Tortão's journal - TEP technique + Titan 3 piece implant

[Waynetho]

First of all thank you for your detailed thoughts, I've been really enjoying reading your posts. But the #3 about implant malleability sounds like a dream come true for me a penis that rigid and unmovable just sounds Godlike. Can't wait till I'm in your shoes!

I don't know if this rigidity is that good.
I'd like to get an erection and point my penis to the left/right in order to hide it. I can't do it now, but hope in the future this gets better.

Answer: variable pressure. Don't pump to maximum and it will allow more flexibility. Also, maybe your crus will get a bit more flexible after some period of cycling (months maybe), and not be so rigid and unforgiving if flexing in different directions.

[Tortão]

18 days after surgery

As I said, the skin inside my scrotum started to form "calluses" because I've used too much force to deflate. It seems a little better now.
I was worried this also could be an initial infection sign, but so far the pump and deflate valve aren't attached to the skin and I can feel its details. This callus is a thick layer of skin formed inside my scrotum and it's located in front of the deflate button. If my scrotum isn't so contracted though, I can push it aside and feel the details better.
Unfortunately, I don't have a bathtub to get my balls soaked in hot water.
My scrotum almost never relaxes now. The only time it's relaxed is after waking up, but then I get up from bed and it slowly starts to contract again. And it keeps contracted all day long. Sometimes more, sometimes less, but never relaxed like it was on day 06, as you all can see in the pictures I posted on April 01. This makes deflating very difficult. Even a hot shower doesn't relax it. The assistant doctor said this contraction is normal... Well, do you guys had this problem too in the beginning?

I'm pretty sure this is happening because my scrotum hates being pressed haha. This started after I started cycling.
Yesterday night before going to sleep, my scrotum was a little bit less contracted, then I pumped 10 times, made another bandage, and then when I got to pump again... my scrotum was more contracted and it was more difficult to pump. See:



No concerns regarding pump location and visibility, though. It seems a very good job! The problem is deflating/pumping when the scrotum is not relaxed.
Today in this morning, after taking pics to send to the doctor, it was contracted and got even more after I tried to deflate it. So much contracted to the point the skin located on the sides started to be "recruited" to the scrotum, as you can see:



My scrotum is black, my skin is white. The white skin started to "help" the scrotum.
Weird, huh? My scrotum hates being pressed. I don't know if it gets better with time... So far, this is a pain in the ass and very frustrating. Very.

The good news is I can pump with much more ease now. Not the way I desire, but it's an evolution. Now I use my left hand, grab the pump and pull it to the left... and I kind of incline the pump, trying to bring it to the horizontal. Then I start to pump using my thumb. I don't remember exactly how many pumps I could do yesterday, but I think it was 12 before the pump getting hard (it took 40 seconds or less). Then I used both hands. Less than 20 pumps definitely is enough to have sex.
Here's the dick pic of today. The glans are all orange because I'm using a spray that contains anti-biotic. I had the subcoronal approach.

[MeloxDD]

Well...Wish you good recovery!

What about your sensitivity? How do you feel your shaft and your glans?

[LuisFernandez]

That cut looks gnarly. Hope you keep recovering well. I wonder if being inflated for so long will affect the way the scar tissue form around the reservoir.

Anyway, hope you're doing well.

[Tortão]

Well, today is the 3rd week after surgery.

I have good news and maybe bad news.

The good news is since Wednesday I learned a new way to inflate. It's easy, albeit I think I can get better. I hold the back of the bulb with the index and middle finger (not the point of them) and press the front of the bulb with the prominence of my thumb. Like this: https://youtu.be/o1t3YuJ_zz4?t=226

I recommend everyone with difficulty pumping and deflating watch the entire video!

20~22 pumps get my dick F^@$!ng hard. No need to pump more.
I'm also deflating more now! This is good! This Wednesday I tried to get the "one-touch" to work. I pressed the deflate button, released and then squeezed my penis. And it worked! I felt some fluid going to the reservoir. I was kind of happy but after hours I looked in the mirror and my flaccid was hanging just a little below 3 o'clock. Then I thought: "F~@<, I didn't deflate enough. I need to hold this button. One-touch is my ass!". Well, this time I sit down, breathed deeper, pressed the deflate button and held it for 20 seconds while squeezing my shaft. This was the first time I think I really deflated! My flaccid hanged even lower than it used to, 4:30 I think.

Now, time to vent: how in the hell Coloplast makes a shitty deflate button like this? I mean, I'm not a stupid guy but I find it not easy to deflate. I think probably there are men with a shitty flaccid now because they didn't deflate enough in the early days after surgery. Not their fault, but Coloplast fault.

Ok, now the bad news is my ballsack hates all this pressing. The thick layer of skin surrounding the deflate button is still there and maybe a little bigger.
I'm deflating while sitting down in a chair, so my ballsack relaxes a little bit. But I don't know how I'm gonna deflate after sex if my ballsack is all retracted. Maybe things get better.
Also, I don't know if is the new way I pump, but after pumping (not while) the skin below the bottom of the pump gets sore. This started to happen this Wednesday.


