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Erectile Dysfunction Forum - for all men with ED => Penile Implants => Topic started by: MN1971 on April 13, 2021, 10:30:59 PM

Title: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 13, 2021, 10:30:59 PM
Well... after the shots, the 6 months with the Penimaster, and the Pentoxifylline 400Mg Er Tablets... my bend went from 52 degrees to I believe he said 63... I hope I am not way off in my description.
He suggested a penile implant... said it really was best course of treatment.

I have lost size, mentally has shaken me, and am worried what would be next.

Still I hesitated with the implant... I decided, with the unwavering support of my wife to go ahead and do it.   

Tomorrow morning I need to be at the outpatient surgical center @ 6am for the penile implant.

I have to say I am nervous.  I have had a number of major surgeries in my life but this one mentally has been the toughest.   

Thanks for listening.   I look forward to reading suggestions to help thru surgical and mental process!

Anyone have any advice?  Suggestion for pain control?  Hell any suggestions or "things I should do"
Would greatly appreciated.   

Title: Re: Tomorrow w/ Dr Levine
Post by: Hawk on April 13, 2021, 11:39:18 PM
Wow MN,  You have been pretty silent.  Most of us are just meeting you for the first time.  I have no clue what your age is or your back story.  I'm sure your surgery will be over before you ever read this.

We wish you the best and hope that you honestly post about your journey.  Not just so we can help you and celebrate with you but so you can help countless other men who lurk and read this forum.  I think this will be a huge mental and physical boost after a couple of weeks of wonder what in the hell you have done.

Best Wishes
Hawk
Title: Re: Tomorrow w/ Dr Levine
Post by: Mikel7 on April 14, 2021, 05:33:00 AM
I concur with Hawk.  We wish we could of known more regarding your circumstances. Please keep us informed of your recovery. All the best!  :)  Mike
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 14, 2021, 06:21:15 AM
Little background...   I just turned 50 last month.  Have always yoyo'd weight wise. Type 2 diabetic though much better regulated these days than on my 20's and early 40's

Not sure what other info can help...
Title: Re: Tomorrow w/ Dr Levine
Post by: Hawk on April 14, 2021, 09:01:16 AM
Again, we wish you the best.  I filled out your signature line that appears under your posts and Private Messages.

There is additional info that makes a difference in your recovery and operation of the implant.  It would help us help you and help you help other men.
1. How extensive was your Erectile Dysfunction, and when did it start?
2. Brand and model and size of implant include whether you have rear tip extenders?
3. Was it placed through an incision in your scrotum or in the fat pad above your penis?
4. Did you only have one incision?
5. Were you sent home TOTALLY deflated or inflated?
6. What are your discharge instructions concerning baths, cycling, etc.?

The best immediate advice I can give is; do not let the pain get ahead of you in the first couple of days.  That means if you have pain, take your pain meds as prescribed.  Do not wait until you are in a lot of pain.  Spend as much time as you can laying flat, maybe even a flat pillow under your butt when laying down, so your genitals are the highest part of your body.
Use cold to reduce swelling.
Every time you take a prescription pain pill, take a stool softener.  You do NOT want to deal with constipation now, and pain killers cause constipation.
Drink lots of water.

When you sit, do NOT sit on a fluffy soft pillow.  It will push up worse on your scrotum than a hard surface.  The best solution for sitting is to roll up a bath towel and bend it in a "V" shape.  Put the point in the middle of the "V" at your tail bone.  Each side of the "V" extends down each leg.  This keeps the pressure totally off of your scrotum.  If you had a scrotal approach, that will be the most tender part of your body.

Keep us updated.

Hawk

Title: Re: Tomorrow w/ Dr Levine
Post by: Tortão Pra Direita on April 14, 2021, 11:55:49 AM
Good luck, man! Wish the best
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 14, 2021, 01:38:48 PM
Post-op Day 0

Thank you for all info Hawk!   I am literally in recovery.  This SUCKS!   
I had a gastric bypass in 02; a revision in 09, incisional hernia and abdominal wall recon in October of 2020... and lemme tell ya- this pain is way worse!! Holy crap.   

Nurse gives me 5/325 norco; that stuff can kick rocks. I told him what my  pain doctor outside of here subscribes and what they gave me post abdominal wall recon surgery...

Hawk to answer some of your questions as to help you help me:

1. have had Erectile Dysfunction for @ least 10 years.  Have tried all the different pills with success.  The last 3 or 4 years I could only operate when I took @ least 400 mg of viagra or 40-60mg of levitra. 
2. Levine said I am getting the Titan.  Rear tip extrenders??? 
3. Not sure about those incisions.  Being I am sitting here in recovery. I will ask.
4. Sending me home semi inflated.  Going back in tomorrow to have drain removed
5.  No showering until Saturday

He mentioned something about a partial circumcision incision????  Which i didn't understand being circumcised as an infant...     I will defin run thru these questions before I leave.

Their trying to get me to. Urinate.... loading me with fluids....  ain't helping.    Eventually I will I am sure.     
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 14, 2021, 04:12:39 PM
So please keep in mind I can be the patient from absolute hell.   I mean like a 6 year old ... not dealing with pain very well.  They pushing to get me outa there. Wouldn't let me go until I went pee'd

I explained I haven't had my Flomax or rapaflo in 14 hours so I hypothesized the reason for my drippiieness and lack of being able to go...,,,that $hit went in one ear and out the other of my recovery nurse who I am sure was as flustered as I was.  6 bottles of water and 3 cups of coffee and I final was able To get something out

doctor said the plaque wasn't as bad as they thought. Curvature which I previously described was brought down to @ 20degrees with implant and molding.   I am guessing that is positive as well

I go in tomorrow 1pm to see Doc.

Thanks for listening.... I painted a not so flattering portrait of myself.  For that, I also apologize.
-Me
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 14, 2021, 10:11:24 PM
I am home resting anytging but comfortable.  Dr spoke to my wife as  I was pretty much out of it post op.

Quite painful even with the meds in my opinion.  Hardest thing right now is urinating.   I am on hydrochlorothiazide for blood pressure which makes me urinate every hour and also flomax for the ole' prostate... imagine that after a surgery like this... drainage is consistent (40-50ml's) every-time I go too.  Keeping the wrap and undergarments dry is impossible.  From sitting or standing thddd doesn't seem fro be a more comfortable way to go.

I am all wrapped up and Dr L said he left me with half an erection... doesn't seem like it but I have an appointment tomorrow @ Rush 1pm and I am sure will get more feedback.

I am wondering if there is protocols I will get for this... thus far all I have heard is I am going to be off my feet for a number of weeks.

Gotta run to the little boys room again!   

Thanks for letting me share.  Takes the stress and edge off
Title: Re: Tomorrow w/ Dr Levine
Post by: Hawk on April 14, 2021, 11:15:03 PM
My grandson drove me to SAM's club where I rode a cart on day 3 but I walked across the parking lot and climbed stairs in my two-story house so you certainly should NOT be off of your feet for weeks.

By the way, Rear Tip Extenders RTE's are non-inflatable tips put on the end of the implant if you are between sizes.  They have some influence on the positioning of tubing angle of erection etc.
You should know the size of your implant and how many if any RTE's you have.

MN, I know people have different approaches.  I consume huge amounts of information.  I read several implants journals and talked to men with implants prior to my surgery.  You are fortunate that you at least have a very good surgeon.  As a result, you will likely do well silently slipping in unnoticed by the forum to get your implant.  I would recommend however that you pick a journal or two to read.  It is time-consuming but well worth it.  It helps you know what to expect and helps you gauge where you are compared to others at the same point post-op.  If you maintain regular updates on this journal it will be listed in the index for other men to learn from for years,

Here is an index of some journals that are fairly complete.
Implant Journals:
Here is a highly recommended resource to those considering and those recently receiving an implant.  While they seem to be extensive reading, they are well worth the time since every man is different and experiences vary.  Some have Erectile Dysfunction with or without Peyronies Disease.  Some have a deformity only and no Erectile Dysfunction.  Some had prior surgeries such as grafting or Nesbit procedure then had an implant. Some had Titan implants and some AMS implants.  Their ages vary from 28 to 80 at the time of implant.  They had varying periods of sexual dysfunction ranging from months to decades. Some had a scrotal approach while some have a public approach.  Some psychologically adjusted to their implant immediately and some had doubts during recovery. The biggest difference might be the variety of surgeons.

The biggest similarity is that every one of us wishes we had opted for the implant surgery even sooner.
Anon's Implant Journal - 34 yrs old, 50-degree curve, no Erectile Dysfunction Titan, Dr Haaky, Atlanta (https://www.peyroniesforum.net/index.php/topic,15477.0.html)
Cold Brews Implant Journal - 22cm Titan, Dr. Lentz, Duke University (https://www.peyroniesforum.net/index.php/topic,15286.0.html)
Curved's Implant Journal - Titan, Dr. Eid  (https://www.peyroniesforum.net/index.php/topic,11395.0.html)
FloppyNoMore's Implant Journal -Titan,  Dr. Eid (https://www.peyroniesforum.net/index.php/topic,10908.msg106362.html#msg106362)
Hawk's Implant Journal - Live Now in Penile Implant Surgery - Titan, Dr Eid, awake during surgery (https://www.peyroniesforum.net/index.php/topic,9938.0.html)
Hereiam Implant Journal- 28 yrs old, Titan, Dr. Eid (https://www.peyroniesforum.net/index.php/topic,11005.0.html)
JackP's implant Journal - The first and oldest implant journal on the forum, AMS-LGX, Dr. Milam (https://www.peyroniesforum.net/index.php/topic,1526.0.html)
Merrix's Implant Journal - The Ultimate Complete Word on Implant Journals- A Must Read - 42 yrs old,Titan, Dr Eid (https://www.peyroniesforum.net/index.php/topic,10755.0.html)
P-Diddy - Another Implant Journey- Titan, Dr. Eid (https://www.peyroniesforum.net/index.php/topic,11195.0.html) Experience with several women where the implant was both revealed and kept secret.
Roddy's Implant Journal - From 90 Degree bend to straight - Deformity only, no erectile Dysfunction, Titan, Dr. Mike Fraser - Glasgow (https://www.peyroniesforum.net/index.php/topic,11929.0.html)
Stepone's Implant Journal - Titan, Dr. Lentz, Duke University (https://www.peyroniesforum.net/index.php/topic,11742.0.html)
SteveW's Implant Journal, 20 Years of Peyronies - AMS with RTE's , Dr. Etai Goldberg, Saint Louis, MO (https://www.peyroniesforum.net/index.php/topic,15335.0.html)
SW01 Implant Journal - Titan, Dr. Campbell, Cincinnati (https://www.peyroniesforum.net/index.php/topic,11608.0.html)
TDix's Implant Journal - 46 yrs old,Titan, Dr Faysal Yafi, Orange, CA, (https://www.peyroniesforum.net/index.php/topic,13698.150.html)
Tomas' implant journal - AMS CX, 80 yrs old, Dr Avila (https://www.peyroniesforum.net/index.php/topic,11232.0.html)
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 15, 2021, 07:14:23 AM
Thank you Hawk!

