Pump drives me nuts

The final frontier. Deciding when, if and how.
Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Pump drives me nuts

Postby Waynetho » Sat May 13, 2023 1:25 pm

jimmyd24 wrote:Did your doctor tell you to start pulling down on the pump?
When I went back to has my catheter removed, he showed me how to pull the pump down so it would set lower in my scrotum.
He said to do it several times a day.


I believe the "Pull down on pump" instructions are usually issued to patients who had the implant infrapubically installed because the cylinder tubes come from the top, above the penis (dorsal) which can cause the pump to ride up until it is encapsulated or develops adhesion.

If the patient had the implant installed penoscrotally (from underneath), I don't believe there's a need to "pull down" on the pump to keep it from rising up. The cylinder tubes come out from the ventral side of the corpora (underside) in this case.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

stmfttr
Posts: 516
Joined: Mon Dec 14, 2020 11:35 pm

Re: Pump drives me nuts

Postby stmfttr » Sat May 13, 2023 2:06 pm

Waynetho wrote:
jimmyd24 wrote:Did your doctor tell you to start pulling down on the pump?
When I went back to has my catheter removed, he showed me how to pull the pump down so it would set lower in my scrotum.
He said to do it several times a day.


I believe the "Pull down on pump" instructions are usually issued to patients who had the implant infrapubically installed because the cylinder tubes come from the top, above the penis (dorsal) which can cause the pump to ride up until it is encapsulated or develops adhesion.

If the patient had the implant installed penoscrotally (from underneath), I don't believe there's a need to "pull down" on the pump to keep it from rising up. The cylinder tubes come out from the ventral side of the corpora (underside) in this case.


Mine was penoscrotal. As soon as the scrotal swelling started to subside, surgeon wanted me to pull down on the pump.
stmfttr
78 - Married 54 years - Coloplast Titan, 22cm and no RTE's - Installed June 2019 Nebraska Medicine, Dr. Deibert (urologist/surgeon)
Update: Replaced implant due to pump failure. New implant Nov.19th, 2024 - Coloplast Titan w/OTR pump - 22cm + 1cm RTE

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Pump drives me nuts

Postby Waynetho » Sun May 14, 2023 1:51 am

stmfttr wrote:
Waynetho wrote:
jimmyd24 wrote:Did your doctor tell you to start pulling down on the pump?
When I went back to has my catheter removed, he showed me how to pull the pump down so it would set lower in my scrotum.
He said to do it several times a day.


I believe the "Pull down on pump" instructions are usually issued to patients who had the implant infrapubically installed because the cylinder tubes come from the top, above the penis (dorsal) which can cause the pump to ride up until it is encapsulated or develops adhesion.

If the patient had the implant installed penoscrotally (from underneath), I don't believe there's a need to "pull down" on the pump to keep it from rising up. The cylinder tubes come out from the ventral side of the corpora (underside) in this case.


Mine was penoscrotal. As soon as the scrotal swelling started to subside, surgeon wanted me to pull down on the pump.
stmfttr

Unless I got wrong information which is entirely possible, that seems to defy logic unless it's just the doctor's preference in your case. It seems like there are about as many techniques as there are surgeons, so it's possible.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: Pump drives me nuts

Postby ThailandBound » Sun May 14, 2023 10:30 am

I consulted initially with Dr. Perito and was about to go with him. He told me that i would indeed need to pull the pump down, which did not sound pleasant at all. Of course, the idea of the penoscrotal method made me cringe as well. Because my insurance wouldn’t pay, and because i became convinced he was indeed highly skilled, i went with Dr. Clavell. $21,000 vs $31,000 out-of-pocket with Dr. C.

i think from what i read here infrapubic vs penoscrotal surgies generally have faster recovery times.

I don’t mean to sound like i’m rubbing it in here because some of you guys are describing some pretty uncomfortable situations with your pump. All I know is that my pump was perfectly placed. Sits low in the aft part of the scrotum, forward of the perinium. It is undetectable to the naked eye, and though the first 2 months were uncomfortable when sitting, now i don’t notice it whatsoever.

Even the angle at which the pump rests was ergonomically perfect such that my right hand aligns with pump alignment as i grasp it.

One thing consistent on the forum if we read back several years is guys writing with alarm over various issues, “adhering” to the scrotum, glans pain, shape issues, have given quite a few cause for alarm. Thing is, these are generally written within the first 12 weeks of recovery.

The good news seem to be that the vast majority of these concerns seem to self resolve with time. Everybody’s recovery is unique. Try to relax with the knowledge that if you’re one of the guys experiencing a higher level of discomfort that many before you have been here with ultimately good results.

As always, talk to your doctor. just one guy with an option, and a story.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

19cmbonepressed
Posts: 76
Joined: Thu May 11, 2023 12:38 am

Re: Pump drives me nuts

Postby 19cmbonepressed » Wed May 17, 2023 2:58 pm

reason why i avoided the pump implant... permaish erection is nice...


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