Peyronies Society Forums

Erectile Dysfunction Forum - for all men with ED => Penile Implants => Topic started by: TonySa on January 13, 2020, 04:09:30 PM

Title: Tonys IPP revision surgery diary.
Post by: TonySa on January 13, 2020, 04:09:30 PM
I thought I'd start a new thread for my revision surgery now scheduled for 2/11/20.

See my prior threads for original implant:
https://www.peyroniesforum.net/index.php/topic,10616.msg100640.html#msg100640
And:
https://www.peyroniesforum.net/index.php/topic,10764.50.html

1/13/20
-Met w Dr Karpman re implant deflating during intercourse and requiring additional pumps every 4-5 minutes.  We settled on a full revision rather than just the pump because everything I've read said if replacing any component, replace all.  He absolutely listens to his patients.
-He agreed w switching to the Titan.  One reason is I always thought the AMS should be stiffer, more rigid, for intercourse.  I am also happy that it's girthier and has a smaller (not squared off) pump.
-So I finally found out why he has the manufacture rep in the O.R.  It's because they have all sizes, models and components on hand (different operating dates for coloplast vs AMS).  I like this as I suspect not having the correct length is why some guys end up with 4 or more RTE's as the surgeon did not have the longer implant on hand.
-I'm now 18 cm + 3 RTE for a total of 21.  He expects I'll go up to 22 or higher.  Since Coloplast has 2cm increments in their sizes-it could maybe be 24cm.  I forgot to ask if he'll trim the base of the cylinders like Dr Eid does to eliminate RTE's.
-Will keep you the thread updated as I go along.

Title: Re: Tonys IPP revision surgery diary.
Post by: melting on January 13, 2020, 06:03:29 PM
Maybe a stupid question but considering the impressive size, is this implant route a thing that people would do just for that without having a prior peyronies issue?
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on January 13, 2020, 06:11:59 PM
Yes, if someone has ED, they qualify for an implant without peyronies. I had both so it was a clear choice. 
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on January 13, 2020, 07:43:49 PM
Forgot to add, for about 3 weeks now I've been doing VED for an hour a day (being careful not to overpump) to stretch as much as possible before sizing during revision surgery.  Traction is recommended before implant surgery but don't think that can be comfortably done wnan implant in place, so going w VED.
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on January 13, 2020, 09:01:37 PM
Quote from: melting on January 13, 2020, 06:03:29 PM
Maybe a stupid question but considering the impressive size, is this implant route a thing that people would do just for that without having a prior peyronies issue?

Do you mean would a fully functional male opt for an implant because of size??  If so the answer is no.  The implant is matched to the optimal size of your penis,  You might regain some size.  If it is for ED and you never lost size you might even gain 1/4 inch over your natural size although Dr. Eid dismisses that (some of his patients swear it is true.)  No one would ever implant a functional penis for enlargement.
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on January 13, 2020, 09:05:33 PM
Tony, I am almost certain the Titan 24 cm steps up in girth but the Titan 20 cm is already more girthy than the AMS.

Depending on your girth that might be a plus.  If you have a 5' - 5.5" I am not sure it makes any difference.  My guess is that he will not trim the base, however. 
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on January 13, 2020, 09:36:55 PM
Yea, I read the girth is maximized w the Titan 22cm.  My original girth was more than I have the AMS, so I'm looking forward to the Titan (also because I still have some hourglassing at the site of the graft).
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on January 13, 2020, 11:25:39 PM
Tony, look at the Titan size chart again.  I am almost sure I recall the 24 CM Titan has a girth increase over the 22 CM titan.  I could be wrong
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on January 15, 2020, 04:34:37 PM
Interesting, I got my info Here:  https://www.peyroniesforum.net/index.php/topic,12644.0.html
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on January 15, 2020, 05:49:23 PM
I hope your implant is bigger than that graphic.  It was microscopic :)  Too small to see ANYTHING
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on January 15, 2020, 07:29:16 PM
Ha!  Changed link w pic of good size.
Title: Re: Tonys IPP revision surgery diary.
Post by: SW01 on January 15, 2020, 11:16:43 PM
Good luck. Looks like I am just starting down this road. Will see over the next weeks ahead after urology appt.

