. This last thing depends not only on the medication, but on the general health status, the cause of the transplant, the evolution.. but those are many variables.

The facts: I suffered a liver transplantation in 1996 caused by a cirhosis caused by a Wilson syndrome. My general health is ok, but because of medication, illness and psicological consecuences of the entire thing I have suffered ED in various degrees since I was 24.

I went to implant on September 12nd, 2019. My doctor took every care needed, and I have avoid infections. The recovery process, however, is being hard: much pain and swelling right from de first minute after surgery; almost 8 weeks since then and I am still not able to have sex due to the pain. Lost about 2,5 cm in lenght, and wonder how will it be possible that tiny thing, inflated to the most pain I can afford during 15 minutes, be able to recover half the lost size.

Everybody says that cycling do the miracle, but as its said: I will believe when I see it. And time goes sooo slow now... :D
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

WhiteCane
Posts: 350
Joined: Wed Sep 11, 2019 8:10 pm

Re: Implants in transplanted-inmunosupressed people.

Postby WhiteCane » Tue Nov 05, 2019 12:31 pm

I I am all in on this one! simultaneous kidney/pancreas in 2017 implanted in October 2019… two weeks out, exactly on the date of this post… doing constant bloodwork, antibiotic ointment and oral… i’m drinking a lot more water than I typically do in a day… Keep everything flushed! Some of the best advice I received… no signs of infection so far… my pain today can best be described as in between my penis in my balls being really compressed in a tight pair of underwear… Nothing bad at all… Just keeping an eye on the incision until it is completely healed over… my doctor “one of the best in the world“ told me with cycling, I should be right on track with everyone… I just need to keep following the same hydration and exercise routines that I have so far to keep my transplants healthy… he did warn me about possibly healing a little bit slower… So far, there hasn’t been too much of a delay… Like I said, since transplant I’ve been healthier than I ever was… really important to keep in contact with your surgeon and your transplant team during all of this! You are going to be surprised at how quickly your transplant team tells you they have a couple of patients that have them and they are all happy! your doctor may or may not limit your choice of implant… My doctor said he listen to my case about the Titan but he really recommended against it… I consulted another Doctor Who said the exact same thing… The second doctor primarily implanted Titans in case anyone was wondering… The big fear was how distal the titan put your penis from your body right off of the bat… One of the major benefits of the LGX is the coating… It just was the best option… i’ve asked pretty much every question in the book… If anyone has any questions, I would be more than happy to try to help… I’m premed right now but I am not a doctor! It is always best to get the doctors advice… I can maybe give you a little bit of guidance as to what to talk to him or her about it though… Be well my transplant/implant friends! PS, ignore typos! If it’s not getting graded, I’m not editing it LOL completely blind and typing with my voice…
Implanted October 2019 Dr. Kramer lgx 18 cm +2 rear tips. Preop at 6.75 post op 5.25... awaiting revision… Implanted for possibility of having our first child.


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