Tenacio pump observations

[JohnHC]

The drain definitely helped, but my swelling usually goes away pretty fast. This one didn't get as black and blue even though it swelled up almost as big. The Dr says revision surgeries are easier as they don't have to do as much damage during the surgery like they have to on the first one. The tubing is hidden pretty well, I don't notice it except while trying to pump, with the residual swelling it kinda pinches while trying to pump right now, plus Dr Hakky placed the pump much further back behind the boys than my previous surgeries. It's only palpable if I'm trying to find the tubing. Anyway I should be able to get better insight on pumping fully and whether it struggles to get to a fully inflated state or not once the swelling is down to a more manageable state.

Got it. Hakky most of the time defaults to recommending a Titan. Did you have to press him hard on getting a CX? He also likes to put the reservoir next to the bladder instead of submuscular? Did you guys discuss pros and cons of reservoir and where is yours?

Dr Hakky didn't push me towards Titan on mine. He's obviously opened up to doing AMS implants as well now. Mine being a revision with AMS providing the replacement under warranty is why I guess he didn't push. He did say I could switch over to Titan if I wanted, but in any case he would implant whatever I wanted. Now he might suggest Titan over AMS if you're doing a first implant and haven't done any research, but he told me during the consult he'll implant whatever the patient wants. He put mine in the right side space of rezious or that was the plan. We discussed it to a degree but I left all that up to him as he would know better than I would. And I was more than ready to get all this over with and get a working penis again, 13 months is a long time for a barely usable penis. He's a great guy, love the fact that he talks to you like a close friend and he uses more street terms not clinical ones, ie calling it your dick and not penis, just seems strange but also great in that he's using terms that most people would know and in a more laid-back manner.

[sambalamba]

Dr Hakky didn't push me towards Titan on mine. He's obviously opened up to doing AMS implants as well now. Mine being a revision with AMS providing the replacement under warranty is why I guess he didn't push. He did say I could switch over to Titan if I wanted, but in any case he would implant whatever I wanted. Now he might suggest Titan over AMS if you're doing a first implant and haven't done any research, but he told me during the consult he'll implant whatever the patient wants. He put mine in the right side space of rezious or that was the plan. We discussed it to a degree but I left all that up to him as he would know better than I would. And I was more than ready to get all this over with and get a working penis again, 13 months is a long time for a barely usable penis. He's a great guy, love the fact that he talks to you like a close friend and he uses more street terms not clinical ones, ie calling it your dick and not penis, just seems strange but also great in that he's using terms that most people would know and in a more laid-back manner.

Thanks. Your 13 month hiatus will be over soon. You need to make up for lost time now . I totally agree with you regarding Hakky's personality. Amongst all the docs I have met he is by far the easiest to connect with and he has a very nice way of reassuring his patients. Very comforting. I kind of also like all the cool electronic gadgets he has in his office. I do wonder whether he tries to overpromise stuff. He told me that I might be able to fit into a 24cm. I can assure you it'll shred my dick to pieces . I have never seen a horizontal incision though and curious how it looks. How large is the cut and were you concerned whether it'll look more visible than a vertical cut?

[JohnHC]

Dr Hakky didn't push me towards Titan on mine. He's obviously opened up to doing AMS implants as well now. Mine being a revision with AMS providing the replacement under warranty is why I guess he didn't push. He did say I could switch over to Titan if I wanted, but in any case he would implant whatever I wanted. Now he might suggest Titan over AMS if you're doing a first implant and haven't done any research, but he told me during the consult he'll implant whatever the patient wants. He put mine in the right side space of rezious or that was the plan. We discussed it to a degree but I left all that up to him as he would know better than I would. And I was more than ready to get all this over with and get a working penis again, 13 months is a long time for a barely usable penis. He's a great guy, love the fact that he talks to you like a close friend and he uses more street terms not clinical ones, ie calling it your dick and not penis, just seems strange but also great in that he's using terms that most people would know and in a more laid-back manner.

Thanks. Your 13 month hiatus will be over soon. You need to make up for lost time now . I totally agree with you regarding Hakky's personality. Amongst all the docs I have met he is by far the easiest to connect with and he has a very nice way of reassuring his patients. Very comforting. I kind of also like all the cool electronic gadgets he has in his office. I do wonder whether he tries to overpromise stuff. He told me that I might be able to fit into a 24cm. I can assure you it'll shred my dick to pieces . I have never seen a horizontal incision though and curious how it looks. How large is the cut and were you concerned whether it'll look more visible than a vertical cut?

