Surgery for Peyronie's Disease

[bones54]

plaque excision and graft

[lwillisjr]

bones54,
What type of procedure did you have done in November?

I had surgery almost 2 years ago that did not require an implant. But I did it with the intention that if necessary, I was willing to go through with the second surgery and have an implant if that is what it took. Don't let Peyronies Disease bring you down mentally or emotionally. The last thing I was going to do was to give in this disease. We hate the disease and hate the results, but don't let it overtake you. You will find men who are VERY pleased with implant surgery.

Please PM Jackp. He has had the implant, is quite happy with it, and will be very willing to discuss with you.

Les

[bones54]

okay...i have to admit this disease has sucked out almost all my sexual desire...the surgery in november has left me with a fairly straight,  but small, soft erection that isnt big enough to do anything...my wife has been a saint but even a saint has her limits...

something...is going to happen..

i use the fastsize and omg...i think my penis is looking like a No.2 pencil.

thinking about an implant.
great. another surgery.
how depressing.

maybe i should just let my wife have sex with someone else already. 
would be fairer for her.

[Kygirl]

Jackp  I find it so sad that so many men suffer from Peyronies Disease and don't know where to turn.  Most Uro don't know anytihing and I think a lot of them think nothing can be done.  I thank God that I found this website and learned about Dr. Milam, I am very happy we only live 45 minutes from Nashville.  Thanks again!

[jackp]

KYGIRL

Great News About Your Husband.

Dr. Milam is the greatest. One of the best surgeons and Male Sexual Function Specialist in the world.

I had my implant 10/23/08 after another doctor messed up and punctured my urethra. I live in another city in TN about 3 1/2 hours from Nashville. Even though there are over 1 million people in this city no doctor here had the skills I needed.

I have swapped emails with many men that have been to see Dr. Milam and all are now happy now. With difficult cases you want the best and IMHO he is.

Jackp

[newguy]

kygirl - Thanks for the update. It's always good to hear a positive outcome on the board, and to learn how this community has played a part in that .

[Kygirl]

I just wanted to say that my husband had surgery with Dr. Milam in Feb.  He had a 90% upward curve and also some curve to the left.  Dr. Milam said that he had excessive plaque more than he usually sees.  I am happy to report that he was released to go back to work today and that he  is functional again.  He still has a slight curve, but nothing to complain about.  As far as I am concerned Dr. Milam and Vandy are the best.  I read about him here on this website and that is why we got an appt with him.  Thanks so much for the reccomendation! I believe in Dr. Milam very much, he sure helped us.

[keepitstraight]

Hi to all,

I have added some info to my blog and literature about peyronies cirurgical options: http://curvaturapenianadiscussao.blogspot.com/. I hope it can help you all to understand some of the actual options to treat peyronies. I do not intend to make publicity or any kind of that. These are some articles i reunited for myself to be able to understand some of the actual procedures and their aprox outcomes. I share them with you. Thank you all for your attention and always keep up!

Regards

 Alberto

[Tim468]

Bones - hang in there.

The VED might help with girth too - once the post-op period is safely long enough in the past. Sensations should improve as innervation gets better.

Tough time of it, it sounds like. I'll be thinking of you.

Tim

[chiguy]

Bones,

Sorry to hear the surgery results haven't yet gone as planned. Keep in mind the healing process can take up to one year. The fastsize will eventually restore the length. Who was the attending surgeon?

[bones54]

after failing the xiaflex study, and I wasnt a placebo...I had a excision and graft performed in chicago on nov 5...preop was 70 degree with firm erections..great orgasms...but could not have intercourse with my wife

present state of affairs:

erection is straight...kinda
head of penis is normal when erect but entire length when erect is quite thin...not that much thicker than when flaccid
when erect have lost 2 inches in length which is a loss of 40%..dramatic loss
erection feels strong but in reality is NOT at all
entire circumference is still sensitive, no easy skin gliding anywhere on the shaft...s
base of penis feels thick, almost like your pants have dropped down to your ankles
trying so hard to stay strong in the face of strong scientific evidence that this might be as good as it gets

i continue to use the fast size daily
i can masturbate but its not that pleasurable

at this moment in time surgery outcome is poor.

