Infrapubic approach - pump placement and tubing

The final frontier. Deciding when, if and how.
staphylococcusecoli
Posts: 14
Joined: Sat Sep 27, 2025 10:46 am

Infrapubic approach - pump placement and tubing

Postby staphylococcusecoli » Thu Oct 23, 2025 12:08 am

For those who got an IPP via the infrapubic incision approach:

Are you comfortable with where the pump rests in your scrotum?

Does the palpable tubing bother you after recovery?
Thank you.
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staphylococcusecoli
Posts: 14
Joined: Sat Sep 27, 2025 10:46 am

Re: Infrapubic approach - pump placement and tubing

Postby staphylococcusecoli » Fri Oct 24, 2025 9:52 pm

Bump :mrgreen:
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Doggedly_positive
Posts: 128
Joined: Thu Nov 14, 2024 8:11 am

Re: Infrapubic approach - pump placement and tubing

Postby Doggedly_positive » Sat Oct 25, 2025 8:04 pm

Not really, as I wasn't consistent enough with pulling the pump down in the first couple of weeks and it migrated upwards and healed there.

I now understand why the nurse was so insistent after surgery that I pull it down regularly.

My bad.
RALP with 75% nerve sparing 10/24.
Some tumescence from 5 weeks post op. Erection improved with pills, stalling @ 60%
Frisky with young wife again. Implanted Rigicon 10X 20 cm + 1 cm RTE mid April 25.
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staphylococcusecoli
Posts: 14
Joined: Sat Sep 27, 2025 10:46 am

Re: Infrapubic approach - pump placement and tubing

Postby staphylococcusecoli » Mon Oct 27, 2025 3:24 pm

Doggedly_positive wrote:Not really, as I wasn't consistent enough with pulling the pump down in the first couple of weeks and it migrated upwards and healed there.

I now understand why the nurse was so insistent after surgery that I pull it down regularly.

My bad.


Sorry to hear this and I hope things get better for you.

Could you share the pulling protocol advised by your surgeon? Is it done only for the first 2 weeks?
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PowerliftingDad
Posts: 128
Joined: Mon Jan 16, 2023 3:30 pm

Re: Infrapubic approach - pump placement and tubing

Postby PowerliftingDad » Mon Oct 27, 2025 9:46 pm

I've had both pump placements and infrapubic is way better in my opinion. It is far less noticeable and the tubing isn't intrusive.
53 yrs old - 1st implant at 24 yr old in 97 Ams 700. Failed 03
6.5" / 5.5 girth natural erection w/ failed implant
Revision done 2/20/23 done by great Dr. Levine Rush University Chgo - AMS 700 CX 21cm + 2cm/1.5 RTE - Currently 7 " / 5.75 girth
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Doggedly_positive
Posts: 128
Joined: Thu Nov 14, 2024 8:11 am

Re: Infrapubic approach - pump placement and tubing

Postby Doggedly_positive » Tue Oct 28, 2025 5:53 pm

Could you share the pulling protocol advised by your surgeon? Is it done only for the first 2 weeks?

The nurse just told me to pull down and forward every day for the first few weeks as I recall.
RALP with 75% nerve sparing 10/24.
Some tumescence from 5 weeks post op. Erection improved with pills, stalling @ 60%
Frisky with young wife again. Implanted Rigicon 10X 20 cm + 1 cm RTE mid April 25.
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Coyote
Posts: 1
Joined: Tue Oct 28, 2025 4:17 pm

Re: Infrapubic approach - pump placement and tubing

Postby Coyote » Tue Oct 28, 2025 11:16 pm

So as someone just getting in line for going bionic, where else do they put the pump if not in your scrotum?
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staphylococcusecoli
Posts: 14
Joined: Sat Sep 27, 2025 10:46 am

Re: Infrapubic approach - pump placement and tubing

Postby staphylococcusecoli » Wed Oct 29, 2025 4:24 am

Coyote wrote:So as someone just getting in line for going bionic, where else do they put the pump if not in your scrotum?


The pump always resides in the scrotum, however, some have a strong opinion that the infrapubic route allows less direct and less precise pump placement than the penoscrotal method, increasing the risk of suboptimal pump positioning and post-op high riding pump issues leading to revision surgeries.
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staphylococcusecoli
Posts: 14
Joined: Sat Sep 27, 2025 10:46 am

Re: Infrapubic approach - pump placement and tubing

Postby staphylococcusecoli » Wed Oct 29, 2025 4:30 am

Doggedly_positive wrote:
Could you share the pulling protocol advised by your surgeon? Is it done only for the first 2 weeks?

The nurse just told me to pull down and forward every day for the first few weeks as I recall.


Thank you. Is it harder to do it with all the pain, soreness and bruising?
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