Dr Eid or Dr Hakky?

[sambalamba]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."

Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?

I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

The way Dr. Eid explained his protocol to me is at surgery you keep reservoir 100% full and penis 100% deflated. Then on day 3 you start cycling 2 or 3 times a day with hot tub bath. Outside of daily cycling regimen you keep your penis deflated. His explanation was this will allow proper capsule formation around a full reservoir. I presume daily cycling also keeps the penis capsule stretched (I forgot to ask him about this). What I find incredulous though is how can anyone start cycling on day 3 with all the pain and swelling. Sounds kind of crazy to me. I don't know whether I buy what he is saying.

The part of his protocol I like is doing the spinal anesthesia as opposed to just general anesthesia. From personal experience I can tell for my pudendal nerve pain I got a CT guided pudendal nerve block and right after the procedure my penis had stretched out to almost it's maximum length in the flaccid state. I don't know if Dr. Clavell's general anesthesia combined with Exparel local anesthesia does the same thing or not.

[Gt1956]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."
Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?
I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

A lot of drs advice is just based on hunches & best guesses.

I don't have any inside knowledge. But I'd suspect that any capsule that might start to form around the cylinders can be overcome by pumping. Lots of external force can be used. The reservoir on the otherhand can only be subject to the saline in it. Even squeezing your penis doesn't help. The drs fill the reservoirs per the instructions based on the size of your implant. So in theory there isn't a way to force the reservoir to resist the capsule if it happens to form too small.

Just look at Eid's method as his opinion. It works for him. Other drs do it differently & seem to be successful. Btw, I don't recall any FT members having trouble with an encapsuled reservoir. But that doesn't mean it can't happen.

Part of selecting a dr is accepting his methods.

[treetop]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."

Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?

I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

No magic, you cycle 2x a day for 3 to 4 weeks minimum starting on day 3.
So 100% erect 1 hour a day… flaccid 23 hours a day

[treetop]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."

Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?

I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

The way Dr. Eid explained his protocol to me is at surgery you keep reservoir 100% full and penis 100% deflated. Then on day 3 you start cycling 2 or 3 times a day with hot tub bath. Outside of daily cycling regimen you keep your penis deflated. His explanation was this will allow proper capsule formation around a full reservoir. I presume daily cycling also keeps the penis capsule stretched (I forgot to ask him about this). What I find incredulous though is how can anyone start cycling on day 3 with all the pain and swelling. Sounds kind of crazy to me. I don't know whether I buy what he is saying.

The part of his protocol I like is doing the spinal anesthesia as opposed to just general anesthesia. From personal experience I can tell for my pudendal nerve pain I got a CT guided pudendal nerve block and right after the procedure my penis had stretched out to almost it's maximum length in the flaccid state. I don't know if Dr. Clavell's general anesthesia combined with Exparel local anesthesia does the same thing or not.

I started cycling on day 3
Very little swelling or pain.
You can read my journal with pictures.
EID is the only choice in my opinion

[sambalamba]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."

Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?

I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

The way Dr. Eid explained his protocol to me is at surgery you keep reservoir 100% full and penis 100% deflated. Then on day 3 you start cycling 2 or 3 times a day with hot tub bath. Outside of daily cycling regimen you keep your penis deflated. His explanation was this will allow proper capsule formation around a full reservoir. I presume daily cycling also keeps the penis capsule stretched (I forgot to ask him about this). What I find incredulous though is how can anyone start cycling on day 3 with all the pain and swelling. Sounds kind of crazy to me. I don't know whether I buy what he is saying.

The part of his protocol I like is doing the spinal anesthesia as opposed to just general anesthesia. From personal experience I can tell for my pudendal nerve pain I got a CT guided pudendal nerve block and right after the procedure my penis had stretched out to almost it's maximum length in the flaccid state. I don't know if Dr. Clavell's general anesthesia combined with Exparel local anesthesia does the same thing or not.

