T.E.P (tunica expansion mesh procedure) and implant journal

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IwillbeatPD

Quote from: Hawk on January 26, 2024, 10:41:27 AMOne thing I don't quite understand is that you pump up and then can later put in another 15 pumps. Typically a person pumps up as much as they can, and later they can squeeze in two or three more partial pumps. If they wait another 15 minutes they might get in one or two more partial pumps, I don't think you're pumping up nearly as far as you can on your initial pumping.  The sooner you get all the possible pumps in, the sooner you start stretching, and the sooner you can deflate and get on with your day.

Maybe this also depends on implant size too. For me. I get maybe 15-20 full pumps before I can't pump initially. If I wait 10 min I'll get another 4-5. And seems like I can get another pump every 10-15 min after. I had this exact question though. From the initial pump, to the end of my hour cycling. I add another 10-12 pumps if I had to guess.  
Fit 37 year old athlete. Hinging and hourglass began Sep 2022. Tried VED, Restorex, tadalafil with no improvement. Implanted by Dr Hakky 11/28/23 with Titan touch XXL 26 cm no RTE's. Pre op 8.25Lx 5ish G. Post implant: 8.25 L x 5.5 G

Stepone

Jj21,
As all of us have said, it is all about the surgeon.
The sad part of your surgeries is that the doctor didn't seem to be patient focused.
I hope things will settle down. Your penis has been through a lot and things take time to heal.
Think about that.
As Hawk had pointed out, the pain is a good sign of stretching.
I would suspect over time, your penis exercises and hand modeling will give you more girth and straightness.
It's funny, but 2023 was my best penis year. lol
Each year gets better and better.
Best wishes for you and stay strong.
StepOne  
Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

jj21

Quote from: Hawk on January 26, 2024, 10:41:27 AMOne thing I don't quite understand is that you pump up and then can later put in another 15 pumps. Typically a person pumps up as much as they can, and later they can squeeze in two or three more partial pumps.

Just to clarify, after 20m, it's probably 3-4 full pumps, then 8 or so half-pumps.  
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Aussiemale

Quote from: jj21 on January 25, 2024, 09:29:27 PMI am going to put this message here for others. I've spent about 20k on my surgery (2 surgeries) including airfares and accommodation. If I choose to get fillers to compensate for the lack of girth, that would cost another 10k. That's 30k AUD, another 10k and I could have just gone to Dr Hakky for my surgery, and I believe, I wouldn't have many of these issues.


I will post some pics up in a few weeks.
J


Hi JJ. Just read your post. Mate I would not risk getting fillers injected. You have an inflatable device inside you......what happens if they puncture the cylinder? Back to square one. Dont risk it mate.

 
50 years of age.
Type one Diabetes 

45 degrees left.
Incision and Graft plus Nesbits.
Curvature returned.
Decreased erection quality.
Implant pending.

Sonic

I would not get fillers if I were you J. It's just unnecessary waste of money and more risks. Based on your pics you have already gained some serious amount of girth compared to the pics prior to surgery, you have by my eyes at least doubled the size in girth. The most recent pics seriously look borderline porn star size.

Here is a side by side pic. https://ibb.co/gWf93Dr
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

Aussiemale

Quote from: Sonic on January 27, 2024, 05:31:07 AMI would not get fillers if I were you J. It's just unnecessary waste of money and more risks. Based on your pics you have already gained some serious amount of girth compared to the pics prior to surgery, you have by my eyes at least doubled the size in girth. The most recent pics seriously look borderline porn star size.

Here is a side by side pic. https://ibb.co/gWf93Dr

Agree. I would be stoked with results. Don't let some cosmetic cowboy quack near it now.  
50 years of age.
Type one Diabetes 

45 degrees left.
Incision and Graft plus Nesbits.
Curvature returned.
Decreased erection quality.
Implant pending.

Stepone

Jj21

I agree, your cock is perfect.
Don't take any chances with additional surgeries or injections.
StepOne  
Nesbit surgery 2015, 66 years young, Titan Implant 4/25/19, 22cm, Dr. Lentz, Duke University NC

jj21

Quote from: Sonic on January 27, 2024, 05:31:07 AMyou have by my eyes at least doubled the size in girth. The most recent pics seriously look borderline porn star size.

Here is a side by side pic. https://ibb.co/gWf93Dr

Thanks Sonic, but just remember, with an implant, it takes an oval shape. So, from the top (as with the pic you linked), it will look girthy, as it is wide. However, depth, as in the girth from top to bottom, will be less than a normal round penis. I hope that makes sense.

I might think twice about fillers, I did just read that user trapper's fillers only lasted 6 months. I don't think it's worth spending thousands of dollars every six months. However, I have lost girth due to the retracted graft which is a bit difficult to see in pics.

I'll do some measurements once I properly hit 1 year (in a few weeks).

Thanks as always for the advice guys.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Sonic

Quote from: jj21 on January 27, 2024, 09:00:02 PMThanks Sonic, but just remember, with an implant, it takes an oval shape. So, from the top (as with the pic you linked), it will look girthy, as it is wide. However, depth, as in the girth from top to bottom, will be less than a normal round penis. I hope that makes sense.
J

Oh, I understand now. At the end of the day it's your decision bro, you do what feels best for you but I would again advise against it. It costs a bunch, they are only temporary and you already have way above average girth, just embrace the shape of your penis and live with it. I hope the other issues such as pain etc resolves and everything goes well. You went through a pretty rough process and I am happy things are starting to improve.

