Tenacio Failed - Revision on the way...

[Dondada]

I have a couple of quick questions. At what inflation percentage does the Tenacio pressure relief valve engage? Is it 75%, 85%, 90%, or another value? Additionally, at the percentage where the pressure valve doesn’t engage, is the device firm enough to allow for satisfactory PIV (penile-vaginal) intercourse? I understand that 100% inflation is ideal, but can it become and remain sufficiently firm for sexual activity?

I’m asking because I am scheduled to have the CX and Tenacio implanted by Dr. Hakky next month. Lastly, despite any concerns about the pressure relief valve, are there any positive features of the Tenacio pump that you can share?

So I was explaining when mine was engaging the pressure relief valve that is malfunctioning or releasing prematurely. Its probably supposed to release at a set pressure that is only known by AMS, and mine is releasing before that pressure. The frustrating part is how are you supposed to properly cycle the device for length/girth recovery if this pressure relief valve is kicking in?

The first time I notice an issue was during sex with my wife. It was slightly softer then when we had started. I blew it off thinking we really cycle the device and I had stretched some. Now I know the device was releasing the valve because it thought it was too much pressure.

For my Tenacio think of it like this. If 100% pump was my max that I could endure for 30 minutes of cycling in discomfort, then the release valve is now engaging at about 95-97% of that. So it is still a good erection but with the girth being even small and not as hard as desired for me and my wife it is causing issues. The real problem is that 95-97% mark is where it starts. Once that pressure relief valve engages then it is like a very slow leak. So right now it is a race for me and my wife once I pump up right before penetration. By the time we finish I would say it is about 92-95%. This is in about 20-30 minutes by the way and once that valve is popped it is over and you cannot pump back up until you hit the deflate button. Sometimes I can do a quick hit of the deflate button and then start pumping the bulb quickly and get it back up to the 97% range, but that is rare.

So yes we can still have sex and yes it is better than before with ED, but there is something wrong with the Tenacio I have. Not to mention, I am stuck now with what I have at moment for length and girth. I am not going to gain anymore because the device will not let me. I still pump up every day and try to cycle to keep what I got, but within 10-15 minutes it is pointless so I hit the deflate valve and call it a day. Im having to avoid the Perito exercise because that just squeeze the release valve open - I need the device to stay at the desired pump in order for the Perito exercises to have an effect.

As for positives for the Tenacio, I may not be a good person to ask. This is my first IPP. Just my opinion but all the so-called features added to the Tenacio are over-rated in real life.

They put larger few finger ridges on the bulb which is great in theory, but those same ridges pinch and rub the inside of your scrotum and make it pretty painful at times if I am not careful. I have to make sure the skin of my scrotum is not stretched against the bulb while pumping which is difficult to do. To me I would rather deal with one of the other models and just support it again my other hands fingers to not slip. I have to do that anyway with the Tenacio so not sure there is a real advantage to the bigger ridges.

The other so-called feature of the larger taller deflate button does more harm than good - again in my opinion. Because it is taller and bigger it is really easy to hit it while pumping the bulb! The skin of my Scrotum will stretch again the deflate button so hard if I let it that it will engage the deflate button as I am pumping. Again, I would prefer a smaller deflate button of the other models.

I am on testosterone therapy so my balls have shrunk which is normal - they werent working anyway. So with that in mind - the Tenacio full pump device is huge compared to my testicles, so I am looking forward to the smaller size of the Classic pump.

Lastly - the double valve system is not a feature but a reason not to get the Tenacio. All they did is add one more point of failure to the system. They should have kept it a single valve system and fix the single valve issues not add second faulty valve.

All of these features sound great on paper and shame on me for buying the hype. IRL - those features are more like liabilities IMO.

If I were you knowing what I know now - go with the MS pump or go coloplast with the classic pump. I just dont think the Tenacio offers advantages at this point

Thanks so much for the insightful response. One more quick question. If at 97.5% before the pressure release valve engages, if your penis size was what you wanted or more would you, and just as importantly your wife, be happy with the Tenacio and the rigidity that 97.5% offers? Any other Tenacio implantees that have any insight into this question, your insight would be much appreciated. Thanks so much for indulging me as I cautiously make the plunge into the bionic world!

[TruthEdge]

I have a couple of quick questions. At what inflation percentage does the Tenacio pressure relief valve engage? Is it 75%, 85%, 90%, or another value? Additionally, at the percentage where the pressure valve doesn’t engage, is the device firm enough to allow for satisfactory PIV (penile-vaginal) intercourse? I understand that 100% inflation is ideal, but can it become and remain sufficiently firm for sexual activity?

I’m asking because I am scheduled to have the CX and Tenacio implanted by Dr. Hakky next month. Lastly, despite any concerns about the pressure relief valve, are there any positive features of the Tenacio pump that you can share?

