Tenacio Failed - Revision on the way...

[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

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.

That sucks you can't get the classic pump. Thanks for the details.

[TruthEdge]

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."

agreed - I got caught up in the hype from reading online and from Dr. Morey. His excitement for the Tenacio was contagious and the MS pump scared me. You live and learn. I just hope I do not have issues with my insurance covering the revision.

[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

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?

Yeah I wished I had stuck to my guns and insisted on the coloplast, although I think I would have made a mistake there too choosing the one-touch since it is their latest pump. The classic pump did not cross my mind until Morey said it is the most reliable pump in his experience and I saw a video comparing the inline tubing of the classic to the rest of the pumps from coloplast and AMS. The inline tubing makes a lot of sense and odd that it isn't standard for the rest.

1) General
2) Yes on the operating table before insertion of IPP, but the pumped erection after surgery was not enough in my opinion for healing and comfort. I ended up adding a pump or two as needed.
3) vertical clean incision - I can barely see it now. The big thing is that he does an abdominal incision for the reservoir. I believe Clavell does this as well from what I read. It probably prolongs the healing and is more painful, but Dr Morey said he can be more precise in where the reservoir is placed this way. Plus, I am thinner than most guys getting the pump so this allowed him to place it and then replace it until it didnt bulge out on me - as he put it.

[TruthEdge]

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.

yes and no - there are many avid cyclist that do not have issues and others that do from what I researched. The pump itself kind of just moves where it need to in position of my scrotum cavity. I dont really feel it until I start to get fatigued on bike and then its just a reminder reagin my position. As for the tubing - thats what scares me with the tubes rubbing like a chain saw every pedal stroke. The current pumps designs for the tubing from the one-touch, MS and Tenacio is stupid. No matter how you place it - the tubes are going to rub. No matter how the pump faces in your scrotum - the tube are going to twist against one another. I know there is not conclusive evidence to confirm reliability, but the inline tube setup of the classic pump just makes sense as it keeps the tubes in line with one another further away from the pump and it allows the pump to twist and turn without crossing tubes. Go youtube the video comparing all the pumps and you will see what I mean.

I may be delusional here, but at this point in my journey - the Coloplast with Classic Pump looks like my best bet to not do this again for many years. Time will tell.

[TruthEdge]

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.

You should still have time to change to MS pump if you want to. From my understanding, your doctor should have anything and everything AMS offers in their line of products just in case the Dr see something he needs to change last minute.

You might even have time to change to coloplast/classic pump if your surgeon uses both companies.

If it was me, I would not go with Tenacio at this time until it gets some time under its belt. With the MS you at least know its track record and what to look for in the sticky pump and how to work around it. From what I understand now, the work arounds and the resets work most of the time if you do get a sticky pump so the actual full failure are pretty rare. Dont take my word for it though. Im just thinking MS has got to be better gamble than Tenacio based upon my experience from my perspective.

[Courage]

You should still have time to change to MS pump if you want to. From my understanding, your doctor should have anything and everything AMS offers in their line of products just in case the Dr see something he needs to change last minute.

I'll message him. I'm nervous enough about recovery and complications that I don't think I want the added variable of mechanical issues.

[sambalamba]

Yeah I wished I had stuck to my guns and insisted on the coloplast, although I think I would have made a mistake there too choosing the one-touch since it is their latest pump. The classic pump did not cross my mind until Morey said it is the most reliable pump in his experience and I saw a video comparing the inline tubing of the classic to the rest of the pumps from coloplast and AMS. The inline tubing makes a lot of sense and odd that it isn't standard for the rest.

1) General
2) Yes on the operating table before insertion of IPP, but the pumped erection after surgery was not enough in my opinion for healing and comfort. I ended up adding a pump or two as needed.
3) vertical clean incision - I can barely see it now. The big thing is that he does an abdominal incision for the reservoir. I believe Clavell does this as well from what I read. It probably prolongs the healing and is more painful, but Dr Morey said he can be more precise in where the reservoir is placed this way. Plus, I am thinner than most guys getting the pump so this allowed him to place it and then replace it until it didnt bulge out on me - as he put it.

I'm getting my surgery done by Dr. Clavell. He doesn't do the abdominal incision unless absolutely needed. I presume it depends on a patients structure. I had visited Dr. Morey. I think he is an excellent surgeon but I was expecting he would answer all my questions taking his time which he didn't do. He just told me that "Sometimes I just have to trust the pilot". But Morey has done very complex surgeries in the many thousands. Maybe it's just his style of communication with his patient. Also Urology Clinics of North Texas is a huge practice and sometimes it very difficult to get in touch with him. Another thing he told me is that I should absolutely go with the Titan and the classic pump.

All the best to you with your new Coloplast.

I didn't understand your comment "but the pumped erection after surgery was not enough in my opinion for healing and comfort. I ended up adding a pump or two as needed.". You mean it was too hard or not hard enough?

