Any theories as to why some implants take way more pumps than others ?

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Here's a theory

Postby Lost Sheep » Tue Aug 20, 2019 8:22 pm

merrix wrote:I neither like nor dislike it. In some way, I don't give a shit. I can get my implant as hard as I want and I know what it takes to get there. So in some way, this post, as many others here, doesn't really matter to anyone.
This is just kind of interesting. How is it possible that you claim two doctors say something that I think I can easily prove wrong? What is the catch here?

Oh, yes. One should never let facts get in the way of provable truth. :?:
merrix wrote:One thing is that you say he said "to get to max erection". That doesn't necessarily mean pumping till the pump cannot be squeezed anymore. Max erection is maybe for him to pump till the point where he sees that the dick gets full, all crinkles are gone, etc. That could be the explanation.

(edited for brevity)

Till then, I keep saying your docs are either full of BS, or we have something else messing things up here which none of us has thought of.


They might not be wrong. You just mentioned one of the possible explanations that I posted yesterday. A difference in the degree of inflation considered to be "max erection".
merrix wrote:(edited for focus and brevity)

Ask them some questions to poke holes in their story then. (Or to explain where I go wrong.)
Ask them if it is correct that a pump contains 2.5 cc.
If so, tell them that in that case all the saline they can move with 17 pumps is 43 cc.
If so, ask them why there are 125 cc Coloplast reservoirs on the market.
Ask them if they have ever installed one sinlge reservoir larger than the smallest size.
If so, why? Because then their story just doesn't make sense...
.

Merrix, have you thought of asking your Patient Liaison these questions? Also, no matter how voluminous the pump bulb is, how much volume can be transferred when squeezing that bulb inside a human scrotum. I doubt it is 100%.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
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merrix
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Re: Any theories as to why some implants take way more pumps than others ?

Postby merrix » Wed Aug 21, 2019 5:45 am

This is actually getting rather boring, but ok, one more post from me.

I actually did ask someone. Maybe the most knowledgeable man on the planet when it comes to implants. And he basically confirmed what I have been saying here in all these posts over and over again.
So that’s it for me in this thread. I rest my case knowing I am right.
Why the sources referred to in this thread talk nonsense I don’t know and I won’t bother anymore to find out either.

All the best.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

Evinrude
Posts: 214
Joined: Sun May 05, 2019 4:02 pm
Location: SC

Re: Any theories as to why some implants take way more pumps than others ?

Postby Evinrude » Wed Aug 21, 2019 6:41 am

Couple of interesting videos at below link. For what appear to be similar size dicks notice the medical professional uses 14 pumps but the "end user" uses about 21 pumps.

https://healthy-male.com/education/infl ... e-implant/
Age 68, widower in 2017, remarried 2019. Viagra worked at first but less and less so as time went on. Never tried injections. AMS 700 LGX 15cm (2cm RTE) Implant 6/19/19 Broderick @ Mayo C. JAX.

Bailey
Posts: 170
Joined: Mon Apr 08, 2019 1:45 pm

Re: Any theories as to why some implants take way more pumps than others ?

Postby Bailey » Wed Aug 21, 2019 11:48 am

Evinrude, Thanks for sharing the great videos.
77 yo with ED for over 20 years.Tried everything, & found injections were the only thing that worked.I am so grateful for FT. Was implanted 6/18/19 with a 18cm AMS LGX w 3.0cm RTE,100ml reservoir, infrapubic procedure by Dr. Richard Roach, “Bailey”

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Any theories as to why some implants take way more pumps than others ?

Postby Lost Sheep » Wed Aug 21, 2019 12:18 pm

merrix wrote:I actually did ask someone. Maybe the most knowledgeable man on the planet when it comes to implants.

You asked yourself? :lol:
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

Dave52
Posts: 206
Joined: Sat Oct 13, 2018 4:28 am

Re: Any theories as to why some implants take way more pumps than others ?

