Peyronies Society Forums

Please login or register.

Login with username, password and session length
Pages: [1]   Go Down

Author Topic: Is a Penile Implant Really a Last Resort  (Read 4661 times)

0 Members and 1 Guest are viewing this topic.

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Is a Penile Implant Really a Last Resort
« on: August 27, 2018, 08:02:51 PM »

We often hear that an implant is the last resort for erectile dysfunction.  My agreement with that is dependent on what is meant by the term “last resort.”  If by last resort, we mean that after an implant, other options such as injections and oral meds are closed to a man suffering from erectile dysfunction, then I would agree.  However, if we mean that you should not consider an implant until you have tried every other option and not until every other option fails to give any relief, I would totally disagree.

Since this is, after all, a Peyronies Disease forum, it should be noted that an implant by a good high volume surgeon can completely solve erectile dysfunction and Peyronies Disease deformity with one outpatient surgery taking less than an hour.  When Peyronies Disease exists with erectile dysfunction as it often does, there are few other real options since no other treatment addresses both issues at once. 

Even for erectile dysfunction alone, implants are sometimes a better option even if other options give an erection.  Often men are not willing to take the risk of injections (development of scar tissue), or they find the monthly costs, lack of spontaneity, opposition to self-injection, transporting and storing drugs when traveling, unacceptable.  Penile implants are a real option, NOT just a last option for these men.  The same is true for men that get inconsistent results, negative side effects, and find the cost unacceptable for Viagra and other oral drugs.

My current assessment is that I wasted years and thousands of dollars with VEDs, pills, traction, injections, over-the-counter supplements, “cock rings,” and more.  In my case, I can clearly attribute my struggle with Peyronies Disease to penile injections.  All of this could have been spared by an implant 15 years ago, and it could have ended the hassle, the cost and restored spontaneous youthful sex over a decade earlier.  Waiting for this “last resort” cost me untold hours dedicated to traction and VED use.  Even though I have been pretty successful in working with a loving wife to maintain intimacy, I feel it could have been far better.  Maybe worst of all, it cost me penis size because each setback with Peyronies Disease and every year with erectile dysfunction cost me.  Fortunately, I started far above average, so I will end up at least average, but it is a cost I don't take lightly.

Just a few reasons I would pick an implant even if other methods gave me a usable erection
1. The only Erectile Dysfunction solution that gives spontaneous sex
2. No ongoing cost and prescription hassles of oral and injectable medications
3. No issues transporting devices or medication when traveling (refrigeration needed for most injectables)
4. No side-effects of medications (low blood pressure, stuffy nose, vision issues, backache) or devices (trauma to the penis, limited time erect, cold glans)
5. provides a larger flaccid hang
6. Straightens all deformity and prevents future size loss

Don’t just buy the line that an implant is the last resort.  It discounts serious answers to serious questions that many men should be asking.
Logged
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

TonySa

  • Major Contributor
  • ****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 4889
Re: Is a Penile Implant Really a Last Resort
« Reply #1 on: August 27, 2018, 11:11:12 PM »

I agree in that one should not wait too long if it’s the only option, and even if not only option as time passes one has to weigh the costs and benefits.  I tried all standard treatment for 12 months w insufficient progress, so moving on to an implant.
Logged
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

NeoV

  • Major Contributor
  • ****
  • Country: jp
  • Offline Offline
  • Gender: Male
  • Posts: 2165
    • Neoman
Re: Is a Penile Implant Really a Last Resort
« Reply #2 on: August 27, 2018, 11:47:31 PM »

I like this Hawk,

Honestly it makes a lot of damn sense. I'm happy to see that we as a community (through our trials and errors), are finding more truths about how to best handle this disease long term.

diehardpatriot

  • Major Contributor
  • ****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 423
  • Healing everyday
    • My symptoms & history
Re: Is a Penile Implant Really a Last Resort
« Reply #3 on: August 28, 2018, 12:20:04 PM »

