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After a few years of taking Viagra and Cialis, the pills just didn’t work for him anymore.
And now that women are getting vaginal rejuvenation to tighten their baby makers, it seemed silly to be afraid of the latest improvements in medical technology. The implant consists of two plastic rods that go into the penis and an attached reservoir filled with saline solution is placed in the lower stomach. It was rock hard, like it should be, but I didn’t feel like I was sucking a tail pipe or anything. If I ever need the extra boost and my wife is still good to go years down the road from now, then sure, I'd get one.
Originally Posted by Married but Happy View Post If I ever need the extra boost and my wife is still good to go years down the road from now, then sure, I'd get one. Once I get one of these, plus T shots, Androgel, and god knows what else, I'll just don a Darth Vader mask before climbing into bed.
Originally Posted by Cletus View Post Once I get one of these, plus T shots, Androgel, and god knows what else, I'll just don a Darth Vader mask before climbing into bed.
Originally Posted by CH View Post You should probably find if they have some red glow in the dark ink that is safe to use on skin I got the implant with color changing LED lights embedded into the shaft. Dr Eric Chung is a urological surgeon specialising in andrology, microsurgical, and urological prosthetic surgery.
Penile prosthesis surgery involves the implantation of an erectile device within the penis and is the most effective treatment for erectile dysfunction because it allows the man to have an (artificial) erection anytime he wants and as long as he wants to keep the erect penis up. Penile prosthesis implant has been around since early 1970s and there has been considerable advances in both surgical technique and device technologies. Since penile prosthesis implant is performed under general anaesthesia, you should have nothing to eat or drink for 6 hours prior to treatment. Since penile prosthesis implant involves the insertion of a foreign device, strict microbial prophylaxis and surgical techniques are paramount. You are usually required to stay overnight to receive intravenous antibiotic for 24 hours postoperatively. You will be contacted or have an appointment the following week in order to check on your progress. Penile implants for erectile dysfunction have been been continually improved and refined over the last 40 years.
Penile implants provide an erection by serving as a replacement for the spongy tissue (corpora cavernosum) inside the penis that normally fills with blood during an erection. Penile implant surgery is typically performed at stage 2 or 3 of a multi-stage phalloplasty (a minimum of nine months following stage 1.) Recovery time is typically 6 to 8 weeks.
There are three basic kinds of penile implants used in FTM phalloplasty: the non inflatable or semi-rigid implant (malleable and non-malleable), the 2-piece inflatable implant, and the 3-piece inflatable implant. Inflatable penile implants have two cylinders in the shaft of the penis, a reservoir that holds salt water, and a hydraulic pump to move the salt water from the reservoir to the cylinders, providing an erection. The release valve on the pump drains the salt water out of the cylinders and back into the reservoir. A 2-piece inflatable implant has the reservoir at the beginning of the cylinders (at the base of the penis) and the pump and release valve in the scrotum. Because only a small amount of fluid is transferred into the cylinders to obtain an erection, the penis is not as rigid as with a multi-component 3-piece inflatable penile implant. A 3-piece inflatable implant has the cylinders in the penis, the reservoir in the belly, and the pump and release valve in the scrotum. More mechanical parts translates into a higher chance of mechanical failure compared to other implants.
Highest complication rate. Most centers in Europe have stopped using this implant because, in some series, 50% of implants needed to be removed.


