Peyronies Society Forums

This topic was the journal of a member who had two attempts at implant by a surgeon in Glasgow who did a commendable surgery on a previous member.

The first disaster resulted when the reservoir was clearly visible under the skin and a fluid leak.  The result was that when the patient attempted to pump, the bulb on his pump went flat and would not expand.  That is almost conclusive proof that there is no more fluid available to the pump.  Unfortunately, the patient could not get this thru his head and kept saying he dented the bulb (impossible) by squeezing too hard.  His surgeon put him off for an appointment a month removed from his complaint.  Finally, the patient called the company. The company rep immediately knew what was wrong and called the doctor.  The doctor then found time to immediately call the patient and scheduled him for an earlier appointment.

The surgeon performed a new surgery but replaced only the reservoir rather than giving the patient an entirely new implant as many leading surgeons would do (Dr. Eid, Dr. Kramer, many more).  After putting the patient through another surgery, the pump was still out of fluid.  At this point, the patient had not had a chance to cycle his implant once.  He was scheduled for a 3rd surgery.  Not only was this a great risk to the patient, but the time-lapse alone meant more months for the penis to scar down because he could not cycle.

Through all of this, the patient defended his surgeon, rejected the advice of other men with implants on the forum, and refused to demand any accounting or correction. Finally, when his surgeon's name was removed from our surgeon's list for performing two consecutive unsuccessful surgeries, and improperly inserting a reservoir, and failure to respond to a patients plea in a timely manner, the patient, was displeased with the forum and deleted his posts that served as a classic textbook case on how a patient should never respond.

This topic is the remnants of these botched surgeries with the patient's posts removed and only the member's responses remaining.

Welcome sir!   Your in the right place!

I am relatively new as well.  Implant on 4/14/2022

I too struggle journaling; I prefer reading others... but there is an importance to sharing.
I think HAWK (the moderator) has shown me the light to that!  He is "the Grand puuba" of sorts.

You will get great advice here!  I am one who jumps looking for answers; 99% of the time those answers are in others journals...  what a FANTASTIC RESOURCE I have not seen in other "support" groups... because in actuality this is what it has become to me; this is so much more than a message board.

Welcome!  Please enjoy your process... as I have learned It will be a challenge.   It is definitely a marathon not a sprint!

-M

Ian,

You mentioned on another board "I am getting a new type of implant."  We are VERY interested in understanding what that is.

You're in the very best of hands, Ian. Mike Fraser performed miracles on me as you know I've shared before. I look forward to your journal. Please feel free to ask for any info/advice at all.

Good luck!

Roddy

Good luck Ian, looking forward to reading your journal.

Congratulations !!!

Man, you look awesome!
No bandaging, catheter or anything. - Great photos!

It appears you have a 22cm  Ridgocon Infla 10 implant that expands in length and girth, much like the AMS/Boston Scientific  LGX.

This means when deflated that you should have a more natural flaccid in the early months.  That will hopefully make recovery a little less annoying.   The length-expansion implants are typically not used where there is a significant deformity.  At this point, it is hardly apparent that you had surgery.  Do NOT disregard recommendations because you feel great.  Swelling and bruising typically set in after a delay.  Bruising is usually minimal, but you want to minimize that.

Ian, I am amazed too.
Not only do you have the package ID of what they put in you, but you have a great little looking finished product. My penis was black and blue.
So congratulations on a great installation job by Dr Fraser.
Can you also share the instruction booklet? I am curious as to why the other companies don't have something similar.
Thanks for sharing and best wishes.

Ian,
Lol, I feel so stupid.
I did not mean little looking, I meant great looking.
I apologize, your penis is..in no way is little!
Thanks for sharing so freely.
Best regards to your great big beautiful new penis.
StepOne

Well Stepone, at least you gave me a good laugh.  It is seldom I laugh out loud but that did it.  My wife asked me from the other room what was so funny. 

The only reason it is funny is that he certainly is not little.  It would be a lot less funny if he really was.

Ian, happy to hear that your surgery went well. Hoping that your recovery goes well and thanks for the info on the Rigicon implant. I hadn't heard of that one...

Quote from: Ian C on May 12, 2021, 05:38:47 AM
I'm so glad that you can edit posts that you've written.
When
i re-read my post above. I was talking about my semi-inflated duck.

Ian, if you have an inflatable duck, it is nothing to be ashamed of :)   Fortunately, most of us have a sense of humor.  It helps tremendously getting through life.  Especially my life. :)

PS: The forum is set up, so you only have about a 30-minute window to edit a post.  Then you cannot get back it.  Spammers often put short posts on the forum like "Thanks for the info," then go back days later and put spam links in the posts. 

The adventure begins.  It is part, physical endurance, brain teaser, and character-building for your patience.   However, the reward evens out the score the first month you use it.

I remember sitting on the toilet issue, and I was only swollen, not partially inflated.  First, I would totally empty every drop I could from my bladder.  Then I would sit and lay my penis on the toilet seat with either a folded piece of toilet paper under it to catch any drop or hold a paper cup under it with a piece of toilet paper in the cup.  The first few days, when it was too sore to bend down to pee, I just turned on the shower and aimed at the bathtub drain.

Great to hear your operation has been successful, Ian. Looks like Mike Fraser likes to keep his implantees inflated after surgery. Makes perfect sense to me as your tissue adapts to a new shape over time.

I remember the toilet issue well. The best advice I can give you is that you'll work it all out yourself, in your own personal way. 🤣

Good luck and keep the posts coming. Number one piece of advice from me is to stay ahead of the pain. Absolutely stay ahead of the pain - painkillers every 4 hours and you'll have no pain. Yeah, you may have a short term cold turkey issue coming off them (Tramadol for me) but once I realised they kept all pain away, I took them for about 4 weeks in total on the advice of my doctors. I managed to come off tramadol no problem with only slight fidgets and sweats 😳

Congrats Ian!  Things seems to be going well!

Dr Levine is keeping me 1/2 inflated until my 5 week appointment; that appointment is this Monday. 
I had/have issues urinating... never seem to completely finish.  I have prostate issues where I am taking Rapaflo or flomax to help me go; being partially inflated is making it even tougher.

Congrats again.  Thank you for sharing your journey with us!

