Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany)

The final frontier. Deciding when, if and how.
freshkid1234
Posts: 42
Joined: Thu Mar 02, 2023 6:46 am

Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany)

Postby freshkid1234 » Wed Jul 05, 2023 1:32 pm

Dear FT Community, I was operated 12 days ago in Germany. My surgeon was Dr. Osmonov Daniar at UKSH Kiel.

For everyone whos interested I will give some insights about my surgery and I am also facing some troubles and would be happy for some feedback.

Presurgery Day and Day 1 in hospital
I was operated on friday. I got general anesthetic. On the day before surgery (Thursday) I was in the hospital and got the pre surgery patient education about the surgery and the anesthesia. I thought I would see Dr. Osmonov himself to talk about every detail and the possible risks but it wasnt possible. I could only talk with a urologist student or a new urologist who never did a penile implant surgery in his life. It was only paperwork but my wish would be to talk with the surgeon personally before he cut into the most important region from my body. After the signatures I asked If it is possible to talk with him in person. But it wasnt possible. So I wrote him an e-mail about my wishes (wish of No RTE and if needed rather to cut 1cm off the implant, Coloplast, Penoscrotal, the Pump which he prefers, also I wrote that I dont want a circumsision cause the doctor who informed me told me that it will be done very often with this surgery). But I love my foreskin and no one will cut it away.

After the surgery I woke up and everything was done. My penis was mummy wrapped. I had severe pain and needed pain killers. I got antibotic IV and some pain killers IV (dont know the name) but none of them worked for me. So I was awake the whole night in my room in hospital. I wished Dr. Osmonov came to me the day after surgery but I didnt saw him at this day. I guess the surgery was around 11am. I was a little bit confused, cause I dont saw him the day before surgery and also not on the surgery day. It s not good for a patient after such a surgery in my opion.

Day 2-4 (hospital)
On day 2 I forced them to give me stronger pain medications and then fortunately I got narcotics. After that I could sleep some hours fortunately. I already had the bladder catether inserted from surgery day and this was very painful for me too. On the right side I had a blood drain with 50cc blood in there. So all in all I lay flat on my back, unable to move cause of severe pain and the catether on the left side of my bed and the blood drain on the right side of my bed fixed.
Luckily Dr. Osmonov came on day 2 and said the surgery went well and I got a 22cm Coloplast with 1RTE. He had some problem with the dilation with my left corporal body proximal cause of scar tissue. Then he removed the mummy wrap and deflated me. The problem was that my dick did nothing after deflation and was still pointing forward at 3o`clock. He said it s cause of swelling.

On the 3rd day my catether was removed and I felt much better and I could go to the toilet for the first time. This 5meters where the most painful steps in my whole life ;) so I returned into my bed immediately. On the 4th day they removed my blood drain and I still had severe pain. I only could sit on my bed on day 4 and went twice to the toilet. On the 4th day after lunch I was released from hospital and had to travel1 hour away to hamburg and stayed there for nore 3 days before flying home around 90minutes.

Day 4-6
I just stayed in bed. Ice was my best friend. Since surgery my balls had the size of a big orange but ice was good. I was concerned about my flaccid appearance. Cause my cylinders felt very rigid and my penis was pointing out of my body at 70-80 degrees (5 o`clock). It was so rigid I could easily have sex with that if I should. I could detect the pump and every hour I deflated my Touch Pump and could feel that fluid was transfered back to the reservoir from the cylinders.
This was the first time I was a little bit in panic cause I dont inflated my device and could deflate fluid very often. So I detected some kind of AUTOINFLATION. Cause of that I called the office on the 6th day from Osmonov and unfortunately I only could get in contact with him yesterday on the 11th day after surgery. It s not easy to get in contact with him.

