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Welcome to J Francois Eid, MD - Directly answering member questions in the "Medical Professionals" section below the Treatment boards.
https://www.peyroniesforum.net/index.php/topic,17819.0.html

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Author Topic: Is Dr. Eid inclined to prostheses or does he consider them the "last resort"?  (Read 473 times)

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alejelq

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I wanted to know from who knows Dr. Eid if he is a man who tends not to implant young unless they have severe Peyronie's or proven vein leak. I ask this because I suffer from fibrosis more than Peyronie's disease, and here in Italy some surgeons are willing to operate on me, while others say that although there is a problem I am very young and I might regret it because I would never go back.
I know it is a difficult question and just ask him, but I would like to know if anyone knows if he is inclined to implants even in case of fibrosis or young patients, or he will tell me that it is solved with tablets (I have already taken them for months), injections ( I will never, ever want to inject anything before intercourse), or other treatments that don't exist. I know it's the best and I WANT to operate. And if he doesn't do it I'll be sick, because I want the best treatment from the best surgeon for my penis.
Thanks in advance to anyone who helps me
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26 years from Italy
Injury from Jelqing in 2018
Diagnosed with Peyronies disease in February 2021, after many visits and treatments.

Hawk

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Even though Dr. Eid has probably done more implants and has a better success ratio than any surgeon in the world, he impressed me that he loves his work and cares for his patients.  I am a skeptic and have had differences with several doctors in my life.  I have never met one like Dr. Eid.

Dr. Eid has advised men on this forum against an implant because he did not think it was best for their condition.  I cannot know your condition or what Doctor Eid's evaluation of your condition would be.  I think he would be honest and recommend what he thought would work best.

I don't know if a video conference is worth the $300 US Dollars for a 30-minute conference, but if it is, you could consider that. If you do, I would make sure there was a good translator available on your end or his end.  I would also call the office and ask if he would consider a visual exam of your penis during the conference, so you are completely prepared to get the most out of your time.

Hawk
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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

Jack1909

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My conference lasted almost an hour and it was worthy, honest  and friendly. I would reccomend it.
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31 yrs old
Severe congenital curvature. 3 straightening surgeries
Big lump/stitch w/ left deviation after 2012 surgery
Severe Erectile Dysfunction after last one in 2014. Still crooked
Slightly improved w/ shockwave therapy
Looks like only one side of my penis works

Hawk

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As I re-read your post, I think the answer is, can you have intercourse satisfying to you and your partner?  Dr, Eid does not require you to use a VED for intercourse or injections to have intercourse.  You deserve an implant if you consider the options and want one. 

However, if you can take a PDE5 inhibitor without any bad side effects and have sex, he will not implant you.  The truth, however, is that he depends on you for those answers.  He is not going to go on a date with you to see how well Viagra works.

His other assessment is whether your fibrosis is to the degree that he would have difficulty getting the cavernosa to accept cylinders.  That is rare.  He also hesitates to use an implant to straighten a penis that is severely bent right at the glans since the cylinders do not exert a lot of correction near the distal end of the penis.
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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

Benraycamp0

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@Hawk:

Wouldn't the most important data point for any implant surgeon to use in determining whether an implant is a reasonable option for a patient be the results from a Doppler ultrasound? I thought if you were getting an implant because of issues with Erectile Dysfunction, you would need to have proof of a venous leak or arterial dysfunction before an implant surgeon would be comfortable operating on you.

Or am I missing something here? Like is it possible to have severe Erectile Dysfunction symptoms and show no signs of venous leak or arterial insufficiency?
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26 years old. 20 degree upward curve with slight clockwise twist. Symptoms onset Dec 20.
Dr. Levine says it's not Peyronie's Disease but a slow healing wound. Saw him Mar 21 and May 21.
Traction (PMP) and supplements per Dr. Levine's recommendation.

Hawk

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The proof needed for total Erectile Dysfunction is the patient's word, end of story.  Keep in mind, Erectile Dysfunction can be caused by many factors AND a combination of many factors.  It can even be caused by very low libido.

You live in a world where you think of Erectile Dysfunction being connected to venous leak only because of Peyronies Disease. 

I was never diagnosed with venous leak.  I had nerve damage (in my case from prostatectomy and radiation).  Nerve damage from a back injury can also cause Erectile Dysfunction

Generally, if you have ever had a PDE5 inhibitor for Erectile Dysfunction and report that it does not work then in the U.S., most good insurance and Medicare will cover an implant.  No one comes home with you to watch you have sex so they can confirm Erectile Dysfunction.  You are not required or even encouraged to use tri-mix injections or VED's.  I am not even sure you have to ever use a PDE5 inhibitor.  I am willing to bet you don"t.  Many men don't like the side effects.
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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

Benraycamp0

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You are certainly right, my current knowledge of Erectile Dysfunction is limited to the scope of Peyronie's Disease.

Makes complete sense, thanks for sharing that info Hawk!
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26 years old. 20 degree upward curve with slight clockwise twist. Symptoms onset Dec 20.
Dr. Levine says it's not Peyronie's Disease but a slow healing wound. Saw him Mar 21 and May 21.
Traction (PMP) and supplements per Dr. Levine's recommendation.
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