So I was explaining when mine was engaging the pressure relief valve that is malfunctioning or releasing prematurely. Its probably supposed to release at a set pressure that is only known by AMS, and mine is releasing before that pressure. The frustrating part is how are you supposed to properly cycle the device for length/girth recovery if this pressure relief valve is kicking in?

The first time I notice an issue was during sex with my wife. It was slightly softer then when we had started. I blew it off thinking we really cycle the device and I had stretched some. Now I know the device was releasing the valve because it thought it was too much pressure.

For my Tenacio think of it like this. If 100% pump was my max that I could endure for 30 minutes of cycling in discomfort, then the release valve is now engaging at about 95-97% of that. So it is still a good erection but with the girth being even small and not as hard as desired for me and my wife it is causing issues. The real problem is that 95-97% mark is where it starts. Once that pressure relief valve engages then it is like a very slow leak. So right now it is a race for me and my wife once I pump up right before penetration. By the time we finish I would say it is about 92-95%. This is in about 20-30 minutes by the way and once that valve is popped it is over and you cannot pump back up until you hit the deflate button. Sometimes I can do a quick hit of the deflate button and then start pumping the bulb quickly and get it back up to the 97% range, but that is rare.

So yes we can still have sex and yes it is better than before with ED, but there is something wrong with the Tenacio I have. Not to mention, I am stuck now with what I have at moment for length and girth. I am not going to gain anymore because the device will not let me. I still pump up every day and try to cycle to keep what I got, but within 10-15 minutes it is pointless so I hit the deflate valve and call it a day. Im having to avoid the Perito exercise because that just squeeze the release valve open - I need the device to stay at the desired pump in order for the Perito exercises to have an effect.

As for positives for the Tenacio, I may not be a good person to ask. This is my first IPP. Just my opinion but all the so-called features added to the Tenacio are over-rated in real life.

They put larger few finger ridges on the bulb which is great in theory, but those same ridges pinch and rub the inside of your scrotum and make it pretty painful at times if I am not careful. I have to make sure the skin of my scrotum is not stretched against the bulb while pumping which is difficult to do. To me I would rather deal with one of the other models and just support it again my other hands fingers to not slip. I have to do that anyway with the Tenacio so not sure there is a real advantage to the bigger ridges.

The other so-called feature of the larger taller deflate button does more harm than good - again in my opinion. Because it is taller and bigger it is really easy to hit it while pumping the bulb! The skin of my Scrotum will stretch again the deflate button so hard if I let it that it will engage the deflate button as I am pumping. Again, I would prefer a smaller deflate button of the other models.

I am on testosterone therapy so my balls have shrunk which is normal - they werent working anyway. So with that in mind - the Tenacio full pump device is huge compared to my testicles, so I am looking forward to the smaller size of the Classic pump.

Lastly - the double valve system is not a feature but a reason not to get the Tenacio. All they did is add one more point of failure to the system. They should have kept it a single valve system and fix the single valve issues not add second faulty valve.

All of these features sound great on paper and shame on me for buying the hype. IRL - those features are more like liabilities IMO.

If I were you knowing what I know now - go with the MS pump or go coloplast with the classic pump. I just dont think the Tenacio offers advantages at this point

Thanks so much for the insightful response. One more quick question. If at 97.5% before the pressure release valve engages, if your penis size was what you wanted or more would you, and just as importantly your wife, be happy with the Tenacio and the rigidity that 97.5% offers? Any other Tenacio implantees that have any insight into this question, your insight would be much appreciated. Thanks so much for indulging me as I cautiously make the plunge into the bionic world!

At this point - no we would not be happy. It may start at 98% but it will not stay there. I cant pump up until right before penetration and then we have to race to finish before it goes down to a level that she cant feel me due to losing an inch of girth I had hoped to gain back by cycling. But now cycling is screwed up due to the valve malfunction. Also, it has progressively gotten worse over time once it started having issues.

My advice is to run away from the Tenacio until it has been in the market longer. The pros over the previous MS pump just aren't pros in real life.
I would either request the MS Pump or request the coloplast with classic - stay away from Tenacio

Does that help?

[Dondada]

So I was explaining when mine was engaging the pressure relief valve that is malfunctioning or releasing prematurely. Its probably supposed to release at a set pressure that is only known by AMS, and mine is releasing before that pressure. The frustrating part is how are you supposed to properly cycle the device for length/girth recovery if this pressure relief valve is kicking in?

The first time I notice an issue was during sex with my wife. It was slightly softer then when we had started. I blew it off thinking we really cycle the device and I had stretched some. Now I know the device was releasing the valve because it thought it was too much pressure.

