Difficulty pulling pump down

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S206DGM
Posts: 7
Joined: Sun Jan 22, 2023 11:06 pm

Difficulty pulling pump down

Postby S206DGM » Sun Feb 26, 2023 10:22 am

Hi guys,

I got implanted with a titan one touch on 2/16 and am now about 10 days post op. I had an infrapubic operation and I was instructed to start pulling the pump down after day 4 when my drain was removed. However, I am having serious troubles getting a grip on the pump to pull it down. My left testicle is very sore and my scrotum is pretty swollen still. This makes it very painful to try and move the pump at all while fighting through the pain.

I’m worried that I’m a catch 22 situation where I can’t pull down the pump because I’m sore but i may be getting sore from the pump pushing against my testicle as it raises up.

I met with my doctor on day 8 to review removing my staples but he wanted to wait until this upcoming week due to the swelling. He told me to keep trying to pull the pump down and I expressed my difficulties with it but was met with a just keep trying. I will mention that he was able to pull it down twice for me, although painful.

I’ve tried taking a very shallow bath to just cover my scrotum and warm everything up. At this point I’m able to put two fingers on the top side of the bulb and gently stretch downwards. I don’t think this is enough but I can’t seem to do much more than that.

How did you guys get through the pump pulling stage?
38yrs old, ED started at 28. Diagnosed with veinous leak 1/12/23. Implanted titan one touch 2/16/23. Dr. Tajkarimi.

sswinsfba
Posts: 572
Joined: Sat Jan 07, 2023 3:08 pm

Re: Difficulty pulling pump down

Postby sswinsfba » Sun Feb 26, 2023 11:17 am

I'm 33 days post op and I also have an infrapublic Titan Touch implant.

After surgery, I was told to pull on the pump every time that I went to the bathroom or took the recommended theraputic hot baths.

That's what I did and the pump is now properly positioned and I don't need to pull on it any more.

My scotum was very sore and swollen after surgery and my left nut was extremely tender. Most of the swelling and tenderness went away after 4 wks but still haven't gone away entirely.

When relaxed, my rt nut now fully descends but my left not does not and probably will never fully descend again because the tubing going to the reservoir will prevent it.

I initially had the same difficulty as you pulling on the pump immediately after surgery and, while I intiially felt resistance that caused some discomfort, I knew that I had to keep pulling on it to keep it from "healing" in the wrong place.

Pulling was made much easier with the hot baths that the doc told me to take because as one who is a natural "grower," my balls are usually high and tight.

So, I agree w/your doc that you need to keep trying to pull the pump down. Doing that in the baths that you are taking (with the water, as hot as you can stand, as my doc recommended) should make it easier to do it.

Good luck!
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).

S206DGM
Posts: 7
Joined: Sun Jan 22, 2023 11:06 pm

Re: Difficulty pulling pump down

Postby S206DGM » Sun Feb 26, 2023 1:30 pm

Thank you. It seems like I’m on the right path just have to keep at it and get more bath time in.

The other issue I seem to have is that I can’t get a good grasp on the pump. My fingers slip off the bulb when I try to make any downward pressure
38yrs old, ED started at 28. Diagnosed with veinous leak 1/12/23. Implanted titan one touch 2/16/23. Dr. Tajkarimi.

AmansinCali
Posts: 315
Joined: Mon Apr 20, 2020 2:30 pm
Location: SoCal

Re: Difficulty pulling pump down

Postby AmansinCali » Sun Feb 26, 2023 1:56 pm

My doctor emphasized to just use a gentle downward pressure several times a day. I wouldn't overdo it at only 10 days out from surgery, I had the same situation at 4 weeks and everything has turned out OK.
Used Viagra & Cialis until lost vision in one eye due to AION, therefore can never use pills again, then tri-mix 1 1/2 years until unreliable. Implanted 9/20/22 at 77 years old by Dr. Yafi, UC Irvine. Married 55 years wife 76. 20cm Coloplast Titan.

Rider1400
Posts: 889
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: Difficulty pulling pump down

Postby Rider1400 » Sun Feb 26, 2023 2:04 pm

You Re still very early in the healing process. Keep trying but don’t overdo it. As it heals you will be able to pull more and more. The pumps are not delicate, pinch as firm as you can up above it where the deflate block is and that should give you enough grip to pull down. I understand you can’t grasp the pump itself as it’s very tender.
58year old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast 20cm and 1cm RTE. Going strong and loving it!