I agree with you Hawk. With the right surgeon there is an amazing success and satisfaction rate. However, for someone your age it is an almost easy decision. For people under 30 it becomes a lot harder because of the need for revisions throughout a lifetime. Let’s say someone was implanted at 25, they will probably need at least 3 revisions in their lifetime, 3 more surgeries does not sound fun, although the surgery is pretty non invasive. If implants were indestructible this choice would be easy for EVERYONE and it would be a pretty much flawless “cure” for Erectile Dysfunction and Peyronie’s. Until someone figures out how to completely reverse corporal fibrosis or commercializes penis transplants implants will be the only solution to Chronic Erectile Dysfunction. I can only hope the technology of implants gets better and better, so that the cons of implants can minimize over time. There’s gotta be a way to fix the durability issue and get them to last at least 15 years
Logged
Penis injury in late 2017. A lump formed at injury site that caused no deformity, just pain and a palpable lump. Pain is improving through proper rest and use, diet, and mindfulness. I am always learning and looking to share things that have helped.

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #4 on: August 28, 2018, 12:48:22 PM »

I agree with you Hawk. With the right surgeon, there is an amazing success and satisfaction rate. However, for someone your age, it is an almost easy decision. For people under 30, it becomes a lot harder because of the need for revisions throughout a lifetime.

I agree but I have talked to men that have had multiple revisions and they said the process went easier and if anything they gained some size with each revision.  Needless to say, there are risks but we can only suppose that each generation of the implant will get better and that someday tissue regeneration will be an option and implant patients will be as eligible as anyone else when that time comes.   Also, there are many implants out there that are more than 15 yrs old although that is not typical.
Logged
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

0w00dy

  • Voting Member
  • **
  • Country: de
  • Offline Offline
  • Gender: Male
  • Posts: 9
Re: Is a Penile Implant Really a Last Resort
« Reply #5 on: August 28, 2018, 04:23:29 PM »

Thats something I am also very interested in: the evolution of the implant.

As I am 25, like you said diehardpatriot, and I am leaning towards an implant if my situation would not improve more in the next few months, I would need some revisions in my lifetime.. scary stuff to have a bionic dick at that age and to save lots of money all my life to always fly to the US (or other high volume surgeons) to get a proper one installed again. Here in Germany its not done often. Maybe it would work out well with 'the best surgeon I can find' but it could also be a disaster. Research is difficult, nothing like FT for Germans.

Hawk, do you really believe that implantees are also eligible for regrowth of the cavernous bodies in the future?
How come? Don't you think there will be too much tissue lost/destroyed to be recovered?
Logged

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #6 on: August 28, 2018, 05:14:01 PM »

Hawk, do you really believe that implantees are also eligible for regrowth of the cavernous bodies in the future?
How come? Don't you think there will be too much tissue lost/destroyed to be recovered?

0w00dy, zero tissue is removed during an implant.  Originally they may have removed tissue 25 or 30 years ago. Now, the cavernosal tissue is pushed aside.  Men who could get unreliable erections before surgery can often get partial (even better) erections after surgery just from the blood flow into a restricted space.  I am not a scientist or healthcare professional. but I see no reason that space could not regenerate tissue as well as someone with plaque or fibrosis through the organ.

Hawk
Logged
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

diehardpatriot

  • Major Contributor
  • ****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 423
  • Healing everyday
    • My symptoms & history
Re: Is a Penile Implant Really a Last Resort
« Reply #7 on: August 29, 2018, 02:32:18 AM »

Woody, interestingly I assumed the same. That If one was implanted they wouldn’t be candidates for tissue regeneration. I hope Hawk is correct. What you’re saying Hawk does make sense

Hawk that’s interesting. It’s good to hear there aren’t people out there who’ve successfully had multiple revisions. I didn’t see many people who’ve had revisions on FT. Seemed like mostly new implantes. I just wanna thank you again for contributing your current situation to the forum. We had a member named dared who was implanted recently and he never came back to tell his tale. I’m interested in seeing how your new life with a bionic d*** turns out and I wish you the best!!
Logged
Penis injury in late 2017. A lump formed at injury site that caused no deformity, just pain and a palpable lump. Pain is improving through proper rest and use, diet, and mindfulness. I am always learning and looking to share things that have helped.

skunkworks

  • Global Moderator
  • ****
  • Country: au
  • Offline Offline
  • Gender: Male
  • Posts: 1601
Re: Is a Penile Implant Really a Last Resort
« Reply #8 on: August 29, 2018, 08:41:08 AM »

I still consider it a last resort, but most definitely what is meant by that could be explained better. If I was non functional without a physical aid such as the VED+cockring combo for a year, I'd be researching and booking the surgery, having spent the last 6 months of that year stretching for an implant. Possibly even if I could only function with an injection too.
Logged
This is an emotionally destructive condition, we all have it, let's be nice to each other.

