Tenacio pump observations

The final frontier. Deciding when, if and how.



JohnHC
Posts: 289
Joined: Mon Apr 24, 2023 9:35 am

Tenacio pump observations

Postby JohnHC » Tue Feb 25, 2025 1:21 pm

Ok I was implanted Tues (2-18) and I pumped about 5 or so pumps in (cycling) on Mon (2-24). I held that for over an hour, deflated and then put 2 or 3 pumps back in to bring it back around where it was after surgery.

This being the first time wasn't so bad except for the swelling I have making it hard to grip the pump. The pump appears to pump more fluid, it recovers faster as well. Now to pump, the Boston Scientific Rep said to pump on the lower half - pretty much centering your finger on the pumps bottom line and not centered in the circular area (see photo.)

The deflate block also has indents on the sides (see photo) I presume to make it easier to hold the pump while inflating I haven't been able to test that out as the swelling is making it difficult to even grab the pump let alone hold on to it.

While the pump maybe larger, I haven't noticed or can feel any difference due to size, it just feels the same to me. That might be because I have a decent size scrotum so those with small scrotums might tell a difference.

Overall it feels like it pumps and recovers faster, it appears to deflate faster, but gone is the buzz or rattle letting you know it's deflating, although that's not an issue as you should notice it deflating right away.

Your experience will vary from mine, but I believe so far that it's a much better pump.
Attachments
PXL_20250225_035554299.jpg
Indent
PXL_20250225_035554299.jpg (94.57 KiB) Viewed 1122 times
PXL_20250219_133656775~2.jpg
Squeeze below red line
PXL_20250219_133656775~2.jpg (943.26 KiB) Viewed 1122 times
AMS 700 CX 21 cm X 12 mm with 2 cm rear tip extenders. Tenacio pump and 100 ml conceal reservoir done by Dr Hakky on Feb 18th 2025

Kodixx
Posts: 102
Joined: Wed Jan 08, 2025 5:32 pm

Re: Tenacio pump observations

Postby Kodixx » Tue Feb 25, 2025 1:43 pm

Hi JohnHC thanks for the post. I was implanted on 2/4 with a Tenacio pump so good to hear that review. Sorry if I missed it - but when you say it pumps better I assume yours was a revision surgery ? What are you comparing the new pump to ? And do you mind sharing what led to the revision surgery ?

It blows me away that you're able to manipulate the pump after 1 week. I'm at week 3 with still a lot of swelling and sensitivity that I can't even imagine trying to grab the pump and use it :(

- Chuck

JohnHC wrote:The pump appears to pump more fluid, it recovers faster as well.
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", at 90+% inflated L: 6.5" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, no discomfort @ ? mos, felt like 'new normal' @ ? mos

JohnHC
Posts: 289
Joined: Mon Apr 24, 2023 9:35 am

Re: Tenacio pump observations

Postby JohnHC » Tue Feb 25, 2025 1:54 pm

Kodixx wrote:Hi JohnHC thanks for the post. I was implanted on 2/4 with a Tenacio pump so good to hear that review. Sorry if I missed it - but when you say it pumps better I assume yours was a revision surgery ? What are you comparing the new pump to ? And do you mind sharing what led to the revision surgery ?

It blows me away that you're able to manipulate the pump after 1 week. I'm at week 3 with still a lot of swelling and sensitivity that I can't even imagine trying to grab the pump and use it :(

- Chuck

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


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.
Last edited by JohnHC on Tue Feb 25, 2025 2:03 pm, edited 1 time in total.
AMS 700 CX 21 cm X 12 mm with 2 cm rear tip extenders. Tenacio pump and 100 ml conceal reservoir done by Dr Hakky on Feb 18th 2025

junk098
Posts: 33
Joined: Tue Oct 10, 2017 8:19 pm

Re: Tenacio pump observations

Postby junk098 » Tue Feb 25, 2025 1:59 pm

Great info on the Tenacio.
Complaints from some that the PSI is limited, so expansion/firmness is limited.
Would love to hear your comments on this once healed.

pjt1958
Posts: 45
Joined: Tue Apr 16, 2024 2:28 pm

Re: Tenacio pump observations

Postby pjt1958 » Tue Feb 25, 2025 2:38 pm

JohnHC wrote:Ok I was implanted Tues (2-18) and I pumped about 5 or so pumps in (cycling) on Mon (2-24). I held that for over an hour, deflated and then put 2 or 3 pumps back in to bring it back around where it was after surgery.

This being the first time wasn't so bad except for the swelling I have making it hard to grip the pump. The pump appears to pump more fluid, it recovers faster as well. Now to pump, the Boston Scientific Rep said to pump on the lower half - pretty much centering your finger on the pumps bottom line and not centered in the circular area (see photo.)

The deflate block also has indents on the sides (see photo) I presume to make it easier to hold the pump while inflating I haven't been able to test that out as the swelling is making it difficult to even grab the pump let alone hold on to it.

While the pump maybe larger, I haven't noticed or can feel any difference due to size, it just feels the same to me. That might be because I have a decent size scrotum so those with small scrotums might tell a difference.

Overall it feels like it pumps and recovers faster, it appears to deflate faster, but gone is the buzz or rattle letting you know it's deflating, although that's not an issue as you should notice it deflating right away.

Your experience will vary from mine, but I believe so far that it's a much better pump.


