Saturday, July 28, 2007

Talking about Implant Results




Below are pictures taken on July 28th of my genitals following a two month healing period following Penile Implant Surgery. I've had an AMS 700 Ultrex implant surgically implanted. The Ultrex allows for expansion in both length and girth of the penis. The implant allows a 20% enlongation and while it takes up to 6 months to obtain the maximum possible expansion of the device, I am very satisfied with my current erection from my implant. I've enjoyed great sex with my wife and it has been very enjoyable for both of us. I have the same sensations that I felt prior to the surgery. The orgasms are strong and my ejaculate is the same volume and force as I've always experienced my whole life. The glands of my penis stays somewhat softer than what I used to experience, but because the ends of the cylinders are located just under the glans or head and furnishes the hard feeling to my wifes vagina. We've experienced intercourse about a dozen times in the past two weeks and I've asked her to close her eyes and concentrate on the feelings of my penis thrusting into her. I asked her, do you feel any difference from before the implant with how I feel inside her now? Her asnswer is no difference what so ever. It feels great. The only way that she can tell that I have an implant is when she can feel the pump within my scrotum. Guys With an implant, you have the best penis that modern science can build. It looks natural, feels naturals, is warm, and tastes perfectlly natural to your partner. You have the ability to bring pleasure to your partner for as long as they want, as hard as they want, and as often as they want. Anywhere, anytime, you are the ultimate male lover. Your orgasm does not change. It's the same as it was when you were a young man. The only difference is when my orgasm pushes my ejaculate out, my penis stays wonderfully hard and erect. Ladies. No longer do you have to be frustrated because the guy has his orgasm, and you are so close. Don't stop, you urge him, but he can't because he's gone soft before you can finish. Well, never again for the guy who has an implant. Ladies, he is going to keep thrusting hard into you until you stop having exploding orgasms. You are really going to enjoy your guys new ardor. Don't wait. Don't hesitate to have this surgery if you really need it. My spouse and I are glad that I had this surgery. I now wish that I had not endured the injections as long as I did. As you can see from my pictures and from another implantees pictures, our genitals look entirely normal following the surgery. Both flacid and erect, I'm not at all ashamed of any one seeing my genitalia. I'm not ashamed to make love to my wife, or if I were single, make love to any women. I have complete confidence, more than I have ever had in my entire life, to have long, hard, and satisfying sex with any women. I can satisfy any women. There is absolutely no doubt in my mind of that.

Two Months Post Op Erection from Implant







2 month Flacid Post Op Pictures





Tuesday, July 17, 2007

Penile Length Following Implant Surgery

Dear Readers

An often heard discussion on Penile Implants is the discussion of size following implant surgery versus size prior to implant surgery. A lot of factors enter in the length of the penis following the surgery. This topic should be covered fully by any Urologist who does implant surgery so that men who are about to have this surgery, have realistic expectations and knowledge of possible outcomes. I would dare say, that a realistic outcome by the patient is the number one reason to influence how a patient and their spouse perceives whether or not they are happy they had the implant surgery. Prior to any surgery, men ought to know that the glans or head of the penis does not become engorged with blood during sexual intercourse with the implant. This is often the reason why the length of a man's penis is shorter than the length he experienced with either a natural erection or with intercavernosal injections. Expect to loose a 1/4 to 1/2 of an inch in length due to this very reason. Also, expect the penis to be shorter in length 1 month post op than at 6 months post op. Men who cycle the implant daily, will stretch the penis. A least in the size of the girth, but should also see some improvement in length as well. Their is only one implant that expands length wise and that is the AMS 700 Ultrex. All of the other implants are pretty much sized to the maximum length that a man has that can be achieved when the tissues are stretched. That is why I went with the Ultrex implant. It can achieve a possible increase of up to
20 % in length. A man who penis is 5 inches could potentially increase one inch. That is probably not going to happen as the penis can only be stretched so much, so each man's experiences will be different. For men who received a prostatectomy prior to the implant, you men need to realistically expect to permanently lose an inch or more. Below is an article that appeared in the European Urology website detailing a study on realistic penile length results of men who had the surgery. Participants were measured post surgery for flacid stretch length and then measured at post surgical at one month and six months. Each man's final results are going to vary some. I hope you find the study informative.

http://www.urotoday.com/42/browse_categories/erectile_dysfunction_ed/european_urology__penile_length_alterations_following_penile_prosthesis_surgery.html

Paste the above address in your web browser. This site really gives a good explanation on penile length following implant surgery.
Bob

Wednesday, July 11, 2007

Dave's Pictures


















Erect 4 weeks









2. Flaccid at 4 weeks








Flaccid at 7 weeks





Flaccid 1 at 7 weeks






Erection at 7 weeks







Erection Pic 5 at 7 weeks







Erection at 7 weeks









Erection Picture 3 at 7 weeks







Erection 2 at 7 weeks







Erection Pic1 at 7 weeks







Erection Pic at 4 weeks

I wish to thank Dave for submitting these pictures of his genitals at Post Op Week 4 and Week 7 following Daniel's Penile Implant surgery. Read his Story below.




