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Author Topic: Penile Implant Surgery  (Read 68322 times)

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voulezvous

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Re: Penile Implant Surgery
« Reply #100 on: November 23, 2010, 07:13:10 PM »

grayling,

I must jump in here & second everything that Jackp has said. I also had the LGX implant about 2 years ago & could not be more pleased. I will certainly not deny that it is a painful & lengthy recovery but, in the final analysis, I believe that I made the right decision. No amount of Viagra or cialis was going to give the ability to perform as well as my implant has. There has been very little loss of length - in fact I gained back about an inch that was lost to the Peyronies.
Absolutely - make surgery decisions after very careful deliberation & be responsible to check on 2nd or third opinions but to assume that all results will be as disappointing as yours is a mistake. As Jackp says, seek & utilize a male sexual health specialist as a urologist even if it requires travel. I am sorry that you are unhappy with your result.
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timk

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Re: Penile Implant Surgery
« Reply #101 on: November 27, 2010, 03:26:09 AM »

Has anybody with an implant gone through airport security recently?

What happened?
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jackp

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Re: Penile Implant Surgery
« Reply #102 on: November 27, 2010, 08:44:15 AM »

A gentleman on another forum went through air port security this week just after his implant. No Problems with the scanners.

Jackp
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jackp

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Re: Penile Implant Surgery
« Reply #103 on: November 30, 2010, 08:33:27 PM »

Nick

The pain is not that bad. I have had lots worse done to me. I only took one pain pill after I went home.

I am sending you a PM with me cell phone number. Lets chat a few minutes.

Jackp
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tmwstw

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Re: Penile Implant Surgery
« Reply #104 on: December 04, 2010, 01:04:01 PM »

Hi all,
I've been reading up on penile implant. On the bright side, we can expect a anytime, anywhere erection and firmness of the shaft. However i did read some negative side effect of the implant. I wonder if this is true and how does it affect you. Please inform me on this procedure.
1. Is it true that the glan will be softer and smaller? since the implant doesn't expand into the glan? I saw alot of after photos and the glan looks normal when erect, but i dont know how firm it feels?
2. Immidiately post op, there will be a significant loss of lenghth (up to 1 inch) and you may gain back some lenght later, but it will not be the same lenght you had before the implant - Is this true and to be expected?
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jackp

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Re: Penile Implant Surgery
« Reply #105 on: December 04, 2010, 09:22:16 PM »

1. It will take the LGX a few weeks to expand into the glans. Mine now gots almost 1/2" intomy glans.  The glans will appear softer at first because the shaft will be harder than ever. If you have venous leakage over several weeks the blood will redirect itself from the CC to the CS and the glans. Now my glans become normally hard when sexually excited. In younger men this happens sooner than for us older gentlemen. The glans will look and feel normal.

2. Depending on the skill of the doctor and the implant used at activation you may be somewhat smaller than you expected. I was 1/4 inch longer at activation than I was before the implant.  With the LGX I gained back over 90% of my lost length. The most was in the first 3 months and the rest over 18 months. I am now about 1cm shorter then my pre peyronies size. I can not gain that back because of the peyronies scar on top of my penis.

With the wrong implant and a unskilled doctor you could very well loose 1". It all depends on the skill of the doctor, the implant and the condition of your penis. Choose your doctor wisely.

Jackp
 
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BrooksBro

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Re: Penile Implant Surgery
« Reply #106 on: March 11, 2011, 07:46:48 AM »

For the first time in the 2+ years I have been coping with this condition, I am thinking that I may eventually need an implant.  My urologist (Dr. Larry Lipshultz) brought this up last week when I asked about excision and grafting.  Yes, he does excision and grafting, but the long term patient satisfaction for this procedure is low.  His experience is backed up in medical reports I have read.

With both Peyronies and Erectile Dysfunction, he suggested my best option may be an implant.  Because of the size of my plaque, he said during the implant procedure, he will simply cut it so that it is not limiting expansion on the upper side.  That sort of begs the question, if it is so simple to do and effective, then why not do it now?

Back on subject, in watching some youtube videos, it appears to me that the LGX may well be the best device currently available.

