Urinary Frequency

[doctuth]

LGXdownunder, Thanks for referencing my previous post about controlling incontinence with an IPP. I'm sure it will help many who suffer this side effect. My leaking did not appear until about a year and a half after my proton beam therapy for prostate cancer. Surgical removal of the prostate very often leads to immediate incontinence, whereas radiation results in a more delayed onset. Fortunately, I was at least a year into my implant experience when the loss of control began. I have a Coloplast Titan with a one touch pump. After finding the study from Korea I experimented with various inflation levels as is detailed in my earlier post. My results were almost immediate. I now inflate to 100% all night long and during the day deflate without squeezing to allow the fluid to equalize about 30%. I give one good pump to reset the valve. This gives a good manageable full, but flexible result. A shower, but not too in your face, if you know what I mean.
One other FT member reported to me that he cannot tolerate the 100% all night long. I think it I because he has the LGX which is designed to expand on inflation. The pressure never stops. When my titan is at 100%, it is static, and the pressure is at its maximum. I have no discomfort at all. I suggest those with LGX just inflate to a comfortable level. I think you will still get control. I also used a VED aggressively prior to my implant s recommended by my surgeon. He was able to use the largest available girth implant and credits my help in achieving that result. At 100% it is a handful, but deflated is not much less. I am pleased with the result. This may also contribute to my success in quickly regaining urinary control. As far as I'm concerned, a man with an IPP would be remiss if he did not try this protocol for urinary control. You have the equipment and nothing to lose. I never consider a leak now and it is life changing. Be sure to report you results so we can get the word out. The Korean study reported 72.2% success rate. So far, the reports I have gotten from FT members is 100%. If you have an incontinence problem, major or minor, start today.
doctuth

[doctuth]

I'm sorry for a mistake. The AMS implant which I meant as the one that was not comfortable at 100% inflation as reported by one FT member. It may not be the case with other AMS implant recipients. Everyone is individual. He did, however, get relief at a lower inflation which was more comfortable.
doctuth

[LGXDownunder]

LGXdownunder, Thanks for referencing my previous post about controlling incontinence with an IPP. I'm sure it will help many who suffer this side effect. My leaking did not appear until about a year and a half after my proton beam therapy for prostate cancer. Surgical removal of the prostate very often leads to immediate incontinence, whereas radiation results in a more delayed onset. Fortunately, I was at least a year into my implant experience when the loss of control began. I have a Coloplast Titan with a one touch pump. After finding the study from Korea I experimented with various inflation levels as is detailed in my earlier post. My results were almost immediate. I now inflate to 100% all night long and during the day deflate without squeezing to allow the fluid to equalize about 30%. I give one good pump to reset the valve. This gives a good manageable full, but flexible result. A shower, but not too in your face, if you know what I mean.
One other FT member reported to me that he cannot tolerate the 100% all night long. I think it I because he has the LGX which is designed to expand on inflation. The pressure never stops. When my titan is at 100%, it is static, and the pressure is at its maximum. I have no discomfort at all. I suggest those with LGX just inflate to a comfortable level. I think you will still get control. I also used a VED aggressively prior to my implant s recommended by my surgeon. He was able to use the largest available girth implant and credits my help in achieving that result. At 100% it is a handful, but deflated is not much less. I am pleased with the result. This may also contribute to my success in quickly regaining urinary control. As far as I'm concerned, a man with an IPP would be remiss if he did not try this protocol for urinary control. You have the equipment and nothing to lose. I never consider a leak now and it is life changing. Be sure to report you results so we can get the word out. The Korean study reported 72.2% success rate. So far, the reports I have gotten from FT members is 100%. If you have an incontinence problem, major or minor, start today.
doctuth

I'm sorry for a mistake. The AMS implant which I meant as the one that was not comfortable at 100% inflation as reported by one FT member. It may not be the case with other AMS implant recipients. Everyone is individual. He did, however, get relief at a lower inflation which was more comfortable.
doctuth

Thanks doctuth. Earlier this week I tried full inflation at night while sleeping, but also found it too uncomfortable after a while. I have the LGX, and what you say makes sense about the continuous pressure. Although that could actually be seen as a possible benefit of the LGX for those with leakage issues. I also tried reducing the level of inflation but it still became uncomfortable eventually. I don't think I really need it keep mine inflated though. I now seem to be staying dry just with whatever residual engorgement remains while flaccid. Fingers crossed it stays that way. I have also played around with just putting a couple of pumps in before going for a long walk. Doing that gives me a lot of confidence but the results are now the same if I leave it completely flaccid. I think that probably whatever girth increase I've been able to achieve through cycling is now providing enough continual pressure to keep everything tight and dry. Pre op I had discussed the Korean study and technique with three different urologists. Two were a bit skeptical about whether it could work, but they also saw no harm in giving it a try. As reported earlier my implant surgeon thought it could possibly work. As you say, if you already have the equipment why not give it a go.

