Why is my doctor telling me to inflate the first day

The final frontier. Deciding when, if and how.
Corey212
Posts: 48
Joined: Mon Dec 23, 2019 1:32 am

Why is my doctor telling me to inflate the first day

Postby Corey212 » Wed Feb 24, 2021 11:18 pm

Everything ive seen so far is rest deflated after surgery, then a few days to a week come back and inflate for a week. Im telling you this hurts as is, but walk in lic with it 70% peessed up against my stomach by tge elastic of my underwear is excruciating. I have a 4 hour ordeal in the Airport and theres no way im going to make.

And another thing is at 70% the tips sit below the gland. Is that normal? I think it looking like shit when it swags back and forth. Not liking it. I think its too short
52; Coloplast Titan (One-Touch) implant on 02/23/2021 by Dr. Karpman

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

Re: Why is my doctor telling me to inflate the first day

Postby newbie443 » Thu Feb 25, 2021 1:25 am

Corey212 wrote:Everything ive seen so far is rest deflated after surgery, then a few days to a week come back and inflate for a week. Im telling you this hurts as is, but walk in lic with it 70% peessed up against my stomach by tge elastic of my underwear is excruciating. I have a 4 hour ordeal in the Airport and theres no way im going to make.

And another thing is at 70% the tips sit below the gland. Is that normal? I think it looking like shit when it swags back and forth. Not liking it. I think its too short


Welcome to Frank Talk.

Doctors leave the man inflated after surgery for different amounts of time. Depends on the surgery and the doctor. The import thing is to follow your doctors instructions. I was given pain meds but did not need them and just took antibiotics and anti-inflammatory over the counter (Motrin). I also had instructions for applying ice packs. I used bags of dry beans I keep in the freezer. And Bacitracin ointment for my incision with 4x4 gauze to cover. I had food and drinks in my room and stayed in bed flat unless I had to get up for ice packs and dressing change and grabbed food an drinks at the same time to limit the number of times I had to get up.

So take pain meds if you have them. If not call your doctor. Stay down as much as you can and apply ice. If you have discharge instructions look for instructions for ice packs and wound care. You might try putting a pillow under your butt to elevate your genitals to reduce swelling. Motrin or other anti inflamatory over the counter drugs also help. If not in your discharge instructions ask your doctor. You may also need to be on a stool softeners.

My tips also were below the glans. One a quarter inch and one a 1/2 inch. When I was activated and finally was able to inflate both cylinders they did work up into the glans fully. So no need to worry about that now. For now stay flat on your back as much as you can. When you are able give us a bit more information. You might want to create a signature with with date of implant, doctors name, and type of implant. When does your flight leave? I had a flight out after my surgery and did take pain meds starting that morning but they did not work until I was back home.

If you were close I could come by and bring you what ever you need. I am near Wichita KS so if you are close and need anything let me know.
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.

KenJ1947
Posts: 350
Joined: Mon May 18, 2020 12:04 am
Location: North Dallas

Re: Why is my doctor telling me to inflate the first day

Postby KenJ1947 » Thu Feb 25, 2021 2:45 am

newbie443 wrote:
Corey212 wrote:Everything ive seen so far is rest deflated after surgery, then a few days to a week come back and inflate for a week. Im telling you this hurts as is, but walk in lic with it 70% peessed up against my stomach by tge elastic of my underwear is excruciating. ...


Welcome to Frank Talk.

...

So take pain meds if you have them. If not call your doctor. Stay down as much as you can and apply ice. If you have discharge instructions look for instructions for ice packs and wound care. You might try putting a pillow under your butt to elevate your genitals to reduce swelling. Motrin or other anti inflamatory over the counter drugs also help. If not in your discharge instructions ask your doctor. You may also need to be on a stool softeners. ...


Do you think the "rice socks" I use to heat up for my stretching and pumping would work if I put them in the freezer? Just curious. I haven't tried it yet. But, my surgery is a couple of months away.

Ken J
Married 50+ years, 75, ED for 10 years.

Dr Mark Allen, Plano, TX. Surgery at Baylor, Scott and White Frisco, TX. AMS 700 CX MS, 24 cm + 2 cm RTEs x 2.4 cm tubes, 100 ml reservoir.

4 grandkids (son 25, daughter 23, son 21, daughter 7).

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

Re: Why is my doctor telling me to inflate the first day

Postby newbie443 » Thu Feb 25, 2021 9:42 am

KenJ1947 wrote:
Do you think the "rice socks" I use to heat up for my stretching and pumping would work if I put them in the freezer? Just curious. I haven't tried it yet. But, my surgery is a couple of months away.

