As I've been told, the peniscrotal surgery leads to a longer healing time than infrapubic. Which meanss that infrapubic guys are cleared for cycling way earlier. How important is it to start cycling as early as possible for a good outcome in terms of size preservation?
Or to put it differently, does infrapubic leads to better outcome becaus you can cycle earlier?
How important is it to start cycling as soon as possible?
How important is it to start cycling as soon as possible?
35, ED due to venous leak caused by finasteride (PFS syndrome)
Implanted June 2023 by Dr. Hakky
Titan 22 cm, no RTE, penoscrotal
Implanted June 2023 by Dr. Hakky
Titan 22 cm, no RTE, penoscrotal
Re: How important is it to start cycling as soon as possible?
SwissTalk wrote:As I've been told, the peniscrotal surgery leads to a longer healing time than infrapubic. Which meanss that infrapubic guys are cleared for cycling way earlier.
Not necessarily.
SwissTalk wrote:How important is it to start cycling as early as possible for a good outcome in terms of size preservation?
It's important.
SwissTalk wrote:does infrapubic leads to better outcome becaus you can cycle earlier?
Dr. Eid says the peno-scrotal approach allows implanting longer cylinders so I believe the opposite is true.
Re: How important is it to start cycling as soon as possible?
I have an infrapublic implant and was approved to begin cycling in 1 wk. Guys with pensocrotal implants usually start cycling in 4-6 wks. These start times relate directly to the initial /healingrecovery period for the 2 methods.
However, the difference doesn't seem to matter because both types of implants yield similar long term results despite the difference in cycling start times.
There are docs (Eid for example) who does pensoscrotal implants who recommends starting cycling as soon as 3 days post OP.
I know that I woujld not have been ready to cycle at that point and I doubt that many men (regardless of the implant method) would feel comfortable enough to do so that soon post OP and, given the experience of other penoscrotal patients who have waited 4-6 wks to start cycling and who now have fully functional implants, it doesn't seem to matter.
However, the difference doesn't seem to matter because both types of implants yield similar long term results despite the difference in cycling start times.
There are docs (Eid for example) who does pensoscrotal implants who recommends starting cycling as soon as 3 days post OP.
I know that I woujld not have been ready to cycle at that point and I doubt that many men (regardless of the implant method) would feel comfortable enough to do so that soon post OP and, given the experience of other penoscrotal patients who have waited 4-6 wks to start cycling and who now have fully functional implants, it doesn't seem to matter.
Age 73. Started taking 5 mg Cialis daily in 2000. Minor ED started in 2021. Major ED problem started in 2022. Coloplast Titan (20 cm w/1cm RTE) implanted infrapublicly on 01/24/2023 by Dr. Edward Karpman (El Camino Urology Medical Group, Mt. View, CA).
Re: How important is it to start cycling as soon as possible?
So in the end the most important thing is to get the biggest possible implant and the rest regarding cycling is more a question of time spent and consistency but not about to start ad soon as possible.
35, ED due to venous leak caused by finasteride (PFS syndrome)
Implanted June 2023 by Dr. Hakky
Titan 22 cm, no RTE, penoscrotal
Implanted June 2023 by Dr. Hakky
Titan 22 cm, no RTE, penoscrotal
Re: How important is it to start cycling as soon as possible?
SwissTalk wrote:So in the end the most important thing is to get the biggest possible implant and the rest regarding cycling is more a question of time spent and consistency but not about to start ad soon as possible.
Dr. Eid is penoscrotal only surgery. He also has the quickest activation wait time at 3 days. So it would seem that while in many cases with other doctors that penoscrotal has a longer wait time it is not always. The paper on the "coffin effect" in the general section of this forum in the documents worth reading thread explains this. There is a difference but it is not a large amount. Of course when we talk about loss of part of a or body even a little bit is important. Much longer wait times for a simple implant surgery can be an indication of a surgeon with less experience or interest in implant surgery. 8 weeks in some cases.
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.
Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer
66 years young.
Will show and tell and talk with others.
Re: How important is it to start cycling as soon as possible?
This isn't as easy to answer as it might seem. Ultimately you should follow your drs directions. If you're feeling particularly good then it seems to be reasonable to contact your dr & explain how you feel & see if he'll give you a verbal approval.
Despite some members feelings I haven't seen much consistency in start times. Even if all the surgeries were the same approach. Mine uses 15 days & he does scrotal. Best I can say he is giving what his experience suggests is the best. Who am I to argue with him? I trusted him to operate, I should also trust in his judgement.