Perhaps the most important thing I learned in reading about implants is that long term (12+ months), pre-surgery, traction can allow a longer implant to be placed (12 cm versus 9 cm in one case).  After months of not doing traction, this was sufficient motivation for me to resume traction therapy.
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jackp

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Re: Penile Implant Surgery
« Reply #107 on: March 12, 2011, 07:31:24 AM »

For men that have peyronies with Erectile Dysfunction the "gold standard" is a penile implant with modeling. As I understand it modeling is a simple procedure that does not require and incision.

One of the side effects of peyronies is penile shortening. The LGX can expand up to 20% in length and is the only implant that is length expanding.

I know little about Dr. Lipsultz the only contact I have that went to him for an implant has never responded to let us know how he came out (not uncommon). I do have a contact in Houston that may know him. I will see and send you let you know.

As always a second opinion is in order, either Dr. Henry in Shreveport or Dr. Milam at Vanderbilt.

I did not use traction for my peyronies. I did use a VED for a couple of years before my implant (was the only option I had). As with both traction and the VED use caution not to hurt yourself. IMHO I would not delay the implant just to use the VED or traction.

Send me an email to [email protected] I have some information that I can foreward to you that I can not here.

Good Luck and keep in touch.

Jackp
http://jackp-penileimplant.blogspot.com/

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voulezvous

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Re: Penile Implant Surgery
« Reply #108 on: March 12, 2011, 11:07:22 AM »

As a fellow "implanter", allow me to add a little to Jack's comments.
When the dr. models the penis during the implant procedure, he or she uses the cylinders of the LGX to actually crack the plaque from the inside of the corpus. Its not something that is done from the outside. In other words, your question about why a dr. can't do it as a simple operation apart from an implant is understandable but the difference between the excision/grafting and implant is that the former is based on saving the corpus (but avoiding nerve damage) and the latter is based on removing the corpus completely and replacing it with 2 cylinders that expand (ie: the LGX).
I would be very careful about using a traction device. You may do more damage than good. As Jack suggests, use the VED until you are ready for surgery. If you decide to never have the implant, it won't do any harm if you do it right.
I've had my LGX now for about 1 1/2 years and am very pleased with the results. I pretty much had the same results as Jack in restoring some (but not all) of my lost length. Be v-e-r-y careful, however, about choosing a urologist who has had a lot of experience with Peyronies Disease and implants. If you have to travel, by all means, do it!
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jackp

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Re: Penile Implant Surgery
« Reply #109 on: March 12, 2011, 11:52:25 AM »

I just received a message from my contact in Houston. He only knows of one person that had a implant by Dr. Lipshultz and he used the AMS CX not the length expanding LGX.

Like Voulezvous said be very careful if the doctor wants to do an incision for the pryronies in the shaft during implant surgery. Dr. Milam has a procedure where he does "modeling" during the implant surgery.

Like Todd Doran MS PA-C told me and an intern at my one year check up. Our peyronies patients turn out like Jack. "An erection that sticks straight out, looks and feels normal."

The ongoing research into length expanding implants, by many doctors, has proven that it will help those of us with peyronies gain back some of the lost length. Most are within 1cm+- of there pre peyronies length, with there normal girth after 18 months.

I would suggest you talk to Dr. Lipshultz about his skills with the AMS 700 LGX. If he trys to switch you to the CX he is not doing you any favor. A lot of major implant centers have already switched to the LGX for pryronies, Vanderbilt, The Mayo Clinic, and Kaiser are some.

A good graphic of the LGX is at www.amslgx.com it show how the LGX works when compared to the CX.

I have some additional information I can email to you if you like. Send me an email to [email protected]/

Good Luck and keep us posted.

Jack


I thought I would share the emails between Todd Doran and myself. Private information has been deleted.

--------------------------------------------------------------------------------
On Nov 9, 2010 8:04 PM, Jack P***** <[email protected]> wrote:

Todd

I am working with **** in **. He is to have his LGX at Mayo Clinic the end of this month. He asked me about modeling and how it was done. I honestly told him I don't have a clue but have seen pictures of the great job Dr. Milam did for ***** in **.

