Replacement Surgeries Down The Line

[sweaterfan]

As has been written the smaller implant at revision is most always from an infection where the implant has to be removed and nothing else placed for a long time. 6 + months. With regular revisions 5 + years many times a larger implant is used. So there are things we can do to prevent infection. One is to question our doctor about infection rate and if the doctor has any special prevention for infection. No touch surgery, alcohol prep, ect. We can also do our part by keeping on top of any health issues we have and be as healthy as possible before surgery. And we can prep ourselves. One doctor has written that most sources of infection are brought into the OR by the patient. I washed new cotton underwear, socks, sweat pants, and t-shirt in bleach and placed then in zip lock baggies for the day of and after surgery. Showered with anti bacterial soap and then again with Hibiclens from my chest down. And then used alcohol wipes to wipe down my genitals and the surrounding area. If you take baths one doctor will have you soak for 30 minutes with a cup of bleach added for the 3 days prior to surgery. Then following wound care strictly. I also washed white cotton hand towels in bleach and sealed then for use of ice packs. I use dried beans so there was no water of moisture that could be a possible source of infection. Follow your doctors instructions to the letter. And if you have any signs of infection seek help right away. If caught early some infections can be treated and resolved with medication. Make sure you doctor does revisions. Some including all my local doctors do not. Then if you do have an infection and the implant has to be removed there is a better chance a malleable can be place to reduce size loss while waiting for the inflection to clear and for full healing before a second attempt for an inflatable can be done.

Great advice, newbie443! I'm adding this to my accumulation of notes gathered mostly from the kind people on this site.

[TwoStep]

Thanks guys
I ended up with the same size implant as I started ( which was small and gave me a floppy head) due to the infection and not being able to stretch the tissues for a year. At least now I am infection free and have a hard penis

Hi Tmansdorfer, sorry to hear about your troubles. Was there any talk about whether you could use a VED to keep it stretched while no inflatable implant was present? Did you end up using one?

[Tmansdorfer]

Yes my dr had be use a ved the whole time which the dr said made it possible to re install rhe implant. The dr told me that in the future I could have a revision with a probably larger implant after I cycle for a while but at the time of suregert there was too much scar tissue still. I am conflicted if I want to go through another surgery any time soon.

[irishguy]

Could you have used a traction decide aswell??

[Tmansdorfer]

Not sure if I could have done that as well, I think the ved is good because it brings blood flow In and keeps the tissue oxygenated and prevents the scar tissue to form inside. I am just thankful they were able to get the implant back in.

[nuance]

Thanks guys

The first implant was short and I had floppy glans so after three months I had a revision were I had 2cm installed. That implant was great for a year and then the pump failed. I again got a revision with an added 1cm but after only two months one of the cylinders came out and was in my scrotum. After that surgery I thought I was past everything when I got an infection rhat would not completely go away. I ended up having several surgeries to clear that up. Finally I decided to switch dr’s and a month ago I was infection free and had the implant re installed. It has been a journey but I am hopeful that this one is going to last. I ended up with the same size implant as I started ( which was small and gave me a floppy head) due to the infection and not being able to stretch the tissues for a year. At least now I am infection free and have a hard penis

How common is it for cylinders to come out? Shouldn't they be held in place with stitches?

[Tmansdorfer]

Yea for sure it should not have come out , I don’t know exactly what happened since they place stay sutures , the dr said he put a too long of a cylinder in but I don’t believe that was the issue since I had not even got to the point of pumping it up

[nuance]

As has been written the smaller implant at revision is most always from an infection where the implant has to be removed and nothing else placed for a long time. 6 + months. With regular revisions 5 + years many times a larger implant is used. So there are things we can do to prevent infection. One is to question our doctor about infection rate and if the doctor has any special prevention for infection. No touch surgery, alcohol prep, ect. We can also do our part by keeping on top of any health issues we have and be as healthy as possible before surgery. And we can prep ourselves. One doctor has written that most sources of infection are brought into the OR by the patient. I washed new cotton underwear, socks, sweat pants, and t-shirt in bleach and placed then in zip lock baggies for the day of and after surgery. Showered with anti bacterial soap and then again with Hibiclens from my chest down. And then used alcohol wipes to wipe down my genitals and the surrounding area. If you take baths one doctor will have you soak for 30 minutes with a cup of bleach added for the 3 days prior to surgery. Then following wound care strictly. I also washed white cotton hand towels in bleach and sealed then for use of ice packs. I use dried beans so there was no water of moisture that could be a possible source of infection. Follow your doctors instructions to the letter. And if you have any signs of infection seek help right away. If caught early some infections can be treated and resolved with medication. Make sure you doctor does revisions. Some including all my local doctors do not. Then if you do have an infection and the implant has to be removed there is a better chance a malleable can be place to reduce size loss while waiting for the inflection to clear and for full healing before a second attempt for an inflatable can be done.

That's very useful information, thanks!!

Can I ask how you developed Proximal Perforation? Is this something that can happen at the time of surgery with dilation or later during inflation if the implant is too big? I've seen a video on Sling Repair but didn't follow how it keeps the cylinder in place. Will the perforation eventually close up on it's own?

