I don't stand full inflation 2 weeks post-op

The final frontier. Deciding when, if and how.



Rider1400
Posts: 1148
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: I don't stand full inflation 2 weeks post-op

Postby Rider1400 » Wed Aug 24, 2022 4:37 pm

I started cycling on my 13th day gently and by the 21st day tried sex which was successful but a little painful. I pump 2 times every day and about the 8th week started doing the Perito exercises which definitely allow for more pumps after you do the bending.I did start it very gently and now can bend the mess out of it then get several more small pumps in. Makes your gland a little sore for a few hours but I’m seeing some good gains over the past 5 weeks. Pre implant I was a full 7” with trimix or with VED. First time I pumped I was 5-3/4. Frustration hit hard and fast. Over time and lots of exercises I’m up to 6-1/4”. Hoping to get back to at least 6-1/2. Will continue with the exercises until I no longer feel the stretch.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong

Lost Sheep
Posts: 6174
Joined: Mon Jul 04, 2016 11:16 pm

Re: I don't stand full inflation 2 weeks post-op

Postby Lost Sheep » Wed Aug 24, 2022 4:47 pm

Full inflation (for extended lengths of time) is intolerable for me at four years post-op. A couple of months post-op, I could tolerate 30 minutes before having to deflate. I would pump up fully at bedtime and sometimes fall asleep but wake up aching after 30 minutes and deflate. As weeks went by, that time extended to 45 minutes or an hour. Now, at four years 45 minutes to an hour and a quarter, I wake up with the need to deflate.

It is a progressive process.

The length of my erection has remained stable, though. I never lost any size due to ED (post-op length was the same as pre-op length). I MAY have gained 1/8" or 1/4" MAYBE.
Last edited by Lost Sheep on Fri Aug 26, 2022 1:55 pm, edited 1 time in total.
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

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: I don't stand full inflation 2 weeks post-op

Postby merrix » Thu Aug 25, 2022 1:33 am

Here are some thoughts on what you say.

It is definitely NOT un-normal to not being able to pump fully after two weeks.
As you say yourself, many don't even start pumping one little drop of saline before this.
In my case, I pumped first time at day 13. Did that cause any issues? Was that too late? Did I lose some valuable time before that?

My dick was really curved before surgery - almost completely straight now.
It was 16.5 cm (6.4") before surgery - now it's over 18 cm (>7").
I could do around 20 pumps in the beginning - After a few years I could do around 60 pumps (full wall to wall pumps in the beginning and then more and more shallow pumps till where I use two hands and full force for the last ones).

I was also left with a very low degree of inflation after surgery.

Another question - You say you can inflate 75-80%. How do you have any clue?
This is quite typical here, that people throw these numbers up in the air. "My doc left me X% inflated after surgery", "I can inflate Y% before pain", "my wife prefers that I inflate Z%" and so on.
In your case, if you have never inflated fully, then you don't know whether you are 30% or 90% inflated now.
But that doesn't matter either. And in one way, it can't even be defined.
In my case, I thought I was very close to fully inflated when I one year after surgery did 25-30 pumps. I would have described that as 90% or whatever. Two yeas later I could do 50 pumps.
Everything changes, your body adapts.
However, I do think it sounds perfectly normal that you cannot pump fully just a few days after you started cycling. I would be more worried if I actually could pump fully. Then you would most likely have been undersized.

What does sound a bit unusual is the 1 minute per session advice.
Never heard that before, but on the other hand, I can't say that's wrong. Just unusual from what we read here.

And finally, the reason why some docs leave you deflated after surgery is this:
If you are inflated, your reservoir will be empty.
In any case, scar tissue will form around the reservoir. If your reservoir is empty, that scar tissue will form around that empty reservoir.
Later, when you start cycle, and when you want to completely deflate, that reservoir cannot expand because the scar tissue that has formed around it - at the size enough to capsule the empty reservoir.
That means in practice, your reservoir has lost capacity.
This is a problem. You cannot fully deflate, and you risk the "auto-inflation" due to the pressure on the reservoir from the scar tissue capsule.

Why isn't this true then for the cylinders in the dick? It is. But some of the most famous docs believe the best trade-off is to leave the dick deflated after surgery and start cycling early.
15 days, as in your case, is early. As I described above, I started at 13 days and my dick even grew in size after my implant.

I would just ask your doc about the 1 minute thing. Why he recommends that, and if he sees any problem with extending those sessions up to what seems to be some kind of standard advice (around 30 minutes). Maybe he has a good reason. Maybe something related to your anatomy that means you should really follow his advice.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

riseagain
Posts: 338
Joined: Tue Mar 01, 2022 8:25 pm

Re: I don't stand full inflation 2 weeks post-op

Postby riseagain » Thu Aug 25, 2022 7:06 am

Yes, I started cycling early, but only because my doctor wanted me to. I too thought it was a little early. It' interesting how so many doctors have different protocol regarding this. I honestly think it's more about your stiches than anything else, I was very careful not irritate them when I stated cycling.

I am now doing the exercises Dr. Perito recommends, but only because my doctor cleared me to do them. I can honestly say that my length is almost back to where it was before, still hoping for more girth. I think that will come later. Also, I have very little discomfort when cycling for 45 minutes.

