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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2006

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Penile implants

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Charlie Leo - 18 May 2006 03:10 GMT
The seminar that I went to this evening was advertised as information
about ED. Well, yes it was....But... Dr. Lipschultz compared all other
remedies as inferior to penile inplants.

I had my RP about 20 months ago. I still have both incontinence and
impotence. Frankly, I would have the implant done tomorrow if it had a
chance of helping with the incontinence.

I know you will tell me to ask my doctor, but until I can get in to
see him, does anyone have any experience in this area?

Charlie
juniper - 18 May 2006 07:31 GMT
> The seminar that I went to this evening was advertised as information
> about ED. Well, yes it was....But... Dr. Lipschultz compared all other
[quoted text clipped - 8 lines]
>
> Charlie

Charlie,

I'm sorry I have no experience. (Sort of!) Do have some thoughts,
though.  As far as I know, surgical treatment for ED and for urinary
incontince are completely unrelated.

Medline Plus covers it all.
http://www.nlm.nih.gov/medlineplus/ency/article/000891.htm

Here is a pretty comprehensive paper on incontinence.  If you want to
see the whole thing, not just the summary, look for a menu on the left
that says "Summary".
http://www.guideline.gov/summary/summary.aspx?ss=14&doc_id=6251
or
http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=6251&nbr=4011

This one has a whole section about RP
http://www.icsoffice.org/documents/ici_pdfs/chapters/Chap11B.pdf

Again, curing incontinence has nothing to do with a penile implant.

Best wishes,

Laurel
Steve Kramer - 18 May 2006 11:59 GMT
> The seminar that I went to this evening was advertised as information
> about ED. Well, yes it was....But... Dr. Lipschultz compared all other
> remedies as inferior to penile inplants.

It's been a long time since we had at-length discussion about implants here.
But, the salient point usually made is that it is the only medical situation
where the gold standard is attempted last.

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PSA 16 10/17/2000 @ 46
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RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
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Alan Meyer - 18 May 2006 15:13 GMT
> The seminar that I went to this evening was advertised as information
> about ED. Well, yes it was....But... Dr. Lipschultz compared all other
[quoted text clipped - 8 lines]
>
> Charlie

I've always distrusted elective surgery of any type.  Having
someone alter your body by cutting it open, removing things,
and stuffing things in doesn't appeal to me.

My understanding is that these surgeries are not readily reversible.
If you don't like the implant or it gives you problems, you can have
it removed with another surgery, but you won't be the same as what
you were before the surgery.

Also, it's not clear to me that what you wind up with at the end of
the day is really what you're looking for.

If only they could open us up and put back our youth but, alas, that's
not what they put in.

Best of luck.

   Alan
Bob C - 19 May 2006 16:49 GMT
> I had my RP about 20 months ago. I still have both incontinence and
> impotence. Frankly, I would have the implant done tomorrow if it had a
> chance of helping with the incontinence.

For what it is worth, I can testify that dealing with and greatly reducing
the incontinence can reduce many of the frustrations and difficulties of any
intimaticies attempted with a leaky faucet. I suspect that this will be the
case regardless of what level of performance you are capable of. Dealing
with the incontinence also has a 24/7 benefit. I wish you luck with your
decision making and eventual choice of treatment.


 
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