Tuesday, September 26, 2023

Semirigid? Or Inflatable?


"Appreciate your blog, you share great information and educate on important topics. Have a question and maybe something a reader of yours with a similar experience can comment on. I am 51 and in very good health overall. No medical issues that would impair sexual function. Have been on testosterone therapy for many years, with good results. Exercise regularly. No Medications that have indications to contribute to ED. Have been evaluated by 2 urologists for ED. It has been progressively been getting worse over last 10 years. Initial treatment began with oral medication and progressed to injectables about a year ago. The injections have become less effective and cause an overall aching sensation. Recently my physician has discussed utilizing a implanted penile prosthesis, as other treatments have failed and he feels it will continued to progress. Any thoughts or experience from your readers? I am not ready for the sexual phase of life to end and have certainly not lost interest or desire. ... My doctors just state it is a malfunction of the valves that create erections. ... Have not seen this discussed in any of your previous posts. Appreciate any feedback or experience from your you readers."

Complete loss of erections is the worst thing that can happen to a guy and make him feel "less than." So many men define themselves by their "manhood." But it goes beyond that, really. Especially when so young and otherwise vibrant.

Since there are no underlying medical issues and no medications causing it, and the base issue is the valve malfunction, it appears you are, indeed, down to the last resort of getting an implant. It's aggravating to say the least, and causes deep depression at worst.

According to Mayo Clinic, there are two types of implants. Semirigid and inflatable. The former is like having a constant boner, though it will bend. The latter can sometimes interfere with spontaneity, requiring you to use a small bulb in the scrotum in order to move the fluid from a reservoir into the chambers to create the erection.

It's a tough choice, and one your urology surgeon should help you make.

Any Readers out there who can help?
Anyone with any knowledge of, or experience with, an implant?
If you were faced with the choice, which would you prefer, the semirigid or inflatable?


Your French Patrick said...

I hope to continue to need neither.

Hugs and bisous, my darlings Jean and Pat.
Have a happy day.

Rad said...

My question is: How much underlying life stress is impacting the performance?

SickoRicko said...

The only experience I have is going home with a guy one time who had the inflatable. It worked pretty good for him.

Sixpence Notthewiser said...

Oh, shit.
The almighty phallus, no? And yes, many men are attached to an erection, especially if they are straight or total tops.
I think if he's straight, the semirigid would be a good choice. You do need a stronger erection to do anal...


Mistress Maddie said...

Oh man that's a tough one I don't know anybody that's been through this. But I would say if his doctors are knowledgeable on the subject they should be able to help him make the choice he needs.

Anonymous said...

I have no answers but I suffer the same thing. At 50 I could not get an erection, so I seeked medical help. Let's say the "number" that is associated with normal testosterone is 10. Mine was 2. So I took Testosterone medicine for 6 months (you had to get special OK from the insurance company to get it for the next 6 months - which for me was approved.) So after a year of taking very expensive testosterone drugs (though the insurance took care of most of it) I took a new test: my "number" was now...2. Nothing happened. So there is no "cure" and the only answer is what you say - but I hear they always break - and I don't want to be in and out of the hospital for penis surgery. I have never gotten a hard on with anyone since the age of 50 (I am now 75) but sometimes can jerk off over a long period of time as my dick doesn't stay up. The result is unsatisfactory. First of all you never know when (or if) you're going to cum and when you do, a few drops of clear liquid splatter out. So basically for 25 years I haven't fucked or gotten a blow job. So, what else, with a partner I say "don't worry about me" and then rim and suck dick. It's not great, but you do what you have to do. I think the main trouble is though you're sexually incapable, the sex drive has not diminished at all. It might be different if you couldn't get it up and you didn't care - but it's just frustrating. I went so far as to get a doctor to talk about the implant of the bulb, but after hearing how unreliable they are decided against it.
I would like to hear from someone who actually had the procedure done.

JeanWM said...

