Activation on Wednesday

The final frontier. Deciding when, if and how.
vincentarpino
Posts: 70
Joined: Sun Feb 16, 2025 7:35 pm
Location: Somewhere, NY

Activation on Wednesday

Postby vincentarpino » Mon Dec 22, 2025 9:57 pm

Good Evening All:

Well, if you've been playing at home...and, really, who hasn't :)....tomorrow will be 7 weeks since my surgery. I am seeing my surgeon on Wednesday morning (yes, Christmas Eve) to finally activate my implant and get me cycling and going. It's been a long road and so many of you here have given me so much encouragement, I cannot thank you enough.

I've been deflated since surgery, btw. I seem to be all healed, and have "gained" (discovered?) about an inch back flaccid after the swelling finally subsided.

I AM a bit apprehensive about Wed. I've been trying to pump a little on my own in the shower; if not for anything else, just to soften up the pump. No more than five pumps...but...nada, nothing.

So, is there something that my doctor has to do to truly activate the thing?

I'm also a little apprehensive about the following:
The activation.
Cycling.
Sex...when can I start having sex again.
And, of course...size. What size is it actually going to be? My doctor said it would be about the same size as what I saw in the VED tube prior to surgery, which was about 6 1/2". But the cylinder size he put in with RTE's would equate to anywhere from 5.5 to a little under 6". So I am very apprehensive about THAT.

Any insight any of you could give me is greatly appreciated!

Thank you and happy holidays!
66 yrs old. 3X colorectal cancer and survivor. Twice Stage 4. Between chemo and Type 2 diabetes, it's all taken toll on my ED. Pills, VED, HRT no longer work. No injections for me. Had AMS LGX with Tenacio implanted on 11/4/25. 15cm with 2cmRTE.

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SWorks17
Posts: 1047
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: Activation on Wednesday

Postby SWorks17 » Tue Dec 23, 2025 8:46 am

vincentarpino wrote:Good Evening All:

Well, if you've been playing at home...and, really, who hasn't :)....tomorrow will be 7 weeks since my surgery. I am seeing my surgeon on Wednesday morning (yes, Christmas Eve) to finally activate my implant and get me cycling and going. It's been a long road and so many of you here have given me so much encouragement, I cannot thank you enough.

I've been deflated since surgery, btw. I seem to be all healed, and have "gained" (discovered?) about an inch back flaccid after the swelling finally subsided.

I AM a bit apprehensive about Wed. I've been trying to pump a little on my own in the shower; if not for anything else, just to soften up the pump. No more than five pumps...but...nada, nothing.

So, is there something that my doctor has to do to truly activate the thing?

I'm also a little apprehensive about the following:
The activation.
Cycling.
Sex...when can I start having sex again.
And, of course...size. What size is it actually going to be? My doctor said it would be about the same size as what I saw in the VED tube prior to surgery, which was about 6 1/2". But the cylinder size he put in with RTE's would equate to anywhere from 5.5 to a little under 6". So I am very apprehensive about THAT.

Any insight any of you could give me is greatly appreciated!

Thank you and happy holidays!


Vincent, my docs protocol was partially inflated for 6 weeks and I went in for device training at 6 weeks.
Before I went in to be deflated and get device training, we had went on a short vacation to Austin, Texas and I did try squeezing the pump a few times but that's all I did, I didn't want to damage anything.
Training day, the docs nurse deflated me and asked me to pump it up as much as possible. I could barely get in 10 pumps which got it back to where they had it after surgery. It was hard to pump it with pain still in my scrotum and the shaft of my dick. I have the older AMS MS pump which looks like a hand grenade, with lots of raised ribs. The surgical capsule had not formed completely yet, so the raised ribs on the pump hurt when I pumped it.
Find out your internal measurements, to see if that will give you some help with how you should measure.
My internal measurements were 11cm distal (outward) and 10cm proximal (inward) for a total of 21cm and I got 3cm of rear tips. I've had my implant for 4 years and when I measured after healing up, I'm at 6.25.
I hope that helps a little bit