[Maverick]

I think we need to be weary of the way Peyronies Disease surgery is portrayed on various websites. Most make it seem like the right solution, and risk free too.
Check out this one: http://www.riverside-urology.com/index.php?page=Peyronies_Disease

Dr. Riemenschneider makes it look easy! Anyone in Columbus, Oh been to the Riverside clinic?

[lwillisjr]

Les

At Vanderbilt Dr. Milam clearly says that the preferred treatment of peyronies with ED is an IPP (penile implant).

Jackp

Jack,
Dr Levine takes the same approach. Peyronies with ED he recommends an implant, Peyronies without any ED issues is surgery without the implant.

I think the information on the European website was stating the same approach.

[jackp]

timk

As far as I can find out Vanderbilt has one of the lowest cost for implants than most hospitals. The $33,000 was the initial billing before insurance discount. I have seen billing from $44,000 to $77,000.

I am on Medicare with a supplement and the hospital and AMS doscounts to them about 1/2 that billing.

I have been chatting with a couple of other men that do not have insurance and are going to Vanderbilt they tell me there cost will be just over $20,000. Vanderbilt also told them there are ways to help keep the cost down.

After my initial visit to Vanderbilt I received a bill for about $230.00 and it had a discount of about 1/2 for uninsured patients. Some how the billing department did not get my insurance information. I simply made a call and then my insurance covered the whole bill. My total cost, not including travel, was $8.34.

If you really want to go to Vanderbilt send me a PM and I will tell you how to get in touch with the right people to help.

If Vanderbilt is out of network with your insurance they can help with that cost also.

Good Luck

Jackp

[Woodman]

One other thing I noticed I found interesting surfing the site that Dr. Paulo H. Egydio is at there Brazilian location. Hes the doctor that performs Surgical Straightening With Tunica Incision and Grafting Technique. Single Relaxing Incision Based on Geometrical Principles. The technique is suppose to also restore length & girth too.

This is even makes it more interesting that they are both affiliated.

[timk]

I've got an appointment there on March 13 (that's a Saturday, interestingly enough). I'll let you know how that turns out.

jackp, read though the whole site, if you get a chance; I found it very informative. Their German on the German site is letter perfect and goes into some detail about the health care system in Germany and who pays here. That's at least one (minor) indication of their seriousness. And that my urologist in Frankfurt recommended them.

Actually, I've got a serious ED problem along with the Peyronies Disease. Dr Levine (per email) recommended I seriously consider an implant, and I was looking for a doc with a lot of experience in that field - as jackp has recommended. That's why I probably won't get treatment there since that doesn't seem to be their specialty.

I will let you all know what my impression of the place is.

jackp, my sister lives in Nashville (and her son-in-law is an oncologist there); I was thinking of going to Vanderbilt, but the $33,000 costs you mentioned gave me quite a shock since I'd have to pay most of that myself. Was that the normal patient price or was there something special he did for you?

Thanks

[jackp]

Les

At Vanderbilt Dr. Milam clearly says that the preferred treatment of peyronies with ED is an IPP (penile implant).

At my one year check up Todd Doran PA-C and an intern did an exam and Todd told the intern that all our peyronies cases come out like mine, a normal straight erection. You can read the entire story at My One Year Check Up.

The theory of an IPP for peyronies with ED is not new. What is new is that now the procedure uses the AMS 700 LGX which helps restore lost length to peyronies.  A good graphic of this is www.amslgx.com.

Jackp

[Woodman]

I thought it made a lot of sense too. I am not an easy sell though, but these are all questions Ive either pondered over myself and with others or have asked the uros about too. I found it very interesting there reasons for removing the plaque. Its exactly what makes sense to me too. I don't have any medical training or background but it just makes sense. Remove the plaque stop the condition leave it there with plication and it can continue to develop.

Would anyone have any ideas on how one could find out information on The European Institute. Like the legitimacy, background history, & confirmation on patient results etc.

[lwillisjr]

I've spent some time briefly reviewing the site shared by timk.  Thank you timk.