I was up most of the night reading everyone's experiences.

I go in @ 1pm today and have a list of questions.
Will share when I get back

M
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 15, 2021, 02:57:24 PM
Post-op Day 1

Saw PA and removed bandaging... talked wound care... she didn't know the size of the implant... said to call back next week.  That was it literally.  I asked about protocols- using device... ya know looking for some education on what's going on.  Seems my only focus now is wound care and taking it easy for a couple weeks. 

Now I will rely on the members...is this similar to your situations?
Title: Re: Tomorrow w/ Dr Levine
Post by: Hawk on April 15, 2021, 04:36:00 PM
When I left the hospital I was given a paper that came with my implant containing the make, model, size, and serial number.  I was also given an actual-size model of the pump in my scrotum so I could familiarize myself with the layout and feel.  I was given Dr. Eid's cell phone number and told I could call after-hours and on weekends with questions or concerns if I did not want to wait to call the office.  I used that cell phone number more than once in the next two weeks and was always talking to my surgeon within minutes.

How many incisions do you have and what is the location?

Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 15, 2021, 09:02:05 PM
Post-op Day 1

Hawk-
Your surgeon is defin more accessible than Dr L.    I think Dr L is fantastic.  Don't  get me wrong... I though his PA shoulda had that info.  I keep looking for the post surgical notes on the my chart... 
I have one circumcisional incision under the glan.   Shaping went very well she said.  Said I will be very happy with end result.   Yet I really couldn't get the answers to my questions.

It was get me in, clean me up, remove the drain from my scrotum and send me on my way... I had to slow it all down. 
Said come back in 5 weeks and they would teach me the ways of the device.   Only thing I know is it is a stated on one sheet I have:
Penile prosthesis +2, penile straightening, incision and grafting with scrotoplasty..

Now I KNOW per Dr L said they didn't do the grafting... for some reason they didn't need too and same with the scrotumplasty.  Which the scrotumplasty I thought would make my penis seem larger... 

Left me 1/2 inflated and on my way.   
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 15, 2021, 09:31:58 PM
Hawk- you commented awhile ago about this:
" It is vital, especially for the larger stretchy penises that inflation and deflation of the cylinders is started as soon as possible in order to prevent healing in a retracted foreshortened state."

"It seems that what he means by keeping the cylinders deflated is to make sure that when you are not performing a post-op cycling to totally deflate the cylinders so the scar capsule around the reservoir form to accommodate a fully filled reservoir (fully deflated cylinders).  Certainly, he is advising against Drs. sending patients home partially inflated for several weeks as some doctors do."

You also mentioned the experience of the Dr... I thought Dr L was among the most respected out there... yet he sent me home partially inflated.

Thoughts or rationale???

If I knew how to deflate this.  I would get to work on it in a week...

I have read so much!  Thank you for all your hard work and sharing!
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 15, 2021, 10:26:05 PM
The more I read- the more pissed I get at my situation.   

I asked for my surgical report and notes as well as pre and post op measurements. 

My next appointment where the PA is going to show me how to use the device- scheduled for 10 minutes?!?

I think I am going to start another thread...  continue to comment here on my journey...but....
Title: Dr Levine & PA implant experience
Post by: MN1971 on April 15, 2021, 10:29:24 PM
Had my inplant with Dr Levine yesterday.   I chose him because he was highly recommended and I researched the heck of all my doctors...

Anyway The more I am here.  The more I read and cross check with my own situation the more questions I come up with

Who has used Levine in the past for the penile implant and what can I come to expect post op education/usage/function with him and his team???

TIA
Title: Re: Tomorrow w/ Dr Levine
Post by: Benraycamp0 on April 15, 2021, 10:37:21 PM
@MN1971:

I don't know much about implants, but I will say that Dr. Levine's follow-up appointments are always scheduled for 10 minutes. That doesn't mean yours will end in 10 minutes, if you need more time he'll continue working with you until you are done. They just schedule follow-ups for 10 minutes for god knows what reason.

I will say that I'd hope Dr. L's office would schedule surgical follow-ups to be much longer, but it sounds like all his follow-ups are the same structure.
Title: Re: Tomorrow w/ Dr Levine
Post by: Hawk on April 16, 2021, 12:21:29 AM
MN, I think your end result is going to be fine.  Doctors differ greatly in their procedures and what has worked for them.  I cannot imagine that I ever said anything about larger stretchier penises needing to be inflated any more than any other penis. Dr. Eid starts cycling at 3 days but will let a patient wait a little longer if he is not up to it.   Between the inflation and total deflation, both scar capsules scar in early to maximum capacity. 

I have to accept, however, that a large number of Dr. Levine's patients are not auto-inflating after the implant from a restricted reservoir capsule, and I doubt they lose any significant size. He is a bright man, and if those things were happening, he would adjust his technique and instructions.  Does it take longer to regain maximum penile size from the delay in cycling?  I don't know the answer, but I am sure you will get there.

So it sounds like you were circumcised for some reason ??  What was that about?

It also sounds like you have a scrotal approach.  Is your scrotal incision verticle on the seam (raphe) or horizontal?

How soon can you sit in a tub of water?
Title: Re: Dr Levine & PA implant experience
Post by: Hawk on April 16, 2021, 12:26:51 AM
We have no one on the forum who ever used Dr. Levine for an implant.   

I do not want you to take this wrong, but I am surprised that you were almost invisible before surgery but are very vocal now.  It seems inconsistent.  I would have thought you would have made dozens of posts before surgery and read some member implant journals.

At any rate, I am glad you are more involved at this point.
Title: Re: Dr Levine & PA implant experience
Post by: MN1971 on April 16, 2021, 02:43:23 AM
Post-op Day 2


Thanks for the left handed compliment.  "It seems inconsistent". 

As with anything... you don't know what you don't know until you find out you don't know!

I didn't know there was this in-depth of a resource.  The advertising for it was less than overwhelming when I did google search originally on the Penimaster 6 months ago.

We're you trying to say it's people's fault for not reading the journals before their surgery?  Of course it is...  if their aware it's available to them.

Now please don't take this the wrong way; imagine someone shy/a newcomer sees your response. That person decides this might not be the place to get support or information... I don't think that's the reaction you want.
Title: Re: Tomorrow w/ Dr Levine
Post by: MN1971 on April 16, 2021, 02:52:33 AM
Hawk- surprisingly there isn't a scrotum incision.  Unless I just haven't seen it yet...  he said they didn't have to do the grafting as it wasn't as bad as expected... was able be handled with the implant and molding.  There is no scrotal incision either.   I was pretty out of it when he came and saw me and talked to my wife post...  Tub of water?  I thought it was 3-4 weeks before any type of submersion? 

Thanks again.
Title: Re: Tomorrow w/ Dr Levine
Post by: TDix on April 16, 2021, 03:12:16 AM
You would definitely know if you had a scrotal incision.  Sounds like yours was probably done infrapubic.  I asked my doctor prior to my surgery which approach he took, so I knew going I. What I was gonna get
Title: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Roddy on April 16, 2021, 06:20:21 AM
Hi MN

Just read this  all now. I empathise with your level of worry and anxiety. I remember it well.

You said in one of your posts that you don't handle pain very well. I would wholeheartedly agree with the advice to STAY AHEAD OF THE PAIN by taking your pain medication as often as allowed to. Don't do what I did and react to the pain. I learned the difficult way by doing that and then when I did stay ahead of the pain it was easy. All my healing was going on over weeks and I was almost pain free, thanks to the pain meds.

It is very difficult for you to realise at this time how wonderful things are going to be in the future for you. Emotionally you will be very fragile for the next couple of weeks, and there will be many challenges ahead, but then you'll begin to see huge improvements and will start to realise how much this whole thing was worth it. You said that you spent the night reading everyone's journals. This is a great start for you as you'll maybe have a sense how, for many, things were difficult after surgery (lots of pain, lack of mobility, doubts, frustration, helplessness etc) but that, in time, there are nothing but fantastic success stories within a couple of months/years.

Good luck, my friend. Ask as many questions of us all as you want to - I certainly did - and the experience and knowledge on here will see you through.
Title: Re: Dr Levine & PA implant experience
Post by: Hawk on April 16, 2021, 09:03:09 AM
MN, :)   Fair enough, my friend.

We (forum leadership) must understand what is going on with the forum and membership if we are going to be a worthwhile resource. My puzzlement is that you registered in November and were here almost 5 months after registration.  I understand that the written word loses a lot as compared to face-to-face communication.  Please understand that I sincerely have no interest in criticizing.  My interest is in understanding how we might have failed. What could we have done to make a difference, to send you into surgery better informed?  Fortunately for you, the result is likely to be only a little frustration and stress.  You did enough homework that I think was totally independent of the forum that you ended up with a great surgeon.   Many do not and have far worse outcomes.

My question is: Is there anything we could have done differently?  At first, when you posted the day before surgery, I thought you were just one of those men who does not like to communicate or does not get the whole "forum thing."  It is clear that is not the case, so I have to wonder if it was us.

I hope this comes across in the tone and manner it is intended.
Title: Re: Dr Levine & PA implant experience
Post by: MN1971 on April 17, 2021, 02:33:35 PM
Post-op Day 3

Well I continue to read and learn... I do not have access to hot bathes and DrL said no baths... but a nice hot shower has helped "relax" things in the scrotum a little.   I am hesitant to explore the area... I have read I should have the penis itself in an upward position (laying towards the belly button)... while this is something the PA or DrL hasn't said to do... I figured I would take some of the advice on here... bought some compression underwear and got it upright... OUCH!!! Gotta suffer thru it I guess.

After shower penis and scrotum were extremely dry... I applied some Clinique moisturizer on them both and actually felt pretty good.   One other thing I have noticed is the bruising has diminished some. 

Like everyone has said... each day gets easier.  True... even if in baby steps!
Title: Re: Dr Levine & PA implant experience
Post by: MN1971 on April 17, 2021, 04:04:58 PM
Wow am I sore being upright against my lower abdomen.   

Title: Re: Dr Levine & PA implant experience
Post by: Hawk on April 17, 2021, 11:28:26 PM
You can angle into the leg crease on either side.  It does not have to be completely straight up.
Title: Re: Dr Levine & PA implant experience
Post by: MN1971 on April 18, 2021, 12:31:30 PM
Post-op Day 4

Thanks Hawk- will try that today.

Still sore this AM.

ESP around the incision which is around the entire circumference of the penis.   Been putting neosporin with pain relief on it.   Helps slightly.

Nothing else to report.  One day at a time! 
Title: Re: Dr Levine & PA implant experience
Post by: Pfract on April 18, 2021, 11:03:35 PM
Hey MN1971! I have no read anything about anybody using Dr. Levine but he sure is well known for treating peyronies patients and i am eager to know your end result. I hope you are more than happy with the outcome. the forum does have an overwhelming amount of info, so it is easy to miss a lot of info....

