Final update

[davie159]

Surgery (coloplast) 28th June '23
Consultant review appointment 22 August '23

Well folks I've had my post surgery appointment where the 50% erection I had for 8 weeks was deflated. No pain or discomfort however the size my flaccid penis was prior to the operation is bigger and definitely thicker. Apparently that's down to the size of the cylinders and that will be my soft size !!  It's taking a bit of time getting used to as I feel almost semi lol.

I was taught how to inflate and deflate the device and I found that not too bad. Deflation is one continuous press then squeeze my penis for a few seconds. Thus was the part I was nervous about but I've taken to it ok. I've cycled every day since.

I'd definitely say I've lost a bit of length but I'm as straight as an arrow. I've not had penetrative sex (yet) but masturbation and oral and good.

So all in all I think things have gone well. Yea I can feel a bit of pressure when I put trousers or jeans on because I'm not back to my original flaccid size. My cock sits slightly to the left - again that's no big deal. Considering the excessive curve I had before, I'm a happy lad.

 

[davie159]

I really hope it ok to add this picture. This is the sitting to the left i mentioned and the feeling im semi erect when flaccid. I'd be interested to get your thoughts. I've also attached a pic from pre surgery.  

[Pfract]

Hey Davie! Thank you for sharing this with us. There's chance that you regain back size if you are consistent with your post op cycling regimen, according to the doctors that do these procedures. I am curious, to see the difference post op compared to your previous photo where it shows that big curvature?

At this point I wish you the best of luck on your procedure and that you have nothing but gains from now on!  

[Hawk]

What you have now is far from the finished product.  You will still gain size, especially if you feel a lot of discomfort after being inflated for 30 minutes.  That pain is your penis stretching.

Your deflated penis will continue to appear and feel more naturally flaccid for over a year, although it will always be larger than your natural flaccid.

Do you know what model of Coloplast you have?  Is it a Titan with a 1 touch pump?

I recommend keeping your penis pointed up to preserve the angle when inflated.  You can end up with a very firm inflated penis that points downward.

[davie159]

Hi Hawk and thanks so much for your reply.

The implant was Coloplast 3 piece. For inflation I pump the 'bulb' roughly 7 or 8 times and deflation there is a small 'valve' with a flat area which I press to deflate along with squeezing my penis. It's pretty easy - even for me !!

With regards to inflation, i cant say i've had any real discomfort when hard ever after 30 mins etc. The tip of the penis is a bit soft and penetrative sex is, at this juncture a little difficult relative to that . The shaft of the penis is rock hard. My partner intimated she can feel the hardness.

Thanks for the advice regarding pointing my penis upwards when faccid - That's something i'll start to do. Its been 10 weeks since surgery and i guess i'm expecting the finish article which i know know isn't the case. The only negative for me is that my penis and scrotum area feel really heavy - I guess having an implant in there can be an attribute !!!!

I have a telephone consultation with my consultant in a couple of months so by that time things will have settled even more. Once again thanks for taking the time to reply and for your good advice.

[Hawk]

Coloplast makes a few three-piece implants.  I think all use the identical so-called "One touch" Pump.  It is called that because it is designed so that you should be able to press the release valve for a few seconds (very hard, NOT a "touch") one time and then let go.  You can then squeeze your penis with your hand totally off of the pump or release valve. - However, that often does not work until the pump is broken in.  Until then, deflating might be a two-hand operation, with one hand squeezing the release valve and one hand squeezing the penis.  The problem with that is that it makes it difficult to 100% deflate the penis.

Deflating the penis 100% is important for two reasons.

1.  Deflating the penis 100% means you are inflating the reservoir 100%.  This expands the scar capsule around the reservoir.  If that is not done very early on, the reservoir will scar in at less than full capacity.  This will cause auto-inflation that can often not be corrected without surgery.

2.  Not fully deflating the penis can place constant strain on the tissue and cause the tips of the cylinders to erode right through the penis so that they are exposed.  This is an awful but fortunately uncommon event.  The more significant issue is that the constantly increased cylinder diameter will make the scar capsule in the base of the penis (behind the scrotum) to be bigger.  This will result in a less stable (not less hard) implant that can point at a downward angle when inflated.

To fully deflate:
1.  Try to depress the deflate valve VERY hard for 2 seconds while squeezing the penis.
2.  Let go of the release valve and see if you can continue to squeeze the penis to deflate.  If you can, this means you have locked the deflate valve open.  You can also tell if the deflate valve is locked open with a gentle squeeze on the pump bulb.  If the bulb is hard, you are locked open.  If it squeezes easily and then sucks fluid, it is NOT locked open.
3.  Once locked open, you can now use two hands to totally squeeze the fluid from the penis, starting at the glans and working back the entire way behind the scrotum.