I'm still fearing infection and yesterday I spent all my day reading and researching guys that had one.
Dr. Eid says an infection generally manifests itself by the 3rd or 4th week.
I think now there's not much I can do, just watch the symptoms.
https://youtu.be/WaQPD_j7aQs?t=1019 infection signals. Time-stamped.

Ah, one last thing: after deflating, I pump 1 time. Doctors and even a Coloplast engineer recommend this. I don't know if this prevents auto-filling or what, but I'm doing it!


-----------

That cut looks gnarly. Hope you keep recovering well. I wonder if being inflated for so long will affect the way the scar tissue form around the reservoir.

Anyway, hope you're doing well.

I know, but the doctor said it looks excellent hahaha
It really takes time to heal. Subcoronal incision is tough for the patient. It's more difficult to conceal the penis under the pants in the beginning.
I'm cycling the implant since the 10th day, but I think you're talking about the time I spend with my implant inflated, right...? Yeah, I have the same worry. My doctor recommended me to stay 12 hours inflated / 12 hours deflated, but I'm just doing 8h or 7h.

Well...Wish you good recovery!

What about your sensitivity? How do you feel your shaft and your glans?

It's returning. My shaft is good now, it's much better than it was 1 week post-surgery. I feel my glans too. The left tip of my glans is where I lost more sensitivity, but I feel it's returning. So far I'm not so worried about it because I'm feeling the evolution.

[Tortão]

Today completes 4 weeks after surgery.

So, yesterday I had a web video call with Dr. Marco Tulio Cavalcanti, and he solved all my questions. I hadn't to pay anything since it was part of my post-op follow-up.

I know penis size increases after months of doing implant cycling, but I'm happy with the results so far.
After 28 pumps (the maximum, or very close to it):
- My penis length is the same as pre-op length, but not the same as the pre-Peyronie length.
- My penis circumference below the glans is now 12 cm (bigger than pre-op), and at the base is 13.5 cm (same as pre-op).

So far, the penis looks nice when pumped. The pump is well hidden behind my balls. The angle is very good. I can't say the same about the deflated angle, but it takes more time to get better.

I've masturbated twice in the last 10 days, but I'll wait more time to do it again. I was just touching the base of my shaft, but I cummed both times. It was a weird sensation the first time but less weird in the second. My neurovascular bundle got mobilized during the surgery, so it is expected my sensation to not be 100% at this point. Dr. told me he never had a patient that lost sensation permanently, and I'm not worried about this because I can orgasm and I've felt sensation is getting better.

Dr. Marco told me to let the implant inflated for 2 hours a day from now, so I can get a better flaccid. I care a lot about a good flaccid, so I'm gonna do that. I understand it won't be the same as pre-op flaccid, but I just don't want it pointing to 4 o'clock as it is now.

Well, I'm able now to do walks and light exercises, so I think my mood will go up. I was very stressed these days.

I have the doctor's personal number so I can call him on Whatsapp if I have a problem or questions, but I think now I just have to wait. He checked my penis after I sent him a video and photos, and everything is great and under control.

We also chatted about some techniques for Peyronie. He doesn't like the "scratch" technique for some reasons and said it's not so effective for severe cases. Also, he doesn't like the hand modeling some doctors do on the penis during the surgery because, in some cases, it can damage the urethra. He thinks TEP is the best option for penis straightening and size recovery.

Here's a pic. Good angle. The incision site will take more months to heal properly.


Have a nice weekend, fellas!

[confused95]

Any news ? How is it going?

[Tortão]

5 weeks and 1 day post-op

The inflated state is good. Size is good, straightness is good. The doctor did a good job I guess.
I make sure I always deflate to the maximum I can. I also deflate during the day to guarantee it's 100% deflated. I'm not pumping 1 time after completely deflating anymore. I don't notice auto-filling, and I think pumping once puts more saline to the cylinders than auto-filling.

My main concern is still the Titan's flaccid state. Simply there's no flaccid and I can't see the difference between this "flaccid" and a semirigid implant. Tomorrow I'm gonna return to my office job and I'm quite worried. I've tried a lot of different ways to conceal my penis under my pants, but I found no comfortable position. I put an underwear and jeans and try different penis positions, but none is at least acceptable.
- Pointing up is terrible since the pants waist presses the bottom of the shaft. This restricts blood flow to the glans and it starts to become white;
- Pointing down is uncomfortable too and blood flow to the glans starts to get restricted;
- Pointing to the right is uncomfortable and increases the bend I have on the flaccid state. There's a dog ear at the left side of the shaft and a curve at the right side;
- Pointing to the left is uncomfortable but it does not increase the bend. Still, I need to let my penis "breathe" a little after 15 minutes or so. Going to the bathroom every 15 minutes every day in the office will be very strange and unproductive.
- Sitting on my chair and letting my penis "free" is the best position and is the only way I can do things without thinking about my penis. I can do this just in my house, though.