These pictures are copyrited and are posted for educational purposes for men with long term erectile dysfunction and their partner's who are giving serious thought to possibly seeking a penile implant as a solution to their ED problems. I began this blog as an aid to men to hear first hand accounts of penile implantees as well as their spouses views. I welcome all submissions.





Bob, here are pictures, flaccid, 1 semierect, and several erect, at 4 weeks, just after I began to pump, and this week, which is my 7th week. The flaccid at week 4 was 4 inches, the erect was 4 1/2 inches. The flaccid now is 4 1/2 inches and the erect is right at 5 inches. You'll notice that it points slightly to the right for some reason...all of the tubing is just to the right of my pubic area, and then goes into the abdomen, and the pump is on the right side of the scrotum.

Dave's Story Followed by pictures






My name is Dave J. In January, 2005, I had a TURP, after having had years of recurring prostate infections. A week later, at my follow-up visit to the urologist, he informed me that the tissues they took from the TURP and sent to the lab had cancer..a Gleason of 6. My options were to do nothing, (watchful waiting), which he did not recommend at my age (58) at the time; have radiation, or surgery. I felt my best choice was to be rid of the cancer so I chose the surgery. I had a Radical Prostatectomy in March, '05.

I immediately began using Viagra/Cialis to assist in resuming normal erections. I had a few times of "fullness" over the course of the next couple of months, but nothing near an erection. In June '05, I began using Edex injections. They worked well, but I had terrible pain and 3 hour erections each time. Intercourse had to happen quickly, because once the pain began, it was too painful to do so. I also began using a VED for therapy in July '05.
Within a few weeks, I noticed that my penis had decreased in length and girth, and was bending to the right. In October, the urologist insisited that I discontinue the injections because I was damaging the tissue within the penis, causing fibrosis. So, I did. I continued to use the pump, and had only 1 successful intercourse with it, as the rings could not keep the blood in the penis.

I used the VED as therapy every night for at least 15 minutes over the next 19 months. Natural erections would occur only occasionally, during the night, but never sustainable for intercourse. And, because of the fibrosis, they were very small both in length and girth.

My urologist wanted me to have the implant, but I was reluctant. We had at least one very "tense" discussion, but he insisted it was my last option if I wanted intercourse. So, in April, I agreed to have the surgery, and scheduled it for May 21, 2007.

Recovery was painful for the first two weeks, but began to be less so by the third week. At the 4 week followup, he pumped it up, and told me to continue to do so daily until my next visit. I did as he said, sometimes several times a day, to try and stretch the tissue.

Before the prostatectomy, i was 5 3/4" flaccid, and 7 1'2" erect, and often when I was REALLY in the mood, 8". After the surgery, I was about 4 1/2 - 5" flaccid, and erections (with injections, before damage) was about 6". After the implant, I was only 4" flaccid and 4 1'2" erect. I've gained about 1/2" in both as I've been stretching, and hopefully will gain at least another 1/2" or more. Sex is different being so much shorter, but still most enjoyable.

It's a difficult decision, and there is no return, but I'm glad I made the choice.

Monday, July 9, 2007

Penile Implants--What to expect and how to prepare





Penile implants — What to expect and how to prepare

Penile implants are artificial devices implanted inside the penis that allow men with erectile dysfunction (ED) to achieve an erection. They're also sometimes used to treat Peyronie's disease, a disorder that causes bent or painful erections. There are two basic designs:
Inflatable. Also called hydraulic, inflatable implants can be pumped up to create an erection and then deflated.
Semirigid. These implants are always somewhat firm.
First introduced in the 1970s, penile implants were the most reliable treatment for erectile dysfunction until the 1980s when medications injected into the penis became available. In the 1990s, oral agents such as sildenafil (Viagra) were introduced. These medications have since become the most popular erectile dysfunction treatment, but they don't work for all men with erectile problems. About two-thirds of men with ED will respond to oral medications — but some men can't take them, or the medications don't produce satisfactory results. For these men, penile implants are an additional option.
Penile implants require complex and permanent surgery, and there is a risk of infection and a risk that the device will malfunction. But, since these devices were first introduced, new materials, designs and surgical procedures have greatly improved outcomes for penile implants. Most men who have the procedure and their partners say they're satisfied with the results.
Penile implant surgery can be costly but may be covered by Medicare and other types of insurance.

