Considering Penile Implants

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MikeM

Hello Everyone,

This is my first post and I have no inhibitions about what I am about to discuss.  In 1994 while still on Active duty I was diagnosed with prostate cancer and had it surgical removed. Of course, I was then impotent, but could still obtain an erection and could actually reach organism.  However, over the years, I was diagnosed with Type II diabetes (very well controlled with AIC testing normal 5.0/5.1) in 2006.  I had Asthma as a kid and it came back as well.  Then in 2010 I had to have a Colorplast Advance mail sling implanted because I was tired of investing in pads and dribbling all over the place.  It will tell that this is most painful surgery I have ever had and it took a year for the pain to go away.  For the first 6 months, I felt like I was sitting on a broom stick.   Six weeks into recovery from the mail sling implant, I developed Afib and ended up in the emergency room with a heart rate of 150.  I then had two cardioversions and an ablation.  The two cardioversions lasted about a week and the Ablation about 3 months.  Then I was placed on a drug called Tikosyn to control my Afib and with adjustment of my other heart medicine, I have been good since two months ago.  It turns out the AFib was initially caused by severe sleep apnea and I now use a CPAP. The final indignity of all was that I was prescribed was prescribed 900 mg of Ibuprofen for times a day for pain due to my sling surgery.  This was a bad idea.  We go Thanksgiving diner at our best friends each and every year.  We finished came home and my wife want to go to the black Thursday sale at Walmart because she had never been to one.  So we went (our local walmart is only two miles from our home) and we bought 3 items (nothing big) and then proceeded to checkout.  I remember grabbing the shopping cart and then nothing until I woke up in the ER with a breathing tub down my throat.  I had collapsed and apparently stop breathing, turned blue and had to be administered CPR by an off duty paramedic and two nurses from our biggest hospital.  I spent a week in the hospital having every test imaginable and no cause was found, but the Ibuprofen was a suspect of interest.  When I told my family care physician about what my urologist had prescribed, he simply stated very, very stupid. 

Now that you know my total background, I am posting to this website.  Starting about 2005, I started having problems getting an erection and reaching organism.  As the years went along, it continued to get worse and by 2009, I was completely Erectile Dysfunction.  My Penis now looks like an accordion closed shut. I cannot take oral medication because of my heart and I will not stick my penis with a needle just to get an erection.  I have tried pumps, but with very unsatisfactory results.  So I am now strongly consider Penile implant for my Erectile Dysfunction.  I have done  lot of internet research and have determined that it is a procedure for which you want your surgeon to have lots of experience (performing hundreds of such implants each year).

It appears to me that there are two penile implant products that are used a majority of the time - the AMS 700 LGX and the Coloplast Titan or Titan OTR.  I have read the stories that many have posted and it appears that the physicians have adopted which ever product gets the best results (many have concluded that the new implants can be sized to as large as each individual can accept and that length may actually grow for 18 to 30 months after implantation).  When I was able to look at a great looking women and get an erection, it was one to be proud of - 7 inches with a big circumcised head that was big and hard and made the skin shine.

I live in the Columbia SC area and will be looking for a urologist with lots of experience in doing such a procedure.  I am willing to travel to Charleston, SC or Nashville TN (Dr. Milan) if necessary.  I know if we travel we will have to spend a week in a hotel near the hospital.  Fortunately, I have Medicare and Tricare for Life.  It terms of the potential pain and recovery I am totally prepared for that (the implant of the sling was a great painful teacher.  I will, of course, get my cardiologist's blessing before. 

There appear to be two surgical techniques available.  One where the incision is made on the bottom of the penis where it meets the scrotum and the other above the penis and scrotum.  Both insert the cylinders, but the first method simply lifts the skin on the scrotum and pushes the pump into place while the second method inserts the reservoir and pump through the same incision.  The first method seems to use the two part penile implant, while the second seems using the 3 piece implant.  The brushing and pain from the first method seems to be a lot less than the second method.

So I want your opinions on which implant is better (AMS 700 LGX or Coloplast Titan/Titan OTR)?  Second, if you have had penile implants what was post-op experiences based on the surgical method?  Also, if you know a great doc in my area for penile implants, please let me know.

No pain - no gain.


Thanks for reading and feel free to ask questions for provide opinions or answers.

Mike 

Hawk

Well, You have done your homework which is a good sign.  I only have one area of disagreement.  The 3 piece device is inserted through either the scrotal or the sub-pubic method.  In the scrotal approach they open a very small opening with their finger into the abdominal cavity to insert the empty reservoir which they then fill.