I started cycling on day 3
Very little swelling or pain.
You can read my journal with pictures.
EID is the only choice in my opinion

Hi Treetop, May I PM you to discuss further your experience with Dr Eid?

[sambalamba]

"Dr. Clavell keeps you erect at 60% before cycling but Dr. Eid says he would leave me completely deflated to allow proper capsule formation around the reservoir."

Does Dr. Eid have some magic that allows the capsule to form around the full reservoir but no capsule to form around the deflated implant?

I don't think I've ever read of someone that had capsule issues on FrankTalk. Whether you cycle at 3 days or cycle at 5 weeks, seems to make no difference in that span of time. One way you have roughly 0 penis and 100% reservoir inflation, and the other you have roughly 60 penis/40% reservoir inflation if capsule formation is a concern.

When did you start cycling after your implant and did Dr. Clavell keep you partially inflated?

[oldbeek]

dont forget there are a lot of very good surgeons on the west coast also.

[Jage64]

When did you start cycling after your implant and did Dr. Clavell keep you partially inflated?

Post-op I was inflated to probably 60%.

I had a penoscrotal incision, the option I had previously researched and preferred over infrapubic, as does Dr. Clavell. During the implantation, Dr. Clavell came across a blockage in one of my corpora cavernosa, and even with using smaller and smaller dilators, could not get through it. Luckily, and unbeknownst to me at the time, Dr. Clavell was a pioneer of the technique to cut into the corpora and remove the blockage, so he did. That resulted in small incision below my glans on one side where he access and removed the issue. Both cylinder tips are now nicely situated mid-glans and the incision point is invisible.

All that being said, I was inflated at that 60% to the 5th week mark. Dr. Clavell would have released me at the 4 week mark for both cycling and sex, as my penoscrotal incision was healed up nicely and closed up to any bacterial intruders. He asked me to wait one more week for the incision below the glans to be completely healed, and more importantly strong enough for penetrative intercourse. You can imagine that the stresses on the penis itself is much more rigorous than on the scrotum when having sex. Dr. Clavell tells you it will likely be 6 weeks, but I'm sure he's learned over time that expectation management is a big part of having a happy patient. I was very happy to be released "early", although I've read here on FT that most of Clavell's patients are released prior to the 6 week mark.

Although I had nearly zero pain and very minimal swelling (I only took Tylenol/Advil for a few days after surgery) I didn't have much interest in squeezing my scrotum 3 days after surgery, and would have been reluctant to put my dirty hands anywhere near my healing incision. Infection was my #1 concern post surgery.

Additionally, cycling the implant after only 3 days with a healing incision ON THE SHAFT does not sound like a good idea under any circumstances. I feel beyond lucky that Dr. Clavell was the one that performed my surgery, and when faced with an unexpected problem knew exactly what to do....he literally wrote the white paper on the technique. (that's not to say that other high volume docs wouldn't have been able to deal with it, but I'm not sure my local Kaiser urologist would have had the expertise to do so, I may have just been living with a wonky, short penis)

I was and am happy with the post surgery protocol Dr. Clavell required. Now 18 months later, still thrilled, no pain, no issues, no scars, no dog ears, no crinkles, no noisy pump, no semi-erection, no discomfort. It's as if I have my OEM dick back, but this one never gives up.

[sambalamba]

Thanks for the detailed description. Sounds like your whole process was pretty close to ideal. I would appreciate your comment on if you think Titan would be a good fit for me after looking at my pics at: https://www.franktalk.org/phpBB3/viewtopic.php?f=6&t=25067&start=10#p236654. Also I would love to discuss a few more things with you regarding your experience with Dr. Clavell. I'll PM you.

Thanks

[astrius]

For example, Dr. Clavell told me that I would need to pick one of the implants when I schedule surgery and it can't be a game time decision. He initially recommended the AMS CX after doing a stretch test. But after my doppler ultrasound said either would be fine. Dr. Eid told me that Titan is my best choice because otherwise my dick would be like a pancake.

I don't think Eid is a fan of AMS. I have never heard of anybody that got an AMS model recommended by him.