Tenacio pump observations

[sambalamba]

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.

Wow that is almost 4 cm same as the length of a vertical penoscrotal incision. For some reason I thought Hakky's horizontal incision will be a lot smaller. I also thought due to the drain and this horizontal incision the pain and swelling would probably be somewhat less since Hakky had explained the horizontal incision allows more blood to come to the incision site for quicker healing. But then again you're already pumping at 3 weeks which is great. As I said I love Hakky's approachable personality, attention towards patients and adopting new innovations in his surgical protocol. I don't know if you have seen his new youtube video where he shows he has started using the HL-Levine insertion tool for distal dilation as opposed to more traditional brooks or hegar dilators. Being in Texas, I'm trying to decide whether it's worth the hassle of travelling to Atlanta since there are some great surgeons in Houston.

[JohnHC]

Actually Dr Hakky has you start cycling at 1 week. It's a bit hard to do with the swelling at that time. But gets easier as the swelling goes down.

[Thisworld]

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?

"90+ % still in service at 7 years and xx% at 10 years" must be referred at the MS pump tho, not the tenacio, right?

[Kodixx]

Yes that's correct. I asked that specific question and she confirmed it was specific to the MS pump.

- Chuck

"90+ % still in service at 7 years and xx% at 10 years" must be referred at the MS pump tho, not the tenacio, right?

[Thisworld]

Yes that's correct. I asked that specific question and she confirmed it was specific to the MS pump.

- Chuck

"90+ % still in service at 7 years and xx% at 10 years" must be referred at the MS pump tho, not the tenacio, right?

Well let us know how it goes. Are you cycling one or twice a day?
I don't think making an implant that last so short (1000 cycles) is in their interest neither, since majority of devices wuold break still under warranty

[Kodixx]

Thisworld,

I don't start cycling until the 24th but I'll check back.

- Chuck

Well let us know how it goes. Are you cycling one or twice a day?
I don't think making an implant that last so short (1000 cycles) is in their interest neither, since majority of devices would break still under warranty

[Kodixx]

Thisworld,

Started cycling on Monday. My experience seems to be about what most others experience. The pump ball is stiff which causes scrotum pain - but its either already softening up, or I'm figuring out how to do it with less friction, or I'm just getting used to it.

- Chuck

Thisworld, I don't start cycling until the 24th but I'll check back.- Chuck

Well let us know how it goes. Are you cycling one or twice a day? I don't think making an implant that last so short (1000 cycles) is in their interest neither, since majority of devices would break still under warranty

[frank66665]

Thisworld,

Started cycling on Monday. My experience seems to be about what most others experience. The pump ball is stiff which causes scrotum pain - but its either already softening up, or I'm figuring out how to do it with less friction, or I'm just getting used to it.

- Chuck

Thisworld, I don't start cycling until the 24th but I'll check back.- Chuck

Well let us know how it goes. Are you cycling one or twice a day? I don't think making an implant that last so short (1000 cycles) is in their interest neither, since majority of devices would break still under warranty

Kodixx wrap the pump with a layer of cloth handkerchief and inflate, you will see that it will hurt less

[Kodixx]

Thanks so much for the tip !

- Chuck

Kodixx wrap the pump with a layer of cloth handkerchief and inflate, you will see that it will hurt less

[MightyDuck7X6]

The pump appears to pump more fluid, it recovers faster as well.

[/quote]

Second revision. 1st failed less than a week, 2nd lasted about 6 months. Both had the AMS 700 CX with MS pump. You can see the pictures of this revision in my post "I'm fixed" but the connector from the pump to reservoir failed. Most all of my swelling is to the front of the pump, so yeah very difficult to grab that thing and pump but it's not as bad as it was, none of my surgeries left me swollen more than 2 weeks, or if I did have any it wasn't much by the end of two weeks.[/quote]

JohnHC

Did DR. Hakki do all your surgeries? 1st failure in a week, 1st revision in 6 months and now another revision. Do you mind saying what the cause of failure was?

Duck