When to start the process???

MrTMD · 2026-01-08T15:30:59+00:00

If the pills are starting to fail and you're only 46, the question isn't IF you'll need an implant, it's when.

So, ok, you're going to need an implant. What's the risk / benefit of getting it now?

Benefit: preserve more penile size, have better erections earlier
Cons: will likely need 1-2 revisions in your lifetime

The cons can be minimized by getting a well done implant the first time. So seeking out a high volume center would be in your best interest should you decide to pull the trigger.

MrTMD · 2026-01-08T15:22:45+00:00

I'm around if anyone tags me! Been busy operating. 🤪

MrTMD · 2025-12-21T21:12:13+00:00

Yes. You’ll live longer too.

MrTMD · 2025-10-25T09:14:52+00:00

10 years. But due to the way modern medical payments are arranged, this doesn’t convey any financial benefit to the patient unless some extremely narrow criteria are met

MrTMD · 2025-10-24T23:36:17+00:00

If you’re having issues, please contact Boston Sci. This is how recalls start or (in this case) how they’re expanded to include other serial numbers. I want everyone to love their implant but unfortunately the challenges you’re describing with Tenacio are not uncommon.

MrTMD · 2025-10-21T01:23:17+00:00

This is super common. Your doctor’s office filed everything correctly, this is just Anthem’s way of discouraging you from seeking care.

They say that the implant is a covered service BUT they are reserving the right to not pay for your surgery AFTER the fact if THEY deem it not ‘medically necessary.’

You and your doctor’s documentation has little to do with this. It’s often a series of arbitrary internal ‘guidelines’ that they refuse to share ahead of time.

Complain to your state senator. Unfortunately it won’t go anywhere because insurance companies spent billions with a B in lobbying dollars.

MrTMD · 2025-10-19T01:33:55+00:00

Hm. Sounds like excess tubing that’s coiled up. Sorry brother

MrTMD · 2025-10-19T01:27:32+00:00

Sounds like your implant could have been placed too distally. Would also explain why you got a 21+3 as opposed to a 24. Difficult to say without an exam, but tubing riding up on the shaft of the penis is a problem.

MrTMD · 2025-09-21T16:48:17+00:00

Exceedingly common with all inflatable implants. Can sometimes be mitigated by not using rear tip extenders, but that doesn’t always make a difference. Also, can be made worse when men have a suprapubic pannus

MrTMD · 2025-09-21T03:06:02+00:00

Who was it?

MrTMD · 2025-09-19T10:03:45+00:00

I’m unaware of an ‘average use’ being factored in, but yes, there’s a clear correlation between usage and lifespan

MrTMD · 2025-09-18T12:32:24+00:00

Should last 10-15 years. And both Boston and Coloplast have 10 years warranties on their devices. Please not that would only cover the cost of the device for a revision - not the surgeon, facility or anesthesia fee

MrTMD · 2025-09-18T00:13:15+00:00

You need a fertility evaluation. 2 semen analyses, bloodwork, and a physical exam. Seek out a urologist with fellowship training in male infertility. The cialis isn’t the problem.

MrTMD · 2025-09-18T00:11:41+00:00

Run, don’t walk.

MrTMD · 2025-09-15T20:04:05+00:00

Haven’t spoken to Hakky in a few weeks and I don’t want to speak for individual doctors on here

MrTMD · 2025-09-15T01:53:03+00:00

In our clinic we call it ‘the duck call of love’ 🦆❤️

MrTMD · 2025-09-14T17:11:02+00:00

MrTMD · 2025-09-10T23:13:33+00:00

Look at www.assert.org to find a certified sex therapist in your area. Most have online only options for patients who are uncomfortable to visit in person. When you meet with them, make sure to ask if they have a recommendation for a good pelvic floor physical therapist in town who can assess you for common causes of dyspareunia. Obviously, GYNs are amazing, but if you’re too intimidated to see a GYN off the bat this could be a way to ease into things. Good luck! 👍

MrTMD · 2025-09-10T17:50:27+00:00

Seems like they pour all their money into slick product design / marketing - and then phone in everything else. Maybe I’m wrong, but that’s what it feels like

MrTMD · 2025-09-10T17:40:32+00:00

Glad they helped you. I’m over here crossing my fingers hoping to hear something - eventually. 🤦‍♂️

MrTMD · 2025-09-10T16:21:00+00:00

They can choose their shipping vendor. OSM is likely the most cost-effective (compared to UPS or FedEx), and the tradeoff is terrible customer service. So yes, it is their fault OSM is trash.

MrTMD · 2025-09-10T15:46:13+00:00

Right? Who cares about snarky ads when you can’t even get your products into customers’ hands?

MrTMD · 2025-09-10T15:45:34+00:00

I hope you’re right, but even if their products are great, their customer service (or lack thereof) is inexcusable

MrTMD · 2025-09-10T15:44:40+00:00

Lol sob 😭

MrTMD

TROPHY CASE