M

Ian, I think there is no issue too personal to discuss on here, so thanks for your detailed uncensored reporting.
So here is my toilet advice. I have done it from the beginning and still do this most days. When I sit on the toilet I most always have a t-shirt on, so I just grab my cock and stick it under my t-shirt. It keeps it up and out of the way.
Find what works best for you.
StepOne

Ian, I am so sorry for your pain, but I am surprised you have not received any yet.
I was on 2 Gabapentin daily and Tramadol as needed.
I would take a tramadol and Gabapentin at night.
I think I took both for about 30 days and then tapered off both the next 30 days.
I would sometimes take a tramadol 30 minutes before I would pump.
I also took Tylenol and ibuprofen as needed too.
Hope this helps
StepOne

As I recall I was on narcotic pain killers for the first several days.  In spite of stool softeners and other preventatives, the constipated me and I went to Tylenol and ibuprofen at the same time and only occasionally took a prescription pain pill.  I think most guys find it is not all straight-line improvement.  You can go a few days not needing pain meds then have a bad day.  Every week is better than the week before BUT every day is not necessarily better than the day before.

Step-
Gabapentin?  Really?   I guess it makes sense because it helps with chronic nerve pain... tramadol I know wouldn't touch my pain.   I was given the big stuff due to my chronic pain and current pain management regiment. 

Pain sucks; character building and suffering thru... been there, done that... highly overrated!
M

Hi Ian,

You've had a great result! It really doesn't get much better than that. Hang on in there and stay strong!

I'm going in to see Mike next month for implantation. It's great to here another success story. Everyone says the same thing about the man. I'm nervous about it, excited too. I will  be in Stobhill, is that were you were?

Was there a reason for his use of the new model of implant?
It's interesting to hear about. The wonders of modern technology!

Could you detail the process that you go through, from being taken from the waiting room to surgery? What are the steps involved?
I don't want to be demanding, but this is something going through my head.

Hi roddy, hope you are well too!

Hi Ian

Delighted to read that you're doing well. It was 12 days post op that I had an appointment with Mike Fraser. At this appointment I really didn't know what was going to happen. I was all psyched up not knowing why I was seeing him other than an all over check up to make sure everything was ok but had many questions all ready nonetheless. I had been 80% inflated since my surgery and was delighted to be finally meeting him again. I made my way from my home to the hospital in my XXL joggers even tho I'm the complete opposite of that sizing. This was to try and hide the erection I'd had for 12 days. Walking through the hospital and sitting in the waiting room was not easy.

When I saw him, Mike taught me how to inflate and deflate. It was far from easy but he was experienced enough to know that as he sent me on my way, I'd work it all out.

I went home and then started the whole daily cycling process. That was where my real pain issues started, I recall. Sitting on the edge of my bed, I inflated for the first time (Mike had deflated me in his surgery and was sending me away to learn to do it myself). I moved my fingers of my right hand around my testicles feeling for the pump, found it, then pumped up to the max. This is when I was hit with excruciating pain for the first time. Effectively, my implant was stretching out the bent tissue of my penis. It had been bent for 30 odd years (congenital and then onset of peyronies) and now a foreign implant was forcing it to expand itself in a perfect straight shape. My dick was screaming in agony. It was excruciating I remember. It's all in my journal, all documented.

All in, Ian, I had to practise for another week before going back to see him again. To cut a very long story short I was booked to go to Portugal on holiday and, as it turned out, the mix of sun, sea, gentle (very gentle) walks and twice-daily cycling was exactly what was needed to completely recover. I couldn't have sex while abroad but this only added to the anticipation of what lay ahead on my return. I have never looked back, as you know.

Good luck, my friend. I will empty out my message folder and will welcome, as always, any and every question I ever receive.

Roddy

Hey Roddy, thanks for sharing.
I remember your posts from "way back then" when you expressed your nervousness about going on vacation with your new penis, lol.
I think you had concerns about how you would inflate in smaller area.
You and all of us have progressed so much.
Best wishes
StepOne

Your implant is not going down.  The fluid and blood clots in your penis surrounding the cylinders are going down.  A percentage of your "erection" was swelling.

Don't worry.  All is well.

Hi all,
I just sent you a message Ian, I'm not sure if it went through, it doesn't seem to show up as a sent message, my inbox isn't full either. I'm sure it's merely my ineptness with the system!

I know what you mean about the wait time for surgery, it's a form of torture in itself! The last time I had to watch Jeremy bloody Kyle for hours!  :P
I hope I'm taken in early, get it over with. It must be hard for the surgeons though, one patient after the other. They do hellish well when you think about it, what a job. They must be exhausted at the end of the day.

I intend to take my phone in with me, where do you/they put your stuff when they come through to get you?

What did they give you before the anaesthetic? I assume a sedative in pill form?

I am pretty sure i will be kept in over night too.

What was the evening like after the surgery, what was the ward like? The last time I was in hospital (Mororcycle accident) they woke us up every hour.

For the return journey home, I understand Mike inflates his patient's partially. How can you be discrete about what you have had done?
The person picking me up doesn't know what I am having done. I don't want them to know. Maybe it's not possible to hide things.
What did you wear on the day?

I read my questions back and consider that they may all be a bit silly, but these are my concerns today!
I'm 34, so I'm having close family drop me off and collect me, it's something I don't really want to discuss with them.

Quote from: LeRoastBeef on May 26, 2021, 12:51:14 PM

For the return journey home, I understand Mike inflates his patient's partially. How can you be discrete about what you have had done?
The person picking me up doesn't know what I am having done. I don't want them to know. Maybe it's not possible to hide things.

I'm 34, so I'm having close family drop me off and collect me, it's something I don't really want to discuss with them.

Tell them you have inguinal hernia surgery. (research it for 15 minutes so you can discuss it intelligently.)

Ian, seriously, my surgeon told me, do not try anything until 30 days for healing. And as I have said, I waited until day 31. Lol
Stay in touch, keep us informed on your progress.
Did you take before surgery measurements?
It will be interesting to see what gains you have made?
Did you take before pics too?
It's helpful for people not yet sure about having an implant to see the changes.
StepOne

Ian, I would read Roddy's journal and use his as a guide, since you both had same doctor.
Roddy I am sure would be happy to chat with you too about it. He has seemed like a pretty good sharing type of guy.
Some guys hold back, like it's too personal to discuss, but there are some pretty open guys on this site that are very helpful.
Best wishes and stay in touch for sure.
StepOne

Ian,
Ugh, sorry for my last post. Wow
I am on meds for severe leg pain from ruptured disk in back. The drugs make me loopy.
Of course you know who Roddy is.
Have a good weekend.
StepOne

Quote from: Ian C on May 31, 2021, 08:20:00 AM
The reservoir.

