ResERECTION – The Penis Implant: Profiles by VICE

ResERECTION – The Penis Implant: Profiles by VICE


My children joke that I’m never invited to Parents day you know at school because what am I going to talk about. And they definitely never look at my phone because there’s nothing but pictures of penises all over it. My name is Paul Perito. I’m a urologist in Miami, Florida. We specialize in sexual medicine Specifically the surgical treatment of erectile dysfunction. When it come to the surgical treatment of erectile dysfunction truly there’s only one operation that is both safe and efficacious and that’s the placement of a penile prosthesis. I think many men are embarrassed with ED and i think it takes them a long time to search out some sort of a solution to it. But keep in mind, most men don’t know this is a solution They think it’s the pills or a pump and that’s it. Impotence leads to a shot penis. You’re going to lose about an inch of your penis every year you’re impotent so the sooner you get to a definitive treatment, the better. Penile prosthesis are covered by many insurance plans, many. People sometimes go “Oh my god I can’t believe Medicare pays for a penile prosthesis” Well, you know it’s an organ and it has stopped functioning Breast implants are purely aesthetic; the penis is an organ. When it comes to cash pay, it’ll range anywhere from fifteen, thirty-five, forty thousand. This is the inflatable penile prosthesis Spanish people call it “La Bombita” Why they call it la bombita? Because this is the bomb; the little bomb that sits in your scrotum. The cylinders go in to your penis the pump goes in to the scrotum When you want to have sex all you do is you pump your third testicle; the one that doesn’t hurt. You just keep pumping it and like a bicycle pump, the harder that gets, the harder your penis gets so I teach guys, you’ve got to use two thumbs; get two thumbs on it so you can get it as hard as you possibly can. So once it’s fully inflated then it actually feels just like the penis used to. You have a penetrating, erect penis. So these are indestructible. If you polled boys the age of fifteen and asked them how many have hung a towel on their hard penis? I would say close to 100% and you’d be surprised the number of guys that, for them, that’s their benchmark that they’ve had a good result. Not necessarily the coitus that’s supposed to follow. Many of the patients that come for implants, they are older that have married younger women, you know that are twenty, twenty-five years younger than them. This is Rick, Paris And they come to the office and say, “Listen I’m going to lose my wife if you don’t fix me.” and we fix him and they’re very very happy. Good morning guys. Please my office is yours I told Paul “if you wanted me to; I would kill ten, six-year-old, blind girls for you” Okay, because that’s how much he has improved my life. Let’s tell them about “Truly blessed” That’s why she got that. I’ve been blessed to, you know, still be able to be with my partner; be with my significant other and still have a very great sex-life In her case, she has kind of been there and done that and she can basically tell you that this is a good thing. Okay it’s the real deal, you know. I know she will never go unsatisfied, won’t happen, can’t happen. Paul really is all that. He’s that good Oh I’ve been out with him a ton of times Oh yeah we’ve gotten in lots of trouble together, you know. We used to do South beach and we used to do this rave club downtown and you know Paul is still young and young at heart, you know and when I’m with him it’s a little bit contagious Paris: I wish we could fuck right here Rick: I know These patients become part of a club and it really is a club and you’ll see one guy bring in five of his friends and all five of those guys want to get done on the same day and we’re not treating, you know things that are sad we’re treating things that are, you know really end up with a very happy ending. Sounds bad but… It’s a fraternity of men, all ages, twenty-one to ninty-two, that come to this office smoke cigars on the patio. They get to drink, they get to smoke, they get to do whatever the fuck they want. It’s truly a fun environment. My training program started about six years ago You know right now we’re just trying to train as many guys as we can on how to do this safely and predictably and tonight you’ll meet the guys The guys that are going in to it are just, they’re young, crazy, wonderful, you know, smart. I was just crazy, not that smart. I had what my dad called ass power. I just sat down and worked harder than anybody. I laugh with patients, I call it “Chorizo” which means sausage and they love it I go “Sacalo su chorizo” That means take out your sausage. or I’ll go “Sacalo su monstro” it means take out your monster and they’ll go “Oh mi monstruito” meaning my little monster, you know because it has shrunk. [In Spanish] Poor little thing. I’m going to get a cocktail. We have cases tomorrow of Peyronie’s disease, meaning crooked penis. Somebody sits on it wrong and misses. They’re fully erect and they miss whatever hole they’re going for okay and then you can actually break the penis. It’s disastrous and actually I did a study while I was at Jackson 100% of those people, somebody was high. Because you have to be high. From a reflexogenic [Sic] stand-point You move, you know if you going to miss but 100% we’re high, right When I did this with the cosmetic surgeons they were like “Yeah” You know they do 300,000 breast implants in the United States every year. We do 20,000 penile implants. I do 500, right. So if I’m doing 500, there’s something wrong Everybody should be able to do high-volume and take care of these twenty million men with erectile dysfunction in the United States So let’s get this number up let’s make penises like breasts, okay or dicks like tits, that works You guys, I’ll see you tomorrow My clients penis was amputated without really having appropriate medical clearance and without really seeking other less risky and less invasive ways to cure his erectile dysfunction sought the cure and treatment of a penile implant and at one point after a number of painful procedures he had to make a decision, whether it was going to literally be his penis of his life and he had to have his penis amputated so that the flesh eating bacteria didn’t spread to the rest of his body and it would have ultimately cost him his life. The loss of a penis to a men is probably the single worst thing that any man could have to experiance It has has profound physical, emotional and psychological effects. I’ve been trying medical malpractice cases across the country for over twenty years and even in the best hands people can die and that’s something that people need to understand. This is called plastic surgery or elective procedures, this is surgery so the chance of an infection, the chance of scarring, deformity or death is a realistic possibility. There’s two more of these. Today is a difficult case day. These guys have penises that actually go all the way back and point towards them. Their penis, when you feel it feels like there is marbles in it and we’re going to be demonstrating this technique that we do called “The scratch” where you disrupt the plaque from the inside. [Unintelligible]

