Pseudo-coffin #2

[Bubba1956]

Previously I posted about Pseudo coffin effect. Originally this study was conducted in Italy. The definition of this effect is that scar tissue surrounds the cylinders and prevent full inflation. After studying further ,there is another aspect to consider. There is also the area surrounding the reservoir. If the implant is left partially inflated, the reservoir is partially deflated. This then could cause reduction in semi- flaccid erection. I think both areas are very important to maintain girth and length both flaccid and inflated. I also think when cycling to maintain the reservoir full to prevent partial erection. The cylinders need to be inflated to the maximum simultaneously to ensure maximum results.

[Larry10625]

Previously I posted about Pseudo coffin effect. Originally this study was conducted in Italy. The definition of this effect is that scar tissue surrounds the cylinders and prevent full inflation. After studying further ,there is another aspect to consider. There is also the area surrounding the reservoir. If the implant is left partially inflated, the reservoir is partially deflated. This then could cause reduction in semi- flaccid erection. I think both areas are very important to maintain girth and length both flaccid and inflated. I also think when cycling to maintain the reservoir full to prevent partial erection. The cylinders need to be inflated to the maximum simultaneously to ensure maximum results.

This is exactly why they say to cycle 2 or 3 times a day for at least 30 minutes. This will prevent the coffin effect from happening.

Larry

[Bubba1956]

thank you Larry!

[Larry10625]

thank you Larry!

My pleasure

Larry

[wallyworld]

FWIW going into the surgery my Doc was going to leave me partially pumped to avoid the encapsulation issue. However, something changed during surgery and they left the reservoir 100% full and the implant 100% deflated. His stated reason for the change was that the partially empty reservoir would have unnecessary and undesirable pressure on it when it was full if the capsule formed around it while partially full. Just guessing but I assumed the change was due to suggestions from the AMS rep who was in the room? My wife and I did ask the Doc about the fact that he was going to leave the implant partially pumped because of the encapsulation issue for the cylinders but he simply said that it wouldn't be an issue. I won't be cycling until 6 weeks from surgery. Which the AMS published directions for the Doc on page 28 say the cycling should begin 3-6 weeks post implant.

Mark

[LeRoastBeef]

So, if you leave the reservoir or erectile chambers uninflated for a significant period of time you will have scar tissue develop around the empty vessels, and this will restrict their filling. The idea therefore is to keep cycling between both to prevent this from happening.

This is my understanding, so correct me if I am wrong.

The issue is that you can't have both full at the same time due to limited fluid. So you must cycle. You can't cycle too much at the start because....things are healing and cycling would jeopardise the healing process? Is that right?


If that is the case, would it not be a possible to fully fill the entire hydraulic system so that both the reservoir and the erectile tubes are both inflated, leave it like that until scar tissue formation and recovery is complete, and they remove the required volume of fluid from the system?

Presumably one could do this by reponing the incision in the scrotum and draining it through the pump system.

Or something....I don't know it's just occurred to me and presumably it doesn't work or they would do it already.

Am I overlooking something really obvious here and being stupid? I'm not a medic or an engineer so i have no idea of these things. It just seems like an obvious solution to me.

[Dave52]

FWIW going into the surgery my Doc was going to leave me partially pumped to avoid the encapsulation issue. However, something changed during surgery and they left the reservoir 100% full and the implant 100% deflated. His stated reason for the change was that the partially empty reservoir would have unnecessary and undesirable pressure on it when it was full if the capsule formed around it while partially full. Just guessing but I assumed the change was due to suggestions from the AMS rep who was in the room? My wife and I did ask the Doc about the fact that he was going to leave the implant partially pumped because of the encapsulation issue for the cylinders but he simply said that it wouldn't be an issue. I won't be cycling until 6 weeks from surgery. Which the AMS published directions for the Doc on page 28 say the cycling should begin 3-6 weeks post implant.