I've never had a six-pack, so no idea what that poor thing is attached to, however, should I see a lump on the outside?

Only when I'm stood up and can feel the rough outline of it.

Could it be more swelling that still has to go down?

I am 5'8 170lb which is high for me.  When I had my surgery almost 3 years ago, I was 150, which is a little low for me.  I have never been able to detect where my reservoir is.  I have had a few little twinges of pain when exercising in the early months, so I assume it is on the left.  No other indication where he shoved it,

Ian, did you PM Roddy to see if this is similar waits, etc?
StepOne

Ian,
I think I would call and say why so long, since other men that had procedure, it was less than 2 week?
I don't recall, but do you have a different model than Roddy?
Did you have a different installation procedure?
Regardless of, I would still ask why? Maybe the note your physician received was concerning you, but the physician thought it was for an Ian that had a hernia surgery? Lol
Maybe it's not such a far fetched mistake, but physicians do make mistakes.
StepOne

It could be because they are so busy. It's hectic in the NHS just now. A lot of firefighting going on. Record waiting lists. I don't know.
I wouldn't be surprised if he tries to slot you in.

Interesting you can feel the reservoir, perhaps hat will change over time. Can't help but think there must be a lot of tissue to form around it yet.
I bet it sorts itself out in the end. You'll forget it's there soon enough.


I ruptured disc is a hellish thing, steptoe. I don't speak from experience, but I've seen people unable to move from the pain. You have my sympathy. Use the drugs, the hell if they make you say silly things! It will give us a laugh after all.

LeRoastBeef, thanks you gave me a laugh

Ian, I am concerned about you feeling the reservoir, no way can I feel mine.
I think I would place a call telling them that. It doesn't sound right to me at ALL.

StepOne

Good to hear, Ian. Good luck.

Ian,
Let us know what he says Tuesday, and that was good what the doctor's secretary said.
It's so true  you are the most important person in the world when it comes to your health.
Prayers for a good outcome are coming your way.
StepOne

Well that's good news. I hope it's there's nothing wrong after all, better safe than sorry though!
Good on you for doing something about your concerns. Keep your chin up!

Funny you mentioning your reservoir.  I can feel mine from the outside too.  I spoke with the Coloplast rep from my surgery and according to him it's pretty normal for skinnier men.  Said it may have migrated a bit, but as long as its not causing pain I shouldn't worry too much. 

This is the point where the patient first posted photos of a clearly visible reservoir with the outline clearly visible through his skin Administrator

Ok that is definitely different than me.  Higher position as well.  I have a larger than normal bladder, thanks to genetics, so I believe in my case it pretty much pushed my reservoir to its current location.  It's not visible, but I know where it is, and can push it from the outside like a "button" if that makes sense.  I was worried it penetrated my abdominal wall, almost like a hernia, but seeing your pics definitely changed my opinion.  Yours looks almost directly under the skin

Ian,
I am glad you are visiting the doctor.
I have never been able to feel my reservoir.
That seems sort of a high placement too.
I don't understand it all.
Please let us know.
Prayers for you buddy.
StepOne

same here,  I probe both sides of my abdominal wall.  They feel the same and I feel nothing.

Hopefully, this will turn out fine or be a very minimal fix.   

Quote from: Ian C on June 08, 2021, 07:09:20 AM
I can guarantee one thing on this planet.

Everyone with a penis implant has very, very, very short fingernails.

Having been off for 2 weeks, Mr. Fraser had let his grow a little. With those fingers in my ball sack area, it felt like I was being mauled by a Bengal Tiger.

Great report Ian.  This will give you some idea of how much you will improve and how your perception is off at this point.  I play guitar, and all but my little finger on my right hand has long fingernails.  My left-hand nails are trimmed as short as possible.  I pump up with my right hand. It never even occurred to me it could be an issue.  I remember seeing (I think in Merrix journal) a photo of someone with an implant literally bending their penis double and squeezing it.  I could not imagine I could ever do that, but I can with no discomfort.

I was thinking about you today, Ian, I wasn't sure what the verdict would be.
Good news on multiple fronts!

How did you do with your first inflation in the end?

It's only going to get better from here.
I bet a bath will help ease everything up, a bit of heat can work wonders.

Just catching up now, Ian. Great progress for you. I actually had a sharp intake of breath when I read about Mike digging his nails into your scrotum as he searched for and then squeezed the release trigger. I remember the agony well. Having never, ever, had an earth shattering hard squeeze of my ball sack before I remember thinking WTF as he squeezed hard! I think your post maybe confirms that deftness of touch is not one of Mike's strengths 🤣

Great progress with the cycling. Also great that you managed to keep fully erect for 2 hours. If you inflate to the absolute max every day for as long as you can, I'd bet that 5 inches is nearer 6 in 6-9 months from now.

I'd take LRB's advice about Zoom calls etc very seriously tho ... we all know that you sitting at the kitchen table with a full blown erection while working is for post-surgical medical reasons but I'm not so sure that would go down well with the dozens in a meeting with you!! 🤣👏🏻

Ian, I think it is critical that you TOTALLY deflate and that you know you are totally deflating.  You were sent home partially inflated, which means your reservoir has NEVER been full.  If it scars in too small, you will NEVER be able to stay deflated.  Not only is this an annoyance, but it also increases the risk of erosion.

A new Titan, or in your case, a Titan-like implant, has cylinders that are stiff and very easy to feel.

They should feel flat with the sides of the cylinder touching.  They should have dog ears.

If you walk the deflated cylinders with your fingers, you will feel the folds.  They have pointed corners on them and are called "dog ears."  Look at the photo of the pink drinking straw on this topic.  It illustrated dog ears. https://www.peyroniesforum.net/index.php/topic,12308.msg113865/topicseen.html#msg113865

It was becoming clear at this point that the patient was either not inflating or not deflating as the change was minimal

Ian,
Hawk is definitely the expert on this.
It is what it is, but at times I can press on the deflate button and it will almost click, but most times I never feel a click. But regardless of, if I squeeze my penis gently it deflates and I can feel that both cylinders will go flat completely, revealing a somewhat flattened penis, but it doesn't bother me. If I leave it like this, it will gradually let some fluid back into the cylinders, giving me a slight chub.
If I press the bulb real hard to reset the deflate button, I still will get some back flow. For whatever reason, I have always had this problem.
But to be clear, it has never impacted my ability to have amazing sex after pumping my penis to its max.
StepOne

Ian, one last comment, and I am going to drop it.   

