Many questions

[Littleleo]

I wished I would have found this site months ago. I have had an AMS 700 LGX implanted on July 12 2022. Done by local Urologist. This whole procedure seemed to be a nightmare starting from insurance to scheduling to recovery and aftercare which all were total disasters. The only thing that seemed to go well was the surgery. Recovery was very painful for 10 days with severely swollen and purple scrotum. Black brushing traveled 1\3 way up my butt. After the 10th day though healing got tremendously better. I left the hospital with no aftercare instructions and everytime I called the office I was told everything is fine. After one month I now am convinced everything will be great and I will be shortly active after 15 to 20 years of dry spell due to ED. But because of lack of aftercare instructions and poor communications with urologist I have questions I need answers to. On my 3week follow up the urologist activated and told me to have him stop when the pain became unbearable. I wasn't healed enough so the pain in my balls hurt more than penis enlargement. But he told me to cycle every day for 15 minutes. This I'm doing but my concerns are: when I pump until the ball gets hard, I feel very little discomfort. After the ball gets hard, I can give it more firm squeezes and it will finally give me some stretching discomfort. I am assuming this is what I should be feeling because my good reactions from years ago were 5.5 to 6 inches. My now pumped erections are 4 inches. I am hoping to increase to at least 5 inches or so. The implant size is 12mm x 18 cm.. will my length grow 1 - 1.5 inches Eventually? And am I inflating to much when it's uncomfortable? Or should I just inflate enough to be erect? Although this journey could have been better I am extremely happy that my sex life will be returning soon.

[newbie443]

As far as cycling you should follow your doctors instructions until fully healed. That is around 3 months. And yes your doctor wanted to inflate you until you could feel pain at activation it sounds so I would pump until I felt the stretching and some discomfort. You might ask your doctor about using a VED with cycling. After you are fully healed then you can try the VED if your doctor is not on board with that. And you can try longer pump adding cycling for up to an hour a day. 2 30 minute inflations or one, one hour one with adding or forcing pumps every 3-5 minutes for as long as you can before it becomes too painful. This is a slow process and I only used a VED one and it caused pain. I just did the pump adding cycling and I had gains for out past a year. And yes the stretching feeling is what you are wanting now and later with either VED or long pump adding cycling.

Your AMS DVD should have some good info on cycling as well. There are many different kinds of size loss. ED causes size loss and doctors can also. Long waits for activation have been shown to cause some also. But there is no real way to say how much you will get back. Only that information has been published that men who have had replacement surgery 5 years or longer after the first IPP get a larger device.

Your job now is to cycle following your doctors instructions. Good luck and welcome to the site.

[2435tjklAS]

You being 4" now is completely and totally expected. Yes your length will grow 1-1.5" or more if you exercise it. I'd dropped 2.5" a month after surgery. At around 6-8 weeks is when I first got good "gains." Since then it's been steadily growing, only at a slow and incremental pace.

It's my belief there's no such thing as pumping too much. Your doctors advice of only doing it 15 minutes a day is much more conservative than it needs to be. Do it as much as you'd like. Feeling uncomfortable from the stretch is a good thing. You're literally stretching it out, it means it's getting longer. Keep exercising it rigorously, consider getting a VED.

You've got over a year of time left to regain/gain more size. No need to stress yet, just keep exercising.

[tomas1]

I hope you used a VED for sometime prior to surgery.
If you didn't and had no erections for 15 years, you probably will be smaller and I don't know if that will change.

[Txagq8]

A couple of quick remarks.

You can bet everything you own on what Newbie443 says. I’ve never seen him post anything than 100% rock solid truth.

Don’t get alarmed at the pump being hard to squeeze. 2 1/2 years in mine is like squeezing a rock or a walnut after the first 8-10 squeezes or so. If you feel it continuing to stretch you out, then you’re moving fluid and increasing cylinder internal pressure and all that is good.

Cycling and size increase isn’t quick by any means. I was still gaining little increments after a full year.

If they gave you the card with your implant size and RTEs, if you want share that. I’m pretty good at the math and can tell you what you can expect.

I think your attitude is great and you will do well.