Penis size: Overall size (including intra-operative measurement), ratio between the length to girth of penile shaft, ratio between penile length and size of scrotum, overall size of scrotum, size of glans penis. While the 3-piece inflatable penile implants are the most commonly used implants today, there are compelling reasons for trans men to consider the semi-rigid non-inflatable devices.
Over the long term, semi-rigid implants provide better rigidity compared to inflatable implants, which can lose rigidity over time. The semi-rigid implant and implant surgery are less expensive compared to inflatable implants.
Unlike cisgender men, transsexual men do not generally get an increase of girth with inflatable implants. While improvements over the years have made the penile implant more reliable, no mechanical device is 100% free of malfunction, and that includes penile implants.
Less common complications include tissue erosion (particularly in the glans), implant malfunction (such as pump or reservoir failure) or defectiveness, and incorrect positioning or migration or the implant. Penile implantation in Europe: successes and complications with 253 implants in Italy and Germany. Long-term survival of inflatable penile prostheses: single surgical group experience with 2,384 first-time implants spanning two decades. Long-term revision-free survival, greater than 10 years has never been reported for inflatable penile prostheses. The combination of a neourethra and erection prosthesis in a single neophallus in the female-to-male transsexual remains a challenge.
It’s worth noting that the first two articles you have listed are reports of cisgendered men with erectile dysfunction, which is very different from trans men. I would also consider getting rid of the last two or three articles you have listed (from 2000, 1997 and 1993) – the technology and experience has changed so much since then, that I think they are obsolete and unhelpful for someone considering an erectile implant today. The studies that reference cis gender men and not trans men are marked as such, but I appreciate the extra detail you provided regarding the differences between penile implants in cis gender vs trans gender populations. I had a great surgy in the late 80’s no complications at all, I couldburinate from myenis as soon as I was out. For something more intimate, like actual sex, would I be able to tell the difference between a regular raging boner and a medically enhanced one? It felt like a normal stiffee in my hand, and I didn’t feel the pump or valve when I road tested it in my mouth. And by the time we actually did the deed, I forget all about the implant and enjoyed myself. Dude Posted via Mobile Device Share Share this post on Share on Facebook Share on Twitter Stumble this Post! I was out on a hot date and when the moment came, she screamed and ran for the hills thinking I had a rare std or something. There are two main types of penile prostheses, the Semi-Rigid implant or the Inflatable penile implant. After having this operation you will have a semi-permanent erection, although this will not be as firm as your previous erections, it is adequately suitable for sexual intercourse.
The 3-piece inflatable penile prosthesis closely simulates a natural penile erection and most men prefer this device. It is safe, effective and durable, and is associated with excellent patient and partner satisfaction. Regular medications can be taken with a sip of water with the exception of blood thinning agents (eg.
Your urinary catheter and surgical dressing will be removed the next morning after your surgery.
The recycling of the penile prosthesis occurs at your second follow up with Dr Chung at 4 weeks postoperatively.


The rods have an outer coating of silicone and inner stainless steel core or interlocking plastic joints. Compared to 2-piece inflatable implants, the reservoir in this type of implant is larger and separate from the cylinders.
Can last as little as 3 years before needing replacement, though research has indicated that they can last 10-15 years.
Curtis Crane is a reconstructive urologist and plastic surgeon who performs penile implant surgery in San Francisco.
Hoebeke, Karel Decaestecker, Matthias Beysens, Yasmin Opdenakker, Nicolaas Lumen and Stan M. In this report, experience with 35 patients is described, and 1- and 3-piece hydraulic models are compared. The AMS CX prosthesis is used in a 45 year old transsexual, who had a large bulky neophallus constructed from the anterior abdominal subcutaneous fat 9 years previous. The most recent study, which has the highest number of FTMs with erectile implants ever reported (129), was published in 2010 by Hoebeke et al.
The first article you have listed has a reported complication rate of 20%, compared to a rate of 41% in the 2010 article by Hoebeke et al. It is also flexible enough to be pulled down and tucked away when you are clothed, thereby avoiding any unwanted attention or embarrassment. Iinvolves the insertion of two cylinders into the penis and a reservoir of 60-100mls of saline deep behind the pubic bone. There is no doubt that penile prosthesis implant offers the man a guaranteed erect penis anytime and for as long as he wants his erect penis for sexual activity. The genital area will be shaved and a 10-minute povidine surgical scrub will be performed to minimise microbial skin colonisation. When you are comfortable and passing urine satisfactory, you will be discharged with 14 days of oral quinolones antibiotics.
During that visit, you should take simple oral analgesia prior to the appointment as you might experience local pain when the penile prosthesis is activated for the first time. Fourteen different inflatables were examined including Mentor Alpha 1, Mentor Alpha NB, AMS 700 CX, and AMS 700 Ultrex. A pump and valve are inserted into the scrotum allowing the saline to be pumped into the penis, thus producing an erection. A mid stream urine (MSU) test is required to ensure the urine is sterile before treatment is undertaken. Dr Chung will provide you with instruction on penile prosthesis rehabiltation to maximise your prosthesis clinical outcome. Researchers estimated that 60% of these virgin implants would survive 15 or more years without revision or extraction.
When an erection is no longer needed the valve can be released allowing the saline to drain back into the reservoir and the penis to become flaccid (soft). During this time, your penile prosthesis remains deflated and any sexual activity is discouraged.
Deflating the cylinders transfers the fluid back to the reservoir and the penis becomes flaccid.
Newer enhanced models are currently available, and even better long-term survival for these devices is predicted.



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