Wednesday, May 30, 2007
Day of Implant, AMS700 Ultrex with new Pump
Dear Readers
It's Tuesday, May 29, 2007 on or about 9:00 am and I'm at University Hospital in Columbia, Mo and I'm checking into (DOSA) Day of Surgery Admit. I get the paperwork completed, get the wristband, and then am told to wait until about 10:00 am as surgery is running a little behind. At 10:00 am, I am taken in where I get changed into a gown and lines put in. Around 11:00, Dr Weinstein informs me that they had received the wrong implants from AMS on Friday. They had received an AMS Ambicor and a AMS 700 CS, but no AMS 700 Ultrex. I have a couple of choices. He can implant the Ambicor or I can wait and they will have the AMS rep bring one to Columbia from ST Louis, and I'll have my surgery later that afternoon. I decided to stay with my decision to go with the Ultrex implant even with this FU situation. My Dr had the rep called and he started surgery on another patient with an infected kidney removal. The decision is made to move me up to the 7th floor to wait, and wait and wait. Now I haven't had anything to eat since midnight and nothing to drink since 6:00 am. Around 6:30 pm, they finally bring me down for surgery and I wait while they clean up the OR from the last patient, the nephrectomy. I was wheeled in a little after 7:00 pm for surgery. I woke up around 11:00 pm with some pain, but my surgery is over. Most of the pain that I'm feeling is from the catheter. I was later told that for the surgery, they put in a larger catheter, but replace it later with a smaller catheter when the surgery is almost over. It does leave you sore though, and hurts like they're dragging razor blades out through my penis, they finally removed it and I started feeling much better with it out. My penis is really sore when I urinate, but otherwise, I only have a dull aching pain. I got discharged today with a script for percocet and a script for keflex. I didn't have a lot of swelling and black and blueness, but as the day goes by, I'm turning black and blue more and more on the base of my penis and growing into my scrotum. I did learn from my Doctor today that my implant has a new type of pump that Dr Weinstein didn't even know was available yet for the Ultrex. It's smaller by about a third than the old pump pump that was coming out just recently with the AMS 700 series. To deflate the pump, you press on the button for 4 seconds and then release and the implant deflates. It also features an easier pumping mechanism similar to the Albacor pump. He hadn't figured on it even being available for several months from now. The AMS Rep from St Louis brought it down and stayed for my surgery and advised him on this new implant. This morning, one of Dr Weinsteins residents, a women urologist came to my room to deflate my pump all of the way. God did that hurt. She tried to deflate my pump like the older pump as she wasn't familiar with the deflation mechansim. I did get instructions on this new pump with the paperwork I received, and Dr Weinstein deflated by implant all of the way. Now, I'm home sitting with my ice bag in my lap and not moving too fast. The restrictions I received are: no lifting over 20 lbs for two weeks; no driving while on the pain meds; antibiotics every 6 hours for two weeks (keflex); no sitting in a bath, showers with no direct stream of water onto my penis, wash with a mild soap on the incision and pat dry; the stitches are desolving ones; no sex or use of the implant for six weeks. And take off two weeks from work. Thats all for now. I ll add more later.
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Thank You for keeping us updated. Very useful from one who has had the surgery....
ReplyDeleteRon
Dr. Gerald Henry does 4 to 6 penile implants every thursday in Shreveport Louisiana. He is at regional urology, he does the implants in the CHRISTUS Schumpert Facility in Shreveport.
ReplyDeleteI had my AMS700 Ultrex last year with no problems. I'll be 66 july 14th 09.
Well i can't edit my previous message but i went to Dr Gerald Henry 3-31-09 for my yearly checkup and he says i have the Titan Colonplast 20+2. Dr Henry says this is the best implant on the market today, he should know he does 4-6 per week. He says the Titan 20+2 uses the largest tubes of any penile implant. The corpora cavernosa's are expanded so the large tubes can be inserted.
ReplyDeleteThe Titan colonplast 20+2 will add length & girth by useing a exercize method after 6 weeks from time of surgery.
The way to do this is to pump up the implant as hard as you can once or twice a day for 1-2 hours or as long as you can leave it pumped up.
My girth almost doubled in 1 year, i gained about 1 1/2"s in length from what i had before surgery. Of course i had lost some length over about 5 years of not useing it often enough, (if you don't use it you lose it}. I hated the vacuum pump and the injections hurt to much after sex.
Dr Gerald Henry can be contacted at Regional Urology Shreveport La.
