Many questions

The final frontier. Deciding when, if and how.
Littleleo
Posts: 40
Joined: Sat Aug 13, 2022 6:22 pm

Re: Many questions

Postby Littleleo » Mon Aug 15, 2022 5:45 pm

[quote="newbie443"]As far as cycling you should follow your doctors instructions until fully healed. That is around 3 months.

That's the problem. I don't have much confidence in my urologist. We never discussed my history. As a matter of fact I've only seen him for 10 minutes on a pre op visit and 15 minutes at activation appointment. I think this was just an in and out procedure for them at an extremely high price. This is one of the regrets I have for not finding this site sooner. It is commonly stressed to research the best urologist for your needs. So I've seen a lot of wisdom from men here and thought I could weigh the good with the bad. The only thing good I've seen out of this urologist is the surgery itself seems to have gone well. The implant seems to be placed well and functioning great as far as I can tell from what I've read here. The only negative things I've noticed is one of the tubes is moving around at the base of my penis where the scrotum meets and I can't fully deflate unless I hold the deflate button in at the last part of squeezing out. But I think that may be because of the size.
AMS 700 LGX on July 12, 2022. ED no diagnosed reason since teens with occasional success in 20s. Tried pills and injections.

newbie443
Posts: 1827
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Many questions

Postby newbie443 » Mon Aug 15, 2022 8:40 pm

Littleleo wrote:
newbie443 wrote:As far as cycling you should follow your doctors instructions until fully healed. That is around 3 months.

That's the problem. I don't have much confidence in my urologist. We never discussed my history. As a matter of fact I've only seen him for 10 minutes on a pre op visit and 15 minutes at activation appointment. I think this was just an in and out procedure for them at an extremely high price. This is one of the regrets I have for not finding this site sooner. It is commonly stressed to research the best urologist for your needs. So I've seen a lot of wisdom from men here and thought I could weigh the good with the bad. The only thing good I've seen out of this urologist is the surgery itself seems to have gone well. The implant seems to be placed well and functioning great as far as I can tell from what I've read here. The only negative things I've noticed is one of the tubes is moving around at the base of my penis where the scrotum meets and I can't fully deflate unless I hold the deflate button in at the last part of squeezing out. But I think that may be because of the size.


The thing is that you had that doctor do the surgery. And as doctors differ a lot and so do men you should not use another doctors' instructions to another man. That does not mean if you do you will always have a bad results it means that you are taking a chance at having a bad result. I will try to explain the cycling work a bit better. If you look at the DVD protocol for cycling it starts with just a single inflation and deflation with no time left at 100%. This increases over days and you start to leave the 100% inflation for longer amounts of time. This is because the longer you stay inflated at 100% the stretching feeling may increase to being painful. And some men take longer to build up to the longer lengths of time. Now at some point you will get to where the stretching feeling goes away after a certain amount of time. At this point after I was released from my doctor I would add another pump or 2 to restore the stretching feeling. As I posted before pump until you feel the stretching. You want that to last a bit and you can try out different levels but you are looking to be able to stay inflated for the full 15 minutes without it hurting. That is you are not looking to inflate so much you have to deflate before those 15 minutes are up. If your doctor did not give you a specific number of times a day to cycle I would ask. And ask about increasing the number of times and the length of time. Lets face it sex is going to last longer than 15 minutes we hope so you should be increasing in number of times and length of time. Again this is shown in the sample cycling protocol on your DVD. If your doctor is not responding to that request, then I would use the protocol in the DVD.

Your doctor should have had your medical information so he did not need go over it with you. I know that was the case with my surgeon. And yep a 10 minute office visit then the surgery the next day.

As far as the problems I think I may be able to help on that a bit. I have the same tube I think you are talking about. It is the tube that goes to the reservoir. Just kind of goes with this. You will most likely get used to it over time. As far as the deflating that may have to do with the reservoir being left less than full when you were left inflated after surgery. Your tissue around the reservoir healed with it at that level and now fully deflating it is larger with more fluid in it so it takes some work to force the additional fluid back into it.

You are early in this yet but you do need to do your cycling work. That is your job now.

Keep asking question when you have then and if you need to talk send me a PM and we can set up a time. Good luck.
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

66 years young.

Will show and tell and talk with others.

User avatar
ShouldIwait
Posts: 253
Joined: Fri Apr 03, 2020 12:36 am
Location: Southern Calif

Re: Many questions

Postby ShouldIwait » Tue Aug 16, 2022 2:28 am

Txagq8 wrote:
Littleleo wrote: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.