It it is not too much trouble would you give us a description of modeling and how it is done, In lay terms of course.

Thanks

Jack P*****

--------------------------------------------------------------------------------

Pump device fully and bend penis in opposite direction and hold for 30-90 sec and repeat a few times. Done commonly. I will sometimes do it to a lesser degree in clinic early on post-op when needed.


Todd



-- Sent from my Palm Pre
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Worried Guy

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Re: Penile Implant Surgery
« Reply #110 on: March 27, 2011, 06:18:11 PM »

Jack, implant surgery damages the tissue of the penis when placing the implant inside right?  The tissue is not removed so what stops the whole of the penis turning to scar tissue and becoming hard and full pieces of bone?
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jackp

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Re: Penile Implant Surgery
« Reply #111 on: March 27, 2011, 09:34:38 PM »

I will try to answere as best I can.

The implant only goes into the CC. No tissue is removed. The blood supply to the CC is still intact. When flaccid you have blood flow to the CC. The CS, glans and urethra are not involved in the implant. Blood flow in the penis is not disrupted.

My penis feels warm, looks and feels normal erect of flaccid.

Jackp
http://jackp-penileimplant.blogspot.com/
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Scuba

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Re: Penile Implant Surgery
« Reply #112 on: May 20, 2011, 11:46:21 PM »

Jackp,
 I had my prostate removed three years ago due to cancer. This has left me with Erectile Dysfunction. I seem to be in the same situation that you were in. If I take the blue pills I get the headaches, backaches vision turns blue and have very little if any affect on attaining an erection. I have been using my VED every other day for the past three years. I talked to my urologist at my last checkup about an implant. He suggested that we start the insurance application process to see it they will approve the procedure. I have no idea which type of implant that he will suggest. My question is this, how do I find the best doctor to do this procedure? I have tried google searches with no luck. I live about 30 miles north of Cincinnati, Ohio. I live in a small town called Middletown, Ohio. My urologist belongs to one of the largest groups in the city called the urology center of cincinnati. I want to make sure and find a surgeon who is the best. Any help would be greatly appreciated.
I also want to thank you for taking the time to help those like me on this site.
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jackp

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Re: Penile Implant Surgery
« Reply #113 on: May 21, 2011, 07:19:48 AM »

scuba

I sent you and email with several attachments. It should answer a lot of your questions and probably raise several others. Don't hesitate to ask questions.

You want a Male Sexual Function Specialist not a general practice urologist or oncologist. The closest to you would be at Vanderbilt in Nashville TN. Read my story I call "One Mans Journey" posted here and on my blog.

Those of us that have an implant will tell you that, I wish I had it years ago. The return to a normal sex life is almost spiritual.

Jackp
http://jackp-penileimplant.blogspot.com/

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whizzer

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Re: Penile Implant Surgery
« Reply #114 on: June 07, 2011, 03:46:12 AM »

Who do I see in Houston for an implant? I have moderate-bad Peyronie's, and my penis was above average in length and very above average in girth. I'd like to get that back obviously.
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jackp

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Re: Penile Implant Surgery
« Reply #115 on: June 07, 2011, 07:39:42 AM »

Whizzer

For men with a penis over 7" in length, which very few of us are, the implant of choice is the Coloplast Titan. For those of us 7" or less the implant of choice is the AMS 700 LGX.

The closest good doctor for implants is Dr. Henry in Shreveport LA. Several men from the Houston area have been to Dr. Milam at Vanderbilt in Nashville TN. I am told Dr. Henry is good but Dr. Milam is best especially if you have problems other than Erectile Dysfunction.

Any way I can help, let me know. Personal questions send me a email to [email protected] or a PM on this forum. I also have information on my blog http://jackp-penileimplant.blogspot.com/

Good Luck

Jackp
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whizzer

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Re: Penile Implant Surgery
« Reply #116 on: June 08, 2011, 11:36:58 PM »

What about Dr. Goldfarb in Houston? He is board certified, but I cannot get info about the number of surgeries he has done, etc. Last year he suggested it be done, but at that time I was not ready. He also said that since my erections were not very firm beyond the point of the plaque that just excision was not going to provide satisfactory results, and he REFUSED to do it.