The clearly state that they do not perform any type of tuck (Nesbit type) procedure. Their logic is that it results in penile shortening and doesn't fix the damaged tissue, makes sense. They also don't use incision/grafting as this doesn't totally remove the plaque, which also makes sense. They refer to implants but will also do so as a last resort and if erectile dysfunction is also associated with your symptoms.

Their preferred method sounds like excision/grafting using micro surgery techniques. They list very few surgical risks and claim a 90% success rate. Also that many have come to them who have had botched surgeries from other doctors. Any additional information from anyone who has experience with this clinic would be very welcome I'm sure.

Les

[lwillisjr]

timk

IPP is urology short hand for inflatable penile prosthesis.
Would you send me a PM with the entire link.
Jackp

Jack,
I checked out their web site and it is very interesting. They are clearly using IPP in Eruope to refer to Peyronies Disease. Their site states:

......"The Induratio Penis Plastica disease, which usually results in curvature of the penis, has been known to medical science for quite some time. It was first recorded in 1561. The physicians Fallopius and Vesalius were among the pioneers who provided the first descriptions.

However, the first detailed description stems from the French physician Francois de la Peyronie, surgeon to King Louis the XV of France, in 1743. This is why the disease is also referred to as ‘Peyronie’s disease’ in the English-speaking world.".........

[Woodman]

timk- Please post your experiance once you visit The European Institute. I am very interested in there input Iam sure other are too.  I must say I did find there site interesting and intriquing. I wish doctors in the US would speak straight forward like the doctors do over seas. If they could deliver on what they are advertising with the resume to back it up I would consider going to see them from the US. That would be wonderful!!!!!

Woodman

[jackp]

timk

IPP is urology short hand for inflatable penile prosthesis.

Would you send me a PM with the entire link.

Jackp

[chiguy]

I looked at the website and the information provided appears somewhat vague. I'm not doubting their expertise and they may be experts and do very well, but I am not understand how their technique is different from the excision and graft method used by Dr Lue and Dr Levine.

Their technique appears to work and hopefully it will cure you. Good luck!

[timk]

I wasn't allowed to post the link in its entirety - I don't know why since I've seen links posted.

But anyway, you have to put "www" in the beginning to get to the site.

[timk]

My local Urologist recommended that I see the doc's at this clinic:

the-european-institute-ugrs.com/index.php#

They call Peronies Disease "Induratio Penis Plastica" or "IPP" for short. They describe a surgical method, and I'm not sure whether this is one of the methods described in this Forum or something entirely new.

I have an appointment to see them here in Germany in a few weeks and would appreciate some feedback from somebody before I go see them.

Is this a common procedure?

[easterncurve]

Thank you, gentlemen.  I will just have to be patient and let nerve regeneration take its slow course - if it does.  Even swelling can put pressure on nerves and damage/deaden them, so I've not necessarily had anything vital severed.  I hope.

I'd love to hear the post-operative experiences of anyone and everyone who has had any procedure performed on their penis.  I'm a pretty good Internet researcher, and there doesn't seem to be a lot of solid info out there.  Cautions, statement of risks, etc. Very repetitive.  But, there's very little specific material available to the layman.  I'm sure medical literature addresses these things, but that stuff is either not available to the public online, or is in such dense medical jargon that it's impenetrable.

Thanks again.  I'll keep you posted on my situation, for the benefit of others who may find anecdotal accounts as helpful as I do.

[lwillisjr]

easterncurve,
I too am sorry to hear that your surgery did not go as expected. I'm sure you will want to discuss with your surgeon the reason for choosing one procedure over the other. I'm sure there must have been some logic or reasoning due to discovering that the plaques were not of the type and thickness expected. Be aware that sometimes penile shortening occurs with both types of surgery. So it is difficult to assume that you would not have experienced the shortening had the excision procedure been used instead.

Numbness or lack of feeling is a risk post surgery. And the time required for nerve healing and to what extent is very difficult to predict. I would think that whatever healing will occur will take place in the first 6 months. I was fortunate in that I did not experience any loss of sensation after surgery.

My erections started to come back about a week post surgery. And it was from the pain I experienced while achieving an erection that kept me from achieving full firmness. But after a few days the pain went away and I was able to achieve firm erections again.