I also will start back with ved to keep my gains if it looks like they need to do a total redo. Right now I hope it could be reservoir migration ssue related to messed up stomache issues from long ago surgery. I am shooting for 20 cm posiible If i need new cylinders, keeping my titan. I like it and the pump.

Like I always said. If it messes up getting this thing fixed asap.

Such a pain.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 10, 2020, 09:48:52 AM
Surgery is tomorrow.  General anasthesia always makes me nervous...  I'll update after surgery. 
Title: Re: Tonys IPP revision surgery diary.
Post by: curved on February 10, 2020, 10:25:33 AM
Best of Luck Tony!
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on February 10, 2020, 10:56:58 AM
Quote from: melting on January 13, 2020, 06:03:29 PM
Maybe a stupid question but considering the impressive size, is this implant route a thing that people would do just for that without having a prior peyronies issue?

There was a porn star on FT a while back and he wanted a IPP because he would be like energizer bunny... Basically he was told that it was for Peyronies or ED and no credible physician would implant a perfectly healthy penis.  So you might find a surgeon willing to do it for a price but don't be surprised if when you get a cold your dick gets post nasal drip. :) :D :)
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 12, 2020, 02:53:48 AM
I wanted a baseline, so This morning before surgery bone pressed inflated was 6.75".
Surgery was late am.  Dr Karpman removed 15 cm # 3-1cm Rte AMS CX.  He installed 22 cm + 1cm Rte Titan.
I thought this surgery recovery would be a breeze compared to my original excision, grafting and implant.  However the pain (left pumped up) was way much worse.  He thinks the wider girth Titan is stretching the previous capsule and the price to pay for increasing girth and strength.
It's just crazy how the pain can be different for everyone, or different for the same person 17mos later w a slightly diff procedure.
Tons of pain meds today (overnight in hosp) but still can't sleep.
I'm sure like last time, I'll eventually be quite happy with it.
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on February 12, 2020, 09:31:30 AM
Wow Tony! Such a nice increase on the implant size! So curious to see what you think of the differences between the two devices...  Hang in there pain wise. You got this! 😎
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 12, 2020, 02:45:25 PM
Day 2: Bandages off, catheter and drain pulled. Doc said begin cycling as soon and as long as possible. 
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 13, 2020, 03:23:40 PM
Day 3.  Back home.  Deflated last night and reinflated this morning.  Girth improves but may be inflammation post surgery.  Initial length less than pre-op so will keep cycling.  Pain is completely manageable.  Pump bulb vibrates after squeeze in prep for next squeeze.  Is this common w Titans?
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on February 13, 2020, 07:55:22 PM
Can't help you with that tony. Hoping master Hawk chimes in anytime soon!
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 14, 2020, 12:33:56 PM
Tony, I get a vibration sometimes when inflating. I can never figure it out, why sometimes and not others. But I do think its where I position my fingers on the pump.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 14, 2020, 01:27:35 PM
Thxs, mine vibrates after each squeeze.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 14, 2020, 03:06:30 PM
I found this on FT.......

https://www.FT/phpBB3/viewtopic.php?t=6871

By the way, sometimes my squeaks too.

