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Welcome to Dr. Landon Trost - Directly answering member questions in the "Medical Professionals" section below the Treatment boards. https://www.peyroniesforum.net/index.php/topic,16512.0.html

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Author Topic: Seriously Considering Implant  (Read 696 times)

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dannys1s1

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Seriously Considering Implant
« on: June 01, 2021, 03:44:07 AM »

Hi everyone and thank you for your support, my Peyronies started with my injecting Quad-mix at the base of my penis for around 2 years or so on a couple of times a week basis, because I am a righty, the right side at the base was mostly where I injected. I was so oblivious back then to such a degree that just as I was about to have sex on one occasion was when I first noticed a bend to the right along with my penis looking smaller than I had remembered in the past, that was my wake-up call. I had no clue about what Peyronies was at that time and about a year ago,  I began getting informed. 

One surgeon I went to for an implant consultation and even went as far as scheduling a date, I ultimately ran for the hills ( I wasn't ready) and chose to attempt a lesser invasive step instead which was Xiaflex, after 4 rounds though, with no meaningful results I am rather disappointed as the plaque definitely still inhibits a normal-looking erection with 1" to 2" inch loss in length leaving me about 5 inches or so now. It's not that I can't have sex in this situation, it's just I am disturbed at where I am at, to a significant loss of desire to some degree. I believe the Xiaflex while breaking the plaque down in some spots it also decimated the tissue of the area where the Dr. did his injections into the plaque and so that area does not fill up with blood as a result during an erection leaving me with an hourglass effect at the base. I was doing PTT religiously each day for about 6-8 months while with my Restorex while going for the Xiaflex shots and the size has improved somewhat together with vacuum therapy as well. Although I am a bit disillusioned now, having lost some motivation, I will strive to renew my outlook, and prep for my decision to follow through on an implant.

Originally prior to the Quad-mix shots, my Erectile Dysfunction was to a large extent psychological before Peyronies. The head game of anxiety performance that I would go through at times while I was single and with a new woman, with the possibility of Erectile Dysfunction looming, it was totally removed with the inconvenient but very effective Quad-mix shots, not to mention the sex was the best I ever had with the shots as I could stay hard for an hour.  That was before Peyronies and now my dependency due to size and shape changes has now left me in nowhere land as I can't even consider a return to the Quad-mix shots.  in fact, In addition to all of this, I was later told while dealing with the Peyronies, that I have a Venis leak so there was always a physical aspect as well. In addition, lost size and the potential for further shrinkage are what I am now also contending with. Although it's a very extreme solution having the implant, as I can reliably maintain an erection now, it does knock out much of my other issues as mentioned. I also have been seeing ads for dUROFILL (Dr. Paul Perito) not sure about how if at all this plays together with an implant though? I am working on setting up an appointment with Dr. Eid to see what my best options are and would love any input from the forum. Thank you all.
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Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Hawk

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Re: Seriously Considering Implant
« Reply #1 on: June 01, 2021, 08:52:07 AM »

Danny,

I put some paragraph breaks in your post to make it more readable.  It is challenging to read a large block of text.

I would be very cautious of Dr. Perito.  He does a ton of surgeries, but there is also civil and criminal evidence that suggests he is not motivated by a drive to make a patient's quality of life a high priority.

You do need a top surgeon to assure that you have more chance of gaining from surgery than you do of losing more since you expressed a loss of size as a major concern. 

I am a little puzzled when you say you can readily maintain an erection now; then why something as radical as penile injections of quad mix?
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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

dannys1s1

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Re: Seriously Considering Implant
« Reply #2 on: June 02, 2021, 12:57:36 AM »

Hi Hawk and thank you for your interest.

Throughout my life, I have encountered performance anxiety it has at times been a problem with a situation like a new sexual encounter, so being married as I was for almost 30 years it was not an issue or a concern. Although when I later was single I reached out to the shots for a short while for confidence then switched to Cialis once I became involved with someone at that time. A couple of years ago (when I resumed with the shots) I went single again after a long-term relationship ended as well. In general, I am able to maintain an erection for adequate sex without the shots using Cialis or Viagra, although with the shots I was way harder and could last a lot longer with no stress regardless of the situation as in a familiar or unfamiliar partner. Without the Quad-mix shots, the length of time of the session (my staying power) and the level of anxiety during the session (performance anxiety) was the difference in a depreciated sense.   
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Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Hawk

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Re: Seriously Considering Implant
« Reply #3 on: June 02, 2021, 09:06:20 AM »

Well, there certainly will be no performance anxiety with an implant.  You are old enough that you would likely have 0-1 revision in your future.  Your only other option would likely be surgery and oral Erectile Dysfunction meds since the shots are likely to destroy your penis.

If you were uninhibited with your bend and can have intercourse with that angle, you could try traction/VED and oral Erection Meds to somewhat improve the bend and gain a little size back.  Injections are out of the question.  You will only further destroy your penis.

Having used oral meds, injections, VEDs, Traction, cockrings, supplements, and an implant, I know what I would do.   I would have a $300 video consultation with Dr. Eid unless you are in the New England states, then I might call Dr. Kramer.  If I was considering an implant I would still cram in as much straight traction and VED time as I could to regain as much size as possible prior to an implant.  Do NOT take another shot other than during an implant consultation.
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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

dannys1s1

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Re: Seriously Considering Implant
« Reply #4 on: June 03, 2021, 08:46:34 PM »

Yes, I totally agree with all of your insights and thank you for your help.

