To answer questions:

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

To answer questions:

Postby alibaba » Thu Nov 17, 2016 12:09 am

When you pump up your dick, the tubing to the cylinders is under pressure so that makes a normal soft flexible tube become more rigid.. On me at least, understand if you are fat it would not make much difference as it would be hidden deeper, but the stiffness holds the skin out where I can stick 2 fingers between the pubic bone and tubing on each side. It is visible and my wife can feel it. Makes it uncomfortable bumping against. Infrapublic has 3 tubes that come out at the top side of your dick and that makes quite a bundle, especially when they get rigid and stand out. Hope this helps explain things. If I could figure out how to take a small enough picture to post I would post a picture. As one doctor told me in an email, "infrapubic is a fast way for unskilled or lazy doctors to do an implant quickly with less risk. No more, no less and it does nothing for the patient. " I will not name which doctor as I know they all meet each other at conferences and I have heard a recording of one doctor trashing another already. I do not want to stir up more of that uncalled for behavior.
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.

jonbaldbg
Posts: 658
Joined: Mon Aug 08, 2016 9:26 am
Location: Kentucky

Re: To answer questions:

Postby jonbaldbg » Thu Nov 17, 2016 7:36 am

alibaba wrote:When you pump up your dick, the tubing to the cylinders is under pressure so that makes a normal soft flexible tube become more rigid.. On me at least, understand if you are fat it would not make much difference as it would be hidden deeper, but the stiffness holds the skin out where I can stick 2 fingers between the pubic bone and tubing on each side. It is visible and my wife can feel it. Makes it uncomfortable bumping against. Infrapublic has 3 tubes that come out at the top side of your dick and that makes quite a bundle, especially when they get rigid and stand out. Hope this helps explain things. If I could figure out how to take a small enough picture to post I would post a picture. As one doctor told me in an email, "infrapubic is a fast way for unskilled or lazy doctors to do an implant quickly with less risk. No more, no less and it does nothing for the patient. " I will not name which doctor as I know they all meet each other at conferences and I have heard a recording of one doctor trashing another already. I do not want to stir up more of that uncalled for behavior.


I had not heard that infra-pubic was an inferior technique, but my surgeon definitely uses scrotal and he's somewhat of an implant legend. I thought I had read where one of the other "legends" uses infra-pubic, but I'm not sure.

When In inflate (I'm new at that) the tubing and deflate valve pull up against the base of the penis and I'm wondering if that is going to affect sex. I guess If I don't hurt and bang too hard, it won't. I don't see how it would be possible to not have the tubing snug up next to the base of the penis where it connects to the cylinders. I guess we'll see how it goes. I wish you well with your problem.
62 years old. ED for years. High BP and meds have done me in. AMS 700 CX /3.0 cm RTE Implanted by Andrew Kramer on 10/12/16. Involved revision to relocate tubes and pump performed 12/29/16 by Dr. Knoll of Nashville, TN.

jonbaldbg
Posts: 658
Joined: Mon Aug 08, 2016 9:26 am
Location: Kentucky

Re: To answer questions:

Postby jonbaldbg » Thu Nov 17, 2016 8:45 am

Alibaba,

If you want to do a picture and are using a Windows 7 (and I assume Windows 10) computer, you can open the picture with the Microsoft basic program called "Paint". With that, you can rotate and resize. You simply put in the percentage you want and save the file. I use 30-40% and that normally gets the size of the file small enough that Franktalk will accept the upload. Then, once uploaded, I place the picture inline so it shows with my text. Good luck.
62 years old. ED for years. High BP and meds have done me in. AMS 700 CX /3.0 cm RTE Implanted by Andrew Kramer on 10/12/16. Involved revision to relocate tubes and pump performed 12/29/16 by Dr. Knoll of Nashville, TN.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: To answer questions:

Postby Lost Sheep » Thu Nov 17, 2016 2:36 pm

jonbaldbg wrote:Alibaba,

If you want to do a picture and are using a Windows 7 (and I assume Windows 10) computer, you can open the picture with the Microsoft basic program called "Paint". With that, you can rotate and resize. You simply put in the percentage you want and save the file. I use 30-40% and that normally gets the size of the file small enough that Franktalk will accept the upload. Then, once uploaded, I place the picture inline so it shows with my text. Good luck.

Click on the "Start" button (same one you use to close down Windows)

Click on "All Programs"

Scroll down to find "Accessories" and click on that to open a menu of programs

Click on "Paint"

Use the "Paint" program to open your picture (assuming it is .jpg or one of the paint-compatible programs)

Across the top of the window, find "Image" and click on that to open a menu of commands

click on "resize/skew"

Resize.jpg
Resize.jpg (14.97 KiB) Viewed 2363 times


Make sure you reduce horizontal and vertical by the same amount

Ignore the "skew" selections.

save to a different file name than the original image. Be sure to make note of the location.

Reduce by differing amounts in succession so you have a selection of possibilities to attach to your post.

Good luck.