[doctuth]

LGXDownunder,
I'm glad you are staying dry now. Everyone is different. Penises vary and implants have their own personalities. Even the Korean study got results with inflations ranging from 30% to 90%. Severity of leakage also varies. In my experiments I found 30% during the day was effective. That is achieved by passive deflation (no squeezing) and one pump to reset the valve. That results in a significant "flaccid" size, but it is manageable. In fact, I rather prefer it to complete deflation. That level of inflation during the day keeps me dry. The 100% inflation at night was just an experiment in variation and worked as well. So, my advice for you if you cannot tolerate full inflation for long periods, is to try 30% during the day. That should not be uncomfortable, and I think you will like it. After all, we didn't get implanted because we wanted a flat tire.

I haven't tried going fully deflated for a long time now. If I did, I may find that I don't leak even without inflating. But then, why mess with success, especially when it requires so little. Keep us posted on your journey. I think we can help many others with this issue. I'm just surprised that not many have responded to this discussion.

[LGXDownunder]

LGXDownunder,
I'm glad you are staying dry now. Everyone is different. Penises vary and implants have their own personalities. Even the Korean study got results with inflations ranging from 30% to 90%. Severity of leakage also varies. In my experiments I found 30% during the day was effective. That is achieved by passive deflation (no squeezing) and one pump to reset the valve. That results in a significant "flaccid" size, but it is manageable. In fact, I rather prefer it to complete deflation. That level of inflation during the day keeps me dry. The 100% inflation at night was just an experiment in variation and worked as well. So, my advice for you if you cannot tolerate full inflation for long periods, is to try 30% during the day. That should not be uncomfortable, and I think you will like it. After all, we didn't get implanted because we wanted a flat tire.

I haven't tried going fully deflated for a long time now. If I did, I may find that I don't leak even without inflating. But then, why mess with success, especially when it requires so little. Keep us posted on your journey. I think we can help many others with this issue. I'm just surprised that not many have responded to this discussion.

All good doctuth, agreed, don't fix something that isn't broken. I did have a minor nocturnal leakage issue last week for some strange reason but otherwise I'm still 100% dry. I am comfortable with 2 or 3 pumps for an extended period during the day, which doesn't cause much visual change from flaccid. I now sometimes do that before exercise, but I'm also remaining dry without it so mostly not bothering. I'm still cycling three times on most days and, although I fully deflate afterwards, I think there is enough residual pressure to help prevent any problems. Paranoia sometimes sets in if I go for a long walk, and I think I'm leaking when I'm actually as dry as desert, otherwise everything seems fine, fingers crossed.

[doctuth]

LGXDownunder, I'm happy for you. I have learned a few other things during this journey. I am nearing 2 years with my Titan, so we are good friends now. I have established that it is optimal to void every two hours. Three hours is really pushing it. If I go too long between bathroom breaks, I set myself up for accidents if I push, pull or lift heavy objects. A violent sneeze will also extract a drop or two. If I will be out and about for an undetermined time or exerting myself with some activity, I will add a few security pumps. This will add some "junkal fullness" which can catch an eye at times. Shopping at Costco is one of the times I will do this, since the time stretches and I may lift a case of soft drinks etc. My wife and I have begun to count the smiles I get from fair ladies. I also am complemented on my belt buckle a lot. It's all good fun. I am not cycling twice a day per se, but my routine of 100% inflation at night, and partial daily inflation does exercise the pump and valve. I am certainly not losing size. EVERYONE is happy!
doctuth

[BlicksDick2025]

Prior to my procedure I could hold my pee forever. Not a good thing to do but the nature of my job prevented me from using the bathroom at will. Now, Im at week 3 post op, I am drinking more water since I had developed the bad habit of not drinking enough. I find that my bladder feels fuller faster and must be emptied sooner. It's annoying having to go that many times to the bathroom. I have BPH and take meds for it. No incontinence but the sense of urgency now is much more than it ever was.