Penile implants: Are you happy with the result?

Do you know where your testosterone level is? Unless it’s over about 250 they can cause some real serious problems with desire and erection and feeling.

A few people in this forum have had the implant done, and they have been really pleased with it.

The Mayo Clinic had a urologist come on and talk about multiple treatments for ED. Using something like Trimix injections worked well for many people.

The implant was very highly popular about 90% of people that had them were very satisfied with them.

Here’s the info from a slide the Mayo Clinic doctor posted.

PENILE PROSTHESIS
• Pros
• Firm erection: whenever you want, as long as you want
• Without impacting: urination, ejaculation, orgasm, penile sensation
• High patient and partner satisfaction rates (80-
90%)1-2
• Cons
• Surgical procedure
• Risks (infection, mechanical malfunction, perceived shortening)

you can orgasm without an erection. If your not able to orgasm now then not sure the implant helps. In Jeff's message the perceived shortening might also be true. I went to Mayo and the implant does not help with length. I have a shortening that occurred with prostate removal. I thought with no help from an implant I tried the trimix and that works. But it is smaller.

@jeffmarc 175 plenty of desire but that’s it

There’s a 2023 presentation out of Stanford University that might provide you some ideas. It’s titled “Penile Rehab: Optimizing Recovery of Erectile Function after Prostate Cancer Treatment.”

They first talk about how things are supposed to work “down there,” what goes wrong as a result of treatments, and then a variety of remedies.
—> https://youtu.be/aRp1NXjPGLE

brianjarvis Thanks

Thanks

Hello Graybeard

I am 4 months since implant and have had no "bad luck" with the device. Having said that you should know that during the medical screening interview, either the first or second question the Surgeon asked me was "can you orgasm? ...to which I replied yes. He also explained that whatever SPL (stretched penile length) I was prior to the procedure is "about where I will be after the procedure" minus about a half an inch that will stretch out within 6 months with use. The "perceived penile shortening" we see is a combination of the natural contraction of the tunica for those of us that are no longer getting night erections prior to the surgery and post surgical contraction that should stretch out again. . Basically, we go into the IPP procedure shorter. The procedure does not add much of anything other than girth (about 15% wider depending on the model implant).
Having said all that I would emphasize what was said in the previous posts by Jeff, Tuckerp and Brianjarvis. Not being able to orgasm would be an issue in my opinion and you definitely need to get your testosterone and hormone levels checked. I saw a sexual medicine therapist prior to the implant and we tried everything (trimix, etc) along with checking hormone levels and such. I also engaged in penile therapy for 4 months prior to the implant to help stretch things out again. The implant does feel a little different than a natural penis and there is still some numbness at the incision site that should go away, but overall it has been a positive experience on the PC train ride.

I very much appreciate your comments, you comments make sense and my oncologist has basically said the same thing . Until my testosterone increases and I’m able to get back a reasonable amount of feeling so I can have reason to have a chance to reach an orgasm, I’m not ready to be an implant candidate. Another factor is despite my wife of 43 yrs of marriage being 9 yrs younger, she has reached a stage where when we had sex before my cancer, she was doing me a favor And because I use to think 10-15 minutes 3 times a week wasn’t asking too much for a husband that was a successful business owner , did all the food shopping and cooking every night that she disagreed and now has no interest. If I was younger I would replace her with someone who didn’t grow up privileged, I grew up the opposite but it’s too late in this life , my next life I want someone from another country who grew up poor. Time for a cocktail

@beachflyer did you have surgery radiation and Lupron as I did and how old are you ?

I am 69, 24 months post op, and have only had surgery thus far. I must say it disappointing to hear that you don't have spousal support in this process. My wife was against it as well, but for a different reason as she feared more negative side effects from yet another medical procedure following the initial prostatectomy. That procedure actually went well as far as zero incontinence and cancer control (thus far), but the ED that came out of nowhere at 6 months post-op after what appeared to be a good recovery was a real disappointment.