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.

[Kodixx]

Discovernew, interesting, mine does the same, by most of the length of the pump bulb. The appearance of it doesn't stand out, and I've gotten used to it over time. I have heard the Tenacio pump is somewhat longer than other pumps.

- Chuck

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.

[Kodixx]

I've posted in several threads related to loss of sensation after surgery, but didn't really address it in my journal. I have an update. I'm about 10 months post-op, and over the past month or two my level of sensation (not to be confused with numbness) has improved notably -- especially during PIV. Much more consistent and doesn't take nearly as long. I don't know what to attribute this to, however, I've always had a hunch it had more to do with rewiring connections in my brain as opposed to physical nerve repair -- but who knows maybe its a combination of both.

- Chuck

Re: When did orgasms return ?
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26392&p=251981&hilit=sensation#p251931

They came back at week 7 about the time I started cycling. There's less sensation and it takes longer -- something I hope improves toward the 6 month mark. I'm anxious to use PT-141 again and see if that makes a difference.

Numbness after surgery
https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=26660&start=60&hilit=sensation

Like you and others, I have some lack of "sensitivity", however I don't interpret it as numbness, rather some lack of sexual sensation in some areas.