Tenacio Failed - Revision on the way...

[Courage]

There is a degree of subjective opinion among surgeons.

My doctor, who was part of the early roll out for the Tenacio last year and says he's implanted about 20, used an MS on me last Friday and didn't give me an option. He didn't do a lot of explaining but he didn't feel the Tenacio was as good as Boston Scientific says. He's a Center of Excellence guy for both Boston Scientific and Coloplast. After the failure the original poster reported, I didn't feel any grounds to question his judgment.

More generally, in the process of deciding on a surgeon, I talked to three. One of them only worked with Coloplast and wouldn't use the One Touch pump. The other two were Center of Excellence for both Boston Scientific and Coloplast--of those two, the guy I didn't choose said there was a cost element, but was willing to do the Tenacio.

I would've trusted any of the three to do the surgery, but if you're looking for that last little bit of certainty from these guys, you'll be disappointed.

[Thisworld]

I'll be getting the Tenacio pump. Revision scheduled for Feb 18th with Dr Hakky. After reviewing everything I've been through so far he was pretty adamant that we go with the Tenacio pump, even so far as to tell the Boston Scientific Rep on the phone that "no he's getting the Tenacio pump" I just hope that there won't be any issues with this one. Having two surgeries within 3 months and having both fail within 9 months then waiting over a year fighting insurance just to get this revision isn't fun. Thought I wanted the AMS LGX but Hakky told me in order to place the LGX they have to size it down 2 cm because the LGX expands by 2 cm - he doesn't want them to erode through later on - so if you're a 21 cm you'll get a 18 cm with 1 cm rear tips to bring you to 21 cm when inflated.

Considering the Tenacio is been tested only for 1.000 cycles, you have any idea why Hakky is so convinced about it?

Where is the citation that it has only been tested for 1000 cycles? Something my surgeon Dr Kansas laughed out loud at when I mentioned today.

We discussed about it here viewtopic.php?f=6&t=25278
Apparently on the Boston Scientific website that information is now removed, but you can see the screenshot on the thread I linked. With this being said if the info wuold be debunked I'll be happy about it. Does your Doc have good opinion on the Tenacio? How are you doing with it?

[JohnHC]

Dr Hakky is a excellent surgeon and has way more knowledge on this then I do. He said he's fixed many implants where the MS pump has failed. He's very protective of his reputation as well ( most high implanters would be as should any Dr worth their salt ) and if he had a lot of concerns about the Tenacio I would think he'd go with the MS, just so he wouldn't have a failure on his record. I'm sure he wouldn't want to suddenly start getting a lot of failures on his record. But we will see how things shake out on the 18th of Feb since that's when my surgery is. I'll post a new thread sometime after saying what and how it was put in.

[oldbeek]

I am at well over 3,000 with my ms pump which is over 7 years old.. Still working great and I use it at least once a day. If it gets painful from being to hard, I just hit the release button and then press the bulb to relieve a little pressure. Then readjust to what hardness I want .

[TruthEdge]

Revision Surgery yesterday - heading home now. So far recovery is much easier than the first time.

New implant is Coloplast Titan with Classic pump 22cm with 1cm RTE.

The AMS CX with Tenacio pump continued to get worse. The cylinders stopped pumping up evenly. Right side was always less and if I continued to pump then the deflate would engage before evening out the cylinders. This made my penis look weird and pull to one side.

Dr Morey has been great throughout all of this and has been quite transparent with me. When I first reported my issues, I was the first of his patients to have any issues. That was November 2024. May 2025 I have my final appointment before revision surgery and Dr Morey now has 2 other with similar issues and he said his colleagues are experiencing the same with their patients! We are talking about a 3% failure rate of the Tenacio! Dr Morey said he was done recommending AMS at all now after all this. He is now recommending first the Coloplast Titan with Classic Pump.

Bottom line AMS really messed up on the Tenacio release!


AMS did reach out to me around January and wanted to come visit me personally to go over the issues I was having. They sent me a contract that basically signed my privacy away and it mentioned possible compensation. As soon as I raised privacy concerns and asked about compensation they started ghosting me!

Needless to say - I am not a fan of AMS at all at this point.

Looking forward to breaking in the Coloplast in a few weeks.

[Kodixx]

TruthEdge, congrats on a successful revision and best wishes for a continued smooth recovery. And thank you for passing along that info about the Tenacio pump.

- Chuck

Revision Surgery yesterday - heading home now. So far recovery is much easier than the first time. Dr Morey said his colleagues are experiencing the same with their patients! We are talking about a 3% failure rate of the Tenacio!