Mark

I don’t understand why anyone would wait 6 weeks befor starting to cycle the scar tissue starts to develop in the first week. Keeping the reservoir full most of the time makes perfectly good sense to me to avoid scarring and diminish space for the reservoir to fill to it’s limit. Dr. Eid and I had a conversation about the formation of the pseudo capsule in the penis.Dr Eid was telling me that If cycling didn’t occur in the first week or two the pseudo capsule would already have started to form and if it’s left to form for a long period of time it will be more difficult to break it up and certainly more painful. Dr. Eid told me on several occasions he had patients that came back to him because they didn’t follow his protocol and he had to manipulate the penis to breakdown the scar tissue with a few cases so bad that he put the patients under General anesthetic to manipulate because of the pain . I’m not sure what your doctors methods are but obviously he’s concerned about pseudocapsule forming around the reservoir well this is happening because the reservoir is full inflated the opposite is happening in the shaft of the penis it only makes sense to me to cycle soon as possible

[Larry10625]

FWIW going into the surgery my Doc was going to leave me partially pumped to avoid the encapsulation issue. However, something changed during surgery and they left the reservoir 100% full and the implant 100% deflated. His stated reason for the change was that the partially empty reservoir would have unnecessary and undesirable pressure on it when it was full if the capsule formed around it while partially full. Just guessing but I assumed the change was due to suggestions from the AMS rep who was in the room? My wife and I did ask the Doc about the fact that he was going to leave the implant partially pumped because of the encapsulation issue for the cylinders but he simply said that it wouldn't be an issue. I won't be cycling until 6 weeks from surgery. Which the AMS published directions for the Doc on page 28 say the cycling should begin 3-6 weeks post implant.

Mark

I don’t understand why anyone would wait 6 weeks befor starting to cycle the scar tissue starts to develop in the first week. Keeping the reservoir full most of the time makes perfectly good sense to me to avoid scarring and diminish space for the reservoir to fill to it’s limit. Dr. Eid and I had a conversation about the formation of the pseudo capsule in the penis.Dr Eid was telling me that If cycling didn’t occur in the first week or two the pseudo capsule would already have started to form and if it’s left to form for a long period of time it will be more difficult to break it up and certainly more painful. Dr. Eid told me on several occasions he had patients that came back to him because they didn’t follow his protocol and he had to manipulate the penis to breakdown the scar tissue with a few cases so bad that he put the patients under General anesthetic to manipulate because of the pain . I’m not sure what your doctors methods are but obviously he’s concerned about pseudocapsule forming around the reservoir well this is happening because the reservoir is full inflated the opposite is happening in the shaft of the penis it only makes sense to me to cycle soon as possible

Man oh man, I wish I knew what Dr. Eid did different than the others. He has his patients cycling before three weeks. Every now and then I will see one of his patients saying that they couldn't because it hurt too much but either the rest are doing it or not talking about not doing it. The topic of cycling comes up every 3 to 6 months on here and it seem that probably the majority are somewhere around 3 weeks. Mine was three weeks but I was way too sore to start then so I started around 4 weeks. It was still sore but manageable. The one thing that I heard Dr. Eid does is put a liquid suture over his other sutures to make it waterproof. This allows you to take a much needed therapeutic bath in hot water to get the pump soft. The sooner you can get in the tub the better. I had to wait one week to shower and two weeks to get in the tub. It just softens and loosens everything up and is much more comfortable to try and cycle. Should all that fail, grab a bottle of wine and your wife/husband/girlfriend/boyfriend and just enjoy for a while.

Larry

[wallyworld]

I couldn't even begin to suggest why there appear to be different approaches. Just letting you know what my Doc is doing for me/to me.

This is from the AMS 700 Operating Room manual:

"After three to six weeks, the physician may instruct the patient to begin cycling the device for the first time. ... It may be painful for the patient the first few times that he inflates and deflates the device. However, after the postoperative healing period,the pain should subside. Instruct the patient to inflate and deflate the prosthesis several times daily. This will encourage maximum pseudocapsule development and reservoir capacity."

Just sharing, not advising.

Mark

[Larry10625]

I couldn't even begin to suggest why there appear to be different approaches. Just letting you know what my Doc is doing for me/to me.

This is from the AMS 700 Operating Room manual:

"After three to six weeks, the physician may instruct the patient to begin cycling the device for the first time. ... It may be painful for the patient the first few times that he inflates and deflates the device. However, after the postoperative healing period,the pain should subside. Instruct the patient to inflate and deflated the prosthesis several times daily. This will encourage maximum pseudocapsule development and reservoir capacity."

Just sharing, not advising.

Mark

Yup Mark, I believe that is what a large number of members have been told. I know that there are little differences in the way that the surgeons perform their surgery. It is those differences that I believe make the difference in how long to wait. I just know that there was no way in hell that I would have been able to cycle at or before three weeks... way to sore.

Larry