Dumb question I know….

The final frontier. Deciding when, if and how.
ceekay87
Posts: 27
Joined: Thu Nov 30, 2023 12:45 am

Dumb question I know….

Postby ceekay87 » Fri Dec 15, 2023 9:22 am

I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!
Prostate Cancer treated with Radiation 2011
Severe PE for more than 20 years
Cialis Viagra not working. Edex Shots frustrating ineffective
Can get but not keep erection after 1 ejaculation
Getting Implant w Dr. Hakky 3/12/24
AMS 700 CX

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

Re: Dumb question I know….

Postby ThailandBound » Fri Dec 15, 2023 9:40 am

There are no dumb questions. Except the unasked ones. Welcome to the forum.

Active on the forum now are only a handful of many, many members who have been here, most now inactive, who have shared their experiences. You’d be best served to begin going back in time and binge reading what is already here.

Cycling is frequently discussed, and it is imperative that you do it. It simply means inflating and deflating the implant during the recovery period to maximize your length and potential for a great outcome. How to do it varies among members.

Start by simply placing the word “cycling” in the search box. Happy reading.
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.

stmfttr
Posts: 515
Joined: Mon Dec 14, 2020 11:35 pm

Re: Dumb question I know….

Postby stmfttr » Fri Dec 15, 2023 10:56 am

After the doctor/surgeon releases you to begin "cycling", twice daily, squeeze the implanted pump bulb and attain an erection. hold the erection for 15 minutes and release, repeat twice in the morning, and twice at night. Per the Mayo Clinic, do this for the first year.
stmfttr
PM me if you have more questions
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

ceekay87
Posts: 27
Joined: Thu Nov 30, 2023 12:45 am

Re: Dumb question I know….

Postby ceekay87 » Fri Dec 15, 2023 11:40 am

stmfttr wrote:After the doctor/surgeon releases you to begin "cycling", twice daily, squeeze the implanted pump bulb and attain an erection. hold the erection for 15 minutes and release, repeat twice in the morning, and twice at night. Per the Mayo Clinic, do this for the first year.
stmfttr
PM me if you have more questions


That's 5 times a day.....for a year? WOW!!! That's a lotta woodys!!!!
Prostate Cancer treated with Radiation 2011
Severe PE for more than 20 years
Cialis Viagra not working. Edex Shots frustrating ineffective
Can get but not keep erection after 1 ejaculation
Getting Implant w Dr. Hakky 3/12/24
AMS 700 CX

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Dumb question I know….

Postby newbie443 » Fri Dec 15, 2023 12:18 pm

ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!


Doctors and men differ a lot. It is important that you follow your doctors' instructions for you. This is a video for the AMS 700 device. https://www.youtube.com/watch?v=qwp0YfSLxIU At about 12.35 in that video it explains that there are different protocols for cycling by different doctors and gives an example. Wait times for activation (starting to cycle) vary a lot also. That is a good video to watch to see how the IPP works. You may want to also look for and watch videos of the surgery. Again, doctors differ on how the devices are implanted.

In the general discussion section of this forum is a thread titled documents worth reading. Spend some time reading those documents. That will help you understand things a bit more and then you can ask questions. Most important is if you are having diminished erections that are resulting in size loss you need to start penis exercise with a VED. There are several documents in that thread on VED use for maintaining or slowing down the size loss from ED.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

stmfttr
Posts: 515
Joined: Mon Dec 14, 2020 11:35 pm

Re: Dumb question I know….

Postby stmfttr » Fri Dec 15, 2023 1:16 pm

ceekay87 wrote:
stmfttr wrote:After the doctor/surgeon releases you to begin "cycling", twice daily, squeeze the implanted pump bulb and attain an erection. hold the erection for 15 minutes and release, repeat twice in the morning, and twice at night. Per the Mayo Clinic, do this for the first year.
stmfttr
PM me if you have more questions


That's 5 times a day.....for a year? WOW!!! That's a lotta woodys!!!!


Sory for the confusion. 2-30minute sessions. AM and PM. Each session consists of 2-15minute cycles
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

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Dumb question I know….

Postby Lost Sheep » Fri Dec 15, 2023 2:26 pm

ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!

Cycling before implant is also beneficial. One does this using a VED (Vacuum Erection Device). This emulates the usual daily erections a man (without erectile dysfunction) gets (often at night where he does not even notice). These daily erections do several things; bring fresh blood into the penis to oxygenate the penile tissues; maintain size; maintain elasticity.