Ph:318-683-0411
1-866-683-0411
255 Bert Kouns
Shreveport La 71106
http://www.regionalurology.com/
Well i can't edit my previous message but i went to Dr Gerald Henry 3-31-09 for my yearly checkup and he says i have the Titan Colonplast 20+2. Dr Henry says this is the best implant on the market today, he should know he does 4-6 per week. He says the Titan 20+2 uses the largest tubes of any penile implant. The corpora cavernosa's are expanded so the large tubes can be inserted.
ReplyDeleteThe Titan colonplast 20+2 will add length & girth by useing a exercize method after 6 weeks from time of surgery.
The way to do this is to pump up the implant as hard as you can once or twice a day for 1-2 hours or as long as you can leave it pumped up.
My girth almost doubled in 1 year, i gained about 1 1/2"s in length from what i had before surgery. Of course i had lost some length over about 5 years of not useing it often enough, (if you don't use it you lose it}. I hated the vacuum pump and the injections hurt to much after sex.
Dr Gerald Henry can be contacted at Regional Urology Shreveport La.
Ph:318-683-0411
1-866-683-0411
255 Bert Kouns
Shreveport La 71106
http://www.regionalurology.com/
Well i can't edit my previous message but i went to Dr Gerald Henry 3-31-09 for my yearly checkup and he says i have the Titan Colonplast 20+2. Dr Henry says this is the best implant on the market today, he should know he does 4-6 per week. He says the Titan 20+2 uses the largest tubes of any penile implant. The corpora cavernosa's are expanded so the large tubes can be inserted.
ReplyDeleteThe Titan colonplast 20+2 will add length & girth by useing a exercize method after 6 weeks from time of surgery.
The way to do this is to pump up the implant as hard as you can once or twice a day for 1-2 hours or as long as you can leave it pumped up.
My girth almost doubled in 1 year, i gained about 1 1/2"s in length from what i had before surgery. Of course i had lost some length over about 5 years of not useing it often enough, (if you don't use it you lose it}. I hated the vacuum pump and the injections hurt to much after sex.
Dr Gerald Henry can be contacted at Regional Urology Shreveport La.
Ph:318-683-0411
1-866-683-0411
255 Bert Kouns
Shreveport La 71106
http://www.regionalurology.com/
MRL how long have you been with an implant?
ReplyDeleteI would like to hear more about the procedure to keep the length. This technique is only used by Dr Gerald Henry ?
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2875917/
ReplyDeletePOD-02.02 Paradigm Shift in Inflatable Penile Prosthesis Sizing? Single Surgeon Outcome Analysis and Nationwide Database Analysis Evaluating Contemporary Surgical Trends
G Henry2 and A Bella1
1Division of Urology, University of Ottawa, Ottawa, ON;
2Regional Urology, Shreveport, LA, USA
Abstract
Introduction and Objective:
The primary patient source of dissatisfaction following inflatable penile prostheses (IPP) surgery is penile length compromise, which can be due to broad underlying patholphysiologies including post-prostate cancer treatment (surgery, radiation or brachytherapy) and diabetes. Traditional teaching dictates that the implanting surgeon choose shorter sizing when measuring corporal length at the time of IPP placement if there is a discrepancy in the measuring of the two sides of the corpora or, as more commonly occurs, sizing that equals the symmetrical corporal lengths measured. In fact, some prosthetic surgeons advocate using shorter than measured corporal lengths. Recently, a novel New Length Measurement Technique (NLMT) has been developed and we present patient outcome data and an evaluation of current sizing trends. Methods: Retrospective primary IPP chart reviews of 57 IPP patients comparing a multi-surgeon practice (n = 10, the multisurgeon group (MSG)) versus 57 IPP patients from a single surgeon (SS) prior to using the NLMT technique versus 283 patients with more that one year follow up done by the same single surgeon [GH] (SS NLMT). American Medical Systems (AMS) and Coloplast data on cylinder sizes used nationwide over the past several years was also analyzed.
Results:
The average cylinder size plus rear tip extender length utilized by the MS group was 19.05 cm, compared to SS 20.11 cm and SS NLMT 23.37 cm. A single distal erosion in the MS group (semi rigid rod) was noted, with none in the SS or NLMT surgery groups. AMS data suggests an increase in percentage sales of 21 and 24 cm IPP cylinders with a resultant decrease in percentage sales of 12 and 15 cm IPP cylinder over the past 2 years. Coloplast cylinder distribution is similar (Fig. 1).
Conclusions:
There appears to be a paradigm shift in utilizing longer cylinders when analyzing changes in cylinder size sales for IPP implantation. No increases for distal erosion in the SS experience with NLMT is evident when compared to traditional sizing outcomes.