Keep us posted sir!
Title: Re: Dr Levine & PA implant experience
Post by: MN1971 on April 19, 2021, 06:54:17 AM
Post-op Day 5

Thanks PFRact

Worked up last night and my scrotum was itching like crazy!  Got up went potty; which is a major pain in the @$$ from the surgery; my go to to handle any itching is Witch Hazel.  Knowing that it also helps with inflammation and promotes healings. So in my 1/2 awake stupor I poured prob 1/4 of a bottle on the entire area... genius I figured!   No sting no burn and quick heal of the itching.
I am still using the neosporin on the incision...

Other than same pain, I have been keeping up on meds & keep reading all the journals.  They have inspired me. Inspired me to keep keep my chin up per s positive outcome & to report daily.

Best wishes
M
Title: Re: Dr Levine & PA implant experience
Post by: Hawk on April 19, 2021, 09:41:33 AM
My guess is that since itching is often a sensation from healing and nerves regenerating at incision points that much of it is a good sign and going on inside of your scrotum.  I am not sure the Witch Hazel will help much but it won't hurt if the incision is sealed.
Title: Incision recovery
Post by: MN1971 on April 20, 2021, 10:57:44 AM
Post-op Day 6

For those who don't know

Had inplant 6 days ago.

Doctor did an Circumcisional incision (rather than thru the scrotum) about 1/2 inch below the head of the penis (I am already circumcised) to do implant and also to remove/reshape plaque from the peyronies...

Doctor ended up simply having to reshape thru the implant and molding. 

My question relates to pain and wound care.  I have read a number of the different journals but want to delve deeper into exactly what. I am dealing with TODAY.

Please comment if you had similar experience; same incision and how long was the pain and how was the wound care?  How did Dr close your incision?  He used dissolvable stitches on me. 

Thank you in advance!!
M

 
Title: Re: Incision recovery
Post by: Hawk on April 20, 2021, 11:15:20 AM
Shouldn't this be part of your journal since it relates to your experience with implant surgery?  I will gladly merge it.

I am sure no one else here has a 3 piece implant installed through the shaft of their penis, IF that is what you are saying.  I am very skeptical and/or ignorant that can be done.  Are you saying the ONLY incision you have is around the base of the glans??  I cannot imagine they can install a reservoir simply by degloving the penis.

I think those most likely to have had a similar incision are those who had grafting or TEP like Tortão Pra Direita.

Hopefully, they will comment, BUT PLEASE respond to my question about all incisions so we can better understand.
Title: Re: Incision recovery
Post by: Tortão Pra Direita on April 20, 2021, 02:08:39 PM
I kinda don't understand how, but doctors are able to insert everything through this incision below the glans. It's called subcoronal approach, as far as I know.

On the patient side, the healing is tough. I'm 24 days post-op. The implant is still a bit rigid, and my flaccid penis is pointing at 4 o'clock (I think this angle is normal at this time and it will get better. I hope so).

So there's an incision below the glans and your flaccid is a semi-rigid at this point, right? It's tough to conceal the penis under the pants. You need to point it up (but without pressuring the incision) and wear a sweatshirt to hide it. That's what I'm doing.

Regarding sex... well, I think I'll be able to make sex just after 2 months from now, or maybe more months. Remember, there's an incision below the glans and sex involves a lot of friction.
Title: Re: Incision recovery
Post by: Tortão Pra Direita on April 20, 2021, 02:18:33 PM
Regarding wound care... 3x (sometimes I do 2x) a day I wash it with a chlorhexidine spray, dry it with gauze and then spray an antibiotic on it. Then I make bandages with gauze and Coban.

Regarding pain... if I stay sit down on my char working home-office I let my penis out of my pants. I feel no pain this way.
When I go to lunch or need to leave my house and stay 15~20 minutes with my penis pointing up, I start to feel discomfort around the incision area.

Also, I feel pain (mostly at the base of my shaft) after releasing my penis from pointing up. I think this is probably caused by the incisions my penis received.

The doctor used absorbable stitches to close the incision. I don't know if all, but some stitches are coming out.



PS: this is how it's made. I don't have the stomach to watch it, but if anybody wants to see it..
https://auau.auanet.org/content/v3-04-subcoronal-approach-inflatable-penile-prosthesis-placement-modified-no-touch-technique#:~:text=The%20subcoronal%20approach%20allows%20for,a%20modified%20no%20touch%20technique.
Title: Re: Incision recovery
Post by: MN1971 on April 20, 2021, 03:48:51 PM
Post-op Day 6

Hawk-
There is NO other incisions... I have found the pump and from the discussion with PA... it's the 3 part Titan... now they have still not answered my emails... been 3 working days and the weekend.
I don't hear from them tomorrow I am going to explode on them

I am pretty salty today...tired of being in pain.

Finally got my measurement stuff from the PA

Not that I really understand... and. I feel like an moron NOT asking more questions before hand abs simply trusting the doctor.  Again, the problem being, and am sure for a lot of men, discussing this is probably pretty difficult.    I told him I wanted "length and girth i had before all this started". 
Being I don't go back in for another month I do not want to stew about this...  I should be accepting and happy we fixed an issue for my wife and I.

Ok
Colloplast Titan
22cm
3cMRTE

All done thru the circumcision incision. 
I asked how the heck did you get three pieces thru there.. she said when it was rolled down it's quite a task but could be done...  well lemme tell ya... maybe that's why I am so sore down there.

Lesson learned-

GET ALL THE DETAILS OF THE SURGERY BEFORE THEY DO IT!!!
Title: Re: Incision recovery
Post by: Hawk on April 20, 2021, 04:03:48 PM
I had to laugh at " I don't have the stomach to watch it,".  Not because I thought it was strange but because I completely understand.

It was difficult to watch.  I had to disassociate myself from seeing it as a penis or anything related to a body.  I found it interesting and educational.  Now we have guys with all 3 approaches.

Did either of you have drains?  if so, where did they enter the body?
Title: Re: Incision recovery
Post by: Hawk on April 20, 2021, 04:07:57 PM
There are many of us here with 22 cm Titans.  What size were you hoping for after surgery and what was your size the week before surgery?
Title: Re: Incision recovery
Post by: MN1971 on April 20, 2021, 04:20:23 PM
Post-op Day 6

The PA didn't share any of those things... guaranteed I get them @ week 5.   She is mailing my surgical notes and report this week.   Our family company has done medical case management for injured workers for 35 years... my mother owned the company and usually accompanies pre surgical visits with whomever because she speaks the lingo.. this medical case though I didn't find bringing her was appropriate!  Hahahahahahahaha


I too just watched the video literally!!!!. I was swear. I couldn't believe it!   And does explain a lot about my pain!   WOW!!  I am going to be seeing that run thru my thoughts for sometime! 

Thank you Mr Tortao for all your sharing!!! Your 18 days ahead in your journey and will be a good foreshadowing for me! 

HAWK- 22cm is  great if that's what it's supposed to be.   I told him to give me the biggest one made. Hahaha. After researching now- that's not 22cm

It's all relative; if it works, we will be happy... and never have to be concerned about things that bothered me in the past. 
Title: Re: Incision recovery
Post by: MN1971 on April 21, 2021, 06:40:15 PM
Post-op Day 7

Today is 1 week post op.  Still hurting really good.  ESP around incision and testicles.  Using neosporin with pain relief on incision... using one of those "Boppy" pillows for support of my scrotum. For those that don't know a Boppy pilllw is what woman place  their waist and lay an infant on when they breastfeed.  I turn it around and does help while i sit in a lazy boy recliner.
No signs of infection and bruising subsiding.
Other than that I am in holding pattern: taking it easy, taking prescribed meds, limited activity until I see PA & Dr in 4 weeks.

I am very grateful for others journals of their experiences.  Much of my time is catching up on what i don't know.  It's been an education! For that I am thankful. 

More as things develop... or not! 

Q a
Title: Re: Incision recovery
Post by: Hawk on April 21, 2021, 06:50:53 PM
Usually as you sit on a soft pillow and your butt pushes down the pillow lofts up and presses on your scrotum.  I found it better to roll a bath towel and bend it like a "V" with the point at your tailbone and the two legs of the "V" under your legs.  That lifts your body just enough to take all the pressure off of your scrotum.
Title: Re: Incision recovery
Post by: MN1971 on April 21, 2021, 08:21:31 PM
I cannot seem to get attachment right.

Here is a link if you want to see it.   I have been messing with trying to post for the last hour!
-M

https://www.google.com/search?q=boppy+nursing+pillow&client=safari&hl=en-us&prmd=sivn&sxsrf=ALeKk038fWQihCS6qbwXFLnvblKSNaGarw:1619050554352&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjEjampyZDwAhWCJ80KHd_xBO4Q_AUoAnoECAIQAg&biw=414&bih=622#imgrc=s4jLNsedORaHNM
Title: Re: Incision recovery
Post by: MN1971 on April 21, 2021, 09:13:00 PM
Question- what and why use RTE's???   Positives?  Negatives??? 
Title: Re: Incision recovery
Post by: Hawk on April 21, 2021, 09:55:19 PM
Your cushion serves the purpose.  The only caution is that a "U" works better than a "C" design because the "C" is more open, but if you can configure it to keep the open end from closing in too close to the scrotum, then you are good.

Titan implants come in increments of 2cm's (20,22,24)  AMS/Boston Scientific come in increments of 3cm (15, 18, 21)

I will use Titan as an example.

There is one purpose of RTE's.  That is to get that extra little bit of size if you have one cm of capacity left after inserting the cylinders, but you don't have enough to accommodate the next larger implant, which is two cm longer.

Sometimes surgeons go into surgery without a full selection of sizes 20cm, 22cm, 24cm.  A person having room for a 24cm gets a 22cm with two RTE's.  This causes 2 issues.   RTE,s do not inflate, and they are smaller in diameter than the implant base. Think of a post in a post hole.  If the base is inflated, it fits snug in the hole.  If it does not inflate and is a small diameter and the post hole gets a little enlarged, you will have some wobble in the post.  Your inflated penis may point down rather than up or straight out at 90degrees from the body.  It does not mean it is not functional, but aesthetically men are less satisfied.  If your scar capsule around the base gets slightly enlarged with no RTE, then inflating it still snugs the implant in the scar capsule.

The other issue is that RTE's move the entire implant forward.  This means the junction where the tubes connect to the cylinders moves forward.  The tubes are then less hidden back along the part of the penis shaft in your body.  The tubes can be felt at the visible base of the penis and sometimes even seen in the form of a slight bulge under the skin.

Some surgeons will stack 3 or 4 RTE's.  Dr. Eid never uses more than 1 RTE per cylinder.  In fact, if you are between sizes - say 23.5cm he will try to shave some of the permanent base off of a 24cm cylinder.  So rather than 22 with a 1cm RTE (and .5cm left empty), You would get a shaved down 24cm. You have the most implant you can handle, the tubing junction is well hidden, and most of the tip of the base of the implant that goes in the crus is inflatable and very stable.