He never once over promised. He was very straight forward with me and explained everything quite well. The horizontal incision is just below where the top of the scrotum meets the penis and is only about an inch long. Personally I don't see how they can get in there to do all the work they do with such a small opening. My previous two surgeries were also penoscrotal and Dr Hakky said you'd have to know what to look for and really look to find the incision scar. That's the really good thing about penoscrotal, the scrotum heals up really well with little to no scarring, or at least that's the way it was in my case. I'm already cycling, yes it's still a bit difficult to get a hold of that pump due to there still being some swelling down there, but it's getting to be a little easier. I haven't been able to fully pump it up yet, but I think I've been reaching around 60%, and that is a bit uncomfortable as it is. My wife will be very happy once I'm able to fully cycle and start using it.

[Thisworld]

Was someone able to get an explanation about their 1.000 uses claim? It's already been discussed before, but still nobody seems to have had a definitive answer
https://www.bostonscientific.com/us/en/ ... 00138.html

"TENACIO is designed to maintain consistent performance throughout an expected implant life of 10 years (corresponding to 1,000 uses)."

[JohnHC]

Was someone able to get an explanation about their 1.000 uses claim? It's already been discussed before, but still nobody seems to have had a definitive answer
https://www.bostonscientific.com/us/en/ ... 00138.html

"TENACIO is designed to maintain consistent performance throughout an expected implant life of 10 years (corresponding to 1,000 uses)."

Well break it down, 1000 uses over 10 years is 100 uses a year which is almost the same number of uses they recommend if using trimix ( once every three days ) so it's pretty close. I think that they really underrated it because the pump is so new and there is relatively little long term use of it. Being one of the guinea pigs ( I have a Tenacio ) it's a great pump so far and still trying to figure this thing out ( best way to hold it, best way to pump etc...)

Now an update on my using it ( only 3 weeks since surgery ) the swelling is mostly gone, but that thing is a bit more difficult to hold, easier to do it like on the MS pump and just hold the tubing near the top of the pump instead of trying to hold it by the indents on the block. As far as pumping it, I haven't had much luck with doing full compression of the pump ( it doesn't seem to pump up ) but if I do fast half pumps I can get it fully pumped up and the bulb to hard to pump anymore, so for me at least the fast half pumps work the best.

I also noticed that even fully pumped up it takes a bit 20+ minutes before I get that pain from being pumped up - I believe that the reason for that is Dr Hakky recommends using a penis pump at least 30 minutes each day for a month before surgery. I guess it helps stretch the tissues beforehand. This is all my observations, your experience will most likely differ from mine.

[Thisworld]

Was someone able to get an explanation about their 1.000 uses claim? It's already been discussed before, but still nobody seems to have had a definitive answer
https://www.bostonscientific.com/us/en/ ... 00138.html

"TENACIO is designed to maintain consistent performance throughout an expected implant life of 10 years (corresponding to 1,000 uses)."

Well break it down, 1000 uses over 10 years is 100 uses a year which is almost the same number of uses they recommend if using trimix ( once every three days ) so it's pretty close. I think that they really underrated it because the pump is so new and there is relatively little long term use of it. Being one of the guinea pigs ( I have a Tenacio ) it's a great pump so far and still trying to figure this thing out ( best way to hold it, best way to pump etc...)

Now an update on my using it ( only 3 weeks since surgery ) the swelling is mostly gone, but that thing is a bit more difficult to hold, easier to do it like on the MS pump and just hold the tubing near the top of the pump instead of trying to hold it by the indents on the block. As far as pumping it, I haven't had much luck with doing full compression of the pump ( it doesn't seem to pump up ) but if I do fast half pumps I can get it fully pumped up and the bulb to hard to pump anymore, so for me at least the fast half pumps work the best.

I also noticed that even fully pumped up it takes a bit 20+ minutes before I get that pain from being pumped up - I believe that the reason for that is Dr Hakky recommends using a penis pump at least 30 minutes each day for a month before surgery. I guess it helps stretch the tissues beforehand. This is all my observations, your experience will most likely differ from mine.

The fact that doing a full compression of the pump doesnt pump up is somehow weird...and i guess not what to be expect. What you think?