I need to say that, in my view and feeling, this big discomfort has nothing to do with the plaques or the relaxing incisions. It also is not related to the procedure or to the doctor. He and his team did everything right. This is 100% about the implant being too rigid and difficult to be kept under the pants.

So you all can see I'm going nuts with this situation. I did this procedure to forget about Peyronie and increase the quality of my life, but I can say that my quality of life, at this moment, is lower than before surgery. I'm thinking about my penis more than ever now, simply because the discomfort keeps remembering me of it.
All I can do now is just wait and pray for things to improve. If it doesn't improve in let's say 1 year, I don't know what I'm gonna do.

[MeloxDD]

5 weeks and 1 day post-op

The inflated state is good. Size is good, straightness is good. The doctor did a good job I guess.
I make sure I always deflate to the maximum I can. I also deflate during the day to guarantee it's 100% deflated. I'm not pumping 1 time after completely deflating anymore. I don't notice auto-filling, and I think pumping once puts more saline to the cylinders than auto-filling.

My main concern is still the Titan's flaccid state. Simply there's no flaccid and I can't see the difference between this "flaccid" and a semirigid implant. Tomorrow I'm gonna return to my office job and I'm quite worried. I've tried a lot of different ways to conceal my penis under my pants, but I found no comfortable position. I put an underwear and jeans and try different penis positions, but none is at least acceptable.
- Pointing up is terrible since the pants waist presses the bottom of the shaft. This restricts blood flow to the glans and it starts to become white;
- Pointing down is uncomfortable too and blood flow to the glans starts to get restricted;
- Pointing to the right is uncomfortable and increases the bend I have on the flaccid state. There's a dog ear at the left side of the shaft and a curve at the right side;
- Pointing to the left is uncomfortable but it does not increase the bend. Still, I need to let my penis "breathe" a little after 15 minutes or so. Going to the bathroom every 15 minutes every day in the office will be very strange and unproductive.
- Sitting on my chair and letting my penis "free" is the best position and is the only way I can do things without thinking about my penis. I can do this just in my house, though.

I need to say that, in my view and feeling, this big discomfort has nothing to do with the plaques or the relaxing incisions. It also is not related to the procedure or to the doctor. He and his team did everything right. This is 100% about the implant being too rigid and difficult to be kept under the pants.

So you all can see I'm going nuts with this situation. I did this procedure to forget about Peyronie and increase the quality of my life, but I can say that my quality of life, at this moment, is lower than before surgery. I'm thinking about my penis more than ever now, simply because the discomfort keeps remembering me of it.
All I can do now is just wait and pray for things to improve. If it doesn't improve in let's say 1 year, I don't know what I'm gonna do.

Well, Man!!! I think heal is the most important thing…good size and good inflate mode are very important. Now you have to learn how to handle your deflate mode…Time will be your friend.
Have you still got pain or swelling?

[boots1959]

5 weeks and 1 day post-op

My main concern is still the Titan's flaccid state. Simply there's no flaccid and I can't see the difference between this "flaccid" and a semirigid implant. Tomorrow I'm gonna return to my office job and I'm quite worried. I've tried a lot of different ways to conceal my penis under my pants, but I found no comfortable position. I put an underwear and jeans and try different penis positions, but none is at least acceptable.
- Pointing up is terrible since the pants waist presses the bottom of the shaft. This restricts blood flow to the glans and it starts to become white;
- Pointing down is uncomfortable too and blood flow to the glans starts to get restricted;
- Pointing to the right is uncomfortable and increases the bend I have on the flaccid state. There's a dog ear at the left side of the shaft and a curve at the right side;
- Pointing to the left is uncomfortable but it does not increase the bend. Still, I need to let my penis "breathe" a little after 15 minutes or so. Going to the bathroom every 15 minutes every day in the office will be very strange and unproductive.
- Sitting on my chair and letting my penis "free" is the best position and is the only way I can do things without thinking about my penis. I can do this just in my house, though.

I need to say that, in my view and feeling, this big discomfort has nothing to do with the plaques or the relaxing incisions. It also is not related to the procedure or to the doctor. He and his team did everything right. This is 100% about the implant being too rigid and difficult to be kept under the pants.

Hi Tortao, I have the AMS 700 lgx. While it is a different make of implant to yours the symptoms you described at 5 weeks where the same for me. I could not point it upwards as it was uncomfortable, nomatter what position I placed my penis in, while wearing underwear, it was uncomfortable.
Now at 3.5 months there is a world of difference. No discomfort wearing underwear or tight pants and I can point it anywhere. I do get occasional twinges to remind me of the implant. You are still early in the recovery process, I do think at between 8-12 weeks you will find that most of your concerns will resolve themselves.
Cheers boots.