I struggle to explain this stuff clearly.  I hope that makes sense.
Title: Re: Incision recovery
Post by: Mikel7 on April 22, 2021, 06:06:39 AM
I watched the video, ( after I opened my eyes)  and this procedure is absolutely extraordinary!!   Keep on recovering and thank you for posting your progress.   It is amazing that there are physicians that possess the skill to develop such a technique. To cut, suture, and implant in such a way - just like an architect building a bridge.
Title: Re: Incision recovery
Post by: MN1971 on April 22, 2021, 07:09:20 AM
Post-op Day 8

Good morning! 
Hurting again... taking meds as prescribed plus advil...  just gotta power thru.
Have. Pronounced lump at the base, right side of the penis... between the scrotum and the shaft.  Started noticing it yesterday and here today it hurts like hell. If it's still bothering me before end of business will call and try to get in to see Dr that is seeing patients for DrL while he is out of his PA.
Thoughts on what it could be??  It wasn't there pre- surgery?   Obviously it's surgery related.   
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 23, 2021, 08:59:25 AM
Post-op Day 8


Good morning Implantoneians...

I must be feeling better because mentally I woke up thinking about putting a serious "hurtin'"  on my wifey.  Ya gonna be a long 4 weeks as I hopefully continue to heal.

Pain this AM and last night- much better as I made it a point to stay on top of it. 
As far as wound goes- I am wrapping it gently with non stick bandages and using the "tough wrap" very gently to keep it in place.  On the bandages I am putting neosporin w/ pain relief.   Incision looks really good.  Head and scrotum is still pretty bruised up but shaft looks good. 

This is simply a holding pattern... and I am just enjoying the ride or trying too. 
This is a slow process but I gain. Strength in reading the other journals saying how well worth the entire experience is for themselves and their significant other.

Thanks for being here!
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on April 23, 2021, 09:34:24 AM
Great to hear the good news.

Although to is great to hear, we all knew you were going to get there.  Consider that you are only 8 days out in a healing and improvement process that takes months to complete.


Hawk
PS: Please always put the period of time post-op in bold at the top of posts.  It is critical if others are ever going to benefit from your journal and see where you were at a specific point in the process.  I fixed prior posts. - Thanks
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 24, 2021, 03:33:36 PM
Post-op day 10.

Best day I have felt yet.... except when I am walking or standing for any period of time 30 or more... sitting square in bleachers on padding @ my son's football game was rather uncomfortable too.

Seems all stitches have fallen out.. not much more.

Thanks for being here and the support

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on April 24, 2021, 05:03:36 PM
Awesome!  Keep posting!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 26, 2021, 10:43:40 AM
Post-op  Day 13

I am real uncomfortable between the base of the penis and the scrotum.  Mostly when I am standing; some relief when I sit. Most relief when I sit and feet are raised... I told my wife jokingly must be gravity.  Still taking pain meds and advil which provide minimal relief. 

Other than that things are status quo... except my amorous moods have definitely returned.  Another month before I see the PA.  Sadly, it's going to be a LONG month!  I keep hounding my wife and she beats me off with a broom!!! Hahahahah

That's it gentleman!    Have a great day! 

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on April 26, 2021, 10:59:30 AM
So MN refresh my memory.  Did we establish that you had the subcoronal approach and the only incision you have is just behind your glans?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 26, 2021, 12:36:09 PM
That is correct Hawk... just under the glans... no other.   

One other thing I am finding is circular "lumps" @ the base of the penis in both sides.   I am guessing it's new hardware under the skin of some sort.   I am sure it will get answered as we meet in month. 
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 27, 2021, 04:48:38 PM
Post-op  Day 14



Again- continuing to improve.  Started messing around with the pump... checking out the device.  Type, what's what...   it is a little uncomfortable when I would squeeze gently on it... seems it's a pretty hard device to squeeze. 

I have no cycling instruction or anything.   Just to leave it and let things heal so I might be getting ahead of myself... boredom is not good. 

Seems all my stitches have fallen out.. and my incision per my nurse (wife) looks really good.  Even the incision isn't much raised.  I credit the neosporin for how well it has healed. 

Suggestions?  Anyone else ever have to sit in a holding pattern like this??

Thanks for the support
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on April 27, 2021, 05:29:54 PM
Many men are not cycling for weeks or even months after an implant which would go against my personality type.  Dr. Eid has patients cycling after 3 days.

Concerning the circles on each side of the base of the penis.  You are only dealing with a cylinder in each cavernosum, a pump in the scrotum, a reservoir about as high as your pubic hair but on either the right or left.  You have a single tube from the reservoir to the pump then two tubes from the pump, one to each cylinder.  The tube from the pump to the cylinders is connected a short distance from the base of the cylinders since the very base of the cylinder is not inflatable,  Those tubes are usually buried next to the base of the penis in the fat pad. I can feel them by deeply pressing where the penis enters the body.  They can be felt easier if you have a very lean, ripped, body mass or if you have RTE's.  RTE's move the junction of the tubing to the cylinders further out from the body making it a little harder to hide.

The tube routing varies slightly between penoscrotal and retro-pubic.  I am not sure about Coronal approach.

Here is a link that clearly shows the layout. in the body and on the table so you see how RTE's move the junction forward.  Some surgeons are more skilled at hiding the tubes.
https://www.google.com/search?q=titan+implant+diagram&rlz=1C1CHBF_enUS949US949&sxsrf=ALeKk00sqYQklDQjW84097xHGdGh14hWYw:1619557938350&source=lnms&tbm=isch&sa=X&ved=2ahUKEwjSye68q5_wAhWwGVkFHVZGA20Q_AUoAXoECAEQAw&biw=1920&bih=912#imgrc=hA4kP2mTSHyA3M&imgdii=3tTBTHWgKHZDTM
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 30, 2021, 01:01:23 PM
16 days POST OP

Just a quick update:

Feeling pretty good. Still dealing with  minor uncomfort. Regardlessi guess I have to wait until  5/17.  We'll- unless I take it into my own hands literally.
Probably not a good idea. 

So I sit... I guess there is a method to this madness.  I will read some others journals. 

Best to all
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on April 30, 2021, 02:04:24 PM
If you tolerated Peyronies Disease & ED all these years I am sure you can manage until 5/17. 

Having said that I am pretty certain I would be feeling around and tempted to give a pump or two then deflate.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 30, 2021, 05:22:40 PM
Yeah Hawk I have explored. But other than watching you tube videos and reading here I have no further education... not sure I have the guts to actually pump a little & deflate

Here is something- is anyone using ED MEDS post implant to help with the glans?   Interested in knowing
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: GaussRifle on April 30, 2021, 05:31:08 PM
Why, are you having less glans engorgement after implant ?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on April 30, 2021, 06:52:27 PM
No... just wondering...   if. I was taking ED pills before to increase blood flow and that included the glans...  and implant only effects the shaft and length of the penis...  what if the glans doesn't become engaged?? 

I haven't used my device at all yet.   
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: TDix on April 30, 2021, 07:31:04 PM
I can still get a chubby with no pumps if aroused.  Not firm enough for intercourse but it is an erection
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on April 30, 2021, 10:23:35 PM
Quote from: gaussrifle on April 30, 2021, 05:31:08 PM
Why, are you having less glans engorgement after implant ?

No one has less glans engorgement after an implant unless it is a couple of years after and their ED progressed.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 01, 2021, 10:13:45 AM
POST 15

eah I am ready to mess with this thing and tear a piece off.   

Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 01, 2021, 10:37:17 AM
After all the reading I have done the multiple videos... I am brave enough to try to inflate and after some "fun" deflate... I am brave enough; cannot say I am confident though... I will say I am comforted I can turn here for help if needed. 

Jeez what a turn around from last week where I felt I was on my death bed and totally lost
A little info from the research brings a plethora of thought

Stay tuned! 
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 01, 2021, 12:37:06 PM
Patience is the key.  You are going to be fully functioning and all of this is going to be behind you!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 01, 2021, 06:06:47 PM
Ok... my experiment is complete; keep in mind I am a pessimist... 

NOTES:

About 8-10 pumps and I was as full as I was gonna get...
I actually had no problem pumping up. 

I actually had some penetrating activity with my wife... was definitely uncomfortable for me... lotta pressure on the entire penis. Wife said it felt pretty normal... not sure if she is telling me that as to keep my spirits up.   I told her she has to be BRUTALLY HONEST as I need her help to work thru this.

My penis looks deformed.
-Glans ol pointing one direction
- soft in the middle where I used to have my curve start
- was seemingly still bent, not nearly as before but was definitely bent
- you could see knobular type endings at the base of the shaft on left and on right almost .25 up...
- could feel the sharp pointed tips of the implants on the head of the penis.
- didn't notice an extra length or thickness... I was actually kinda disappointed...

While I had already mentioned I had no problem pumping up- deflating is seemingly impossible!  Took forever and have NO IDEA how I will ever be able to do squeeze the penis and hold the one touch release button!  Practice make perfect- but what if you practice incorrectly!

Lots of pressure urinating about an hour after... to the point of painful.

Sitting here now I am feeling some pain behind the glans... actually gonna take some Advil and a pain med.

Not sure if this was a pleasurable experience... but it's done and I got some more insight to things. 

F&@$ this thing hurts!!!!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 01, 2021, 11:18:38 PM
You forget to start all your posts with post op days but I think you are only 14 days post-op.  The earliest post-op intercourse by any doctor on the planet is Dr. Eid at 21 days.  He does start cycling at 3 days however.  You are NOT ready for intercourse.  Do not cause yourself problems after all you have done to get here.

Were you able to deflate?  If not I will talk you through it over the phone if necessary.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 02, 2021, 11:25:56 AM
Day 16 post
Thanks Hawk for the gentle reminder of my heading and the gentle chastisement not o create other issues for nyself.  There are times I want to expedite things... esp when I read others journey are different than mine.   I need to slow down and trust the process

Yeah. Able to deflate and then re-inflate to where I was before my experiment
Definitely swore this AM.  Feels as if I stretched skin.   My concerns about the glans expanding from arousal was warranted.  Looks like I will still need some ED pills.  Still early though.   Gotta keep in mind this is a marathon of life not a sprint like a prom night

My concerns are warranted:
- disfigured penis... Wierd I felt I was twisted and turned all over.
- defin. Softness where plaque was on the penis.  Smack dab in the middle of the shaft.   Surely the implant will assist in that not becoming problematic
- the stabbing pain of the sharp points of the implant on the glans is REAL. 
- struggle with deflation; it will take time

My wonderment and overt admiration for all those on the YouTube videos that can grab their stuff and deflate!   Someday!!!

Everyone have a great Sunday!   Weather is gorgeous is Chicagoland! 

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Roddy on May 02, 2021, 02:14:58 PM
Hi MN

I have lots of advice for you if that's ok?

You are ONLY on Post Surgery Day 16. Yesterday your impatience caused you to take an extremely unnecessary risk by engaging in sex with your wife. I vividly remember making the same error myself but mine was at just approaching a month post surgery. At almost 4 weeks I had been cycling twice daily and I felt 'ready' even tho I hadn't had the go ahead from my surgeon. When cycling one night, I was overcome with excitement and asked my wife to see what it felt like inside her. Before I knew it I was very gently having sex. As soon as I'd finished I was racked full of worry about how I could have potentially blown all the progress I'd made after all that pain of healing. I messaged Hawk, who reassured me that, at almost 4 weeks, there was no harm done but best to wait til seeing my surgeon the following week before doing that again. I was so relieved when I was given the go ahead. So I completely empathise with your lack of patience.

