Smoke and implant after 3 year

[nick40]

It’s been three years since the surgery and I want to start smoking; would it be dangerous? Is smoking tobacco risky?

[Flounder]

Smoking probably won’t have much, if any, impact on a plastic prosthetic.
But yes, smoking tobacco is risky.

[ElbowRoom]

Why would you intentionally take up smoking? As a former smoker (WAY back) trust me when I say smoking is terrible for your health and very hard to stop once started.

Just don't.

[GoodWood]

The great thing about smoking is that you will likely have fewer implant revisions during your lifetime.

Simple math. You’ll die sooner, so shorter lifespan means fewer revisions.

Enjoy!

[LGXDownunder]

Why would you intentionally take up smoking? As a former smoker (WAY back) trust me when I say smoking is terrible for your health and very hard to stop once started.

Just don't.

This x 1,000. I'm the same. Smoked fairly heavily from about age 16 to 22, then quit stone cold when I saw how it was destroying my health. Haven't touched them for over 50 years. I'm now probably the most intolerant ex smoker on the planet and make no apologies for it.

[duke_cicero]

I'm so confused by this. Why *start* smoking?

[cbinspok]

seems like a joke, checking the calendar, its not April fools!
just chew a piece of gum!

[lasthope2.0]

I would strictly try to avoid smoking 4 weeks before and 4 months after future revision surgeries. The odds of infection drastically goes down after 4 months.

This paper has some interesting stats under a section called Smoking Status:

Paper Reference:
Hebert KJ, Kohler TS.
Penile Prosthesis Infection: Myths and Realities.
World J Mens Health. 2019 Sep;37(3):276-287. https://doi.org/10.5534/wjmh.180123

Summary of points:

• Smoking around the time of surgery has been clearly shown to increase the risk of complications after an operation.
• A large meta-analysis combining 140 cohort studies involving 479,150 patients found that smokers had an odds ratio (OR) of 1.79 for surgical site infection (SSI), meaning about 79% higher odds of developing an SSI than non-smokers.
• Compared with non-smokers, smokers also had an OR of 3.60 for tissue death (necrosis), 2.07 for wound reopening (wound dehiscence), and 2.27 for other wound complications.
• Patients who quit smoking at least 4 weeks before surgery had an OR of 0.43 for SSI compared with those who continued smoking, corresponding to about a 57% lower odds of infection.
• Because this meta-analysis included nearly 480,000 patients, it is considered Level 1 evidence, providing very strong evidence that smoking around the time of surgery increases postoperative wound complications. Quitting smoking is recommended, preferably at least 4 weeks before surgery, because stopping only shortly before surgery can temporarily increase lung secretions and the risk of postoperative lung complications.

Actual quote for those interested:
2. Smoking status
The negative effects of smoking tobacco in the immediate postoperative setting have been well documented [10]. A meta-analysis of 140 cohort studies by Sørensen [11] revealed a adjusted odds ratio (OR) of 1.79 for postoperative SSI in smokers versus non-smokers. Likewise, an elevated OR of 3.60 (necrosis), 2.07 (wound dehiscence), and 2.27 (wound complications) was noted in smokers versus non-smokers. A reduction in SSI (OR=0.43) was identified if patients quit smoking at least 4 weeks preoperatively. As a meta-analysis with a large patient volume (n=479,150), this study represents level of evidence 1, for increased risk of SSI with perioperative smoking tobacco use. Cessation of smoking prior to surgery is ideal, however, patients should have quit at least 4 weeks prior to their operative case as increased lung secretions in the immediate post-cessation period create an increased risk of lung related infections [11].

[Up4Real?]

Smoking? Does that mean you are going to go in and so fast it starts smoking? If your partner is okay with that... I guess I can't object.

On a more serious note, as an ex-smoker, I can't think of one legitimate reason to start smoking. Don't forget some of the senior smokers got started before we knew about cancer and all the other harmful effects. Many of those smokers now probably wish they never had started and but "can't" quit.

I wish you well.

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