Who is it for?
Erectile dysfunction can be caused by a number of health problems and injuries, and can be a complication of certain surgeries. Depending on the cause of erection problems, implants may be the best treatment choice. Penile implants are a good option for men with erectile dysfunction who can't take medications or for whom medications don't work. Some men make the personal choice to receive an implant rather than using alternative means to restore sexual function.
Implants are also used to treat some cases of Peyronie's disease — a condition that causes internal scarring that can lead to a bending of the erect penis, painful erections and other problems with sexual function.
Most men with erectile dysfunction opt for a penile implant only after other less invasive methods prove ineffective — these include oral medications, medications injected into the penis with a needle or via the urethra (the tube that carries urine and semen through the penis), and use of a vacuum pump device.
A penile implant procedure may have a higher risk of failure if you have immune system problems, a chronic health condition such as diabetes or are at high risk of infections.

How do you prepare?
Penile implant surgery is usually done at a surgery center or hospital by a urologist.
Most candidates for penile implant surgery are evaluated by their surgeon to determine the cause of their erectile dysfunction and to assess their risk of a surgical procedure.
Once you and your doctor have determined that a penile implant may be a good choice for you, your doctor will help you understand the procedure, the risks and potential complications, and the type of implant that suits you best. Include your partner in the consultation with your doctor, if appropriate.
Follow your doctor's instructions about taking medications before and after your surgery. Often, during the two weeks before and after penile implant surgery, your doctor will tell you not to take medications that can alter the function of the platelets in your blood and can increase the risk of bleeding. Your surgeon should review your medications and suggest alternatives if you're taking medications that might make the surgery riskier.
Your surgeon might suggest that you bathe with antibiotic soap for three nights before your surgery to reduce the risk of infection. Do not shave the surgery site yourself.
You may be dismissed the day of surgery or may stay overnight, depending on the circumstances. Arrange for someone to drive you home from the surgery center or hospital.

How is it done?
Penile implant surgery usually takes between one and two hours and can be done under a general or spinal anesthetic.
Normally, spongy tissue inside the penis fills with blood to create an erection. To insert the penile implant, your doctor will stretch these tissue-filled chambers inside your penis (corpora cavernosa). After measurements are made and appropriately sized prostheses are selected, the cylinders (either inflatable or semirigid) are then inserted into the two chambers. With an inflatable implant, your doctor will also place a pump inside your scrotum, and possibly a fluid-filled reservoir in your lower abdomen, depending on the type of implant you receive.
There are two basic types of penile implants:
Inflatable implants There are two- and three-piece inflatable implants.
Three-piece implants use a fluid-filled reservoir implanted under the abdominal wall, a pump-and-release valve placed inside the scrotum, and two inflatable cylinders inside the penis. Before you have sex, you pump the fluid from the reservoir into the cylinders to cause an erection. After sex, you release the valve inside the scrotum to drain the fluid back into the reservoir.
The two-piece model currently available in the United States works in a similar way to a three-piece design, but the fluid reservoir is part of the pump mechanism implanted in the scrotum.
Semirigid rods This type of implant is always firm. The penis may be bent away from the body to have sex and toward the body to conceal the device.
In the United States, inflatable devices are the most common type of penile implant.
Three-piece inflatable devices are used in about 80 percent of penile implants.
Two-piece inflatable devices are used about 15 percent of the time.
Semirigid devices are the least used, accounting for about 5 percent of implants.
Although less commonly used, semirigid devices are less complicated, easier to place and have less risk of mechanical failure. Inflatable devices are more costly than semirigid types are, but they're more natural because they can be inflated to create an erection — and deflated at other times. Inflatable implants also reduce the possibility of damage to the inside of the penis due to constant pressure — which can be a problem for some men with semirigid implants.
Although semirigid implants are mechanically simpler — and early inflatable designs often had problems — improved design, materials and construction have made modern inflatable designs much more reliable.
The decision about which type of implant you should have is based on both your preference and your medical situation. Your doctor may advise one type of design over another based on factors including your age, risk of infection, and health conditions, injuries or medical treatments you have had in the past.
Type of implant
Advantages
Drawbacks


Three-piece inflatable
Creates a more natural erection than does a semirigid implant
Creates a firmer erection than does a two-piece implant
Can take pressure off the inside of the penis by deflating the implant when not in use, reducing the chance for injury
Most costly of all implant types
Has more parts that could malfunction than does any other design
Requires the most extensive surgery of any implant design

Two-piece inflatable
Creates a more natural erection than does a semirigid implant
Mechanically simpler than a three-piece inflatable implant
Less costly than a three-piece inflatable implant
No need to implant a separate reservoir in the abdominal wall, as with a three-piece design
Can take pressure off the inside of the penis by deflating the implant when not in use, reducing the chance for injury
Requires more extensive surgery than does a semirigid implant
Mechanically more complicated than a semirigid implant
Results in a bulkier scrotum than with a three-piece device

Semirigid
Requires the least extensive surgery of all penile implant types
Less parts than any other design, so less of a chance of malfunction
Least costly of all implant types
Penis always semirigid — not entirely hard or entirely flaccid
Less easy to conceal under clothing than other devices
Constant pressure on the inside of the penis, causing injury in some men

The three-piece inflatable penile implant consists of inflatable cylinders inside the shaft of the penis, a fluid reservoir under the abdominal wall, and a pump inside the scrotum.