SWorks
Age 67, Garden Ridge Texas, Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18cm with 3cm RT's installed 5 Nov 2021 by Major Dr Shane Barney, BAMC, San Antonio, Texas, Married 36 years.
DOD Pg 131, Faces Pg 27

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SWorks17
Posts: 1047
Joined: Sat Jan 15, 2022 4:33 pm
Location: Garden Ridge, Texas

Re: Activation on Wednesday

Postby SWorks17 » Tue Dec 23, 2025 8:50 am

Sorry I forgot to say something about clearance for sex. Your doctor will give you that clearance. My doctor cleared me at 6 weeks, but I still had too much pain. I waited till week 8 to have PIV sex and it still hurt and was awkward because I was trying to figure out how to get it pumped up enough and I still had numbness also. I was disappointing but it kept getting better every week.

Hang in there,
SWorks
Age 67, Garden Ridge Texas, Boston Scientific Rezum procedure for benign enlarged prostate 19 May 21, AMS LGX 18cm with 3cm RT's installed 5 Nov 2021 by Major Dr Shane Barney, BAMC, San Antonio, Texas, Married 36 years.
DOD Pg 131, Faces Pg 27

Old Guy
Posts: 2984
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Activation on Wednesday

Postby Old Guy » Tue Dec 23, 2025 12:12 pm

That's going to be a nice Christmas present!
Pumping up for the first few times may be uncomfortable. There isn't anything the doc will do to activate you other than pumping you to an erection. You could do that yourself, but I don't advise doing anything the doc doesn't want you to do. Once activated they will more than likely release you to have sex. That may be awkward the first time and make you sore.
Size is something no one can predict, even your doc probably won't guarantee anything. They say cycling is the key to regain size, although I never cycled and am happy with my size.
Nov. 8, 2019
5+ years, Coloplast Titan OTR
Married 37 years to my beautiful young bride
Always here to answer questions if you PM me

vincentarpino
Posts: 70
Joined: Sun Feb 16, 2025 7:35 pm
Location: Somewhere, NY

Re: Activation on Wednesday

Postby vincentarpino » Tue Dec 23, 2025 12:42 pm

SWorks17 wrote:
vincentarpino wrote:Good Evening All:

Well, if you've been playing at home...and, really, who hasn't :)....tomorrow will be 7 weeks since my surgery. I am seeing my surgeon on Wednesday morning (yes, Christmas Eve) to finally activate my implant and get me cycling and going. It's been a long road and so many of you here have given me so much encouragement, I cannot thank you enough.

I've been deflated since surgery, btw. I seem to be all healed, and have "gained" (discovered?) about an inch back flaccid after the swelling finally subsided.

I AM a bit apprehensive about Wed. I've been trying to pump a little on my own in the shower; if not for anything else, just to soften up the pump. No more than five pumps...but...nada, nothing.

So, is there something that my doctor has to do to truly activate the thing?

I'm also a little apprehensive about the following:
The activation.
Cycling.
Sex...when can I start having sex again.
And, of course...size. What size is it actually going to be? My doctor said it would be about the same size as what I saw in the VED tube prior to surgery, which was about 6 1/2". But the cylinder size he put in with RTE's would equate to anywhere from 5.5 to a little under 6". So I am very apprehensive about THAT.

Any insight any of you could give me is greatly appreciated!

Thank you and happy holidays!


Vincent, my docs protocol was partially inflated for 6 weeks and I went in for device training at 6 weeks.
Before I went in to be deflated and get device training, we had went on a short vacation to Austin, Texas and I did try squeezing the pump a few times but that's all I did, I didn't want to damage anything.
Training day, the docs nurse deflated me and asked me to pump it up as much as possible. I could barely get in 10 pumps which got it back to where they had it after surgery. It was hard to pump it with pain still in my scrotum and the shaft of my dick. I have the older AMS MS pump which looks like a hand grenade, with lots of raised ribs. The surgical capsule had not formed completely yet, so the raised ribs on the pump hurt when I pumped it.
Find out your internal measurements, to see if that will give you some help with how you should measure.
My internal measurements were 11cm distal (outward) and 10cm proximal (inward) for a total of 21cm and I got 3cm of rear tips. I've had my implant for 4 years and when I measured after healing up, I'm at 6.25.
I hope that helps a little bit