There are two protocols I know of. One is to pump up to an erection (inside the VED) and maintain that erection for about 30 minutes (sometimes adding a bit more vacuum as tissues relax). Do this twice a day for about 30 minutes. The other is to pump up to an erection inside the VED and release the vacuum, allowing the erection to go flaccid. This usually takes about a minute, then repeat for 30 minutes. Twice a day. Note that neither of these protocols use the constriction ring that one would use to have sex. Also note that a vacuum is a vacuum and the penis does not care if one uses a medical-grade VED or a novelty-store (sex shop) unit or builds one by cobbling together a simple cylinder, tubing and automotive vacuum pump. As long as one gets a good seal and does not overdo the vacuum, it is all the same. Medical grade ones may have a longer service life and offer added utility (vacuum gauge, for instance).

The history of VED use is interesting. 10 years ago, VED use was not often recommended. But studies showed that pre-op VED use gave benefits. Post-op VED use remained controversial until just about 2020-2021 and is now gaining acceptance among implant surgeons.

Remember, and do not forget: DO NOT OVERDO the amount of vacuum!!!! It should be safe to pump up until you feel a pleasant strain in your penis (at this point your penis should be about the size of a natural erection or a half-inch more, due to the "pulling forward" effects of the vacuum). But no more than that!
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

Journeyman
Posts: 603
Joined: Fri May 12, 2023 3:46 pm

Re: Dumb question I know….

Postby Journeyman » Fri Dec 15, 2023 7:04 pm

ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!

The reason why you want to cycle is because after surgery, the body will start to form a " surgical capsule " around the implant. This is true of any foreign object put into the body . From my understanding, the surgical capsule takes months to fully form . If you don't cycle you may restrict your length. In addition to the implant, a surgical capsule is also forming around the reservoir. If you don't cycle your reservoir you may not be able to deflate your implant all the way after the capsule is fully formed. Anyway, that's my layman's understanding and explanation of why cycling is important. Dr. Clavell has a video on YouTube about it along with other top implant surgeons.
54 - Coloplast Titan 22cm , Implanted by Dr. Clavell in April 2023

Witheringhog
Posts: 565
Joined: Fri Mar 24, 2023 3:43 pm

Re: Dumb question I know….

Postby Witheringhog » Fri Dec 15, 2023 8:40 pm

ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!


I read a bunch on FT as well, back to 2019, i tried to cycle 2x a day for an hour. I pump to the max and then about every 10min try to pump more in. It hurts when you first start, then after a few months you can make the full hour. I believe this helps regain/maintain your length and grow it. I gained about 1/4 post op and i am fairly sure it was because of committed cycling.
49 - Coloplast Titan 22 implanted 5-2 Dr. Clavell in Houston

Stayingstrong
Posts: 154
Joined: Fri Oct 02, 2020 7:57 am

Re: Dumb question I know….

Postby Stayingstrong » Sat Dec 16, 2023 3:43 am

Lost Sheep wrote:
ceekay87 wrote:I’m new to this site and considering an implant for my worsening (seemingly by the day) ED. As I read about all the newly bionic brothers, I see many references to “cycling”. Could you please share what exactly cycling is? Again, please forgive the dumb question from the newbie!

Cycling before implant is also beneficial. One does this using a VED (Vacuum Erection Device). This emulates the usual daily erections a man (without erectile dysfunction) gets (often at night where he does not even notice). These daily erections do several things; bring fresh blood into the penis to oxygenate the penile tissues; maintain size; maintain elasticity.

There are two protocols I know of. One is to pump up to an erection (inside the VED) and maintain that erection for about 30 minutes (sometimes adding a bit more vacuum as tissues relax). Do this twice a day for about 30 minutes. The other is to pump up to an erection inside the VED and release the vacuum, allowing the erection to go flaccid. This usually takes about a minute, then repeat for 30 minutes. Twice a day. Note that neither of these protocols use the constriction ring that one would use to have sex. Also note that a vacuum is a vacuum and the penis does not care if one uses a medical-grade VED or a novelty-store (sex shop) unit or builds one by cobbling together a simple cylinder, tubing and automotive vacuum pump. As long as one gets a good seal and does not overdo the vacuum, it is all the same. Medical grade ones may have a longer service life and offer added utility (vacuum gauge, for instance).

The history of VED use is interesting. 10 years ago, VED use was not often recommended. But studies showed that pre-op VED use gave benefits. Post-op VED use remained controversial until just about 2020-2021 and is now gaining acceptance among implant surgeons.

Remember, and do not forget: DO NOT OVERDO the amount of vacuum!!!! It should be safe to pump up until you feel a pleasant strain in your penis (at this point your penis should be about the size of a natural erection or a half-inch more, due to the "pulling forward" effects of the vacuum). But no more than that!


What is the benefit of the vacuum device after implant?
Age 70
Pills didn't work well. Trimix worked good for 3 years, then only fair for following 3 years but need a cock ring in conjunction.
Implant 12/6/2023 Dr. Eid
Coloplast Titan 20 cm with right side trimmed to 19 cm. No RTE. Classic pump.


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