The two-piece inflatable penile implant consists of inflatable cylinders inside the shaft of the penis and a combined fluid reservoir and pump unit in the scrotum.

The semirigid penile implant is bent upward for sex; and toward the body for concealment under clothing.

What can you expect during the procedure?
Immediately before surgery
Penile implant surgery is usually done under either spinal or general anesthesia administered by an anesthesiologist.
Within a couple of hours before the surgery, you may be given antibiotics to reduce your risk of infection.
A tube called a catheter may be placed into the bladder through your urethra to drain urine. In most cases, the urinary catheter is removed the in the first 24 hours after surgery.
During surgery
Your surgeon will make an incision below the head of the penis, at the base of the penis, or in the lower abdomen.
Next, your surgeon stretches the spongy tissues in the penis that would normally fill with blood during an erection. This tissue is inside the two hollow chambers called the corpora cavernosa.
After flushing the area with antibiotic fluid to prevent infection, your surgeon will choose the correct size implant and seat the cylinders inside the penis.
If your doctor is implanting a two-piece inflatable device, the pump and valve mechanism are placed inside the scrotum. For a three-piece device, your surgeon will also implant a fluid reservoir under the abdominal wall through an internal incision.
Once the device is in place, your surgeon will sew the incisions closed.

Recovery
Most men go home within 24 hours of surgery.
You will need to take antibiotics as directed by your surgeon to prevent infection.
Following surgery, wear loosefitting underwear and clothing. Men with an inflatable device will need to make sure the scrotal pump stays in place during healing.
Most men can resume strenuous physical activity about a month after surgery. You can resume sexual activity four to six weeks after surgery depending on the type of implant you have and the instructions of your surgeon.

Results
New designs and surgical procedures have improved the function and safety of penile implants. Although implants are the most invasive and least often chosen treatment for erectile dysfunction, they have a very high satisfaction rate. Over 90% of the men who have the procedure, and their partners, say they're satisfied with the results. Many use the devices to have sex several times a week. Men with Peyronie's disease who have the procedure report slightly lower satisfaction rates.

While most men are satisfied with their penile implant, there are some things men should know before choosing to have the procedure:
Implants cause an erection, but they don't increase sexual desire or sensation.

penile implant will be shorter than the erection you had naturally in many implantees. Some implantees recover their length in time. But for others, they can loose an inch or more. And some men will have a 1 to 3 cm increase with the AMS 700 Ultrex. Know this and understand this before your implant surgery. You have to expect that some length will be lost and you will have to live with it. Prostate surgery for cancer causes the worst loss. Stretched flaccid length prior to surgery is a good indicator or predictor of final length.

Also understand, the glans penis does not become engorged with blood and remains soft in most men. Some men use viagra or cialis to engorge the glans penis (head of the penis) during intercourse.

Some partners feel that sexual pleasure is diminished by their lack of involvement in creating an erection.
This surgery is permanent. If your implant is removed, you will not be able to get an erection.
Infection is a possibility, especially if you have diabetes or certain other health problems. An infected prosthesis has to be removed and replaced. Currently less than 2% for antibiotic coated implants.
You may have reduced sensation in the head of your penis. In some men, this improves when they also take phosphodiesterase type 5 inhibitors, such as sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra).

Risks
Infection Penile implants sometimes become infected. Surgery to replace the prosthesis is almost always necessary to treat an infection.
For men who are not already at higher risk of infection because of an underlying health condition, infection rates are low — about 1 percent to 3 percent.
Men with diabetes are at higher risk, with an infection rate of about 8 percent.
Men with a spinal cord injury have about 9 percent risk of infection.
Men having revision surgery — surgery to adjust or replace an implant — have about a 10 percent risk of infection. Men with diabetes who have revision surgery are at higher risk.
If an infection occurs, it's usually not until weeks or more after surgery. In some cases, an infection occurs years later. Symptoms can include long-term pain, a component of the prosthesis sticking to the skin, or rarely, a component that breaks through the skin of the penis. With inflatable models, the entire prosthesis can also become infected.
More serious infections — which in most cases start within weeks of surgery — can cause swelling of the scrotum, drainage of pus and fever.
Malfunction Although new penile implant designs are very reliable and may last a lifetime, they can malfunction. For example, in some semirigid devices, internal parts can break down over time, leading to a prosthesis malfunction. In inflatable devices, fluid can leak or the valve or pump device can fail. Surgery is necessary to repair or replace a broken implant.

