How important is vacuum pre stretching in the weeks before surgery?

The final frontier. Deciding when, if and how.
KaBoom
Posts: 70
Joined: Thu Aug 14, 2025 12:27 pm

How important is vacuum pre stretching in the weeks before surgery?

Postby KaBoom » Sun Mar 22, 2026 4:05 pm

Goal is to maximize length obviously.

But on these boards most are suggesting it, but 3 different doctors I spoke to said its not that important or required.

I have an opportunity coming up within a next 2-3 week now, but having been doing to pre stretch.

Should I hold off this earlier date to get the max stretch in?
56, Mild ED started 20 years ago, Pills very effective for first 12 years. Then High Blood Pressure made ED much worse. Pills inconsistent now. Dont like needles. Planning IPP now, probably Rigicon Infla10 AX, to be done overseas.

edjohn
Posts: 297
Joined: Mon Aug 14, 2023 11:10 am

Re: How important is vacuum pre stretching in the weeks before surgery?

Postby edjohn » Sun Mar 22, 2026 5:50 pm

Only if you have drastically atrophied from the ED because you are highly likely to get something back.

If you just want to maximize your potential, it could still help but takes years to see impressive gains for most guys.
Oct 7, 2025 - Coloplast Titan XL - Touch pump - 26cm - 0.5cm RTE with Jonathan Clavell. Still sorting out TRT; plan to try a "modified natty" approach without injections.

LGXDownunder
Posts: 731
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: How important is vacuum pre stretching in the weeks before surgery?

Postby LGXDownunder » Mon Mar 23, 2026 11:52 am

KaBoom wrote:Goal is to maximize length obviously.

But on these boards most are suggesting it, but 3 different doctors I spoke to said its not that important or required.

I have an opportunity coming up within a next 2-3 week now, but having been doing to pre stretch.

Should I hold off this earlier date to get the max stretch in?

You'll get a wide range of opinions on this, both from doctors and implant recipients.
I'm a great believer in using a VED pre implant. In my case I had significant atrophy from devastating 100% total ED caused by a prostatectomy. I lost length to the point that it was causing problems with urination. Once I started using a VED my notional size mostly returned and those problems disappeared. I amped up the VED use aggressively pre implant to between two and three times a day, for 20 to 30 minutes, over 5 or 6 weeks. I believe that got me the longest implant cylinders that my anatomy could accommodate. My surgeon was supportive of my approach and agreed that it likely helped with up sizing. I'm back to my pre ED size but still trying to squeeze out another mm or two. YMMV.
71, married, Sydney Oz. PC/nerve sparing RRP Mar 22 then profound ED. Tried pills, Trimix inj, focal shockwave, VED.
Implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal. Back to 6.5" BPEL @ 9m.
Recovery great but have a bend.

Jage64
Posts: 719
Joined: Sat Oct 22, 2022 9:38 pm

Re: How important is vacuum pre stretching in the weeks before surgery?

Postby Jage64 » Mon Mar 23, 2026 4:11 pm

According to Dr. Clavell:
How to Maximize Size for Penile Implant Surgery includes vacuum pumping. I was doing it anyway for months prior to my implant, Dr. Clavell just asked me to stop a couple of days prior to surgery to minimize any swelling or bruising. I still do it periodically post surgery, I think it helps to for glans engorgement. Pre-surgery I looked at it like training for the Olympics, you only get measured for an implant ONCE, I wasn't going to leave anything on the table for being ready for the big day, no matter how little it may or may not help.

https://www.youtube.com/watch?v=5w7T5THTFNw
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. was 58 yrs old, wife of 39 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant. 3+ yrs post op: 7 3/4" x 5 7/8", now 61yrs old in 2026


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