Review of current treatment options by Levine and Sherer]

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #9 on: August 29, 2018, 09:21:23 AM »

I still consider it a last resort, but most definitely what is meant by that could be explained better. If I was non functional without a physical aid such as the VED+cockring combo for a year, I'd be researching and booking the surgery, having spent the last 6 months of that year stretching for an implant. Possibly even if I could only function with an injection too.

The worst thing I ever did was take injections.  My injections are the only reason this forum exists.  Without them, I would have had no Peyronies Disease and the rest is history.
Logged
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

skunkworks

  • Global Moderator
  • ****
  • Country: au
  • Offline Offline
  • Gender: Male
  • Posts: 1601
Re: Is a Penile Implant Really a Last Resort
« Reply #10 on: August 29, 2018, 10:57:59 AM »

Yep and you're one of many who have had that outcome. In that same vein, there are guys in here who have had new plaques from the single instance of an injection to have an ultrasound. Brutal stuff.

The biggest scare of an implant for most is that erections can no longer just happen. Not as big a deal if married, but for single guys that is a big hurdle to jump. Still, if you have zero chance of a spontaneous erection, an implant beats the pants off ved+cockring, or trimix.
Logged
This is an emotionally destructive condition, we all have it, let's be nice to each other.

Review of current treatment options by Levine and Sherer]

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #11 on: August 29, 2018, 06:18:14 PM »

The biggest scare of an implant for most is that erections can no longer just happen. Not as big a deal if married, but for single guys, that is a big hurdle to jump. Still, if you have zero chance of a spontaneous erection, an implant beats the pants off ved+cockring, or trimix.

With all respect SW, I think that is a total non-issue.  I agree that there are all types of sexual encounters, but Dr. Eid told me that he has a patient that has now been married for 18 months, and his wife has no clue he has an implant.  She asked him recently if he was taking too much Viagra.  An implant can be inflated from scratch in about 30 - 40 seconds.  If you are dating and have partial inflation, it can be inflated in half that time.  Anyone can find 20 seconds to inflate.  Keep in mind it does not even have to be 20 seconds consecutive.  It could be (3) 7 second periods, for instance.
1. a bathroom break for a minute
2. As she pulls her blouse etc. over her head
3. when a cover is partially over you for a few seconds
4. while performing oral sex
5. during any rear-facing position
6. In poor lighting
7. In fact, if you practice, I say you can do it in front of them discretely.

All of this supposes that any woman over legal age minds that you have a penis that lasts all night long and is completely stress and timing-free.  I wish I were single because I would take the challenge as an improved Male 2.0 version to explain my Bionic Penis to women.  I am certain that with a smile and a twinkle in my eye, I could say something like, "Look, it is only fair to tell you part of me is pretty exceptional.  I had an outpatient surgical improvement that makes me as hard as you decide you like it, and it lasts as long as you want it to last every time.  Everything is on your timescale. Do you mind?  If so, you better leave now because I do not want to spoil you for all your future lovers."  A little smile with fun and not too much arrogance would be a clincher.  Guaranteed!!!  ;)

Do you imagine chicks worry you will find out they had breast augmentation and not want to date them anymore? LOL
Logged
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

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #12 on: August 29, 2018, 11:05:06 PM »

Skunkworks, I have been puzzling over your statement.
The biggest scare of an implant for most is that erections can no longer just happen. Not as big a deal if married, but for single guys, that is a big hurdle to jump. Still, if you have zero chance of a spontaneous erection, an implant beats the pants off ved+cockring, or trimix.