Looking ahead
New implants coated with antibiotics have reduced the incidence of infection, but more studies are needed to determine how effective they are.
Manufacturers recently released a three-piece inflatable implant with a lock-out device to prevent the device from accidentally inflating on its own. More research is needed to see how well this device works, but initial results are promising.
Because some men who have their prostate removed to treat prostate cancer have erection problems, experts are studying whether implanting a penile prosthesis at the same time the prostate is removed is appropriate.
The best solution to erectile dysfunction would be to repair the damaged tissue that caused the problem in the first place. Research is currently ongoing to devise injections of materials that would repair damaged penile tissue to allow natural erections to occur.

Thursday, July 5, 2007

Husband and Wife speak of experience with Penile Implant

Dear Readers:
I've been corresponding with Beth & Court and they wish to share their experiences. Court received his implant, the end of April 2007. His doctor was Doctor Paul Perito from Coral Gables, Florida. Dr Perito performs hundreds of implants annually and is a highly skilled surgeon who does a lot implant surgery. Beth and Court are a loving couple who feel that having a full sex life is an important part of their marriage. It is the way men and women can express their love to each other and give of themselves. They, like my wife and I, have suffered with Erectile Dysfunction for many many years. After all the other treatment for ED failed them and us, we, both couples looked to penile implant surgery as the finale solution to fix that all important sexual part of our lives. But as we've found, some doctors view the surgery with higher expectations than what the majority of patients are going to achieve in real life. What both couples hope to achieve is for you the reader to learn from us. We want you going into the decision with a realistic knowledge of what an implant can acomplish and what are its limitations. No ED treatment up to this point is a full proof solution. I was told that I would not lose any length from erections with the implant. In reality, I'm about a 1/2 inch short in length, but the circumference of my penis has gained at least a 1/4 inch in girth. In time as I use the implant, things may change. Am I satisfied with my present results. My answer would be an unqualifying yes. Just understand going in, your result might be diferent than what your doctor may optimistically tell you. But do keep an open mind.
Regards to all and thank you Court and Beth for your candor and help. As I've said before. I would like this blog to be a learning resource that tells it like it is. Please send me your stories and be honest. No bragging allowed and no flaming other posters.
Thanks all
Bob



From: Badnessneeds@yahoo.com [mailto:badnessneeds@yahoo.com] Sent: Thursday, July 05, 2007 4:59 PMTo: Bob BaconSubject: Re: How is your husbands progress

Dear Bob,I'd be honored if you chose to cobble together some of the things I've written and put it up on your blog. It needn't be anonymous, I am not ashamed or feel uncomfortable discussing this subject from ANY angle. I'll discuss any aspect of this from the physical, the emotional, the roller coaster ride for the last 17 years that lead us here. I consider my husband (and you) to be the bravest, most committed guys I know. I could not conceive of a life that didn't include feeling my husband inside me - there is no substitute for making love with the person you love most and like best in the world. Nothing I've written is off limits. I wish we'd taken some photos of Courtney during all this, but it just never occurred to me. Last night, after a warming and massage, then a tugging and a pump-up of the device, I can say that Courtney has, in the last month, regained 1/4 of an inch (I only let him measure every few weeks, so as to avoid yet another dick obsession). It's not all of what he lost, but by the same token, let's get real - the pills didn't work, I couldn't find a tri-mix formulation that worked for more that a few minutes so "the old Courtney" lives on only in my memory. I was never going to get that back, so I might as well get over it and get creative (like smallish cock rings worn behind the head). This is what we have now, and a quarter inch beats a poke in the eye with a sharp stick, wouldn't you agree?By the way, Courtney learned that "come hither" trick with the finger a few years ago, too. What's so hilarious is that when he hits it, even if I am in the middle of a sentence, I just stop talking like a doll who's string finally wound all the way back in. We now refer to it as "that place that makes me go quiet".As for creating a place for people to go for information - all the shit the doctors just can't seem to bring themselves to get honest about - if you hadn't started your blog, we would have. We can find a plethora of guys who have either had the surgery just recently or are scheduled to have it shortly. What we need to do is encourage a mentorship program - guys who've lived and loved with hydraulics who can help when one of the newbies wants to jump off a bridge because he's left with a lot less than he remembers it being.... So let's keep going - we need to be the voices of sanity, advice and reason in the year to follow - that's where the internet is sorely lacking in resources. So why not have it be a group like us? We're significantly better educated on the subject than most. Courtney and I will help you and Ann in any way we can.
Beth

Bob Bacon wrote:
Beth:

Thank you for the email and for your frankness and no it doesn’t bother me at all. It’s refreshing. Ann and I aren’t supposed to do today what we did, but she couldn’t stand looking at my erection and having had to do without for 5 weeks, I let her climb aboard. It was wonderful. She had a very nice orgasm, but I got just a little sore and decided not to push my luck. I understand perfectly what you are saying. Ann my wife, loves having me curl my finger and give her a come hither with my finger over her g spot while performing oral. It drives her wild. I love your inventiveness and as I was reading your letter, I was thinking along the same lines as you came up with. The studded cock ring was ingenious. I wish you and Court the very best. Making love is the glue that keeps the marriage strong. I’m about a half inch short of what I had, but I know now that with what I have left that I still can do the job so I’m just going to try and take it in stride. I do have a quarter inch of thickness that I didn’t have before. I do wish that my surgery had occurred a week earlier than it did. This resort would make any couple feel pretty frisky. And without the kids around, no interruptions, it’s perfect. The weather is perfect and we’re going to watch the fireworks from our boat tonight. Coming down here, we got to within 20 minutes of the resort and the boat started feeling really different. I couldn’t stop as I was stuck in traffic in a hard poring rain. When we got to the resort, I checked my trailer and the right tire was completely worn out and all of the tread was gone. I’m glad it didn’t happen to me at 70 mph. It would be a lousy way to start a vacation after destroying a boat. One of the bearings disinagrated into little pieces inside the hub. I’ve got a new hub and bearings kit being Fed Ex’ed to me for two day delivery. We have met some really nice people here at the resort. Normally we come here over Labor Day weekend. But now my wife and I think we’re going to come down here 4th of July week as well. Friends of mine who retired to Florida keep wanting my wife and I to join them when we retire. That’s going to be quite a few years from now. We’re still kids. At least I still think so. Keep up working with Court, and he should be back to normal in no time. Like you said, I followed the same regimen that you folks followed. There’s a reason for nightly erections in men and it has to do with oxygenation of the tissues as well as keeping the tissue stretched out. One of the things I learned after I became a juvenile diabetic was to get ambitious, and really take good care of myself. Watching what I eat, exercise and monitoring my blood sugars closely. Even though I have kept good care of myself, the diabetes over time nicks you a little at a time. This implant is going to allow me to continue loving my best friend. Court is truly blessed with having you as his wife Beth. If you ever want to contribute anonymously and tell your story on the blog I’m keeping, I would appreciate it. I’m trying to help other couple learn from my experiences as well as from other men if I can. The doctors don’t tell the whole story. If I can obtain enough stories, I’d like to incorporate it into a web site of truthful information for men and their partner’s looking into penile implants, so that they can make an informed decision. Have a happy 4th of July.

Regards
Bob




From: Badnessneeds@yahoo.com [mailto:badnessneeds@yahoo.com] Sent: Wednesday, July 04, 2007 2:29 PMTo: Bob BaconSubject: Re: How is your husbands progress

Dear Bob,Yeah, our surgeon told us the same thing, that we shouldn't lose any length because whether it was only 3 minutes from a shot of tri-mix or using the vacuum pump, I never let Courtney go more than a few days without an erection, no matter how brief. He was 5 inches to start - perfect for me. Courtney had testicular seminoma (it left a perfect place to put the pump!). It's not just the loss of length - that really is not the issue for me. A couple of years ago, I started becoming more interested in developing the sensitivity of my g-spot. I'd had occasional instances of mind-blowing orgasms and it took me a little while to put A with B. After that, I bought a few books on the subject, and started (with Courtney's blessing and assistance) to develop better control, to learn to "listen" to just the signals my g-spot was sending and how to use my muscles to bring my g-spot more into play during intercourse. It didn't take long to realize the coronal ring of the glans penis was the lynchpin to involving my g-spot. So for me, I wasn't solely upset by the loss of that inch - I was devastated at the loss of the engorgement of the glans. Since you mentioned that you and you wife had played around a bit, I'm sure you also know that above the ring of opening muscles, the tissues of the vagina do not perceive stimulation the same way as do the skin on your arm, or the tip of your nose. It's very difficult to describe, but pressure seems to be the most important stimulus. So when I would squeeze my muscles to bring Courtney's glans into hard contact with my g-spot, nothing happened. I could squeeze him and feel absolutely nothing up there. I felt him perfectly but only at the opening ring of muscles. I was devastated. I didn't know if I could go back to an orgasm that relied solely on my clitoris again, after everything Courtney and I had worked so diligently to learn about those bundles of nerves I'd recently discovered.Day before yesterday, I came up with an idea on my way home from work and I text messaged Court and asked him what he thought and he (of course) said "Do it!" I stopped by an adult shop near our home and looked at all the different cock rings. I knew that I didn't want to use a cock ring at the base of his penis, but I found one company that makes very stretchy silicone rings with small balls embedded in them and one of them was small enough to fit just behind the glans penis. Filled with trepidation, we gave it a try. It was just enough to scrape my g-spot and was the right size that not only did it not move or come off, it did not prevent Courtney from ejaculating. So at least for the nonce, we may have found a solution to helping me "feel" my husband deep inside me again.We have decided that we will continue our regimen until at least this autumn: we have a buckwheat neck ring that can be heated in the microwave, so we start with 10 minutes of warmth, then I massage the whole area, including perineum using both lotioned hands and a Hitachi-style massage wand for about 10-15 minutes. I follow that with hot wet compresses, mopping up the excess lotion, dry him off and while I re-heat his buckwheat ring, Courtney does his tugging exercises. He says they seem to be much more effective now that he's changed his style a bit. He makes sure he has a good grasp on not just the skin, but the implant too, bringing it down as far into the penis as safely as possible.I know I got kind of graphic on all this - if that bothers you, I apologize in advance. But I can't possibly be the only woman on the planet to feel like this, to mourn this loss, to become very inventive in seeking solutions (and occasionally crying in my coffee).

