Peyronies Society Forums

Erectile Dysfunction Forum - for all men with ED => Penile Implants => Topic started by: mr.skin on January 10, 2019, 09:02:07 AM

Title: 25 yo guy saying hi
Post by: mr.skin on January 10, 2019, 09:02:07 AM
Hello to all,

I am a 25 yo guy who suffers from finasteride-induced ed. For 7 years now. No sex in the last 7 years.

I initially had implant surgery planned for last july, but had to postpone bc of suffering a severe ankle injury. Few months later I decided to go with vein ligation bc of two reasons i) i had ectopic veins, which are a good indicator for an improved long term outcome ii) it would help with glans engorgement, which was one of my major concerns for after the implant bc of having a big glans.

It did indeed improve my EQ to an extent but came with the drawback of length loss (3/4 of an inch) and numb skin on the upper penis (glans still intact). They must have damaged some cutaneous nerves, mechano receptors are still intact meaning I feel pressure, but no warmth/cold and no slight touches on the upper third of my penile shaft. glans completetly normal. (guess that s the same kind of sensitivity loss some might get from the implant on the lower penile shaft bc of the clamps stretching skin and tissue during surgery. nothing major)

I tried to have sex one time since then, being a bit tipsy(or more a bit drunk) I could get an erection laying on my side, but after going down on the girl my erection faded and when she tried to give me a blowjob it completely collapsed. At this night I've been on Cialis 30mg and Doxazosine (alpha1-antagonist) additionally

RN I think with a cock ring and jacked on medication I could get an erection sufficient for sex in 6/10 cases, but I d still have to focus on getting constant stimulation. Meaning I have to focus on putting in a as fast as possible and it will last for 5-10 minutes until it subsides. But that s just a guess, as having not a proper erection for 7 years I dont know how hard of a dick is necessary.

Emotionally I am not in a good place bc pursuing a relationship is completely impossible and I additionally (unfortanetly) implented some self-coping mechanisms to avoid sexual contact ( I usually am flirty whith people in my pretty big social circle and being impotent is nothing you want to have spread about you in uni life) which are a major drawback bc I feel completely uncapable of ever having a normal relationship to sex/ women bc of the "routine/experience" I am missing in interactinng sexually with women. And I guess being viewed as an inexperienced men in bed is an other thing which holds me back.

The thing is in the past few weeks I got more self-conscious about the implant, bc if I don't like it it even a half limp dick which at leasts allows for masturbation might pleasure me better than a plastic tube in my penis.

On the other hand, I had so many evenings / nights where I went home alone and cursed my fate and would have immediately traded my limp dick for a"bionic" working one. It s just the nature of being irreversible, infection risk and the risk of mechanical failure and needing another one after 1-5 years, bc I guess more than 3 or 4 revisions in a lifetime is not really the standard.

I hope you guys can give me a decent imput.

Title: Re: 25 yo guy saying hi
Post by: suicidecomingsoon on January 10, 2019, 04:03:40 PM
Hi
Title: Re: 25 yo guy saying hi
Post by: Stabler on January 10, 2019, 06:54:45 PM
Mr.skin,

Welcome to the forum, please go and read the journals of our member that have implant done. Ask them questions. The journals are very detailed and can give you a better perspective of what you could expect if you chose surgery.

Stabler
Title: Re: 25 yo guy saying hi
Post by: Hawk on January 10, 2019, 11:03:31 PM
Welcome Mr.Skin,

I of course cannot promise you that you will feel good about "having tubes in your dick".  I cannot however relate to your point of view. I had the healthiest most functional dick I have ever heard of.  It was large, never a second of Erectile Dysfunction in 52 years, and I could have multiple orgasms off of one erection and I feel like my current dick is awesome.

I am extremely happy to have tubes in my dick and curse the fact I did not do it 15 years earlier.  Almost every man with an implant wishes he had done it sooner. Every other solution causes your life to revolve around your Erectile Dysfunction and only reinforces in your mind that you don't have a functional penis. An implant is the ONLY SOLUTION TO Erectile Dysfunction that allows you to entirely forget about Erectile Dysfunction.  It therefore changes you psycholically when other solutions cannot.  The biggest decision is to pick a great, high-volume surgeon.
Title: Re: 25 yo guy saying hi
Post by: TonySa on January 11, 2019, 05:51:38 PM
Mr Skin, you will find several guys here who have had implants—all of which are very satisfied w them.  Def get a consult w a high volume implanter.
Title: Re: 25 yo guy saying hi
Post by: Alibaba on January 11, 2019, 11:44:08 PM
Quote from: TonySa on January 11, 2019, 05:51:38 PM
Mr Skin, you will find several guys here who have had implants—all of which are very satisfied w them.  Def get a consult w a high volume implanter.

