Age 42. 7 Week Post Op. Progress timeline

[Sempiternal]

First time posting on the forum, been reading daily for about five months. Thought I'd post some observations and progress, especially for those in their 40's or younger. I'm 42 years old and 7 weeks Post Op.

Condition
Pre ED, I was 7 inches and could have sex for two hours without ejaculating. In my early & mid 20's, got inguinal hernia, venous leak, and pelvic floor disorder. ED & PE were my new normal. Pills didn't work. Tried injections this year, hit or miss, and curvature began to form.

Surgeon
Did research on this forum and watched Youtube videos. Decided on Penoscrotal and Titan One Touch. I looked at CX, but most of the top surgeons recommended the Titan One Touch for my age (Clavell, Eid, Hakky, Perito). I liked the Titan Classic, but the pump was not silent. At the time, that was a deal breaker. But I probably should have considered it because it's very durable.
I didn't consider Dr Eid, due to long distance and age (for revision purposes). I watched the above surgeon's procedures, including Dr Kramer, on Youtube. For Penoscrotal, it was clear that Dr Clavell had the most impressive work and presentation. For Infrapubic, I would have probably considered Dr Hakky.

Week 3
The first two weeks or so went very smooth. I was left half inflated through 6 weeks. At the 2.5 week mark, my scrotum grew to the size of a grapefruit. Unfortunately, I started using ice packs (limited duration and with a towel), which I believe was counter productive. I think this slowed my healing. There were no doctor or hospital notes stating that ice should only be used the first week. Looking back, I would have not used ice, or reduced to only 5-10 mins at a time. The pump got encased in hard tissue, it felt like a block, unable to decipher parts. My left testicle adhered to the pump. Thankfully, Dr Clavell was cautious, proactive, and aggressive on medication. Infection was a potential concern, until he ruled it out. But I was on antibiotics for almost 4 weeks and steroid for 1 week (to clear the encased tissue around pump). According to Dr Clavell and Dr Eid, if the implant is infected, antibiotics don't help. They only help on superficial infections. According to Dr Eid, all infections happen in the operating room (Youtube video). Dr Clavell told me, the great majority of infections happen within the first 2-3 weeks, and slowly worsen through weeks 4-6. Generally, there are usually signs ahead of time. There are a few exceptions where an infection gets serious overnight. This isn't gospel, I'm just relaying what I was told. Trying present some context and reality for those who are new and considering implants.
Dr Clavell's wound was near perfect. Always remained dry and clean. Highly recommend him. We were texting on a weekly basis and talking every other week.

Cycling
I was given the green light to cycle and take hot baths at 6 weeks. It took me 4 days of hot baths to find the deflate button. Pump was in between testicles towards the bottom, closer to left side. Surgeon installed it frontwards (deflate button), but pump shifted. Found the deflate button on the left side, facing the outside / left testicle. The pump was no longer encased, but left testicle still adhered to pump. I cycled 3 days straight before having sex. Scrotum gets swollen and blister-like things form. Dryness too (vaseline and aloe vera help. Supposedly coconut oil, but haven't tried it).

Sex
Had sex yesterday for first time, 7 week mark. It was underwhelming and mediocre. I came in 5 mins, then lasted an additional 10 mins or so. My wife came once. Had sex today for second time, even worse. I came in 5 mins and wife didn't want to continue penetration. She didn't come through penetration,. I finished her off orally both days. She was clearly disappointed. She even made the comment, "are you inside yet". Having to step away to pump up, dampens the mood. The pump bulb is very hard, I'm only able to inflate to about 70% and it takes about 2 mins to get there. I'm young and fit, but pumping to max is still difficult. Need to improve my refractory period, once I orgasm, not much desire to continue thrusting away. Glan engorgement is fine, as long as I'm not anxious. There wasn't much pain during intercourse, but definitely pain all day later (needle like pain in head & glans, rear cylinder pain near glutes).

Expectations
This won't automatically make you a porn star, day one. The pump bulb is very hard, I'm only able to inflate to about 70% and it takes about 2 mins to get there. I know this isn't the final result and things will improve over time. Right now, I'm 5 inches erect and 4 inches flaccid. Pre Ed I was 7 inches erect, 5 inches flaccid. Pre Implant I was 6 inches erect and 3 inches flaccid. I will have to make gains cycling.