I realize none of this helps you in your current condition. But I want to share this.....  My doctor did tell me of the risks, and that included possible loss of feeling and possibly impotence. But he did tell me that if these happened that my next step would be to have a second surgery for a implant. I share this only to give you some encouragement. I was willing to take the risk and although I didn't need the implant, I would have gone back for it if necessary. So my recommendations are the following:

1. talk to your doctor to see what you can do to encourage nerve recovery. Are there any drugs, massage therapy, etc. that will aid in nerve healing and regeneration. I would want to do whatever I could to help the feeling return.

2. See how things recover in the first couple of months. Hopefully erection firmness will get better. But if you don't feel that erections are getting better after a few months, then I would strongly encourage you to investigate the option of an implant. This definitely can help with erection quality and can aid in regaining some length. Jackp is the best one to consult should you investigate this option.

I know you aren't happy with your current outcome, but don't give up. Recovery is a long slow process so it will take some time and patience.

[jackp]

Ecurve

Your surgery was different that mine. Les would be a better person to answer most of your questions.

I know the feeling of waking up after surgery and the surgery did not go as expected. When a local doctor punctured my urethra during implant surgery.

At this stage I would talk to the doctor about the nerve bundle. I would not do any traction or VED until at least 6 weeks post op.  If erections do not return to normal then you may want to talk about a implant.

Good Luck

Jackp

[chiguy]

Sorry to hear the plication surgery didn't work out as expected. I am not familiar with the post surgery procedures, I will let other forum posters mention those. I can say the nerve bundles take 6 months to 1 year to heal, that goes for any type of nerve. At this point do not do anything without consultation from a physician.

It is important not to do any traction or VED if you experience any pain. You must talk to a physician before traction or VED in this situation to make sure it is for you. My instinct would say be pain free from surgery for 2-3 months. Jackp and Lwillisjr can speak more to this, as one did traction and the other VED post surgery.

[easterncurve]

Hello again,
I thought I'd supply an update on my situation, the unexpected curve it's taken (pardon the pun!), and ask a few questions of the regulars here, or anyone new looking in who might have insight.

As mentioned in my original post some months ago, I went for surgery at Zhejiang University Hospital in Hangzhou, China.  I live in Hong Kong, speak Mandarin and my wife is Chinese.  Some of you may have seen the study results posted here of their use of buccocal mucosa (pardon my spelling), ie, tissue from inside the mouth as the replacement medium when removing Peyronie's plaque.

After consulting with Dr. Zhu Xuanwen, one of China's leading surgeons in this area, we decided to go forward with the surgery on Jan 5.  When they degloved my penis, they discovered that I did not have the Peyronie's plaque we expected to find.  Rather, I had two separate problems.  1) Some rogue tissue, not necessarily Peyronie's plaque, had grown over the vascular bundle where it enters the penis, at the base.  This was contricting blood flow and pulling the vascular bundle back in towards my body, taking my penis in with it.  2) also, rather than an area of thicker plaque, the doctor says he found the tunica had a thinner weak spot which was causing a similar effect to a Peyronie's curvature.

Thus, they worked to cut out the rogue tissue and free up the vascular bundle, and he put in a couple of plication sutures in two spots, to correct the upward and leftward bending.  No grafting was done, so no tissue was taken from my mouth.

I am upset about this because Dr. Zhu did not consult with me before deciding to do the plication - a procedure I was specifically trying to avoid by going to see him.  I wanted the grafting. But, that's a separate problem you can't help with. (Nor can anyone, I suppose!)

It is now 3 and a half weeks after surgery.  I find that the weak erections I wake up with are significantly shorter than I would like to see.  I appear to have lost 1.5" to 1.75".  Worse yet, the top half of the glans and the skin on the top of my penis (that is, the part I look down on from my vantage point) is completely numb.

Questions:  Can anyone comment on post-surgical numbness?  Some material on the Internet says nerves should regrow, but it takes a long time - perhaps 3-6 months.  Did any of you guys have numbness after your surgery?  Did feeling eventually return?

Were your erections weak for a while after surgery, strengthening over time?

Also, how long after a plication or Nesbit procedure do you think one should wait before beginning either VED or traction?