I've just read your recent posts over the past few days and recognise a number of your worries from my first couple of weeks too.

- You say that you are shocked at the shape of your penis after 10 pumps. Depending upon the size of your implant, it'll take AT LEAST double that number to fully inflate. When you start cycling every day, your penis tissue will stretch as the implant grows inside you. This will be sore - from what I've read of your healing so far I think this will be sore. This is a good sign but you will perhaps be so consumed by the physical pain and mental doubt that you'll dwell on the negative and not appreciate the long term progress yet. This was certainly my experience and I remember it very well.

- I remember being SO disappointed at the shape of my penis after the first inflation. I'd go so far as to say I'm sure I cried. All of that pain and suffering, for weeks, and when I pumped up, my dick still had a downward bend. I was distraught. The guys on here told me to hang in there and gave me the same advice I am now giving you. Only daily cycling to the Max, for at least 30 mins, will change your shape. To be honest, once I started cycling, it happened quite quickly.

- The length of your penis will increase over time. My surgeon told me this (very confidently) and the guys on here told me too. There comes a point in time when you are inflating that your tubes begin to 'bulge' as you become rock hard and that's when the increase in length/girth happens. So I'm not surprised you're disappointed so far - all of that length and girth increase will only happen with cycling.

- I think the soft spot in the middle will also become hard when you do what I've already discussed. Why would there be a soft spot? It's not logical. The fluid from your reservoir will make your penis rock hard from one end of the cylinder to the other end. How can there be a blockage? This will change when you fully inflate.

- I also remember the utter agony of trying to squeeze the deflate button. The small plastic block with the edges on it - man my scrotum and balls hated that button at the beginning. Again, you will have to trust me that this just becomes normal behaviour for you - you pump, you have sex, you deflate. It's incredibly simple. However, it was NOT simple at the start for me. In my journal, I describe how I deflate, and to be honest, I still deflated this morning after sex like I did the first few weeks 2 years ago. I am right handed. I put my right thumb behind the rubber inflation ball. Next I put my left thumb behind the plastic block that has the deflate button to give my left forefinger a basis to push force against as I push the deflate button with my left forefinger. I then use my right hand to squeeze all the fluid back into the reservoir while I'm pressing the deflate button with my left fore finger. This works for me every time.

- Again, all of this pain goes away in the short term (months) week by week without you knowing it until you suddenly forget that you had pain at all.

- I went from 5.5 inches after the excision and grafting surgery back to 6.5 inches that I am now. I'm not sure you cannot regain size and girth if you are cycling daily in the first year. I gave up after 9 months as I'd gained back one full inch. So, be confident this should also apply to you.

By the sounds of your last post you are suffering from doubt here. You must try and be positive because in the long term you'll wonder, like I did, why it took you so damn long to do this in the first place. You'll have a totally hard penis, that never fails, and a wife who cannot believe how lucky you both are to have this opportunity.

Take care,

Roddy.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 02, 2021, 02:50:12 PM
Roddy-

Best advice and reassurance thus far.  Thank you!!!

I am going to save that!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 12:01:59 AM
Roddy is great and comes through once again!  I agree with everything he said and salute the way he said it.

To echo, your implant cylinders canNOT possibly have a soft spot even if it is an LGX700 and much less a Titan.

You cannot possibly know the shape of your dick until you have pumped enough that you are sweating bullets waiting for the stopwatch to hit 30 minutes so you can hit that blessed deflate button.  You have yet to experience your implant.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 12:17:38 AM
Hawk-
Really!  Pump it up until I am sweating bullets?   Like it's going to be a skin ripping erection!   Wow lot to look forward too!  YIKES!! 

Hawk I might have to take you up on that phone call stuff eventually.

Good night all. 

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Roddy on May 03, 2021, 03:50:03 AM
Hi MN

I adjusted my information on how I deflate in my post above. I confused my right forefinger with
my left. Just to be clear:

I put my right thumb behind the rubber inflation ball. Next I put my left thumb behind the plastic block that has the deflate button on it to give my left forefinger a basis to push force against as I find and then push the deflate button with my left forefinger. I then use my right hand to squeeze all the fluid back into the reservoir while I'm pressing the deflate button with my left fore finger. This works for me every time.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 03, 2021, 05:13:36 AM
Quote from: Hawk on May 03, 2021, 12:01:59 AM
Roddy is great and comes through once again!  I agree with everything he said and salute the way he said it.

You cannot put a price tag on the experience here! 
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 07:40:14 AM
Post op 20

Thanks again Rooddy for all the info.   

Any advice how to stop the Damn thing from slipping out of my hand or the "tender/sore" feeling? 
Also- not sure what they are- cords maybe... how to avoid squeezing them??

And yes- info here is priceless

So today is same as yesterday.  Still a dull ache.
Biggest issue and this sounds silly- my wife says I am dripping urine all over and not finishing totally

Now I am having a lot of pressure trying to urinate dealing with half an erection & I am on Tamilosin to help me urinate anyway because of a pain in the ass prostate! 
Again- you all can tell from my journal-  I am a little dramatic & inpatient.  So leaving the "show" early might be true... I feel totally empty and been focusing on staying longer... still having some slight stains in the Cotten underwear. 

Maybe I should get a pair of huggies or pampers!

Thank you all for being here!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 12:18:53 PM
The swelling combined with the stiffness of the cylinders can cause a semi-erect-looking penis.  If a man has not mastered totally deflating, that complicates that further.  All three of those things improve.

Additionally, every man's Titan cylinders will bend, fold, or crinkle uniquely in the beginning. If your implant folds when deflated in a way that puts pressure on the urethra, it can reduce the size/volume of your stream, but that too is temporary.  Just be a little more careful for now.

Sweating Bullets- if you read my journal, you will read my descriptions of laying in a tub of hot water.  I had ice water in a glass and a playlist of my favorite music.  I would try to go for one more song, but I would literally get to the point of holding my hand on the deflate button while watching the second hand on the clock, just waiting for it to hit the 12.  When it hit 12, I would hit the button.  Now, if you are not interested in sie increase, you can be less aggressive.  Possibly you could do less over a period of more months and get slower gains. I am not sure, but I was not that patient, and discomfort when inflated clearly equals gains.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 02:02:16 PM
Hawk- as always I appreciate the insight

No bathtub here to work with.  Bed, hot shower, that's about it... understand... deal with pain and gain!!!  Who is not interested in more size!!!!    I am all in on that one

Here is a question... no problem stabilizing pump to inflate!!! How about DEFLATION... damn thing slips out of my hand no matter how I hold it....  I think I have fully deflated... got the empty water bottle sound...  progress???

The deflation is suuuuuuch a pain in the ass!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 02:41:09 PM
Determining if you fully deflate is not determined by any sound that I know of unless you mean a crinkly sound/feel of empty cylinders when they are brand new.  The cylinders should feel UNMISTAKENLY flat with a fold or bend at some point.

1. If you are pushing hard to try to get the valve to stick open then just use your other hand on the pump to keep it from shooting out.  If it works, then you can totally let go of the pump and deflate by squeezing the penis.

2. If it does not work yet on your new pump, you have to squeeze the penis WHILE pressing the deflate button.  You should still be able to do that while bracing the pump with your penis hand enough to keep it from slipping out.

EVERYTHING is a pain in the ass (dick/scrotum) in the first few weeks.  When you consider they literally skinned your dick alive, pushed the skin to the base, and cut an opening into the cavernosa to stuff in cylinders and another to stuff a reservoir into your abdominal cavity and a pump down with your balls, I am amazed it is going this well.  :)

Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 02:52:11 PM
Your post means a lot... "amazed it's going this well".   Yeah they did peal me down as you described. 

Here's the thing.  I asked for a model pump so I could see what I was dealing with rather than just YouTube...  wanted to feel the device...

I actually do not know how the mechanism works... I thought I had to hold the release valve the entire time... I guess when I go in on the 17th Things will make more sense.

What about small ball like features on the bottom .25 of the shaft... they are soft and. I can push them in... sounds plastic like... 

I guess I am board messing with it.

I can get 15 full pumps no problem; got 20 and felt like the tip of my penis was gonna rip out...
one thing definitely noticeable is the glans is slightly pointing right. Glans has not been aroused or engorged with blood either.  So not sure what. Full erection  will look like.  I was hoping I would be done with viagra/levitra... but doesn't look like it if I want that nice swollen glans.

Deflated and re-inflated to probably 1/2 which is where I am supposed to be until I go into Dr.

Thanks again everyone for the help.   
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 07:01:58 PM
Quote from: MN1971 on May 03, 2021, 02:52:11 PM
What about small ball like features on the bottom .25 of the shaft... they are soft and. I can push them in... sounds plastic like... 

Glans has not been aroused or engorged with blood either.  So not sure what. Full erection  will look like.  I was hoping I would be done with viagra/levitra... but doesn't look like it if I want that nice swollen glans.

There might be no point that has been so often or so emphatically driven home on this forum than this ——-> The glans will NOT be changed positively or negatively by proper implant surgery. It will react after surgery exactly as it did before surgery.  Ask yourself: Did I have total Erectile Dysfunction? Did I engorge but only with Viagra? Did I have strong, reliable erections? Did I get erect but lose it without constant stimulation?  Whatever the answer, it will remain the same.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 07:10:38 PM
Hawk-

Yeah... in my post. I addressed that:

" Glans has not been aroused or engorged with blood either.  So not sure what. Full erection  will look like.  I was hoping I would be done with viagra/levitra... but doesn't look like it if I want that nice swollen glans."

Thank you for the reminder though.

Tell Hawk... your a big proponent of the HOT BATH....  not wanting to assume is it to relax the scrotum??
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 07:21:32 PM
It is Dr. Eid who is a big proponent of the hot bath and any of his patients who do it agree.  Remember, his patients begin to cycle on day three.

It is essential to relax the scrotum, reduce swelling, block discomfort while inflated.  It might even make the pump slightly less hard but that is speculation. 

It will serve little purpose 1-month post-op.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 03, 2021, 08:48:34 PM
Hawk- forgot to tell ya... idea from your journal I picked up... baby socks.  Having a little one I used a sock to cover and helped immensly with pain or rubbing against my underwear!!
Absolutely GREAT advice.

Reading your journal about where you were coinciding with my date... no wonder I am feeling bored!  Eid has you guys rockin and rollin! 

Levine is incredibly well respected in his field... I am sure he has his reasons his approach is different.

Will see what they say in 2 weeks... but in the mean time... I am pretty sure I'll be experimenting!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 03, 2021, 09:31:13 PM
I recommend the infant socks with the little bow on them and writing that says "I'm a little angel".  Feel free to attach a photo.   ;D


PS: keep in mind you had a totally different approach (coronal vs scrotal).  That plus different surgeons vary greatly in the post-op protocol.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 04, 2021, 11:48:13 AM
Post OP Day 20

This is something I have f seen shared so I figured  I would in case someone else ever has to deal with it.
Doctor Levine sent me home 1/2 inflated.  Was told to leave it that way until I came in for my 2nd post op 5 weeks out... (I go in to see the PA 5/17).

