Infrapubic or penoscrotal

[Donnie1954]

My incision was infrapubic. I was totally healed and fucking, (gently of course) in 28 days. The thought of anyone cutting around my nuts terrified me. No nerve damage. My Uro is tops.
donnie1954@mail.com

[Hawkman]

My incision was infrapubic. I was totally healed and fucking, (gently of course) in 28 days. The thought of anyone cutting around my nuts terrified me. No nerve damage. My Uro is tops.
donnie1954@mail.com

What is the difference in putting an invisible 1" incision on your scrotum skin and cutting your pubic area horizontally and suffing a pump down through that all the way into your scrotum ???

btw, I was having intercourse (gently of course) in 21 days with no nerve damage. Those that think the infrapubic approach is faster recover are incorrect. There might be some arguments for its advantage (or maybe not), but being a faster recovery is NOT one of them.

[Donnie1954]

I can't compare a scrotal approach because I didn't have one. I had infrapubic and my incision healed quickly.
donnie1954@mail.com

[Lester33]

mine was infrapubic too but can't argue with the experts on healing or cleared for sex

[TANGERINE]

here is a quote from an article on the subject:

from Dr Bruce Garber

The scrotal and infrapubic approaches each have advantages and disadvantages. The scrotal approach provides excellent access to the corpora, which is especially helpful in patients with corporal fibrosis or Peyronie’s disease, who may require penile straightening procedures or extensive intracorporal dis- section. It provides excellent access to the scrotum, so that the pump can be fixed in place, and usually allows the procedure to be done with less tissue dissection than that which is required via an infrapubic approach. The scrotal approach allows cylin- der insertion with essentially no chance of injury to the dorsal penile nerves. However, the scrotal approach requires ‘blind’ transinguinal reservoir insertion, which may be difficult, risky or impossible in patients with prior hernia repair with pros- thetic mesh, cystectomy, renal transplant or morbid obesity. The infrapubic approach requires more tissue dissection (through the infrapubic fat pad) and care must be taken to avoid injuring the dorsal penile nerves during cylinder insertion or replacement. However, it allows reservoir insertion into the prevesical or extraperitoneal space under direct vision.

article reference:

Inflatable penile prostheses for the treatment of erectile dysfunction: an update Bruce Garber MD
Expert Rev. Med. Devices 5(2), 133–144 (2008)

Personally, I would not want the infrapubic since the tubes course over the top side of the shaft, so a woman might be able to feel them against her clit during deep intercourse, also, there are more numbness issues, also, the pump does not get placed as preceisely in the scrotum with the infrapubic -- and for many, the pump position is a source of discontent from us bionics.

So, I am a big supporter of penoscrotal -- but, it is better to go with a super talented high volume surgeon and follow their preferred approach.

[Tsanchez12369]

I’ve heard it said more than once that the infrapubic approach requires the tubing to loop over the top of the cylinders. How is this if the tubing exits st the bottom of the cylinders? Is this incorrect or depends on the surgeons technique?

[Donnie1954]

I had infrapubic and my tubes are where they are supposed to be. My surgeon did an awesome job. Only an excuse for a surgeon does a lousy job. My tubes are placed perfectly as is my pump.
donnie1954@mail.com

[kosh200]

here is a quote from an article on the subject:

from Dr Bruce Garber

The scrotal and infrapubic approaches each have advantages and disadvantages. The scrotal approach provides excellent access to the corpora, which is especially helpful in patients with corporal fibrosis or Peyronie’s disease, who may require penile straightening procedures or extensive intracorporal dis- section. It provides excellent access to the scrotum, so that the pump can be fixed in place, and usually allows the procedure to be done with less tissue dissection than that which is required via an infrapubic approach. The scrotal approach allows cylin- der insertion with essentially no chance of injury to the dorsal penile nerves. However, the scrotal approach requires ‘blind’ transinguinal reservoir insertion, which may be difficult, risky or impossible in patients with prior hernia repair with pros- thetic mesh, cystectomy, renal transplant or morbid obesity. The infrapubic approach requires more tissue dissection (through the infrapubic fat pad) and care must be taken to avoid injuring the dorsal penile nerves during cylinder insertion or replacement. However, it allows reservoir insertion into the prevesical or extraperitoneal space under direct vision.

article reference:

Inflatable penile prostheses for the treatment of erectile dysfunction: an update Bruce Garber MD
Expert Rev. Med. Devices 5(2), 133–144 (2008)

Personally, I would not want the infrapubic since the tubes course over the top side of the shaft, so a woman might be able to feel them against her clit during deep intercourse, also, there are more numbness issues, also, the pump does not get placed as preceisely in the scrotum with the infrapubic -- and for many, the pump position is a source of discontent from us bionics.

So, I am a big supporter of penoscrotal -- but, it is better to go with a super talented high volume surgeon and follow their preferred approach.

TANGERINE

Did you get any numbness from your surgery and has it affected your ability to perform? My surgeon went penoscrotal and I have numbness to the top scrotum/lower third of shaft underside. Any insight would be appreciated.

[TANGERINE]

today, I have zero numbness and all sensation is back to where it was before surgery.

however, for the first 6 months, I had mild numbness on the undersurface of my penis --- it helped to improve my premature ejaculation so I did not mind, but now I am back to regular sensitivity.

(yes indeed, my situation seems similar to what you describe in the above message -- I suspect that this will improve over six to twelve months)

[TANGERINE]

I’ve heard it said more than once that the infrapubic approach requires the tubing to loop over the top of the cylinders. How is this if the tubing exits st the bottom of the cylinders? Is this incorrect or depends on the surgeons technique?

I looked up my operating room record, and I notice that the type of titan that I have is:
"touch scrotal zero degree angle cylinder set with pump"

I believe The point here is that the surgeon would use a different type of cylinder for the infrapubic approach, because the tubing comes out the top for the infrapubic. For some guys, this tubing over the top issue is a bother. HOWEVER, I am not totally sure since I have scrotal approach and thus my tubes are totally hidden and cannot be felt since they hide behind the balls.

I do remember seeing a picture, I think alibaba, where you could see the tubes over the top, though not sure.