I would qualify high volume a bit. A doctor that is well experienced at it and read up on people's experience with him. I do take a little issue with assembly line type implanters who brag they can put an implant in in 18 minutes. That was a video disagreement between Eid and Perito years ago. Eid said his no touch technique allowed him to spend as much time as needed to get an implant perfect. Perito said he gets in and out so fast nobody can get any bacteria in them in that short of time. My point is that although Perito installs a billion implants, he makes it clear that he does it at high speed. I would want a doctor that has all the time he needs and takes that time to get it right. Both my implants took about 2 hours. Also a doctor that does his own work is important. I know students are important and have to learn but Perito, Milam both often have students do all the work. Dr. Kramer told me he would do all mine and no students. I insisted on students at the very least observing because I believe in education but someone qualified and experienced HAS to be in charge of your surgery.  Cheers.
Title: Re: 25 yo guy saying hi
Post by: Pfract on January 12, 2019, 04:03:03 AM
Well... if you should do something, is try cialis daily 5mg and see how it goes from there. After that, if you are still having a lot of difficulty having sex then look for a proper andrologist to help you out diagnosing your blood flow. Get an ecodoppler. Look for Dr. Freiburg! he does implants too.
Title: Re: 25 yo guy saying hi
Post by: mr.skin on January 12, 2019, 04:11:34 PM
Thanks for all the answers.

I think I did not emphasize enough that I am very experienced in dealing with ED, I have tried daily pde-5i with additional pde-5i and alpha1-antagonists, i ve been using the ved daily from 2014-2018 to get the blood flow back, i have been on trt for 4 years as well tried shockwave therapy and (stupidly) intracorporeal igf1-injection on my own. (didnt hurt and didnt do much either).

I already had a phone consultation with dr eid last year in june and the surgery set up for july but I hurt my ankle very badly so I had to cancel the surgery. RN I cannot take 6-8 weeks off of university and next best date will be july again.

I hope you guys can recommend some more storys of young men with implants.

I will do an injection test again (bc I had the vein ligation surgery which helped a bit), last time I injected 10ug pge-1 (alprostadil) which did not lead to a sufficient erection at all, just some tumescence.
Title: Re: 25 yo guy saying hi
Post by: Parralel on January 13, 2019, 08:53:28 AM
Hi skin,

why you dont have the operation done in Germany? It should be covered by medical insurance and I got some referrals to good doctors.

Parralel
Title: Re: 25 yo guy saying hi
Post by: TonySa on January 13, 2019, 11:19:24 AM
Just a little more explanation, when I say high volume I'm not referring to speed.  Simply, that the doc regularly does implants.  There's a study, I'll try to find, that found after a certain number  of implants per year, the docs had fewer infections and less loss of length on average.  Here's one:  https://www.issm.info/news/sex-health-headlines/surgeon-experience-associated-with-penile-implant-infection-rates/
Title: Re: 25 yo guy saying hi
Post by: Alibaba on January 13, 2019, 01:58:59 PM

AGREED Tony!
Title: Re: 25 yo guy saying hi
Post by: mr.skin on January 13, 2019, 03:18:53 PM
Quote from: Parralel on January 13, 2019, 08:53:28 AM
Hi skin,

why you dont have the operation done in Germany? It should be covered by medical insurance and I got some referrals to good doctors.

Parralel

Unfortunately they only do 30-40 a year, infection rate of them is 3-4 % and the reviews are pretty mixed.

Eid's infection rate is about 1%, and I hope my insurance might cover at least the implant if I go with Eid.
Title: Re: 25 yo guy saying hi
Post by: Alibaba on February 02, 2019, 11:12:12 PM
Actually, I think Dr. Eid's overall infection rate now stands a 0.34%.   His no touch technique is a decade old yet many still don't bother to use it or use it correctly. I watched a video of another surgeon installing an implant and at certain points I would tell myself, now he needs to change the drapes. He never did. I was appalled at how many times he actually pulled the drape back and had direct skin on skin contact. I am certain he has a high infection rate. Studies have proven nearly 100% of the infections from a penile implant are from bacteria that came from the person's skin. That is 1 reason for the 15 minute scrub pre implant though I imagine many short change that too. Precautions you take yourself can reduce infections though. I soak in a tub with a cup of bleach in the water for 3 nights before every surgery and the morning of surgery. Bleach will kill staph only if it is in contact longer than 15 minutes which is the basis for my soak.  Change your sheets and towels each day so you do not reintroduce bacteria that you had just eliminated. Wear new pajamas each night if you wear such. Cheers men