9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

The final frontier. Deciding when, if and how.



LGXDownunder
Posts: 176
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby LGXDownunder » Fri May 02, 2025 12:15 pm

TravisHollister wrote:I'm sorry but I don't recall what a RTE is.

TravisHollister wrote:Is it unusual to have one cylinder longer than the other? I do and it pushes into the head and gives it a tilt to the left.

TravisHollister wrote:The final big issue I had was on reinflation (auto inflation).

Hi Travis,
RTE = Rear Tip Extender. My understanding is they're used to attain the correct length for your anatomy when a standard cylinder isn't a good fit it on its own. I didn't need them but they are very commonly used, as everyone is different. Did you receive a surgical report from Boston Scientific? That will show the length of your LGX cylinders, any RTEs used and their length, along with other stats of your procedure. My cylinders also seem slightly uneven but not enough to bother me. I also have a slight lean/bend to the right which may have some influence. I have the older style MS pump but also find that my dick remains somewhat firm when fully deflated. I actually don't mind it though. I can't say that I've experienced any significant auto inflation but sometimes seem to be slightly erect in the morning - no real answer but my thinking is that mine could be slight pressure on the pump bulb depending on sleeping position.
70 y.o. married from Sydney Oz. PC and nerve sparing RRP 2022, but still profound ED since. Tried pills, injections, shockwave therapy, VED. Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Now dealing with recovery.

User avatar
TravisHollister
Posts: 18
Joined: Sun Feb 03, 2019 1:54 am
Location: Sacramento, California

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby TravisHollister » Sat May 03, 2025 1:38 am

Thanks for your response!

I have another problem and it's bigger than the other issues. The TENACIO pump broke while I was having sex tonight. The cylinders deflated and can't get them to inflate again. When I squeeze the pump I can feel the fluid leave the bulb but as soon as I release the bulb, it rushes back in. I do have a partial erection from the fluid balancing out with the reservoir. I can literally deflate it fully by squeezing my penis until its flat without even touching the deflate button.

Damn it. I hope they'll replace it without asking me to pay for the fix.

To answer your questions about the RTE, yes they did insert one. The prothesis measurements are 12mm x 18cm. The RTE is 1cm.


LGXDownunder wrote:
TravisHollister wrote:I'm sorry but I don't recall what a RTE is.

TravisHollister wrote:Is it unusual to have one cylinder longer than the other? I do and it pushes into the head and gives it a tilt to the left.

TravisHollister wrote:The final big issue I had was on reinflation (auto inflation).

Hi Travis,
RTE = Rear Tip Extender. My understanding is they're used to attain the correct length for your anatomy when a standard cylinder isn't a good fit it on its own. I didn't need them but they are very commonly used, as everyone is different. Did you receive a surgical report from Boston Scientific? That will show the length of your LGX cylinders, any RTEs used and their length, along with other stats of your procedure. My cylinders also seem slightly uneven but not enough to bother me. I also have a slight lean/bend to the right which may have some influence. I have the older style MS pump but also find that my dick remains somewhat firm when fully deflated. I actually don't mind it though. I can't say that I've experienced any significant auto inflation but sometimes seem to be slightly erect in the morning - no real answer but my thinking is that mine could be slight pressure on the pump bulb depending on sleeping position.
Travis Hollister (a pseudonym)
Age 66, Implanted 2/20/25 by Dr Kadee Thompson
Sutter Healthcare System in Sacramento
AMS 700 LGX™, TENACIO™ Pump
12mm x 18cm
1 RTE - 1cm

User avatar
TravisHollister
Posts: 18
Joined: Sun Feb 03, 2019 1:54 am
Location: Sacramento, California

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby TravisHollister » Sat May 03, 2025 1:42 am

Thanks Dave!

I really appreciate the level of detail you provided. It helps me put things into perspective for me.