The last part of your quote undermines the first part.  In fact, even if you have an 80% chance of erection, you are still in a mess if you are single.  If Erectile Dysfunction is a concern, what would be more spontaneous than an implant?  What would be more reliable? As you point out, not a VED, not injections, not Viagra that requires you to wait 30 to 60 minutes and eliminate fat in any pre-sex meal. ( interferes with absorption)  I think any argument for spontaneity, reliability, or even secrecy is an argument for an implant.
Logged
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

skunkworks

  • Global Moderator
  • ****
  • Country: au
  • Offline Offline
  • Gender: Male
  • Posts: 1601
Re: Is a Penile Implant Really a Last Resort
« Reply #13 on: August 30, 2018, 12:21:25 AM »

Spontaneous as in not requiring some sort of immediate intervention to happen at when clothes are coming off, that cannot be concealed from your prospective partner. Like you could surreptitiously take Viagra at any point during a date, and it works much faster than 60 minutes if you chew it up, but Cialis is the better option anyway and obviously that removes any problem re time as you can take it long beforehand.

Thing is though, I certainly did not know it might be possible to operate an implant without your partner knowing. That a guy's wife has never found out is mind blowing to me.
Logged
This is an emotionally destructive condition, we all have it, let's be nice to each other.

Review of current treatment options by Levine and Sherer]

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #14 on: August 30, 2018, 08:52:51 AM »

Thing is though, I certainly did not know it might be possible to operate an implant without your partner knowing. That a guy's wife has never found out is mind-blowing to me.

There are many accounts of men that have had sex with implants that their partner never knew.  There are also just as many where they told their partner and got nothing but positive feedback such as "You mean I can choose how hard it is?  Wow, can we make it just a little bit softer?"  I would say that most typical is that single guys have sex once without revealing they have an implant.  Once their partner realizes it looks and feels the same, they then reveal that they have an implant.  I have never read a single account of a woman being put off by it.

One guy revealed it halfway through a prolonged lovemaking session as they were starting round two, and the woman had a 2nd orgasm for what she said was the first time in her life.
Logged
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

Gabriel

  • Major Contributor
  • ****
  • Country: fr
  • Offline Offline
  • Gender: Male
  • Posts: 368
Re: Is a Penile Implant Really a Last Resort
« Reply #15 on: August 30, 2018, 01:42:47 PM »

Fascinating thread guys... Thanks a lot, it surely gives huge hope to everyone :-)
Logged
- 33 yo, very healthy lifestyle, Peyronies Disease with pain, general hourglassing with girth and length loss since 09/01/17. Still acute.
- Treatments tried: almost everything; few things helped (see my big related post on december 2020), but pain still there...

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #16 on: August 30, 2018, 04:26:06 PM »

The most likely way for someone hiding an implant to be discovered is that your partner worked on your scrotum with more than a passing touch or a flicking of a tongue.  Real massaging of the scrotum or serious oral of the scrotum would reveal the pump The pump is testicle size but much harder and with some irregular shape.  The more contracted the scrotum is (which often happens when aroused), the more difficult it is to stumble over casually, but it would be noticed with real attention handling the scrotum.

As one guy posted just today, on the few occasions when that happens, and they say what is that, he says,” I had an injury when young.  Don’t worry about it, just keep doing what you are doing.  It feels great”.  He said he has NEVER had the questions go further and never had it interrupt the mood, and all the women have been between 25 and 40 yrs old.
Logged
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

NeoV

  • Major Contributor
  • ****
  • Country: jp
  • Offline Offline
  • Gender: Male
  • Posts: 2165
    • Neoman
Re: Is a Penile Implant Really a Last Resort
« Reply #17 on: August 31, 2018, 04:52:17 AM »

Love it Hawk, what happens to the penile tissue in general with an implant? is it partially filled out, and if not, does that make your penis soft at all? I guess I need to research this since I can't imagine how it works in regards to rigidity.