Courtney has his surgery done by Paul Perito at Coral Gables Hospital– the man responsible for about 50% of the implants done in the US and the golden boy of Coloplast. He did not address the loss of length in advance, and for that I am angry – but because, like you, Courtney was sexually active right up until his surgery, he says we have ever reasonable expectation to regain the length that’s been lost. In my reading, I found one interesting thing – did you know that the European Union’s version of the AMA published a position paper stating that all penile implant recipients should be counseled extensively regarding the loss of length associated with receiving an implant? Interesting, huh?

Have a wonderful vacation – we’re just hangin’ around the shanty, watching movies and writing letters to friends, as I am doing now. Please give our best wishes to your wife.Beth (and Courtney – I read this to him before I hit the SEND button!)
Beth Crosby & Courtney Hazelton

Bob Bacon wrote:

Beth &Court:
I've been watching your posts and really feel your pain. To have your hopes demolished like you have is very difficult. I have been in contact withDan J and we've been corresponding back andforth. He to has lost several inches in length.Dan had a radical Prostatectomy last year and was rendered impotent as a result. I jumped my doctor about why where men who had a prostatectomy losing so much length with the implant. I understand about the loss in length that the prostate covers. Most prostates are like a large egg in shape and size, and the ureter passes through the prostate almost through the longest portion of the prostate. I worked 17 years in clinical pathology and I would receive the specimens from the operating room.weI would do a description of the specimen and then dissect the specimen for further study under the microscope after processing. So I asked my doctor if this was the reason for the loss and he told me no. He told me that doctors really don't know why one in three patients who have loss their prostate, experience significant loss in length. I told him about my blog and the Yahoo penile implants site and it seemed that people who had loss in length and were upset because no one had informed them exactly what to expect. That the doctors had toldthem to expect the best possible outcomes and just barely mentioned to them what the worst outcome would be. When I talked to him about what I should expect, he told me that I shouldn't expect to lose any length at all. That I may gain some length because I had been experiencing sexual relations up to my day of surgery. From what I have heard and read, just about everyone loses a little from the head of the penis because the head of the penis doesn't become engorged with blood,so that's at least a quarter to a half an inch of lose in length. I just started inflating my implant and I have gained a quarter inch in the girth but have lost almost a half inch in length. Dan has had significant loss of a couple inches.You folks have also lost significant length to the point of it having a significant effect on you both enjoying sexual relations. I really feel that my doctor would not have been up front with me either if I had lost my prostate and then opted for an implant. My doctor explained to me that they resect the bladder and reattach the bladder lower in the abdomen to regain the lost space where the prostate covered previously. After giving it much thought, I wonder if the internal organs don't push the bladder back up into the abdomen pulling back on the urethra and pulling the penis back into the body causing a lost of length that is in reality inside the man's body instead of outside. That is my best guestimate of the causer of Court's and Dan's lose of length. That lost length is somewhere. The penis doesn't just shortened or gain in length. It's fixed during puberty for the length a man will have forthe rest of his life. You and Court have something really special together just as my wife and I share. People have some really goofy ideas about what pleases a women. After a whole lot of study, the average length of a man's penis is 5.1inches. In playing around, my wife and I know that the depth of her vagina is 5 and a half inches deep. And yes, the vagina may stretch to accommodate something longer, each women is different just as we guys are different. When you both fit perfectly together, nothing can bebetter. Beth, did Court have his surgery at UniversityHospital in Iowa City? If not, you might want to set up an appointment there with a Urologist to see what options can be done for restoring Court's length. Like I said, Court's loss in length didn't disappear into thin air. It's hiding somewhere. I once applied there and was made an offer at the same time as the University ofMissouri and that was back when Iowa was being hit hard by the farm crisis and the state froze salaries across the board. I was given a tour ofthe hospital and it's an impressive hospital.
. My wife and I are on vacation this week. We're just outside of Branson Missouri vacationing on Table Rock Lake and just enjoying each other. We're at the 5 week point in my recovery so we're just enjoying each other in other ways. Please stay in touch, and email Daniel at: (omitted) and you will find him to have a great outlook on life and very easy to correspond with.