At least in Dr. Eid's view whether you are totally deflating is critical.  In a month whatever you have in the way of a reservoir capsule will be scared in and will only be altered surgically.  I can only hope you are totally deflating now for reasons stated in my last post.

I'm in no position to give you any advice, Ian!

It's grand to hear from you.

You know, this morning, while reading your posts I considered that I would need to take some nail clippers with me...only now did I read your last post!
If we all start turning up to every appointment with clippers he's going to be wondering what the hell is going on!  🤣

Ian, I would listen to Hawk.
StepOne

Ian, I think you have a different model than the Titan. But with the Titan I don't recall it changing shape. However I would think the pump could be shaped without the dent by gently squeezing the various sides of the pump and the dent would disappear to the touch.
I guess you could try contacting the manufacturer for information.
StepOne

Ian, understood.
So it was just a temporary mishap with pump bulb.
As far as the noise, yeah my pump makes noises sometimes.
Curious about how many pumps it takes to maximize your penis?
Hawk has referred to complete squeeze as pump wall squeeze, where you squeeze the pump so much, it actually touches the other inside wall when you are pumping it just a regular squeeze.
I haven't concentrated on the numbers of pumps I make, as other things are usually on my mind, but I know it's more than 20+ pumps.
Are you experiencing the good burn pain?
I no longer feel it, but when I was still in the stretching/growing mode, it was that slight little pain I would feel when I squeezed that last one or two pumps.
It was like a muscle workout pain.
Also how are your pain levels?
StepOne

Ian, you are the only one on the forum with your brand of implant.  I do not believe, however, there is such a thing as squeezing a pump too hard.  You should be able to squeeze it until the sides touch each other.  Sometimes it takes a few weeks to get over a sore scrotum before you can squeeze that hard.

What can happen is if you pump to the point that all the fluid is out of your reservoir (you pump the reservoir empty), then the pump will flatten and stay that way until you press the deflate button.  It would be rare that you could inflate that much this early into the process.  If you can duplicate this, and the pump fills out when you hit the deflate button, that is what is happening.

If you are running out of fluid and your penis is not rock-hard, you might have a problem.

I can't help but think they will know exactly how much saline to add. They know the cylinder max volume surely, as well as the volume that will be within the tubes. Well then that's the limit of the reservoir. Fill it up. No air in the system to prevent air locks. Happy days.

Ian, what happened the day after the surgery? What was the series of events. Did Mike check in with you the day after?
Is it just a case of, 'If you feel well enough, off you go'?

Happy Friday to all. Hope the weekend treats us all well. Monday is the big day for me.  :)

Good luck with inflation!

Ian,
I am thinking when I first started I had discomfort for months.
And the pump itself didn't get pliable until maybe 6 months or more.
You are right, we all measure pain/discomfort differently.
I guess the question is, are you pumping to the point where the bulb gets harder to pump and then you don't think you can pump anymore?
And when this happens, is your penis hard?
If these things are true or close to true, lol, I think things are good.
StepOne

Ian,
I am not sure if I am understanding you. I am trying to understand you. I am concerned and confused.
You wrote you could squeeze the pump for hours and not get anywhere.
Do you mean that no matter how many times you squeeze the pump, the pump never gets to a the point where you can't squeeze it because it gets hard? If this is the case, this is either...
A. different from the way a Titan functions
B. The pump or tubing is defective.
I am not sure if your pump has a online research tool or if you will need to call your doctor to figure this out.
Titan implants max out. There is a limited amount of actual squeezes you can make to the pump.
StepOne

Hi Ian

If I'm understanding what you are saying correctly, you're saying you pump and pump but it never reaches a point where you can squeeze no more? When I've had around 16 pumps I'm struggling to squeeze the pump ball any more. The ball is rock hard and all fluid is clearly in my penis. So you can just keep pumping without that resistance? If so, I believe your implant is defective. Have you no means of contacting Mike as an 'emergency'?

Ian,

I am not sure how accurately I follow some of your statements. 
For example, your signature says that your implant has length expansion, but the photo you posted of your implant label says "Rigicon Infla10".  I spent 30 minutes searching the internet to try to better understand your challenges and issues.  I found that it is the "Rigicon Inla10 AX" that increases in length.  The "AX" apparently stands for "Anatomical eXpansion."

The model would make a significant difference in what you feel when deflated.  There would be no dogears or folds with the Infla10 AX.  There likely would be with the Infla10.

When you pump obviously your penis will get more and more firm.  The specific question I have is:
1. What signals you to stop pumping?
A. - Pain/pressure in the penis
B. - The pump becomes too hard to squeeze
C. - The pump dents or flattens and will not reinflate
D. - Nothing changes. You just get tired/bored with pumping with no change, so you stop.

It was very clear at this point that the patient's implant was not responding to pumping and something was seriously wrong.

Ian, SOMETHING is NOT right.

You have a different pump, but by any wide comparison to other pumps, the maximum number of good full squeezes should fall between 15-25 if you are doing partial squeezes, then maybe as high as double that.  So no matter how you are squeezing it, 15 - 50 squeezes.  That would pump you to rock hard, harder than you have ever been in your life.  You probably could not stand the pressure/discomfort of that much expansion at this point.  It would certainly become uncomfortable after several minutes. 

If you are squeezing more than 50 times, then your pump is not effectively pumping.
If it is actually losing some hardness after any length of time, Something is very wrong.

I have the same length of cylinders as you have.  I was over 6" on my first pump, although "bone pressing a ruler was impossible at that point in healing.  I am now at 7" Bone Pressed which is bigger than pre-surgery (although smaller than pre- Peyronies Disease.)  Unless you are a huge man with a lot of space on in the crus (penis area behind the scrotum), you cannot possibly be only 5" with a 22cm implant..  IS THAT MEASUREMENT BONE PRESSED? ---  I can see by your photos you are not overweight. Are you very large frame (well over 6' )
When you say you dented the bulb, ARE YOU SAYING THE DENT NEVER CAME OUT AND RETURNED TO NORMAL?  I am sure nothing could cause this except running out of fluid in the reservoir.  If I use two hands to pump hard with the last few pumps, it is possible for me to drain my reservoir and dent my bulb.  It will remain partially collapsed like that until I hit the deflate button and the fluid flows back into the pump. 