But as said earlier. It seems like the bigger key to success is to cycle consistently for about 1 year. Once growth slows down it seems the cycling can be less. Just get the scar capsule as large as posdible & don't slack off too quickly or you might start losing your gains.
Despite some members feelings I haven't seen much consistency in start times. Even if all the surgeries were the same approach. Mine uses 15 days & he does scrotal. Best I can say he is giving what his experience suggests is the best. Who am I to argue with him? I trusted him to operate, I should also trust in his judgement.
But as said earlier. It seems like the bigger key to success is to cycle consistently for about 1 year. Once growth slows down it seems the cycling can be less. Just get the scar capsule as large as posdible & don't slack off too quickly or you might start losing your gains.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months
Re: How important is it to start cycling as soon as possible?
I agree with following your doctors instructions. But activation wait time is something to consider when looking for a doctor. Before surgery you can use this to see if there is another doctor for you for this. After surgery it is important to follow your doctors instructions. The is a bit of difference as shown in the publication in the general discussion section. Not enough though I think to risk infection or other complications. As OP signature stated he was considering implant then this would be before surgery.
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.
Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer
66 years young.
Will show and tell and talk with others.
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- Posts: 85
- Joined: Wed Apr 05, 2023 10:46 am
Re: How important is it to start cycling as soon as possible?
The bottom line is that peniscrotal surgery is way better than infrapubic. Peniscrotal surgery takes little longer to perform and recover from. However there is zero chance for the tubes to be felt and stand on the way while maximize length. Infrapubic on the other hand is a faster surgery which is more convenient and cost efficient for doctors like Periro that care mostly about their needs over clients best outcome. So if tou want the best possible outcome penoscrotal ia the way to go. As per cycling you can always start sooner if you are not so soar or in pain.
Re: How important is it to start cycling as soon as possible?
Newbie443, I totally agree that it is one of many factors to consider when looking for a dr. But honestly, I wouldn't advise that guys place a high score on that alone. If you like a dr that does 2-3 week wait time. Maybe even longer. If all is going good, you can always ask for an early release date. I'm sure that with most drs that it would be negotiable. On the other hand, its hard to negotiate other factors like number of implants, insurance coverage, even travel.
I read some members advocate for a particular dr based mainly on his early cycling time. I'd want to see how he stacks up in the other areas.
In my particular area, I only had 2 drs that met my minimum criteria. After those 2 I was looking 7-800 miles of travel. I never vetted the long distance drs to my insurance.
Funny timing, my drs nurse called me today about some future scheduling for long term follow ups. We had a great long talk. Shes been with the dr for over 10 years. She said hes still plugging away at around 250 implants a year. I did ask when he last had an infection. She thought for a minute & replied its been a long time. Four months, maybe six months. The patient was not a great canidate for surgery. He had several comorbidities to deal with.
Guys, find the best overall fit to your situation. Ask the questions. Think about the answers.
I read some members advocate for a particular dr based mainly on his early cycling time. I'd want to see how he stacks up in the other areas.
In my particular area, I only had 2 drs that met my minimum criteria. After those 2 I was looking 7-800 miles of travel. I never vetted the long distance drs to my insurance.
Funny timing, my drs nurse called me today about some future scheduling for long term follow ups. We had a great long talk. Shes been with the dr for over 10 years. She said hes still plugging away at around 250 implants a year. I did ask when he last had an infection. She thought for a minute & replied its been a long time. Four months, maybe six months. The patient was not a great canidate for surgery. He had several comorbidities to deal with.
Guys, find the best overall fit to your situation. Ask the questions. Think about the answers.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months
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- Posts: 966
- Joined: Fri Dec 16, 2022 5:32 pm
Re: How important is it to start cycling as soon as possible?
you will occasionally read reports here of men who have implants by surgeons who are not considered “high-volume“. In some of those reports, the men indicate that they were not well trained or informed about what to expect post surgery. Hence, they come here to Franktalk to learn how to cycle. I’ve seen reports on here where one man’s doctor did not give him any instruction at all, and only discovered the form several months after his surgery. He never realized he even needed to cycle. I feel sorry for such individuals. You need information, and a lot of it to make this successful.
Apart from winter cycle, one of THE most important factors is that you use a high-volume surgeon.
I’ll give you an analogy.
I am a professional airline captain. I have both military and commercial flying experience, over 26,000 hours in the cockpit in my career. I am that guy you see with gray hair on his temples, who has the “look“ of someone who has been around a while, and I have.