DaveIsStillAlive wrote:Titan Inflatable here. I'm 7 months post-op from the implant and 3 months post-revision. My cylinders are mismatched when deflated but in good even form when fully inflated. When I went in for revision, it was to free up the pump in my scrotum; it had originally healed fused to my testicle with scar tissue, so squeezing the bulb or release valve meant uncomfortable pressure on the testicle. The revision freed it up. As a side note, I can feel what seems to be a coil of tubing in the sack now; weird but I can live with it.
To the point of uneven tubes in the deflated state, my right tube has a bulbous nodule near the glans, and the left has a similar nodule near the base, it's almost like I have two left tubes installed, with the right side flipped end to end, instead of a left and right mirror pair. The result is a funky looking flaccid dick that is swollen on one side and curves the gland to the left. When I asked my surgeon about it prior to the revision he said he'd look into it. But post-op, he hadn't touched the tubes and when I asked, his response was, oh well, live with it. I get it, replacing the tubes is the most damaging and risky part of the procedure, but I feel like he doesn't want to own up to botching the install. The bulbous nodules are uncomfortable when deflated, so I tend to leave myself pumped up to about 30% most of the time.
I will say, when inflated, the bulbous nodes aren't distinguishable in either tube and there's no discomfort. And while I am maybe an inch shorter than my youthful length, I'm still long enough and the girth is as good as new. More importantly, my lover is very satisfied and sex now is carefree.
Travis Hollister (a pseudonym)
Age 66, Implanted 2/20/25 by Dr Kadee Thompson
Sutter Healthcare System in Sacramento
AMS 700 LGX™, TENACIO™ Pump
12mm x 18cm
1 RTE - 1cm

User avatar
Kodixx
Posts: 249
Joined: Wed Jan 08, 2025 5:32 pm

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby Kodixx » Sat May 03, 2025 2:59 pm

Travis, really really sorry to hear that :( Will be anxious to hear how it goes. Makes me concerned about mine per the posts we exchanged above.

- Chuck
TravisHollister wrote:The TENACIO pump broke while I was having sex tonight. The cylinders deflated and can't get them to inflate again.
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", post-op @ 3 mos L: 6.75" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, only minor discomfort @ 10 wks, felt like 'new normal' @ ? mos

Nico_from_belgium
Posts: 107
Joined: Wed Apr 09, 2025 4:09 pm

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby Nico_from_belgium » Sat May 03, 2025 5:23 pm

TravisHollister wrote:Thanks for your response!

I have another problem and it's bigger than the other issues. The TENACIO pump broke while I was having sex tonight. The cylinders deflated and can't get them to inflate again. When I squeeze the pump I can feel the fluid leave the bulb but as soon as I release the bulb, it rushes back in. I do have a partial erection from the fluid balancing out with the reservoir. I can literally deflate it fully by squeezing my penis until its flat without even touching the deflate button.

Damn it. I hope they'll replace it without asking me to pay for the fix.

To answer your questions about the RTE, yes they did insert one. The prothesis measurements are 12mm x 18cm. The RTE is 1cm.


LGXDownunder wrote:
TravisHollister wrote:I'm sorry but I don't recall what a RTE is.

TravisHollister wrote:Is it unusual to have one cylinder longer than the other? I do and it pushes into the head and gives it a tilt to the left.

TravisHollister wrote:The final big issue I had was on reinflation (auto inflation).

Hi Travis,
RTE = Rear Tip Extender. My understanding is they're used to attain the correct length for your anatomy when a standard cylinder isn't a good fit it on its own. I didn't need them but they are very commonly used, as everyone is different. Did you receive a surgical report from Boston Scientific? That will show the length of your LGX cylinders, any RTEs used and their length, along with other stats of your procedure. My cylinders also seem slightly uneven but not enough to bother me. I also have a slight lean/bend to the right which may have some influence. I have the older style MS pump but also find that my dick remains somewhat firm when fully deflated. I actually don't mind it though. I can't say that I've experienced any significant auto inflation but sometimes seem to be slightly erect in the morning - no real answer but my thinking is that mine could be slight pressure on the pump bulb depending on sleeping position.