Sincerely yours,
Bob Bacon
Bbacon15@mchsi.com

Tuesday, July 3, 2007

6 week Report

I reached week 6 and have started cycling my pump several times a day. My doctor wants me to inflate the pump several times a day to stretch the tissues. I inflate the implant and leave it inflated for 5 to 10 minutes at a time. My length is 5 and 1/8 inches now. I had 5 and a 1/2 inches from bi-mix post-op and I believe that when I can start really pumping it up and stretching it out that I will have my old length back soon. I checked the girth and received a pleasant finding. My post-op girth used to be 5 and a 1/2 inches and now easily pumps up to 5 and 3/4 inches, so I've gained a quarter inch and maybe later may gain a little more. I had the AMS 700 Ultrex implant surgically implanted. The Ultrex model of implant increases girth and can also increase length by up to 18% in some men. I've heard and been told that it may take up to 6 months for everything to stretch out to the fullest. A small number of men have reported small increases in length and many men report a thicker girth with penile implants. But I need to caution everyone reading this. The majority of men experience some lose with the implant. In my many conversations with other implantees, a lose of 1/2 to one inch is very common. For men who have had a prostatectomy, the lose of length can be severe. One to as many as three inches depending on your pre-implant length. The doctors may tell you that it will all be there what you had before the implant. Most men suffer some loss.Some of the length loss will be restored later on as the implant settles in and you cycle erections. The head of the penis is slightly sensitive at 5 and 6 weeks post-op. How long it takes me until I'm fully healed? I don't have that information yet. One other thing. After the implant, the glans penis, the head of the penis does not become engorged with blood. It stays soft. I've heard from one reader that the lose of that engorgement truely effected the wife's experience during love making. The hardness of the glans is what rubs the womens g spot causing for many women a much more intense orgasm than a clitoral orgasm. This can be fixed with a little inventiveness, but can still be a concern for some couples. One thing I've heard is doctors tend to be over positive of the outcome. At this point, all of my swelling nad bruising is definetly gone and I feel just fine.
My flacid penis stays at around 4 inches in length all of the time now. The skin on my scrotum shortly after post-op felt thickened and stiff on the implant side of my scrotum. Other men that I've spoken to privately also report that they have this same issue with their scrotal skin, but theirs and my scrotal skin is starting to thin out and feel mostly soft and normal over time. Pumping up the Ultrex started out stiff in the pump bulb, but is gets noticeably softer and easier to pump the more it is used. The relese valve is easy to depress and by squeezing my penis, deflating the penis is quite easy. All in all, I'm very satisfied with my surgical outcome. Now that I'm almost to the point of using the implant, I have to wonder why I waited this long. The erections are firm and natural loking and feel just like I had taken a shot of bimix. My wife has checked out my erection and is excited about giving me a workout next week. I now have the ability to have a rock hard erection at any time and any place I desire. I have no worries about loosing my erection or going soft in the middle of something. I'll try and post pictures next week when I get my doctors ok to pump it up good and hard. I would also encourage anyone who would like to post their pictures to my blog anonymously for all the guys out there lurking, but really need to find out about this procedure, Please send them to me along with your story of living with ED. You would be helping a lot of men by answering the questions honestly about your experiences. I've received anonymous emails from over a dozen guys thanking me for starting this blog and the information on it. But every person has a little different experience. With all the studies out there, their is an awful lot of studies showing over 90% satisfaction rate with penile implants. I've got to believe that some of the guys who are having a bad experience in the beginning of their implant experience will experience changes for the good down the road. Problem is, most of these guys leave who've had positive experiences, and start going about living their lives. They are forgetting the guys who are looking into this method of therapy and desperately need to hear positive messages as well as the negatives outcomes. They really want to hear from you guys. Please send your stories as well as pictures if you have them and are comfortable sharing them and send them to me at bbacon15@mchsi.com . I promise to keep your identity confidential and private. I don't need to know your identity unless you want me to. But I will follow your wishes. I'm not some pervert on the web. I'm just a guy willing to help others out with factual information. Anything posting on my blog site is copyrited under the laws of the United States. Nobody has my permission to repost any and all parts of this blogsite. And that means copying any and all pictures and postings for your own private use., period. This blogsite is printed for information purposes for men and their partners, where the man has long standing Erectal Dysfuntion and is considering a penile prosthesis surgery.
Regards, Bob