On size, girth approx. 6.5 at the base even now, and I would like to keep that if possible. How do I ensure I get fitted correctly?
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jackp

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Re: Penile Implant Surgery
« Reply #117 on: June 09, 2011, 08:14:19 AM »

whizzer

In the last 4+ years that I have been on this and other forums I have never heard anyone talk about Dr. Goldfab. Sounds like he is a general practice urologist and not a Male Sexual Function Specialist.

My story I call "One Mans Journey" is on my blog that tells of my experience with the best known local urologist that punctured my urethra when he tried to do an implant for me. That story is on this forum and in my blog http://jackp-penileimlant.blogspot.com/ You do have to scroll down to find it.

There are only about 3 or 4 great implant doctors. You will have to travel to see one of them. IMHO you do not want a general practice urologist to do an implant if you have peyronies or other penile problems.

"Board Certified" only tells you he is a general practice urologist. Please be very careful of who you let do this. Dr. Milam at Vanderbilt does a "ton" of revisions because some local doctor messed up.

My 2 cents.

Jackp
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Scuba

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Re: Penile Implant Surgery
« Reply #118 on: July 27, 2011, 04:11:33 PM »

Jack,
  Plans are in the works. I have a consultation with Dr. Milam on Aug.26th with surgery scheduled for Sept.7. They said that there should be no problems with my insurance. After the consultation Dr. Milam will decide which device is best for me, then they  submit the paperwork to the insurance for a pre certification approval. The nurse said there should be enough time after the consulataion visit to get the approval. I told them I was comming down from Cincinnati. After the consultation visit I go immediatly in for the pre op paper work and to get all the medical info that they need. They gave me a list of local motels that give medical rates. I am going to drive down and back home right after the consultation visit. Then I will drive down the night before my surgery and I think I will stay at the Hampton Inn nearby. I will keep you updated. Just FYI I am 57 and have had Erectile Dysfunction since I had my prostate removed (due to cancer) 3 1/2 years ago. I had the  da vinci nerve sparring procedure done but still ended up with Erectile Dysfunction.
 I have a question regarding recovery after the surgery. When I had a vasectomy done 28 years ago I found out that a normal jock strap did not do very well to support and hold me still. My father in law had an old type supporter that only held the scrotum and this helped a lot better because the scrotum was never disturbed when going to the bathroom. I think I read on Dr. Milam's website that the penis needs to be held up against the abdomen for a period of time during recovery. Is there any type of supporter that you can recommend to help with the discomfort. When I had the vasectomy I really swelled up then so my thinking is that I probably will have a lot of swelling after this procedure. Any help would be greatly appreciated.
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jackp

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Re: Penile Implant Surgery
« Reply #119 on: July 27, 2011, 10:24:19 PM »

I may see you about that time I have to schedule an appoint for a consultation with my prostate (BPH). 

One good thing the hotels do offer special rates for patients and a shuttle service also.

Post op you most likely come out of surgery with a jock strap for support, I had extra padding to help hold my testicles still. You may want to get an extra that you like. For continued support and to help hold your penis up for about 6 weeks I recommend the Jockey Pouch Briefs. The "H" cut will help hold you up. I got mine at Macy's and Kohl's, they have the normal rise style. I like the support so well that I still ware them today but I like the low rise style that I have only found at www.jockey.com/ Side Note: One morning I put on a regular pair of Jockeys. My wife looked at me and said "Jack you look much better in the others." Women. One thing they do enhance the look of your "package".

Dr. Milam uses the pubic approach but still has to put the pump in your scrotum through the canal where your testicles dropped at birth. You will still be swollen but not as bad as the scrotal approach.

Keep in touch.

Jackp
http://jackp-penileimplant.blogspot.com/
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BrooksBro

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Re: Penile Implant Surgery
« Reply #120 on: August 09, 2011, 05:47:53 AM »

As the overall health of my penis has been restored, meaning frequent and strong spontaneous and stimulated erections, I find the angulation is making penetration more difficult.  The stronger my erection is, the greater the angulation, and the more difficult is penetration.  My wife has not commented about it being uncomfortable for her. 

