Physical preparation for surgery

The final frontier. Deciding when, if and how.
hsarge
Posts: 14
Joined: Sat Jun 15, 2013 11:12 pm

Physical preparation for surgery

Postby hsarge » Sat Dec 07, 2013 6:21 pm

I have read that some MD's recommend stretching and/or vacuum pumping protocols prior to surgery to loosen penile tissues. Did any of you have this regimen or some other prior to your surgery? Thanks.

billylee
Posts: 346
Joined: Tue Oct 15, 2013 2:17 pm
Location: TX

Re: Physical preparation for surgery

Postby billylee » Sat Dec 07, 2013 7:18 pm

hsarge wrote:I have read that some MD's recommend stretching and/or vacuum pumping protocols prior to surgery to loosen penile tissues. Did any of you have this regimen or some other prior to your surgery? Thanks.



I have been doing it almost daily since July. When I finally met with chosen surgeon monday I asked if this was good practice. He OKed it but I did not feel much enthusiasm about it. But, I have to admit he was very rushed at time. I plan another consultation in January. I believe I can tell size increase and I certainly can when pumped in the tube.

My VED is a Pos T Vac and was covered mostly by Medicare, as is the surgery suppose to be, but who knows what ObamaCare will bring in January. Good news is that the surgeon thought it would still be covered in 2014.
Billy
72, ED & PE worsened with age, TURP 2008, Prostrate 1.71, T-559,
Coloplast Titan OTR 21 cm (20+1 cm rear tip extender) on 3/11/2014 by Dr. Allan Morey UT-SW Medical/Dallas

franklambe
Posts: 24
Joined: Wed Oct 16, 2013 1:40 pm

Re: Physical preparation for surgery

Postby franklambe » Sun Dec 08, 2013 10:39 am

My surgeon ok'd it too, but said it may or may not help much. He said a study showed 14 days prior to the surgery was optimal for results that would be of use or stay long enough to help. He said the drawing of blood would help keep your tissue healthy as most with ED have limited or lack of circulation. Also, the true measurements they go by are from within and that is unknown until the proceedure. I did it and increased 1/2" in 3 weeks, but I think some of that is over engorgement by the strength of the VED pump and some of my base being pulled into the tube as well.

Hope this helps.

-AMS 700/LGX 10/24/13
-40 years old
-ED for 3 years
-Type II Diabetic 8 years

billylee
Posts: 346
Joined: Tue Oct 15, 2013 2:17 pm
Location: TX

Re: Physical preparation for surgery

Postby billylee » Sun Dec 08, 2013 7:05 pm

franklambe wrote:My surgeon ok'd it too, but said it may or may not help much. He said a study showed 14 days prior to the surgery was optimal for results that would be of use or stay long enough to help. He said the drawing of blood would help keep your tissue healthy as most with ED have limited or lack of circulation. Also, the true measurements they go by are from within and that is unknown until the proceedure. I did it and increased 1/2" in 3 weeks, but I think some of that is over engorgement by the strength of the VED pump and some of my base being pulled into the tube as well.

Hope this helps.

-AMS 700/LGX 10/24/13
-40 years old
-ED for 3 years
-Type II Diabetic 8 years


Agree 100% on the length seen in tube to be much of pubic base (for sure inmy case)....but dern does it looks good. Stretch is probably about as close to guess to net length as anything. If I got the girth I get immediate from pulling out of tube I would be very happy. Length does not bother me that much. I truely believe in most cases anything over four is adequate to most women. Certainly not all, but IMO, most.

Question in implant size: they list different cm sizes like 22 cm which is just over 8 inches, how much implnt is figured to be recessed below "pubic skin/wall" thus not part of seen erection/inflation?
72, ED & PE worsened with age, TURP 2008, Prostrate 1.71, T-559,
Coloplast Titan OTR 21 cm (20+1 cm rear tip extender) on 3/11/2014 by Dr. Allan Morey UT-SW Medical/Dallas

franklambe
Posts: 24
Joined: Wed Oct 16, 2013 1:40 pm

Re: Physical preparation for surgery

Postby franklambe » Sun Dec 08, 2013 10:30 pm

I was told 20-30% resides behind the pubic wall of course depending on the individual. Yes, the vacuume length & girth do look impressive. My stretch test results are about where I'm at now or close to it.

billylee
Posts: 346
Joined: Tue Oct 15, 2013 2:17 pm
Location: TX

Re: Physical preparation for surgery

Postby billylee » Mon Dec 09, 2013 10:46 am

franklambe wrote:I was told 20-30% resides behind the pubic wall of course depending on the individual. Yes, the vacuume length & girth do look impressive. My stretch test results are about where I'm at now or close to it.


