All Systems Are A Go!

The final frontier. Deciding when, if and how.
vincentarpino
Posts: 20
Joined: Sun Feb 16, 2025 7:35 pm

All Systems Are A Go!

Postby vincentarpino » Thu Oct 16, 2025 4:17 pm

Greetings All:

Well, I met with my urologist yesterday to discuss my upcoming IPP procedure scheduled for November 4th. If you've been following along (and, truly, why should you be? 8-)), I've had this postponed three times since last March. Today I received confirmation that my A1C is a comfy 6.5, good for a Type 2 Diabetic and way under the threshold for surgery at 8.0.

So, all systems are a go! My doctor spent a ton of time with me yesterday and was super-impressed with my research and questions. So, I'm gonna share some things we went over. What I am asking is for positive energy. If you don't agree with my doc's choices and procedure, I'm going to respectfully ask that you keep it to yourself. I am beyond excited and 100% trust my doctor and his team.

I am asking, because this community is really fucking awesome, is if you have the time and patience to read all of this, to please kindly respond with your experiences about the topics I'm about to cover.

So, interesting factoid: The Boston Scientific rep will be in the O.R. for the procedure. He and my doctor confer on implant size and product. Right now, my urologist is expecting to fit for an AMS 700 CX. He said he may change that to LX, but it will be a game time decision. He said he's going to use the newer model with the Tenacio pump. I brought up my concerns about the recall and he assured me that it was a very small number of recalls with specific serial numbers and none of them were his patients. He did say that he has found the Tenacio easier to pump and deflate and that his patients love it. So, those of you who have the Tenacio pump...what do you think?

I also asked him about measurement and how does he calculate the right size. I asked him if he induces an erection when I'm under; he stated that he knows that is a popular way of doing it, but, he prefers, with consultation from the BS rep, to use the measurement of the entire length of my penis from the pubic bone and the entire length of the hidden penis. He then uses those two calculations to measure the size. He said that I can expect that it will most likely be the length that I can see when I'm fully pumped up in the VED. Not the measurement, but what I can see. So, all pumped up I'm somewhere between 7 1/4 & 7 /12. The length I can see (I used a measuring tape while pumped up) is about 6.75"...so, I'm okay with that. For those of you who regularly and vigorously used a VED pre-op, did you find this to be the case for you?

As for girth, he feels the CX does a better job of maintaining girth than the LGX. My current girth after removing the VED, is around 5.5 at the base, and 4"ish under the glans. He was all for small daily doses of Cialis and that coupled with cycling, and of course, arousal, would get my girth back fully and also avoid Floppy Glans Syndrome. Any experience to share here?

Here was breaking news for me. I asked him about how inflated I'll be post-op and will I have to keep my penis in an upward position for six weeks. My doc said that they only point it up if they are concerned about hematoma and that this has nothing at all to do with "breaking in" the implant, etc. So, he said when they take the bandages off the day after surgery, I can leave the hospital with my dick pointing in the usual direction...down. I may ask him to leave it maybe 20% inflated because I AM worried about a hematoma. Have any of you left the hospital for home with it pointing down rather than up? And deflated?

My doctor said that, depending on my healing, I may be able to start cycling in four weeks and resuming sex after the famed "six weeks." Have you also had this experience?

I am very confident in my team, and I also have found a lot of guidance from many on this Board. So, #1, thank you for reading this and if you have any comments, I would be very appreciative.

Rider1400
Posts: 1197
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: All Systems Are A Go!

Postby Rider1400 » Thu Oct 16, 2025 7:54 pm

Sounds like you’re ready to go!! Good luck. I’ve stated on here many times that a positive attitude is at least half of your recovery!! Especially the first couple weeks. You will have questions and doubts for several weeks and maybe months but this too shall pass!! Time will heal most issues and if there is an issue there’s not much that can be done anytime soon, so hang in there and try to enjoy the ride. I had mine done infrapubic and was left about 30-40% pumped for two weeks and I went back for stitch removal and he deflated me and told me I could start gently pumping and deflating in very small increments at that point. By third week I was pumping it pretty hard and had a very uncomfortable gentle sex around the third week or so. Dr said listen to my body and don’t overdo it. Now 3-1/2 years later I’m enjoying this new me more than I ever thought I could. Almost like my younger self!! Good luck and Ice ice ice. Do what your Dr says and you’ll be ok.
59 years 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 with Classic pump 20cm and 1cm RTE. Going strong


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