I have effectively abandoned hope that traction and VED will ever resolve my curve.

I am going to ask my physician - Dr. Larry Lipshultz in Houston - to proceed with insurance pre-approval for implant surgery.  If insurance does not approve (my employer has some exclusions) I may borrow from what is now left of my 401(k).
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jackp

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Re: Penile Implant Surgery
« Reply #121 on: August 09, 2011, 06:45:04 AM »

As the overall health of my penis has been restored, meaning frequent and strong spontaneous and stimulated erections, I find the angulation is making penetration more difficult.  The stronger my erection is, the greater the angulation, and the more difficult is penetration.  My wife has not commented about it being uncomfortable for her. 

If you are having these kind of erections and the wife has not commented, can I ask a question, Why an implant?

The normal protocol for an implant is you are unable to keep an erection long enough to complete intercourse. First trying all the other Erectile Dysfunction protocol first.

My 2 cents.

Jackp
http://jackp-penileimplant.blogspot.com/
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Worried Guy

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Re: Penile Implant Surgery
« Reply #122 on: August 09, 2011, 08:44:46 AM »

You would do better to have a nesbit procedure rather than an implant if you can still maintain an erection! I can't see a doctor giving you one! 
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fubar

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Re: Penile Implant Surgery
« Reply #123 on: August 09, 2011, 01:11:50 PM »

Brooks

I agree I would much rather have an implant than the nesbit procedure or any of the three surgerys.It is true that they will not do the implant if you can maintain an erection though.If you have Erectile Dysfunction you may still qualify.I do not think having to use cialis would disqualify.

Not sure I would look into it if I were you.I personally have made that decision my self. I most definately would have the implant surgery before Any grafting or plication surgery.

I  never hear anyone overjoyed about a nesbit procedure.You never know how much you are going to lose or if it will work.Not to mention you may lose everything or have to have more surgery.

Regardless of what you decide remember the change is forever and depending on your age you will have to have another implant surgery in the future because implants only work for so long 15 to 20 years.Everyone that recieves one seems very happy.But like all things some are not satisfied.


Fubar
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Worried Guy

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Re: Penile Implant Surgery
« Reply #124 on: August 09, 2011, 06:18:09 PM »

The nesbit is a pretty simple operation.  You may loose a few centermetres but will still be able to get a spontaneous erection.   The implant is the last option and should not be seen as away of straightening the penis.  That is a bonus. Anyone considering surgery should try and hold out for Xiaflex.  It sounds like you can still have sex at the moment!?
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fubar

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Re: Penile Implant Surgery
« Reply #125 on: August 09, 2011, 11:01:10 PM »

Worriedguy

You are excluding alot of variables of the disease.There are many factors that make up ones decision I'm what survey they decide on.I for one will not consider nesbit because of my age and other factors.Brooks has been here for atleast three years and I am sure has much knowledge of this disease.

Implants have a better chance saving your size and making your penis straight.I do not believe xiaflex is a miracle drug or you would here men raving about it.

Brooks is almost sixty and I am sure he has experience some type of Erectile Dysfunction I do not know for sure.I can not remember your age but I believe it to be between 27 and 30.This definately makes you a candidate for nesbit.If you are still functioning and have a bend I would not recommend this for you.And you are correct that this should be the last choice for you.Any surgery should be your last choice 69% post operation of Any of the plicatiom, grafting, nesbit men are dissatisfied.Most that I have read about implants the guys are tickled to death.They are straight,  erection om demand ams cqm go on all night long. Just imagine having a bionic penis!
I do think some young guys would not know how to handle somthimg like this.I spoke to jackp on one occasion and a Guy he was helping just had am implant surgery at 26.

So even young guys have to make this decision. Surgery yes should be a last resort,  implants no.Just ask the ladies that have to have perfect breast big round and hard like basketball's.I would think they would have considered that surgery as a last resort.But oh well to each their own.I like the natural ones.

So I agree surgery to be last resort but I think everyone has the right to decide what procedure is good for them.