I've tried my best to keep this post free of emotional outpourings, but the truth is I'm very distressed over the whole thing.  Maybe it's just too soon after surgery and I should be patient, but a really short penis that doesn't hold an erection well because it has little feeling is a pretty disappointing outcome.
To me, a numb and non-working penis is like having no penis at all.

Thank you for any & all insight.

Ecurve

[MikeSmith]

Have any of you heard of this?  He does penis enlargements in Serbia, but he also fixes peyronies in the process - or so the site claims. 

http://www.savaperovic.com/procedures.html

There's more detail on PLGA here:

http://www.freepatentsonline.com/6465000.html

[Noway]

Ive tried viagra and levitra it gives me an erection but then it shortens up on me when I do anything with it. One of the uros suggested that it could be peyronies disease. I have all the symptoms of peyronies disease except my penis is decently straight. The lump on my penis I can move it around and its right on a vein it seems to travel down to the bottom. I dont know where the tunica is. I think my penis is really broken. Like right now I get alot of mushy weak erections and I still do get painful erections and burning sensations along my shaft where the lump is. The indent starts where the lump is and travels straight through my urethra.

[lwillisjr]

Noway,

Did either of the uro's diagnose you with Peyronies Disease? From what you have described it is not conclusive that you have Peyronies Disease. Peyronies does not cause ED, but certainly can be related to it. Some believe it is ED that causes Peyronies Disease. Weak erections caused by ED make us more susceptible to trauma which can trigger Peyronies Disease. And there are several things that can cause lumps. And again, lumps alone are not enough to indicate or diagnose Peyronies Disease.

It seems to me that you might have several unrelated issues taking place. As long as your erection is straight then there is no need for surgery at this point. I don't know what may have caused the lumps, but this isn't necessarily indicative of Peyronies Disease. Can you tell if the lumps are in the skin (moves with the skin) or in the Tunica (skin slides over the lumps)?

My suggestion is don't assume you have Peyronies Disease. If your erection is straight and with no pain, then focus on the reason for the loss of erection. This can be caused by stress, mental (thinking something is wrong), etc. See your doctor and try Viagra or Cialis. You may have a slight onset of ED and these drugs will certainly help with this.

Les

[Noway]

Well currently my symptoms are I dont get alot of erections but when i do its usually straight and good but if i start to masterbate I lose size and it shrinks on me. I also have 2 lumps one on the left side of the shaft of my penis and the other on my urethra and I also have indentation on my urethra. When my penis is flaccid my penis is really tight and stiff and ive been too 2 urologists still havent found out what it is I recently got tested for lesions which i didnt have any but one of my tests at a vascular laboratory stated penile brachial indices are within limits however it is noted that they are slightly inceased which would be in keeping with possible medial wall calcification of the penile vessels. Also where the lump is I have alot of pain and numbness and also the side the lump is on is shorter than my other side.  The urologist that took the test looked at it and said I dont know what to do and that im thinking wrong. Anybody have any ideas what it could be?

[lwillisjr]

Is there one technique thats guarantee to cure peyronies disease? Does anyone know the best doctor in canada for peyronies disease that know the most?

No there isn't a singular technique. Different specialists will use different techniques depending on your particular symptoms, history, location of plaque, degree of curvature, etc.

[Noway]

Is there one technique thats guarantee to cure peyronies disease? Does anyone know the best doctor in canada for peyronies disease that know the most?

[Tim468]

If you're ready for it, here is a picture of a partially disassembled penis:

http://www.studiourologicogallo.it/images/curvatura08.jpg

Ouch!

The difference between plication and Nesbit is not so clear. The Nesbit is really called the Nesbit Plication Procedure in most articles. The Essed plication is one where a simple tuck or fold is taken in the tunica:

http://www.scielo.br/img/revistas/ibju/v29n4/18785f1.gif

In the Nesbit, there is a resection (removal) of some tunica, but there are modifications of it that don't seem to do this.

For all intents and purposes, most folks here refer to a NEsbit and a plication as the same thing, since both shorten the unaffected side.

Procedures that lengthen the affected side are referred to as grafting procdures usually.