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SWorks17
Posts: 377
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: Difficulty pulling pump down

Postby SWorks17 » Sun Feb 26, 2023 5:58 pm

You're doing fine, just keep gently pulling it down, it doesn't even have to feel like you have a good grip on it. I had the penscrotal surgery so, everything was swollen down there, all I could do was sort of get the pump between two fingers and try to pull on it and that hurt a lot because the AMS pump looks lie a pineapple and has large ridges.
I kept gently pulling it down twice a day, and really it was more like a slip through my fingers pull.

As I continued to heal, I could grasp it more but still just did gentle pulls.

Hang in there, it will get better!
Age 66, Garden Ridge Texas, Progressive ED after Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18 w 3cm rear tips installed 5 Nov 2021 by Dr Shane Barney, Brooke Army Medical Center, San Antonio, Texas, Married 35 years

Bigdave
Posts: 333
Joined: Sun Feb 26, 2023 1:23 am
Location: VA

Re: Difficulty pulling pump down

Postby Bigdave » Sun Feb 26, 2023 6:44 pm

I'm 19 days post OP, and having similar issues.
Much of the swelling has gone down, but my scrotum skin still feels very thick, and my testicles are sore when trying to manipulate.
Doctor told me that I could start inflating and deflating daily, but the pump is very hard, and I still can't feel the deflate button. I'm at about 40% inflated and it's a bit awkward walking around. Lol
Age 59. AMS 700 LGX 21cm + 2cm RTE.
Peniscrotal, 2/23.
6.25" OEM with Cialis, about 5" post-op. (11/01: Length 6.75" and girth is up to 4.75" mid shaft.) Still growing, albeit slowly. :D
Cycling daily. Hoping to get to 7". ;)

S206DGM
Posts: 7
Joined: Sun Jan 22, 2023 11:06 pm

Re: Difficulty pulling pump down

Postby S206DGM » Mon Feb 27, 2023 10:35 pm

Thank you all. It’s helped to understand and hear that the experience is similar for others. I am currently taking 1 shower a day, which is allowed by my doctor and then 2 baths a day, not currently cleared for. However I only fill up the tub so my testicles are submerged while my penis and pubic scar/staples are above water. I should be cleared for baths officially around day 14.

I do want to write what has helped me in case someone in the future is looking for similar information. I found that I do the bath water as hot as I can and then soak for 15 mins. I don’t touch anything during this time. After 15 mins is up and everything is loose, I gently place my dominate hand (right) in the water between my legs and to the backside of my scrotum. In this position I create a hook finger position with both my index and middle fingers and have each finger straddle what I believe to be the top of the pump. I gently apply downward pressure and try to pull the pump down towards my feet. I usually do this roughly 10/15 times for maybe 5-10 seconds each time to loosen everything up.

I then found that since I can’t get a grip on the pump without slipping off while positioning my thumb and index finger front and back (either side) of my scrotum, if I rotate my hand so that my thumb is on the right side of my scrotum and my index finger is on the left side of my scrotum, I can get a much better grip to grab the pump and pull down without slipping off at all. It takes a second or two to navigate the tender areas of my left testicle but it is helping me be able to apply successful downward pressure that I wasn’t able to do before.

I still can’t successfully identify where the release valve is but I have a follow up on Wednesday and I’m sure I’ll be instructed to start cycling soon.

Thank you again guys! You have been a huge help!
38yrs old, ED started at 28. Diagnosed with veinous leak 1/12/23. Implanted titan one touch 2/16/23. Dr. Tajkarimi.

Robert18
Posts: 1
Joined: Fri Jun 23, 2023 8:44 pm

Re: Difficulty pulling pump down

Postby Robert18 » Tue Aug 29, 2023 10:23 pm

Hi Guys,
what a great site!Thanks!!
Had a Coloplast Titan implant 3 weeks ago.Penoscrotal approach. the pump is riding very high and the deflator seems to be somewhat fixated to penile shaft at the base and bulb above rt testicle... anyone with similar experience and success with tugging? I understand surgical relocation is sometimes necessary but when is that determined?
Would appreciate any input!


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