Titan flaccid is interesting. It's a constant hard 4 inch chub, has not softened. It's a little painful and discomfort keeping it in your pants. Rotate between left, right, up, and down. At home, I prefer to just let it hang in the open. I have a crinkle or crease on the left side, believe it's called a dog ear. Don't like the deflate button, which is flat. Wish it protruded. Titan One Touch is silent, pumping and deflating. I read a comment earlier today that said it makes noises, mine is completely silent. My partner will not hear it.

Tips
I use Separtec underwear, on half my underwear, I cut a hole to let my chub hang out all the time. For dry skin, you can use Vaseline, Aloe Vera, or Coconut Oil ( haven't tried the latter). I drank Juven the first 6 weeks to help wound healing. Used laundry sanitizer for all clothes, bedding, and towels. Clorox disinfectant spray for bedding and furniture. Never sat nude in bed or sofa, always wore underwear in bed and even robe for sofa.

Mental Game
The 6 weeks were hell. I felt like a ticking time bomb of potential infection. My work gave me a hard time about lack of business travel. My wife and kids had to carry the burden at home, with chores. You can't go outside for 6 weeks, due to hard on. Tucking it up against your stomach is very uncomfortable for first 6 weeks. This isn't for the mentally weak. The mental game was more of a challenge than the physical.

Hope this helps and glad to answer any questions.

Thanks to all the members and moderator.

[returntocenter]

First time posting on the forum, been reading daily for about five months. Thought I'd post some observations and progress, especially for those in their 40's or younger. I'm 42 years old and 7 weeks Post Op.

Condition
Pre ED, I was 7 inches and could have sex for two hours without ejaculating. In my early & mid 20's, got inguinal hernia, venous leak, and pelvic floor disorder. ED & PE were my new normal. Pills didn't work. Tried injections this year, hit or miss, and curvature began to form.

Surgeon
Did research on this forum and watched Youtube videos. Decided on Penoscrotal and Titan One Touch. I looked at CX, but most of the top surgeons recommended the Titan One Touch for my age (Clavell, Eid, Hakky, Perito). I liked the Titan Classic, but the pump was not silent. At the time, that was a deal breaker. But I probably should have considered it because it's very durable.
I didn't consider Dr Eid, due to long distance and age (for revision purposes). I watched the above surgeon's procedures, including Dr Kramer, on Youtube. For Penoscrotal, it was clear that Dr Clavell had the most impressive work and presentation. For Infrapubic, I would have probably considered Dr Hakky.

Week 3
The first two weeks or so went very smooth. I was left half inflated through 6 weeks. At the 2.5 week mark, my scrotum grew to the size of a grapefruit. Unfortunately, I started using ice packs (limited duration and with a towel), which I believe was counter productive. I think this slowed my healing. There were no doctor or hospital notes stating that ice should only be used the first week. Looking back, I would have not used ice, or reduced to only 5-10 mins at a time. The pump got encased in hard tissue, it felt like a block, unable to decipher parts. My left testicle adhered to the pump. Thankfully, Dr Clavell was cautious, proactive, and aggressive on medication. Infection was a potential concern, until he ruled it out. But I was on antibiotics for almost 4 weeks and steroid for 1 week (to clear the encased tissue around pump). According to Dr Clavell and Dr Eid, if the implant is infected, antibiotics don't help. They only help on superficial infections. According to Dr Eid, all infections happen in the operating room (Youtube video). Dr Clavell told me, the great majority of infections happen within the first 2-3 weeks, and slowly worsen through weeks 4-6. Generally, there are usually signs ahead of time. There are a few exceptions where an infection gets serious overnight. This isn't gospel, I'm just relaying what I was told. Trying present some context and reality for those who are new and considering implants.
Dr Clavell's wound was near perfect. Always remained dry and clean. Highly recommend him. We were texting on a weekly basis and talking every other week.