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #18 on: August 31, 2018, 08:23:52 AM »

Neo, in brief, after an implant, you look like a shower instead of a grower, meaning that you always have a substantially sized hang which most men like.  Now, if you have an 8" penis on a small-framed man, you might find that is a little bit of a challenge to hide at the beach, but I consider that to be a minor problem.  There is also variation between the two top competing models.  The AMS LGX 700 has softer cylinders when deflated and it contracts/lengthens up to 20% when deflated/inflated.  It gives a bit smaller, more natural feeling, deflated penis.  It does have limited girth expansion.  However, if your girth is not large, it could still give you all the girth your tunica can handle.  The Coloplast Titan (which I have) is limited in girth only by the tunica.  Some arguable pluses are that you might end up with more girth, especially over time and especially if you have substantial girth to start with.  The Titan cylinders only expand/contract lengthwise about 4%, so if you have a 6" erect penis, your deflated length could be as much as 5 3/4".  In reality, the penis tissue does contract against the empty cylinders and actually crumple or fold them, so you are likely to get more contraction, but you are also likely to feel those folds in the deflated cylinders if you look for them with your hand, especially when the implant is new.

In general terms, the Titan has more rigidity meaning it is less likely to buckle under resistance, and this becomes a factor the longer the penis is.  It also means it might be more capable of straightening a penis that is significantly bent from Peyronies Disease, although many have gotten good results from the LGX 700.

Inflated, I can tell no difference from my youthful erection.  It feels to my mind and my body, just like a pre-implant erection.  If I have a voluntary or involuntary contraction of my perineum area (Kegal muscles), the erect penis jumps.  It gives me an erection like I NEVER got with a VED in that the erection continues beyond the scrotum back through the perineum area.  It also can be much harder if you choose.  If my wife of 50 years examines me with a magnifying glass, she can visually see absolutely no slight indication I did not get my 18-year-old penis back (other than the length loss as a result of waiting before getting an implant), and there is no slight trace that I have had surgery (ZERO SCAR).  As I said before, if she were actually to palpitate my scrotum, she would feel the pump. If she were to palpitate my deflated penis, especially at this stage when new, she would feel the deflated cylinders kind of like a somewhat crumpled plastic straw inside of the penis.  She has felt it while I inflated and said it feels like I am getting a natural erection.  She can tell no trace of difference (and after 50 years, she is well acquainted with my penis) between my current erect/inflated penis and 30 years ago in terms of feeling like a natural erection.  That includes touch, oral, and intercourse.

We have always had a pretty passionate, interesting sex life with a lot of frank, open communication.  While we made it work, in recent years, the VED just was very sub-par.  The retention rings had to be so tight they were either uncomfortable, or I sometimes risked having to pump back up to finish.  They also failed in some positions, such as if I was on my back, etc.  Worst of all, in the last couple of years, if I would pump a high vacuum too fast, I would get a small herniation at the base of my penis where the VED actually would suck in fat or other tissue, forming a bulge on the base of my penis that I could clearly push back under the ring. So sex would go like this for me.  I would starve myself in advance so my stomach was empty and Viagra would readily absorb.  I would take a Viagra so I could use a less restrictive VED ring.  I would pump up and leave the VED and a tighter ring on the bed in case I needed it.  Sometimes after she was satisfied, I would feel I had to pump up again or maybe even change or add a band/ring.  Then I would wrestle it off, trying not to traumatize my penis to settle down and enjoy the side effects of Viagra. It was more hassle than a guy would ever go through if he were only moderately interested in sex.

Now it is like I am 20 years old. Any position for any period of time, on the spur of the moment, without lugging equipment around and paying for expensive drugs with side effects.  I do not have to dedicate my days to traction and VED usage to minimize loss of size.

PS: One drawback for the wife.  Now she knows I am armed and dangerous.  Before she knew I was safe as long as the VED was at home with her.  One day as a joke, I told her I was going to help at the family business where there happens to be a gorgeous young secretary that likes older men.  As I leaned over to kiss her goodbye, I had my backpack and my VED case in my hand as I was heading out the door.  Fortunately, my wife has a very good sense of humor.  :D
Logged
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

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #19 on: August 31, 2018, 08:34:27 AM »

Here are two Titan training videos. 

