Impotence Support - Penile implant questions.

Author

Penile implant questions.

ButtercupsDad@dog.net

2004-11-03, 11:07 am

Just starting to think about the implant option and have a couple
questions.
First, does anyone know if a person can have a penile implant and
an artificial sphincter? For some reason I thought that I had read
that these are mutually exclusive, you can have one or the other but
not both. Does anyone know for sure? Does anyone have both?
As I understand it there are two types of implants, one with a pump
and one that is rigid (you have a permanent erection). Any info on
the reliability of the implant with the pump, i.e., leakage, pump
failure, etc.? What about the nature of the surgery for both, is one
a more complicated surgery than the other?
What about recovery time? How long and what kind of post surgical
pain, etc., to expect? Any problems urinating during the recovery
period?
Cost? I doubt insurance would cover this.
Finally, what about length. I have heard that this surgery
sacrifices another inch or so of length. My observation, when using
the pump, is that I have lost at least an inch, so losing another is
something I don't want to even think about. Anybody know more about
that?
Thank you.
David S.

ernestnolan

2004-11-04, 11:07 am

Hi,

You haven't mentioned trying injection therapy to see if you could have an
erection using that therapy. I have been using injectiion therapy for more
than 10 years and it still works great.

Once you have the surgery you can't go back. If you try injection therapy
and it doesn't work, you can go ahead with your plans just as before.

ernestnolan

<ButtercupsDad@dog.net> wrote in message
news:4188db63.177755268@news.duke.edu...
>
> Just starting to think about the implant option and have a couple
> questions.
> First, does anyone know if a person can have a penile implant and
> an artificial sphincter? For some reason I thought that I had read
> that these are mutually exclusive, you can have one or the other but
> not both. Does anyone know for sure? Does anyone have both?
> As I understand it there are two types of implants, one with a pump
> and one that is rigid (you have a permanent erection). Any info on
> the reliability of the implant with the pump, i.e., leakage, pump
> failure, etc.? What about the nature of the surgery for both, is one
> a more complicated surgery than the other?
> What about recovery time? How long and what kind of post surgical
> pain, etc., to expect? Any problems urinating during the recovery
> period?
> Cost? I doubt insurance would cover this.
> Finally, what about length. I have heard that this surgery
> sacrifices another inch or so of length. My observation, when using
> the pump, is that I have lost at least an inch, so losing another is
> something I don't want to even think about. Anybody know more about
> that?
> Thank you.
> David S.

ButtercupsDad@dog.net

2004-11-04, 11:07 am

I did try the Caverject, but it was painful so I did not pursue that
any further at the time. I do have another appointment later this
month to try one of the other drugs they use for this purpose, or to
try the trimix. I understand that the trimix uses a much lower dose
of the medication that is in the MUSE and Caverject. However, I also
have read that the other medications are much more likely to cause
scarring over time. Which of the med's do you use? Any issue with
scarring from the injections after ten years?

I understand what you mean by "can't go back" after the surgery. I am
just considering alternatives at this point, and as I said above, I
will give the injections another try.

Thank you.
David S.

On Thu, 04 Nov 2004 15:37:38 GMT, "ernestnolan" <emiles@stny.rr.com>
wrote:

>Hi,
>
>You haven't mentioned trying injection therapy to see if you could have an
>erection using that therapy. I have been using injectiion therapy for more
>than 10 years and it still works great.
>
>Once you have the surgery you can't go back. If you try injection therapy
>and it doesn't work, you can go ahead with your plans just as before.
>
>ernestnolan
>
><ButtercupsDad@dog.net> wrote in message
>news:4188db63.177755268@news.duke.edu...
>
>

ernestnolan

2004-11-04, 7:09 pm

Hi,

I was told by my local uro not to use trimix as it would cause scarring back
when I started in 1992. He is very dissapointed each year when he examines
me for scarring and finds none.

