New implant thread, or at least I hope

The final frontier. Deciding when, if and how.
alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Tue Jan 12, 2016 1:01 pm

Still pumping dick and plan to an hour before surgery check in. Waiting on wife to get hair and face done so we can leave to check the sample implant. Hair and face are a major project as you know. I've never been anywhere that my health issues have been a "non-concern". Most docs freak out and are afraid to deal with them. Eid is one other that contacted me and said they would be "non issues, he knows how to handle it". same words Milam used. Concierge here at the hotel told me they have been getting a lot of Mayo patients coming here for re-do's. I still scrubbed the hotel room down with alcohol and cleaned bathroom area with bleach. Taking no chances since Milam says risk of infection is about 30 fold for me. I intend to show him infection is a "non issue". Going to request no dissolving stitches since I've had pustules form around that type in the past. I can take out stitches. Surely Milam will be flexible on 1 issue. d
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

moetheman
Posts: 167
Joined: Tue Dec 01, 2015 4:56 pm

Re: New implant thread, or at least I hope

Postby moetheman » Tue Jan 12, 2016 2:08 pm

Good luck alibaba! I wish you all the best and will be following your journal.
Developed ED at 32.
11/20/15 implanted with a botched Titan Coloplast 18cm + 3cm by urologynow.co.uk
03/23/16 Revision by Dr Eid - implanted a Titan Coloplast 24cm
04/08/16 Started cycling the implant

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Tue Jan 12, 2016 6:30 pm

Update. New surgery time again. Went to the Vanderbilt Clinic and looked at and tried a sample AMS implant. Had air in it rather than saline and clearly looked like it was worn out well used but I was impressed how soft and pliable it was, even the ends where the tips go, hoses , pump and reservoir. I was shocked how little the implant sample was. I certainly hope there are bigger ones. I mean that thing is little. When I deflated it, it went completely to flat and flopped over nicely just hitting the little button in the middle. Very very soft and flexible. Wife asked if it was so soft because it was worn out. They also had a Titan display and that set was much much larger. Still do not think I like the idea of a tennis ball shape and size reservoir instead of the conceal one. I also did not like the Titan reservoir's 4 pleats. Had pleats like a deflated rubber beach ball. I showed my wife where the tip extenders go and Maryann, Dr. Milam's clinical nurse said there are no tip extenders and never are. I tried to explain the tip extenders to her and she continued to tell me I had no idea what I was talking about, then she got out a kit still in the package and I showed her the tips. Still says there are no tips even though I showed her the groove they snap into and the difference between the packaged sample and the play with it sample. Whatever lady. Moved on to pre surgery prep questions. She told me that I have been sent a complete packet in the mail twice and she has gone over it with me in the office at the end of November and again Dec. 29th. Has her notes in the computer. I was here October 7th 2015 and never talked to anyone but Milam as everyone else had gone home, never been here in Nov. and I called her from home Dec 29th and she returned my call requesting to look at a sample pre surgery to say I could come by and look at the sample on today's date. I swear she is the same one that kept telling us on the phone in 2014 and 2015 the Dr. Milam does not do implants. Phyllis sat beside her and told her I had only received 1 sheet of paper, not the entire packet as she was the one who sent it and the 1 sheet only had surgery date changes. Wife DOES NOT like her after this. SERIOUSLY CONSIDERING CANCELLING THE SURGERY IF THIS IS THE WAY THEY ACT. Says the woman is a B****. Phyllis seemed distressed at her attitude and walked us out thanking me for the flowers I sent her. Surgery has changed for the 4th time. Now instead of 2:00 pm, it is the first surgery of the day. I have to get there early for a 6:00 a.m. start tomorrow ( wed). Waited over an hour for our cab. No show. Called another, another 40 minute wait, no show, then called a 3rd taxi and he was there in 16 minutes. My first taxi ride ever. I always rented an auto. Killing a few minutes in hotel, then off to dinner. Maryann says no food or drink for 12 hours no-longer applies, I can eat till midnight. No prep or antibacterial scrubs needed before surgery.Bring my own meds to the hospital to take after surgery but they will not let me take them if they are in pill boxes, not pharmacy bottles. Guess wife will sneak them in purse. they are in pill boxes. I am not carrying 30 days of 22 bottles with me and sitting in a room opening each bottle for 1 pill 2 times a day. I don't even travel that way for fear if they get lost of losing $8,000 worth of 1 month's meds. Rec'd a sheet that says I have to wear a scrotal supporter for 3 days, only walk to eat meals or go to the bathroom for 7 days, no long walks for 14 days and some people will require up to 4 weeks before they are able to tollerate long walks. No lifting weights or gym excercise for 6 weeks. Implant will not be activated for 6 weeks and has to remain straight and upright for all 6 weeks.Instructions say do not let the penis lean to the left or right at angles and it must be kept against the abdomen at all times. Walked 5 blocks to Riteaid pharmacy for new hearing aid batteries, My battery was only 1 day old but would die as soon as I went out in the cold, then walked to lunch , between clinic and hospital, then standing for 2 hours for a taxi and we are worn out from the cold. Plan on pumping again after supper, again before early bed and again in the morning before taxi time. I swear, if it would help, I'd tie a rope to it and toss a concrete block out the window. That is all for now. Likely no post tomorrow. I doubt my wife will lug the computer to the hospital though she has past surgeries, so it may be Friday before y'all hear from me. We'll see.
Thanks for the well wishes. Even received a Hallmark ecard. wow. d
Last edited by alibaba on Tue Feb 09, 2016 1:31 am, edited 2 times in total.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Tue Jan 12, 2016 6:43 pm

forgot to include, showers after 2nd day home, no tub baths for 3 weeks. Avoid standing for 5 days. Required return visit at 2 weeks, 6 weeks and 12 weeks.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: New implant thread, or at least I hope