But I don't care. LOL
Title: Re: Tonys IPP revision surgery diary.
Post by: Roddy on February 14, 2020, 03:28:14 PM
Wow Tony - just catching up with this now. Can totally empathise with your pain. Best advice is to keep ahead of the pain with strong painkillers so it doesn't become an issue for you. Glad it's loosened off a bit. Interesting to read your updates as you go with the differences between the implants. Keep us posted and best of luck.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 14, 2020, 05:50:05 PM
Day 4 and no pain pills needed since yesterday am.  Tylenol and ibuprofen is sufficient.  Don't mind if the pump vibrates just want to be sure it's not defective. 
First difference I've noticed is when deflated the cylinders feel more obvious and crinkle when squeezed w the Titan unlike the AMS.  I think this is because their larger around (girth).  Not a problem, just an observation.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 14, 2020, 07:41:17 PM
Tony, right on with the obvious feelings of the cylinders. Hawk says they soften slightly over time. Mine have softened some and I am 10 months in. But the rigidity of the Titan is great, and I am sure you can agree to that. Are you pumping to max? Also have you noticed an increased girth? I had an indentation from a previous surgery and when pumped, it is completely gone.
I am amazed at the low pain. I guess it's true "revision" surgery is easier on the patient.
Best wishes.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 14, 2020, 11:09:01 PM
Certainly increased girth, but still swollen from surgery.  Yes, I'm pumping to max as well. 
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on February 14, 2020, 11:43:22 PM
Hey Tony! Thanks for sharing the picture with us. I presume you still have old ones lying around from your first implant a month or two after surgery? It would be so cool to put the two pictures side by side for a comparison with a text description.... But I am patient... I can wait! :D

Are there any changes to your erect angle, now that you have more inflatable part of the implant and less RTE's or barely none?
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 15, 2020, 09:52:21 AM
I think it's a slightly somewhat higher angle now.  Lots of other pics in my other diary. 
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on February 15, 2020, 11:28:18 AM
Tony, you did a preop bone pressed measurement and mentioned length.  Did you measure girth at that time?
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 15, 2020, 03:47:24 PM
No, meant to do it but couldn't find the cloth tape.  I think I might have an earlier measurement I can look up.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on February 16, 2020, 07:21:10 AM
Quote from: pfract on February 14, 2020, 11:43:22 PM
I presume you still have old ones lying around from your first implant a month or two after surgery? It would be so cool to put the two pictures side by side for a comparison with a text description

Or even pictures before ANY, then after 1st surgery and finally now.

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 18, 2020, 07:45:35 PM
Tomorrow is day 9 and I'm feeling good to go back to work.  Except for the first 24 hours this recovery was much easier than the first excision, graft and implant.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 19, 2020, 07:23:09 AM
Thanks for the update. It's nice to know that if we need a revision, it's not as bad as first one. Thanks for sharing and I can't wait to hear how you compare the new model to the old.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 19, 2020, 10:47:00 AM
Back to work yesterday after one week.
Title: Re: Tonys IPP revision surgery diary.
Post by: Roddy on February 19, 2020, 05:06:01 PM
Tony, after the length of my recovery from my implant last year, I cannot believe you are back at work within 9 days!! That is unbelievable. Are you generally super-human? Incredible recovery ...
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 19, 2020, 11:26:17 PM
LOL, actually overdid it ... by this afternoon had shooting pains in penis, so just stayed sitting at desk rather than walking around and it let up.  Hubby says I'm looking pale...may take the rest of the week off 🙃
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 19, 2020, 11:28:24 PM
Seems like for revision the incision is twice as long...ordered something gel scar strips as it's quite a raised scar.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on February 20, 2020, 05:34:57 AM
Quote from: TonySa on February 19, 2020, 11:26:17 PMmay take the rest of the week off 🙃

OK, Tony (and everybody) Just out of curiosity, what did you tell work you were taking surgery time off for?

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 20, 2020, 04:30:45 PM
"Old man Urology concerns". Those who inquired for more info for my first surgery I explained I had peyronies.  This  time I Said it was a f/u re-do.  With 3 close friends (2guys, 1 gal) I went into all the details including implants.
Title: Re: Tonys IPP revision surgery diary.
Post by: samsung on February 20, 2020, 05:42:07 PM
You're a brave man. If any of my friends knew I would have to bury them immediately;)
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 20, 2020, 10:35:49 PM
Lol, just recounted...st least 4 guys and 2 gals know about implant.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 21, 2020, 07:25:22 AM
Thanks Tony
Since we are confessing on who we have told.
I have told 4 women and 6 guys.
And when my church asked me why I was going to be out, as I have responsibilities in the church, I told them it was one of those "guy urological surgeries". I sometimes received a follow up question if it was cancer. I would respond no, and I guess the all thought prostate, because no more questions.
When I used the same line with my male and female friends, they all asked what kind of surgery and when I told them, they hadn't heard of implants for the penis, so they had lots of questions.

Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 23, 2020, 11:01:44 PM
Is the Titan truly one touch (squeeze) or do guys find multiple squeezes is best?
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 24, 2020, 10:53:22 AM
Since we are all different, let me share my experience.

When I deflate, I have to hold the deflate button, and apply pressure to completely deflate the penis. Sometimes I will think I have deflated all the way and when I give the bulb a squeeze, its too easy to squeeze and I know I have not fully deflated. If I don't fully deflate, my penis will gradually refill to a small chubby.

When I know I am fully deflated, the bulb will be tight. I then have to give a small squeeze to the bulb. If I don't, the fluid gradually inflates my penis to a small chubby. It never fully inflates, but it will inflate somewhat.

This is confusing for sure, it's really about feeling your penis and the cylinders. Some days, I am more successful than not. I know not everyone has this issue, but it is a small price to pay for 100% guaranteed sex every time.

I joke sometimes to myself, if this implant was a car, I would take it to the shop and have it looked at, but my physician doesn't seem to be concerned when I emailed him, so I am good.

StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 24, 2020, 10:54:59 AM
Thxs, I see my doc today for first f/u, so he can show me.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 24, 2020, 04:18:38 PM
Saw doc for 2 week f/u.  Cleared for sex next Tuesday 😎.  I'm very happy w the implant and feel the Titans a better fit for me.  Will take some pics soon.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 24, 2020, 04:32:07 PM
Tony, gosh, this was a fast recovery.

So the theory seems to be correct and that revisions are quicker to heal from.
Good luck with your new "toy".

Thanks for sharing, it makes us all hopeful that if we need a revision, we don't have to freak out.

StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on February 24, 2020, 05:30:52 PM
Quote from: Stepone on February 24, 2020, 04:32:07 PM
Tony, gosh, this was a fast recovery.

That's 3 weeks which is the standard recovery time for Dr. Eid
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on February 24, 2020, 05:40:18 PM
On the one-touch.  I think Stepone was using the term "totally deflated" incorrectly.  I think he meant sometimes he thinks his deflate valve is locked open and it isn't. 

You can tell if you got the deflate valve totally locked open either of two ways.
1. Turn loose of the valve and squeeze your penis.  If it deflates with your hand off of the valve then it is locked open.
2. Give the bulb a squeeze like you are going to start pumping fluid into the cylinders.  If it was locked open that first squeeze is hard because it has to flip the valve.  If you can give a little pump with only normal effort then it was not locked open.

If you read my journal and others you will find that MANY men cannot lock that valve open in the beginning.  They have to depress it and since it is not pushed far enough to lock open they have to hold the valve while squeezing the penis.  It was months before I ever got it to lock.  Some guys never get it and some get in in the first few weeks of cycling.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 24, 2020, 08:40:41 PM
Thanks Hawk, that's very helpful.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 24, 2020, 09:45:51 PM
Two weeks tomorrow and I measure length which is same as day of surgery: 6.75". W the 2 extra cm this time I'll see if it increases w daily cycling 2x 2 hrs.
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on February 26, 2020, 11:59:27 PM
I bet my money on increase.  Be sure to measure length and girth.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on February 27, 2020, 08:54:49 AM
Quote from: TonySa on February 23, 2020, 11:01:44 PM
Is the Titan truly one touch (squeeze) or do guys find multiple squeezes is best?

