Tenacio Failed - Revision on the way...

[TruthEdge]

So I believe I was the first to receive the Tenacio pump on FT and now I guess I am the first to get a revision of the Tenacio on FT.

If you plan on cycling or using the Perito exercises - I do not recommend the Tenacio. I was implanted 7/23/2024 and everything went well over all with recovery.
You can read my journal here:
viewtopic.php?f=6&t=24815&hilit=truthedge#p233823

Upon release on 9/3/2024 - I was disappointed with length of 5" and girth of 5" but I knew from the board that cycling could resolve my concerns over time. I started cycling with Perito exercise every day for about 30 minutes consistently and got my length back (6.25") and maybe a little more in about two months later. Girth not so much. Still at only 5.25" girth and it looks like a pencil dick with a lollipop for the head when aroused. Anyway, I continued to be consistent with the goal to hit 6-7 days a week for a year in hope the girth would come back to my original 6".

Middle of November I started noticing issues when cycling. It would just stop pumping up to my normal maxed level of comfort/pain for Perito exercises. It's like it would hit a max pressure point for the valve and not let it go further. Bulb would still fill and I could hear it internally pushing fluid in but it would not get any harder. I would say it was getting about 97% to my max pump. Close, but I knew something wasn't right. If I pumped up to far it would start losing fluid slowly in the cylinders losing firmness almost like a pin hole leak if you can imagine. At this point I had to hit deflate button and try again. It was random at first and then my wife started noticing it losing firmness during foreplay or shortly after insertion. Over time it got worse to where now if I pump it up to the max - it only gets about 95% of firmness of what I had after surgery. And it slowly goes down from there. I try to do the Perito exercises as best I can but difficult obviously. Today even I felt the deflate valve release on its own as I bent my penis while pumped up! Sex is difficult too. Foreplay with a soft penis and then pump up last minute before insertion with hopes that we both finish in time!

Called AMS initially and they basically said that the Tenacio is so new they dont have a track record of failure rates and type of failures yet. The AMS rep did say that she had another Tenacio patient call in with the same issue of it not being able to hold the pump or not being able to get to max comfortable pump desired. The rep advised me to reach out to Dr Morey for the next steps.

I did a virtual visit with Dr Morey after I sent a lengthy message of the issues I was experiencing. He had reached out to AMS and they explained that doubt valve system is more like 4 valves in total. Each valve is a two way valve. One way is activate with deflate button. The other way it is activated is a pressure release mechanism when pumping up too hard! Think of it like a pressure release valve! The AMS rep told Dr. Morey the pressure release valve was malfunctioning and kicking in too soon. Dr. Morey had no idea it had a pressure release mechanism and I didn't see this in any material either. Dr. Morey was very empathetic and frustrated he didn't know about this pressure release valve. Dr. Morey said revision was the only way forward.

We discussed doing a pump only replacement with a MS pump since it doesn't have any type of pressure release valve since that would be easier to keep everything else and it would be less recovery process. Dr. Morey had remembered I wasn't pleased with the girth and he recommended we go back with the coloplast instead with the classic pump. I actually wanted the Coloplast originally anyway, but DR. Morey talked me into the AMS CX with Tenacio due to flaccid comfort and the new pump design of Tenacio. Im good with Classic pump as I am married so the noise wont bother me and I hope the classic inline lines will help prevent lines crossing and rubbing holes on each other. Coloplast cant be that much more uncomfortable than the AMS I have gotten used to. You kind of just find your way that works with the implant and get used to you new normal.

So the big take away - Tenacio has a pressure release valve that pops if it is pumped up to hard/high! No biggie if that pressure is set high, but if in my case it basically is similar to having an erect penis that slowly gets softer during sex. It better than the ED before right now - but it aint right though!

Revision date is going to be in May or June so I can get past coaching my sons MTB racing team for the season. Sucks to have to go through this surgery again 9 months later but I will survive and I know what to expect. Hopefully coloplast with classic pump is a good choice for a bicyclist/MTB racer like myself.

I will answer what questions I can, but I am not on here much right now. Thanks

[Stewy78]

So I believe I was the first to receive the Tenacio pump on FT and now I guess I am the first to get a revision of the Tenacio on FT.