Kyah Simon: Learning through injury

Kyah Simon: Learning through injury


Ever since I was introduced to who Cathy Freeman was that really motivated me and inspired me and… But, you can’t play Cathy Freeman in FIFA the game like you can play you so I don’t know. I’m calling your achievement higher. Don’t tell Cathy. Kyah, it’s lovely to meet you. You too. As I understand it you were 8 years old when you went up to Mum and Dad and said “Imma play for Australia.” Is that actually true? And were you the most confident 8-year-old that has ever existed? It is true. I think, I definitely loved my sport as a kid growing up and played rugby league previously and You had two sports at the same time for a period right? Yeah, I played rugby league in under 8’s. I was going from my rugby league pitch to my football pitch. One time I have this recollection of it was at the same venue. So they had a soccer pitch and then a rugby league pitch next to each other. And I literally was playing on the same day a pitch apart from one another. Basically, I was inspired by the 2000 Olympics and I think watching Cathy Freeman win gold in front of a home crowd. I realised the enormity of an Olympic games at that point. I went home and just said “I want to play for Australia one day.” To Mum and Dad and they were probably thinking “Yeah… okay.” And, yeah, it happened. I was hard to keep down and I was hyperactive, and yeah I was a bit of a daredevil when I was a kid and a bit reckless you could say. So sport focused that or just enabled it? I think, definitely focused that. I think, to drag my eldest brother out on the trampoline and we’d play rugby league on the trampoline he’d be on his knees because he was by that point he was 5-6 foot tall and I was probably 3 foot tall but… Yet somehow still very deadly on this particular field, I can imagine. Yeah, so I think yeah, I used I used sport as a force and a drive. I’m curious how it goes when you hit roadblocks. So as I understand it you had the first major injury when you were 15 years old. And you literally had people telling you she’s washed up, she can’t do it. Like firstly, lets take a second to acknowledge that how ridiculous it is they said that to a 15-year-old. But what goes through your head when you’re faced with people saying that, about you and a potential career? Yeah I think at that age hearing people say that I was washed up and I hadn’t even represented our country yet, at the age of 15. I do love that you describe it as ‘yet’. ‘Cause like, it’s gonna happen. I love proving people wrong, in a sense of, if you say that I can’t do anything I’m going to do everything that I physically and I mentally can to prove you wrong, to show you that I can. Seems like a really healthy way to live. I can’t see anything going wrong with that at all. Fast forward a year down the track from that point on and I was representing Australia against America, who was the number one team at the time, as a 16-year-old. And I still remember the game like it was yesterday. It was torrential rain, it got delayed, there was big puddles, you’d kick the ball about 3 metres and it’d stop in a puddle. So rainy, I remember a few of the girls coming up to me saying, “You got this.” “You got this.” Yeah, I definitely think that first game, when you make your debut for the senior team you never really forget, that moment. Can I ask about one of your, I guess more dramatic injuries, which was the time you damaged your ACL. The way I’ve heard you describe it ‘horrifying’ kinda springs to mind. Yeah, that was a weird one to be honest. Your ACL is a major injury. It’s probably worse than any broken bone that you could have. I’d been nursing a groin issue, and I was sitting on the bench and the coach said to me at the time, “Are you right to go on?” And deep down I didn’t really feel 100% right, but I wanted to play, we were playing the U.S on their home soil. And I think this is the stubbornness coming out in me is you convince yourself that you’re right, whether you are or your not. Yeah the coach said to me, “Are you right?” and I probably told a