Thank you for answering these highlighted questions.

Hawk

That flaccid looks very natural. Even if you can't get it fuly deflated, maybe it doesn't matter, because that looks just like a 'normal' flaccid penis.

The erect also looks natural, I'm sure you will regain your size in time. Marathon rather than a sprint is what I have heard time and again.
In certainly looks healthy, for a penis that went through so much recently to be back to normal so soon, it's amazing how the body can heal.

Thak you for the info on the day after. Doesn't sound too pleasant! It is what it is though. You've made a world of difference. Can at least psych myself up for the difficult moments!

Why do I feel we are talking different languages?
Ian, when you say after pumping for 20 minutes. Do you mean you pumped up and this is how it looked after 20 minutes?
Or do you mean you pumped for the full 20 minutes and this is how it looked.
I am so confused.
StepOne

Ian, one glance at your penis after pumping tells me it is NOT inflated.  The skin is slack with no tension on the width or length.  I wager big money that when you press the deflate button while squeezing the penis, the dent in the pump bulb disappears because that dent is caused by the pump not being able to suck up more fluid from the reservoir.

Here are some facts.
You cannot damage a pump bulb by squeezing it with ANY amount of pressure.  They are designed to be squeezed flat and spring back into shape tens of thousands of times.  When you squeeze the bulb, fluid in the pump is forced into the cylinders in the penis.  When you release the pump, it sucks in fluid from the reservoir as it refills with the fluid that allows it to plump back out.  If there is no fluid supply to the pump, the bulb remains under suction.  It cannot plump back out because of the vacuum.  When you hit the deflate button that allows fluid to enter the pump from the penis side, which balances the vacuum and plumps the bulb back out again.  Either you have a kinked tube from the reservoir to the pump, or you are out of fluid from a leak or disconnected tube. The only other option is improper filling of the reservoir during surgery. I guess there is some small chance the pump is faulty.

I would call my surgeon's office and say I need to see the doctor immediately.
1. My penis will not get rock hard with even 150 pumps
2. No amount of pumping increases the width or length
3. My pump bulb flattens with a dent in it and does not regain its shape.
4. My penis and reservoir capsule is permanently healing in a deflated state.  I NEED TO SEE HIM NOW!!!!

One more question.  When you feel for the tips of the implant, do they extend into the glans?  If so, how har?  Halfway. 1/3 of the way

One final thought:  Since your reservoir is mispositioned, you can actually see it.  Can you see or feel the difference in fluid in the reservoir?  When your penis is deflated, the reservoir should show more fluid in it.  When your penis is inflated, the reservoir should reduce in size.

Again, Ian, pump bulbs cannot dent.  They are very flexible rubber and/or silicone.  They can only fail to rebound after a squeeze because they are under a vacuum trying to draw in fluid that they cannot get.

In your "inflated photo" where you are measuring, your hand looks like it is being held under your penis for support.  A properly installed, properly functioning implant needs NO support.  You can literally hang a bath towel on it, and it will still point straight out.  Without a towel, it either points upward or straight out.

My concern is that if you are not inflating, then you are not stretching your penis at a critical time of healing, and it will scar in at a reduced size.  My intent is not to scare you or discourage you, but you need to demand immediate attention so he can take the necessary steps to diagnose the problem and take steps to resolve it.   The fact that you can no longer see your reservoir also suggests a loss of fluid.

I just checked to be certain, but TOTALLY deflated; the tips of my cylinders are halfway into my glans.

Finally, this is not important now, but you cannot do a bone-pressed measurement with a metal tape measure. You need a hard ruler, maybe even with the corners rounded, so you can press it hard to your pubic bone.

Well, I won't argue the point except to say the bulb is a highly flexible rubber ball.  What you call a dent is simply a vacuum like a deflated basketball.  You cannot dent a pump bulb whether it is in or out of the scrotum, even with a hammer.

Call your surgeon.

Ian,
Your posts have been entertaining at times, but sometimes cryptic to understand. That is why we have all been asking you simple yes and no questions.
BUT this has been the only way for us to help to understand what is going on.
Your implant is not working correctly!!!!!
Hawk knows what he is saying. Listen to Hawk.
Hawk is trying to prevent any further loss of your penis length.
I am not going to debate with you or ask you any more clarifying questions, because after reviewing your posts, it is OBVIOUS there is a implant problem.
I don't understand your "push back". I don't understand you.

Please call the surgeon and request an immediate appointment.
Although I am not physician, everything you have shared points to an defective implant.
Please stay in touch.
StepOne

Ian, I have no problem with being disagreed with.  I take no offense in the least.  I am just concerned that you might not have any idea what is going on here.  You can not dent medical-grade rubber designed to be flattened tens of thousands of times any more than you can dent a tennis ball. You cannot dent the material with a hammer or pliers. You CAN depress it (as designed), and due to the vacuum inside, it does not spring back.  The result is you feel a deficit that feels like a dent. You yourself indicated the dent was gone this morning.  That is because it was NEVER dented.  It is hollow and was partially collapsed because of a vacuum. It has a vacuum because it cannot get fluid through the reservoir tube.

Will your penis stand up when it is pumped?  Can you hang even a hand towel on it and remain parallel to the floor?  I am certain the answer to that is NO.  You are not stretching the penis during healing which is very likely to result in size loss if not very rapidly corrected. 

Quote from: Ian C on June 14, 2021, 06:24:27 AM
As for hanging towels on my pumped-up penis, that wouldn't be possible. It doesn't point upwards so would just slide off.

One more indication that you are not getting true inflation so you are pumping in vain.  I am sorry he will not see you sooner.  Such reports disappoint me.

Ian, I don't understand what is going on.
Disagreement is healthy, but I have learned the hard way that disagreeing when it comes to my health will harm no one, but myself.
I am sorry you are going through this.
Stay in touch, so we can track your progress.
StepOne

My impression is we have moved past any disagreement, and it is not an issue.  Being frustrated by an implant that is not working (the first one on this entire forum) and then having your surgeon be less than hyper-responsive are enough to drive any of us to distraction.  It is stressful enough to have a great implant you are unfamiliar with and having 200 questions.  Having an obvious problem and not being experienced enough even to understand that you have a problem and having a surgeon who says I'll talk to you in 3 weeks....would drive me up the wall.