Once everything is working and you have your technique down, this entire process takes a minute or less.  It takes some men a couple of months of cycling before they can lock the deflate button open.  Some can do it very early on.

Things you need to know about your implant.  Usually, a surgeon gives this info in writing to a patient to supply to a radiologist during future scans or imaging and even to airport security if a question arises.
1.  Your EXACT implant model
2.  Your exact implant size and whether you have any rear-tip extenders

Things you need to know about your surgery
1.  Was you implant penoscrotal (incision in the scrotum) or Trans-pubic (incision above the penis over the pubic bone.
2.  Where are the distal tips of the cylinders?  The ideal is that you can feel them 1/3 - 1/2 of the way into the glans (head of the penis).  This gives the most natural look and maximum length.

You mention you have a  soft tip that somewhat interferes with penetration.  If the cylinder tips do not extend into the glans, then your glans will flop from lack of support unless you still get some degree of natural erection.  The tips will end short of the glans in very poor surgeries, and the entire glans will sag.  This is called the Concord effect after the profile of the Concord airplane https://duckduckgo.com/?q=concord+air+plane&atb=v317-1&iax=images&ia=images

 

[ohnoohno]

Congrats on getting it done. Hope you have a good recovery. Have you gained much of that 7" back after the surgery?  

[davie159]

Thanks again everyone for your replies.

If i can ask a couple of questions.

1. Last week i tried to inflate but nothing - No movement. I then carried the deflate procedure and following that i was able to get inflation. Is it the case you have to be fully deflated to start the inflation process.

2. Is there a feeling on the pump bulb that suggests the penis is as hard as it's going to get ? i.e, the bulb becomes for difficult to press ?

3. I've started inflating my penis at home and basically just leaving it for an hour or so. I'd really love a bit of length back but that probably ain't going happen.

4. When deflating, will i do any harm to press the release valve more than once (sort of just to make sure) and squeeze the penis ?

I know these are probably silly questions but i didn't get much info from the surgeon on discharge. Basically this is how you inflate and this is how you deflate - Which i guess is probably all that's needed.


Thanks once again.

Davie

 

[Hawk]

1. No!  You can deflate slightly and reinflate.  On rare occasions, the valve can stick and it requires a hard pump followed by deflate repetition but that is pretty rare.

2. That is subjective.  When the pump bulb is too hard to pump, you can still use two hands to pump more and/or wait for the penis to stretch for a few minutes and add another couple of partial pumps.  If the bulb ever stays collapsed or dented after a squeeze, it means there is no more fluid in the reservoir.

3. If you still get the feeling of uncomfortable stretch after some period of time inflated, then you are stretching.

4. You can press the deflate button - 100 times.  The most effective is to squeeze the valve very hard for 2 or 3 seconds and squeeze the penis.  The fluid rushing back is what flips the valve.

[davie159]

Thanks very much.

I've a couple of packets of tadalafil in the house which I guess are pretty redundant now lol. I'll discreetly ask a couple of friends if they want ti give their boyfriends a night to remember lol  

[Hawk]

They may not be totally redundant.  They will still give you engorgement of the glans and spongiform which an implant will not do unless you got some natural erection without drugs  

[davie159]

Oh right. So if I took one just as a 'see what happens' I won't do any harm to the implant ?  

[Hawk]

it could not possibly do harm to your penis or implant if you took them every time you had sex
 

[davie159]

Tried 10mg Cialis and the tip of my penis  definitely feels as if it's harder. Haven't tried any penetrative sex but feels better.  

[Hawk]

You have not given us much info on your case Davie.  

1. What size and model is your implant
2. Do you have Rear Tio Extenders (RTE's)
3. How far into your glans do the tips extend (just to the rear edge, 1/3, 1/2, 3/4 of the way into glans)

[davie159]

Sorry but I was never given that information.  

[Hawk]

Well, you can certainly feel how far the tips of the cylinders extend into the glans !

You know whether your incision was in the scrotum or above the penis.

[Stepone]

David,

The questions that Hawk asked are a good questions you should know.
So if you don't know that information, you should contact your healthcare provider and share it.
In addition, you should receive a card from the manufacturer, should you ever need an MRI.
Also the last question Hawk asked is something you should be able to feel.
How are you progressing?
StepOne
 

[davie159]

The incision was in the scrotum