Makes sense as I assume measurement is tip to tip which takes in the end with fill tubing attached. SO, if someone had a stretch of 5.5" (14 cm) and the surgeon's choice of device for surgery is a 22 cm Titan (shortest) and 30% (6.6 cm) will be inserted into pubic layers below visual that leaves 15.4 cm and only 14 cm available per stretch indicator....1.4 cm is another 1/2 inch that must go up or down so to speak. Just thoughts. Also, how much of AMS or Titan goes into glan. AMS appears in photos to have more effect on glan but then Titan also appears that appropriately set would be well into base of glan. So many questions. billy
72, ED & PE worsened with age, TURP 2008, Prostrate 1.71, T-559,
Coloplast Titan OTR 21 cm (20+1 cm rear tip extender) on 3/11/2014 by Dr. Allan Morey UT-SW Medical/Dallas

rlm1818
Posts: 380
Joined: Tue Sep 06, 2011 10:33 pm
Location: Midwest USA

Re: Physical preparation for surgery

Postby rlm1818 » Mon Dec 09, 2013 1:53 pm

franklambe wrote:I was told 20-30% resides behind the pubic wall of course depending on the individual.


Here's a link that might shed light on this:

viewtopic.php?f=6&t=3008&p=19875#p19875

Of course, another question is why do you care? The surgeon should "dilate" the cavernosa completely in both directions during surgery, proximal and distal, and measure carefully in both directions, and then place whatever size is indicated based on those measurements. You are what you are, and if the doctor does his job, you will end up with the size that's right for you. Percent internal vs external doesn't really matter except as a point of curiosity. The surgeon doesn't take your stretched penis size and guess the size from that. He measures your individual characteristics during surgery.
22cm Coloplast Titan OTR implanted Feb 2012 by Dr Francois Eid in NYC.
Initial implant experience here: viewtopic.php?f=6&t=1308

rlm1818
Posts: 380
Joined: Tue Sep 06, 2011 10:33 pm
Location: Midwest USA

Re: Physical preparation for surgery

Postby rlm1818 » Mon Dec 09, 2013 2:26 pm

hsarge wrote:I have read that some MD's recommend stretching and/or vacuum pumping protocols prior to surgery to loosen penile tissues. Did any of you have this regimen or some other prior to your surgery? Thanks.


Yeah quite a few guys did a month or two of VED pumping first. I did several months. I visited one surgeon who insisted upon it, which is why I started. But didn't use him in the end. The surgeon I did use didn't think it was necessary. So there are split opinions. There is published research that purports to show that you get better (or should I say longer) sizing when you do this.

Here is one protocol, though there are other similar ones: http://williamsurology.com/yahoo_site_a ... 885856.doc

This topic has been discussed many times before here on FT and creative use of the advanced search function should reveal other discussion.
22cm Coloplast Titan OTR implanted Feb 2012 by Dr Francois Eid in NYC.
Initial implant experience here: viewtopic.php?f=6&t=1308

hsarge
Posts: 14
Joined: Sat Jun 15, 2013 11:12 pm

Re: Physical preparation for surgery

Postby hsarge » Mon Dec 09, 2013 7:15 pm

I wasn't asking about size increase, although that could be good. I was interested if a regimen could minimize swelling and make inflation easier. I tried searching but I just couldn't find something related to making the surgery and recovery easier.

billylee
Posts: 346
Joined: Tue Oct 15, 2013 2:17 pm
Location: TX

Re: Physical preparation for surgery

Postby billylee » Mon Dec 09, 2013 8:22 pm

rim,
Thanks for links. Like you say, does not matter. Just one of those little thoughts while I wait.
b
72, ED & PE worsened with age, TURP 2008, Prostrate 1.71, T-559,
Coloplast Titan OTR 21 cm (20+1 cm rear tip extender) on 3/11/2014 by Dr. Allan Morey UT-SW Medical/Dallas


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