The 2 looming concerns about an implant that I am struggling with though, are:

1) There is no road backward or in other words the permanency of this decision. Will I be happy or curse the day I made this decision :-\ . Points of concern for instance are will I enjoy sex the same way as my natural penis as I did pre-Peyronies with the implant. I am surmising that sex will be similar in quality to the great experiences of when I took the shots.
2) Size loss, will I lose more length and girth or possibly gain back closer to the pre-Peyronies size? I have resumed doing daily VED and PTT as well as taking Cialis daily which I have been doing for about a year now. In addition, I have been doing intermittent fasting for 2 months, raw vegetables, and shed about 12 lbs. which is good all around for health and Erectile Dysfunction concerns.
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Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Hawk

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Re: Seriously Considering Implant
« Reply #5 on: June 03, 2021, 11:40:47 PM »

So far Dany there is not a guy here that is more than 3 months out of surgery that does not wish they had the implant sooner - 100% satisfied.

You are correct there is no way back from
1. implant surgery
2. Knee replacement
3. Excision and grafting
4. Hernia surgery
5. Doing nothing and losing more size

It feels the same because it IS the same.  Nothing is removed,  They replace the fluid that fills up your penis and makes all the skin, tunica, nerves firm enough to penetrate at will for as long as you or your partner want.

Go to the index at the top of this board and read the journals.  You will get an education.
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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

fighter4peace

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Re: Seriously Considering Implant
« Reply #6 on: January 27, 2022, 06:30:24 PM »

Hawk, I have an appointment for a betamethasone injection for what has been diagnosed as chronic nerve pain. My understanding is the injection is all the way into the tunica. I noticed your strong advisement against injections. Would you point me to any forum member experiences in relation to side effects and negative outcomes?
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Stepone

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Re: Seriously Considering Implant
« Reply #7 on: February 02, 2022, 08:38:29 AM »

Danny
I am confused.
Your signature line says Titan 10/21.
Did you get an implant? Or is this a typo you need to fix.
Agreement about reading the posts from people and their implants. They are very revealing.
Stephen
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Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

dannys1s1

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Re: Seriously Considering Implant
« Reply #8 on: February 02, 2022, 09:32:19 PM »

Hi Stepone.

That info is all correct I had the implant surgery in October 21

Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.
Logged
Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Pfract

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Re: Seriously Considering Implant
« Reply #9 on: February 02, 2022, 09:43:52 PM »

Hi Stepone.

That info is all correct I had the implant surgery in October 21

Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

surprised to see Dr. Valenzuela mentioned here. May i ask how did your surgery go? Are you happy with the results? What about his bedside manner?

dannys1s1

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Re: Seriously Considering Implant
« Reply #10 on: February 05, 2022, 02:13:38 PM »

15 weeks Post Surgery (10/19/21 Surgery date)

Hi Pfract,

I'm curious to know why you would be surprised to see Dr. Valenzuela mentioned here?

As far as the surgery went I believe it went well, at a very high level I make that statement though. The reason I put it out that way, is that this is a work in progress with certain provisos. The location of the incision region has impacted negatively sensitivity specifically on the underside of my penis which is where the neurovascular bundle is located. The cylinders were oversized based on the length of my penis at the time of the surgery with the expectation of growth as a result of the TEP incisions. What this all means when put together is, that the stretching from 2X cycling sessions daily has consistently irritated that location since I began cycling after the first 30-day mark. The sensitivity of that area is in my opinion (and what the Dr. also said) has been affected by the TEP incisions. Healing will improve in theory since I am now maxing out my full inflating capability which I was not doing until very recently. This should have a positive impact on the stress of that tissue where some of the incisions were made near the neurovascular bundle resides and be reflective to the return of lost sensitivity. Beyond that, I still have a curvature to the right as I did prior to surgery which I was told would eventually improve with cycling it seems to have improved although not significantly. The Lenght is still around 6" when bone pressed> The girth is the best aspect of the results as it is about 6" wide which I'm happy with. Overall I am not encountering the random pain in the way I did in earlier times although occasionally I still do degree and quantity are far. less   I like having a bigger flaccid penis albeit folded as a result of the left cylinder being longer and bending to the right as a result of the Peyronies.  Sex with my new penis is satisfactory and I like the idea I could leave it in hard for 8 hours if I liked lol. So that's where Im at currently.
Logged
Age 63
Had Peyronies disease w/45-degree bend from using Quadmix for 2 years for better sex
4 rounds of Xiaflex.  1-2" length loss (surgery may correct)
Titan Implant 10/21. Surgery by Dr. Valenzuela
Included TEP and Grafting.

Stepone

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Re: Seriously Considering Implant
« Reply #11 on: February 06, 2022, 06:49:51 PM »

Thanks for all your updates and glad things are progressing.
Yes, love my bigger girth too. I look at it and think is that my penis? Lol
My spouse likes the girth too.
I hate to be a size guy, but do you know the length of your implant?

Keep it up, it continues to get better for me and my spouse.
Hugs
StepOne
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Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC
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