Cycling
I was given the green light to cycle and take hot baths at 6 weeks. It took me 4 days of hot baths to find the deflate button. Pump was in between testicles towards the bottom, closer to left side. Surgeon installed it frontwards (deflate button), but pump shifted. Found the deflate button on the left side, facing the outside / left testicle. The pump was no longer encased, but left testicle still adhered to pump. I cycled 3 days straight before having sex. Scrotum gets swollen and blister-like things form. Dryness too (vaseline and aloe vera help. Supposedly coconut oil, but haven't tried it).

Sex
Had sex yesterday for first time, 7 week mark. It was underwhelming and mediocre. I came in 5 mins, then lasted an additional 10 mins or so. My wife came once. Had sex today for second time, even worse. I came in 5 mins and wife didn't want to continue penetration. She didn't come through penetration,. I finished her off orally both days. She was clearly disappointed. She even made the comment, "are you inside yet". Having to step away to pump up, dampens the mood. The pump bulb is very hard, I'm only able to inflate to about 70% and it takes about 2 mins to get there. I'm young and fit, but pumping to max is still difficult. Need to improve my refractory period, once I orgasm, not much desire to continue thrusting away. Glan engorgement is fine, as long as I'm not anxious. There wasn't much pain during intercourse, but definitely pain all day later (needle like pain in head & glans, rear cylinder pain near glutes).

Expectations
This won't automatically make you a porn star, day one. The pump bulb is very hard, I'm only able to inflate to about 70% and it takes about 2 mins to get there. I know this isn't the final result and things will improve over time. Right now, I'm 5 inches erect and 4 inches flaccid. Pre Ed I was 7 inches erect, 5 inches flaccid. Pre Implant I was 6 inches erect and 3 inches flaccid. I will have to make gains cycling.

Titan flaccid is interesting. It's a constant hard 4 inch chub, has not softened. It's a little painful and discomfort keeping it in your pants. Rotate between left, right, up, and down. At home, I prefer to just let it hang in the open. I have a crinkle or crease on the left side, believe it's called a dog ear. Don't like the deflate button, which is flat. Wish it protruded. Titan One Touch is silent, pumping and deflating. I read a comment earlier today that said it makes noises, mine is completely silent. My partner will not hear it.

Tips
I use Separtec underwear, on half my underwear, I cut a hole to let my chub hang out all the time. For dry skin, you can use Vaseline, Aloe Vera, or Coconut Oil ( haven't tried the latter). I drank Juven the first 6 weeks to help wound healing. Used laundry sanitizer for all clothes, bedding, and towels. Clorox disinfectant spray for bedding and furniture. Never sat nude in bed or sofa, always wore underwear in bed and even robe for sofa.

Mental Game
The 6 weeks were hell. I felt like a ticking time bomb of potential infection. My work gave me a hard time about lack of business travel. My wife and kids had to carry the burden at home, with chores. You can't go outside for 6 weeks, due to hard on. Tucking it up against your stomach is very uncomfortable for first 6 weeks. This isn't for the mentally weak. The mental game was more of a challenge than the physical.

Hope this helps and glad to answer any questions.

Thanks to all the members and moderator.

Thanks for sharing your update. I wish you a continued speedy recovery. A couple of questions:

- At what point after surgery does Clavell allow you to take baths? After how many days/weeks?
- You didn’t mention much about Dr. Hakky’s penoscrotal technique. Did you see any of his surgeries on youtube where he performs it? Can you comment on any differences between his and Clavell’s?
- First time I’m hearing about disinfecting your sheets and not being naked to prevent infection. Is this something Clavell recommends in his protocol?

Thank you

[Discovernew]

Thank you for sharing your updates. Super appreciated. I am 41 and in my second week post op. I also have some kind of ball of fluid in my scrotum and super scared. I am glad yours was not an infection.
I definetely feel you about the mental game.

Did Dr Clavell say anything about how to identify what is an infection vs normal swelling? I mean after that swelling happened how can you tell the difference?

I wish you a full recovery and thst yours will be a success story for the forum.

By the way, which size implant did you get?

[Sempiternal]

Thanks for sharing your update. I wish you a continued speedy recovery. A couple of questions:

- At what point after surgery does Clavell allow you to take baths? After how many days/weeks?
- You didn’t mention much about Dr. Hakky’s penoscrotal technique. Did you see any of his surgeries on youtube where he performs it? Can you comment on any differences between his and Clavell’s?
- First time I’m hearing about disinfecting your sheets and not being naked to prevent infection. Is this something Clavell recommends in his protocol?