[newbie443]

As has been written the smaller implant at revision is most always from an infection where the implant has to be removed and nothing else placed for a long time. 6 + months. With regular revisions 5 + years many times a larger implant is used. So there are things we can do to prevent infection. One is to question our doctor about infection rate and if the doctor has any special prevention for infection. No touch surgery, alcohol prep, ect. We can also do our part by keeping on top of any health issues we have and be as healthy as possible before surgery. And we can prep ourselves. One doctor has written that most sources of infection are brought into the OR by the patient. I washed new cotton underwear, socks, sweat pants, and t-shirt in bleach and placed then in zip lock baggies for the day of and after surgery. Showered with anti bacterial soap and then again with Hibiclens from my chest down. And then used alcohol wipes to wipe down my genitals and the surrounding area. If you take baths one doctor will have you soak for 30 minutes with a cup of bleach added for the 3 days prior to surgery. Then following wound care strictly. I also washed white cotton hand towels in bleach and sealed then for use of ice packs. I use dried beans so there was no water of moisture that could be a possible source of infection. Follow your doctors instructions to the letter. And if you have any signs of infection seek help right away. If caught early some infections can be treated and resolved with medication. Make sure you doctor does revisions. Some including all my local doctors do not. Then if you do have an infection and the implant has to be removed there is a better chance a malleable can be place to reduce size loss while waiting for the inflection to clear and for full healing before a second attempt for an inflatable can be done.

That's very useful information, thanks!!

Can I ask how you developed Proximal Perforation? Is this something that can happen at the time of surgery with dilation or later during inflation if the implant is too big? I've seen a video on Sling Repair but didn't follow how it keeps the cylinder in place. Will the perforation eventually close up on it's own?

Pretty sure it happened in surgery at some point. I went into surgery pointing straight and when I woke from surgery my penis pointed hard left. And even with the repair that made things better I am still pointing a bit left and there is a lot of pressure to move it straigh or to the right. Moving to the left is easy with very little resistance. And I have seen in the past a video of a returning patient of the doctor that did my first surgery with a Proximal Perforation. The Sling repair information I looked at was a link of problems during surgery. The start of the info was that if it occurred it was not a game over for implanting the device. A sling is made with suture material and makes a stirrup for the cylinder. Other information I have found has the Sail repair as better and not taking as long. The perforation being healed or returned to normal is very rare and would be something that happens in the first surgery. This is true of any perforation no matter where it happens. After things heal enough for a repair the inflating cylinders Cause the empty space to flatten and grow together so it is impossible to open the space back up. Like a sock that has a hole in it and your foot comes out before the end through the hole. The space in the sock past the hole flatten and becomes a single piece of material. Now all that being said I was able to have sex with the perforation for nearly 3 years before it was repaired. And even with the sling repair being a bit long and still pointing a bit to the left it works.

[nuance]

As has been written the smaller implant at revision is most always from an infection where the implant has to be removed and nothing else placed for a long time. 6 + months. With regular revisions 5 + years many times a larger implant is used. So there are things we can do to prevent infection. One is to question our doctor about infection rate and if the doctor has any special prevention for infection. No touch surgery, alcohol prep, ect. We can also do our part by keeping on top of any health issues we have and be as healthy as possible before surgery. And we can prep ourselves. One doctor has written that most sources of infection are brought into the OR by the patient. I washed new cotton underwear, socks, sweat pants, and t-shirt in bleach and placed then in zip lock baggies for the day of and after surgery. Showered with anti bacterial soap and then again with Hibiclens from my chest down. And then used alcohol wipes to wipe down my genitals and the surrounding area. If you take baths one doctor will have you soak for 30 minutes with a cup of bleach added for the 3 days prior to surgery. Then following wound care strictly. I also washed white cotton hand towels in bleach and sealed then for use of ice packs. I use dried beans so there was no water of moisture that could be a possible source of infection. Follow your doctors instructions to the letter. And if you have any signs of infection seek help right away. If caught early some infections can be treated and resolved with medication. Make sure you doctor does revisions. Some including all my local doctors do not. Then if you do have an infection and the implant has to be removed there is a better chance a malleable can be place to reduce size loss while waiting for the inflection to clear and for full healing before a second attempt for an inflatable can be done.

That's very useful information, thanks!!

Can I ask how you developed Proximal Perforation? Is this something that can happen at the time of surgery with dilation or later during inflation if the implant is too big? I've seen a video on Sling Repair but didn't follow how it keeps the cylinder in place. Will the perforation eventually close up on it's own?

Pretty sure it happened in surgery at some point. I went into surgery pointing straight and when I woke from surgery my penis pointed hard left. And even with the repair that made things better I am still pointing a bit left and there is a lot of pressure to move it straigh or to the right. Moving to the left is easy with very little resistance. And I have seen in the past a video of a returning patient of the doctor that did my first surgery with a Proximal Perforation. The Sling repair information I looked at was a link of problems during surgery. The start of the info was that if it occurred it was not a game over for implanting the device. A sling is made with suture material and makes a stirrup for the cylinder. Other information I have found has the Sail repair as better and not taking as long. The perforation being healed or returned to normal is very rare and would be something that happens in the first surgery. This is true of any perforation no matter where it happens. After things heal enough for a repair the inflating cylinders Cause the empty space to flatten and grow together so it is impossible to open the space back up. Like a sock that has a hole in it and your foot comes out before the end through the hole. The space in the sock past the hole flatten and becomes a single piece of material. Now all that being said I was able to have sex with the perforation for nearly 3 years before it was repaired. And even with the sling repair being a bit long and still pointing a bit to the left it works.

Here's Clavell's video on fixing proximal perforation: https://www.youtube.com/watch?v=pNJrn0UmR34&t=2s