Extended periods of inflation-Good or bad?

The final frontier. Deciding when, if and how.
Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Extended periods of inflation-Good or bad?

Postby Lost Sheep » Thu Jan 02, 2020 12:25 pm

I wonder if any medical journal articles have been written on the advisability of frequent/extended periods of inflation (perhaps overnight)?

Such may prevent shrinkage/atrophy or might exacerbate problems. Has anyone found such a discussion among reputable, peer-reviewed journals?

I frequently go to sleep pumped up. Sometimes 80% and sometimes 100%. When 100%, after about 90 minutes, it becomes uncomfortable and I awaken. Then I will release the pressure.

Leaving tissues stretched for long periods of time does not SEEM to be a problem, but leaving tissues COMPRESSED (restricting blood flow) may be problematic. Judge for yourself and discuss with your surgeon/urologist/primary care doctor, whichever is available and knowledgeable.


Edit: Waynetho pointed out a couple omissions in my original post.

1 I did not mention cautions against allowing a encapsulation of the reservoir by scar tissue. This would effectively prevent full deflation byt restricting full inflation of the )reservoir. There is no positive displacement pump for full implant deflation except by squeezing the penis. There is much less pressure available by that method than generated by the inflation pump.

2) My question was not intended for the recently implanted. I contemplated this only after the surgical wounds have completely healed. Probably a couple months. Before that, full cycling seems the standard "best practice", but not leaving inflated for extended periods. I have no data on that, nor fully formed questions. My O.P. was contemplating "best practice" for the years after the implant had reached stasis in the man's body.
Last edited by Lost Sheep on Thu Jan 02, 2020 2:08 pm, edited 1 time in total.
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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Waynetho
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Location: Dallas, TX

Re: Extended periods of inflation-Good or bad?

Postby Waynetho » Thu Jan 02, 2020 12:48 pm

Also, I would be careful to wait until a few months after fully healing before practicing extended inflation even if the doctor says there is benefit and little harm involved. Until the body has healed properly around the reservoir, and formed the pseudo capsule around it, anything less than a full reservoir for the majority of the time may result in a future of not being able to fully deflate the implant. Once the pseudo capsule is formed around the reservoir by the body, it will effectively lock your reservoir at the capacity it was holding when it formed. If that is only 50% of the total saline in the system, you will never be able to deflate below 50%.

I don't recall reading about how long it takes for the pseudo-capsule to form so be cautious and do your homework before deciding to inflate for long periods of time.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

young_and_impotent
Posts: 215
Joined: Mon Apr 23, 2018 1:00 pm

Re: Extended periods of inflation-Good or bad?

Postby young_and_impotent » Thu Jan 02, 2020 12:52 pm

yet some uros leave patients almost inflated for weeks post-op. Everyone is different.
28 year old with severe lifelong ED.
Implanted in New Delhi on 26/12/19 with AMS CX (15x12) + 4cm RTE
Post op length 4.5 inches from ~ (5.5 to 6) inches. Disappointed!
Wish to have a revision to LGX some day.

Waynetho
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Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Extended periods of inflation-Good or bad?

Postby Waynetho » Thu Jan 02, 2020 12:59 pm

young_and_impotent wrote:yet some uros leave patients almost inflated for weeks post-op. Everyone is different.


I believe the number I saw was more like the 2-3 month period. The problem is, if you don't know when it will finish forming, it's a gamble if you consistently keep it pumped up. A few weeks right after the surgery shouldn't be an issue. It's only when the body starts to put up the protective wall around foreign objects in the abdomen when care should be exercised.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Extended periods of inflation-Good or bad?

Postby Lost Sheep » Thu Jan 02, 2020 2:01 pm

Waynetho wrote:
young_and_impotent wrote:yet some uros leave patients almost inflated for weeks post-op. Everyone is different.


I believe the number I saw was more like the 2-3 month period. The problem is, if you don't know when it will finish forming, it's a gamble if you consistently keep it pumped up. A few weeks right after the surgery shouldn't be an issue. It's only when the body starts to put up the protective wall around foreign objects in the abdomen when care should be exercised.

Yes, caution is to be exercised.

Waynetho, I have amended my original post to reflect the cautions against allowing a encapsulation of the reservoir by scar tissue.

It is my understanding that scar tissue formation begins immediately after (even during?) surgery. As soon as an injury occurs, the body gets in gear to heal and scar tissue is part of that healing process. One cannot (as far as I know) tell the body to wait a bit.

Studies on early activation's effects on scar tissue formation around the implant in the penis show that the first days/weeks are critical in ensuring the pseudo-capsule around the implant does not restrict full inflation. I know of no studies about pseudo-capsule's effect on deflation, only some cautions and conventional wisdom. So, cycling FULLY inflation AND deflation is recognized as important - and the earlier (as long as it is tolerable to the wound healing and patient pain/discomfort levels) it is, the better.

