Pulling down on pump to help set it in good position

The final frontier. Deciding when, if and how.
aussiePeyronies
Posts: 666
Joined: Thu May 05, 2022 9:44 am

Pulling down on pump to help set it in good position

Postby aussiePeyronies » Wed Jul 12, 2023 2:56 am

How many people have tried this with success?

My pump is very awkwardly positioned currently, the deflate valve is horizontal and is behind the pump, it hits the scrotum and my right testicle. I am 2 weeks post-revision.

Any advice is greatly appreciated.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: Pulling down on pump to help set it in good position

Postby Hillywilly » Wed Jul 12, 2023 10:51 am

I think it should settle had a similar issue for awhile. I don't know that pulling the pump down even does much I think EID advises against. That said Hakky asked me to do the same thing and I think I did for like a week. Anyways, sure your balls are still swollen should resolve with time.
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

LMCatman
Posts: 1009
Joined: Wed May 08, 2013 11:11 am
Location: South Florida, USA

Re: Pulling down on pump to help set it in good position

Postby LMCatman » Wed Jul 12, 2023 1:45 pm

My first (dipshit) surgeon never mentioned pulling down the pump. It eventually "settled" in a place where I could not reach both deflate buttons and stayed semi-hard for several months until revision one year after implant.

Dr Perito emphasized pulling down the pump. With a couple of pump failures, I'm now on my fourth implant. Each time Dr Perito emphasized "pulling down on the pump".

Good luck man!
73 Years old. RP Oct 2010, No erections after, Botched Titan implant April, 2013, Successful Titan revision, April , 2014 by Dr. Paul Perito, Miami. Titan failure Feb 2017. Rev. by Dr Perito March 1st, 2017. Titan failure Nov 2020. New Titan January 2021

Strato57
Posts: 5
Joined: Fri Jun 09, 2023 10:49 pm

Re: Pulling down on pump to help set it in good position

Postby Strato57 » Wed Jul 12, 2023 5:11 pm

Hello Aussie:
I could be mistaken, but those who are asked to pull downwards on the pump post-surgery for proper positioning were implanted using the infrapubic surgical approach, rather than penoscrotal, or one of the other half dozen methods.
My surgery was penoscrotal and my specialist never informed me directly, or through post-operative written instructions, to pull on the pump.
Hope this helps you in some meaningful way.
Age:65; Prostatectomy 9/2020; Medications, injections and VED.
Implanted 4/19/2023; AMS700 CX 24cm w/.5cm RTE.

aussiePeyronies
Posts: 666
Joined: Thu May 05, 2022 9:44 am

Re: Pulling down on pump to help set it in good position

Postby aussiePeyronies » Wed Jul 12, 2023 10:07 pm

The deflate button is flat, horizontally sitting on the bottom of my scrotum, just below and slightly underneath the pump. Reaching it and then holding it to deflate is very tricky and requires two hands most times.

The surgeon advised that my scrotum is small and there is no easy answer, I can try and manipulate it with my hands. I am guessing this would not be worth another surgery.

My only other option is not to cycle/use the device, or limit usage so that I do not risk not being able to deflate.

Any suggestions?

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

aussiePeyronies
Posts: 666
Joined: Thu May 05, 2022 9:44 am

Re: Pulling down on pump to help set it in good position

Postby aussiePeyronies » Wed Jul 12, 2023 10:07 pm

aussiePeyronies wrote:The deflate button is flat, horizontally sitting on the bottom of my scrotum, just below and slightly underneath the pump. Reaching it and then holding it to deflate is very tricky and requires two hands most times.

The surgeon advised that my scrotum is small and there is no easy answer, I can try and manipulate it with my hands. I am guessing this would not be worth another surgery.

My only other option is not to cycle/use the device, or limit usage so that I do not risk not being able to deflate.

There is no more swelling.

Any suggestions?

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

atul21
Posts: 329
Joined: Thu Sep 15, 2022 3:08 am

Re: Pulling down on pump to help set it in good position

Postby atul21 » Wed Jul 12, 2023 10:35 pm

aussiePeyronies wrote:The deflate button is flat, horizontally sitting on the bottom of my scrotum, just below and slightly underneath the pump. Reaching it and then holding it to deflate is very tricky and requires two hands most times.