Having prostate issues and taking rapaflo and flomax to help with that-  I gotta go more than usual... but having half a boner i have a weak stream abs it is rather uncontrollable!   I think I am done and I am dripping all over!!! I can even stroke out some urine! 
Not only does it gross me out- but my poor wife! 
Half a sleep I guess I sprinkled a little on the floor and got BLASTED by my Angel of a wife!
Of course being a man- I yelled back! 

I have tried sitting and it grossed me out as hit the water before going... I end up sitting on my hip as to not touch the water in the toilet bowl...

So here is my solution-   I have to deflate and re-inflate to empty my bladder and stop the battle under my roof...

Positives:
- practice inflating and deflating to 1/2 size
- emptying my bladder with no mess
- keeping peace under the roof

Negatives:
- I am (my scrotum specifically)already sore as hell from messing with this God awe-fully designed pump!   Well the inflate portion is ok...but the deflate is just ridiculous.
-  I better be proactive when I gotta go... suffering to deflate when I gotta pee is going to raise the anxiety!
- going against doctors orders as to leave it 1/2 way. Inflated. 

That's it for now.   Please share thoughts, ideas, experiences!
Have a great day and thanks for being here!
-M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 04, 2021, 12:25:35 PM
Hawk will definitely have to respond to this.  I know for myself that peeing with 1/2 an erection is almost impossible.  As far as sitting and going and hitting  the water I can relate to this!   I could recommend you buying some depends.....let's just not go there.  LOL   :)  Mike
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 04, 2021, 12:57:38 PM
First off urine in a healthy human is free of bacteria and viruses so it is NOT "dirty".  Messy yes, a nuisance yes, dirty NO!

Turn on the shower, stand outside of it and relieve yourself there at any angle.  If your wife asks what you are doing tell her you are nurturing her favorite possession.  ;)
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 04, 2021, 03:01:52 PM
Hawk- I busted out laughing @ your reply.  My wife asked why and I said a joke someone made...she asked if she could see; stupidly I closed the screen... she wouldn't appreciate my jovial laugh!

I think I need some extra attention and  get pissing in the shower!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 04, 2021, 03:07:01 PM
Gentleman-

What are "Dogears" in relation to the Titan?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 04, 2021, 03:35:47 PM
Get a plastic straw.  Bend it double.  The sharp points (corners) where the straw bends are like when a dog's ear bends in the middle
--->  https://www.google.com/search?q=jack+russell+terrier&rlz=1C1CHBF_enUS949US949&sxsrf=ALeKk03TlFasdJwkIRh8-8_zdsNQ9dJlXA:1620156830781&tbm=isch&source=iu&ictx=1&fir=yrLK9DrZqX2S4M%252ClRKL6loI1CyR3M%252C_&vet=1&usg=AI4_-kRvS-yMT8ZKRF7z7QILznkQEi1xAw&sa=X&ved=2ahUKEwjupoPD4rDwAhWDEVkFHUPCA2kQ_h16BAgIEAE&biw=1920&bih=912#imgrc=yrLK9DrZqX2S4M

In the beginning, if you do NOT feel dog ears, then you are either NOT totally deflated, or you were undersized with the implant.

Since Titans do not contract lengthwise when deflated, the penis retracting against the empty cylinders makes them fold into a flattened "Z" shape.  Once the cylinders become rubber feeling, it is not an issue.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 04, 2021, 06:11:58 PM
Something else to ask about on the 17th!   

Bend the penis all the way forward if I can??   

Again.  I will wait until the 17th to feel what completely deflated looks and feels like.  Anything else is conjecture. 

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 04, 2021, 06:39:54 PM
So of course I gotta go see if I can go totally empty.
I bend kinda forward and I can feel the dog ears...  I am not sure if it's fluid or the empty water bottle effect I am experiencing too

I gotta stop.   I am gonna drive myself crazy aren't I?

A little info can be good; a little info can also be REALLY bad for someone like me. 
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 04, 2021, 06:46:41 PM
Quote from: MN1971 on May 04, 2021, 06:11:58 PM
Something else to ask about on the 17th!   Bend the penis all the way forward if I can??   

I do not understand this post unless you misunderstood my post.  Dogears have NOTHING to do with bending the penis.  When cylinders of a 6" erect penis with a Titan are deflated, the penis contracts half an inch.  That forces the cylinders inside the penis to bend like if you try to shorten a straw by compressing the length. The straw buckles and folds inside the straight penis.  This forms corners commonly called dogears.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 05, 2021, 06:34:36 AM
Post op 21

3 weeks today I became "Bionic". Steve Majors if you will...  really a great show back in the 70's. 
I look forward to continuing to remain teachable if you will... though I am not the brightest candle burning.

Sore today.  Scrotum Is somewhat swollen around the mechanism.   I am guessing it's from the squeezing and messing with it.  Someday that will all go away and I will join the numbers of men that never regret having made the decision to join the bionic class.... right now I struggle day by day....

Simply-,how did all of you please bionic brothers get where you are??? Easy- One day at a time!

Enjoy your day!  I am sure I will be back later!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on May 06, 2021, 09:17:09 AM
MN,
Thanks for sharing.
It really is a month by month progression.
You will get to a point where you will say, wow this bionic penis is amazing. And if you can keep increasing your pumps to maximum, you will get thicker and longer.
My spouse loves my increased girth.
It stays rock hard after I cum and I can continue staying rock hard until she finishes.
Stay strong, the pain will eventually leave.
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 06, 2021, 09:54:57 AM

Post op Day 22

Thank you StepOne.   I appreciate the encouragement.   

I emailed the PA 8 days ago thru the "my chart app" and still haven't heard back.  That sort of thing is upsetting.  For the most part phone calls are a pain... email is simpler and doesn't get on your nerves... unless your the sender and don't receive a response.   Today I call.

I want to get some "ok" to start doing more activity.  I am doing daily walks with the dog a couple times a day; I would like to start getting on my exercise bike and doing some light weight lifting.

Nothing new to report per my bionic implant.  Still sore and attempting to practice patience until my appointment on the 17th.

Everyone have a good day! 
M

Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 06, 2021, 02:29:31 PM
post op 22

Well I took Hawks advice...  wow.   Hot Bath worked wonders

I THINK I was fully inflated.  Couldn't pump anymore if I tried.  Stoop up showed the wife and she was pretty impressed!!! "WOOOE HONEY!"

That's nice but what I loved was the pain!  Or lack there of!    Earlier in my experimental stage last week I thought the thing was gonna rip outa tip of my penis!   I was near tears!  It was GOD AWEFUL! And-  I got no where near the inflation I did this time...

Tub was nice and hot; I sat only 21 minutes... and I THINK I deflated totally. 
One thing- my deflate mechanism feels nothing like what I see in Videos.  There is no flag circle with a release valve.   It's shaped like a jolly rancher and I just squeeze the middle of that to deflate...not the circular ends with a release valve like I have seen.

Thoughts about that???

Took a nice shower after dried off and applied a little baby oil on my penis to keep it nice and soft.
Yeah yeah.  That might have been too much

I know there is going to be peaks and valley's... but it's exciting to actually have something positive to feel about. 

That's it.  Wanted to share.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 06, 2021, 02:34:11 PM
Time is a great healer!  Congrats.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 06, 2021, 03:10:46 PM
That was a great post to read. My 2nd bit of good news from forum members in one day.

I can casually reach down (I just did) and feel what feels-like a little raised button on one side and a slight concave dip on the opposite side.  My trained hand can find that in 1/2 of a second.

How was any old deformity/ your size while inflated?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 06, 2021, 04:38:16 PM
Hawk- God as my witness there is NO concave. I am like maybe I got an old one!  Not sure!
Again- something else. I add to my list for the 17th.   They might be shutting the office down as. I am gonna get my time!

So I asked my wife just now and she says she didn't notice anything other than a slight lean to the left... I said ok.  Honey that's vague... what's "slight lean" and we ended up with a 15 minute Q&A session... she wants to know my obsession...  I said "this Hawk guy" wants to know. 

Size?   I think it was actually BIGGER than day of my surgery.  I don't know my measurements before the operation.  I will have all that info after the 17th.   I want to see how they measure as to be consistent when I measure at home.

I think my penis looked so much better!  Wasn't all misshapen and just totally disfigured!  Looked semi normal...  I didn't notice any indentation or curvature.  I think I was so waiting for pain and kind of excited about what. I was actually seeing I missed whatever else.

I will say now- I am a little sore from pumping up and stretching.  Took some Advil before and took two pain pills after. 

Hawk- give me, with what you can put together, an effective cycling regiment... after all the reading of so many journals- things are running together.. and unlike my college years I didn't write down or clip and paste important points...  share with me, after all you have experienced and read your thoughts.   I get everyone is different.  But please share

Off to grocery store.

Best,
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 06, 2021, 05:08:02 PM
First, I don't care how they measure your penis.  There is only one way to accurately measure an erect penis so you can consistently measure progress.  BPEL with the same ruler (some cheap ones have an edge that adds to the first inch).  Press it hard enough into the hollow above the shaft that it is "bone pressed," and you know it is impossible to press it further the next time no matter how hard you try.  That is your accurate length no matter how much weight you gain or lose.  Measure your girth with a cloth tape measure at the base, mid-shaft, right behind the glans.  WRITE DOWN ALL MEASUREMENTS.  You will not remember when they start changing slightly.

If you never measured your dick before surgery, you have to be the first man in history that did not know the size of his penis.  I guess if Levine had shorted you an inch or so, he could have just convinced you you were always that size ??  :)

Concerning the cycling protocol.  Correct me if I am wrong, but your doctor orders are not to cycle until your appointment.  I am pretty hesitant to instruct and encourage you to violate those orders.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 06, 2021, 07:25:29 PM
HAWK!!

I am unique to say the least!  I have never whipped out the ruler and measured my $hit.   

Dont u know the theory that you don't get on a scale to see if your losing or gaining weight...  you can tell by the clothes- if the 34 waste don't fit you jump up to 36...  and vise versus.

If the magnum condoms don't fit ya get the smaller size!
Sometimes ya don't wanna know! 

Yeah- doctor said to leave it 1/2 inflated until I got in on the 17th.
It's ok.. I will take notes when I review the journals again.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 06, 2021, 08:13:12 PM
If you asked what I did, I got in a tub of hot water, then let the hot water run as hot as I could stand it and left it tricking to keep it hot.  It greatly reduced penis discomfort even though the rest of me was beat.

I would pump up.  If my scrotum was sore, I would pimp a couple of times and wait 30 seconds.  I would shift the skin on my scrotum, so the same skin was not getting pinched between my thumb and the pump on every squeeze.

I would continue until the pump would not budge.  Then I would find something distracting.  For me, it was a song playlist.  I would go for at least 15 minutes, then try to get in a few extra pumps because you will stretch.  By that point, it was a contest to see if I could make the 30-minute mark.  When I could not stand it anymore, I would listen to one more song.  When that was over, I would then wait until the second hand hit 12 to stretch it out a few more seconds.  Then I would hit the release button.  AAAAaaaahhhh! sweet relief!