Tim

[lwillisjr]

Thanks,
I did find similar descriptions for the procedure. I had difficulty trying to find a particular doctor or surgery center referenced where this was being done. While I think this is good information, the bottom line is finding a doctor who does this a lot and has a successful reputation. With a skilled and reputable surgeon I'm not sure I care what procedure he/she uses.

I also found that this procedure is much more often used in the treating or repair of hypospadias.

(Follow up edit)
I did find a link stating the description almost word for word. It was done in Yugoslavia with a 2001 date.
http://www3.interscience.wiley.com/journal/120710230/abstract?CRETRY=1&SRETRY=0

[Carter]

Les,

All I've found on the Penile Dissassemby Techique for treating Peyronies Disease is from abstracts of medical papers.  I haven't been able to get the articles (not that I would understand them if I did).  Here is a typical abstract, which is from a paper titled "The penile disassembly technique in the surgical treatment of Peyronie's disease"

Objective: To present an approach for treating Peyronie's s disease, using the penile disassembly technique for reconstructive surgery. Patients and methods From November 1996 to September 2000, 74 patients with Peyronie's disease were treated surgically. The penile disassembly technique was used in 46 of the patients (mean age 51 years, range 21-63). The indications were severe penile deviation under the glans cap, plaque in the distal third of the corpora cavernosa with the hourglass' phenomenon, and more than one plaque at different sites. The corporal bodies are separated from the glans, neurovascular bundle and urethra. The technique enables the complete preservation of all structures of the neurovascular bundle, especially if it is incorporated into the plaque. The method provides an excellent approach to the repair of all deformities on the completely free corpora cavernosa and that are affected by the plaque. In the plaque region, incisional grafts are placed using full-thickness penile skin or saphenous vein. The technique also enables reduction corporoplasty, i.e. amputation of the tips of the corpora cavernosa that include plaque, in those with sufficient penile length. Penile re-assembly involves joining the glans, neurovascular bundle. urethra and repaired corpora cavernosa into their normal anatomical relationships. Results The mean (range) follow-up was 27 (6-53) months. The penis was completely straightened in 40 patients (87%) but the deviation recurred in six. In four patients the deformity was < 10 and in two was <20. Penile shortening occurred in 9% of the patients. There was no evidence of inflammation or infection after surgery. There were no injuries of either the neurovascular bundle or urethra. Conclusion The penile disassembly technique could be a good alternative to other surgical techniques in treating selected patients with Peyronie's disease: it allows an excellent approach to penile deformities which can then be easily and safely corrected.

[Stephens]

Guys,

I think there is an additional paragraph that needs to be added to the 'Types of surgeries described here' locked sticky. The 'plication' is incorrectly referred to as the Nesbit. The Nesbit involves removal of tunica from the longer side (to match the shorter side) whereas the (correct me if I'm wrong) plication does not involve the excision and removal of anything and the sutures are used to pull/fold up excess material on the longer side to match the shorter.

I think some of the forum topics are possibly blurred so I'll go over my own history here. Congenital 45ish degree constant curve to the left. Approx 7inches total length. Mid-20's I had the Nesbit nine weeks ago. This involved circumcision (previously uncircumcised), de-gloving and then the excision of excess tunica on the right hand side. The excisions were then sutured together with 'six-month' sutures the idea being the subsequent scar tissue takes and holds.

The results at the moment are difficult to fathom accurately. There is still bruising evident from the de-gloving and obvious lumps/bumps at the site of excision. I do not want to 'push it' in case of suture failures but regular erections thus far (let's say 85/90% strength) show actually an overcorrection. The right hand side feels 'tight' still and not 'natural' hence not wanting to push it yet. As it stands I would be happy with this over-correction if the lumps/bumps subside and the whole thing 'settles in'.

I popped this in here as I don't think the distinction has been made between 'plication' and 'Nesbit'; the terms seem to be interchanged but I think they are two separate procedures and a distinction should be made.

[lwillisjr]

Does anyone know what is involved in the penile disassembly technique for correcting Peyronies Disease?  I've seen this technique mentioned in a number of sources on the internet but haven't found details that I fully understand.  The technique is supposed to enable the surgeon to get at the plaque with next to no damage to the nerve bundle.

