Pump “dimples” at max inflation

The final frontier. Deciding when, if and how.
stephen54
Posts: 481
Joined: Sun Nov 10, 2019 11:43 am
Location: Chicago

Re: Pump “dimples” at max inflation

Postby stephen54 » Thu Sep 08, 2022 12:41 pm

That would be reassuring to know this is simply an empty reservoir at work here. Hope that's correct.

I remember a conversation w/ my doc before surgery, details fuzzy 3 years out, but I remember there's some calculation they do upon implant, I just don't know if that's driven by Coloplast's recommendations or (as I suspect in my case) more by the surgeon's experiences and patient-to-patient estimations.

I think my reservoir is 120cc if I recall. It's actually an interesting question though, as relates to dick sizing post-implant. I lost a little length and a little girth. Cycled very aggressively and use my implant often and aggressively and never recaptured any size. What other size reservoirs are there available, and what were the factors in play?

If you're giving me a 28cm Titan, either the manufacturer or the doc is estimating a reservoir capacity they believe maxes out that implant in my body. I imagine the functional limit of the materials of my implant are rated at x psi of pressure for my model Titan, and there's some sliding scale of how many cc of reservoir you get based on the next smaller implant and so on, obviously.

Just wondering aloud what the manufacturer in fact recommends as a not-to-exceed saline volume for each differing implant. And if a physician chose a smaller than recommended reservoir...to what degree that impacts size recovery later.

Going to ask my guy to refresh my memory on how he calculates.
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.

dhiker99
Posts: 46
Joined: Thu Mar 18, 2021 6:54 pm

Re: Pump “dimples” at max inflation

Postby dhiker99 » Tue Sep 13, 2022 10:28 pm

Stephen. If you could share what you learn about calculations I’d be greatful
Implanted 4/22/21, Coloplast Titan

stephen54
Posts: 481
Joined: Sun Nov 10, 2019 11:43 am
Location: Chicago

Re: Pump “dimples” at max inflation

Postby stephen54 » Tue Sep 13, 2022 11:56 pm

dhiker99 wrote:Stephen. If you could share what you learn about calculations I’d be greatful


I will. I'm due in office for my annual next month, will discuss with him then and share anything of value.
54 yrs. Blessed with highly sexual 52 yr old wife. Pills 10 years, then 9 yrs Trimix. 28 cm Titan Touch XL 2019, Laurence Levine, Rush Univ Med Ctr, Chicago. Implant = nonstop fun. Hypogonadal, so also 10+ years testosterone replacement.

Jack1104
Posts: 80
Joined: Sun May 02, 2021 4:43 pm

Re: Pump “dimples” at max inflation

Postby Jack1104 » Sun Oct 02, 2022 12:23 pm

Wanted to follow up:

So I talked to Eid a few weeks ago. He said the more likely possibility was that I may have maxed out on my cylinders and all the fluid at Maximum pump was in them. Of course he also said there was a small possibility of a slow leak and I would know in a few months.

For what it’s worth we are about six weeks into this phenomenon and I max out at exact same number of pumps as I did when it started (31-32 full pumps).

J21
Coloplast Titan 20cm no RTEs
9/17/21 Dr. Eid
Revision 7/10/24 Dr. Eid

Jack1104
Posts: 80
Joined: Sun May 02, 2021 4:43 pm

Re: Pump “dimples” at max inflation

Postby Jack1104 » Wed Feb 22, 2023 10:23 am

It’s been over 5 months now. I remain at 32-35 squeezes of the pump until I reach max rigidity and the pump goes flat. I stay max’d out until I press the release button, the pump fills up and goes spherical, and then I return to flaccid state.

I would think that after all this time, if there was a slow leak, my number of pumps would have been reduced, and or I would not have achieved good rigidity anymore.
Coloplast Titan 20cm no RTEs
9/17/21 Dr. Eid
Revision 7/10/24 Dr. Eid

sliphill
Posts: 1021
Joined: Mon Oct 29, 2012 8:27 am
Location: Charlotte, NC

Re: Pump “dimples” at max inflation

Postby sliphill » Thu Feb 23, 2023 8:51 am

Jack1104 wrote:It’s been over 5 months now. I remain at 32-35 squeezes of the pump until I reach max rigidity and the pump goes flat. I stay max’d out until I press the release button, the pump fills up and goes spherical, and then I return to flaccid state.