No, you have to pump it up like an inflatable boat.  When you release, it is a good idea to hold the button down and squeeze the shaft.  Then give the pump a little squeeze until you feel a click... this locks out the saline so that it can't come in unless you pump it in.  I'm not really sure why this is necessary but it is.  I spoke to Jamie (the nurse at the implant company) and she says that she has heard that from a lot of people that have both Coloplast and AMS. :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 27, 2020, 10:05:03 AM
Larry thanks for your posting.

and Hawk thanks for posting your explanation too.

I think we need a section on how to inflate and deflate and all the nuances with it.

I received excellent instructions for my Nest Thermostat, but nothing with my implant.

I have had to grab little things from this website and searches of my own to figure out this new product with no instructions.

As a matter of fact, Hawk, thanks to your last instruction of pressing the button real hard, and then testing it to see if the bulb is hard, is truly the first time I have done it correctly after all these times. Maybe my valve has been a little testy from the beginning and I didn't even know it.

It would be good to have something about some of the sounds we hear, etc. I know you are busy, I could try to write something if you want and then send it to you for editing. I think it would be well appreciated by everyone, rather then reading everyone's blogs and getting pieces from this and that.

thanks for all you do.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on February 27, 2020, 10:11:11 AM
Opps, forgot, maybe it could be put in the Titan Colorplast guide section.

Thanks
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on February 29, 2020, 01:48:40 PM
Yesterday, noticed bumps along vein.  Saw my surgeons NP and it's a thrombosed vein.  Apparently resolved on its own and may be unrelated to surgery?  Here's the thread I was posting on...will keep all lists on this thread moving forward.  https://www.peyroniesforum.net/index.php?topic=13177.msg120347#msg120347
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on March 09, 2020, 10:22:02 PM
Quote from: Larry on February 27, 2020, 08:54:49 AM
No, you have to pump it up like an inflatable boat.  When you release, it is a good idea to hold the button down and squeeze the shaft.  Then give the pump a little squeeze until you feel a click... this locks out the saline so that it can't come in unless you pump it in.  I'm not really sure why this is necessary but it is.  I spoke to Jamie (the nurse at the implant company) and she says that she has heard that from a lot of people that have both Coloplast and AMS. :)

Larry

There is NO click when locking out a Titan pump.  If you squeeze it HARD you do not have to hold the pump down to deflate.  One HARD 2-second squeeze and it will lock the pump.  This is what they mean by one-touch :)
When you are still sensitive from surgery and the pump is not broken in it is often impossible to squeeze the valve hard enough to get the valve to lock open.  It took me a couple of months.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on March 10, 2020, 08:12:49 AM
Quote from: Hawk on March 09, 2020, 10:22:02 PM
There is NO click when locking out a Titan pump.
I have a AMS, there is a click on mine. If you squeeze it HARD you do not have to hold the pump down to deflate.  One HARD 2-second squeeze and it will lock the pump.  This is what they mean by one-touch :)
When you are still sensitive from surgery and the pump is not broken in it is often impossible to squeeze the valve hard enough to get the valve to lock open.  It took me a couple of months.  When the Dr. says it's ok, sit in a tub of water a hot as you can take it... that heats up the pump up making it easier to squeeze (you can also use a heating pad or hot water bottle but the tub works better.


Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: Hawk on March 10, 2020, 10:37:49 AM
I am with you Larry but the discussion on this topic is specifically about a Titan pump.  Tony had an AMS and completely understands that pump.  He now has a Titan.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on March 10, 2020, 03:09:14 PM
Brief update, at week 3 had some new swelling of penis.  Also, was able to start using.  Swelling calming down.  Seems like significant increase in girth...but want to give the swelling a chance to completely subside before measuring or documenting what photos.  Now have the hang of the titan pump.  Interesting how bang more pumps it take to full inflations from the AMS.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on March 10, 2020, 04:28:05 PM
Tony, thanks for update.
I had more increased girth and length over time. But the first time, I pumped him up, I noticed the girth. I am sure your partner will enjoy.
Thanks for staying in touch, as reports help everyone.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on March 10, 2020, 07:55:54 PM
How many pumps in general to full inflation for the titan?  And are the last twenty or so partial pumps?
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on March 10, 2020, 09:23:41 PM
Learning the Titan pump is an interesting task.
What I have learned comes from the infamous Hawk.
I would read his posts about the pump for clarity.
But I have found that when I have deflated properly. Meaning I have pressed the Titan button once for about 3 seconds really hard!!!!!!! It locks the pump open so the fluid can go into the reservoir. The pump bulb will get hard as a rock. If I do this, I will totally inflate in about 27 semi full pumps. If I wait a few minutes, I can usually get in a few more pumps.
If I don't do the full lock out when I deflate, and this seems off, somehow I will pump as many as 37 pumps.
I think I am a lousy pumper sometimes, some may be full squeezes, some may be partial.
But I have found that once I have pumped it up to the maximum, it just won't pump anymore. The pump becomes so hard, there is no way to pump it any harder.
If you read everyone's journal, it seems everyone has different amounts of pumps.
But you have 22, Hawk has 22, and I have 22cm, so, all things being equal, the only difference is how tightly we squeeze the pump.
Good luck and hoping for lots of fun for you, once you get the go ahead.
My spouse/partner is out of town this week, so I am pumping with no benefits, lol.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on March 12, 2020, 12:23:40 PM
Quote from: samsung on February 20, 2020, 05:42:07 PM
You're a brave man. If any of my friends knew I would have to bury them immediately;)

Strange, when women get implants because they had breasts removed because of cancer, they celebrate their surgery but men suffer in silence. :(

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on March 20, 2020, 09:53:45 PM
I keep having nightmares about my tubing falling out, always a relief to wake up.
Title: Re: Tonys IPP revision surgery diary.
Post by: b_rad on March 21, 2020, 12:31:34 PM
I'm just past 2 weeks from surgery. I get 9-10 full pumps on my 22cm Titan then the bulb gets hard and I can maybe squeeze another 2 more partial pumps. It takes 15 or more minutes before I might get another partial pump in but more times than not right now I cannot. It's strange how the amount of pumps differ from person to person. I don't get how one person takes twice as many pumps as I do. 

Couldn't be more happy that I went ahead with the surgery. I regained length back immediately but girth is the same. I am still shy 1 inch at the base and 1/2 inch at the head. Hopefully over time it'll come back. Wife prefers girth over length. Am currently 6" length and only 5-3/4 at head and 6" at base in girth.

On the up side, it's now straight enough for penetration!
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on March 21, 2020, 01:26:40 PM
b_rad,

It is strange about the pumps. Sometimes I can pump up to 40 pumps.
I think sometimes I don't pump a full pump, but I think there has always been something wrong with my pump, but I can live with it.
I am able to do like you too, a few partial pumps after the initial pump.
I called my surgeon when the number of pumps started increasing, he told me that the tubes are able to expand more over time as your body opens up to the cylinders and therefore there is more to pump into the cylinders. I guess this is right, as my penis length and girth have increased over time.
My spouse favors girth too, so your base and head girths are slightly larger than mine and I am at almost a year. I bet your measurements increase.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on March 24, 2020, 06:44:41 PM
Quote from: b_rad on March 21, 2020, 12:31:34 PM
I get 9-10 full pumps on my 22cm Titan then the bulb gets hard and I can maybe squeeze another 2 more partial pumps

Make sure you pump absolutely as much as you can... it keeps the scar tissue at bay. When the day comes that it is time to replace the IPP you have, you will not want scar tissue interfering with the replacement implant. :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on March 24, 2020, 06:52:23 PM
Hey Larry,
Yes I pump and pump.
I will pump to maximum and then recheck about 5 minutes later and then check again.
I can always seem to get in at least 1 pump ever so often.
I can only assume I am stretching my penis more and more.
I have seen increased length and girth, just as you have.
Thanks for sharing.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: b_rad on March 24, 2020, 11:52:15 PM
So you keep pumping till the bulb is rock hard or when it hurts?
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on March 25, 2020, 12:32:46 AM
One diff between titan and CX, I Max'd out on CX...now pushing it we titan...pain b4 max...more to grow!
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on March 25, 2020, 05:41:22 AM
Quote from: b_rad on March 24, 2020, 11:52:15 PM
So you keep pumping till the bulb is rock hard or when it hurts?