[sambalamba]

Was someone able to get an explanation about their 1.000 uses claim? It's already been discussed before, but still nobody seems to have had a definitive answer
https://www.bostonscientific.com/us/en/ ... 00138.html

"TENACIO is designed to maintain consistent performance throughout an expected implant life of 10 years (corresponding to 1,000 uses)."

I had sent an email to BSC about this. All they said is that this is a new device and they need more in field more studies. And that was it.

[sambalamba]

Well break it down, 1000 uses over 10 years is 100 uses a year which is almost the same number of uses they recommend if using trimix ( once every three days ) so it's pretty close. I think that they really underrated it because the pump is so new and there is relatively little long term use of it. Being one of the guinea pigs ( I have a Tenacio ) it's a great pump so far and still trying to figure this thing out ( best way to hold it, best way to pump etc...)

Now an update on my using it ( only 3 weeks since surgery ) the swelling is mostly gone, but that thing is a bit more difficult to hold, easier to do it like on the MS pump and just hold the tubing near the top of the pump instead of trying to hold it by the indents on the block. As far as pumping it, I haven't had much luck with doing full compression of the pump ( it doesn't seem to pump up ) but if I do fast half pumps I can get it fully pumped up and the bulb to hard to pump anymore, so for me at least the fast half pumps work the best.

I also noticed that even fully pumped up it takes a bit 20+ minutes before I get that pain from being pumped up - I believe that the reason for that is Dr Hakky recommends using a penis pump at least 30 minutes each day for a month before surgery. I guess it helps stretch the tissues beforehand. This is all my observations, your experience will most likely differ from mine.

I'm intrigued about Hakky's horizontal incision in the scrotum. How large is it? Did it make it easier for you to access the pump with less pain? Would really appreciate if you can share the incision pic.

[Kodixx]

Thisworld,

I spoke to a BSC patient rep (post-op) yesterday who said that the 1,000 uses claim is "engineering speak". However the term "engineering speak" doesn't seem to apply in this situation. At first she was surprised that info is still on their website. She seemed anxious to discredit the "1,000 uses" statement and chose to redirect to their data that indicates 90+ % still in service at 7 years and xx% at 10 years. I let her know that the % info isn't meaningful unless it can be associated with something useful such as type of use (rough or easy) and frequency of use.

That did not answer my question. But I did learn that the people responsible for answering patient/customer questions about "1,000 uses" don't like the question.

- Chuck

Was someone able to get an explanation about their 1.000 uses claim?

[JohnHC]

Well break it down, 1000 uses over 10 years is 100 uses a year which is almost the same number of uses they recommend if using trimix ( once every three days ) so it's pretty close. I think that they really underrated it because the pump is so new and there is relatively little long term use of it. Being one of the guinea pigs ( I have a Tenacio ) it's a great pump so far and still trying to figure this thing out ( best way to hold it, best way to pump etc...)

Now an update on my using it ( only 3 weeks since surgery ) the swelling is mostly gone, but that thing is a bit more difficult to hold, easier to do it like on the MS pump and just hold the tubing near the top of the pump instead of trying to hold it by the indents on the block. As far as pumping it, I haven't had much luck with doing full compression of the pump ( it doesn't seem to pump up ) but if I do fast half pumps I can get it fully pumped up and the bulb to hard to pump anymore, so for me at least the fast half pumps work the best.

I also noticed that even fully pumped up it takes a bit 20+ minutes before I get that pain from being pumped up - I believe that the reason for that is Dr Hakky recommends using a penis pump at least 30 minutes each day for a month before surgery. I guess it helps stretch the tissues beforehand. This is all my observations, your experience will most likely differ from mine.

I'm intrigued about Hakky's horizontal incision in the scrotum. How large is it? Did it make it easier for you to access the pump with less pain? Would really appreciate if you can share the incision pic.

Wouldn't do much to show the picture now as it is mostly healed with some of the stitches still not dissolved yet. The incision itself I would say is probably no bigger than an inch and a half long, they placed the pump "well behind the boys where there's more room" I wouldn't say it's easier to access with less pain, I had plenty of swelling and still have a little ( thickness ) of it left which makes it a bit more difficult to grab hold of that sucker to pump it. Pain was normal amount and still have a little now at 3 weeks post op. But that could be because they made the pocket for the pump further back and deeper than what was done on my earlier ones. Overall he did an excellent job.