Day 7-12
After one week I was back in my home country and I am not able to do much except laying in my bed and going to the toilet cause of my pain level. On the 11th day I talked with my surgeon about my autoinflation issue and he said we have to wait and in the worst case it s a fault of the reservoir and we must change it.
Today at the 12th day the swelling is now mostly gone and I started to touch my penis to feel everything. Now I felt another thing which makes me very nervous and I wrote an email again to my surgeon. Hopefully I will get an earlier response then last time where I waited 5 days. So now I am asking the FT community about my actual issues. I dont want to undergo a revision surgery and hope for the best outcome.

Just for info. My advice from the surgeon was to let my coloplast implant 6 weeks deflated after the surgery and then begin with the activation and cycling. I told him that I read many articles about the importance of early activation cause of scar tissue forming around the corpora bodies and the possibility to lose lenght and he said if everything is fine I could start earlier in the 5th week. So thats my implant story for now with Dr. Osmonov. Hope everyone who ist interested to undergo the surgery with him will take as much information as possible from my experience.

Till I get a response from my surgeon I would be happy to get some informations about my actual issues. I also attached some photos about my problems.

-) The 3rd photo is my acutal flaccid penis. It s annoying and sticking out of my body and it s hard. I can deflate it and it points short time afterward to a 4 o clock position but after some time I am back to 5 oClock position and it gets harder. Now I deflate it very often during the day cause the pain level in the corpora bodies is also reduced after deflating. But after around 30min it s back again filled with some fluid. This freaks me out a little bit. Hope this gets better cause it will have a big impact on my daily life. Will the titan soften so much in the next months or is it from the autoinflation?

-) I also have a hard area on the underside of my shaft in the scrotum area. From my understanding it can only be tubes but it s much bigger then some tubes and also very hard and a big area. I attached photo nr. 2 of it and in photo nr. 1 (it s not erect just holding my penis upward) there is the area marked which is very hard. On the underside of my shaft I put something on there (black) and I am not able to put it further downward on my shaft cause this spot (red) is stopping it. The green line is then the level of possible penetration cause It will not be possible to insert it in the future more deeply cause of the hard region (red). Is the tubing so prominet there`? It is no swelling for sure cause I didnt feel it as a part of my body. Who else has this and what is this?

-)my scrotum is numb in the region above the horizontal scar, will this get better?

Would be great to get some informations about it! I dont want to undergo a revision surgery but I dont think my problems will solve by it s own if I am honest. But at the moment I cant do anything against it and I must heal at least the next weeks before thinking about another surgery to fix my problems.

I will also mention the good things about the surgery so far:
-The lenght must be very similar to before- flaccid I am 15cm at the moment and I was 18cm erect before.
-pump placement is good, in the lower region of my scrotum
-glans engorge like before and have good feeling there
Attachments
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Screenshot_20230705-180735_Gallery.jpg (413.1 KiB) Viewed 1889 times
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Screenshot_20230705-180743_Gallery.jpg (375.53 KiB) Viewed 1889 times
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Screenshot_20230705-181458_Gallery.jpg (863.67 KiB) Viewed 1889 times
Last edited by freshkid1234 on Tue Mar 12, 2024 11:19 am, edited 1 time in total.
Dr. Osmonov - 23/6/2023 UKSH Kiel
Coloplast 22cm+1cm RTE, Titan Touch pump - penoscrotal

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Happy Toy
Posts: 1130
Joined: Fri May 11, 2018 9:30 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby Happy Toy » Wed Jul 05, 2023 3:21 pm

Congrats! Welcome to the brotherhood. Looks very good to me for only being a few days. More pictures as you heal, the time will go by quickly beleave me! PM me if you would like to chat, I've been implanted for 5 years and love it.
Implanted 6/26/2018, Coloplast Titan 20cm, no RTE'S, infra pubic, Dr. Rhee, Kaiser :o 8-) 80 yrs., married 57 yrs. ED for over 20 yrs.