I've looked at lots of signatures on here and there seems to be more variation than your calc would predict. I think you're not accounting for how deep the crus is?
57, ED 10-15 years. Pills, Bi, Tri then Quad Mix Injections- all slowly less effective. IPP July 2022 (Penscrotal, Titan, 22 + 1) @6mo back to OEM--7.2"L x 5.5"w

Littleleo
Posts: 40
Joined: Sat Aug 13, 2022 6:22 pm

Re: Many questions

Postby Littleleo » Tue Aug 16, 2022 9:16 am

ShouldIwait wrote:
Txagq8 wrote:
Littleleo wrote: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.



I've looked at lots of signatures on here and there seems to be more variation than your calc would predict. I think you're not accounting for how deep the crus is?


Whether Txagq8 is right or not isn't real relevant. He did although give me some encouragement that I can gain some length. What's done is done. The only thing that can effect growth as far as I can see is proper cycling as I don't have intentions to VED. I am going to my final 6 week appt. in 1 week and I will grill the Nurse practitioner on the best approach and go from there. It is my understanding though that the most crucial time for progress is now. So what I've been doing is 15 min cycle with little discomfort in the A.M. and 20 minutes during warm bath with greater discomfort. I want to utilize this time, but also do not want to risk making a regretful decision.
AMS 700 LGX on July 12, 2022. ED no diagnosed reason since teens with occasional success in 20s. Tried pills and injections.

Txagq8
Posts: 687
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Many questions

Postby Txagq8 » Tue Aug 16, 2022 9:38 am

ShouldIwait wrote:I've looked at lots of signatures on here and there seems to be more variation than your calc would predict. I think you're not accounting for how deep the crus is?


Actually, I am putting between 27.5% (a bit over 1/4) and 37.5% (3/8ths) of the total penis in the crus.

But shouldIwait, if you’re so goddamned smart, you figure it out.

I’m implanted. I’m beyond satisfied with what I got from one of the lesser known but relatively high volume implant guys.

This site did me more good than any medicine in the world after my surgery. But I have a really limited tolerance for folks who are critical without offering an alternate solution.

I don’t spend a lot of time here. I pop in from time to time when my life slows down. My primary goal is to be one of the voices of “it went great!” Instead of “I shrunk, have floppy glans, and if you don’t use Eid you will die!”

ShouldIwait, you and the dude up the thread who is trying to exercise his way to a 29 inch cock or something have done s good job of reminding me why I don’t come by all that often. Great work!
I can handle plenty of criticism. What I won’t tolerate is backbiting from folks who either don’t know what the fuck they’re talking about and fail to provide a better alternative.
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.

Txagq8
Posts: 687
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Many questions

Postby Txagq8 » Tue Aug 16, 2022 9:42 am

Leo:

You’re listening to your medical professionals

You’re listening to your body

You’re not gonna screw anything up

In the big scheme of things delays or a judicious approach might mean it takes a little longer to get all you’re original size back, but it all comes back except a tiny little bit sometimes. Really hard to worry about 1/8 or 3/16 inch when you’ve got a hard as nails tool and a willing wife (or partner if unmarried)

It took a year but I went from 4 1/2, 3 weeks after surgery to 6 5/8. Your case will vary depending on your own anatomy. You’re right, what’s done is done. But realistically, from where you are right now…swelling is gonna dissipate and you’ll see more dick. Things will loosen up and stretch. You are eventually gonna be awfully close to where you started. It happens too often to be sheer coincidence.
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.

Littleleo
Posts: 40
Joined: Sat Aug 13, 2022 6:22 pm

Re: Many questions

Postby Littleleo » Tue Aug 16, 2022 11:07 am

Txagq8 wrote:Leo:

You’re listening to your medical professionals

You’re listening to your body

You’re not gonna screw anything up

In the big scheme of things delays or a judicious approach might mean it takes a little longer to get all you’re original size back, but it all comes back except a tiny little bit sometimes. Really hard to worry about 1/8 or 3/16 inch when you’ve got a hard as nails tool and a willing wife (or partner if unmarried)

It took a year but I went from 4 1/2, 3 weeks after surgery to 6 5/8. Your case will vary depending on your own anatomy. You’re right, what’s done is done. But realistically, from where you are right now…swelling is gonna dissipate and you’ll see more dick. Things will loosen up and stretch. You are eventually gonna be awfully close to where you started. It happens too often to be sheer coincidence.


Thanks for your encouragement. It sets me at ease and is deeply appreciated. Also as I noted before I am extatic on my new member as is. It's been a long time and I can't wait to try it out in a week.