If you plan on cycling or using the Perito exercises - I do not recommend the Tenacio. I was implanted 7/23/2024 and everything went well over all with recovery.
You can read my journal here:
viewtopic.php?f=6&t=24815&hilit=truthedge#p233823

Upon release on 9/3/2024 - I was disappointed with length of 5" and girth of 5" but I knew from the board that cycling could resolve my concerns over time. I started cycling with Perito exercise every day for about 30 minutes consistently and got my length back (6.25") and maybe a little more in about two months later. Girth not so much. Still at only 5.25" girth and it looks like a pencil dick with a lollipop for the head when aroused. Anyway, I continued to be consistent with the goal to hit 6-7 days a week for a year in hope the girth would come back to my original 6".

Middle of November I started noticing issues when cycling. It would just stop pumping up to my normal maxed level of comfort/pain for Perito exercises. It's like it would hit a max pressure point for the valve and not let it go further. Bulb would still fill and I could hear it internally pushing fluid in but it would not get any harder. I would say it was getting about 97% to my max pump. Close, but I knew something wasn't right. If I pumped up to far it would start losing fluid slowly in the cylinders losing firmness almost like a pin hole leak if you can imagine. At this point I had to hit deflate button and try again. It was random at first and then my wife started noticing it losing firmness during foreplay or shortly after insertion. Over time it got worse to where now if I pump it up to the max - it only gets about 95% of firmness of what I had after surgery. And it slowly goes down from there. I try to do the Perito exercises as best I can but difficult obviously. Today even I felt the deflate valve release on its own as I bent my penis while pumped up! Sex is difficult too. Foreplay with a soft penis and then pump up last minute before insertion with hopes that we both finish in time!

Called AMS initially and they basically said that the Tenacio is so new they dont have a track record of failure rates and type of failures yet. The AMS rep did say that she had another Tenacio patient call in with the same issue of it not being able to hold the pump or not being able to get to max comfortable pump desired. The rep advised me to reach out to Dr Morey for the next steps.

I did a virtual visit with Dr Morey after I sent a lengthy message of the issues I was experiencing. He had reached out to AMS and they explained that doubt valve system is more like 4 valves in total. Each valve is a two way valve. One way is activate with deflate button. The other way it is activated is a pressure release mechanism when pumping up too hard! Think of it like a pressure release valve! The AMS rep told Dr. Morey the pressure release valve was malfunctioning and kicking in too soon. Dr. Morey had no idea it had a pressure release mechanism and I didn't see this in any material either. Dr. Morey was very empathetic and frustrated he didn't know about this pressure release valve. Dr. Morey said revision was the only way forward.

We discussed doing a pump only replacement with a MS pump since it doesn't have any type of pressure release valve since that would be easier to keep everything else and it would be less recovery process. Dr. Morey had remembered I wasn't pleased with the girth and he recommended we go back with the coloplast instead with the classic pump. I actually wanted the Coloplast originally anyway, but DR. Morey talked me into the AMS CX with Tenacio due to flaccid comfort and the new pump design of Tenacio. Im good with Classic pump as I am married so the noise wont bother me and I hope the classic inline lines will help prevent lines crossing and rubbing holes on each other. Coloplast cant be that much more uncomfortable than the AMS I have gotten used to. You kind of just find your way that works with the implant and get used to you new normal.

So the big take away - Tenacio has a pressure release valve that pops if it is pumped up to hard/high! No biggie if that pressure is set high, but if in my case it basically is similar to having an erect penis that slowly gets softer during sex. It better than the ED before right now - but it aint right though!

Revision date is going to be in May or June so I can get past coaching my sons MTB racing team for the season. Sucks to have to go through this surgery again 9 months later but I will survive and I know what to expect. Hopefully coloplast with classic pump is a good choice for a bicyclist/MTB racer like myself.

I will answer what questions I can, but I am not on here much right now. Thanks

Hi man, avid cyclist here. Both mountain bike (xc and enduro) and road, I ride about 10000 km per year. I'm on my fourth IPP. My first two ams with ms pump were having the exact same issue. During sex I were loosing fluid from the cylinders back to the reservoir. If I pressed the release button and pump again I was able to re inflate. Basically It was like still having venous leak with the exception that I was able to pump again after pressing the release valve, but after few strokes it went down again and so on. I had the revision switching the pump only and the new pump were doing the same. After some months ams published a recall for those pumps. I switched to a titan and it lasted 3 years. After 3 years I had a tubing failure. Now I'm on my fourth titan and I hope it will last, otherwise I'll go with a malleable.