little white lie and I said, “Yeah I’m right.” And I went on and literally, I think 30 seconds had passed and I changed direction. I felt good when I ran on and then I changed direction and the movement felt like it was the impact of a tidal wave because it felt like such a great massive movement. And then I was in excruciating pain and couldn’t open my eyes and I was just laying there and my knee was that sore and they had to stretcher me off. I watched the replay back, maybe a few years later. I couldn’t watch it straight away, but I watched the replay back. The movement looked so minute and so tiny that it didn’t make sense to me because it felt like the biggest change of direction that I’ve ever done in my life. In the years since you started playing football what do you reckon is the best lesson you’ve learnt about you, about yourself? Um, that’s a tough one. I think a tough battle when you decide to be an elite sportsperson is that mental battle you have with yourself of Is this what I really want, or can I find happiness in life elsewhere in a another profession? More often than not we’re more risky than your everyday Australian and I think that’s why we a lot of us have the types of personalities that we do is because there is a certain point that you need to back yourself and be a little bit selfish. But some people’s downfall might be that there’s a dissatisfaction or people feel not fulfilled and that could be elite sportspeople’s downfall sometimes. So recently you were injured with your shoulder and as a part of the recovery process, you moved in with your mum, your younger brother. And one of the things that came out of that process I understand is you learnt a lot more about your family history, a lot of stuff that I guess had gone quite unsaid in your family and one of those things that came out was the story of your nan. She was taken away as an Aboriginal woman, she was taken away from her family when she was young wasn’t she? Yeah she was a half-caste so they’re called. Taken away at a young age and then found my poppy Reg. I don’t think his family was very accepting of nan’s Aboriginal background. They had to work for his family for her to be allowed to be in the house. And to moving with her 13 kids down to Sydney, at one point having to live in her sister’s room and had nothing but a gas stove top probably the size of of a soccer ball actually and that’s the only thing that they could cook on. When you meet her today even she’s still that strong, empowering woman and you can tell what she’s been through just with how strong she is and how powerful she is to be around. Why do you think they decided to not, tell you some of the details until quite recently? Well, I’m always away and the only time I really have at home is when I’ve got an injury. “Alright now we need to catch you up on some things.” It’s a blessing in disguise to be honest, every time I suffer an injury I get closer and closer to my family and I get to spend more time with my family. -Maybe their sabotaging you have you considered that?
-I think so. My brother two-foots me in the lounge room The bottom line is, I wanted to make my family proud for all of what they’ve sacrificed for me to be able to be in the position that I’m in today. I can go away and travel the world and play football abroad and in world cups and Olympics but whenever I come home if there’s one thing that sticks out it’s probably the power of resilience. You won’t survive or you can’t survive, if you don’t have that mental toughness and I think that’s because there’s so many peaks and troughs in sportspeople’s lives and careers and it’s never smooth sailing. If it was smooth sailing do you think you’d like it as much? -Probably not I think I’d get-
-Think you’d appreciate it as much? Definitely not appreciate it and I think one of the main points of every time I’ve had a major injury or major setback is my appreciation grows more and more for what I do and what I can do, and for the small things to get you through those tough times. -Kyah, thanks so much for your time
-That was great.Thank you.