Thank you[/quote]

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Dr Clavell allows baths after 6 week mark. Right after the 6 week follow up appointment. In my case, it was a virtual appointment. I sent him weekly pictures, so he knew my wound was fully healed and sealed (water tight).

I watched Dr Hakky's penoscrotal technique on Youtube and had several critiques. But the videos were a few years old and technique looked rough around the edges. I just went back to his channel, and he has newer videos that I haven't seen (within the last 12 months). Right off the bat, they look much cleaner and refined. Example: He is now using the no touch technique. So I stand corrected, as I haven't seen his latest videos.

As for not being nude and disinfecting sheets, this wasn't recommended by Dr Clavell. I read it on this forum from other members.

[Sempiternal]

Thank you for sharing your updates. Super appreciated. I am 41 and in my second week post op. I also have some kind of ball of fluid in my scrotum and super scared. I am glad yours was not an infection.
I definetely feel you about the mental game.

Did Dr Clavell say anything about how to identify what is an infection vs normal swelling? I mean after that swelling happened how can you tell the difference?

I wish you a full recovery and thst yours will be a success story for the forum.

By the way, which size implant did you get?

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

I had a good size ball of fluid at the bottom of my scrotum early on, like you. It went away. I wouldn't worry about that. Also, I have a ball of fluid in between my left testicle and pump. They're adhered together. Doctor says not to worry about it.

I think almost everyone swells. Many get grape fruit size swelling too, like myself. Dry, sealed (water tight), clean is very important. No openings, leaking clear liquids or puss. No blood. No deep red incision. No fever. No pain throughout entire implant. Watch out for pump being encased like a block, or testicle adherence. It's normal to have one symptom, but having multiple or all symptoms is a red flag. Remember, there are implant infections (which have to be extracted) and superficial infections (that can pass with antibiotics). Doctor said, if you have a full blown implant infection, you'll know it. You will feel like you're going to die. This is rare .005 to .02 percent of the time. You'll likely be fine.

Implant was 22cm

[Discovernew]

Thank you for sharing your updates. Super appreciated. I am 41 and in my second week post op. I also have some kind of ball of fluid in my scrotum and super scared. I am glad yours was not an infection.
I definetely feel you about the mental game.

Did Dr Clavell say anything about how to identify what is an infection vs normal swelling? I mean after that swelling happened how can you tell the difference?

I wish you a full recovery and thst yours will be a success story for the forum.

By the way, which size implant did you get?

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

I had a good size ball of fluid at the bottom of my scrotum early on, like you. It went away. I wouldn't worry about that. Also, I have a ball of fluid in between my left testicle and pump. They're adhered together. Doctor says not to worry about it.

I think almost everyone swells. Many get grape fruit size swelling too, like myself. Dry, sealed (water tight), clean is very important. No openings, leaking clear liquids or puss. No blood. No deep red incision. No fever. No pain throughout entire implant. Watch out for pump being encased like a block, or testicle adherence. It's normal to have one symptom, but having multiple or all symptoms is a red flag. Remember, there are implant infections (which have to be extracted) and superficial infections (that can pass with antibiotics). Doctor said, if you have a full blown implant infection, you'll know it. You will feel like you're going to die. This is rare .005 to .02 percent of the time. You'll likely be fine.

Implant was 22cm

Thank you for your super detailed posts! Super appreciated.

I had my implant about 2 weeks and it seemed there was no swelling initially whatsoever in the scrotum. I asked the doctor if I could try the deflate button and inflate before I leave the country so I make sure everything works. He said ok as long as I keep myself inflated afterwards and sleep inflated like post op la.

I tried it in the bathtub laying down (as that's what people in this forum said that Dr Eid recommends), probably the hot water made everything relaxed and made it easier to find the deflate button. I found it and deflated a bit and then inflated again. It seemed to work.

