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Author Topic: Strongly Considering an Implant  (Read 428 times)

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AlohaPete

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Strongly Considering an Implant
« on: September 28, 2020, 08:32:54 PM »

Aloha,

So my first onset of Peyronie's was last Dec. although I did not know it at the time. It took me 6 months to get diagnosed and have been doing non-invasive treatments. I have an upward curve of about 35-40% and big indention right before my glands on the top of penis. Along with this condition, I have anxiety. Not crippling, just need to pop a Xanax once in a while. However, one of the biggest ways anxiety has affected me is performance anxiety. I had bad experience 20 years ago with an older lady. After dating for a few weeks, we were going to have a first time at 5 star hotel. The combination of the planned sex, the big stage of the 5 star hotel and the intimidation factor of her being older (33 to my 23) gave me extreme anxiety. Luckily, with viagra most of the time it does not impede me. Yet, with girls I really like that I date for weeks when it comes to that first time the anxiety can still get the better of me or even if I can perform I am essentially a man with erect penis having severe anxiety which can still compromise the encounter. Essentially when the stakes are higher like possibly ruining my chances with the "one" or just planned sex it increases my anxiety. Yet, if it is a one night stand, hooker or someone I not that into like a [email protected]< buddy all is fine. Also, after I had successful sex with that partner the anxiety is less moving forward. I pretty much always take levitra before sex, but can get erect when I masturbate.

The sexual relationship with my gf is great in many respects. She is one of those lucky girls who can climax over and over from intercourse and enjoys my compromised penis. I suspect it may even be a more effect tool in that the upward curve at the end hits her g spot in certain positions more readily. The big problem for me is the indention, it makes the top less stable and I have to be super hard to insert and risk further injury as it bends so easy. Also, climaxing during sex is becoming a less and less likely proposition. My gf is a wonderful sex partner that has no problem finishing me orally.

Anyway, I'm thinking of going directly to implant. The other surgical procedures either reduce the size or your penis or risk nerve damage and do not prevent Peyronie's from returning and you have to wait a long time before you can even attempt them. The injections can be dangerous and a 50/50 proposition. I have been using restorex but worry about damaging my penis. I have been using levitra for so long that I am not sure if I could have sex without it from a physical stand point. The prescribed low dose cialis has brought back my morning erections but they have been gone for years. Basically by getting an implant I get a resolution to the problem and can move forward and see what life is like about ever having to worry about performance again. I am relatively young at 44 and don't want to compromise years of good sex. Also, the psychological weight of this Peyronie's is heavy. Plus, this is good time to get something like this done discretely with social distancing. Yet, I am new to this problem and perhaps jumping to an extreme solution too quickly? Is an implant an extreme solution? Any insight would be appreciated.

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44 Years old - Diagnosed with Peyronie's in 7/20. First signs 7 months prior. 35 degree upward curve, slight Erectile Dysfunction and length lost. Taking cialis, co-Q-10, Kanchanar guggulu and using restorex for three weeks. Seeing some slight positive results already

2Oldfords

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Re: Strongly Considering an Implant
« Reply #1 on: September 28, 2020, 08:56:53 PM »

    I'm no expert and everyone has an opinion. Personally, I would say go for the implant. It is the ultimate cure for Erectile Dysfunction. It is also non reversible. If you are not 100% ready don't do it. You have got to know in your mind this is your best option. I tried excision and grafting, It didn't work and I ended up going with the implant. Should I have gone straight to the implant? Maybe but I was not ready for an irreversible procedure when I had options.
    Knowing what I know now, In hindsight, I could have saved myself a very evasive surgery and recovery time.

    Good luck with your decision
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Age - 65
Peyronies of unknown length of time
70 Deg curve 10-11 o'clock
first 2 uro's offer for xiaflex and referral
incision/grafting 12/18/18, Implant 9/11/20

bustedchubb

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Re: Strongly Considering an Implant
« Reply #2 on: September 29, 2020, 07:25:44 AM »

My Peyronies Disease situation is about the same as yours, (age, onset, location and bend direction) other than I'm at a full 90 degrees up bend.  I been looking at the Lue extra tunical grafting and plication procedure.  Its far safer than excision and grafting, which certain uros are very outspoken about not doing due to their proclivity to cause Erectile Dysfunction (just read 20oldfords and tdix's stories for an example).   I believe benjamin62 had this to correct his 90 degree downward bend and hourglassing/narrowing and loves his results.  His doctor, Brian Christine, even posted the video of the surgery on youtube in his "Erection Connection" channel.   I know if I go for this route I'm going to end up with a little wiener, but I'd rather have a little one straight than a severely bent one unusable.  If you have good erectile capability with decent length 5-6 inches left, I think its a superior choice than implant personally.  Obviously, take alot of time to educate and make your decision.
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43 Yrs old, Peyronies Disease Onset 11/2019, Stabilized 6/2020.

Dent/Hourglassing distal and dorsal side, ~50 deg bend up, lost length and girth top half (hourglassing).

Underwent Plication with Dr. Christine in Birmingham AL on 6/17/2021. Recovery in progress

AlohaPete

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Re: Strongly Considering an Implant
« Reply #3 on: September 29, 2020, 06:41:26 PM »

Thanks bustedchubb. That is an interesting alternative and really the indent is more the issue than curve. However, you mentioned a decrease in size. Is that a common side effect? Also, there is still a chance Peyronies Disease could return right?
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44 Years old - Diagnosed with Peyronie's in 7/20. First signs 7 months prior. 35 degree upward curve, slight Erectile Dysfunction and length lost. Taking cialis, co-Q-10, Kanchanar guggulu and using restorex for three weeks. Seeing some slight positive results already

Hawk

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Re: Strongly Considering an Implant
« Reply #4 on: October 01, 2020, 12:17:36 AM »

I think only an implant will address indentations, curve and Erectile Dysfunction with one outpatient procedure.  The one concern is to get a top surgeon and get confirmation that he can correct a curve very close to the Glans because a curve near the end of the cylinders is more of a challenge.
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Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums
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