For my Tenacio think of it like this. If 100% pump was my max that I could endure for 30 minutes of cycling in discomfort, then the release valve is now engaging at about 95-97% of that. So it is still a good erection but with the girth being even small and not as hard as desired for me and my wife it is causing issues. The real problem is that 95-97% mark is where it starts. Once that pressure relief valve engages then it is like a very slow leak. So right now it is a race for me and my wife once I pump up right before penetration. By the time we finish I would say it is about 92-95%. This is in about 20-30 minutes by the way and once that valve is popped it is over and you cannot pump back up until you hit the deflate button. Sometimes I can do a quick hit of the deflate button and then start pumping the bulb quickly and get it back up to the 97% range, but that is rare.

So yes we can still have sex and yes it is better than before with ED, but there is something wrong with the Tenacio I have. Not to mention, I am stuck now with what I have at moment for length and girth. I am not going to gain anymore because the device will not let me. I still pump up every day and try to cycle to keep what I got, but within 10-15 minutes it is pointless so I hit the deflate valve and call it a day. Im having to avoid the Perito exercise because that just squeeze the release valve open - I need the device to stay at the desired pump in order for the Perito exercises to have an effect.

As for positives for the Tenacio, I may not be a good person to ask. This is my first IPP. Just my opinion but all the so-called features added to the Tenacio are over-rated in real life.

They put larger few finger ridges on the bulb which is great in theory, but those same ridges pinch and rub the inside of your scrotum and make it pretty painful at times if I am not careful. I have to make sure the skin of my scrotum is not stretched against the bulb while pumping which is difficult to do. To me I would rather deal with one of the other models and just support it again my other hands fingers to not slip. I have to do that anyway with the Tenacio so not sure there is a real advantage to the bigger ridges.

The other so-called feature of the larger taller deflate button does more harm than good - again in my opinion. Because it is taller and bigger it is really easy to hit it while pumping the bulb! The skin of my Scrotum will stretch again the deflate button so hard if I let it that it will engage the deflate button as I am pumping. Again, I would prefer a smaller deflate button of the other models.

I am on testosterone therapy so my balls have shrunk which is normal - they werent working anyway. So with that in mind - the Tenacio full pump device is huge compared to my testicles, so I am looking forward to the smaller size of the Classic pump.

Lastly - the double valve system is not a feature but a reason not to get the Tenacio. All they did is add one more point of failure to the system. They should have kept it a single valve system and fix the single valve issues not add second faulty valve.

All of these features sound great on paper and shame on me for buying the hype. IRL - those features are more like liabilities IMO.

If I were you knowing what I know now - go with the MS pump or go coloplast with the classic pump. I just dont think the Tenacio offers advantages at this point

Thanks so much for the insightful response. One more quick question. If at 97.5% before the pressure release valve engages, if your penis size was what you wanted or more would you, and just as importantly your wife, be happy with the Tenacio and the rigidity that 97.5% offers? Any other Tenacio implantees that have any insight into this question, your insight would be much appreciated. Thanks so much for indulging me as I cautiously make the plunge into the bionic world!

At this point - no we would not be happy. It may start at 98% but it will not stay there. I cant pump up until right before penetration and then we have to race to finish before it goes down to a level that she cant feel me due to losing an inch of girth I had hoped to gain back by cycling. But now cycling is screwed up due to the valve malfunction. Also, it has progressively gotten worse over time once it started having issues.

My advice is to run away from the Tenacio until it has been in the market longer. The pros over the previous MS pump just aren't pros in real life.
I would either request the MS Pump or request the coloplast with classic - stay away from Tenacio

Does that help?

Yes that does help....thanks much! A quick follow up, if you do not mind.
When the problem 1st started, could you pump to say 95%, before the pressure relief valve opened, and it would stay inflated? If "yes" was that percent sufficient for intercourse?

And lastly, my take away is that if 95% was in the early days and right now that 95% is down to like 70% before the pressure relief valve engages. Is my understanding correct? Like I said earlier, I am scheduled to get the Tenacio next month with Dr Hakky and just hoping for as much info as I can get. Thanks in advance for the additional insight.

[wilsonmill]

Sorry to hear that your pump malfunction, I had a revision this year and wanted the tenacio pump because it looked like a good piece of engineering. I hope it is easily resolved, there are quite a few tenacio pumps implanted, I have followed them in both LinkedIn and X, yours is the first I have read about that is malfunctioning.

Here is a link on the pump
https://t.co/TVOeLtQ6gO

[TruthEdge]

Thanks so much for the insightful response. One more quick question. If at 97.5% before the pressure release valve engages, if your penis size was what you wanted or more would you, and just as importantly your wife, be happy with the Tenacio and the rigidity that 97.5% offers? Any other Tenacio implantees that have any insight into this question, your insight would be much appreciated. Thanks so much for indulging me as I cautiously make the plunge into the bionic world!