I do have one other question that I will be asking nurse next week. When inflated the glans makes a sharp turn towards my belly. The urologist pointed this out and gave me some reassurance about it, but I don't remember what he said. I was in a little pain in the scrotum from initialization and nervous. Is this curve from not taping properly and will it go away? Not a big concern as I'm sure it will work as is, just curious.
AMS 700 LGX on July 12, 2022. ED no diagnosed reason since teens with occasional success in 20s. Tried pills and injections.

Txagq8
Posts: 687
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Many questions

Postby Txagq8 » Tue Aug 16, 2022 2:35 pm

Littleleo wrote:I do have one other question that I will be asking nurse next week. When inflated the glans makes a sharp turn towards my belly. The urologist pointed this out and gave me some reassurance about it, but I don't remember what he said. I was in a little pain in the scrotum from initialization and nervous. Is this curve from not taping properly and will it go away? Not a big concern as I'm sure it will work as is, just curious.


By the time you see them for your visit you might not have too many questions, but write them down and ask them. That’s why they make the big bucks.

Nothing you do or didn’t do with tape, ice, special underwear is going to impact your final product. It’s like the old Doris Day song. Que sera, sera.

All sorts of weird crap happens as your body adjusts to this prosthesis. From about month 6 to month 15……I had a terrific upward curve on mine that was like the upward curve before surgery. I posted pics. Guys on here we’re like “how did your surgeon do that?” I kept cycling and squeezed another 1/4” or so and bam, the curve was no longer there. Sort of like your glans angle deal.

I think you’re perfectly normal in asking the questions you pose. Pretty much every bionic guy on here has been thru the same thing. When we say “don’t worry” we aren’t minimizing your angst. We’ve just been down the same road and have seen how things resolve.

There were 3 of us on here….me, Notaes, and CajunJeff that got done about the same time. Notaes spent night in hospital, iced religiously, didn’t touch anything for 14 days. CajunJeff was day surgery but did a good job with ice and rest. I didn’t ice and bruised bad as shit. I drove 200 miles the day after surgery and 130 the following day. I had send wife to Louisiana and was batching it, cooking, shopping, dealing with a puppy…normal life. My doc had me cycling starting day 3.

In the end we all ended up very happy with outcome. Nothing we did or didn’t do or that our doctors did or neglected changed much of anything. What will fix you up is the passage of time. You know, like sands through the hourglass, so are the days of our implant recovery.

Just follow your doctor’s advice to the best of your ability and rest easy knowing time is definitely on your side.

How’s that for a cliche filled post?
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.

jimmi85
Posts: 189
Joined: Wed Dec 15, 2021 10:15 am

Re: Many questions

Postby jimmi85 » Tue Aug 16, 2022 2:55 pm

Txagq8, slightly off topic and I hope you don’t mind me asking but, why did your surgeon give you 5cm of RTE and not use a longer implant? I’m sure there must be a valid reason but I would have thought longer cylinders with less or even no RTE’s would have been better?
Implanted by Mike Fraser in feb 2022 due to a 80 degree dorsal curvature. 18cm Titan - way undersized. 8’ pre Peyronies, 6’ pre implant - currently 6’.

Txagq8
Posts: 687
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: Many questions

Postby Txagq8 » Tue Aug 16, 2022 3:04 pm

jimmi85 wrote:Txagq8, slightly off topic and I hope you don’t mind me asking but, why did your surgeon give you 5cm of RTE and not use a longer implant? I’m sure there must be a valid reason but I would have thought longer cylinders with less or even no RTE’s would have been better?


I don’t mind anyone asking.

The story my doctor and his PA both gave me went like this.

My doc is primarily an AMS guy. I don’t fault him for that. He was very upfront and honest.

There are some reliability concerns about the 21 cm LGX. The 18 cm LGX has proven itself an ultra reliable workhorse. He really wanted to put an LGX in me instead of a CX.

Breaking the 23 cm I needed into an 18+5 instead of a 21+2 made pump and reservoir and tubing simpler. I’ve had a lot of hernia repairs (5 or 6, over the years) and I am not enough of a wiring diagram specialist to think about it. Bottom line is I have zero pump problems, I have to really dig in my nutsack to palpate any tubing, and I have no clue as to where he hung the reservoir.

The surgeon said you will really like the LGX and he was right, I do. It behaves much more like a regular dick. It does increase in size from flaccid to erect like they say. When I wear it out I might insist on a Titan next time, the LGX did not give me my 6” girth. But he (surgeon) did a good job of preserving length. I’m not going to second guess him. He said doing it as 18+5 not 21+2 was best for the way I’m constructed, I’m gonna defer to his judgment.
Robust, adolescent 65 year old. Venous leakage forever. Used shots, shots+pills 30+ years. Married to same wife ~35 yrs. Implanted 31Dec2019 in Austin Tx. AMS 700 LGX 18 cm with 5 cm RTE.


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