Honestly can't believe almost a year has already passed since you had your implant. Time really flies mate...

Btw, La Pump has an eliptical cylinder that has an oval shape. Maybe it could be an idea to try one and pump with it as your penis has more of an oval shape?
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

jj21

Quote from: Sonic on January 28, 2024, 03:56:15 AMBtw, La Pump has an eliptical cylinder that has an oval shape. Maybe it could be an idea to try one and pump with it as your penis has more of an oval shape?

That's quite interesting, thanks for the info, I will definitely look into it.

Will post some pics of measurements in a few weeks.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

jj21

Just going to leave this here. This was a reply from someone on FT. I think it's important info for people considering this procedure.



Re: Implant + TEP procedure Journal - 34yr old Australian
Sat Jan 27, 2024 11:21 pm

Glad you're better now. Really happy for you. I think your journal is one of the most important implant journals in the history of this site. No different than frequently referenced ones (e.g. Merrix, Tangerine etc.)

I'm not from the States. The highest volume surgeon in my home country offered me TEP with subcoronal incision. I was hesitant, to say the least. Long story short, I decided to go with Hakky. Flew from the other side of the planet to be implanted with a 26cm Titan. He used scratch technique, no TEP (which is an outdated technique according to him). He also told me that subcoronal incision can be extremely dangerous when it comes to a XL penis (especially +7"). It simply shouldn't be performed on a guy like me.

I'm not saying your journal is the only reason I changed my decision, but it played a crucial part in terms of forcing me to research TEP as humanely as possible.  
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Sonic

I know which doctor implanted you. I know he's one of Australias most known and experienced implant surgeon. I was shocked he recommended the TEP procedure and more shocked with how careless he was after your problems arrised. If I need an implant I do not know what to do. The money required for surgeons like Hakky plus the travel expenses, I would have to save up for many many years. In Sweden they use AMS implants as far as I am aware. Also there is not a single ''high volume'' Implant surgeon in the country. Usually patients here lose 1 inches in size after being implanted on here.

I can only hope the VED helps in the long run. I have been to multiple urologists and I honestly don't even know if what I have is Peyronies or Corporal Fibrosis. My Erectile Dysfunction doesn't make sense. I don't now know if the Erectile Dysfunction is due to scarring or circulatory/vascular issues. At the end of a day I am a man, and refraining from sex as long as I have is starting to make me lose my mind slowly but surely.

I have lost quite some girth. I am using an LA Pump with the most narrow cylinder available, (1.5 inches) Roughly the same cylinder size as the Soma A cylinder. I am seeing slow steps in the right way but I'ts such a hassle. I have noticed that with the cylinder being so narrow it forces my erection to remain straight while erect in the cylinder. I can only hope that with the time and effort put in it will help ''remold'' the penis.
30 years. Sudden rightwards curve detected in June 2020
Narrowing on right side and about a 20° curve to the right.
ED + instability due to narrowing.

jj21

Quote from: Sonic on January 28, 2024, 08:15:28 AMI can only hope the VED helps in the long run. I have been to multiple urologists and I honestly don't even know if what I have is Peyronies or Corporal Fibrosis.

I am really sorry to hear of your troubles Sonic. I know exactly what its like abstaining from sex (and not always by choice). It really takes a toll on your self-esteem, manhood, and mental health.

I am not sure of the details of your condition, but I do know that VED really helped me in the early days. Especially, the 3 Cylinder VED.

I understand your situation too, if I need a revision, my only option is to go to an Australian surgeon or wait a year and save up and see an American surgeon (waiting 1 year for a revision could pose its own problems). I heard Dr Antonini was good for Europe, but then I spoke to someone on FT who had a bad experience with him too. Being outside of the U.S, we really are stuck. And, you really don't want to have a bad result with the implant; its irreversible and our last hope. A bad result with the implant, just feels like the end of the road. So, you want to try your best to have the best possible outcome and this is highly dependent on your surgeon.

Someone like Hawk might be able to give you a better understanding on how an implant would affect corporal fibrosis.

Hang in there with the VED, and maybe try some traction. Also, the combination of pentox and cialis daily helped me quite a bit too.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm +1cm RTE, Partial revision 27th June 23 (fix pump, remove 10ml reservoir).

Hawk

Sonic, I don't want to pull JJ's journal off-topic but IF you have ED that is not satisfactorily addressed by other means like Cialis, then an implant is your only option.  If you get a Boston Scientific (AMS) 700-LGX I find it difficult to believe you would lose length.  If you want to discuss your specifics in more detail, start a topic for yourself.
Prostatectomy 2004, radiation 2009, currently 74 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

GaussRifle

Any update jj21 ? I avidly follow your journal ?  
26 year old
45-50 degree downward curve with an indentation on one side when erect.
Using RestoreX and Xiaflex injections
Taking coq10 with daily Cialis 5mg.