[TruthEdge]

TruthEdge, congrats on a successful revision and best wishes for a continued smooth recovery. And thank you for passing along that info about the Tenacio pump.

- Chuck

Revision Surgery yesterday - heading home now. So far recovery is much easier than the first time. Dr Morey said his colleagues are experiencing the same with their patients! We are talking about a 3% failure rate of the Tenacio!

Thanks! How is your Tenacio holding up? Mine was fine almost 4 months before I started noticing issues with the pump. Hoping and praying your is a success long term for you!

[Kodixx]

TruthEdge, pros & cons. It pumps up fast and works reliably. Below is some info about use of the pump from another thread.

However, it does 2 things unexpected:
1) I can't get it to deflate with "one touch". I have to hold the deflate button. And, sometimes I've had to do it 2 or 3 times to get it deflated to where I want it.
2) When I deflate I'd estimate that I remain 10-15% inflated. Within an hour or so, I'm 30-40% inflated again. I thought it might be blood coming back into the other tissue, but at 30-40% inflated I can feel a significant difference in the stiffness of the cylinders.

Neither of these are show-stoppers -- I don't mind living with either issue. However, if either of these are a sign of a problem that's going to get worse over time that's not good. Did you have any early signs that your Tenacio pump was in trouble ?

- Chuck

I'm about 4 months post-op and have a Tenacio pump. Mine was very very stiff in the beginning but is easy to use now. I remember wondering how I was ever going to make that work in advance of sex . As the pump softened, the number and types of pumps has changed over time -- here's what its like now to get to 100%:
o 10-15 "full pumps" easy to squeeze, and the pump feels like its collapsing 1/2-3/4 of the way, it never feels like it collapses 100%
o 5-8 "half pumps", harder to squeeze, and the pump feels like its collapsing about 1/4 of the way
o 5-8 "mini pumps", hard to squeeze, can feel small increments of inflation and the pump feels like its collapsing about 1/8 of the way
After that, I can do a couple mini pumps every few minutes -- but that's when the pressure, or minor dull pain, starts in the upper shaft and glans. I interpret that as incremental stretching.
After that, I can still squeeze the pump a little bit, but it seems like the sides of the pump are just bulging out a little (now that its softer), and I stop feeling incremental inflation. When the pump was new it would get hard like a marble, but now I think the sides just flex a little when pumped to 100%.
FWIW, during PIV sex, I pump to 85-95%. My wife likes that much better than rock hard stiff, and says it feels more natural with the contour inside her. Plus the sensation is better for me.
The only time she felt part of the implant during PIV sex was at 100% inflation, when she thought she felt the tip(s) of the cylinders. That doesn't happen at 85-95% inflation.

Thanks! How is your Tenacio holding up? Mine was fine almost 4 months before I started noticing issues with the pump. Hoping and praying your is a success long term for you!

[kbb1957]

Revision Surgery yesterday - heading home now. So far recovery is much easier than the first time.

New implant is Coloplast Titan with Classic pump 22cm with 1cm RTE.

The AMS CX with Tenacio pump continued to get worse. The cylinders stopped pumping up evenly. Right side was always less and if I continued to pump then the deflate would engage before evening out the cylinders. This made my penis look weird and pull to one side.

Dr Morey has been great throughout all of this and has been quite transparent with me. When I first reported my issues, I was the first of his patients to have any issues. That was November 2024. May 2025 I have my final appointment before revision surgery and Dr Morey now has 2 other with similar issues and he said his colleagues are experiencing the same with their patients! We are talking about a 3% failure rate of the Tenacio! Dr Morey said he was done recommending AMS at all now after all this. He is now recommending first the Coloplast Titan with Classic Pump.

Bottom line AMS really messed up on the Tenacio release!


AMS did reach out to me around January and wanted to come visit me personally to go over the issues I was having. They sent me a contract that basically signed my privacy away and it mentioned possible compensation. As soon as I raised privacy concerns and asked about compensation they started ghosting me!

Needless to say - I am not a fan of AMS at all at this point.

Looking forward to breaking in the Coloplast in a few weeks.

Please keep us up to date with your revision recovery.
What about the recovery is easier than the first time?
Also, what do you think about the Titan compared to the AMS CX?

I am curious if everything was replaced.
Also, did Dr Morey replace the reservoir with similar/separate incision like your first implant.

[TruthEdge]

Please keep us up to date with your revision recovery.
What about the recovery is easier than the first time?
Also, what do you think about the Titan compared to the AMS CX?