Really bad Lucky but should be easy to change in my advice , maybe that the tubes were wrongly attached?
46 yo, ED since 3 years, tried pills. Venous leakage. Implanted 30/04/25 Pr. Andrianne CHU Liège coloplast titan OTR 20 cm +2 cm rte.
Initial measures ( ved 17.5 cm length, +-16 cm length +- 16 cm girth, 12cm partially inflated)

User avatar
TravisHollister
Posts: 18
Joined: Sun Feb 03, 2019 1:54 am
Location: Sacramento, California

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby TravisHollister » Sun May 04, 2025 2:46 pm

Well I feel silly now...

After telling you all that my pump broke, it isn't broken afterall. Since posting that notice I discovered I can reset the pump.

I remember reading a post a long while ago where someone said they could reset their pump by squeezing the deflate button. I gave it a try but had to press harder than usual and then I heard a click. That seemed to do it. The pump is working again. That explains the pop and click I heard that I mentioned to my Dr during my 6-week follow up. She dismissed that comment and told me not to focus on minutia.

Damn, why didn't they tell me about this in my 2 week follow-up when the nurse showed me how to inflate/deflate, and why didn't the Dr explain what that sound was when I told her about it.

Pisses me off. Had me panicked for a few minutes.

After everyone's input I feel a lot more comfortable with my surgery and feel everything is and will be OK.

Thanks to all!



Nico_from_belgium wrote:
TravisHollister wrote:Thanks for your response!

I have another problem and it's bigger than the other issues. The TENACIO pump broke while I was having sex tonight. The cylinders deflated and can't get them to inflate again. When I squeeze the pump I can feel the fluid leave the bulb but as soon as I release the bulb, it rushes back in. I do have a partial erection from the fluid balancing out with the reservoir. I can literally deflate it fully by squeezing my penis until its flat without even touching the deflate button.

Damn it. I hope they'll replace it without asking me to pay for the fix.

To answer your questions about the RTE, yes they did insert one. The prothesis measurements are 12mm x 18cm. The RTE is 1cm.


LGXDownunder wrote:

Hi Travis,
RTE = Rear Tip Extender. My understanding is they're used to attain the correct length for your anatomy when a standard cylinder isn't a good fit it on its own. I didn't need them but they are very commonly used, as everyone is different. Did you receive a surgical report from Boston Scientific? That will show the length of your LGX cylinders, any RTEs used and their length, along with other stats of your procedure. My cylinders also seem slightly uneven but not enough to bother me. I also have a slight lean/bend to the right which may have some influence. I have the older style MS pump but also find that my dick remains somewhat firm when fully deflated. I actually don't mind it though. I can't say that I've experienced any significant auto inflation but sometimes seem to be slightly erect in the morning - no real answer but my thinking is that mine could be slight pressure on the pump bulb depending on sleeping position.


Really bad Lucky but should be easy to change in my advice , maybe that the tubes were wrongly attached?
Travis Hollister (a pseudonym)
Age 66, Implanted 2/20/25 by Dr Kadee Thompson
Sutter Healthcare System in Sacramento
AMS 700 LGX™, TENACIO™ Pump
12mm x 18cm
1 RTE - 1cm

User avatar
Kodixx
Posts: 249
Joined: Wed Jan 08, 2025 5:32 pm

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby Kodixx » Sun May 04, 2025 3:12 pm

Travis, that's great news ! That must be the click I usually hear/feel, and it's good to confirm it's an indication the pump is doing what's expected.

- Chuck
TravisHollister wrote:Well I feel silly now... After telling you all that my pump broke, it isn't broken afterall. Since posting that notice I discovered I can reset the pump.
Feb 2025 - 58 yo, 38 with greatest wife ever
AMS CX, Tenacio, Dr Broghammer (excellent) - pre-op L:7", post-op @ 3 mos L: 6.75" G: 5.5"
2 wks pain, cycling-sex-lifting @ 7 wks, only minor discomfort @ 10 wks, felt like 'new normal' @ ? mos

LGXDownunder
Posts: 176
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby LGXDownunder » Sun May 04, 2025 7:32 pm

TravisHollister wrote:[color=#4000FF]Well I feel silly now...