Next day I tried it in the bed, but this time I stood up to walk around a little bit while I was deflating. As soon as i stood up from bed I noticed a massive ball of fluid forming at the base of my penis, it's like a third testicle (4th if you count the pump), it just showed up within seconds. I panicked and laid down in bed and inflated again to leave everything like it was before. But that third testicle is there still. It's been a couple days already. Doctor just told me to not touch the pump for a while so I will give it at least a week and see if it goes away.

I am still on my original cycle of antibiotics anyway as I haven't finished the whole course (one of the antibiotics ends 22 days post op per my doctors usual régimen).

So basically now I just need to wait and pray there will be no infection and that ball will go away and I will be able to cycle normally.

By "water tight" do you mean you put something on your incision to make it waterproof? Even when you take a shower?

By the way i sent you a private message too

[Sempiternal]

Thank you for sharing your updates. Super appreciated. I am 41 and in my second week post op. I also have some kind of ball of fluid in my scrotum and super scared. I am glad yours was not an infection.
I definetely feel you about the mental game.

Did Dr Clavell say anything about how to identify what is an infection vs normal swelling? I mean after that swelling happened how can you tell the difference?

I wish you a full recovery and thst yours will be a success story for the forum.

By the way, which size implant did you get?

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

I had a good size ball of fluid at the bottom of my scrotum early on, like you. It went away. I wouldn't worry about that. Also, I have a ball of fluid in between my left testicle and pump. They're adhered together. Doctor says not to worry about it.

I think almost everyone swells. Many get grape fruit size swelling too, like myself. Dry, sealed (water tight), clean is very important. No openings, leaking clear liquids or puss. No blood. No deep red incision. No fever. No pain throughout entire implant. Watch out for pump being encased like a block, or testicle adherence. It's normal to have one symptom, but having multiple or all symptoms is a red flag. Remember, there are implant infections (which have to be extracted) and superficial infections (that can pass with antibiotics). Doctor said, if you have a full blown implant infection, you'll know it. You will feel like you're going to die. This is rare .005 to .02 percent of the time. You'll likely be fine.

Implant was 22cm

Thank you for your super detailed posts! Super appreciated.

I had my implant about 2 weeks and it seemed there was no swelling initially whatsoever in the scrotum. I asked the doctor if I could try the deflate button and inflate before I leave the country so I make sure everything works. He said ok as long as I keep myself inflated afterwards and sleep inflated like post op la.

I tried it in the bathtub laying down (as that's what people in this forum said that Dr Eid recommends), probably the hot water made everything relaxed and made it easier to find the deflate button. I found it and deflated a bit and then inflated again. It seemed to work.

Next day I tried it in the bed, but this time I stood up to walk around a little bit while I was deflating. As soon as i stood up from bed I noticed a massive ball of fluid forming at the base of my penis, it's like a third testicle (4th if you count the pump), it just showed up within seconds. I panicked and laid down in bed and inflated again to leave everything like it was before. But that third testicle is there still. It's been a couple days already. Doctor just told me to not touch the pump for a while so I will give it at least a week and see if it goes away.

I am still on my original cycle of antibiotics anyway as I haven't finished the whole course (one of the antibiotics ends 22 days post op per my doctors usual régimen).

So basically now I just need to wait and pray there will be no infection and that ball will go away and I will be able to cycle normally.

By "water tight" do you mean you put something on your incision to make it waterproof? Even when you take a shower?

By the way i sent you a private message too

Every doctor is different. My doctor said no baths, cycling, or touching scrotum for 6 weeks. I followed his instructions.

By water tight, I just meant wound completely sealed. It's a term my doc used.

[Discovernew]

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

I had a good size ball of fluid at the bottom of my scrotum early on, like you. It went away. I wouldn't worry about that. Also, I have a ball of fluid in between my left testicle and pump. They're adhered together. Doctor says not to worry about it.

I think almost everyone swells. Many get grape fruit size swelling too, like myself. Dry, sealed (water tight), clean is very important. No openings, leaking clear liquids or puss. No blood. No deep red incision. No fever. No pain throughout entire implant. Watch out for pump being encased like a block, or testicle adherence. It's normal to have one symptom, but having multiple or all symptoms is a red flag. Remember, there are implant infections (which have to be extracted) and superficial infections (that can pass with antibiotics). Doctor said, if you have a full blown implant infection, you'll know it. You will feel like you're going to die. This is rare .005 to .02 percent of the time. You'll likely be fine.