All professional pilots know the basic standard operating procedures. but doesn’t it stand to reason that after 40 years of hands-on flying experience, that, in addition to the basics, I would have picked up many techniques and methods to fine-tune the basic requirements, and that my experience would have exposed me to almost every situation imaginable? Emergencies, malfunctions, hazardous, mountainous, terrain, severe weather, anything you can think of really. I have experienced it, successfully.
While the new pilot at the company is trained and considered competent, in whose hands would you feel more comfortable with with your family?
And in whose hands would you feel most comfortable with with your one and only penis?
So that is the most important consideration. In front pubic, or Pinot scrotal, in the hands of either, will, in all likelihood, give you a great outcome. The high-volume surgeons have seen it all. Every kind of anatomy, and every kind of situation. they too, have learned their own techniques and methods to maximize your chances for a great outcome.
Pinot, scrotal, or in for pubic, in my mind now there is no “right choice“. The men who have had both here, with high-volume surgeons, report, good results.
Back to your question about when the cycle. we are all over the map in terms of when to start cycling. As others have mentioned, Dr. EID, the patriarch of implants, starts his penis scrotal patients are only three days. And I’ve also read some reports from his patients that it hurts like hell. I can imagine.
My doctor also uses the Penoscrotal approach. Instead of cycling at three days, he mitigates the encapsulation of your corpus cavernosum by inflating the implant to about 60% and leaving it that way for six weeks. The overwhelming number of his patients who right here report a good outcome. After six weeks, give or take a few days, we then start cycling.
I’m not here to cheerlead from my doctor. I’m here to advocate for you, for a successful outcome for you, and for your happiness.
So my bottom line is, use a high-volume, well regarded doctor, and just do what he says. Regardless, of which doctor one chooses, those of us here who use the most reputable surgeons consistently have good outcomes, there are exceptions, but that 90+ percent “satisfaction rate“, is more likely to be yours by choosing the right surgeon, and simply doing what he says. I would not worry too much about when the cycling starts, just do what he says, and you’ll be fine.
Apart from winter cycle, one of THE most important factors is that you use a high-volume surgeon.
I’ll give you an analogy.
I am a professional airline captain. I have both military and commercial flying experience, over 26,000 hours in the cockpit in my career. I am that guy you see with gray hair on his temples, who has the “look“ of someone who has been around a while, and I have.
All professional pilots know the basic standard operating procedures. but doesn’t it stand to reason that after 40 years of hands-on flying experience, that, in addition to the basics, I would have picked up many techniques and methods to fine-tune the basic requirements, and that my experience would have exposed me to almost every situation imaginable? Emergencies, malfunctions, hazardous, mountainous, terrain, severe weather, anything you can think of really. I have experienced it, successfully.
While the new pilot at the company is trained and considered competent, in whose hands would you feel more comfortable with with your family?
And in whose hands would you feel most comfortable with with your one and only penis?
So that is the most important consideration. In front pubic, or Pinot scrotal, in the hands of either, will, in all likelihood, give you a great outcome. The high-volume surgeons have seen it all. Every kind of anatomy, and every kind of situation. they too, have learned their own techniques and methods to maximize your chances for a great outcome.
Pinot, scrotal, or in for pubic, in my mind now there is no “right choice“. The men who have had both here, with high-volume surgeons, report, good results.
Back to your question about when the cycle. we are all over the map in terms of when to start cycling. As others have mentioned, Dr. EID, the patriarch of implants, starts his penis scrotal patients are only three days. And I’ve also read some reports from his patients that it hurts like hell. I can imagine.
My doctor also uses the Penoscrotal approach. Instead of cycling at three days, he mitigates the encapsulation of your corpus cavernosum by inflating the implant to about 60% and leaving it that way for six weeks. The overwhelming number of his patients who right here report a good outcome. After six weeks, give or take a few days, we then start cycling.
I’m not here to cheerlead from my doctor. I’m here to advocate for you, for a successful outcome for you, and for your happiness.
So my bottom line is, use a high-volume, well regarded doctor, and just do what he says. Regardless, of which doctor one chooses, those of us here who use the most reputable surgeons consistently have good outcomes, there are exceptions, but that 90+ percent “satisfaction rate“, is more likely to be yours by choosing the right surgeon, and simply doing what he says. I would not worry too much about when the cycling starts, just do what he says, and you’ll be fine.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.
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