My original post was focused on the patient AFTER full healing had occurred. I did not specify that, though.


So: I amended my O.P.

1 I did not mention cautions against allowing a encapsulation of the reservoir by scar tissue. This would effectively prevent full deflation byt restricting full inflation of the )reservoir. There is no positive displacement pump for full implant deflation except by squeezing the penis. There is much less pressure available by that method than generated by the inflation pump.

2) My question was not intended for the recently implanted. I contemplated this only after the surgical wounds have completely healed. Probably a couple months. Before that, full cycling seems the standard "best practice", but not leaving inflated for extended periods. I have no data on that, nor fully formed questions. My O.P. was contemplating "best practice" for the years after the implant had reached stasis in the man's body.
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

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Extended periods of inflation-Good or bad?

Postby Waynetho » Thu Jan 02, 2020 2:27 pm

@Lost Sheep, I hope you don't think I was "Calling you out". I honestly didn't go back to see who originally suggested what. I just wanted to make sure anyone who employed a LONG TERM INFLATION protocol knew the risks while healing.

I agree that after the individual no longer has any further healing to do (internally), that there may be merit to longer term inflation in moderation, as you mentioned (not too much pressure so as to not affect circulation).
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

tomas1
Posts: 1946
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Extended periods of inflation-Good or bad?

Postby tomas1 » Thu Jan 02, 2020 6:00 pm

I sometimes stay inflated all night and part of the day.
It's been almost a year postop, so that's not a worry.
I never have any discomfort pumped up or staying pumped up.

I'm actually uncomfortable unpumped at time due to the kink in the cylinder(s).
That is getting better though.
85 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Lost Sheep
Posts: 6133
Joined: Mon Jul 04, 2016 11:16 pm

Re: Extended periods of inflation-Good or bad?

Postby Lost Sheep » Thu Jan 02, 2020 6:55 pm

Waynetho wrote:@Lost Sheep, I hope you don't think I was "Calling you out". .

Not at all, Waynetho. I consider it a boon to have anything I post examined and flaws pointed out.

I know some drivers do not like their passengers to "back-seat drive". I once rode in an Airplane with a fellow who, when we boarded the (4-seater) craft announced, "I don't mind at all if you point out another airplane anywhere around us. No problem at all and I appreciate it every time."

That is my attitude here, also. So I thank you for looking out for all the people who might read my post, whether I am wrong in any assertion, assumption or have left a dangerous ambiguity open to misinterpretation. I also like to have my rhetoric improved. Make me a better writer.
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

Agfa13
Posts: 1578
Joined: Thu Oct 31, 2019 6:03 pm
Location: Laurel, Maryland

Re: Extended periods of inflation-Good or bad?

Postby Agfa13 » Thu Jan 02, 2020 7:21 pm

Thanks guys, this is good to know/ponder, as I have a malleable, and have found no information on 'what ifs' of whacking off while healing.
I know I am different from you guys, but flipping the script on what you guys talk about and applying it to my malleable, I just wonder if/when Dr. puts in 3-piece, am I doing erosion damage beforehand whacking off before I am completely healed, since I have solid rods in me. The way I thing of
Ag, 58, Maryland
Document with BEFORE/after pics
AMS cx 24cm, Titan malleable, Titan Legacy on 3/2/20 (20cm/bilat 2cm RTE/ 75 cc)
Face pic on pg. 22: names and faces; dick pics on pg 7/41: Dick of day
Smaller dick, but can fuck without fail :lol: :D

Smetro
Posts: 1192
Joined: Mon Dec 26, 2016 8:05 pm
Location: Australia

Re: Extended periods of inflation-Good or bad?

Postby Smetro » Fri Jan 03, 2020 4:50 am

Very good question.
I ran mine for almost 2 years with a few pumps in because I considered it looked better and I didn’t like the dog ears too much.
About 12 months ago I read on FT somewhere about increased sensitivity with daily full deflation so I decided to try it.
I have found it is better and that my sensitivity has improved.
I also have found that my flaccid is actually fatter and rounder overall......can’t say exactly why however for me it underlines the fact that an implant takes time to settle in and become part of your anatomy.
I love my Titan and so does my partner.....I had no idea initially that it would be so good.
Perhaps I have had good luck or maybe it’s because I am very fit and take care of my health.....sex is a major part of my life and makeup.....it is as well with my GF......we have sex at least once every day, so I say “thank you Mr Coloplast!” ;)
68,Titan Touch 22cm+1.5cm rte's op done in Melbourne Aust by Dr Chris Love-Feb 2017 Venous leakage over a 2 year period, did pills and Caverject. Length@ 3 1/2years is: 7+” erect, 6.5” flaccid and almost 6” girth. REZUM Feb 21 ejaculation now normal.


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