I'm uninsured... looking for good, affrodable surgeons

[duke_cicero]

I assume this is a joke or trolling. But, if not — I would wait until you're either employed or independently wealthy enough to take this on and also to manage the potential downsides if an unsuccessful initial procedure.

[danny1553]

When I asked dr. Kansas (in Austin TX) what would be out of pocket if my insurance does not cover the procedure he said it would be around 25K. However, since my case was a replacement of LGX which by the time of initial installation was a subject of life time warranty, I could expect to get reimbursed back around 10k, although it would take about a year or so.

[lasthope2.0]

For cash pay, I think Coloplast offers a 10 year malfunction warranty if you are in the US.

I’d personally take the warranty into consideration if I’m paying cash and have backup savings for one more surgery, if one of those 1% complications were to occur and needs a rework in 3 months. This is just to be well prepared. I second Duke_Cicero.

[duke_cicero]

I don't follow your logic, but I wish you all the best.

[Oz1958]

No disrespect meant, but you need to share a lot more detail. No point in a recommendation on the other side of the country or the other side of the world if cost is an issue.

[ElbowRoom]

For cash pay, I think Coloplast offers a 10 year malfunction warranty if you are in the US.

I’d personally take the warranty into consideration if I’m paying cash and have backup savings for one more surgery, if one of those 1% complications were to occur and needs a rework in 3 months. This is just to be well prepared. I second Duke_Cicero.

The 10 year warranty is regardless of cash or insurance payment. Though who gets the reimbursement might be very different between them.

[GoodWood]

Search this implant forum for the word “cash”. It turns up about 600 posts but you can scan through all of that in an hour or two. It turns up TONS of discussion that is pertinent to your question. Lots of guys mentioning how much different surgeons charge and so forth. Lots of useful information in there.

If cost is a consideration, a malleable is considerably less expensive and failure is pretty much non-existent compared to inflatable implants.

Regarding warranty on devices. Find out what it will cover. I expect it only covers the cost of the replacement device. Not the surgeon’s fee, OR materials/supplies/fees, anesthesia, hospitalization…

[wilsonmill]

Since it sounds like you have the cash, go to Turkey, I have read that there are some very good surgeons there, and since you don't have to get back to a job you can hang out there for awhile and make sure you heal properly.

[whatevery]

Since it sounds like you have the cash, go to Turkey, I have read that there are some very good surgeons there, and since you don't have to get back to a job you can hang out there for awhile and make sure you heal properly.

There are good penile implanters in Brazil, in Egypt, and as good Mr. wilsonmill just mentioned Turkey. I also heard that there are some really good penile implanters in India, which should sound believable to most Americans since many local doctors in the US come from India. In short, if you have cash but still trying to save money that's the direction you should be looking at.

Or actually you may also consider to take the opportunity and participate in Rigicon Infla10 clinical trials in the US which is done by most of our best implanters. They've been trumping the thing up too. One even says that Infla10 AX is the best implant he ever placed. There is also Infla10 X.
Rigicon would at least pay for the device itself so it wouldn't be as much $ as if you were to go with something that is already FDA approved.

You got to move fast on this though before the trial closes. Get in touch with Tariq Hakky, Jonathan Clavell, Paul Perito or Laurence Levine. Any one of them are top notch. Whoever is closest to you would do.

[danny1553]

I wouldn't go to any 3rd world country for an implant. USA, Canada, Germany, UK are OK. Anything else is a mostly a gamble. If I were to choose a little experience doctor in the US or an experienced doctor in Turkey, I would go with the US one.

The key factor is the cost of the implant itself. AMS is about 10K. And that does not mean that other countries (e.g. India) get it cheaper. Still the same 10K. The only difference is the doctor and facility fees. But then comes the incentive factor. In 3rd world countries the main motivation is to get the money wire transfer. The moment it is done, the interest to patient goes downhill. In first world countries there at least some protection in a form of malpractice law suits. In other parts of the world, if a doctor neglected basic precautions you are on your own.