SWorks


This helps a lot! Thank you and happy holidays!
66 yrs old. 3X colorectal cancer and survivor. Twice Stage 4. Between chemo and Type 2 diabetes, it's all taken toll on my ED. Pills, VED, HRT no longer work. No injections for me. Had AMS LGX with Tenacio implanted on 11/4/25. 15cm with 2cmRTE.

vincentarpino
Posts: 70
Joined: Sun Feb 16, 2025 7:35 pm
Location: Somewhere, NY

Re: Activation on Wednesday

Postby vincentarpino » Tue Dec 23, 2025 12:47 pm

Thank you! And, happy holidays to you and yours.
66 yrs old. 3X colorectal cancer and survivor. Twice Stage 4. Between chemo and Type 2 diabetes, it's all taken toll on my ED. Pills, VED, HRT no longer work. No injections for me. Had AMS LGX with Tenacio implanted on 11/4/25. 15cm with 2cmRTE.

User avatar
ElbowRoom
Posts: 807
Joined: Mon Mar 17, 2025 1:58 pm

Re: Activation on Wednesday

Postby ElbowRoom » Tue Dec 23, 2025 3:20 pm

vincentarpino wrote:Good Evening All:

Well, if you've been playing at home...and, really, who hasn't :)....tomorrow will be 7 weeks since my surgery. I am seeing my surgeon on Wednesday morning (yes, Christmas Eve) to finally activate my implant and get me cycling and going. It's been a long road and so many of you here have given me so much encouragement, I cannot thank you enough.

I've been deflated since surgery, btw. I seem to be all healed, and have "gained" (discovered?) about an inch back flaccid after the swelling finally subsided.

I AM a bit apprehensive about Wed. I've been trying to pump a little on my own in the shower; if not for anything else, just to soften up the pump. No more than five pumps...but...nada, nothing.

So, is there something that my doctor has to do to truly activate the thing?

I'm also a little apprehensive about the following:
The activation.
Cycling.
Sex...when can I start having sex again.
And, of course...size. What size is it actually going to be? My doctor said it would be about the same size as what I saw in the VED tube prior to surgery, which was about 6 1/2". But the cylinder size he put in with RTE's would equate to anywhere from 5.5 to a little under 6". So I am very apprehensive about THAT.

Any insight any of you could give me is greatly appreciated!

Thank you and happy holidays!


Five pumps isn't much, that barely moves my Titan. You'll probably need 20-35 pumps to get to full hardness. Don't go crazy cycling, but do be a little aggressive. If it hurts too much, back off. But if you can endure a little pain for 30-60 minutes twice a day, you'll get over the pain hump pretty quickly. I really only had significant pain for 2-3 weeks, then it slowly eased off and now at 9 weeks I can leave it more or less fully hard as long as I want, I even fell asleep that way a couple of times for 1-1.5 hours.
58yo Coloplast Titan 28cm Penoscrotal with Dr. Hakky 10/21/2025.
Pre-op erect measurements:
8.5"L and 6.5"C

Post-op: 8”L and 6”C at one week.
8.5” and 6”C at three weeks with full glans engorgement

Kiwias
Posts: 77
Joined: Sat Jun 07, 2025 7:22 pm

Re: Activation on Wednesday

Postby Kiwias » Tue Dec 23, 2025 3:55 pm

Don't worry about cylinder size and your final size. They are not directly related. Your own anatomical set up will determine your final size. I have a 20cm Titan without rte's and have 7 inches post surgery. I'm more than happy with that. Any further gains through cycling will just be a bonus.
66yrs. Radical prostatectomy 2017. ED last 3yrs. Mild Peyronies Jan 2025. Used RestoreX pre-surgery with great results. Titan Classic 20cm Nov 2025. L 7in, G 4.5in first inflation. (Small loss from youth but big gain from ED days)


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