The first is an animation
https://www.coloplastmd.com/resources/titan-touch-animation/

The second is a real man pumping up.  It is worth noting that his erection is less than straight out which is still very functional but a sign that his surgeon did not do a top notch job.  My erection is above horizontal at about 2:00 O'clock and I am sure that when I am totally healed I will be able to hang a large bath towel on it.
https://www.coloplastmenshealth.com/titan-inflation-deflation-demonstration/
Logged
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

Frank55

  • Solid Contributor
  • ***
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 161
Re: Is a Penile Implant Really a Last Resort
« Reply #20 on: September 03, 2018, 09:13:24 AM »

Hawk - when you say you took injections, what type of injection do you mean? Did you try Xiaflex and/or Verapamil?
Logged
Single and 58 yrs. old - first peyronies symptoms Fall 2015
Had grafting surgery by Franklin Kuehhas in June 2016 - complete failure
Borderline Erectile Dysfunction possible but not taking drugs, shots or using VED
Now evaluating options for next step

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #21 on: September 03, 2018, 10:16:39 AM »

Hawk - when you say you took injections, what type of injection do you mean? Did you try Xiaflex and/or Verapamil?

No, Frank, never.  I took bimix for Erectile Dysfunction following my prostatectomy since Dr. Mulhall told me they would help restore my erections and maintain penile health.  They wrecked my penis.  When I confronted him about the literature that scarring is a listed side-effect, he would not even discuss it.  Dr. Eid and others have confirmed to me that bimix is known to cause scarring.

If I were a man with Erectile Dysfunction, with or without Peyronies Disease.  I would do an implant in a minute IF I HAD A WORLD CLASS, HIGH VOLUME SURGEON.

I would go another route if I had a significant deformity and I got reliable, near-perfect erections.
Logged
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

Dan D

  • Voting Member
  • **
  • Country: br
  • Offline Offline
  • Gender: Male
  • Posts: 6
Re: Is a Penile Implant Really a Last Resort
« Reply #22 on: September 25, 2018, 09:38:30 PM »

Wow... This is a great thread!

I believe that we tend to have some prejudice regarding implants... We often disregard them as a solution for Erectile Dysfunction/Peyronies, even though they have a very high satisfaction rate (when done by a competent, high volume surgeon, of course).

I've been thinking about this a lot lately.

The non-invasive treatment is often painful and unpractical. I mean, wearing an extender 6-8hrs a day for 6 months? That's great if you can do it, but it didn't really work for me... Eventually I got tired of taking a lot of pills and going through the whole extender routine... that's when I started to look for surgical alternatives.

At least for me, it's a relief to know that the "worst case scenario" would be to have a super hard, failproof penis that can last for as long as you want.  ::)
And I'd find that equally appealing if I were single...

I wouldn't get an implant now mainly for three reasons:
1. I'm 30, so there's the multiple revisions issue;
2. I believe my Erectile Dysfunction is manageable and curvature's stable;
3. Insurance's probably going to give me a hard time if I go down that route, so I'd most likely have to lawyer up

I still can have an erection and keep it long enough for sex. Granted, it used to be harder and last longer, but still... I don't think it's "bad enough". Daily low-dose cialis seems to help and I still need to give VED a try. If it gets better, great. If it gets worse with time... well, then I'm glad we still have options.

That said... Every now and then I still find myself wondering if it wouldn't be easier to just skip to the final solution and save myself all the trouble.. lol
Logged

Dan D

  • Voting Member
  • **
  • Country: br
  • Offline Offline
  • Gender: Male
  • Posts: 6
Re: Is a Penile Implant Really a Last Resort
« Reply #23 on: September 25, 2018, 09:47:06 PM »

Also, there are many implants out there that are more than 15 yrs old although that is not typical.

Hawk,

Could you tell us what was your doctor's recommendation regarding revisions?
How long should a modern implant last?


Logged

Hawk

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #24 on: February 03, 2021, 09:55:15 PM »

Could you tell us what was your doctor's recommendation regarding revisions? How long should a modern implant last?

I think 8 yrs is thrown around as a figure, but statistics only works for large groups.  They tell you nothing about how long your implant will last.  It could be a year, and it could be 15.  Both of those numbers are rare, however.

Both the AMS LGX and the Titan have similar failure rates, although they seem to have different weak points.  Also, since it is mechanical, the number of inflations has a distinct impact on the life of the unit.  If you cycle it 2 times a day (14 times a week), it will likely fail before one that is inflated 2 times a week.