Carter,
Can you post some links or send them to me? I am not familiar with this. The actual procedure would be up to each surgeon I assume. That is why we always recommen going to a well known surgeon who does this often and has a high rate of success.

Les

[jackp]

Sony

That was a lot of information to give you at one time. 

I do not know why the doctor left you inflated for so long. AMS recommends only 24 to 48 hours and only if you have bleeding. Mine was completely deflated when I came out of surgery.

Good luck, hope the deflating and inflation methods work for you. After all these years you deserve a normal sex life.

Jackp

[Carter]

Does anyone know what is involved in the penile disassembly technique for correcting Peyronies Disease?  I've seen this technique mentioned in a number of sources on the internet but haven't found details that I fully understand.  The technique is supposed to enable the surgeon to get at the plaque with next to no damage to the nerve bundle.

[Sony]

Thanks Jack for email and all attachments.
I try this methods,how to pump implantant.
17 year withouth normal sex,now i m 37 old.

[jackp]

Sony

I sent you an email with attachments. Hope this helps.

You have the right attitude. Never give up!!!

Jackp

[Sony]

Thanx for all informations Jackp,I send the mail.
I will report about my post.op.

If someone need information about Sava Perovič team from Serbia-Belgrade,tel.or something just ask me,I will glad to help.

Sony

[jackp]

sony

I do have the user's guide for the AMS 700 LGX w/MS pump. I will be glad to email it to you. Go to my profile and send me a email and I will forward it to you along with some other helpful information.

It is common to feel pain or soreness for several weeks. The major pain should be greatly diminished by now. If your doctor has activated the implant you should pump up the implant for 5 minutes 2 or 3 times a day. The first few times you do the implant extends into the glans and that hurts to start with. You should do this several times before trying to have sex with it.

The LGX takes up to 18 months to reach full expansion. It is common to gain about 1/2 inch the first three months and up to 1 inch the first year.

At first the pump if very hard to squeeze. After a few weeks it gets easier and easier. I am 13 1/2 months post op and now I can pump mine up through my jeans if I wanted to. I have a two handed method that I can also send you.

Go to the Surgery Board and at the bottom is my post on my one year check up at Vanderbilt. You can also read My History a link is at the bottom of this post.

You are just getting over the toughest part. From now own it gets better and better. Hang in there.

Jackp

My email is jwp104@att.net

[Old Man]

Sony:

JackP is the resident expert on the penile implant that you had done. I am sure that he will see your post and give you some information about his surgery and what to expect.

Old Man

[Sony]

Helo,
I m new here in this forum.
17 year  im fight with this.6 surgery behind me.
The last in this october.Upgrade ams 700 ms lgx.
1 months and half and steel feel the pain.2 times a day pumpin my protesis.
Penis is shorter 4 cm(1 1/2 inc),now the size is 13 cm
Is this normal,when full inflate?Do you have any manual for this implantant ams 700 ms lgx?
Pumping is teribble.How much time feel the pain(1 or 2 months)?
My doctor is Rados Djinović from Serbia,Belgrade(Sava Perovič team-)
Surgery and implantant with intexsen graft coast me 12000 eur.
Sava Perovič is the best team in the world for this surgery,i hear the only a second the best doctor is from Brasilia.

Thanx for all answers...
Sony

Sorry for my bad english...

[chiguy]

I am def. not as trained as Dr. Levine! haha. But I was just curious as I am trying to get over my mental anxiety of this. I trust him. He is the best in the field. I wouldn't trade for another surgeon. I am going to see what he says, let him know my opinion, and hopefully we are on the same page. If he doesn't recommend something, I won't do it. That's for sure. After all, he is the one with the scalpel.

I will listen to everything he says. I see all the people on the board here with corrected problems and hopefully I will be one of them soon after seeing Dr. Levine. Just trying to get over my own anxiety about this. I think everyone goes thru this phase at some point.

I will let you all know what Dr. Levine tells me to do.

After all the stories on here about how their urologists don't do anything, etc. and having been a victim of that myself, I have some apprehensions that hopefully Dr. Levine can fix.