Yes the trimix does provide a relatively pain free injection for most. The
erection is firmer, faster and lasts longer. A sample injection will amaze
you and I found out immediately I was going to find a way to inject as the
results were fantastic. Teen like, very firm beyond belief.
At 72 it still works great.

If your uro doesn't offer it, please consider another uro for this purpose.

I keep asking my local uro when he will add injection therapy to his list of
ED therapies and he assures me it will never happen because the area is to
prone to litigations. Says his insurance would go up and he couldn't afford
to risk it. He also said no compounding pharmacy existed in NY and he had to
use a NY pharmacy if he wrote such a prescription.

I found a compounding pharmacy in NY and mentioned it. I was surprised when
he wanted the name address and phone number.

ernestnolan

<ButtercupsDad@dog.net> wrote in message
news:418a5ccf.276421202@news.duke.edu...
>
> I did try the Caverject, but it was painful so I did not pursue that
> any further at the time. I do have another appointment later this
> month to try one of the other drugs they use for this purpose, or to
> try the trimix. I understand that the trimix uses a much lower dose
> of the medication that is in the MUSE and Caverject. However, I also
> have read that the other medications are much more likely to cause
> scarring over time. Which of the med's do you use? Any issue with
> scarring from the injections after ten years?
>
> I understand what you mean by "can't go back" after the surgery. I am
> just considering alternatives at this point, and as I said above, I
> will give the injections another try.
>
> Thank you.
> David S.
>
>
> On Thu, 04 Nov 2004 15:37:38 GMT, "ernestnolan" <emiles@stny.rr.com>
> wrote:
>
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>

ButtercupsDad@dog.net

2004-11-05, 7:08 am

Interesting about the litigation. I wonder who is suing and for what?
The scarring I guess.

Anyway, I will report back after my visit on the 18th. Anxious now to
hear what the ED specialist has to say.

Thank you.
David S.

On Fri, 05 Nov 2004 01:07:36 GMT, "ernestnolan" <emiles@stny.rr.com>
wrote:

>Hi,
>
>I was told by my local uro not to use trimix as it would cause scarring back
>when I started in 1992. He is very dissapointed each year when he examines
>me for scarring and finds none.
>
>Yes the trimix does provide a relatively pain free injection for most. The
>erection is firmer, faster and lasts longer. A sample injection will amaze
>you and I found out immediately I was going to find a way to inject as the
>results were fantastic. Teen like, very firm beyond belief.
>At 72 it still works great.
>
>If your uro doesn't offer it, please consider another uro for this purpose.
>
>I keep asking my local uro when he will add injection therapy to his list of
>ED therapies and he assures me it will never happen because the area is to
>prone to litigations. Says his insurance would go up and he couldn't afford
>to risk it. He also said no compounding pharmacy existed in NY and he had to
>use a NY pharmacy if he wrote such a prescription.
>
>I found a compounding pharmacy in NY and mentioned it. I was surprised when
>he wanted the name address and phone number.
>
>ernestnolan
>

ernestnolan

2004-11-05, 7:08 pm

Hi,

No idea if this is really true or if he has made his mind up with pressure
from the health organization he is associated with.

The uro's that provide injection therapy do not seem to have any concerns
about it. I think he may only have a few of the facts and has not examined
the subject in a decade.

The scarring issue is not real according to all I have heard. Yes if you
inject in the wall of the cavity instead of within the cavity you may
disturb enough tissue to cause scarring. When that happens, the erection
doesn't happen right. You begin to figure out what you are doing wrong
pretty quick.

ernestnolan

<ButtercupsDad@dog.net> wrote in message
news:418b6f20.346645329@news.duke.edu...
>
> Interesting about the litigation. I wonder who is suing and for what?
> The scarring I guess.
>
> Anyway, I will report back after my visit on the 18th. Anxious now to
> hear what the ED specialist has to say.
>
> Thank you.
> David S.
>
>
> On Fri, 05 Nov 2004 01:07:36 GMT, "ernestnolan" <emiles@stny.rr.com>
> wrote:
>
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