Pump?

The final frontier. Deciding when, if and how.



Jato1229
Posts: 67
Joined: Wed Jan 29, 2020 12:24 pm

Pump?

Postby Jato1229 » Mon Dec 14, 2020 12:21 pm

So are the guys with implants allowed to use vacuum devices after getting a implant?

tomas1
Posts: 2074
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Pump?

Postby tomas1 » Mon Dec 14, 2020 2:15 pm

Some are allowed to and others aren't.
86 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: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Re: Pump?

Postby Lost Sheep » Mon Dec 14, 2020 2:36 pm

A couple of years ago, many surgeons (I guess, probably all) disapproved of Vacuum Erection Devices (VED) after implantation. Many did not believe in their benefits even BEFORE surgery. But a couple of studies showed benefits.

Now, many patients and some surgeons believe VEDs can help after surgery.

Granted, there are more dangers to a VED after surgery and the protocols (how you use VEDs) for use on an implanted person are more involved. And I don't believe all the processes are completely sorted out yet. We are venturing into unexplored territory here. (Much as the territory of implants was unexplored in 1952 and heart transplants in 1967.)

It is clear, however, that for some men, some penises, some implants, depending on a number of factors, that vacuum applied to an implanted penis has benefits.

Speculation about what benefits?

Enhancing what size increase an implant might bring forth.

Reducing cycling discomfort/pain

Dangers

Opening the surgical incision (either surface or, worse, internally) if done too early or too vigorously

The surgeon who did the implant, having seen the insides of your penis and the conditions of your tissues, locations of incisions and potential weakened spots, is in the best position to make recommendations about whether to, how to, how extensively to and when to apply vacuum to your implanted penis.
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

Gt1956
Posts: 3192
Joined: Fri Apr 05, 2019 2:47 pm

Re: Pump?

Postby Gt1956 » Mon Dec 14, 2020 2:45 pm

Thoughtfull reply. Lots to consider.
69yo, HBP @ 40, high triglycerides @ 45. Phimosis @ 57. Type 2 @ 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months.

newbie443
Posts: 1960
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Pump?

Postby newbie443 » Mon Dec 14, 2020 9:44 pm

My AMS DVD make reference to using a VED in the cycling section saying some doctors make recommend it. When I contacted a well know Atlanta doctor about my problems with my LGX he recommended VED with my LGX. He dose mostly Coloplast but also will do AMS. And I have a seen a well known Florida Doctor that had a video and said he did a paper on VED use post op with IPP. He does only Coloplast and I have not found the paper yet. So I have no proto call to provide. If anyone finds it please post. My surgeon when I talked to him almost 3 years ago advised VED use before or after would make no difference. I think he was wrong as even at that time a paper was out showing preop use of VED can help with regaining lost size.

This is not about enlargement. It is only to help regain size that was lost.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

67 years young.

Will show and tell and talk with others.

newbie443
Posts: 1960
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Pump?

Postby newbie443 » Tue Dec 15, 2020 7:42 pm

I found the publication by the well known Florida doctor and others: https://irp-cdn.multiscreensite.com/d88 ... action.pdf
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

67 years young.

Will show and tell and talk with others.

barrylandon
Posts: 267
Joined: Sun Nov 03, 2019 1:09 am
Location: Los Angeles, CA

Re: Pump?

Postby barrylandon » Wed Dec 16, 2020 2:46 am

I cycle my LGX for an hour every day. After 7-1/2 months, it has stretched my penile length beyond my pre-surgical measurement and I'm close to maxing out. Wouldn't using a VED do the same thing as cycling to achieve the best result?
Implanted 5/6/20 by Dr. Jesse Mills at UCLA; AMS 700 LGX 18 cm w/2 cm RTEs. I'm 76 & fit but had ED for 20 years. Pills/injections ultimately failed, including 3 ER trips for Priapism; Shockwave & embryonic stem cell therapies didn't help either.

newbie443
Posts: 1960
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Pump?

Postby newbie443 » Wed Dec 16, 2020 9:47 am

Having read post by others and study's of gains of lost size over one year after and reading the study I posted it seems to indicate that early VED use is not only faster to regain but better preventing nonrecoverable loss. This is done by infrapubic incision that not only permits earlier cycling but earlier use of VED over penoscrotal. I do know that around the 7.5 month you mentioned I did level out for a while but then just before and after the 1 year mark I did have more gains. I used only max long cycling with adding pumps.

In the study above all men were implanted with the AMS LGX and had infrapubic incision. This is copied from that study.

"After discharge patients were taught how to activate and
deactivate the device at a median of 8 (range 5–12) days
following surgery. They were encouraged to cycle it twice
daily 10–15 min per day. Starting 3 weeks after discharge,
patients were asked to use a vacuum device for a 12-week
period (Medis®, Vacuum Therapy Devices, Milan, Italy and
Osbon ErecAid®, Vacuum Therapy System, Collierville,
TN, USA) without the constriction ring for 5 min twice
daily after full device inflation was achieved."

I had penoscrotal incision and Scrotoplasty so while I was cycling at 3 weeks VED use could have created problems and infection at my incision site. I am not sure how later VED use would fair after the penoscrotal incision heals. Nor how much early activation "median of 8 (range 5–12) days following surgery." contributed to regaining lost size.

That all being said I would think VED use with penoscrotal incision should be delayed until fully healed or cleared to do so by your doctor. But I am not a doctor and this is just my understanding of what I read. But I would not want to chance infection.

And it is possible that early activation and longer cycling after fully healed would also return lost size but there was no 2nd group studied for this.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

67 years young.

Will show and tell and talk with others.


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