Postby Dave52 » Wed Aug 21, 2019 2:12 pm

I don't have the same size implant as Merrix 20 CM but I can tell you that if I want full on rock hard I need 38 to 40 pumps 14 will not do.
Dave
Born 52
Prostatectomy 6/1/18
Viagra worked before RRP
Trimix painful Bimix both Ineffective
Titan 20CM 1CM RTE
10/26/18 Dr.Eid

Evinrude
Posts: 214
Joined: Sun May 05, 2019 4:02 pm
Location: SC

Re: Any theories as to why some implants take way more pumps than others ?

Postby Evinrude » Wed Aug 21, 2019 2:30 pm

Dave52 wrote:I don't have the same size implant as Merrix 20 CM but I can tell you that if I want full on rock hard I need 38 to 40 pumps 14 will not do.


Do you remember if it took that many (or nearly that many) pumps at first activation ?

I'm wondering if you high pump number guys might have either an inefficient or internally leaking valve in your pump .... like a leaky heart valve...i.e. leaks when pumping but holds pressure when done.

I dismissed my first RN's mention of possible leaks at first because I was thinking in terms of external leaks where the well would eventually go dry.... but an internal leak / fluid bypass or valve that doesn't move the fluid as well as designed would explain the extreme differences in pump numbers.
Last edited by Evinrude on Wed Aug 21, 2019 2:39 pm, edited 2 times in total.
Age 68, widower in 2017, remarried 2019. Viagra worked at first but less and less so as time went on. Never tried injections. AMS 700 LGX 15cm (2cm RTE) Implant 6/19/19 Broderick @ Mayo C. JAX.

Cayman
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Joined: Sun Mar 31, 2019 1:09 pm
Location: Vancouver, BC

Re: Any theories as to why some implants take way more pumps than others ?

Postby Cayman » Wed Aug 21, 2019 2:32 pm

delete

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: Any theories as to why some implants take way more pumps than others ?

Postby Lost Sheep » Wed Aug 21, 2019 6:22 pm

Evinrude wrote:I'm wondering if you high pump number guys might have either an inefficient or internally leaking valve in your pump .... like a leaky heart valve...i.e. leaks when pumping but holds pressure when done.

I thought of that, too, but could not express it as well as you just did. I imagine that such performance might be like thiS:

1) Squeeze the pump bulb and the checkvalve opens to allow fluid into the implant tubes (is there any potential for some of this squeeze circulating back to the reservoir? Perhaps the checkvalve between the bulb and reservoir leaking a bit?)

2) Release the pump bulb and the checkvalve between the tubes and the pump bulb begins to close (under the backflow of tubes into the pump bulb or reservoir). The backflow that drives the closing might be substantial and result in less NET volume per squeeze.

3) When the pump bulb begins to refill from the reservoir, there might be potential for leakage from the tube/bulb checkvalve.

4) When initiating each squeeze (just at the instant of initiation), opening the tube/bulb checkvalve might generate enough pressure to open the relief valve between tube and reservoir. (Note: There is some question if this valve exists in various models of the manufacturers.)

Just brainstorming.

Thanks Evinrude.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: Any theories as to why some implants take way more pumps than others ?

Postby merrix » Thu Aug 22, 2019 9:17 pm

Guys, I really don’t understand why you keep coming up with your theories and just keep refusing to see the obvious.

Before delivering another creative theory, explain - or realize the following:
Fact 1: the theoretical size of one pump is 2.5 cc.
Fact 2: 125 cc reservoirs exist and are frequently used.
Fact 3: if 17 pumps was the maximum, nobody would ever need more than 43 cc. Why then does a 125 cc reservoir even exist, and why do doctors use them?

As long as you don’t have a good explanation to this, why do you keep coming up with your theories?

You can also take a look here:
http://www.ajandrology.com/article.asp? ... last=Pryor

Table 5 shows median #of pumps to full inflation for Titan implants 18 cm and up.
Median is 37, maximum 69.
They also state that one pump delivers “a little more than 2 cc’s”, which makes perfect sense with the pump’s volume being 2.5 cc since it would be practically impossible to squeeze 100% of the fluid out.
Which again raises the question why 125 cc reservoirs exist. If one pump delivers 2 cc and your theory of nobody needs more than 17 pumps is true, then maximum needed reservoir size is 34 cc. Tell me then why Titan has 75cc and 125cc reservoirs????

So please tell me, what is it with the above you don’t agree with or understand?
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon


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