Penile Implant

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tedgard
Regular Member


Date Joined Feb 2008
Total Posts : 104
   Posted 9/19/2009 3:55 PM (GMT -6)   

I agree with everyone that says; “The important thing is that I am now cancer free!”  All my post-op PSA’s have been “undetectable” and for that, I am truly thankful.

 

I am so happy for those men that fully recover after PC surgery, and don’t have to worry about getting an erection because all their equipment works just like it used to before surgery.  Unfortunately, for many of us, that is not the case, and we need to find a solution for that side of the side effects.  I still consider myself a man that is young at heart, and frankly I was not ready to give up on a solution that provides me with a satisfactory sex life, and a solution that will work for the rest of my life.

 

I used Cialis, Viagra and Levitra.  Cialis worked best, but none of them alone provided an erection that was equal to pre-surgery.  I used Tri-Mix shots, and those worked almost too good.  I eventually settled on using the ErectAid pump in combination with Cialis and that worked the best for me.   Regardless, anyone that has used the pump, the oral medications, or the shots, knows that they all come with their own issues.

 

Frankly, none of these solutions provided me with a solution that I wanted to use for the rest of my life.  Therefore, I eventually decided to go for the "ultimate" solution in March '09.  I decided to go for a Penile Implant.  I can’t tell you how happy I am with this decision.  This has been the only solution that has given me the ability to have an erection that feels “normal”, works “every time”, and allows me to maintain my erection for as long as I (we) chose for it to last.  I never have to worry about “losing it” any more.  It is actually as easy for me to get a satisfying erection, every time, as it used to be 40 years ago.

 

If you are considering a Penile Implant and have questions, since I have been there and done that, let me know.


Pre-op Diagnosis Results – Oct 31, 2007;

 

  • Age – 53 (turned 54 in Nov 2007)
  • PSA is 3.83
  • Gleason's Grade - 3+3=6, T1C
  • One biopsy core (Right mid) was diagnosed with carcinoma, which was less than 10% of the tissue submitted.
  • One other biopsy core (Left apex) had a "high grade parostatic intraepithelil neoplasia” (atypical cells, otherwise called pre-cancer cells).
  • All other biopsies benign.

Post-op Results – Surgery Dec 11, 2007;

 

  • Gleason's Grade - 3+3=6, T2C
  • Cancer confirmed on Right mid and Left apex
  • Both nerve bundles spared, some damage to the Left bundle.
  • 30 day PSA, .01
  • 90 day PSA, .00
  • ED treatments: Levitra, Cialis, Trimix, Erect Aid pump, Penile Implant on 3/12/2009
  • Happy


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 9/19/2009 9:41 PM (GMT -6)   
Thanks Ted for your post. I have sent you an e-mail

Jeff T
Cajun Country
Jeff T Age 57
9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable
 10th month  PSA <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 9/20/2009 5:38 AM (GMT -6)   
Glad it worked out for You. Did your insurance pay for the implant?

Or do this consider it non essential like the pills?
Larry
Father treated for Prostate Cancer in 1997 with Proton Beam - Still doing well.
My Stats
Age at diagnosis 54, PSA 5.1
Biopsy 04/08 12 cores, 5 positive
Gleason 3 Cores at 4+3=7, 2 Cores at 3+4=7
Perineural Invasion Noted on biopsy

Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
 
Post Surgery - Dr. Spared 100% of Nerves on the left side.
Estimated that 50 - 70% of the nerves were spared on the right side.
 
Final Path report
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear
Positive Margin 1.8 cm in length Noted in Right Apex


jacknoon
Regular Member


Date Joined Sep 2009
Total Posts : 27
   Posted 9/20/2009 10:18 PM (GMT -6)   
Thanks for your post...Did you loose any length or width with the implant....Also is there any reduction in sensation....Thanks Jack

Art662
Regular Member


Date Joined Sep 2008
Total Posts : 54
   Posted 9/21/2009 6:20 AM (GMT -6)   
Just a cautionary note to younger implant patients. After having the implant for nearly 29 years, there are many issues with the implant, so go slow on the research and physician selection - it can have a major impact on your results. PC patients may have complicating factors that may make the doctor selection even more critical. Overall, the implant is a good option, but there are considerations to be mindful of - especially in younger implant patients who will most probably face one or more revisions.
Art
1979: Organic impotence at age 25 from drug reaction to coumadin.
1979 Half shunt & vena cava clip emergency surgery - 4 weeks in Ohio State Medical Center
1981 IPP implanted - 3 1/2 weeks Baylor U. Houston by F. Brantley Scott
1981 IPP replaced - 10 days Baylor U. Houston by F. Brantley Scott
1985 IPP replaced IPP due to implant shift - 1 week Mayo Clinic by William Furlow
1985 IPP replaced, penile degloving to correct scarring, shortening and cylinder contracture. Suspensatory Ligament procedure - 2 1/2 weeks Mayo Clinic by William Furlow
1989 IPP replaced, repair of Tunica albuginea around corpora cavernosa . Degloving to relive penile shortening - 10 days Baylor U. Houston by F. Brantley Scott.
2000 IPP removed due to fluid loss and possible infection - 6 days Cleveland Clinic by Dr. Karl Montague
2000 IPP replaced - 4 days Cleveland Clinic by Dr. Karl Montague.
2002 IPP replaced, penile degloving to correct penile shortening due to IPP removal for 2 months. Repair of Tunica albuginea around corpora cavernosa - 3 days U of Washington, Seattle Dr. Richard Berger.


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 9/21/2009 7:33 AM (GMT -6)   
Ted, I have also sent you an email and thanks for sharing.

Tamu
Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06, 6/25/07, 1/8/08
No more pads as of 1/13/07
Began injections in April '07
 


tedgard
Regular Member


Date Joined Feb 2008
Total Posts : 104
   Posted 9/21/2009 10:00 PM (GMT -6)   
For those that have responded, I wanted you to know that I have received them, but I will not have time to respond now. I will do so soon.

Pre-op Diagnosis Results – Oct 31, 2007;

 

  • Age – 53 (turned 54 in Nov 2007)
  • PSA is 3.83
  • Gleason's Grade - 3+3=6, T1C
  • One biopsy core (Right mid) was diagnosed with carcinoma, which was less than 10% of the tissue submitted.
  • One other biopsy core (Left apex) had a "high grade parostatic intraepithelil neoplasia” (atypical cells, otherwise called pre-cancer cells).
  • All other biopsies benign.

Post-op Results – Surgery Dec 11, 2007;

 

  • Gleason's Grade - 3+3=6, T2C
  • Cancer confirmed on Right mid and Left apex
  • Both nerve bundles spared, some damage to the Left bundle.
  • 30 day PSA, .01
  • 90 day PSA, .00
  • ED treatments: Levitra, Cialis, Trimix, Erect Aid pump, Penile Implant on 3/12/2009
  • Happy

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