5 months and a half after surgery. Things go better but not enough

The final frontier. Deciding when, if and how.
oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

5 months and a half after surgery. Things go better but not enough

Postby oneperson » Sun Feb 23, 2020 7:12 am

Hi all,

I am 5 1/2 months after implant and things seem to go better, but I still have rare issues.

I am cycling twice 20 minutes a day, in weekends I do two 20 minutes sessions and 1 one hour. I am slowly recovering some size, thought during last weeks the recovery is almost insignificant. I guess I am reaching the max I will have. Pain when inflated to max has decreased, it is still unbearable for more than 5 minutes, but I have to pump very hard to reach that level.

Since 3 days ago, I am suffering an strange issue. When deflated, I have some pain (not very hard but unconfortable and bothering) in a ramdom manner. Sometimes is the right distal part of the shaft, right below the start of glans. Other times the pain is near the base of the pennis, also in the right side of the pennis. Less frequently, I have that same pain in the left side. When I feel that pain in the right side, the left side doesn't feel anything, and viceversa. When inflated, that pain dissapears. Today, that pain is in the upper right, and it is bothering but beareable. Friday, it was bigger, I needed ibuprophen to be able to sleep.

What can be happening? What can be the cause of this pain now?
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: 5 months and a half after surgery. Things go better but not enough

Postby Waynetho » Sun Feb 23, 2020 10:26 am

Maybe a fold on the implant poking you from inside? I've had those and for me they are like a sharp pinching feeling. That's one of the few things that come to my mind that would be present while deflated but not while inflated.
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

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby oneperson » Sun Feb 23, 2020 1:36 pm

Yes, I have several folds and I think they are the cause of that pain. The question is what can I do to avoid the pain.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: 5 months and a half after surgery. Things go better but not enough

Postby Waynetho » Sun Feb 23, 2020 6:09 pm

oneperson wrote:Yes, I have several folds and I think they are the cause of that pain. The question is what can I do to avoid the pain.


Some here have chosen to put a couple of pumps into the cylinders (not enough for a semi-erection, just enough to stretch out the folds). Be careful because pumping too full can cause a risk of erosion of the tips through the glans or urethral meatus. Also, if you're not completely through healing internally, staying partially inflated 24/7 can cause reservoir encapsulation to occur with less than 100% of the capacity, which might make it impossible to fully deflate in future, or cause auto-inflation issues down the road.
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

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby oneperson » Mon Feb 24, 2020 2:52 am

I think that five months after surgery should be enough to be healed. Isn't it?

I will try giving some pumps, by now I am controlling puting a belt to hold the pennis firmly against the pubis, looking upwards. It calms the pain somehow.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

DougAnd
Posts: 1536
Joined: Sun Jul 08, 2018 5:10 pm
Location: Melbourne, Florida

Re: 5 months and a half after surgery. Things go better but not enough

Postby DougAnd » Mon Feb 24, 2020 9:06 am

oneperson wrote:I think that five months after surgery should be enough to be healed. Isn't it?

I will try giving some pumps, by now I am controlling putting a belt to hold the penis firmly against the pubis, looking upwards. It calms the pain somehow.


I always keep a pump or two for day to day. Otherwise I bend. I also have 21 cm total length took me 9 months to finally stretch out so that fully pumped no longer caused tip pressure. So how far are you from target right now? How long full pumped? You can see mine in my bio below. Thank you
LGX 18cm+3cmRTE 8 / 8/18 by Docs Saracino , Prody of FL Disfigured by Implant. Married 31 years, Functionally impotent 2+ years. 4" day of surgery now 7" inflated after VED 6.5" without. Pump moved 12/4/18 by Dr Kata

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby oneperson » Tue Feb 25, 2020 3:16 am

How far away from my target is difficult to say. First, what is 100% pumped. 100% is what my finger strength can pump or what my pain tolerance can bear? Because I can pump enough to cry in pain.

When I say I pump to max, I am talking that it is my limit of pain tolerance (if I pump to that place two things happen: I have to press REALLY hard to be able to pump some more, but it is possible, and I have to deflate before a few seconds because the big pain). Well, when I am pumped to that point, I am about 11,5 - 11,7 cm. Which is my target? I don't know exactly, because I don't have an accurate measurement of my erections before implant. Somewhere between 12 and 13 cm, but for sure less than 13. So I would be happy if I could pump to 12 cm totally free of pain. In fact, I would be happy to be able to stand at 11,5 without pain.

Pain deflated is lowering now. I don't know what happened. Also I have noticed that, when initiate pumping, after a few pumps, pain in that point becomes greater, I continue pumping and it still hurts in that point in the right, and after a few pumps more, pain dissapears completely (I am refering to the pain in the point where it hurts when deflated). It is as if I had a little wound under the kink, and as if it is healing, I don't really know.