So happy with the results so far. Just ready to start using this with my wife. :D :D
66 yrs old. Married 40 years to an awesome wife. Implanted on 8/4/2022 Titan 24cm XL. Dr Hakky. Loving the implant so far.

bionicbrother
Posts: 335
Joined: Thu Oct 22, 2020 1:53 am
Location: San Francisco bay area

Re: I don't stand full inflation 2 weeks post-op

Postby bionicbrother » Thu Aug 25, 2022 2:13 pm

Hang in there you are still healing. It takes time to get used to it. You will master it in no time( maybe 4-6 weeks) once you all are healed up. It takes me now less than 30 seconds to fully inflate and 10 seconds to deflate. Inflation also takes time to fully inflate.. You need to inflate it give a rest then try again to fully move to juices up..
40 yrs old. Have ED and PE all my life. Never had penetrative sex all my life. Tried almost all kinds of options( pills, injections, natural therapies etc. Turned Bionic on May 17'22 with Titan by Dr.Karpman infrapubic approach.16cm+2 RTE

User avatar
ShouldIwait
Posts: 261
Joined: Fri Apr 03, 2020 12:36 am
Location: Southern Calif

Re: I don't stand full inflation 2 weeks post-op

Postby ShouldIwait » Fri Aug 26, 2022 10:17 am

[/quote]
I perfectly understand what you're telling me and it's reasonable. No doubts.
I was left fully deflated after surgery without explanations and i feel it's slowing down my recovery process.
Then, two days ago, i was told to start cycling twice a day for 1 minute. I don't even call it cycling.
I wasn't given further instructions, tips or more accurate suggestions. Nothing.
Cycle twice a day for one minute. That's it.
I'll see my surgeon on Tuesday to discuss about this conservative approach and on top of everything about the lack of communication and care i've been given post-op.
Post-op care, communication, empathy and methods are all elements making a good surgeon.
It's not only about the volume of surgeries or the carry out procedures.
I'm currently HIGHLY disappointed with both the almost non-existent post-op care i'm receiving and the recovery process that's been all but uneventful mostly because of the aforementioned lack of empathy and medical care.
I'd like to listen to my doctor and i'd need one able to articulate a concept in my presence. If only i had it.[/quote]

For me...Doc did the implant

FT did the pre-surgery prep and post-op!!
56, 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

guypalmsprings
Posts: 37
Joined: Fri Nov 26, 2021 5:43 pm

Re: I don't stand full inflation 2 weeks post-op

Postby guypalmsprings » Fri Aug 26, 2022 1:30 pm

Following Dr. Eid's protocol, I started cycling on day 3 post-op. Most pain was directly on the point of where my finger made contact with the release valve button. Hot baths and Ibuprofen lessened this pain. In addition, I had pain in the glans, which allowed for only about a 15-30 "inflation" period. Am building on that time now (6-weeks post-op).

From this post and others, I see there is a great disparity in what surgeons recommend in terms of wait time to inflate post-op. Dr. Eid's recommendation, as I understood it to be, is that scar tissue starts to form immediately following surgery, so the sooner one starts to inflate post-op, the better.
Titan 20cm, Dr. Eid 7/15/22. ED before/after RT (2015), EBRT (2016) & ADT (20 mos.). EBRT & improper penile rehab post-treatment left penile/abdominal scarring, arterial blockage & slight hour-glass shape with Peyronie's disease.

Injustright
Posts: 104
Joined: Thu Jun 02, 2022 3:14 pm

Re: I don't stand full inflation 2 weeks post-op

Postby Injustright » Sun Aug 28, 2022 12:59 am

Rider1400 wrote:I started cycling on my 13th day gently and by the 21st day tried sex which was successful but a little painful. I pump 2 times every day and about the 8th week started doing the Perito exercises which definitely allow for more pumps after you do the bending.I did start it very gently and now can bend the mess out of it then get several more small pumps in. Makes your gland a little sore for a few hours but I’m seeing some good gains over the past 5 weeks. Pre implant I was a full 7” with trimix or with VED. First time I pumped I was 5-3/4. Frustration hit hard and fast. Over time and lots of exercises I’m up to 6-1/4”. Hoping to get back to at least 6-1/2. Will continue with the exercises until I no longer feel the stretch.


I am 18 days post surgery. Was interested and a bit relieved to see that it took you a few weeks before you could start really bending your penis for the Perito exercises. Right now If I follow advice and pump mine to where it’s as hard as possible I can’t bend it in the least. So I’ll hold out hope that once more soreness goes away I’ll start to get the exercises done.
Decades+ ED; finally ultrasound showed venous leak+arterial insufficiency. Infrapubic (Yay!) implant by Dr. Karpman 8/9/22; with 13 cm distal, 9 proximal Titan. Cleared for new life 9/1/22 and hoping to make up for lost time.

Rider1400
Posts: 1148
Joined: Sun Dec 06, 2020 4:23 pm
Location: Benton Arkansas

Re: I don't stand full inflation 2 weeks post-op

Postby Rider1400 » Sun Aug 28, 2022 6:45 pm

It will bend. Takes a lot more effort than you realize at first. Just push hard and try to get a little and it will get easier.
59 years old ED started mid 40s pills failed after 10 years. Injections works but diminishing results with pain. Implanted 5-22 Baylor,Scott,and White Dallas.Dr Michael Wierschem, infrapubic Coloplast with Classic pump 20cm and 1cm RTE. Going strong


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