Why not implant?

[justwanahavefun]

Hi, guys. For the moment my uro prescribes me medication to reverse my deteriorating erectile function. However there is a chance, that my problem is organic (venous leak). I am 26 years old and I am considering my options. I also single and want to be active on dating market.

And an implant honestly looks like the best option for me. No side effects from pills, no awkward delays because of injections (and yes I hate injections in penis) and girls will never know untill I tell them. Why my uro is not excited with this option?

My girth will be the same without any doubt and I will regain my length in a year. Implant is relatively expansive solution but I believe I can earn necessary amount of money every 10 years. My sensation will stay, and I finally will be able to sustain erection and so on and so on. I've browsed through the forum and that were the most popular cons of going bionic. Did I miss something? Are there any complexities and pitfalls I missed and which will be a dealbreaker?

[confused95]

26 yo is very young.
Implant is an expensive solution, you’ll need many replacements in the future and you might not need it.
If pills work for you i’d stick with them. If Ed is ruining your life and you do not want to take pills then implant could be a good solution, but you need to think very well about it.

[Old Guy]

Have your uro do a test for venous leak. If that is the problem then an implant is the answer in my opinion. 26 is way too young to not be able to obtain an erection. I did years of pills, then injections until they failed. Wish I could have skipped all that, but......
Yes you will probably need a revision, maybe several, in the years ahead. The good part of that is technology will advance and future options will probably be better. However remember once you get an implant there is no turning back.

[justwanahavefun]

Have your uro do a test for venous leak. If that is the problem then an implant is the answer in my opinion. 26 is way too young to not be able to obtain an erection. I did years of pills, then injections until they failed. Wish I could have skipped all that, but......
Yes you will probably need a revision, maybe several, in the years ahead. The good part of that is technology will advance and future options will probably be better. However remember once you get an implant there is no turning back.

I had two doplers and one cavernosography. They showed venous leak. My uro read the last one and told me that my leak is insignificant. He also implied malfunctioning of bulbospongiosus muscle. According to him, erection can be fixed completely with appropriate pharmacotherapy. But that sounds very optimistic IMO.

[steveking]

I am thinking like you but im scared of revision and chance of infection. Why are so many people having a revision done in few years? I thought these are supposed to last 10+ years

[Lost Sheep]

I also single and want to be active on dating market.

You don't need sexual function to be on the dating market, to be a good candidate as a boyfriend, sexual partner or husband. I know, ED makes for some difficulties but a quality woman will be accepting of whatever shortcomings you have if you are otherwise a good catch. I also recognize that the foregoing advice has limitations in reality and requires a LOT of hard work on your part.

And an implant honestly looks like the best option for me. No side effects from pills, no awkward delays because of injections (and yes I hate injections in penis) and girls will never know untill I tell them. Why my uro is not excited with this option?

A uro I met over this issue told me of a man he implanted just a short time before Viagra hit the market. Decades later, this still bothers him that he operated on a young(ish) man who would have been a perfect candidate for oral medication treatment. Implant operation forever precludes future treatments.

Daily low-dose cialis is effective for many men with E.D., restoring pretty normal self-erecting penis activity. Implants, just like injections, suppositories, VEDs, constriction rings and pills have issues with spontaneity. Though the implant is pretty darn good from a delay of "action" standpoint, pumping up remains a challenge, especially if you don't want your partner to know you are implanted (which is a whole OTHER issue).

My girth will be the same without any doubt and I will regain my length in a year. Implant is relatively expansive solution but I believe I can earn necessary amount of money every 10 years. My sensation will stay, and I finally will be able to sustain erection and so on and so on. I've browsed through the forum and that were the most popular cons of going bionic. Did I miss something? Are there any complexities and pitfalls I missed and which will be a dealbreaker?

You really don't know for sure about your dimensions post-implant, or sensation, etc. With a good surgeon you are pretty assured of minimal loss in those departments but nothing is 100% risk-free. Almost certainly your sensation will have slight changes.

If you cannot function sexually at all, in coitus, an implant might be appropriate at this time but not to be taken lightly and not before all other reasonable treatment have been ruled out as unworkable. Besides, remember that tongue, toys and hands can provide a LOT of sexual satisfaction to both partners. I found that women are incredibly supportive if they feel desired, respected, trusted and safe. Coitus is great for a woman and orgasms with a full vagina are (said to be) superior to ones without, so I am happy to have my implant, but if my penis worked, I would not have gotten it done to me.

Dating is possible. Penis not required. Personality is required whether or not a working penis is included.

[frwmw1]

Have your uro do a test for venous leak. If that is the problem then an implant is the answer in my opinion. 26 is way too young to not be able to obtain an erection. I did years of pills, then injections until they failed. Wish I could have skipped all that, but......
Yes you will probably need a revision, maybe several, in the years ahead. The good part of that is technology will advance and future options will probably be better. However remember once you get an implant there is no turning back.

I had two doplers and one cavernosography. They showed venous leak. My uro read the last one and told me that my leak is insignificant. He also implied malfunctioning of bulbospongiosus muscle. According to him, erection can be fixed completely with appropriate pharmacotherapy. But that sounds very optimistic IMO.

There is some weak evidence that PDE5i's can reverse erectile dysfunction, in rats.

Antedotally, guys often report increased erectile response days/weeks later when using PDE5i's.

It's worth a try.