The debate over which implant rages especially if you are under 7 inches.  My biggest concern it loss of erection to the head of the penis that varies some but if you have total Erectile Dysfunction I suspect you will not get a rigid head.  It is far better than getting no erection at all so I say go for it and keep us posted.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
[url=http://www.peyroniesforum.net/index.php/topic,872.0.html]Hawk - Updated 10/27/18 - Peyronies Society Forums[/url]

james1947

mmorris1128

As Hawk had written, you made a good research.
Dr. Douglas Milam at Vanderbilt is one of the bests, the best according to some members opinion.
He is making usually the AMS 700 LGX

Good luck and welcome to the forum
James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe Erectile Dysfunction.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

Hawk

I just want to say that most of our view of Dr. Milam came from a very solid contributor here that was his patient.  He was convinced in his heart and mind he was one of he best in the world.  I have had pm's from others that say they would never go back to him however.  Since they have not been prolific posters on the forum their opinion generally goes unheard.  I have also had similar pm's on FT forum which is specifically an Erectile Dysfunction board.
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
[url=http://www.peyroniesforum.net/index.php/topic,872.0.html]Hawk - Updated 10/27/18 - Peyronies Society Forums[/url]

MikeM

Which implant do members of this forum prefer?

AMS 700 LGX or the Coloplast Titan/OTR

Thanks,

Mike

Hawk

Mike in all due respect what does it matter what our vote is.  We are truck drivers, cops, lawyers, plumbers, and computer geeks.  What can we base an opinion on?  One expands in length somewhat.  One gives more girth and rigidity especially to a penis of 7 or more inches.  And very few men on this forum even know that information because few have had implants.  Everyone swears by the one they have.

If you want a good cross section of opinion I suggest you ask at FT where there are many more members with implants.  The bottom line it will be a very individual decision between you and your surgeon.

Best regards
Hawk
Prostatectomy 2004, radiation 2009, currently 70 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
[url=http://www.peyroniesforum.net/index.php/topic,872.0.html]Hawk - Updated 10/27/18 - Peyronies Society Forums[/url]

Fireman

I had the LGX implanted 13 days ago by Dr Milam.  So far I can say that my result has been great. Four years ago I had a very nice 6.5" tool. After peyronies and graft surgery I was one inch shorter.  I went into implant surgery with 5.5 "  I came out with 5 1/4 and he says its only inflated about 1/3 or less.  Girth is much improved.  I will go into my prior history soon with another post.  The main thing I want to say here is that I truly believe that conditioning the penis is the key to a good outcome.  For six months I used the VED daily. Most of the time only for a couple minutes or so but I made sure to do it every single day. And I pumped the vac till I had pain and held it.  I also used a traction stretching device each night. I would put it on and go to bed. The pain would wake me letting me know it was time to come off.  Now I know full well that pumping to pain is not a good idea. I also know that going to sleep with traction on is not a good idea.  But I did both and it worked for me.  To me the risk was worth the benefit and it paid off.

addboy

Fireman,
I am scheduled to have the surgery done in 2 weeks. Would you suggest postponing it for 6 months so I can increase the size of my penis through VED and Stretching?

BrooksBro

My understanding is that the LGX will get longer with use.   I have also been told that MEN are concerned about length, while WOMEN have a lot more satisfaction from GIRTH.

james1947

addboy

I understand that you are worry about the size after the implant.
No implant will give you more than you have, I mean more than you had before Peyronies.
I read all your posts, maybe I missed something, how much length/girth you have lost to the Peyronies?
In any case, until the surgery, VED twice a day will be a good approach.
Don't forget you should stop Pentox at least one week before the surgery.
Regarding ligament cutting, some people are happy with, some said that the penis will hang always down if cut. Talk to your doctor about.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe Erectile Dysfunction.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum

addboy

Brooksbro, James, thanks for the replies.
James, thanks for the info on the Pentox, I wasn't aware if that. My dr. said it wouldn't be a good idea to cut the ligament. In some cases the penis can get smaller when it heals.

james1947

addboy

Not just Pentox. All other blood thinners should stop one week or 10 days before surgery, even PRP according to the doctors.

James
Age 71, Peyronies from Jan 2009 following penis fracture during sex. Severe Erectile Dysfunction.
Lost 2" length and a lot of girth. Late start, still VED, Cialis & Pentox helped. Prostate surgery 2014.
Got amazing support on the forum