As long as you can tolerate it it, pump until you absolutely can't anymore.  Doing this regularly will help with length and girth expansion. :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on March 31, 2020, 08:46:47 PM
I wanted to wait until inflammation was down before measuring a pics.
Inflated now 6.5" length and 6" width at widest and 5.5" at narrowest.
Flaccid pics attached.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on April 01, 2020, 10:51:36 AM
didn't see the pics, did you attach?
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on April 01, 2020, 01:58:23 PM
Indeed, Tony you seem to be missing the pictures. Still feeling like you are growing with your Titan?
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 01, 2020, 05:04:53 PM
My pics aren't uploading...arrrgh!
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 02, 2020, 11:39:31 PM
Post titan implant pics.
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on April 03, 2020, 07:28:07 AM
Tony,
Thanks for posting your pics of penis both inflated and not.
Your penis looks like a model for implants, lol. Nice looking result.
By the way, I noticed your not-inflated pics look as if they are not fully deflated.
My penis looks similar when deflated.
When I deflate and lock the bulb for deflate, the bulb becomes hard, therefore I have been told it is in the deflate mode.
But I always notice, after I have squeezed all the fluid out of cylinders, I always notice about 30 minutes or so, that my cylinders will inflate a little.
I think hawk said I could give the bulb a slight squeeze to unlock the pump and put it into the inflate mode.
Am I right for this?
Does this happen with you?
Thanks
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: SW01 on April 03, 2020, 08:33:59 AM
Tony, I am glad things are going well for your revision from the lgx to the titan. To funny that my revision went from titan to lgx.

As for titan pump. Mine was a bit sticky for the first couple months. The more I used it the better it got. Eventually like hawk said I would push the button and hold it for a couple seconds and my titan cylinders would deflate. I could squeeze them if I wanted to get every last bit out but usually just pushed the button and let it deflate on it's own.

I am hoping this new lgx pump does the same when i start pumping it up.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 03, 2020, 11:58:22 PM
I find the AMS easier to deflate as it makes a vibration when deflating, the titan is silent so never really sure if it's fully deflated.  That's ok as I much prefer the increased girth and smaller pump size of the titan. 🙂
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 04, 2020, 06:03:04 AM
Quote from: Stepone on March 24, 2020, 06:52:23 PM
Hey Larry,
Thanks for sharing.
StepOne

You are welcome.  I too can get more pumps as time goes on.  I know when I am stretching because it starts to become uncomfortable.  I only do this when I am cycling.  When having sex I just pump until it's erect.  I have been cycling for two years and my doctor says that's is a great way to keep scar tissue away making the eventual revision easier and possible..

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on April 04, 2020, 03:40:00 PM
Congrats Tony! I hope it's only smiles from now on!  8) thank you for the pics. Maybe I'll grab'em and try to paste the before and after together with a description for size comparison? Got to go to my computer for that. Maybe.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 05, 2020, 04:47:19 AM
Quote from: TonySa on April 01, 2020, 05:04:53 PM
My pics aren't uploading...arrrgh!

I can see them just fine... :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 05, 2020, 04:51:38 AM
Quote from: Hawk on March 10, 2020, 10:37:49 AM
I am with you Larry but the discussion on this topic is specifically about a Titan pump.  Tony had an AMS and completely understands that pump.  He now has a Titan.