Fubar

.
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Worried Guy

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Re: Penile Implant Surgery
« Reply #126 on: August 10, 2011, 05:07:35 AM »

Most guys lose some length with an implant. In the uk they implant the Titan model which is supposed to be the strongest but does not grow. From what Ive read the implant guys seem to lose length but gain girth. If the guy needs drugs for Erectile Dysfunction and is likely to need an implant soon anyway then he should have it. I'm not in that situation yet so I'm not sure what I would do.
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BrooksBro

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Re: Penile Implant Surgery
« Reply #127 on: August 10, 2011, 06:14:27 AM »

Thanks for everyone's comments.

Achieving and maintaining an adequate erection are different things.  I can only maintain an adequate erection long enough for satisfactory sex by using a constricting band, applied with a VED.  This is because the inelastic nature of the plaque prevents compression of the veins sufficient to retain enough blood for a solid erection.  This is sometimes called venous leakage.

With a near 90 degree bend mid-shaft, plication would result in shortening of at least 25%, and my urologist does not recommend it for me.

When I asked about excision and grafting, he said there is more than 60% patient dissatisfaction with the results.  On the other hand, there is more than 90% satisfaction with all types of inflatable  implants; that satisfaction includes both men and their partners.  The AMX 700 LGX (length & girth expanding) is the one of choice.

This is sort of like 5 frogs sitting on a log; 3 decide to jump off; how many are left?  The right answer is 5.  There is a difference between deciding to do something and actually doing it.  Mentally, I am at the point where implant surgery appears to be the best choice among several not-so-good choices.  Going through with it has yet to happen.
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jackp

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Re: Penile Implant Surgery
« Reply #128 on: August 10, 2011, 10:02:10 PM »

BrooksBro

With the additional information you have posted then I agree you are a prime candidate for an implant.

There is still some resistance from the "old school" doctors about a length expanding implant for men with peyronies. Thanks to the work of Dr. Douglas Milam, and others, reasonable doctors have made the switch. The switch was also helped by public opinion of men learning about the LGX and insisting on it.

You will be the first I have chatted with that had an implant by Dr. Lipshultz. Please keep us informed of your progress. Any questions I can answer let me know, either on the forum, PM or email.

Good Luck and keep us informed.

Jackp
http://jackp-penileimplant.blogspot.com/   
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LWillisjr

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Re: Penile Implant Surgery
« Reply #129 on: August 10, 2011, 10:05:35 PM »

Quote
author=fubar link=topic=884.msg32618#msg32618 date=1312945270]
1. Implants have a better chance saving your size and making your penis straight.

2. I can not remember your age but I believe it to be between 27 and 30.This definitely makes you a candidate for nesbit.

3. So even young guys have to make this decision. Surgery yes should be a last resort,  implants no.

4. So I agree surgery to be last resort but I think everyone has the right to decide what procedure is good for them.

Fubar

Fubar,
I have to interject here. I appreciate your input but you have your facts slightly mixed.

1. There is nothing that supports implants conserving size. There is a risk of some loss of length with any surgery. I have spoken to men who have had various types of surgeries (plication, grafting, and implants). Some lost length and some did not. I always point out there is a risk of loss of length with ANY surgery.

2. Age does not make one a better or worse candidate for a particular type of surgery. There are other factors that must be considered. If one is able to achieve and maintain a satisfactory erection, then an implant is not necessary. Then you have to consider the angle of curvature. I do not recommend plication for anyone who has a greater the 45 degree curve. This increases the chance of loss of length, and the risk is that you won't be totally straight afterwards. Excision and grafting is the recommended surgery for extreme curves greater then 45-50 degrees.

3. Surgery is a last resort.  If one is not able to achieve an erection regardless of age, then an implant is the way to go.

4. We are in total agreement that surgery is a last resort, and the type of surgery is a personal decision based on a consultation with a respected and qualified Peyronies specialist.

Les
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Les - 10 yrs Peyronies Disease free
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fubar

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Re: Penile Implant Surgery
« Reply #130 on: August 11, 2011, 12:32:24 AM »

Totally agree with all that maybe I chose words badly as I was agreeing with brooks and what point I was try to get across to worried Guy thought I covered that stuff.Oh well geuss everyone will have an opinion does not mean mine or your is wrong of course anything goes with surgery.But I do not consider an lgx a last resort.