In fact, I would be calling and demanding or showing up in the waiting room and causing a scene.

My disagreement is with the surgeon.
I don't understand how this physician is treating a patient like there is no problem.
I am tired of dealing with physicians that don't treat patients as valuable members of society.
Since my last surgeon was the age of my son, I asked him if he still had his father and asked if he have a good relationship with him. When he said yes, I said, well think of me as your father. Is this the treatment you would give your father? After a lot of silence, I made my point and my standard of care improved.
Because Ian seems not as concerned with this issue as other people on this site, I am wondering if Ian has conveyed a lack of urgency to the physician. We are all entitled to excellent care. I have another friend that suffered needlessly for years from IBS. I finally couldn't stand his complaining anymore and told him to get a new gastroenterologist or shut up. He did get a new doctor and is now IBS symptom free for several years and I am still his friend.
I hope that Ian conveys his worth to the doctor and gets a sooner appointment.
StepOne

I agree with every word you just posted.  I too have trouble accepting that Ian conveyed the urgency of the situation

I would get on the phone and talk to him and boldly state the 4 concerns I listed in two posts before this one.  I would NOT take NO as an answer.

We are our own best advocate. There are times you just have to stand up and stand your ground and fight for the attention and care you deserve. Particularly following a very invasive surgery. It may be ho hum routine to the doctor, but it is new and frightening for us. We can not accept mediocrity in our healthcare, particularly when it comes to the only penis we will ever have.

Folks, I've watched this thread with interest and more than a small amount of frustration. I'm trying to remain balanced here but fail to accept that the same surgeon who gave me 100% of his attention and nothing but an outstanding end result has suddenly become a practitioner who doesn't care. Mike was so committed to me that he gave me an out of hours number to contact him with any questions at all. As it turned out, there were a couple of occasions when I had to contact him to allay some of my fears (having sex way ahead of time).

Is this anything to do with Mike being a colleague in the same hospital of my friend, who knows? I'd like to think not but cannot say with any certainty that this wasn't the case. I've certainly never found any negative reports online of his work.

So, I feel a bit frustrated that Ian's issues are not being attended to with immediate urgency. However, something here is not right. We can all read Ian's descriptions of what we all know are serious issues but Ian is not taking these clearly worrying concerns seriously. For instance, it's not possible to keep squeezing your inflation bulb without end. The whole mechanical design of such a thing means it sucks on fluid until there is no more fluid. Then it becomes 'unpressable'.

How can Ian tell Mike Fraser that his penis is not becoming fully erect when inflating or that he can squeeze for effectively forever without Mike becoming deeply concerned enough to see him within this week, never mind immediately?

So, I deduce from this series of events that perhaps Mike is not being given all the information he needs. The surgeon I know should not take such action as he has. Just saying.

Ian, what did you ACTUALLY say to Mike that caused him to say all is fine and that he was happy to see you in July?

Roddy I am so thankful that you finally posted.
As I have said over and over,
I DONT UNDERSTAND.
It does not make sense!
I hope this is not a make believe person, where we have all been misled.
StepOne

Thanks, Ian.

.... and what was his reply?

When I read your message you sent him I thought that by mentioning the fact that you're disappointed with 5 inches, he's maybe picked up on the wrong concern. He knows, like I do, that your 5 inches will easily become 6 inches with daily cycling. However, THAT is not your problem. Your problem is that your pump is not pumping enough saline into your implant and your implant is not getting hard enough for that stretch of the tissue that is the prerequisite for growth. I don't think Mike has the full picture. The picture we all have that is causing us some worry about a successful outcome.

Please contact Mike and tell him that your pump never makes your penis rock hard. Regardless of how many times you squeeze your pump.

I have tried hard to be diplomatic, but it is not just Ian who reads this but thousands of members and unregistered guests.  It is important to know when to become assertive and very specific in demanding medical attention.

I, too, think the communication to Dr. Frasier was inadequate.  It might have expressed your concerns, but my concerns would have been very different.  First of all, unless he documented your measurements before surgery and pulled your file, 5" means nothing.  Your length is not an urgent issue, and a patient complaining about his size 4 weeks out is not an urgent issue, especially when he does not know what size you were before surgery. That whole discussion may have steered him off course.  The huge concern is NOT your penis measurement. It is also not that you have trouble deflating. It is that you cannot inflate because of implant failure. AND, you cannot deflate because you have yet to inflate.  Your penis is slack and pointing toward the floor after an hour of pumping.  2 minutes should turn it into a towel rack.

I also thinK the statement :

QuoteI'm thinking we might have a little bit of a problem.

sounds shockingly unconcerned.  It should have read:
"I am  EXTREMELY distraught that I have a serious failure and that I am scaring in at a very reduced size because of a faulty implant.  I chose you expressly because I have great faith in you. Others on the forum where I post my implant journal hold you in high regard.  I have, however, reached a point where I desperately need to see you at your very earliest opportunity.  I will gladly lay everything aside to come to the first cancellation or any other appointment where you can squeeze me in even for a few minutes. These are my concerns.

My once clearly visible reservoir is suddenly no longer visible. 
My pump collapses when I try to pump and is apparently not picking up fluid
No amount of pumping on my collapsed pump will inflate my penis. Therefore I have a serious concern I will scar in at a permanently reduced size because I cannot inflate during the healing process.
Since my reservoir can no longer be seen and my pump cannot pick up fluid, I think there is a real possibility that I have lost fluid.  No one other than you can put my mind at ease over these issues.  I have given up pumping because it does no good to try to squeeze a collapsed bulb.

Dr. Fraser.  Please understand my real concerns, my mental stress, and my need to see you.

Your trusting Patient
Ian

Ian,

I know it does not sound like it, but I have tried to restrain myself and not badger you about this situation.  The truth is, I project myself into a "what if this was me" scenario, and it hits me with the same urgency when it is happening to you as it would if it were happening to me.  I guess if I were not that emotionally invested, I probably would not have the drive to go through the hassles of keeping the forum running.   

Best wishes.  I will be  EXTREMELY interested in hearing the details of this visit.   I would give $100 to be able to accompany you.

Hawk

Interesting development, Ian. Good for Rigicon for communicating so well with you. Great that you are seeing Mike Fraser this Thursday too. At last, it must be said.