The surgeon advised that my scrotum is small and there is no easy answer, I can try and manipulate it with my hands. I am guessing this would not be worth another surgery.

My only other option is not to cycle/use the device, or limit usage so that I do not risk not being able to deflate.

Any suggestions?

J


Hi J,

Not sure I understand correctly. So is your pump horizontal instead of being vertical? Cos when you say deflate valve is underneath the pump, it suggests either the pump is inverted or horizontal. Normally it should hang straight and be slightly behind the testicles and in between them.

I was told that I have a great position of the pump. But still I need 2 hands to inflate and deflate it. If that is something which makes you feel better.

Regards,
Atul
41 yr old from India, Ed since many years
Coloplast Titan 22 cms one touch pump no rte; implanted by Dr. Billy Cordon in Miami on 02-March-2023. Found Dr. Cordon on reco from Dr. Eid after he fell sick.
Happy to help!
My Journal- click here

aussiePeyronies
Posts: 666
Joined: Thu May 05, 2022 9:44 am

Re: Pulling down on pump to help set it in good position

Postby aussiePeyronies » Thu Jul 13, 2023 8:13 pm

atul21 wrote:
aussiePeyronies wrote:The deflate button is flat, horizontally sitting on the bottom of my scrotum, just below and slightly underneath the pump. Reaching it and then holding it to deflate is very tricky and requires two hands most times.

The surgeon advised that my scrotum is small and there is no easy answer, I can try and manipulate it with my hands. I am guessing this would not be worth another surgery.

My only other option is not to cycle/use the device, or limit usage so that I do not risk not being able to deflate.

Any suggestions?

J


Hi J,

Not sure I understand correctly. So is your pump horizontal instead of being vertical? Cos when you say deflate valve is underneath the pump, it suggests either the pump is inverted or horizontal. Normally it should hang straight and be slightly behind the testicles and in between them.

I was told that I have a great position of the pump. But still I need 2 hands to inflate and deflate it. If that is something which makes you feel better.

Regards,
Atul


Hey Atul,

It's hard to explain but the whole deflate button is flat and horizontal sitting on the bottom of the scrotum behind and slightly lower than the pump. I hope that makes sense. No idea what to do, cycling is difficult as the deflate button can be difficult to reach and also requires 2 hands to press.

J
34 Years Old...Peyronies for 4 years. 20 Degree left and upwards curvature, major dents and narrowing, ED.

Implant + Tunica Expansion Procedure, 7th Feb 2023, Titan 22cm + 1cm RTE

oldbeek
Posts: 2481
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Pulling down on pump to help set it in good position

Postby oldbeek » Thu Jul 13, 2023 11:19 pm

I had infrapubic install. Doc told me to leave it alone which I did. Everything healed nicely.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

JohnHC
Posts: 166
Joined: Mon Apr 24, 2023 9:35 am

Re: Pulling down on pump to help set it in good position

Postby JohnHC » Fri Jul 14, 2023 10:37 am

My surgery was penoscrotal. I was advised by my Dr and the post op instructions to gently pull down on the pump as soon as you can tolerate it for the first 6 months I think. Pretty much the same for the daily cycling ( he just asked me today at my first follow up if I had started to yet and if not then to start cycling by fully inflating once a day for 10 minutes, he was kinda shocked when I told I've already started and been doing twice a day for 15 to 30 minutes each time.)

I think pulling down on the pump helps it to settle into a spot that's easier for you to manipulate. My pump sets with the deflate button facing my left thigh and cocked at an angle with the bulb to the right. It doesn't hang straight down but with the top to the left and bottom ( bulb ) to the right. It's very usable in this position for me, but I still pull down on it gently hoping to straighten it up a bit because sometimes the bulb sits in front of my right testicle sticking out, so sometimes looks like I have a hard knot sticking out in my scrotum.
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder. Now awaiting third surgery unknown failure.


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