Another Journal

[Kodixx]

Final chapter on adhesion. Throughout this journal I've posted about adhesion -- most recently that the final point of adhesion "snapped" free on June 5th. Forum member wanttokno passed along some info regarding the dartos pouch which was very helpful. But the pump still didn't move around freely, and there was some remaining minor pain. After talking with my Dr, I believe the limited movement of the pump is associated with its placement in the dartos pouch, and since the remaining minor pain is under the incision, it is associated with continuing nerve repair in that area. Below is some additional information from Google AI.

- Chuck

Will the IPP pump move around the scrotum as freely as testicles ?
No, an inflatable penile prosthesis (IPP) pump is not expected to move around in the scrotum as freely as testicles do. While it is placed within the scrotum, the Dartos pouch is created and secured to restrict its movement and keep it in a specific position for optimal functionality and comfort.
Here's why and how the pump's movement is restricted:
Dartos Pouch: The pump is placed in a surgically created Dartos pouch within the scrotum. This pouch is formed by dissecting between the scrotal skin and the underlying Dartos fascia.
Securing the Pump: The opening of the Dartos pouch is often narrowed using sutures to secure the pump in place. This helps prevent the pump from migrating upwards, which could make it difficult to access or operate.
Optimal Positioning: Surgeons aim to position the pump at or slightly above the testicles, easily palpable but not obstructing or causing discomfort during sexual activity.
Potential for Complications: While rare, pump migration can occur and may require surgical intervention to correct the position.
In essence, the Dartos pouch, along with the surgical technique used to secure the pump, ensures that the IPP pump remains in a generally fixed location within the scrotum, unlike the freely movable testicles.

Update on adhesion -- on June 5th at 2:30pm while cycling I felt a "snap" as I pumped. There may be some remaining adhesion, but if so it's on a part of the pump that doesn't cause any noticeable pain.

[Discovernew]

Will the IPP pump move around the scrotum as freely as testicles ?
No, an inflatable penile prosthesis (IPP) pump is not expected to move around in the scrotum as freely as testicles do. While it is placed within the scrotum, the Dartos pouch is created and secured to restrict its movement and keep it in a specific position for optimal functionality and comfort.
Here's why and how the pump's movement is restricted:
Dartos Pouch: The pump is placed in a surgically created Dartos pouch within the scrotum. This pouch is formed by dissecting between the scrotal skin and the underlying Dartos fascia.
Securing the Pump: The opening of the Dartos pouch is often narrowed using sutures to secure the pump in place. This helps prevent the pump from migrating upwards, which could make it difficult to access or operate.
Optimal Positioning: Surgeons aim to position the pump at or slightly above the testicles, easily palpable but not obstructing or causing discomfort during sexual activity.
Potential for Complications: While rare, pump migration can occur and may require surgical intervention to correct the position.
In essence, the Dartos pouch, along with the surgical technique used to secure the pump, ensures that the IPP pump remains in a generally fixed location within the scrotum, unlike the freely movable testicles.

Update on adhesion -- on June 5th at 2:30pm while cycling I felt a "snap" as I pumped. There may be some remaining adhesion, but if so it's on a part of the pump that doesn't cause any noticeable pain.

Thanks for posting that explanation. My pump is super low since my last surgery, way lower than the testicles and i find it uncomfortable. I often wish i could push it higher, but as you mentioned, it is anchored there and no way to push it.