Hawk, is there really that much of a difference between the Titan and the AMS?? :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 05, 2020, 12:37:06 PM
I've found several differences.  For me:

Titan pump is smaller and less rectangular.
Titan has wider girth.
Titan has stiffer cylinders (AMS feels more natural flaccid...at least initially as I'm early on w the Titan and I hear they soften over time.)
It may be the sizing but my titan at max is uncomfortable (unlike AMS) which I take as pushing and maximizing length and girth.
At max Titan to me feels more rigid and stable for intercourse.

Of course some of these are subjective and could be based on sizing of each.

Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on April 05, 2020, 02:04:19 PM
I have found with the Titan, that over time, the cylinders have stretched my penis to be thicker and longer. I am going on 1 year in about 19 days and my penis is definitely bigger. I will do an update in my own journal later this month.
I think you will like what happens!
I have never made my inflate/deflate button work with one touch, but the performance of this implant has been great.
I am very happy for you.
When you had to get a revision, what were the reasons for the manufacture change?
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 05, 2020, 08:07:07 PM
The smaller pump, wider girth and stronger cylinders were the objective reasons.
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 06, 2020, 05:39:04 PM
Before I got the AMS LGX implant I was 1" long flaccid and 3 to 3.5" in girth.  I am now 5.5" long and 5.5 in girth.  It is definitely hard enough for intercourse and very natural looking when flaccid.  As for uncomfortable... when I pumped to the max it was very uncomfortable until I stretched.  I think both brands would be uncomfortable until you stretched to match it. :)

Larry
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 06, 2020, 08:06:09 PM
I gained length w AMS but never felt uncomfortable pumping to max. 
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 07, 2020, 05:54:42 AM
Quote from: TonySa on April 06, 2020, 08:06:09 PM
I gained length w AMS but never felt uncomfortable pumping to max.

It is possible that your surgeon undersized you.  You probably could have taken the larger size or an rte or 2...

Larry :)
Title: Re: Tonys IPP revision surgery diary.
Post by: Larry on April 07, 2020, 05:56:41 AM
Quote from: TonySa on April 06, 2020, 08:06:09 PM
I gained length w AMS but never felt uncomfortable pumping to max.

What is PxD???

Larry:)
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 09, 2020, 08:26:34 PM
Peyronies abbreviation.

I don't think my AMS was undersized as I had dog ears.
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 14, 2020, 12:26:47 AM
2 months out and length has increased from 6.5 to 6.75" and 7.0 w glans engorged-titan is impressive!
Title: Re: Tonys IPP revision surgery diary.
Post by: Pfract on April 14, 2020, 02:26:21 AM
Very happy to hear that Tony! Totally keep it up!
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on April 14, 2020, 07:50:05 AM
Tony, that is great.
I realized almost an inch in recovery length, mine came months down the road.
Sounds like you could be a 7.5.
But I am most impressed by girth as is my spouse.
Glad all is going well.
Very happy for you.
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 14, 2020, 10:33:44 PM
It's interesting the pain at max inflation seems to be around the girth not just length...maybe both will grow 😎
Title: Re: Tonys IPP revision surgery diary.
Post by: Stepone on April 15, 2020, 08:35:11 AM
Tony,
I had both pains when I first started all the way up to maybe 6 to 8 months when maxed. So I would think you will gradually grow in both girth and length.
You already have a fat girth, so you will be huge, lol.
Again, as always, good luck in your progress!
StepOne
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 16, 2020, 12:23:48 AM
Thanks guy, I'm happy w my size but don't complain if I continue to grow...haha
Title: Re: Tonys IPP revision surgery diary.
Post by: TonySa on April 22, 2020, 08:24:22 PM
Just saw my insurance statement.  The hospital billed $136k and the INS company paid $79k and my copay is $500.  I'm astounded at how much they are contracted to pay.
Title: Re: Tonys IPP revision surgery diary.
Post by: RichardWilson99 on April 12, 2021, 01:39:02 AM
This thread is fantastic.  I am looking to meet with karpman soon.
Did you end up having to pay 56k??