This may be worth getting a second opinion too. I am sure there are Medical Centers/ universities who are not only leading in research for new techniques, but are actually doing many of them. And that's important for the experience. Hugs and bisous.

Xersex said...

Before putting implantes, I would try to understand why the valves work poorly

Christiaan said...

No experience, it my preference would be the inflatable. I think it would add an interesting aspect to sex play. Best wishes.

Anonymous said...
This comment has been removed by a blog administrator.
Anonymous said...

this stuff Brazilian wood sounds like it is much the same ingredients as Peruvian Brew that I tried a few years ago before Covid, and it really worked for me. It was a sweet smelling and tasty powder in at little tub with a scoop of about a half or quarter teaspoon that you stirred into water or any favorite liquid and the three tubs I got lasted over a year of sporadic use. It gave me great erections for the whole evening but would subside after stimulation was over and then picked up again when the next mood struck . When I tried to oeder it again, they had quit selling the powder and had made it into capsules you took like pills and it was more expensive. but it had the Yohimbe and some of the other ingredients in this video enclosed. The enclosed video link promises a hundred percent satisfaction, so your guy could give it a try before the implant procedure which is bound to be more expensive and more unpleasant. I hope this helps. Keep up the good work with your blog.

whkattk said...

@ Anon, September 27, 2023 at 6:29 AM - I posted your email response here, then deleted it because your name showed up. Managed to repost the comment without the ID.

Demian said...

"It's important to clarify that the term 'valves' in penis erection refers to blood flow mechanisms, not actual valves like in the heart or veins.

Erection involves a complex interplay of physiological and psychological factors. Erectile Dysfunction (ED) is when a person struggles to achieve or maintain a sufficient erection for sexual activity.

Factors contributing to poor erection function:

1. **Blood flow issues**: Proper blood flow is crucial. Conditions like atherosclerosis, high blood pressure, diabetes, or injury can impede blood flow to the penis.

2. **Neurological issues**: Conditions affecting nerve signals between the brain and penis, e.g., multiple sclerosis, Parkinson's, or spinal cord injuries, can cause problems.

3. **Hormonal imbalances**: Low testosterone or other hormonal imbalances can affect erections.

4. **Psychological factors**: Stress, anxiety, depression, relationship problems, or performance anxiety can contribute to ED.

5. **Lifestyle factors**: Smoking, excessive alcohol, lack of exercise, poor diet, and obesity can all contribute.

To address ED:

- **Consult a healthcare professional**: Thorough evaluation, diagnosis, and treatment options.

- **Lifestyle changes**: Exercise, balanced diet, limited alcohol, no smoking.

- **Medical treatments**: Medications like sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra) to increase blood flow; hormone replacement therapy if needed.

- **Psychotherapy**: Counseling to address psychological factors.

- **Vacuum erection devices**: Non-invasive devices aiding blood flow to the penis.

- **Penile implants**: A last resort surgical option.

Alternative approaches:

- **Acupuncture**: Thin needle insertion at specific points may improve sexual function.

- **Herbal supplements**: Limited evidence on herbs like ginseng, horny goat weed, and L-arginine.

- **Yoga and meditation**: Reduce stress and anxiety, potentially enhancing sexual function.

- **Diet and nutrition**: Healthy diet with fruits, vegetables, and lean proteins; certain supplements like DHEA or zinc.

- **Pelvic floor exercises (Kegels)**: Strengthen muscles for better blood flow and control.

- **Aromatherapy**: Essential oils like ylang-ylang or rose may reduce stress.

- **Weight management and exercise**: Regular physical activity and maintaining a healthy weight improve overall health.

- **Mental health counseling**: Address psychological factors like anxiety or depression.

- **Massage therapy**: Promotes relaxation, improves blood circulation.

- **Biofeedback**: Gain awareness and control over physiological functions involved in erections."

whkattk said...

@ Demian - Thank you for that! I think it deserves a post.

SteveXS said...

Always important information amid the hot shots.