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Author Topic: Implant vs. daily Cialis for a young man  (Read 261 times)

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MauvaisCoton

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Implant vs. daily Cialis for a young man
« on: May 18, 2021, 01:16:36 PM »

Hi everyone,

My question may seem weird. I'll explain.

I'm not too bothered by the curve I got because of Peyronie's disease. If anything, my congenital curve is more of an issue. Of course, I'd rather have a straight penis but I mainly struggle with the strength and quality of my erections.

I'm in the chronic phase so I'm not sure oral therapy would help at this point. That being said, I respond well to Cialis without too many side effects. I take 10 mg on demand but I'd like to be more spontaneous and not have to think or plan when I take the pill.

I'm currently following the treatment plan recommended by RestoreX and I'm cautiously hopeful: the studies that have been done indicate I might see an improvement in erection quality.

If RestoreX doesn't help, however, I'll have a choice to make. The way I see it, I can take daily Cialis (but we don't really know the side effects if I were to take it for the next decades) or I can get an implant. I'm not sure if that's possible after being stable for years but, if the curve had to worsen and were to make sex more difficult or impossible, I'd lean more towards an implant. But that's not where I'm at currently.

In your opinion, what would be the best course of action? I am really curious to read your thoughts.
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29. Congenital curvature upward. Diagnosed with Peyronie's in 2017. Curvature near the base of the shaft (approx. 40° to the left).
Mild Erectile Dysfunction since summer 2020. Plaque location still painful sometimes. Anxious.
Currently using RestoreX (since 04/21).

Benraycamp0

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Re: Implant vs. daily Cialis for a young man
« Reply #1 on: May 18, 2021, 01:28:31 PM »

As long as you respond well to Cialis, you probably shouldn't go for an implant. If, for example, you were able to get to 15 years of strong erections with Cialis, that could save you 1 or 2 implant revisions in that same time period.
We also have no idea what other therapeutics may be available for Peyronies Disease and Erectile Dysfunction in the future.

Basically, take the least invasive approach that works right now and don't worry too much about it. Many young men and their spouses have learned to work around an Erectile Dysfunction pill and have satisfying sex lives. While I personally don't have any experience, I'd imagine that it's way easier to be creative with the timing of the pill than to deal with an implant surgery knowing that I DID NOT require it at that time.

If there comes a day when the pills stop working, well you can sleep well knowing you have a reliable, surgical solution that will get you back to function.
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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.

GaussRifle

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Re: Implant vs. daily Cialis for a young man
« Reply #2 on: May 18, 2021, 05:44:32 PM »

If you are able to have “satisfactory” sex with cialis then keep on it. If it stops working in 10 or 15 years, get an implant then, or tissue engineered constructs might also be available. You will save 1 or 2 surgeries.

However if you are not able to have satisfactory sex even after cialis, or have significant deformity like me that makes penetration difficult, then consider an implant strongly.
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26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.

Hawk

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Re: Implant vs. daily Cialis for a young man
« Reply #3 on: May 18, 2021, 09:10:42 PM »

There are many situations where I think an implant is the only sensible solution.  I am blown away at what I can only call the miracle of an implant BUT.....

If deformity is not an issue AND the erections are fine with any oral PDE5 inhibitor with no side-effect, I would not even consider an implant.  That would probably be my opinion if you were 75 but that is especially true at a young age.
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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

MauvaisCoton

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Re: Implant vs. daily Cialis for a young man
« Reply #4 on: May 20, 2021, 05:21:39 PM »

Thanks for your answers everyone, it helps to put things in perspective.
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29. Congenital curvature upward. Diagnosed with Peyronie's in 2017. Curvature near the base of the shaft (approx. 40° to the left).
Mild Erectile Dysfunction since summer 2020. Plaque location still painful sometimes. Anxious.
Currently using RestoreX (since 04/21).

Stepone

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Re: Implant vs. daily Cialis for a young man
« Reply #5 on: May 21, 2021, 06:10:21 PM »

Here is my two cents worth.
Hell no!
If you are able to get and maintain an erection and you and a partner can enjoy sex, my answer is NO.
Save an implant for when you really need one.
I love my implant, but I received an implant because I could not maintain an erection and I wanted to get some of my girth and length back from a previous surgery.
Good luck,
StepOne
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Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

Curvekiller94

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Re: Implant vs. daily Cialis for a young man
« Reply #6 on: May 31, 2021, 03:03:51 AM »

Are you in the chronic phase? Do erectionscstill hurt in chronic phase?
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26 y/o
sex injury that gradually got worse
Hard flaccid, Indentation bottom left close to my body,  mild twist left
28° up 28° Left
official diagnosed peyronies w/pain
Pentox, restorex, l-arginine, cq10, NSAID, tramadol(as needed)
Gf is supportive

MauvaisCoton

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Re: Implant vs. daily Cialis for a young man
« Reply #7 on: May 31, 2021, 10:04:50 AM »

Curvekiller94,

Yes I am. My erections don't hurt at all anymore, however I do feel a slight pain (sometimes but not always) after, especially if the erection has been strong and prolonged.
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29. Congenital curvature upward. Diagnosed with Peyronie's in 2017. Curvature near the base of the shaft (approx. 40° to the left).
Mild Erectile Dysfunction since summer 2020. Plaque location still painful sometimes. Anxious.
Currently using RestoreX (since 04/21).
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