After telling you all that my pump broke, it isn't broken afterall. Since posting that notice I discovered I can reset the pump.

I remember reading a post a long while ago where someone said they could reset their pump by squeezing the deflate button. I gave it a try but had to press harder than usual and then I heard a click. That seemed to do it. The pump is working again. That explains the pop and click I heard that I mentioned to my Dr during my 6-week follow up. She dismissed that comment and told me not to focus on minutia.

Damn, why didn't they tell me about this in my 2 week follow-up when the nurse showed me how to inflate/deflate, and why didn't the Dr explain what that sound was when I told her about it.

Pisses me off. Had me panicked for a few minutes.

After everyone's input I feel a lot more comfortable with my surgery and feel everything is and will be OK.

Thanks to all!

I love a good news story, it's great that you are back on track Travis!
I believe that most devices are very stiff to operate initially, until broken in through regular cycling and use.
My pump is still a bit like that but seems to be slowly loosening up.
Did anyone give you a little booklet/user guide for the implant and the Tenacio pump?
I got one for my LGX/MS pump and I noticed it has a section titled "What do I do if the cylinders are difficult to inflate, or if they won't inflate".
It explains how to reset things with that device. I assumed that something similar would be provided for the newer Tenacio pump?
Also lists Mens Health patient liaison at 1-800-328-3881, option 2 for further device information.
Might be another option if you aren't getting answers from your doctor.
70 y.o. married from Sydney Oz. PC and nerve sparing RRP 2022, but still profound ED since. Tried pills, injections, shockwave therapy, VED. Finally implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal.
Now dealing with recovery.

Nico_from_belgium
Posts: 107
Joined: Wed Apr 09, 2025 4:09 pm

Re: 9 weeks Post Op -- Mismatched Cylinder Lengths and other Issues

Postby Nico_from_belgium » Sun May 04, 2025 8:38 pm

TravisHollister wrote:Well I feel silly now...

After telling you all that my pump broke, it isn't broken afterall. Since posting that notice I discovered I can reset the pump.

I remember reading a post a long while ago where someone said they could reset their pump by squeezing the deflate button. I gave it a try but had to press harder than usual and then I heard a click. That seemed to do it. The pump is working again. That explains the pop and click I heard that I mentioned to my Dr during my 6-week follow up. She dismissed that comment and told me not to focus on minutia.

Damn, why didn't they tell me about this in my 2 week follow-up when the nurse showed me how to inflate/deflate, and why didn't the Dr explain what that sound was when I told her about it.

Pisses me off. Had me panicked for a few minutes.

After everyone's input I feel a lot more comfortable with my surgery and feel everything is and will be OK.

Thanks to all!



Nico_from_belgium wrote:
TravisHollister wrote:Thanks for your response!

I have another problem and it's bigger than the other issues. The TENACIO pump broke while I was having sex tonight. The cylinders deflated and can't get them to inflate again. When I squeeze the pump I can feel the fluid leave the bulb but as soon as I release the bulb, it rushes back in. I do have a partial erection from the fluid balancing out with the reservoir. I can literally deflate it fully by squeezing my penis until its flat without even touching the deflate button.

Damn it. I hope they'll replace it without asking me to pay for the fix.

To answer your questions about the RTE, yes they did insert one. The prothesis measurements are 12mm x 18cm. The RTE is 1cm.




Really bad Lucky but should be easy to change in my advice , maybe that the tubes were wrongly attached?


Don't worry and enjoy. I didn't knew a reset was possible.
46 yo, ED since 3 years, tried pills. Venous leakage. Implanted 30/04/25 Pr. Andrianne CHU Liège coloplast titan OTR 20 cm +2 cm rte.
Initial measures ( ved 17.5 cm length, +-16 cm length +- 16 cm girth, 12cm partially inflated)


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