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Author Topic: Tonys IPP revision surgery diary.  (Read 158 times)

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TonySa

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Tonys IPP revision surgery diary.
« on: January 13, 2020, 04:09:30 PM »

I thought I’d start a new thread for my revision surgery now scheduled for 2/12/20.

See my prior threads for original implant:
https://www.peyroniesforum.net/index.php/topic,10616.msg100640.html#msg100640
And:
https://www.peyroniesforum.net/index.php/topic,10764.50.html

1/13/20
-Met w Dr Karpman re implant deflating during intercourse and requiring additional pumps every 4-5 minutes.  We settled on a full revision rather than just the pump because everything I’ve read said if replacing any component, replace all.  He absolutely listens to his patients.
-He agreed w switching to the Titan.  One reason is I always thought the AMS should be stiffer, more rigid, for intercourse.  I am also happy that it’s girthier and has a smaller (not squared off) pump.
-So I finally found out why he has the manufacture rep in the O.R.  It’s because they have all sizes, models and components on hand (different operating dates for coloplast vs AMS).  I like this as I suspect not having the correct length is why some guys end up with 4 or more RTE’s as the surgeon did not have the longer implant on hand.
-I’m now 18 cm + 3 RTE for a total of 21.  He expects I’ll go up to 22 or higher.  Since Coloplast has 2cm increments in their sizes-it could maybe be 24cm.  I forgot to ask if he’ll trim the base of the cylinders like Dr Eid does to eliminate RTE’s.
-Will keep you the thread updated as I go along.

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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

melting

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Re: Tonys IPP revision surgery diary.
« Reply #1 on: January 13, 2020, 06:03:29 PM »

Maybe a stupid question but considering the impressive size, is this implant route a thing that people would do just for that without having a prior peyronies issue?
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Daily Transdermals and Traction/VED solved my Peyronies Disease https://www.peyroniesforum.net/index.php/topic,12587.0.html (DMSO+X)

TonySa

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Re: Tonys IPP revision surgery diary.
« Reply #2 on: January 13, 2020, 06:11:59 PM »

Yes, if someone has Erectile Dysfunction, they qualify for an implant without peyronies. I had both so it was a clear choice. 
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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

TonySa

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Re: Tonys IPP revision surgery diary.
« Reply #3 on: January 13, 2020, 07:43:49 PM »

Forgot to add, for about 3 weeks now I’ve been doing VED for an hour a day (being careful not to overpump) to stretch as much as possible before sizing during revision surgery.  Traction is recommended before implant surgery but don’t think that can be comfortably done wnan implant in place, so going w VED.
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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

Hawk

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Re: Tonys IPP revision surgery diary.
« Reply #4 on: January 13, 2020, 09:01:37 PM »

Maybe a stupid question but considering the impressive size, is this implant route a thing that people would do just for that without having a prior peyronies issue?

Do you mean would a fully functional male opt for an implant because of size??  If so the answer is no.  The implant is matched to the optimal size of your penis,  You might regain some size.  If it is for Erectile Dysfunction and you never lost size you might even gain 1/4 inch over your natural size although Dr. Eid dismisses that (some of his patients swear it is true.)  No one would ever implant a functional penis for enlargement.
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

Hawk

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Re: Tonys IPP revision surgery diary.
« Reply #5 on: January 13, 2020, 09:05:33 PM »

Tony, I am almost certain the Titan 24 cm steps up in girth but the Titan 20 cm is already more girthy than the AMS.

Depending on your girth that might be a plus.  If you have a 5' - 5.5" I am not sure it makes any difference.  My guess is that he will not trim the base, however. 
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

TonySa

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Re: Tonys IPP revision surgery diary.
« Reply #6 on: January 13, 2020, 09:36:55 PM »

Yea, I read the girth is maximized w the Titan 22cm.  My original girth was more than I have the AMS, so I’m looking forward to the Titan (also because I still have some hourglassing at the site of the graft).
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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

Hawk

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Re: Tonys IPP revision surgery diary.
« Reply #7 on: January 13, 2020, 11:25:39 PM »

Tony, look at the Titan size chart again.  I am almost sure I recall the 24 CM Titan has a girth increase over the 22 CM titan.  I could be wrong
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

TonySa

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Re: Tonys IPP revision surgery diary.
« Reply #8 on: January 15, 2020, 04:34:37 PM »

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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

Hawk

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Re: Tonys IPP revision surgery diary.
« Reply #9 on: January 15, 2020, 05:49:23 PM »

I hope your implant is bigger than that graphic.  It was microscopic :)  Too small to see ANYTHING
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

TonySa

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Re: Tonys IPP revision surgery diary.
« Reply #10 on: January 15, 2020, 07:29:16 PM »

Ha!  Changed link w pic of good size.
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PxD 2 yrs, failed all tx. 9/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3rte

SW01

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Re: Tonys IPP revision surgery diary.
« Reply #11 on: January 15, 2020, 11:16:43 PM »

Good luck. Looks like I am just starting down this road. Will see over the next weeks ahead after urology appt.

I also will start back with ved to keep my gains if it looks like they need to do a total redo. Right now I hope it could be reservoir migration ssue related to messed up stomache issues from long ago surgery. I am shooting for 20 cm posiible If i need new cylinders, keeping my titan. I like it and the pump.

Like I always said. If it messes up getting this thing fixed asap.

Such a pain.
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Implanted March 7, 2019. Titan 18 plus 1. Dr. Kevin Campbell in Cincinnati. Fell almost 3 years ago. Erectile Dysfunction, peyronies, and venous leaks since then. Implanted within 3 months once told i had the leak. No reason to put it off.
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