Dr. Eid told me to relate for at least two 15-minute sessions a day.  I asked if one 30 minute session was ok and he said, "yes, that is fine."  That gave me as much time inflated but only half the pumping on my scrotum, which was pretty tender.

When I was near my limit, I learned that trickling water on my penis with a washcloth or dragging the end of the washcloth across my penis seemed to interrupt the discomfort so I could extend my time.  I gradually worked up to an hour.

PS: When pumping, sometimes it helps to drape a washcloth across the scrotum and grab the washcloth to pump.  The cloth between your thumb and the scrotum was more comfortable.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 08, 2021, 05:25:59 PM
Post op 24

Hello Gentlemen,

Post op 24 and pretty sore still.   Everything seems to irritate the skin of my penis.  Slapping a little baby oil on it or petroleum jelly on it to keep it soft and less irritated. 

Trying to not think about chasing my wife around the house per doctors orders which are different than everyone else's... but as Hawk has pointed. Out- my surgery was a little different than everyone else's as my implant wasn't done thru the scrotum...

My incision looks GREAT!  I will brag about that.   Barely noticable... Dr Levine used the original scar line from my circumcision 50 years ago it seems and it has healed beautifully. 

NOT TO BE CRUDE-
I cannot WAIT TO PUMP THIS UP AND USE IT!!!
I mean that's what it's for!!!

I really don't have much to add medically other than the soreness. 

More tomorrow.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 09, 2021, 05:33:29 AM
Quote from: MN1971 on May 08, 2021, 05:25:59 PM
Post op 24

NOT TO BE CRUDE-
I cannot WAIT TO PUMP THIS UP AND USE IT!!!
I mean that's what it's for!!!


   Great recovery!  You are not being crude and you will get your chance to experience your new bionic powers.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on May 09, 2021, 07:49:31 AM
MN,
Fascinated about your implant procedure since it was done via the scrotum.
Did you find the size of your implant yet?
What was the reason Dr Levine used the scrotal approach?
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 09, 2021, 08:10:08 AM
Quote from: MN1971 on May 08, 2021, 05:25:59 PM
Post op 24 Trying to not think about chasing my wife around the house per doctors orders which are different than everyone else's... but as Hawk has pointed. Out- my surgery was a little different than everyone else's as my implant wasn't done thru the scrotum...

His implant was done through a Coronal approach with the penis degloved and no other incisions as per his signature line.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Pfract on May 09, 2021, 01:25:55 PM
Encouraging news MN71! Wishing it continues like this!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 10, 2021, 05:58:47 PM
POST OP 26

Not feeling so hot today.   Nothing implant related.  Just drained as hell... took a little nap today even which is totally not me.

Still dealing with slight soreness.  Been totally deflating before urinating... remember my surgeon wants me to stay 1/2 inflated until he sees me.  I can't seem to finish completely with a half a chub.   
No leaking or mess by totally deflating.  Pumping up and deflating seem to be no issue. 

Just continuing the holding pattern.

Best,
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 16, 2021, 12:30:17 PM
Post op 32 days

I saw my Dr's PA day after surgery.  Tomorrow I have appointment @ 1115am.  After surgery I was sent home 1/2 inflated and told not to "mess/play" with my new bionic penis.  I was told to wait the 6 weeks and then would be given a full run down on my "penis rehab".    Obviously thru my journal here you know that didn't happen

I have a lot of questions.  Some situations I found answers here.   I have fully inflated, soaked in the hot tub, deflated (not sure how but whatever I am doing deflated me), chased my smoking hot hot wife around the house, dealt some surprising situations and thank you to this forum had an incredible experience with all the support people have given and shared.

It is true!!!  I am the worst patient ever!  Tomorrow i will go in and listen intently.  I have a prelim list of questions and things to share and need clarification.  I am excited to go to doc; everytging up to this point has been experimental and curiosity.  Tomorrow begins my official rehab.

I look forward to sharing!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 16, 2021, 12:38:41 PM
Question-
Per Dr Levine- I was told he used a col titan 22 with one RTE.

My release valve FEELS NOTHING like the pictures I have seen on here. Is it possible he used an AMS700.   My release valve feels exactly like that looks.  Rectangular and no release valve pointing out.   

Can You use an AMS witg the Col Titan? 
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 16, 2021, 12:46:28 PM
No, it is not possible.  They do not mix parts.  For one thing it would void the entire warranty
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 16, 2021, 01:14:14 PM
Thanks Hawk...I could be wrong but it FEELS NOTHING like the Titan release
I guess I will find out tomorrow.

I will be PISSED if he told me one thing and it's another...as a SURGEON I think double and triple checking is EVERYTHING! 

YES- Mistakes happen... but that is a luxury surgeons cannot afford!

Stay tuned for this unfolding!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: TDix on May 16, 2021, 01:26:47 PM
I have heard of two different types of a Coloplast pump.  Mine is the older version pump I believe.  Yours may be the newest version
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 17, 2021, 01:10:28 PM
Well that was a fast doctor appointment because I have had you guys as a resource!  For that I can grateful and blessed..
Fully inflated and deflated...  I have an older release valve which is flat like a rectangle... it's not the one button cylander release I have seen everywhere...  explained that people have a much easier time with the device I have.

Reasoning given for the wait of 6 weeks is because of the extensive work I had done...  the molding and straightening was explained.   Dr L usually uses the circumsisional incision when dealing with the peyronies straightening.   

Sent home and told to start cycling 2x daily for a month and next month 2x daily for an hour a day.
Measured 14.5 in length before and after surgery...   I am excited to start the cycling and watch the increase...

So- Hawk. You shared your routine... who else has had some gains with their own cycling routine??
Forgive me for not reviewing the journals again.

Glad today is done and I am fully released to work out, chase the wife, and get back to some fun and frolic!!!

I am truly blessed and thankful today!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Pfract on May 17, 2021, 02:27:07 PM
Found it funny in a good way the part about chasing the wife...  8) that was a good update mn1971! Have fun!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 17, 2021, 02:29:08 PM
Good news!  Congratulations, and good luck on your first launch.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 17, 2021, 06:40:06 PM
In reference to "launch"

Houston- "One Small Step for Man; One giant leap for Mankind!"

Definitely a wierd feeling for me still.  Slight tearing? Raw almost...  none the less a successful mission! 

I am sure it will get more like normal in the future.

Tonight start my cycling... 
m
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on May 17, 2021, 07:06:58 PM
MN1971 no one asked for a clarification on your post. so I will.
You posted your before and after measurements as 14.5 in length.
Do you mean, you have 14.5 cm in length? 
If you have 14.5 inches, can you please post a pic?
Thanks for your post and glad you are doing well.
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 18, 2021, 12:35:32 PM
No it wasn't inches!!   Not sure I would wish that on anyone!!! Hahahaha. 

And if I did. My wife wouldn't let me post pictures if I was 1cm...  she wouldn't like that at all!   I guess she is kinda possessive!   Not sure of what!  I am definitely not a "George Cloony/ Brad Pitt" in reality!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 20, 2021, 07:00:08 PM
Post op 36

So I am cycling... The PA said 2x a day 5 minutes at a time... after a month 2x an hour a day.
Lemme tell you the 5 minutes is more than long enough with the pain I am getting used to.  Stretching or whatever they consider it.   

Definitely not fun.   I really need to go check the journals.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 21, 2021, 12:00:11 AM
Your journal has some real significance because you have one of only 2 sub-coronal approach implants on the forum.  You might not have the same experience as the other journals.

If you read the journals, you know that all of us agree that you are far less successful enduring the time recommendations if you are not sitting in a tub of hot water.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 22, 2021, 08:09:33 AM
Agreed.  The tub... with my one experience definitely helped.
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Roddy on May 22, 2021, 03:37:39 PM
The hot bath advice is an absolute diamond. Heat desensitises pain for some reason, meaning you can have a much longer stretch.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 22, 2021, 03:54:23 PM
I agree,

Since I have used HOT water to block disc pain and kidney stone pain my theory is that your nerves cannot transmit both the sensation of pain and heat at the same time (or the brain cannot sort it out).  It has no residual effect like it does for sore muscles.  The second you stand up the pain returns if it is just blocking the pain signal.

In the case of the implant, it probably has some direct effect on the soreness of the tissue, softening the pump, and cylinders and relaxing the scrotum but my experience is there is a pain-blocking phenomenon that goes beyond that.

Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 24, 2021, 05:39:50 AM
Day 50

Good morning everyone!

Quick follow up:

I continue the short cycling encouraged by the Dr & PA...  still struggling along without the hot bathes.  I think I mentioned I am one of those "hard learners".     Another issue I am having- 2 areas on my incision area is really sensitive... raw almost.  I am attributing it to the cycling and possible stretching of skin... not sure if that sounds possible.

Other than that things are going along.  I would like to put my investment of $ and pain to work a lot more- but that's a marriage issues!  Hahahaahahah.   I figure since I have gone they all this and it's guarenteed to work WHY THE HELL NOT???

Problem is the one we have had for quite awhile- it's not physical more logistic!! Meaning with all the kids we have finding time and location!   We have 7; two of which are under 7 and still attached to Momma's hip and LOVE to sleep in our bed... yeah I know.,, I know...

Physically. I guess I am going ok; mentally dealing with wanting to "play" with our new toy and not being able to is pissing me off

More later!   I hope everyone is doing well!

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Mikel7 on May 24, 2021, 06:08:24 AM
Quote from: MN1971 on May 24, 2021, 05:39:50 AM
Day 50

Problem is the one we have had for quite awhile- it's not physical more logistic!! Meaning with all the kids we have finding time and location!   We have 7; two of which are under 7 and still attached to Momma's hip and LOVE to sleep in our bed... yeah I know.,, I know...
M
Great report! I can understand.  We have 4 kids and when they were little it was all I could do to keep my sexual sanity.  We shipped them off to grandma's house many times.... Also in the shower can be fun.  :) Mike
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 24, 2021, 05:40:25 PM
Ok-
Well we did the deed... I lied and said I was very comfortable and no issues

It was definitely not pleasant...  a "raw"feeling on my Johnson esp where the incision line is... and just not pleasant.  Lot of pressure on the glans as well...

My wife says it's amazing and "WOW!"   And maybe it was... for her... like I said. I was definitely uncomfortable... this I need to research.

Best,
M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: TDix on May 24, 2021, 05:54:47 PM
Possibly try using a condom until your sensitivity calms down?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 24, 2021, 08:57:49 PM
The condom idea might be great.  I would not have thought of that. 