Lost Sheep

p.s. the image I attached is 15Kb. For a good image of an actual photograph, I opine 25 to 60 would be good.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

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

Re: To answer questions:

Postby alibaba » Thu Nov 17, 2016 9:37 pm

Thanks. I hunted up the books on our 2 cameras and reset them to the smallest image size for emails and FT said they were still too large. I've never used Paint. Will try it when I have time. I appreciate the helpful post, especially since it seems I never have the time it takes to try to learn something new any more. Too many demands on time. Cheers.
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: To answer questions:

Postby alibaba » Thu Nov 17, 2016 9:46 pm

Eid and Kramer do scrotal. Perito, Knoll and Cornell in Texas do infrapubic. I have not talked to Karpman in years but understand he now does infrapubic. The infrapubic doctors "fix" suggested for me was to put in 2 splices in each set of tubing , add more tubing and move it around a bit. That seems a half assed repair that adds 6 more potential leak or failure points, 6 more bulky connections that do not have any give like tubing and may end the rub and bind on the penis but still do not address the whole issue of coming out the top of the penis. When you start searching infrapubic penile implant issues you will find nearly every complaint is tubing and too high of pump with a few complaining about the bump on the top of their penis. Eid and Kramer have been very clear on why that is an issue. There is a video of Perito trashing Eid claiming his technique is better. Don't have time to watch it but this may be it. There are many Perito interviews. I typed in "Interview Eid Perito" in the search box.
https://www.youtube.com/watch?v=2Y8-cuQK5V4
Last edited by alibaba on Fri Nov 18, 2016 1:12 am, edited 1 time 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.

PFracture

Re: To answer questions:

Postby PFracture » Thu Nov 17, 2016 10:06 pm

alibaba wrote:Eid and Kramer do scrotal. Perito, Knoll and Cornell in Texas do infrapubic. I have not talked to Karpman in years but understand he now does infrapubic. The infrapubic doctors "fix" suggested for me was to put in 2 splices in each set of tubing , add more tubing and move it around a bit. That seems a half assed repair that adds 6 more potential leak or failure points, 6 more bulky connections that do not have any give like tubing and may end the rub and bind on the penis but still do not address the whole issue of coming out the top of the penis. When you start searching infrapubic penile implant issues you will find nearly every complaint is tubing and too high of pump with a few complaining about the bump on the top of their penis. Eid and Kramer have been very clear on why that is an issue. There is a video of Perito trashing Eid claiming his technique is better.


Care to share that video with us? sharing is caring! :D

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

Re: To answer questions:

Postby merrix » Thu Nov 17, 2016 10:35 pm

jonbaldbg wrote:
I had not heard that infra-pubic was an inferior technique, but my surgeon definitely uses scrotal and he's somewhat of an implant legend. I thought I had read where one of the other "legends" uses infra-pubic, but I'm not sure.

When In inflate (I'm new at that) the tubing and deflate valve pull up against the base of the penis and I'm wondering if that is going to affect sex. I guess If I don't hurt and bang too hard, it won't. I don't see how it would be possible to not have the tubing snug up next to the base of the penis where it connects to the cylinders. I guess we'll see how it goes. I wish you well with your problem.



My understanding is that:

The slightly higher pump is an issue with AMS since the tubing is simply shorter from pump to cylinders, or rather they are attached at a different position on the cylinder, compared to Titan, which makes the effective length shorter.
The fix is to use RTEs, which pushes implant further out and fixes the tubing attachment point where the tubing's length can be maximally made use of, and allow a better (lower) pump placement.
Of course, the downsides of RTEs are less axial rigidity and over time the 'wobbling' effect, a.k.a. the hinge effect.

But - the advantage of an AMS is a softer flaccid, and in the the case of the LGX, not only a softer flaccid, but also a shorter flaccid which just like a natural dick is substantially shorter when flaccid than erect.

And I can tell you that it is possible to have the pump and the tubing completely out of way, not being in play at all. My pump, is as shown on several pictures here on FT, completely hidden behind my balls. Cannot be seen even when I lift my dick up. Has never been felt by neither myself nor my wife during sex (well, not during intercourse that is. She will feel it during a good blowjob including massaging or sucking my balls of course).
Same thing with tubing. Never visible, never felt during sex. I can feel them if I want to since I know where they are, but they are not in play when having sex.

On the other hand, I do occasionally have issues with my flaccid size. It is 15 cm (5.9"), which is larger than the average size of a natural dick's erection. It is not a big issue, but occasionally I find myself thinking it'd be better to have a more normal sized flaccid.

Pros and cons, trade-offs...
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: To answer questions:

Postby alibaba » Fri Nov 18, 2016 1:06 am

You can do a search for the video but I cannot think what particular parameter to search. Perito vs Eid? Infrapubic vs Scrotal? Interview Eid and Perito? I think there may have been 2. 1 is a talk show interview of the 2. The 2 disagree, Eid is polite, Perito goes on and on the Eid's technique is inferior and his low infection rate cannot possibly be that low.
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: To answer questions:

Postby merrix » Fri Nov 18, 2016 1:20 am

alibaba wrote:You can do a search for the video but I cannot think what particular parameter to search. Perito vs Eid? Infrapubic vs Scrotal? Interview Eid and Perito? I think there may have been 2. 1 is a talk show interview of the 2. The 2 disagree, Eid is polite, Perito goes on and on the Eid's technique is inferior and his low infection rate cannot possibly be that low.


I have seen it. It is as you say, one moderator (Goldstein or similar) and Eid and Perito.
If I remember right, in this video, Eid basically says he is very methodical, covering everything up, avoiding to ever touch anything. That's his anti-infection strategy. And that means the surgery time is on the longer side.
Perito says it is all about time. Basically he means that avoiding an infection is all about time. The shorter surgery the less infection risk. Hence he does not cover everything up as carefully, and is less concerned about skin-to-skin contact. In the trade-off between avoiding contact and time, he chooses time, while Eid chooses avoiding contact.
And as I remember it, the moderator then finally asks Perito something like 'So basically you're so fast so even if there is bacteria there is no time for them to infect the skin or the wound', and Perito says 'Yes'.
???

Well, I am neither a doctor, nor do I have a good memory, but I googled it and the video is there. Just didn't bother to watch it again...
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


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