Ken J


You can try it. I had 3 small bags of dry beans and placed them, still in the original bag, in a zip lock bag in the freezer. I would rotate them. I would pull the bag out of the zip lock bag and wrap in a hand towel. I was worried enough about infection not to trust the hotel freezer so I used the zip lock bag as a barrier. Dry rice like dry beans would not clump like ice and there is no chance of it melting and leaking water on the bandage.
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.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Why is my doctor telling me to inflate the first day

Postby Waynetho » Thu Feb 25, 2021 10:00 am

KenJ1947 wrote:Do you think the "rice socks" I use to heat up for my stretching and pumping would work if I put them in the freezer? Just curious. I haven't tried it yet. But, my surgery is a couple of months away.

Ken J


Hey Ken, first of all - we are apparently close by each other, you state "North Dallas" and I'm in Addison.

As to rice socks for cold packs, if you have enough of them to cycle through when one warms up, keeping the others in the freezer until needed, you might do well with them. I'm not sure that rice has enough thermal mass to hold the cold temperature very long, unlike water does. I think the primary attraction as a heating pad is that they are more gentle for heat than water packs due to the lower thermal mass, but I might be wrong.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

LuisFernandez
Posts: 408
Joined: Tue Jun 16, 2020 8:45 pm

Re: Why is my doctor telling me to inflate the first day

Postby LuisFernandez » Thu Feb 25, 2021 10:36 am

FWIW Dr Eid has you inflate on the 3rd day: https://youtu.be/Or-V9_mpxps?t=78
Born 1986. ED. Peyronie's.
Considering an Implant. Consulting with Dr. Eid.
Using Cialis 10mg/day + 20mg for sex. Injections of PGE-1.
See my story: viewtopic.php?t=15016

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

Re: Why is my doctor telling me to inflate the first day

Postby Lost Sheep » Thu Feb 25, 2021 12:35 pm

Welcome to the forum, Corey212.

Thanks for trusting us with your questions.

What manufacturer and model implant do you have? There are three entry points for the surgery. Was your surgery through the scrotum, above the penis (through the pubic pad) or sub-coronal (just behind the glans)? It makes a difference in how painful the recovery is. Each has advantages and disadvantages.

Corey212 wrote:Everything ive seen so far is rest deflated after surgery,

I think you may need to read more. The great preponderance of surgeons leave their patients partially inflated. There is a balance between inflating the implant in the penis or inflating the reservoir in your abdomen. The surgeon has to choose one or the other. After the surgery, scar tissue will begin forming (even as the surgeon is closing the surgical incisions). You don't want either the inflatable tubes being constricted inside scar tissue (making it difficult to inflate to an erection) nor the reservoir constricted inside scar tissues (making it difficult to deflate to flaccid). Do a search in the forum and on the internet for "The Coffin Effect". Also known as psuedo-encapsulation.

Early activation has GREAT advantages for erection size and comfort over time. But the long-term benefits come at a cost of discomfort/pain in the short term.

Corey212 wrote:this hurts as is, but walk in lic with it 70% peessed up against my stomach by tge elastic of my underwear is excruciating. I have a 4 hour ordeal in the Airport and theres no way im going to make.

If you call the airport or airlines, most will arrange for a wheelchair if you tell them it is medically necessary. That may make enduring the airport (waiting area and between connecting flights, etc) a bit easier and also make concealing your erection easier. You should not have to reveal the details of your surgery. Privacy issues.

Corey212 wrote:And another thing is at 70% the tips sit below the gland. Is that normal? I think it looking like shit when it swags back and forth. Not liking it. I think its too short

My penis looked like a road-killed toad for more than a week. Black and blue and yellow and misshapen with uneven swelling. Scrotum half-black and the size of a softball/grapefruit.

Stay laying down as much as you can. It will speed your recovery, reduce swelling and discomfort.
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

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

Re: Why is my doctor telling me to inflate the first day

Postby Lost Sheep » Thu Feb 25, 2021 12:39 pm

As I suggested many times before, taking a couple weekends to read through past posts will give you a HUGE bolus of information, much quicker and complete than you will get from current participants of FrankTalk can give you. Some contributors may be gone from the forum, but their information is still here.