The drama continues, Ian. The implant must have malfunctioned surely by what you have described to us all. So upsetting for you to go through what you have for this potential outcome. I guess all will be revealed on Thursday. 🤞🏻

Everyone,
I have been so frustrated in reading all these posts concerning Ian.

As frustrated as we all have been, I know our biggest concern has been for Ian.

Regardless of everything that has been reported, I wish there was someone who could accompany Ian to his meeting with the physician.
I think if Ian were here in America, we would all want to be there with him!

Ian, good for you in contacting Rigicon!

You wrote that Mr. Fraser wasn't pleased, can you explain this? How do you know that Mr. Fraser "wasn't best pleased"?
....and why did you say, "He thinks I've broken it".

StepOne

Quote from: Stepone on June 15, 2021, 06:17:38 PM
Ian, good for you in contacting Rigicon!

You wrote that Mr. Fraser wasn't pleased, can you explain this? How do you know that Mr. Fraser "wasn't best pleased"?
....and why did you say, "He thinks I've broken it."

I have the same questions.  What makes you think he was not pleased?

I would say this about any doctor.  His pleasure is not the goal. Lots of people are not pleased with things that come up at work.  He is getting paid.  The medical system was never set up with the intent that the patient should "please" the physician.  I am DAMNED certain he would rather be in his shoes than in yours.  IF it is broken, you sure as hell did not break it.  There are only two possibilities.
1. The unit was faulty
2. The surgeon is responsible for damaging it or faulty connections - we know for certain he did not have a successful outcome placing the reservoir.

I am SO glad you called Rigicon.  It shows two things.  We were right from the beginning, it was not a user error, and Dr. Fraser had a slot he could squeeze you into all along.  He only needed someone to convince him of the urgency.  That was the 2nd point we were trying to drive home.  I am so sorry you have had to go through this, but hopefully, you learned something about not taking no for an answer, and hopefully, many other readers will learn the same because you made a valuable journal.  I cannot tell you how badly I want to go to that appointment with you.

If there is ANY damage to this unit, do not let ANYONE even suggest you had any role in it because you did not.
If your Doctor really is annoyed that you called Rigicon.  Tell him you did what any man would do who had to wait for weeks for an appointment.  You searched out some self-help from the experts who manufacture the device and who gave it a lifetime warranty. I recommend you write down questions in advance and take someone with you who can take notes and write answers while you talk.  I ALWAYS go with written questions.

For a doctor who implanted you to send you on such a rollercoaster ride of emotions fro asking questions is absolutely mind boggling.  I hope this "email" you talk of isn't the dr lashing out.  If so, that is a major cause of concern.  I wish you the best on Thursday!

Ian,
Just when I thought that things couldn't be more outrageous!
I read your meeting is now delayed.
Please be sure to write down Hawks talking points.
I can't believe the deflection of the issue has been to blame you.
It is either the device or the surgery or both that is problem, not you.
Be strong and don't hint!
If there is someone that can go with you, ask them.
I challenge my physicians all the time. They are not gods, they get confused about patients, etc. It is our job to make sure we are getting the right treatments and let them and/or others know when something is not right.
StepOne

Hi Ian,

I'm sorry to hear this.
It must be very stressful to go under again so soon.
You were right enough when you suspected the bulb wasn't pumping as it should.  :(  I wonder if this is an issue with the new model design.
He'll get you sorted out.

But, a week is not long away, and this this time next week you will be out once more and recovering. You'll be back on track.

Thank you for uploading the picture. It's a fine opportunity for you to become familiar with the pump, having a visual image will surely help in future.

Here, you'll have to go to war once more with that nose raping covid test! 😂 Honesty, I felt violated, is there not counseling for such trauma 😂

I'll send you a PM later tonight to see how you're doing.

Ian,
We all knew there was a failure.
As a patient, you have a responsibility to be clear when you contact a doctor.
I always have someone look at it to make sure it's clear and it gets my point across.
If I call I make notes.
I hope you don't have any more issues.
The doctor has a responsibility too. We all knew something didn't seem right. He too should have asked questions. Yes physicians have lots to do, that's why they are physicians.
There is never an excuse for a doctor providing bad care and being accusatory.
Best luck and prayers for you.
StepOne 

Quote from: Hawk on June 13, 2021, 12:18:21 PM
It cannot plump back out because of the vacuum. ....  Either you have a kinked tube from the reservoir to the pump, or you are out of fluid from a leak or disconnected tube. The only other option would be the improper filling of the reservoir during surgery. I guess there is some small chance the pump is faulty.

As bad as I did not want this to be the answer, It had to be.  There were just no other possible answers. Good luck in getting this resolved.

So far, we have one instance of that brand of the implant on the forum with a 100% failure rate of the device as soon as cycling started.  How committed is the doctor to using this brand?

Hi Ian

Delighted that you have a resolution to this now. At least you know the implant is defective and you had no hand in that. I wonder what his plan is with the implant - replace with the same or use another model?

Anyway, good luck for next week and you're correct to have such a positive outlook.

Hey Ian! Glad to read that you are soon to get this fixed. When you say this brand, is this the ZSI manufactured in Switzerland, or I am confused?

I will be very interested in this.  Dr. Eid said he NEVER replaces just some of the implant components.  It is all or nothing because any future failure would be his responsibility.  I am sure he seldom if ever replaced one this soon.

If he has to remove the pump and move the reservoir, I suspect he will replace it all.

Ian,
Take lots of pics of your penis and measurements.
I don't think a lot is going to change, but do this so you will have a new baseline.
You don't need to share them, but it will serve as a tool you can use for comparison.
I wish you well and pray for a good outcome for you.
Keep us informed. I am so sorry you had to through this.
Be sure to ask if he is doing a full replacement.
StepOne

Good news. 

I don't think there was much chance it wouldn't be negative if you had both shots. 

Something of great value to you as you start cycling is having a pump or a life-size model of a pump.  It will also help to look at the company's implant diagrams.

Also, when you communicate to the forum, your surgeon, or the company, be sure to use the right terminology. For example, people often slip and incorrectly call the cylinders in the penis "Tubes."  Tubes are the narrow tubes that go from the pump to the reservoir and from the pump to the cylinders.

I am under the impression that you have an actual pump and maybe even two actual cylinders in your possession.  Is that correct?  It is kind of cool if you do.  Maybe after you gain a little more experienced, you can do a free installation on a friend.  ;D."

