Priapism 4 hour erections and implants

The final frontier. Deciding when, if and how.
mike123
Posts: 61
Joined: Fri Jul 10, 2020 4:01 pm

Priapism 4 hour erections and implants

Postby mike123 » Fri Jan 29, 2021 1:50 pm

Given that many men are sent home from surgery inflated and remain that way for a week or two or longer am I safe in assuming that maintaining an erection for more than four hours is a non-issue for members of the bionic brotherhood?
Implanted 2020 Nov 30 with Titan 22cm, no RTEs by Dr Dineen in Daytona Beach.
TURP for BPH 2020 Jul 27. Resulted in RE.
ED started around 2005.

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

Re: Priapism 4 hour erections and implants

Postby Waynetho » Fri Jan 29, 2021 2:31 pm

I don't believe priapism is an issue with the erectile bodies being inflated too long but rather with the bloodflow being restricted to long, causing stale unoxygenated blood to stay in the penis too long. I believe it is also about the damage caused to the venous valves due to excessive pressure.

Other than the risk of erosion, I don't think having the implant pumped too long would have similar risks to priapism.
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

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: Priapism 4 hour erections and implants

Postby hopeful_future » Fri Jan 29, 2021 2:59 pm

I concur with Waynetho. I'm not a doctor, but my understanding of the mechanisms at play in priapism that cause tissue damage is similar...Blood stuck in the penis cannot be reoxygenated, and that causes hypoxia and cell death in surrounding tissues. That's for ischemic priapism, btw, which is the commonly destructive kind.

Unless an implant is significantly oversized, it seems unlikely you would cause tissue damage by leaving an implant inflated for any length of time. If you did leave it inflated 24x7 for months, you could start to run into the issue of erosion...Malleable implants tend to be slightly undersized to avoid this issue, since they cannot be deflated to relieve pressure.

My doc told me erosion or damage is highly unlikely, even cycling multiple times per day, because there's so much more time in between where it's deflated.

Hope that helps!
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.

mike123
Posts: 61
Joined: Fri Jul 10, 2020 4:01 pm

Re: Priapism 4 hour erections and implants

Postby mike123 » Fri Jan 29, 2021 3:22 pm

Thanks guys. I was thinking along similar lines, but wanted to get some other opinions. I don't have any 4+ hour erections planned, but, I was curious.
Implanted 2020 Nov 30 with Titan 22cm, no RTEs by Dr Dineen in Daytona Beach.
TURP for BPH 2020 Jul 27. Resulted in RE.
ED started around 2005.

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

Re: Priapism 4 hour erections and implants

Postby Lost Sheep » Fri Jan 29, 2021 3:25 pm

I agree with the foregoing comments.

Priapism in an unimplanted penis traps blood in the tissues, so oxygen-deprived tissues begin to die (necrosis, and eventually gangrene and amputation in the worst case scenario).

What I will call, pseudo-priapism (extended erection time by leaving an implant inflated or a malleable implant) tends not to trap blood in the tissues (the implantation operation typically removes some of the corpus cavernosum) too badly. Though compressing the tissues will restrict blood flow, so there is some danger of oxygen/nutrient deprivation.

Hopeful-future's Doctor assumed periodic deflation, which would allow flushing fresh blood through those tissues. I wonder if the opinion would change if the question posed were to specify extended 100% inflation.

I note that I can stand 100% inflation for about 90- minutes before my penis, especially inside the glans, starts to ache - enough to wake me up and prevent going back to sleep.

In summary, I must conclude that psuedo-priapsm as I described is a danger, so periodic deflation should be the rule. For my particular penis, that would be about 5 minutes for each 90 minute inflation period. That would be one hour (in small increments) out of every 24 if I did the math correctly. So, if one were to be tasked with fucking constantly for days at a time, deflating for hydration, meals and bathroom breaks should be sufficient. :mrgreen:
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

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Priapism 4 hour erections and implants

Postby SW0110 » Mon Feb 01, 2021 7:31 pm

I have had mine up for longer than 4 hours several times. No problems that I can tell.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

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

Re: Priapism 4 hour erections and implants

Postby Lost Sheep » Mon Feb 01, 2021 7:43 pm

SW0110 wrote:I have had mine up for longer than 4 hours several times. No problems that I can tell.

I am sure a lot of the dangers of extended erections (if not most or even all of the danger) is due to the trapping of blood in the cavernosum tissues, not the stretching or compression of other tissues.

Might be good for someone to ask their urologist and report back what the medical opinion is.
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

hopeful_future
Posts: 255
Joined: Thu Oct 31, 2019 7:58 pm

Re: Priapism 4 hour erections and implants

Postby hopeful_future » Mon Feb 01, 2021 7:58 pm

Lost Sheep wrote:I am sure a lot of the dangers of extended erections (if not most or even all of the danger) is due to the trapping of blood in the cavernosum tissues, not the stretching or compression of other tissues.

Might be good for someone to ask their urologist and report back what the medical opinion is.


Would agree with this. Damage would primarily come from point pressure in the long run, which could cause some minor tissue weakening or damage...basically erosion. But we're not talking a few hours, we're talking over the course of months at 100% inflated. Basically a very unlikely issue, I think.
39yo, ED since sexually active, moderate to severe. Bisexual. Pills helped a little, trimix and muse failed. Implanted 8/25/20 by Dr. Karpman, 22cm+1RTE Titan Touch.


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