Example:

This article refers to the differences that early activation (EA) vs no early activation (NEA) of the inflatable prosthesis
Title" Pseudo-capsule “coffin” effect: How to prevent penile retraction after implant of three-piece inflatable prosthesis
Authors: Enrico Caraceni, Lilia Utizi, Giovanni Angelozzi; Department of Urology, Civitanova Marche Hospital, Italy.
Short Summary: http://www.ncbi.nlm.nih.gov/pubmed/25017596
Longer summary: http://www.ncbi.nlm.nih.gov/pubmed/25017596
with this sentence: "The result is a penis bigger in flaccid state but smaller in erect phase, when early activation is not performed"
Full article: https://www.researchgate.net/publicatio ... prosthesis

This article was obviously translated from the original Italian, so there may be some grammar issues to overlook.

And this thread might be of interest: "Over what timespan does Scar Tissue form post-op? (And can it be reversed)?"
viewtopic.php?f=6&t=11379&p=97430
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

Corey212
Posts: 48
Joined: Mon Dec 23, 2019 1:32 am

Re: Why is my doctor telling me to inflate the first day

Postby Corey212 » Fri Feb 26, 2021 8:59 am

Im sorry I did not reply on my mobile, due to this being a web based platform.

I had a Titan Coloplast 22cm implant on Feb 23rd by Dr. Karpman.
Latest events, on my flight home yesterday my scrotim sack fillied with fluid due to simply sitting on a chair in the Airport. I called the doctor and he said as long as it does not reach above the penis into the pubic pad. It swollen up there from the incision but not anything i feel is major. Im hoping this will go down? A drain is not needed? My body will flush it?

Back to my further depression with my appearance. I see it much shorter than my previous size. There a sharp bend to the left. I had an issue all my life but i was told this procedure would correct it. The bend was straightened a lot by stretching excersises for years prior to the surgery. It was unnoticable, i was able to pee almost perfectly straight and now its worse than it ever was in my lifetime. Its making me wonder why he put one cylinder shorter than the other on my weak side, when it was suppose to be corrected. Then the size. I spoke with Otis the Coloplast advocate 6 times, and my main concern was size. I had visits and numerious emails and conversation with the Karpman office and my main concern to doing this was size. I did not want to lose any, even flaccid. Karpman assured me i had a good size and i would be very happy with the results and i see these cylinders right where the mushroom is. I know others have them in the gland all the way pressed up against the tip. Its almost like he did the exact opposite of what he said.

I had a doctor ruin my shoulder in 1997
I had a Phoenix Coyotes doctor commit malpractice in 2015 on my knee, causing me a future full replacement.
Now this, and i even saved up and paid cash for it.

Why cant i get what i was promised and paid for?
52; Coloplast Titan (One-Touch) implant on 02/23/2021 by Dr. Karpman

AST2123
Posts: 457
Joined: Tue Jul 28, 2020 7:54 am

Re: Why is my doctor telling me to inflate the first day

Postby AST2123 » Fri Feb 26, 2021 12:44 pm

Lost Sheep wrote:As I suggested many times before, taking a couple weekends to read through past posts will give you a HUGE bolus of information, much quicker and complete than you will get from current participants of FrankTalk can give you. Some contributors may be gone from the forum, but their information is still here.

Example:

This article refers to the differences that early activation (EA) vs no early activation (NEA) of the inflatable prosthesis
Title" Pseudo-capsule “coffin” effect: How to prevent penile retraction after implant of three-piece inflatable prosthesis
Authors: Enrico Caraceni, Lilia Utizi, Giovanni Angelozzi; Department of Urology, Civitanova Marche Hospital, Italy.
Short Summary: http://www.ncbi.nlm.nih.gov/pubmed/25017596
Longer summary: http://www.ncbi.nlm.nih.gov/pubmed/25017596
with this sentence: "The result is a penis bigger in flaccid state but smaller in erect phase, when early activation is not performed"
Full article: https://www.researchgate.net/publicatio ... prosthesis

This article was obviously translated from the original Italian, so there may be some grammar issues to overlook.

And this thread might be of interest: "Over what timespan does Scar Tissue form post-op? (And can it be reversed)?"
viewtopic.php?f=6&t=11379&p=97430

Thanks Lost Sheep for the study links.
I tried to find out if the difference in length stays the same forever, or this is just at 6 month after surgery.
I am also wondering, with such a stiff penis, how come the cylinders cannot make their way through the tissue? On FT, I see members that are activated at one week, others at a month or 6 weeks, but most of length complaints are surgery-related, and to non-regular cycling.
Finally Bionic
52y old. RP Oct. 2017. Pills didn't work. Trimix failed after a couple of times. Have inguinal hernia repair on both sides. Implanted AMS CX, 21 cm+1 cm RTE, by Dr. Kai Li at KP, VA, Jan. 2021. New username FinallyBionic


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