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby FinallyBionic » Wed Jul 05, 2023 5:07 pm

He Freshkid,
Everything seems fine for you except the fact that your recovery took longer than many others, which is still normal. I disagree with you on some the things that you complained about:
1. Requesting the surgeon to not put RTE: RTEs are part of the components. They are never a cause of failure.
2. Getting activated before 6 weeks: Most of the doctors give the patient 4-6 weeks after surgery. With your pain and slow recovery, 6 weeks would be appropriate. If you are ready to start cycling before that, your doctor will clear you for that, but you need to be on the safe side.
3. Auto-inflation can happen, but it is too early to diagnose it. In fact, you shouldn't touch the button before you are allowed to start cycling. Staying semi-inflated is required for now to not let tissue build up.
So, just relax and wait for the joy you will be having with your new toy!
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

freshkid1234
Posts: 42
Joined: Thu Mar 02, 2023 6:46 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby freshkid1234 » Wed Jul 05, 2023 6:23 pm

FinallyBionic wrote:He Freshkid,
Everything seems fine for you except the fact that your recovery took longer than many others, which is still normal. I disagree with you on some the things that you complained about:
1. Requesting the surgeon to not put RTE: RTEs are part of the components. They are never a cause of failure.
2. Getting activated before 6 weeks: Most of the doctors give the patient 4-6 weeks after surgery. With your pain and slow recovery, 6 weeks would be appropriate. If you are ready to start cycling before that, your doctor will clear you for that, but you need to be on the safe side.
3. Auto-inflation can happen, but it is too early to diagnose it. In fact, you shouldn't touch the button before you are allowed to start cycling. Staying semi-inflated is required for now to not let tissue build up.
So, just relax and wait for the joy you will be having with your new toy!


I was more concerned about the erection angle which will decrease by the use of RTE but it s not a problem anymore cause I have it already and cant change it. I dont have complains about waiting 5weeks to activate it, just was informed that early activation is good to maintaine lenght.

I am more concerned about the autoinflation issue and I cant imagine this will resolve by it s own and the hard spot at the undersite of my shaft which is also the reason my dick cant point lower than 4oclock. But at the moment I cant change it and I have to wait. It s just not good for me knowing that there are some obvious issues soon after surgery. I would be much happier having a dick flaccid when it s deflated and not a hard spot near my shaft.
Dr. Osmonov - 23/6/2023 UKSH Kiel
Coloplast 22cm+1cm RTE, Titan Touch pump - penoscrotal

jessie24
Posts: 12
Joined: Sat May 06, 2023 7:53 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby jessie24 » Wed Jul 05, 2023 7:03 pm

This is kinda devastating to read, I was thinking Osmonov is my best shot since I´m located in EU, but from what I can read here it looks like there is almost zero communication between him and patient, which I believe is one of the most important part of this process except the quality of surgery which is the most important thing, I mean its not just some light surgery, there is so much things that can go wrong and they should be there for you informing you about all those things everytime you ask and when something goes wrong they should definitely be there in seconds and dealing with it. You are paying huge amount of money which should cover their time even before and after surgery not just during. Hope all your issues with auto-inflating goes away with healing and you can start your sexual life again as soon as possible.

FinallyBionic
Posts: 366
Joined: Fri Jul 22, 2022 8:12 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby FinallyBionic » Wed Jul 05, 2023 8:37 pm

You may need to communicate with your doctor regarding the hard spot you are mentioning. I can't imagine the tubes are felt here.
Finally Bionic
1969. RP Oct. 2017. Pills and Trimix didn't work. Inguinal hernia repair on both sides. AMS CX 21 cm+1 RTE, by Dr. Kai Li at Kaiser, VA, Jan. 2021. FT member since July 2020 as AST2123. See my previous 457 posts.

daddel
Posts: 73
Joined: Wed Sep 02, 2020 6:47 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby daddel » Thu Jul 06, 2023 2:50 am