Quote from: Ian C on June 28, 2021, 10:09:40 AM
The connection between that and the pump had broken (or became detached).

So,  nothing has been replaced and all I have is new stitches in my scrotum. 

Congratulations!

That's pretty interesting.  So it clearly had to be detached rather than broken if nothing was replaced.  I assume from your comments that he repositioned your reservoir through the scrotum access since you have no abdominal incision.

Aren't you glad you are not still waiting until July 9th for that appointment and that you did not spend another month pumping a broken implant installation !!!

Good to hear you, Ian!

Why did the tube disconnect in the first place?

Get yourself home and get some rest, lad!

Congratulations Ian,
So he has released you, with no inflation? Is that correct?
I am wondering, but it seems like I went back in 7 days to be inflated. This ensured maximum length and no shrinking.
When are you supposed to return for inflation?

StepOne

Quote from: Ian C on June 28, 2021, 02:06:25 PM
It ask went through my scrotum....

? ? ? ?

He means that the reservoir was adjusted via his scrotal incision. That therefore there was no requirement for the Dr to make another incision.

Well done, Ian. Rest easy.

My guess is he left the empty and deflated reservoir in place and inserted another, a somewhat common practice.

It's amazing what surgeons can do and what the body can handle.
Just think that in a few weeks time you will be all healed up, and on to a new, better normal.
We are quite resillient creatures really.

I would say you are certainly on week 7!
I hope you manage to get out and enjoy the sun, Ian. It's gorgeous here. Do you have a back garden to get sunburned in?

I honestly despise the heat and love the cold and rain. People think you're a nutter when you admit to it though, so I don't tend to. The summer can be pretty, I'll give them that. My body can't handle the heat though. Anthing above 16c is just wrong.
Didn't evolve for this sun nonsense.

Sounds like a good plan. The more space and peace you have for recovery the better.
It's all uphill for you now!....this time.......hopefully....😂   :-\

Ian, this doesn't happen to everyone.
Mine turned dark on one side. I kept putting lotion on it, and kept it moist. I had no flaking except on my glans a little. I am uncut with large glans. I don't know why it flaked a little, but when I emailed my physician assistant, they said it was normal.
It all depends on the amount of trauma and each persons healing process.
Good luck,

StepOne

My penis NEVER got purple.  I had one little bruise the size of my thumb and some bruising in my scrotom.  While I would not have wanted anyone to squeeze my penis, it was nowhere near as sore as my scrotum.

There was some peeling of surface skin which I think is in response to being scrubbed with strong antiseptic wash.

To be fair, you've undergone two major operations in a short period of time. Repeated trauma is going to lead to bruising.
It will go away, just don't play with it too much!

Quote from: Ian C on July 01, 2021, 03:09:23 AM
He did say that he had trouble getting the inserts in so that probably explains it.

Just for the benefit of the readers, what "inserts"?  I thought the only thing he put in was a new reservoir.  A 3-piece inflatable implant consists of:
- Reservoir - lower abdomen
- 2 Cylinders - Cavernosa of the penis shaft
- Pump - Scrotum
- Tubing from the pump to the reservoir and from the pump to the base of the cylinders

In your case, all components were implanted through the scrotum.  My understanding is an incision in the scrotum, then up through the Inguinal canal to the lower abdomen to place the reservoir.

Trauma above can cause blood to settle in the lowest collection point.  If the penis is kept pointed upmost bruising is in the scrotum especially when the cylinders were not changed.  I am also sure he told you to lay flat in bed for the first few days with your penis and scrotum above as much of the body as possible and to use ice.

Encouraging to read that ''this one is working'' but you left me thinking about that comment on auto inflation. Are you concerned it could become permanent?

That's great Ian, I'm sure he knows best with regard to the stitches, just a wee while longer now. You'll start regaining size. Just as you say, a marathon not a sprint. No point in rushing just to set yourself back!

Yes, best of luck Ian with your new implant.

I am so glad the surgeon was able to fix this problem for you.

StepOne

This is unbelievable 😳  3 operations just to get your first implant working. IanC having a 3rd operation is no joke, or as easy as a walk in the park. It increases chances of infection and puts you at more risk unnecessarily. I would be livid with the doctor and be trying to spoil his vacation as much as possible.  I don't know how you can stay so calm.

This is an outrage!  This calls the competence of the surgeon into serious question. I just pulled his name off of our list.

I don't know what your legal options are in the UK but I would be contacting a lawyer and/or a patient advocate and contacting the manufacture as well.  You should not have had to experience what you have gone through.

Quote from: Ian C on August 09, 2021, 03:45:12 AM
I guess if a few more people were open about their experiences your list would have a lot less names on it.

That is totally false.  There has been nothing comparable to this by any surgical patient on the forum. 
1. He dismissed your first complaints of a faulty implant and put off your appointment for weeks.
2. He mispositioned your original reservoir so it was actually visible.  That alone was incredible.
3. He got annoyed when you were left having to call the company
4. He replaced part of a faulty implant which is contraindicated with a failed implant
5. He has performed two totally unsuccessful surgeries in a row on you.

All of this is causing you a 3rd surgery at increased risk to you and less chance of a good outcome because you have had an un inflated penis for months after an implant. 

You are correct that he did have good results with one other patient on the forum.  No surgeon gets poor results on all surgeries or has 100% failure rates.  So far on the forum he has done 3 surgeries.  Two of them were unsuccessful and his actions with you were less than responsive.  Our surgeons list does not list surgeons who have more failed surgeries of members than successful surgeries.

Go back and read your journal.  I told you what was wrong the instant you said you squeezed your pump too hard and dented it.  The company instantly knew.  Your doctor put you off.

I agree with Hawk completely. No one is denying that the doctor had nothing but good intentions for you but guess what, his intentions do not matter if he has no technical skill. I can pick a random person with no experience do surgery on you and say he only had good intentions.  This is blasphemy , I have never come across any journal mentioning replacing just part of the implant like hawk mentions. Three times to put the damn implant in working order ? I would be threatening the doctor and the rigicon representatives with legal action ASAP. Needs to have his license revoked spoiling and playing with peoples lives.

Have you considered getting another surgeons opinion on the situation with all the facts laid out? There may be something obvious your surgeon is missing that another can help with?  Just spitballing, I hate seeing you have to go through so many revisions in such a short time :(