Postby merrix » Tue Jan 12, 2016 6:54 pm

I can only say one thing, except the standard 'good luck':
I am pretty sure that you and your wife are doing all possible to make sure that your chances of succes are maximized.
And that's about all one can do. After that it is in the hands of god, faith, luck, or whatever one believes in.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Tue Jan 12, 2016 6:59 pm

the post script post script. I forgot to mention that I was surprised the release button on the pump was only the size of the button on a ballpoint pen. I expected something maybe 1/4". It only travels, I would guess 1/16th to 1/8th inch from out to deflate. Another of those things I would have measured with a micrometer in my compulsive manner had I been home. I can certainly see how people have trouble finding it and it is only on 1 side. I'd think it would be near impossible to find with a swollen scrotum or shrunk up from cold. I asked about the cold as my wife likes a cold house. I was told to heat it up with a hot pad or hot shower if I want to use it....... d
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: New implant thread, or at least I hope

Postby merrix » Tue Jan 12, 2016 8:30 pm

Alibaba: That's an absolute non-issue. You don't pinpoint the tiny little button. You press the whole surface. And it doesn't matter which side it is on since you need to hold a finger on the opposite side as well. So you put a thumb on one side and the index finger on the other (opposite) side and squeeze. Hard.
Meaning you don't even need to know if the release valve button is on the thumb side or the index finger side.
Pressing on one side only (where the valve is) would 't work since there wouldn't be firm enough force from the other side.
Also, you need two fingers at least to keep it stable.
I actually put the thumb on one surface, the finger next to my index finger on the opposite side, and the index finger on the surface 90 degrees from the other two just to stabilize the whole pump.
Considering the force that needs to be applied, and considering the sensitivity of the pump's neighbors, I do not want to slip...
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Tue Jan 12, 2016 10:20 pm

It may be the worn out unit, but I was surprised how LITTLE effort it took to press the deflate valve. The pump on the unit I tried is described below and in a lower location than the valve on the AMS web site here: https://americanmedicalsystems.com/en/p ... plant.html Could be the unit I tried is a very old unit. who knows. I only saw the package unit long enough to point to the tip extenders and tell her you can see the tip extenders here and the difference w/o on your sample. I never saw the pump on that one. The valve on the sample is just a tiny spot of a thing in between the pump and the block on top and you clearly have to know where it is to find it. Luckily I have it imprinted in my mind now. If it is like the valve on the web site, then it will be much easier to find. If Maryann had not been so hostile, I would have spent more time examining it in detail as I am inclined to do. Since the block is translucent, you could see at a glance the internal mechanism and I would have loved to study it. I assume it is similar to a simple schrader valve but spring loaded. Truthfully, I just wanted to get out of there before I told her her behavior was in appropriate, she was making her co-worker uncomfortable and embarrased and she needs training on the product if she is going to be presenting them. Clearly I can see an old person having hell learning to use this if someone like her trains them. I have no idea how she does that without solid understanding if she does train. She just handed it to me with a 'here it is". The block is a rectangle. The valve is in the center on one side recessed under the long side right against the bottom rectangle block and above the bulb. There are deep, much deeper than I expected, ribs on the bulb so you can grasp it and keep it from shooting to the netherlands. They remind you of the cooling fins on an air cooled cylinder and again, they were softer than I expected to the touch. I was concerned the boys were going to have hard unfriendly company but now I think that will be less of an issue. The ribbed bulb is firm and the ribs did not fold but still much softer than I thought they would be. I played with it just long enough to pump it up 2 times. One time to see that it worked, then pressed the release to watch it droop, then pumped one time just enough to see a slight swelling in girth and then deflated it squeezing the tubes in my hand. Probably 75 seconds each of 2 attempts. I did experience the first time the bulb collapsing and pressed the release valve again and then it pumped. My first impression when the bulb collapsed and did not refill is this thing is not going to work so I won't learn much. Easy to understand the same issue some have here with bulb collapse. Blasted thing did not have enough air in it to really pump it up,reservoir was still 1/2 flat with cylinders empty, and since air compresses and fluids do not, did not give a fair representation of what it can do. Certainly fluid would be harder to pump since it is not springy like a gas that can compress and fluid would have been able to expand the cylinders more to see how the react. tubs were much softer and more flexible than I expected. We should all get 2 implants. One to play with. It is going to be tough not to try this pumping this thing before 6 weeks as I have been instructed. Wife is a wreck. She is always steady but her hand shook at supper. :D d
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

merrix
Posts: 1188
Joined: Tue Oct 27, 2015 1:08 am

Re: New implant thread, or at least I hope

Postby merrix » Tue Jan 12, 2016 10:49 pm

Your engineering approach certainly won't hurt.
But seriously, this is no issue. Pump and release. Easy even without a clue of how the valve really works.

Interesting how some leading docs leave implant 50-100 % inflated for six weeks, while some (incl Eid and Kramer) leave it nearly 0% inflated and starts cycling after 2-3 weeks instead.

Since guys here have had great results with both approaches, I guess they are just two different ways to achieve the same end result.
43 yo, ED forever from VL
Fit and active
Implanted December 2015
Titan XL 24 cm, no RTEs
Dr. Eid
Activated day 13
Sex after 3 weeks
Gained length and girth
So far It works perfectly
Only one advice: Find a world class surgeon

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: New implant thread, or at least I hope

Postby alibaba » Wed Jan 13, 2016 5:37 am

Now 4:35 a.m. Admission pass card, Meds taken, thirsty. 1 hour 25 minutes to start time. tired from waking every 15 minutes all night to check the time to get ready. wife never slept all night from door slamming and worry and in a bad bad mood. She is not a morning person nor am I. By 10 it should be over. Yippee!d
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.


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