A few more questions:

1) Does he release you partially inflated or fully deflated after surgery?
2) When does he activate?
3) Do you happen to know what he uses to induce an artificial erection?

[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.

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

There are always malleables.

[TruthEdge]

Yeah I wished I had stuck to my guns and insisted on the coloplast, although I think I would have made a mistake there too choosing the one-touch since it is their latest pump. The classic pump did not cross my mind until Morey said it is the most reliable pump in his experience and I saw a video comparing the inline tubing of the classic to the rest of the pumps from coloplast and AMS. The inline tubing makes a lot of sense and odd that it isn't standard for the rest.

1) General
2) Yes on the operating table before insertion of IPP, but the pumped erection after surgery was not enough in my opinion for healing and comfort. I ended up adding a pump or two as needed.
3) vertical clean incision - I can barely see it now. The big thing is that he does an abdominal incision for the reservoir. I believe Clavell does this as well from what I read. It probably prolongs the healing and is more painful, but Dr Morey said he can be more precise in where the reservoir is placed this way. Plus, I am thinner than most guys getting the pump so this allowed him to place it and then replace it until it didnt bulge out on me - as he put it.

I'm getting my surgery done by Dr. Clavell. He doesn't do the abdominal incision unless absolutely needed. I presume it depends on a patients structure. I had visited Dr. Morey. I think he is an excellent surgeon but I was expecting he would answer all my questions taking his time which he didn't do. He just told me that "Sometimes I just have to trust the pilot". But Morey has done very complex surgeries in the many thousands. Maybe it's just his style of communication with his patient. Also Urology Clinics of North Texas is a huge practice and sometimes it very difficult to get in touch with him. Another thing he told me is that I should absolutely go with the Titan and the classic pump.

All the best to you with your new Coloplast.

I didn't understand your comment "but the pumped erection after surgery was not enough in my opinion for healing and comfort. I ended up adding a pump or two as needed.". You mean it was too hard or not hard enough?

A few more questions:

1) Does he release you partially inflated or fully deflated after surgery?
2) When does he activate?
3) Do you happen to know what he uses to induce an artificial erection?

Interesting about your experience with Dr. Morey. I felt like he took his time with me but I am also pretty straight forward about questions so he probably knew I wasn't going to let him off the hook. I dont know. I do think I know what you mean on being a little vague. I basically gave hime either or questions like if this happens will you do this or this. Anyway I think I know what you are saying. As for Urology Clinics of NT - I just thought they were all like that. Whether by phone call or online message I never got a response from Dr. Morey sooner than 5 days. I just assumed that would be normal with any high volume doctor.

How recent was it that he said absolutely go with Coloplast/Classic pump? Are you around 6 inch length or longer?

Originally, he told me I could go either way between AMS and Coloplast based upon natural length before IPP. He said he preferred Coloplast once into the 22cm range of length. I wanted Coloplast and he talked me into AMX CX and then Tenacio later since it was available.

To clarify my confusing statement - It wasn't hard enough after surgery to my comfort so I put a pump or two in and that felt much better

1) He released me partially inflated with 24 hour catheter. Once the catheter was out I couldn't make my penis stay straight up comfortably because it wasn't pumped enough to hold itself up - so I added a pump or two.
2) So I am several hours away from Dr. Morey office. 3 weeks post-op he had me go to my local urologist to be pumped up the first time. Let me say it was a joke. He barely pumped it up and say well thats good enough for penetration and then deflated it. I did a better activation myself at home. The stupid part was not instruction to cycle or anything. My urologist who supposedly had done this procedure before - acted totally dumb about it all. He was probably just covering his butt I'm sure. I was brought back down to post-surgery pump level and told to not touch it for another 3 weeks. Whatever.

I just kept adjusting the pump level as needed for comfort to keep it up and keep from being so exposing in public but I never fully pumped it until a few days before last visit to release me. I couldn't stand it any more so I talked my wife into breaking it in slowly and gently. Based on reading so much on FT I just didnt think I was taking that much of a risk!

Last visit with Morey was just stupid - He did pump it up much more than my uro did at home. Dr Morey was like oh yeah that looks great! I was like well my length is off and my girth looks like a pencil dick with a lollipop head. I don't like being patronized - I would rather him to say that it looks like it is supposed to at this point and that it will get better with cycling. Instead, I am the one that had to bring up cycling! I told him I was not please with the girth in particular and I assumed cycling would help. He just nodded his head yes. I thought then he would explain cycling - nope. He said have a good trip home and let me know if you have any issues. The end.

So I came home and read up more on cycling and watched Perito videos to get a system down and away I went.

All this to say - there is no way I caused these issues with the Tenacio. I didn't do anything different on my own that other surgeons have not done with their patients.

3) I believe he said he injected my penis with saline solution first to get an idea of length and look before IPP and then used the measuring rods once I was cut open to get final lenght. Before sowing me up he pumped me up with IPP and compared the visual to saline injected penis.

[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

There are always malleables.

Dumb question but how does that work with girth? I just assumed you lose your girth with these no?