FrankTalk.org

I found this interesting article about pre-op vacuum preparation.

http://file.scirp.org/pdf/ASM_2013012514045982.pdf

Easier for the surgeon.
Less loss of length
Less Pain post-op

Caveat: Continuing post-op is necessary to avoid bad results; so if you are not assiduous, don't even bother. (edit: Vacuum use after implantation is not recommended, only inflation of the implant - I misunderstood the article a bit. Thanks roninhouston and charlesr)

Lost Sheep

Lost Sheep wrote:I found this interesting article about pre-op vacuum preparation.

http://file.scirp.org/pdf/ASM_2013012514045982.pdf

Easier for the surgeon.
Less loss of length
Less Pain post-op

Caveat: Continuing post-op is necessary to avoid bad results; so if you are not assiduous, don't even bother.

Lost Sheep

You mean pumping your implant after surgery, right? VED use after surgery is not recommended.

This refers to using the vacuum erection device (VED) before surgery in order to have maximum length and ease for the surgeon. Trust me; it works.

This is actually a repost, but it's always good to refresh! We should do a sticky on this thing, and start instructing new members on the path to proceed before surgery. I think it would be of great help.

Lost Sheep wrote:I found this interesting article about pre-op vacuum preparation.

http://file.scirp.org/pdf/ASM_2013012514045982.pdf

Easier for the surgeon.
Less loss of length
Less Pain post-op

Caveat: Continuing post-op is necessary to avoid bad results; so if you are not assiduous, don't even bother.

Lost Sheep

I posted this on another thread last September 2015 ......

Was activated on Tuesday and started the Post-Op VED protocol. Those on the VED protocol start cycling at 9 to 12 days however I followed Dr. Cornell, which was 32 days.

" on the VED protocol the patient started to use the device at 9 to 14 days, they are instructed to daily inflate the device as much as possible for a period of up to one hour. Initially many patients will only inflate for 7 to 10 minutes due to discomfort but the theory is that as much inflation as possible, for as long as possible, influence the cylinder capsule to form around the inflated cylinder rather than the deflated cylinder. Post-operative inflation is emphasize strongly if a lenghtening cylinder is implanted. Capsule development is thought to be complete at three months following surgery and the daily inflations can cease." (from Dr. Dineen's paper " vacuum preparation optimization of the cylinder length and post-operative daily inflation reduces com..plaints of shorten penile length following implantation of inflatable penile prosthesis")

I started the VED protocol 9 weeks before my operation in the hopes that it would minimize the pain and limit the loss of length. In Dr. Dineen ' s paper he talks about the patients uses the vacuum pump pre-op, to the point of feeling a slight burn, this is the stretching of the penis tissue. Post-op inflation feels the same for me as you are breaking the scarf tissue built around the cyclinders.

Was activated on Tuesday, Dr. Cornell suggested inflating and deflating three times a day, each time increasing the pumps by one. By Thursday was able to flatten my pump bulb for 60 minutes, Friday for 45 minutes and Saturday 90 minutes. So maybe the reductions in pain is working for me. NOTE: it is the pain is similar to pre-op vacuuming to the max pressure limit,mine was 15 (in.hg) and trying to hold it there. Actually it maybe uncomfortable but I am do things that distract me from watching the clock. Plus I do my kegels, if I think I need to push the deflate button. According to Dr. Cornell I still have some swelling which probably accounts for some soreness especially around the incision.

I do not agree with Dr. Dineen when he said that maximum benefits were reached at 3 months. Probably about the time his study money ran out. Those on FT have said that enlargement has continued up to 18 to 24 months. That said, I will try to do a minimum of 1 hour each day for the next 2 months. I find it relatively easy to pump up during my morning shower and maintain it through my shaving & grooming.
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Lost Sheep, there is a another paper which followed up on Dr. Dineen patients I posted this about it ........

Urologist Dr. Dineen says he starts his patients at 9 to 12 days after the op. However other papers found most patients were not comfortable (read painful ) inflated that soon. One paper said the average person started the VED Protocol Therapy was 43 days. Dr. Cornell activated me at 33 days, was able to pump to the max two days later and have been going for a total of 60 minutes every since. Since you are breaking the scar tissue you will have some discomfort for brief periods of time. You can always push the deflate button if it is to painful.
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If you want to see the full post. search for roninhouston and put in Dr. Dineen and inflated in the search box.
BTW Sellars mention as an author of the paper is Dr. Dineen's assistant and works with Post-Op patients, i.e. helping them get inflated.

NOTE: The VED Post-OP protocol does not mean you use the Vacuum Tube with the IPP.

"NOTE: The VED Post-OP protocol does not mean you use the Vacuum Tube with the IPP."

I think the confusion that some might have is the continued use of the abbreviation VED which, of course, stands for Vacuum Erection Device implying that you use it after surgery. Probably the protocol needs a new name, maybe something like Herculean Erectile Length Preservation Protocol, (HELPP).

Watsup wrote:"NOTE: The VED Post-OP protocol does not mean you use the Vacuum Tube with the IPP."

I think the confusion that some might have is the continued use of the abbreviation VED which, of course, stands for Vacuum Erection Device implying that you use it after surgery. Probably the protocol needs a new name, maybe something like Herculean Erectile Length Preservation Protocol, (HELPP).

I agree the name "VED Protocol" can mislead those who have not read the Dr. Dineen paper. Dr. Dineen named it that in his paper, whenever I write about it I try to refer to the "VED Protocol Therapy". HELPP sounds fine to me.

There was a discussion on FT about using the vacuum tube with an IPP. It was mostly about those who wanted to extend their length. Since I have a AMS CX once it is inflated to the max it will not grow longer as is restricted by the length of the cylinders. Hence the discussion was more academic for me, i.e. should the valve be open or close in the vacuum tube to keep from damaging the IPP?

The AMS LGX will grow 20%, so I guess if your have not pumped up to that 20% maybe a VED will help. I still would be concerned with damage to the IPP by pulling a vacuum on the cylinders. Probably ruins the warranty.

It is probably a good idea to be using the VED almost everyday until you get your implant. The primary reason is to maintain blood flow to the penis which prevents atrophy from occurring. Any length that is lost do to atrophy can never be recovered. I had to wait 5 years to get my implant. I was finally able to get it when I was on a different insurance plan.

During the 5 years, I rarely missed a day using the VED. As a result, I had all but a 1/2 inch of my pre-ED length back within 2 months of getting the implant. I got the last 1/2 inch back about 18 months after surgery.

woodturner wrote:It is probably a good idea to be using the VED almost everyday until you get your implant. The primary reason is to maintain blood flow to the penis which prevents atrophy from occurring.

I agree with using the VED up until the operation. However I used my pump gauge to make sure I did not over do it in the days before the operation. I did not pull maximum vacuum because I did not want to risk injury.