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Absurdly Conservative Urologist show details Absurdly Conservative Urologist
by SS on Apr 5th, 2015

I am extremely dissatisfied with Dr. Montague. He performed a penile implant procedure on me in Nov 2014. He did not utilize a 3 piece implant (LGX, Titan etc..) because he was afraid of possible complications arising from the placement of the reservoir in my abdomen, as I have abdominal mesh on the right side of my abdomen (But none on the left side where the reservoir could have easily been placed). I should mention, In 2012 I had a cancerous tumor removed from my sacrum along with S2 and below, hence the need for an implant. Instead, Dr. Montague opted to use a 2 piece implant (Ambicor) which has no reservoir. As it tuns out, his decision was a very poor one and perhaps motivated by fear more than anything else. Briefly, the end result was that I received an implant which shortened my penis length tremendously (About 1.5 inches less) and also reduced my girth substantially. Furthermore, the Ambicor is incapable of becoming substantially flaccid, this resulted in a very embarrassing and unsightly bulge in my crotch area which always needed to be covered with a shirt. The implant is also a pain to inflate, as it requires a bit of strength and maneuvering to fully deploy. (To make things worse, Dr. Montague has a brusque bedside manner. Bluntly speaking, the man has the warmth of an ice cube coupled with a hefty dose of arrogance. He is excessively economical with his words which makes him appear terse & condescending.) Highly displeased I subsequently sought the help of a well known urologist on the East coast. He told me that he could easily implant a 3 piece prosthesis and that placement of the reservoir would be no problem. In fact, he told me that he has placed a reservoir in over a hundred patients that actually have bilateral mesh, not just on one side as is my case, with absolutely NO complications. Long story short, the revision surgery went perfectly. FYI: My new surgeon told me that Dr. Montague incorrectly sized the Ambicor which resulted in a loss of about 1.5 inches ! Luckily I recovered (most) this loss of length due to my doctors ability to properly size the new implant (LGX). Further, my new surgeon told me that Dr. Montague made an unnecessarily large incision on my scrotum (Both utilized a scrotal approach). Lastly and most interestingly, he told me that it took him under 30 seconds to place the reservoir in theleft side of my abdomen! 30 SECONDS! He was rather amazed and puzzled that Dr. Montague was unwilling to use the newer and far more well received 3 piece implant, especially in light of the fact that I have mesh placed only on my right abdominal wall, not the left! I consulted over 3 urologists before/after my penile implant procedure with Dr. Montague. These surgeons are from top tier institutions such as Johns Hopkins and Columbia. All of them emphatically stated that they had no issues utilizing the 3 piece implant despite the mesh on my right abdominal wall. Though I ended up choosing Dr. Montague due to Cleveland Clinic's reputation and the hospital's somewhat close proximity to my new place of residence. (Had I not moved out of state recently I would not have chosen Dr. Montague. ) Dr. Montague wasted a lot of my time and money. He caused me unnecessary pain and mental anguish. Needless to say, I absolutely do not recommend him. He is immeasurably conservative and has a rather poor bedside manner. Folks, it is not the institution which is paramount, rather it is the surgeon or doctor. Do your homework, visit as many doctors as reasonably possible, get references and do not be afraid to speak up. All the best. (Please note I have NO affiliation with any medical doctors, medical institutions or medical companies. I'm just a regular person who needed a penile prosthesis. )