Worried Guy does and told brooks not to get one. I simply stated their are variables or factors In ones choices and and hehas  problems maintaining erections men are 90%satisfied with implants and the other. Surgerys 60 % dissatisfied with grate ams the like. We are getting our information from the same places or  close In accuracy.

Yes age does not determine what procedure one should consider but what's best for them that is what I was trying to get across. In fact if you have read the thread I have said that men at 26 have decided to get implants.

And yes you do have a better chance in restoring your side with am implant that extents ams expands. I do notbget your argument oh well.

Sorry if I made a mistake but I still support Brooks decision!
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fubar

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Re: Penile Implant Surgery
« Reply #131 on: August 11, 2011, 12:52:52 AM »

Yes I stand behind my post it has my mark on it makes perfect sense to me the information is good. Spelling is bad but I'm working off a little. Broken phone keyboard. I often have to go back and fix things as I was confusing you for Brooks at first.Look I was speaking to two different mind's and not the masses so not everthing I want to say is there. The information is good , spelling bad.I have exchanged pm's with worriedguy andknow him also not so much Brooks.So what is important to me is that worriedguy does not think implants are the end of the world.I know Brooks has his information and knowlendge.Just read the post under this thread
No disrespect to you I know you have been here for more than a minute.I am not the expert here but I am no dummy.I'm going to get a new phone today to much work typing with cracked glass keyboard.

Fubar.  
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NoworNever

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Re: Penile Implant Surgery
« Reply #132 on: August 11, 2011, 10:16:29 AM »

Hi guys, this is my FIRST post...so please take it easy on me. I'm 35 and I recently had the AMX 700 LGX implanted in July 25th by Dr. Larry Lipshultz here in Houston. (He's head of Urology at Baylor and supposedly one of the best.) So far I'm healing up nicely, although still in a lot of pain. Because of a concern Dr. Lipshultz's PA had, he inflated everything yesterday...and I when I saw the length AND girth I had lost I almost went through the roof!!! Unlike some of you, I have TONS of pictures of my penis pre-surgery and was still able to get hard...I just couldn't maintain it. We'll see what happens in a few weeks when this thing is fully healed, but after 3 weeks of healing I am NOT impressed!!!!!!!! I want my old dick back!
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voulezvous

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Re: Penile Implant Surgery
« Reply #133 on: August 11, 2011, 12:38:06 PM »

You are still only a month past surgery so DO NOT despair! I can tell you from my own personal experience (AMS LGX) that it took well over a year for the size to return. Healing from the trauma of the procedure is different from the time it takes for size to recover. I too was also disappointed at first but you will improve over time if you follow the instructions of activating your device at least once a day. Overall, I lost about a 1/2 inch & that ain't bad considering how much I had lost from the Peyronies Disease. Initially, I had lost about 1 1/2 inches. Remember, be grateful for what modern day improvements have been made & how you felt about your sexuality before you had the surgery.
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jackp

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Re: Penile Implant Surgery
« Reply #134 on: August 12, 2011, 09:55:45 PM »

nowornever

I just sent you a PM with some tips. Recovery and regaining size takes some time and effort on your part. Remember the LGX will expand up to 20% but takes up to 2 years.

Let me know if I can be of help.

Jackp
http://jackp-penileimplant.blogspot.com/
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timk

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Re: Penile Implant Surgery
« Reply #135 on: August 13, 2011, 10:08:20 AM »

I agree with Voulezvous. I was just as shocked as you when I first inflated it. It took about 6 months to get to about 16-17cm. I was 18cm before.

Be patient. And learn to inflate it properly; I had trouble with that in the beginning.
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jackp

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Re: Penile Implant Surgery
« Reply #136 on: August 13, 2011, 10:54:50 PM »

As all of us that have an implant know when you first start to use the pump it is very stiff. The double handed mothod of inflation is a lot easier to start with. Any one getting an implant that would like a copy just send me an email and I will be glad to forward it to you.