I am curious if everything was replaced.
Also, did Dr Morey replace the reservoir with similar/separate incision like your first implant.

Hey kbb1957!

Recovery has been very easy. I am healing extremely fast. My scrotums looks completely healed except for the little stitches that look like grey hairs. Very little bruising and its all gone now. I have had to tell myself not to lift anything heavy when I feel nomrmal. The only discomfort I have had is keeping my penis vertical 24/7 and even that has not been as bad as first time. Really this has been a piece of cake compared to the first one. My 3 week followup is in days and I plan to ask Dr. Morey what he did different compared to first surgery. From what I can tell by feel, it looks like Morey didn't burry the reservoir and line as deep this time. Its both a little more visible this time, but I am ok with it when recovery is like this and it is not that noticeable. If you recall from my AMS surgery, Dr. Morey had difficulty getting the reservoir and line to lay right due to how thin I am. So in the AMS surgery he had to cut and recut to make a channel for the line and reservoir. This time with the Coloplast I am confident he didn't have to do that. On top of all this - there seems to be a going trend FB that revisions are much easier to recovery from. If you think about it, this makes sense. A lot of things that had to heal on the very first implant surgery you have doesn't have to heal again on revisions. Your body is already healed in those areas ready to accept a new device. Honestly this recovery has been too easy.

Right now from my perspective the Titan is better in every way compared to the AMS CX. Yes I have seen or felt the dog ear effect some, but it is easy to adjust for with either a pump or slight deflate to adjust the pressure or just manually move it in my underwear some. Keep in mind I am having to keep it vertical and about 40% inflated right now, but I have deflated it flat already to see how it will be and I adjust the amount in the cylinders as needed for comfort. When the Titan is deflated it holds its shape better than the AMS. When the AMS was deflated, the cylinders would sort of slip out of my natural cavity and felt weird. The Titan tips I do believe are not as pointy as the AMS - My wife will be the true test of that. She complained about the AMS feeling like a sharp dart at times. I see that being better when we get to have sex again. The biggie that I am excited for is I gained a quarter inch girth over the AMS with the Titan. With the AMS, my girth was about 5.25 inches at this time and with the Coloplast I am about 5.5 inches. Doesn't sound like much, but it is obvious when pumped up fully! It no longer looks like I have a pencil dick with a lollipop on top! And it feel good in my hands similar to pre-implant days when I would get the occasional erection. Yes I am pumping up fully every couple of days or so. I am not pushing it to max and I am not feeling any discomfort or issues. I'm will to start light cycling like this to keep as much of my lenght as I can that I reached with AMS. Also, I know of many other doctors that prescribe cycling much sooner than Morey. Oh and the Classic pump is so much better than the Tenacio! It's smaller and so much easier to inflate! No one talks about the size of these pumps between your testicles - the Tenacio is HUGE and uncomfortable compared to the Classic. The Classic is so much smaller and easier to work with! It takes roughly 50% less pressure on the Classic pump bulb for one pump compared to Tenacio. Tenacio is just hard and difficult to pump! I'm 48 and even then the Tenacio was working correctly I was wondering how in the world you older guys were going to be able to press this thing. Now I see why many prefer the Classic pump if they ever have had both. The Classic is just so much easier to work with, easier to pump and deflate both. I have to press the deflate button hard on the Tenacio to make it "click" to deflate and then I still had to squeegy out the fluid in the cylinder - one touch is a joke in my opinion on any of these: it will only deflate so far on its own without manual intervention. Anyway, the deflate bars on the Classic are very easy to find and I am surprised how light I can press them to fine tune the cylinder pressure. The Tenacio sucked from the beginning in fine tuning the pressure. Once you hit that deflate button click then you will probably have to hit it again and start pumping because you lost to much to take the edge off on the pressure. Not with the Classic. Yes - I have the Classic beep or squeak as you read about. To me - no big deal. I'm married so no need to try to conceal I have a pump. My wife did make a joke when I showed here and said - Well I can hear you when you are coming at me now! LOL

Yes - everything was replaced. Nothing is interchangeable between manufacturers.

Dr. Morey still did the separate incision for the reservoir cutting me in the exact same place as before. This has cause the scare tissue to build up in one area a bit more than I like but its not that big of deal. You can see a little more bulge this time going from scrotum to reservoir incision and I can actually feel the tubes and reservoir easier this time around with my hand.

I think I covered all your questions. Bottom line - if you are deciding between the two for your first implant, go with the Titan/Classic combo. If you are up for a revision from the AMS - definitely make the switch.