Two different ways to install an AMS CX cylinder involving tubing issues

[Trchd1]

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Last week I flew in from out of town to have Dr Kramer install an AMS CX model. Everything seemed to go well after surgery and I stayed at a Hotel for three days after surgery to recover. I had the surgery on Thursday about 12 and Dr Kramer came by my room and removed the catheter later that evening. It seemed a little quick for me to remove that but I'm not the doctor. Of course he couldn't see much of it then cuz it was still bandaged up but when he did remove it I had a little bit of blood come out he said everything would be okay. Friday morning when I removed the bandage I was shocked at how huge my penis was. My penis was before the surgery 17 cm and 13 1/2 cm cir circumference erect before surgery. But this thing look bigger then an erection that I could remember and it was just swollen up
Everything was fine until Friday evening then my penis looked like it had been in a boxing match. Bruise City! I also had massive chafing on my inner groins and my pubic hair area where they shave me.

I was expecting bruising and some pain but what I wasn't expecting was this lump at the base of my penis on the left side. What I tried to do was elevate my scrotum with a pillow and ice it down to help with brusing and swelling,but when I did that and was laying down that's when I noticed that bulge and I can feel the two tubes almost crossing each other at that area. When Dr Kramer texted me Saturday to set up a time to come by for a check-up before I left am I mention that to him that was feeling some pain down there. When he arrived I showed him where it was but the swelling went down some plus the when you're standing up you can't see it as bad. He said everything should subside with a little time and when swelling goes down. I told him I was nervous about it.

As you can see in the one picture with the illustrations the top picture which we will call A and the bottom picture we'll call B
Can you see the difference in the two?
installation A shows the cylinder tubing exit pointing down towards the scrotum with tubes going directly into the scrotum sack directly into the pump then it shows only one Thin tube coming out going around the left base of the penis for the reservoir

Installation B shows the cylinder exit tube facing up then each tube curls back down on each side of the base of the penis and then goes into the scrotum, then the pump. Then you have the reservoir tube coming around the left base of the penis also.

Obviously method B of installation was the one Dr Kramer used for me that's the only way I can have two tubes on the left base of my penis and one tube on the right base of my penis. It was my understanding that it was difficult to tell if somebody had a penile implant besides the pump that might be noticeable if it's not tucked away correctly. But this lump on the left side is definitely noticeable you can feel it see it and it actually hurts.

As far as the mechanical aspects of the two different styles of installation, why would anyone not use method A ?
You only have one Thin tube coming around the base of your penis on the left side the two tubes exiting the cylinders going directly into the pump are much shorter than method B and it seems like it would also help with the speed of pumping. But the main issue with a is like I said both tubes go straight into the scrotum sack into the pump and you only have that one tube going around the base of your penis

Apparently this is happened to Dr Kramer before after reading a journal by Johnbaldbg

In his journal he has almost the exact same problem I did with my tube issues. He stated that after contacting Dr Kramer in giving him plenty of pictures of the Bulge and the fact that he did not live in Maryland Dr Kramer set up a revision to be performed by Dr Knoll in Nashville

One of the things me and the wife were really looking forward to was for her to get on top which she hasn't been able to do for 12 years because if I ever had an erection I don't care if I was on Viagra cock rings or combination once I lay down my back gravity took place an all blood was gone so she couldn't ride the pony. Well with this lump at the base of my penis you might as well forget about going balls deep cause she will feel that tubing and that could be a big turn-off for both of us. Also, deep throat oral sex wont be happening either. I was told that you would not be able to tell that you had an implant besides the 3rd nut in your sac, this is just not the case. So, is this the norm for penile implants? To have wads of tubing showing that only allows 4 inches of a 6 inch penis to be used?

I'm sure that my results are going to be just like Johnbaldbg because of the design of the installation. It's only been 4 days since my surgery and I realize that things are you know going to swell up but it's just an issue I don't think I can deal with.

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[Agfa13]

I think you forgot to attach the pics. Or did i read your post wrong?

[oldbeek]

Sounds like the infra pubic install I have. two tubes hooking around the left side. one into my left cylinder base and the other into lower abdomen to the reservoir. Was tender in the beginning. is ok now but still there. Maybe would be an extra clitoris messager.

[Waynetho]

Sounds like the infra pubic install I have. two tubes hooking around the left side. one into my left cylinder base and the other into lower abdomen to the reservoir. Was tender in the beginning. is ok now but still there. Maybe would be an extra clitoris messager.

That's exactly how my penoscrotal is. The left cylinder tube and reservoir tube go down the left side and the right cylinder tube goes down the right. They go down to the pump in a tight wishbone method. The tubes are beginning to attach to the ventral portion of my penis and are no longer able to be moved around freely. When the pump gets bumped from underneath, it causes them to detach from their adhered positions, thus causing soreness.

[Tsanchez12369]

It would be great if you could attach the pics you’re referring to. Thxs

[Trchd1]

I think you forgot to attach the pics. Or did i read your post wrong?

pic are on

[Trchd1]

Sounds like the infra pubic install I have. two tubes hooking around the left side. one into my left cylinder base and the other into lower abdomen to the reservoir. Was tender in the beginning. is ok now but still there. Maybe would be an extra clitoris messager.

That's exactly how my penoscrotal is. The left cylinder tube and reservoir tube go down the left side and the right cylinder tube goes down the right. They go down to the pump in a tight wishbone method. The tubes are beginning to attach to the ventral portion of my penis and are no longer able to be moved around freely. When the pump gets bumped from underneath, it causes them to detach from their adhered positions, thus causing soreness.

so are you saying that method "A" cannot be used via penoscrotal?

[Trchd1]

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It would be great if you could attach the pics you’re referring to. Thxs

Here you go!

[Waynetho]

so are you saying that method "A" cannot be used via penoscrotal?

Now that you have the illustrations posted, Method B [edited] is most common for infrapubic because the cylinders are installed via dorsal corporotomies (top) from the pubic region. It would be awkward to say the least, to get the corporotomies on the top side of the corpora while accessing them from a penoscrotal incision.

Method A [edited] is very typical of a penoscrotal surgery because the corporotomies are on the ventral (bottom) side of the corpora, very easily accessible from the penoscrotal incision.

[Trchd1]

so are you saying that method "A" cannot be used via penoscrotal?

Now that you have the illustrations posted, Method A is most common for infrapubic because the cylinders are installed via dorsal corporotomies (top) from the pubic region. It would be awkward to say the least, to get the corporotomies on the top side of the corpora while accessing them from a penoscrotal incision.

Method B is very typical of a penoscrotal surgery because the corporotomies are on the ventral (bottom) side of the corpora, very easily accessible from the penoscrotal incision.

I know tha Dr Eid states thats his method will not have tubing showing so I am wondering if he uses method A in a penoscrotal approach. There has got to be a way to do it. Maybe thats why his surgeries are twice as long as Kramers ?