Jackp
http://jackp-penileimplant.blogspot.com/
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fubar

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Re: Penile Implant Surgery
« Reply #137 on: August 14, 2011, 01:34:49 PM »

Vouslezvous

Amen to your post.Others considering implant surgery check out jackp's blog and post.Great Guy and has alot.of information.

Fubar
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NoworNever

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Re: Penile Implant Surgery
« Reply #138 on: August 15, 2011, 09:24:33 PM »

Thanks for the advice/support/emails guys...I was actually starting to feel better but then I went to visit Dr.Lipshultz today because I still have A LOT of pain and an odd "bulge" where the shaft of my penis meets my body. After 5 1/2 hours of being poked/prodded/and finally MRI'Erectile Dysfunction, Dr. Lipshultz says one of my rear-extenders on the implant has buckled and will need to be surgically replaced. I STILL HAVEN'T HEALED FROM THE DAMNED IMPLANT SURGERY!!!!!!!!!!! (I just had it put in on July 25th!) I can't bring myself to go under the knife again so soon...and I'm scheduled leave for Gallaudet University on Thursday to start my semester. (I'm working on another Masters Degree and will be living in DC until December.) Do I let Dr. Lipshultz operate again so soon after the first surgery and skip the semester? Do I give myself time to heal up from the first surgery and suffer the pain until the end of the semester, then get the implant fixed over Christmas break? Or do I find a doctor in DC to fix it during the semester? Any advice? (Sorry to be burdening you guys, but I don't know who to ask?) Have any of you had problems with your implant and/or extenders?
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fubar

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Re: Penile Implant Surgery
« Reply #139 on: August 15, 2011, 10:12:45 PM »

I do suspect some  have had problems with their implant I am waiting to hear from a recipient .But know word yet.personally I would get it fixed I am from DC and it cam wait really.School or not the place sucks and will only bring your morale down. Get fixed go to Tennessee not to far from DC amd one of the best implant surgeons in the world of Peyronie's. Check out jackps blog and.post.He is a strong Guy and a big heart if you need his number I have it.
 Vandebuilt Dr milam I believe still Jack cqm set you straight he is the only Guy I trust on this.


Fubar
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jackp

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Re: Penile Implant Surgery
« Reply #140 on: August 15, 2011, 10:27:50 PM »

nowover

I hear and read this story so many times. IMHO Dr. Lipshultz messed up. He did not have the skills you need with peyronies.

I am sending you another email. Will be glad to talk with you.

Jackp
http://jackp-penileimplant.blogspot.com/
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kendotx

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Re: Penile Implant Surgery
« Reply #141 on: August 16, 2011, 09:52:39 AM »

Jack - Are you sure the problem with nowornever was caused by Dr. Lipschultz lack of skill? The man is a renown urological surgeon. Is it possible there was a mechanical failure due to a manufacturer defect or some other circumstance beyond the doctor's knowledge? Dr. Lipschultz is also my Urologist and I am sure a prosthesis is in my future at some point. I live in the Houston area and it just makes logistical sense to have the surgery performed here and not somewhere thousands of miles away. I obviously want to ensure I get the best care available so I want to choose wisely. I believe that Dr. Milam is an excellent surgeon but surely he's not the only doctor with the skills necessary to operate on Peyronie's patients??
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voulezvous

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Re: Penile Implant Surgery
« Reply #142 on: August 16, 2011, 06:28:07 PM »

Seems to me that some of the questions that need answering here relate to insurance issues as well as timing. Is Dr. Lipshultz going to do the revision surgery under the same coverage or through malpractice insurance? I would certainly think that a 2nd opinion is in order whether in Houston with another urologist who has considerable implant experience or with Dr. Milam.
I doubt that any reputable dr. would operate again so soon after the original surgery unless it were safe to do so. If it were me, I think I would opt to get it over with & suffer the inconvenience of another painful recovery.
I agree with kendotox that there could be a variety of reasons why the extenders buckled & it may have nothing to do with Dr. Lipshultz's skills. I would be surprised if even Dr. Milam hasn't had to do revision surgery at least once.
Whatever you decide, nowornever, you have my sympathy. I'm sure that you are distressed as well as disappointed. Hang in there.
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