Needless to say, the penis is more traumatized with a sub-coronal approach just from being 'degloved" but then inflation and thrusting are putting pressure directly on your incision.  It is just going to take time.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on May 25, 2021, 12:31:55 PM
MN, sorry about the pain, but glad she liked it.
Did you have sex for more than 30 minutes? I found that when I got to the 30 minute time, I would have pain.
I hate to say this, but I told the spouse, until I get the feel of this thing, the first few times might just be more about me driving around the block and then pulling it out when I pop the clutch, so to speak. The spouse was very kind to me, because after the new car feeling went away, I was pressing on all cylinders over and over.
So my advice is focus on you for now. Try to cum more quickly to avoid too much friction. You can always use your mouth or fingers to give her a good finish.
Good luck my friend,
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on May 29, 2021, 08:43:32 PM
Post op 55

Hello all.  Still doing my 5 min cycling as Rx.    Can't say I enjoy it very much.   I am beginning to swell around the pump in my scrotum and having stabbing pain eveyry now and then... very random

I am also sure to totally empty the penis... yet sometimes feel it's 1/2 erect occasionally without me  pumping at all.

I have emailed the doctor last week about it and have heard nothing back.. will call Tuesday if I do not hear back

Hope all is well with everyone's journey and hope you enjoy your holiday weekend.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on May 29, 2021, 09:31:00 PM
Quote from: MN1971 on May 29, 2021, 08:43:32 PM
Post op 55

I have emailed the doctor last week about it and have heard nothing back. I will call Tuesday if I do not hear back.

I hope all is well with everyone's journey and hope you enjoy your holiday weekend. 

Honestly, I don't think any man should have to deal with this.  It is disappointing to hear that Dr. Levine's patients are left without even an email response.  Dr. Levine is on our list of implant surgeons because of his long history with Peyronies Disease patient's in general, but the truth is that he does less than 100 implants per year.  That, combined with the fact that he is not very accessible to his patients, puts us in a position of wondering if we should be recommending him to implant patients.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on May 30, 2021, 09:45:56 AM
MN
Call the doctors office and ask for a patient advocate. It infuriates me to no end about poor healthcare. I know you don't feel like complaining, but pretend you got a new car and it wouldn't start, I bet you would be complaining and ask to speak to the manager. Call and don't give up, you are worth more than this.
About the pain, I had random stabbing pain too. It is one of those things that just happens. Annoying yes, but it will eventually be just a thing in the past.
I am wondering about your cycling, you wrote 5 minute cycling. I was told to cycle 30 minutes or more to stretch the penis tissues. The 30 minutes was a goal, at first I could only do it for about 20 minutes, always in a warm bathtub, and usually with a beer and the radio playing something to take my mind off the pain. Sometimes I took a xanex when the pain was intense.
I thought that Hawk had written a generic after care instructions.
But read people's journals and you will find lots of concerns and helpful comments.
Sadly I have never seen good aftercare instructions.
I am not sure about the swelling, but like Hawk said your particular procedure is different from most of ours.
Sorry if I repeated some things.
If you want to chat, email me and I can give you my number.
Hawk is truly the expert on all this, but I know when you can't get in touch with someone to discuss your concerns, it can be very stressful.
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on June 01, 2021, 10:55:33 PM
You know what.. I am in total agreement with you gentleman..
Interesting conversation with the PA @ my appointment
When asked about why I received the instructions to leave my penis 1/2 inflated and not to do anything with it She makes a comment that because of the extensive work done and how difficult it was that was the reason my instructions
were as they were... understandable... BUT I said that post surgery when Dr L spoke with my wife he said things went very well and almost seemed routine as far as there were no suprised or concerns... I was like come on. 

Ok.  Something I am noticing is like swelling around my pump... like something surrounding it?   
Also- I remember the "dog ears" comments... are those in reference to the tips/points around or under the head of the penis?   Those F@&/era hurt!

Sorry I haven't been around. Job search and continuing Ed are taking up a lot of time.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on June 02, 2021, 12:02:37 AM
Quote from: MN1971 on June 01, 2021, 10:55:33 PM
I am noticing is like swelling around my pump... like something surrounding it?   
I remember the "dog ears" comments... are those in reference to the tips/points around or under the head of the penis?   Those F@&/era hurt!

No!  Dogears are not at the tips.  When you deflate a Titan the cylinders go flat.  While flat they place very little tension on your flaccid/deflated penis so your penis shortens a little,  When it does the flat cylinders have to fold at some point along the shaft.  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 in this topic.  It illustrated dog ears. https://www.peyroniesforum.net/index.php/topic,12308.msg113865/topicseen.html#msg113865

Did you mention the swelling around the pump to the PA?  you would be able to feel the pump detail as clearly as you ever have.  If you cannot, CALL YOUR DOCTOR.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on June 03, 2021, 04:14:26 PM
Calling as soon as I am done typing this..
If I move the pump around I can feel it

Otherwise I swear it feels like something surrounding it...

Here is another thing I am noticing-  in voluntary filling?   Like it seems to fill to a semi all the time on its own... never stays in the totally flaccid state...

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on June 04, 2021, 11:48:19 AM
Quote from: MN1971 on June 03, 2021, 04:14:26 PM
Here is another thing I am noticing-  involuntary filling?   Like it seems to fill to a semi all the time on its own... never stays in the totally flaccid state...

How to stop involuntary filling and why it is important.

If you are truly involuntary filling, it is because your scar capsule is healing/healed smaller than the full reservoir and putting pressure on the reservoir.
If the capsule is totally healed and scared in Dr. Eid says there is no correction for this except surgery.  That is why he sends men home deflated.

Hopefully, it is not too late to stretch the capsule.  You must constantly keep every drop squeezed out of the cylinders except when cycling.  Squeeze them FLAT both in front of and any inflatable cylinder behind the scrotum.  When you are flat, I would wrap Coban wrap that sticks to itself around the penis to keep back pressure on the penis side.  This was my own solution.  I have never heard a surgeon say this, but I only had to do it for 2 days to resolve the situation.  Of course, I corrected the problem when I was only about 3 weeks out of surgery, as I recall.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on June 04, 2021, 09:16:40 PM
Thanks Hawk!

I called and told reception is I want an appointment ASAP.  Early next week.
I had emailed them a number of times and no response. Shared that I was a less than happy camper   

Keep ya posted

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on June 06, 2021, 11:03:30 PM
So I heard back from my Dr's PA...

I am going in next week. But after 2 emails and 2 weeks they finally responded

" I am not sure what the fluid around the device would be except for swelling, is this around the pump or the cylinders? 
IT is common for some auto-inflation, it never stays as deflated as when you first get it down, this is normal."

Thoughts? 

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on June 06, 2021, 11:18:10 PM
I am disappointed that anyone's implant surgeon would be that difficult to get in touch with.  Also nothing against PA's but having to wait to get passed to a PA is even more disappointing.

I have no auto inflation.  Did you follow my tip?  Your reservoir capsule has to be stretched NOW (actually a month ago).  If I smash my penis flat and hold it, then let go, it will fill out to round in a couple of hours but the cylinders in my penis still feel flat.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on June 07, 2021, 07:51:16 AM
Hawk- anything you tell me I take as biblical... so yes ran out to Walgreens and got the supplies to tie this thing shut... yesterday wanted for see if it worked... yeah... my Murphy goes from totally deflated to probably a half full..  I have my wife inspect it just so I know I am not imagining things.

I am sure the only reason they responded per email is because I called and said I had emailed and no one got back to me.

I know most don't want to be bothered with a phone call and email or text is usually the preferred method of comm... very disappointing.

M
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on June 07, 2021, 11:08:57 AM
Just to be clear (your statement "tied it shut" made me nervous).  I TOTALLY deflated, then wrapped a Coban wrap on the shaft from the glans to the base. it is like wrapping a sprained ankle with an ace wrap.  I would leave it on all night and much of the day when not cycling.  I only had to do it for 2 or 3 days, but I caught it within a few weeks because I was sent home totally deflated and was cycling in 3 days.

You should not even have to look to see if you are inflating.  Deflated, new Titan cylinders should feel like flat plastic straws snd even have folds/bends in them.  One side of the cylinder wall will be flat against the other wall of that cylinder with zero space in between. If you have auto-inflation, the flatness of the cylinders will be replaced.  When you squeeze a cylinder with your thumb and index finger, you will be able to move one side closer to the other because they are not touching.

Also, at this stage, a totally deflated New Titan should make your penis somewhat unnatural and flat or mishappen.  That is how you want it until you make every effort to stretch that reservoir capsule before it is TOTALLY healed.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: GaussRifle on February 17, 2022, 10:01:45 PM
MN1971 updates ?
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: JustAGuy2020 on February 23, 2022, 11:51:55 AM
Guys, of course I can't speak on behalf of MN, but thought I might share some of my experience with Dr. Levine.  I had a failed incision/grafting surgery at the University of Michigan hospital (curvature returned within a few weeks of the surgery) and from this forum it appeared that Levine was the best option for me, given insurance, travel, etc.  Dr. Levine did a doppler ultrasound and recommended an implant with another incision/grafting (he did not think that the implant and manual modeling would correct the curvature without incising my scar again).  I had this procedure on 9/23/21 and am doing well.  I had a subcoronal procedure with degloving (similar to MN) and I can confirm that Dr Levine recommends waiting 6 weeks to start cycling (to allow the circumcision incision to heal).  I don't have issues with auto-inflation and (although I don't do measurements) I think I am getting close to my pre-Peyronies size.  I am continuing to cycle twice a day for an hour total, although Levine's office described stopping after 2 months.  I agree that Levine's office is somewhat difficult to work with in that everything is funnelled through the front desk (no direct access to Levine or his PA's) but overall I am very happy and glad I chose him.  BTW - Levine noted in his surgery notes that my curvature returned because the original doctor did not divide my Peyronies scar at the septum (midline) of the penis.  This allowed the scar to reattach itself and the curvature to return. 
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Stepone on February 24, 2022, 08:31:57 AM
Thanks for such a detailed post.
I am confused about you writing that they want you to stop pumping after 2 months. I don't understand this. Inflating is so important as the penis continues to stretch and gain width and length for up to a year after the initial surgery of implant....or at least this is what my urologist told me.
So glad you are progressing.
StepOne
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: JustAGuy2020 on February 24, 2022, 10:30:17 AM
Thanks StepOne - I guess I should have phrased it differently - Levine's office didn't instruct me to stop cycling after 2 months, they just said to use the implant "as needed" after 2 months - haha.  So I guess they must not think there is a lot of value in cycling every day.  Based on the recommendations in this forum I am going to continue cycling throughout at least the first year and see how it goes after that.
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Roddy on February 24, 2022, 02:03:45 PM
Good progress going on for you after only 10 days. Any time spent standing for a while at your stage will be painful - probably a real dull ache tbh. Must be the blood rushing to the balls etc. Sitting on bleachers will definitely be an issue - I remember at 4 weeks in I had to sit on the edge of seats and let my balls hang off the front edge to minimise pain and discomfort. It will come good in time. Hang in there. 👍🏻
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: MN1971 on March 09, 2022, 10:19:37 AM
Wow!   If I have to have a "fix it" surgery.   I am happy I have this to use as a reference!
Title: Re: Tomorrow w/ Dr Levine - MN71's Implant Journal
Post by: Hawk on March 31, 2022, 05:25:46 PM
When is it scheduled and did he reveal the problem and exactly what he intends to do to fix it? 

Please keep us posted.  We are very interested and it is important information for all men looking for solutions.