[TruthEdge]

Hi man, avid cyclist here. Both mountain bike (xc and enduro) and road, I ride about 10000 km per year. I'm on my fourth IPP. My first two ams with ms pump were having the exact same issue. During sex I were loosing fluid from the cylinders back to the reservoir. If I pressed the release button and pump again I was able to re inflate. Basically It was like still having venous leak with the exception that I was able to pump again after pressing the release valve, but after few strokes it went down again and so on. I had the revision switching the pump only and the new pump were doing the same. After some months ams published a recall for those pumps. I switched to a titan and it lasted 3 years. After 3 years I had a tubing failure. Now I'm on my fourth titan and I hope it will last, otherwise I'll go with a malleable.

Hey man thanks for the response! What pump did you have fail with Coloplast? classic or one-touch? From what I was reading the classic has a straight line protected tube design and the one-touch is the one having the tubing issues. 4 implants is nuts! hope current one lasts 10+ years for you

[fucked0ne]

My surgeon told me that the Tenacio is no good--but Hakky told me that the MS pump is a piece of shit (it is susceptible to "sticky pump"). In conclusion, Boston Scientific REALLY suck at making pumps.

[Stewy78]

Hi man, avid cyclist here. Both mountain bike (xc and enduro) and road, I ride about 10000 km per year. I'm on my fourth IPP. My first two ams with ms pump were having the exact same issue. During sex I were loosing fluid from the cylinders back to the reservoir. If I pressed the release button and pump again I was able to re inflate. Basically It was like still having venous leak with the exception that I was able to pump again after pressing the release valve, but after few strokes it went down again and so on. I had the revision switching the pump only and the new pump were doing the same. After some months ams published a recall for those pumps. I switched to a titan and it lasted 3 years. After 3 years I had a tubing failure. Now I'm on my fourth titan and I hope it will last, otherwise I'll go with a malleable.

Hey man thanks for the response! What pump did you have fail with Coloplast? classic or one-touch? From what I was reading the classic has a straight line protected tube design and the one-touch is the one having the tubing issues. 4 implants is nuts! hope current one lasts 10+ years for you

It was titan touch. Also my current one is titan touch because unfortunately classic pump is not available here. My plan is to switch to malleable for my next revision but I'm a bit scared about handling that during cycling. I contacted hakky and he told me that genesis malleable should be ok for Cycling.

[equusAz]

I had asked my doc why I didn't go with the Tenacio since it was newer and his words come right from your post. "There isn't enough data yet on failure rates so I'm more comfortable with the tried and true."

[sambalamba]

So I believe I was the first to receive the Tenacio pump on FT and now I guess I am the first to get a revision of the Tenacio on FT.

If you plan on cycling or using the Perito exercises - I do not recommend the Tenacio. I was implanted 7/23/2024 and everything went well over all with recovery.
You can read my journal here:
viewtopic.php?f=6&t=24815&hilit=truthedge#p233823

I will answer what questions I can, but I am not on here much right now. Thanks

I had a call with BS rep about the Tenacio pump and she said there is no good failure rate data as the pump is too new. Only thing to go by is what is on the website which is 1000 uses. Ridiculous. All the best with Coloplast. I'm contemplating an implant and after my research will be going to Coloplast and the classic pump.

Got a few questions for you on Morey:

1) Does he do general or spinal anesthesia?
2} Does he induce an artificial erection for max length during operation
3) For penoscortal, does he do a vertical incision?

[wilsonmill]

You guys that are cycling, do you think that the cycling may cause some of these pump issues. The seat? The rocking on the seat? Just curious on your thoughts.

[Courage]

This is worrisome. I'm a week out and I expressed a preference for the Tenacio, though the surgeon wasn't sure what pump would be approved (I didn't ask "by whom").

Like others, I wish you the best and appreciate the update.

[TruthEdge]

My surgeon told me that the Tenacio is no good--but Hakky told me that the MS pump is a piece of shit (it is susceptible to "sticky pump"). In conclusion, Boston Scientific REALLY suck at making pumps.

yes I am learning the hard way the same conclusion. The tubing failures on the coloplast scare me as well though, but hoping the one-touch is the one with the major issues on tubing failure