Implant was 22cm

Thank you for your super detailed posts! Super appreciated.

I had my implant about 2 weeks and it seemed there was no swelling initially whatsoever in the scrotum. I asked the doctor if I could try the deflate button and inflate before I leave the country so I make sure everything works. He said ok as long as I keep myself inflated afterwards and sleep inflated like post op la.

I tried it in the bathtub laying down (as that's what people in this forum said that Dr Eid recommends), probably the hot water made everything relaxed and made it easier to find the deflate button. I found it and deflated a bit and then inflated again. It seemed to work.

Next day I tried it in the bed, but this time I stood up to walk around a little bit while I was deflating. As soon as i stood up from bed I noticed a massive ball of fluid forming at the base of my penis, it's like a third testicle (4th if you count the pump), it just showed up within seconds. I panicked and laid down in bed and inflated again to leave everything like it was before. But that third testicle is there still. It's been a couple days already. Doctor just told me to not touch the pump for a while so I will give it at least a week and see if it goes away.

I am still on my original cycle of antibiotics anyway as I haven't finished the whole course (one of the antibiotics ends 22 days post op per my doctors usual régimen).

So basically now I just need to wait and pray there will be no infection and that ball will go away and I will be able to cycle normally.

By "water tight" do you mean you put something on your incision to make it waterproof? Even when you take a shower?

By the way i sent you a private message too

Every doctor is different. My doctor said no showers, cycling, or touching scrotum for 6 weeks. I followed his instructions.

By water tight, I just meant wound completely sealed. It's a term my doc used.

Wait, no showering for 6 weeks? how do you clean yourself without getting the incision wet?

[Discovernew]

Thank you for your super detailed posts! Super appreciated.

I had my implant about 2 weeks and it seemed there was no swelling initially whatsoever in the scrotum. I asked the doctor if I could try the deflate button and inflate before I leave the country so I make sure everything works. He said ok as long as I keep myself inflated afterwards and sleep inflated like post op la.

I tried it in the bathtub laying down (as that's what people in this forum said that Dr Eid recommends), probably the hot water made everything relaxed and made it easier to find the deflate button. I found it and deflated a bit and then inflated again. It seemed to work.

Next day I tried it in the bed, but this time I stood up to walk around a little bit while I was deflating. As soon as i stood up from bed I noticed a massive ball of fluid forming at the base of my penis, it's like a third testicle (4th if you count the pump), it just showed up within seconds. I panicked and laid down in bed and inflated again to leave everything like it was before. But that third testicle is there still. It's been a couple days already. Doctor just told me to not touch the pump for a while so I will give it at least a week and see if it goes away.

I am still on my original cycle of antibiotics anyway as I haven't finished the whole course (one of the antibiotics ends 22 days post op per my doctors usual régimen).

So basically now I just need to wait and pray there will be no infection and that ball will go away and I will be able to cycle normally.

By "water tight" do you mean you put something on your incision to make it waterproof? Even when you take a shower?

By the way i sent you a private message too

Every doctor is different. My doctor said no showers, cycling, or touching scrotum for 6 weeks. I followed his instructions.

By water tight, I just meant wound completely sealed. It's a term my doc used.

Wait, no showering for 6 weeks? how do you clean yourself without getting the incision wet?

I just found this video from Dr Clavell and he says you can shower immediately after removing the bandages.
https://www.youtube.com/watch?v=mfKmpgsPfUY

I wonder if it was different in your case for some reason?

[Stampede]

Every doctor is different. My doctor said no showers, cycling, or touching scrotum for 6 weeks. I followed his instructions.

By water tight, I just meant wound completely sealed. It's a term my doc used.

Wait, no showering for 6 weeks? how do you clean yourself without getting the incision wet?

I just found this video from Dr Clavell and he says you can shower immediately after removing the bandages.
https://www.youtube.com/watch?v=mfKmpgsPfUY

I wonder if it was different in your case for some reason?

i also got bandages removed on the second day after surgery, together with catheter and blood drain. waited another day for blood drain-hole to close and then hopped in the shower 3 days after surgery while still in hospital