[Gt1956]

To add to Txagq8's good reply. Some guys want to pump to quickly. The bulb takes a few seconds to fill before its ready for the next squeeze. If you feel like the bulb is too soft or squishy. There is a decent chance that you've started the next squeeze a few seconds too quickly.

[Littleleo]

Thanks for the replies so far. From reading this site for the last week, I've learned that patience is a key virtue. I do have the video, but it doesn't get specific on how hard to make it. I am usually very compliant with Drs. suggestions. They did say it was important to wait for activation, so I did. I am not going through all this and then blow it by doing something stupid. That being said, I know my wife and I will be satisfied with 4 inches, the 5 to 6 inches seems to be a perfect fit for us. So I may be a little rebellious on the cycling. For now I'm doing a gentle cycle in the A.M. (erect with no discomfort for 15 minutes). At night I'm as hard as I can pump it with a little discomfort for 20 minutes or so. I don't want to look back and say "if only I cycled more, things would be a little longer. But I also don't want to do harm.

[Littleleo]

2435tKIAS. Thank you. Before this site I had no idea of the importance to get erections prior to this. But it's all water under the bridge now. Worst thing that can happen is I don't get any growth back. I really believe we can both be elated even with a little 4 incher. But ideally I'd like to do whatever I can to get more of it back.
Txagq8: on my first post I stated the size on the card is 12mm X 18cm. I realize that you can only use approximates. Thank you.

[Txagq8]

Txagq8: on my first post I stated the size on the card is 12mm X 18cm. I realize that you can only use approximates. Thank you.

You’re right, Leo. Sorry I missed that. You don’t say whether or not they installed any RTEs (rear tip extenders). It does make a difference.

I developed my formula for “managing expectations” by doing a bit of reading (daughter’s college A&P textbook), listening to guys report their implant stats and eventual size, and common sense. Nothing magical.

As an example I have 23 cm of implant (an 18 cm LGX + 5 cm RTEs). My calculations suggest that I should expect my final result (after cycling) to fall within a range from 6.16” to 7.06”, the mean expected value being 6.61”. I ended up at 6.63” (6 5/8).

Other guys on here will tell you that I’m not always spot on, but I’m generally very close. Internal anatomies can vary.

So….if you have 18 cm of implant, with no RTEs, after you’ve cycled for 6 months or a year your final length will be between 4.93” and 5.66”, with the mean expected value being 5.29”. So if you’ve been worrying about getting back to a bit past the magical 5” mark….quit worrying. It’s incredibly likely that you will.

If it turns out you’ve got some RTE, that will only add to your ultimate expected size.

Hope that helps. Continued good luck and healing.

[2435tjklAS]

Other guys on here will tell you that I’m not always spot on, but I’m generally very close. Internal anatomies can vary.

Tbh I'm pretty sure your system here is woefully inaccurate and lacking of any foundations. You missed me by 2 full inches. You told me back in early December,

You’ve got 21 cm of implant plus 3 cm of RTEs (rear tip extenders). That’s a total of 24 cm of implant.

I’ve got 18 cm of implant plus 5 cm of RTEs. That’s 23 cm of total implant.

I did nothing beforehand…no vacuum, traction, stretching. Just let them install it.

Once told to do so, I pumped it as prescribed. It was tough early on, I’d give it a few squeezes and bulb would be hard like a walnut.

Depending on how hard I press, I have a BOEL (bone pressed erect length, that’s the standard way to measure) between 6 1/2 and 6 5/8 inches. Let’s go ahead and make that decimal form. 6.50 to 6.63 inches. My final erect size.

You have an extra cm. That’s 0.39 inches.

So, all other things being equal, once you’re healed up good and things are normal, your erection will be somewhere between 6.89 inches and 7.02 inches.

Bottom line - you have a 7 incher. That’s bigger than 94% of all men. Nothing to worry about.

Do you even account for the type of exercises and their frequency and intensity? Are you predicting other men’s dick sizes based entirely on your results where you merely “pumped it as prescribed”?

Have you considered that putting in more effort can help you return to pre-ED size and possibly even getting bigger than before like a lot of studies are reporting? I’m getting over 9” stretched flaccid and currently over 8.6” erect for some reason. And I don't think it's from following my doctor's orders.