Agree, was offered the Tenacio but opted against it. Surgeon said that it is easier to inflate and deflate, but some men have found getting the max inflation sometimes difficult - pump just gets super hard and unable to get any more fluid into the implant despite waiting a few minutes. I think getting that max inflation has been important to getting back any loss of length/girth from the surgery for me personally.
65 with ED for >10 years. Failed pills, not happy with injections. Implanted 6/24/24 (AMS CX 21 cm) with Dr Darshan Patel at UCSD.

Kodixx
Posts: 102
Joined: Wed Jan 08, 2025 5:32 pm

Re: Tenacio pump observations

Postby Kodixx » Tue Feb 25, 2025 5:32 pm

JohnHC, I read the post - had good info and appreciate hearing your story. Best wishes with the new gear, will be anxious to hear how everything works out. Also anxious to hear your thoughts as to whether there's a difference in being able to get fully pumped with this vs the other pump. I subscribed to this and the other thread.

- Chuck

JohnHC wrote:You can see the pictures of this revision in my post "I'm fixed" but the connector from the pump to reservoir failed.
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", at 90+% inflated L: 6.5" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, no discomfort @ ? mos, felt like 'new normal' @ ? mos

sambalamba
Posts: 173
Joined: Tue Jul 02, 2024 9:31 am

Re: Tenacio pump observations

Postby sambalamba » Tue Feb 25, 2025 6:04 pm

JohnHC wrote:Ok I was implanted Tues (2-18) and I pumped about 5 or so pumps in (cycling) on Mon (2-24). I held that for over an hour, deflated and then put 2 or 3 pumps back in to bring it back around where it was after surgery.

This being the first time wasn't so bad except for the swelling I have making it hard to grip the pump. The pump appears to pump more fluid, it recovers faster as well. Now to pump, the Boston Scientific Rep said to pump on the lower half - pretty much centering your finger on the pumps bottom line and not centered in the circular area (see photo.)

The deflate block also has indents on the sides (see photo) I presume to make it easier to hold the pump while inflating I haven't been able to test that out as the swelling is making it difficult to even grab the pump let alone hold on to it.

While the pump maybe larger, I haven't noticed or can feel any difference due to size, it just feels the same to me. That might be because I have a decent size scrotum so those with small scrotums might tell a difference.

Overall it feels like it pumps and recovers faster, it appears to deflate faster, but gone is the buzz or rattle letting you know it's deflating, although that's not an issue as you should notice it deflating right away.

Your experience will vary from mine, but I believe so far that it's a much better pump.


Very useful update. It's awesome that you're able to cycle so early. Do you attribute that to the drain that Dr Hakky inserts or the horizontal incision? Also how well is your tubing hidden, is it very palpable?
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant. 6.4 inches bone pressed length to tip, 5 inches girth base, 4.5 inches girth mid-shaft.

JohnHC
Posts: 289
Joined: Mon Apr 24, 2023 9:35 am

Re: Tenacio pump observations

Postby JohnHC » Tue Feb 25, 2025 7:57 pm

sambalamba wrote:
JohnHC wrote:Ok I was implanted Tues (2-18) and I pumped about 5 or so pumps in (cycling) on Mon (2-24). I held that for over an hour, deflated and then put 2 or 3 pumps back in to bring it back around where it was after surgery.

This being the first time wasn't so bad except for the swelling I have making it hard to grip the pump. The pump appears to pump more fluid, it recovers faster as well. Now to pump, the Boston Scientific Rep said to pump on the lower half - pretty much centering your finger on the pumps bottom line and not centered in the circular area (see photo.)

The deflate block also has indents on the sides (see photo) I presume to make it easier to hold the pump while inflating I haven't been able to test that out as the swelling is making it difficult to even grab the pump let alone hold on to it.

While the pump maybe larger, I haven't noticed or can feel any difference due to size, it just feels the same to me. That might be because I have a decent size scrotum so those with small scrotums might tell a difference.

Overall it feels like it pumps and recovers faster, it appears to deflate faster, but gone is the buzz or rattle letting you know it's deflating, although that's not an issue as you should notice it deflating right away.

Your experience will vary from mine, but I believe so far that it's a much better pump.


Very useful update. It's awesome that you're able to cycle so early. Do you attribute that to the drain that Dr Hakky inserts or the horizontal incision? Also how well is your tubing hidden, is it very palpable?


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.
AMS 700 CX 21 cm X 12 mm with 2 cm rear tip extenders. Tenacio pump and 100 ml conceal reservoir done by Dr Hakky on Feb 18th 2025

Motorheadrulz
Posts: 68
Joined: Sun Aug 30, 2020 3:32 pm

Re: Tenacio pump observations

Postby Motorheadrulz » Tue Feb 25, 2025 8:40 pm

In short, the Tenacio pump works as advertised. I'm at almost 4 mo post op and can easily inflate/deflate. I had a lot of scrotum pain until about 8 weeks.
I rarely reach max inflate since I still have discomfort with the tips pushing into the glans. But that isn't a pump problem. Everyone says that goes away at about 6 mo.
Born in the last century and RPP in 2020. Started trimix in Mar 2021. Implanted with AMS700 LGX + Tenacio pump in Nov 2024.

sambalamba
Posts: 173
Joined: Tue Jul 02, 2024 9:31 am

Re: Tenacio pump observations

Postby sambalamba » Wed Feb 26, 2025 1:16 pm

JohnHC wrote: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?
55 years. Using bimix 0.4 units. Works well but inconsistent and very inconvenient. Seriously considering an implant. 6.4 inches bone pressed length to tip, 5 inches girth base, 4.5 inches girth mid-shaft.


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