Pump Cycling differences: Eid verses Clavell

[BostonJazzman]

To: All Eid and Clavell patients

I was hoping to hear your experiences regarding the timing of starting
penile pump cycling post surgery.

As I have read (summary below from Google) Eid recommends cycling to start
on the 3rd day post surgery while Clavell recommends starting after a few weeks
(4-6 weeks etc.) post surgery.

Well.. I have to wonder how painful is it to start cycling at the 3rd day post surgery?
(as Dr Eid recommends).

Alternately, is there any "price you pay" if you wait until the 4-6 week mark?
(i.e. do you end up with more potential erosion and thus more wobble by delaying the
start of pumping? Perhaps this might only be known until after a few months.
Just a guess.

Finally, I note that the typical "physical therapy for knee replacement surgery" follows
Dr Eid's method of starting "exercising over the implant site" only a day or so after surgery.

So...I would be curious on your personal experiences with starting cycling post surgery.
Both the short term and long term benefits of each method (Eid vs Clavell)

Thanks for your insights.



RESULTS FROM GOOGLE BELOW:

"Dr. Eid, an expert in urology, typically recommends starting penile pump cycling on the third day after penile implant surgery for several reasons:

• Swelling and Pain Reduction: Cycling the pump helps to reduce swelling and pain in the penis and scrotum.

• Pump Softening: Daily cycling helps to soften the pump, making it easier to manipulate and operate.

• Improved Dexterity and Strength: Cycling the pump can gradually improve manual dexterity and strength, especially in the early stages of recovery.

• Reduced Erect Penile Pain: Regular cycling can help reduce the erect penile pain that can be experienced post-surgery.

It's important to note that some surgeons, like Dr. Clavell, prefer to wait 4-6 weeks post-surgery before starting cycling to allow incision sites to heal and soreness to subside.

However, Dr. Eid's approach is to start sooner to address the immediate post-operative issues and facilitate a smoother recovery process, according to Advanced Urological Care P.C."

[NewGuy2025]

If i remember correctly these "3 days" are not written in stone and depending on the individual recovery also Dr. Eid give patients several weeks healing time before cycling.
Which makes sense. In my case for example it would have been impossible to start cycling on day 3 and even now, 20 days post op, iam not able to cycle because I can not reach the deflation button.
So I believe these 3 days are the "best to go" for patients with (almost) no swelling to have the best outcome possible (theoretically) - but also I don´t think there is any real disadvantage if you start cycling after 4-6 weeks, because a lot of surgeons recommend this and their patients are all happy.

[irishguy]

What newguy said is right..
The first implant there would have been zero chance I could cycle at least for the first 4 weeks.
But with the revision and my recovery I've started cycling after 7 days...

[GoodWood]

I had my implant done by Dr Eid a month ago. I had a really smooth post op course. Almost no pain, swelling or bruising.

He tells you to get in a hot bath on day three. If you can feel the deflation button deflate, and then try to inflate/cycle.

I was able to cycle starting on day 3. I’ve been cycling 2 or 3 times a day since.

Cycling in a hot bath was really soothing. Otherwise it can ache quite a bit.

Cycling early makes a lot of sense. Both the reservoir and the cylinders get stretched early before the body has had a chance to form scar capsule around them locking them into a smaller size. Clearly guys that cycle later will manage to stretch whatever capsule has formed in time.

Obviously both methods work. It seems that most surgeons leave you partially inflated for 4 to 6 weeks before activation/cycling begins. I’m glad I went with Dr Eid. It was much easier to get back to my routine fully deflate instead of going to work hiding an inflated implant.

I wrote a day by day journal. The link is in my signature below. Feel free to PM me with any questions. I’m happy to help.

[Wooody]

I think this really depends on if you were implanted infrapubicly or penoscrotaly as well as how quickly you heal.

I was implanted infrapubicly and my Dr, Dr Karpman, had me start cycling week 1. If I had sutures in my scrotum from a penascrotal surgury I can see why waiting for them to heal for a few weeks is needed. I think this is the difference between Eid and Clavell. Clavell favors penoscrotal and Eid infrapubic, if I remember correctly.

[Kodixx]

BostonJazzman, I'm not an Eid or Clavell patient, but I'll offer this. I had an unusually rough recovery and couldn't start cycling until almost 8 weeks. I'm now about 3 months post-op, within around 1/4" of my pre-op size, no floppy glans, and cycling has been more about feeling pressure than objectionable pain.

My perception is that I didn't experience a "price you pay" for waiting to cycle. I think it's had more to do with the Dr's quality of work.

- Chuck

Alternately, is there any "price you pay" if you wait until the 4-6 week mark?

[irishguy]

Wooody
Eid is most definitely for the penoscrital approach...

[GoodWood]

Clavell favors penoscrotal and Eid infrapubic, if I remember correctly.

I was implanted by Dr Eid last month, peniscrotal approach, not infrapubic.

[Wooody]

Clavell favors penoscrotal and Eid infrapubic, if I remember correctly.

I was implanted by Dr Eid last month, peniscrotal approach, not infrapubic.

Ah, ok. Thanks for the correction. I can't imagine trying to squeeze my sack with all those stitches in it 3 days post-op!

[GoodWood]

Clavell favors penoscrotal and Eid infrapubic, if I remember correctly.

I was implanted by Dr Eid last month, peniscrotal approach, not infrapubic.

Ah, ok. Thanks for the correction. I can't imagine trying to squeeze my sack with all those stitches in it 3 days post-op!

Oh for sure I stayed clear of the stitches. My incision was 1” long midline vertical about halfway down my scrotum. Since my pump was in the bottom rear there was plenty of space to grab it away from the incision.