Have you tried to „lock“ the valve after deflation by pressing the pump once? That’s a technique described very often here.
41y/o, VL due to Finasteride use 17 years ago, PDE5i lost effect over the years, nothing worked anymore.
Implanted 18 Aug 2023 (while I was 40y/o), Titan 20cm + 1cm RTE, Germany
Implant journal: viewtopic.php?t=22715

freshkid1234
Posts: 42
Joined: Thu Mar 02, 2023 6:46 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby freshkid1234 » Thu Jul 06, 2023 5:38 am

jessie24 wrote:This is kinda devastating to read, I was thinking Osmonov is my best shot since I´m located in EU, but from what I can read here it looks like there is almost zero communication between him and patient, which I believe is one of the most important part of this process except the quality of surgery which is the most important thing, I mean its not just some light surgery, there is so much things that can go wrong and they should be there for you informing you about all those things everytime you ask and when something goes wrong they should definitely be there in seconds and dealing with it. You are paying huge amount of money which should cover their time even before and after surgery not just during. Hope all your issues with auto-inflating goes away with healing and you can start your sexual life again as soon as possible.


I was in contact with 3 patients of him and none of them had any problems and they are happy with the outcome. As we are all humans everyone can make mistakes or even autoinflation is not a human mistake its a mechanical break. What I dont like is the way he faces my problems. If I would be the surgeon I would get more in contact with the patient and at least give him the feeling that everything will come to an good end and if not that he will do everything for that. This feeling I dont have at the moment. My first complains I contacted him was the flaccid appearance and the autoinflation - cause of that we had a phone call. Yesterday I wrote him about the red spot which is hard at the lower part of my shaft and that I have much pain exactly there.

HE WROTE ME the same day AN EMAIL BACK - I HAVE TO WAIT IT S NOT THE END RESULT.
So thats it for now. I will give more details for the following weeks of my recovery. But at the moment I am not able to walk around cause this spot (red marked) gives me to much pain and I am lying in my bed. If I wouldnt have this hard part (red) I would say I could definetely walk around and start my daily activities but this spot hurts to much and is hindering me.
But at the moment I cant do anything other then wait.

So thats it for the moment
Last edited by freshkid1234 on Thu Jul 06, 2023 5:50 am, edited 1 time in total.
Dr. Osmonov - 23/6/2023 UKSH Kiel
Coloplast 22cm+1cm RTE, Titan Touch pump - penoscrotal

freshkid1234
Posts: 42
Joined: Thu Mar 02, 2023 6:46 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby freshkid1234 » Thu Jul 06, 2023 5:46 am

daddel wrote:Have you tried to „lock“ the valve after deflation by pressing the pump once? That’s a technique described very often here.


I already read the instruction and operating manual about IPP Coloplast implants. Here for everyone who is interested:
https://docplayer.fr/52982983-Instructi ... lable.html

To lock the valve by pressing the pump once is only written with the OTR Pump. I have the Touch Pump (different pump). But I also tried it and the result was that with one pump I immediately had the same amount of fluid in there which I had when I waited 30-60min. So thats not the solution for me unfortunately.
Dr. Osmonov - 23/6/2023 UKSH Kiel
Coloplast 22cm+1cm RTE, Titan Touch pump - penoscrotal

freshkid1234
Posts: 42
Joined: Thu Mar 02, 2023 6:46 am

Re: Coloplst IPP surgery with Dr. Osmonov - 23/06/2023 (Germany) some issues!

Postby freshkid1234 » Thu Jul 06, 2023 6:03 am

So I am more a friend of photos than of thousand words.
So here are my photos of Autoinflation.

The first photo completely deflated and also pressed the cylinders out of fluid and the second photo 3min later without doing anything. It s not so much difference in the appearance but a difference in hardness and it s much more uncomfortable to walk with a harder penis. The longer I wait the more prominent it gets but not to a full erection, I would say to a 20% infaltion.
Attachments
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Screenshot_20230706-115329_Gallery.jpg (236.85 KiB) Viewed 1673 times
Dr. Osmonov - 23/6/2023 UKSH Kiel
Coloplast 22cm+1cm RTE, Titan Touch pump - penoscrotal


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