So my routine is more or less the following:

Everyday I pump to the point of disconfort (not pain). After a few minutes, disconfort disappears, I pump some more to get disconfort again. I repeat until disconfort doesn't dissapear anymore. I keep that way till 20 or 30 minutes counting from first stop. Then I pump four or five times, pain comes. I hold 30 secondos or so and deflate. I do this routine in the morning and at evening.

In weekends, apart from this, I pump to disconfort, wait, pump again to disconfort, and go to have a nap so I am inflated for one hour or one hour and a half. Then deflate without 'pain phase'.

By the way, yesterday my Dr told me not to use vaccuum or expander devices, because they can damage the prothesys.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

merrix
Posts: 1187
Joined: Tue Oct 27, 2015 1:08 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby merrix » Tue Feb 25, 2020 3:33 am

I think, for whatever it is worth (maybe nothing, I am no doctor), that you are oversized.
How much I don't know, but you seem to have quite a large implant for your dick size.
How many pumps can you do?
I know this is a subjective question, because it depends on how completely you squeeze the pump.
But how many full pumps can you do, meaning pumps where you completely press the pump wall-to-wall?
And then after that, how many gradually smaller pumps can you do?

In my case, I can do about 35-40 full pumps, and then 20 partials.
If you were equally strong as me (not stronger, not weaker), you should be able to do 15/19 of my pumps.
That would be about 30 full pumps and then about 15 partial pumps.

My guess is you cannot, because before you get there, the implant will straighten out and put too much pressure on your flesh for you to continue. It will hurt too much.

Another question, when you pump as hard as you can, is your dick smooth or do you still feel some crinkles on your shaft from the implant?
If you feel crinkles, then chances are your implant is too large for you, and it cannot even straighten completely.

To tell you something positive, I don't think there is any real danger. I have read your posts, and you are definitely an intelligent person with the ability to use your judgement as to when things are just wrong, and when the pain is within resonable limits.

The question is though what you want to do. I would have done what you do so far. Continue to wait, pump like you do (i.e. not pushing pain too hard, but moderately). And hope things work out.

But there will come a point in time when, if things have not resolved, when you have to take the decision whether you want to continue like this and accept your situation, or if you should take actions to get it fixed.


Good luck.
And remember this is just my layman's advice.
Always confirm with a (or rather several) doctors before taking any decisions.
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

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby oneperson » Tue Feb 25, 2020 4:06 am

Thanks merrix. Yes, everything point to an oversized implant. But I had a conversation with my Dr regarding this, and yes, he adopted an agressive approach to size my implant. He told me it is a common practice to put an slightly bigger implant, in order to keep as much original size as possible, and letting the tissue expander characteristhics of the implant strecth the pennis. I have read about it, and it appears to be true, surgeons tend to oversize a little to avoid losing size. He assured me that with time, the things will acomodate, and if in one year pain remains, he will remove the 1 cm rear tips. But he thinks it won't be neccesary.

I never pump wall to wall (I will do and count it today when cycling). I do pumps a little bit smaller. And I can do about 35 to the disconfort point. Last 2 or three becomes hard, and from that, I can pump with much strength and very little 4 or 5 times before pain becomes unbearabeable.

Regarding crinkles, when I am fully pumped (in fact, before that) I feel the cylinders completely smooth. I feel some roughness, but I am pretty sure it is in the skin or tissue under skin, because it is the same rougness I felt when I was erected before implant. The hard surface of cylinders is completely plain and smooth.

It is not inteligence: It is just that it hurts and I am not a well pain dealer :D

Of course if one year after surgery things have not gone better, I will require a revision. But I am very afraid of that, because probably that will mean more lost size, and I have not much to lose.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.

oneperson
Posts: 238
Joined: Tue Oct 22, 2019 10:54 am

Re: 5 months and a half after surgery. Things go better but not enough

Postby oneperson » Tue Feb 25, 2020 5:07 am

Test done.

Total pumps wall to wall (I cannot press enough hard to reach the other wall) my strength allow: 19.
Not pain.
Partial pumps from that to disconfort: 10.
Partial pumps from that to bearable pain: 3.
Partial pumps from that to unbearabable pain (I have to deflate in less than 30 seconds): 5.
Implanted September 12nd 2019. Coloplast Titan OTR 20 cm + 1 cm RTE. Dr Cruz (Spain). Liver transplanted. Born in 1967. ED since 24 in different degrees. Pills stopped working in March 2019. Injections caused much pain.


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