I would think that after all this time, if there was a slow leak, my number of pumps would have been reduced, and or I would not have achieved good rigidity anymore.


I agree, I don’t think it is leaking. This happened to my AMS 700 last Saturday. About 20 pumps and the bulb collapsed. I wasn't fully erect. Then I pressed the release button and tried again, this time only about 10 pumps. Needless to say, I was so disappointed because at this point I knew something was wrong. The reservoir was leaking fast. Now I can just pump it once and the bulb collapses. So no erections. I have an appointment on 3/1/23. I am considering a maleable implant where I wouldnt have to worry about a pump abd reservoir.
Ed (sliphill) 68

Implanted by Dr. Michael O'Neill in Charlotte, NC on 6/9/2017 with AMS 700LGX. 18 cm cylinders 3 cm RTE's.

Revision done by Dr. Maxim McKibbon in Charlotte, NC on 4/12/2023 with AMD 700 LGX 22 cm cylinders gm

RelievedofED1
Posts: 339
Joined: Sat Feb 28, 2015 1:50 pm

Re: Pump “dimples” at max inflation

Postby RelievedofED1 » Thu Mar 23, 2023 7:41 am

This collapsed bulb at max inflation has happened to me since implant was new with both an AMS CX and now Titan XL 24. I assumed either it was the max fluid available in reservoir or max pressure allowed as it is always when I am very rigid. Unless something changes and penis isn’t hard when this happens, suggesting a leak, I would just assume that this is a normal variation. I’ve had the Titan for 8 months and no change in rigidity when this happens. One more vote for normal nothing to worry about but you were right to double check with your surgeon. Best
66 year old with ED intermittently for years and consistently for the 2 years before implant. Tried everything. AMS CX 21cm+1 cm RTEs Dr Kramer 4/29/2015.
Revision 5/3/2021 AMS CX 700 21cm+2 cm RTEs.
Revision 2022 Titan XL 24 cm no RTEs.

Thickskinned
Posts: 5
Joined: Thu Jul 28, 2022 4:43 am

Re: Pump “dimples” at max inflation

Postby Thickskinned » Thu Mar 23, 2023 8:24 am

I found this on the Coloplast website:
BF4E9D7E-97BB-4916-B2F0-9CA0B157544D.png
BF4E9D7E-97BB-4916-B2F0-9CA0B157544D.png (372.96 KiB) Viewed 730 times
Pills failed, did trimix for 7 yrs. BPH for years. Implant 8/12/2022
Coloplast Titan OTR, 22cm, 2cm rte. 7.5 L, 6.875 G pre implant, 7.25 L, 6.5 G, post implant.

Craigohbig
Posts: 290
Joined: Sun Aug 22, 2021 7:03 am

Re: Pump “dimples” at max inflation

Postby Craigohbig » Thu Mar 23, 2023 11:30 pm

100% ran out of fluid in the reservoir. Clavell told me this as it happened to me very early on. I still grew a little after, but not much
42 ED for 9 years vl after a fall. Pre implant 8 1/4 bp x 6 1/8 ish
Clavell titan 26+1 rte…post op very excited: 8 5/8” x 6 1/4” (7” base)
Starting to lose some length

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Masonjames
Posts: 657
Joined: Sat Mar 16, 2019 3:54 pm
Location: Georgia

Re: Pump “dimples” at max inflation

Postby Masonjames » Fri Mar 24, 2023 2:26 pm

Jack1104 wrote:Hello everybody, coming up on my one year anniversary of being implanted.

Pumping to the max has become very easy, but when I get to the max on the last squeeze the pump dimples in and doesn’t go back to its original spherical shape until I press the release valve and deflate. Anyone else experience this? When I feel it during maximum inflation the pump has a “caved-in” feel to it.

Thank you!


Yes I experienced the same thing at about the one year mark. No fluid left in the reservoir to fill the pump
70 year old, Married 53 years with two adult children.
Tried pills, herbs, and Trimix. Implanted by Dr. Hakky , in Atlanta, on the 1st, of September 2020. Titan XL 24cm's with two 1.5cm"s RTE"s


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