At this point - no we would not be happy. It may start at 98% but it will not stay there. I cant pump up until right before penetration and then we have to race to finish before it goes down to a level that she cant feel me due to losing an inch of girth I had hoped to gain back by cycling. But now cycling is screwed up due to the valve malfunction. Also, it has progressively gotten worse over time once it started having issues.

My advice is to run away from the Tenacio until it has been in the market longer. The pros over the previous MS pump just aren't pros in real life.
I would either request the MS Pump or request the coloplast with classic - stay away from Tenacio

Does that help?

Yes that does help....thanks much! A quick follow up, if you do not mind.
When the problem 1st started, could you pump to say 95%, before the pressure relief valve opened, and it would stay inflated? If "yes" was that percent sufficient for intercourse?

And lastly, my take away is that if 95% was in the early days and right now that 95% is down to like 70% before the pressure relief valve engages. Is my understanding correct? Like I said earlier, I am scheduled to get the Tenacio next month with Dr Hakky and just hoping for as much info as I can get. Thanks in advance for the additional insight.

Just because I am able to penetrate my wife with a malfunctioning pump whether at any percentage - doesn't mean it is sufficient for intercourse. Doesnt matter when the malfunction started. My ED was sufficient for intercourse but that doesnt mean it was fun for both parties. Same goes here. It is better than my ED, but that doesn't mean it is acceptable.

Why are you so insistent on going through with the Tenacio if you are asking these type questions about a device that is malfunctioning? I have said repeatedly to stay away from Tenacio at this point in time. Its not worth the gamble or the claimed benefits that are just like click bait in real life. Go with the MS pump. You have more than enough time to change.

[TruthEdge]

Sorry to hear that your pump malfunction, I had a revision this year and wanted the tenacio pump because it looked like a good piece of engineering. I hope it is easily resolved, there are quite a few tenacio pumps implanted, I have followed them in both LinkedIn and X, yours is the first I have read about that is malfunctioning.

Here is a link on the pump
https://t.co/TVOeLtQ6gO

Thanks. The rate of failure at this point would be too soon to know as AMS stated to me on phone or what would be the general issue that would occur in the failures. We prob won't know that for at least a full year maybe even two years from June of 2024 when they got cleared officially for the top 10-15 AMS approved surgeons. Hopefully for everyone, I am in a very small percentage.

[wilsonmill]

Sorry to hear that your pump malfunction, I had a revision this year and wanted the tenacio pump because it looked like a good piece of engineering. I hope it is easily resolved, there are quite a few tenacio pumps implanted, I have followed them in both LinkedIn and X, yours is the first I have read about that is malfunctioning.

Here is a link on the pump
https://t.co/TVOeLtQ6gO

Thanks. The rate of failure at this point would be too soon to know as AMS stated to me on phone or what would be the general issue that would occur in the failures. We prob won't know that for at least a full year maybe even two years from June of 2024 when they got cleared officially for the top 10-15 AMS approved surgeons. Hopefully for everyone, I am in a very small percentage.

There should be data as it was used and approved in Europe before the USA, like Rigicon. Hope it is a one off but feel for the patients if it should fail, hope my revision (AMS) with the MS pump lasts at least 10yrs.

[Thisworld]

So are you suggesting it was the Perito exercise to damage the pressure release valve? I can't see the connection here

[sambalamba]

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 length. Before sowing me up he pumped me up with IPP and compared the visual to saline injected penis.

Was away and didn't get a chance to respond earlier. Here are answers to your questions:

* How recent was it that he said absolutely go with Coloplast/Classic pump? On 12/12/24. Interestingly he had told me before to go with CX and I was surprised that he suddenly changed his recommendation so emphatically.

* Are you around 6 inch length or longer? I'm bone pressed 6.25 inches length all the way to the tip. Around 5" girth around the base and 4.5 inches in the mid shaft.

* 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.

I have consulted with Eid/Clavell/Hakky multiple times over email and all of them were very prompt with their responses and also spent significant amount of time with me when I visited their office. This was not the case with Dr. Morey. The big three have their own practices instead of being part of a large network and this is probably why they can dictate how long they want to spend time with their patient instead of being pushed around by the practice manager,

[Rider1400]

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

I actually gained about a 1/4” at base, now 6-3/4 at base 6-1/2 mid. Both up a 1/4 from prior to implant when I was using a VED! Took almost a year to get there but I got all my length back and the girth is AWSOME!

That's awesome, Rider1400! But I think he's asking about potential girth loss with malleables.

Yep, realized that after I posted