(this is a repost to bump this topic.)
Logged
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

postrocker

  • Solid Contributor
  • ***
  • Country: pt
  • Online Online
  • Gender: Male
  • Posts: 172
Re: Is a Penile Implant Really a Last Resort
« Reply #25 on: February 04, 2021, 07:13:42 AM »

Hawk, how is the revision process?
Another surgery to change everything? Or just the reservoir with the liquid?
Logged
34yo
Congenital curvature plus injury during sex - dec.2019
Curve to the left increase plus pain ~35degrees - nov.2020
Pentox (400mgx3) + Cialis (2.5mg/day) + supplements - dec.2020
Traction - jan.2021

GaussRifle

  • Solid Contributor
  • ***
  • Country: us
  • Online Online
  • Gender: Male
  • Posts: 312
Re: Is a Penile Implant Really a Last Resort
« Reply #26 on: February 06, 2021, 12:38:24 PM »

Hawk, I was reading the charts of penile implants and the failure rate due to all causes was close to 55 percent I think at 15 years. This means almost half of the implants should be working at 15 years. Is this the actual case or are they made up statistics?
Logged
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

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #27 on: February 07, 2021, 10:44:56 PM »

I think that is an accurate industry-wide statistic that close to half are functional after 15 years.

A revision almost always means replacing every component unless you have some strange case of a component failure in the first year.  A surgeon is not going to cut on you and leave old components in.  That would be close to malpractice and if you had another component fail after a year or two you would want to sue them.
Logged
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

GaussRifle

  • Solid Contributor
  • ***
  • Country: us
  • Online Online
  • Gender: Male
  • Posts: 312
Re: Is a Penile Implant Really a Last Resort
« Reply #28 on: February 07, 2021, 11:02:15 PM »

Hawk, I first of all wanted to thank you for the work you are doing. People like you give me hope. Most people wouldn’t come in and check on the forum to patiently answer question once they are “cured” themselves. Please keep it up. Coming back to the discussion, I am aware that most implant revisions are complete replacements after a washout procedure with antibiotics to reduce risk of infection. Moreover,  complete replacement makes even even more sense for young people getting implants since they would already need 3-4 revisions, and washout and replacement reduces chance of infection.
Logged
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

  • Bionic Penis 22cm Titan - Dr. Eid 8/7/18
  • Administrator
  • *****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 5926
    • Peyronie's Disease
Re: Is a Penile Implant Really a Last Resort
« Reply #29 on: February 08, 2021, 12:01:09 PM »

Hawk, I, first of all, wanted to thank you for the work you are doing. People like you give me hope. Most people wouldn’t come in and check on the forum to patiently answer questions once they are “cured” themselves. Please keep it up. ...

Gaussrifle,

Thank you for the kind words.  I vividly remember when there was no reliable forum in existence, and even the leading Peyronies Disease urologists would not hand you a pamphlet explaining Peyronies Disease.  Doctors ran one or two small forums, but you could not even suggest something like a pamphlet, or it was considered criticism, and the post was either deleted or altered without notifying the person posting.  I vowed I would do something to change that, and amid all the frustrations, it has its own reward when you get some evidence that it has made a real difference in a real person's life.

Hawk
Logged
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

Stepone

  • Major Contributor
  • ****
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 416
  • Peyronies Disease Survivor
Re: Is a Penile Implant Really a Last Resort
« Reply #30 on: February 21, 2021, 08:30:12 AM »

Gaussriffle,
It’s true about Hawk.
I was suffering for years with a semi-limp, broken, bent penis.
Reading the journals for hours and hours and hours were amazing.
Hawk was able to fill in any questions I had
And when I manned up and got the surgery, my marriage was saved.
I am almost 2 years since the surgery and my bionic penis never lets me or my spouse down.
Thank you Hawk and thank you for this site!
You and this site have been lifesavers.
StepOne
Logged
Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC
Pages: [1]   Go Up
 

Related Topics

  Subject / Started by Replies Last post
2 Replies
2328 Views
Last post June 01, 2012, 05:40:11 PM
by charlie44
3 Replies
255 Views
Last post December 09, 2020, 10:39:58 PM
by Hawk
52 Replies
1079 Views
Last post March 20, 2021, 07:32:39 PM
by Hawk