Most patients will begin cycling (INFLATING/DEFLATING) the penile implant between the 4th and 6th post-operative week. Only begin inflating the penile implant if you are 100% sure that you will be able to deflate it. To ascertain that you will be able to deflate the penile implant, make sure that the deflation footprint of the penile pump is manually recognizable and readily palpable. Soaking in a hot bath may facilitate this. If the swelling is present and you are not sure that you can feel and distinguish all of the different components of the pump you should wait another two weeks before attempting penile pump inflation.
It is normal to experience pain in the shaft of the penis and for it to be sore during the first two weeks of inflation. For this reason, we recommend that you take two Tylenol with codeine, wait 30 minutes and get into a very hot bath tub for 15 minutes before you begin to squeeze the penile pump.
In order to switch the penile pump into the inflating mode, you need to initially give vigorous and rapid squeeze to the bulb. You should feel a gentle tug and all subsequent inflations should not require as much force as the initial one.
Anywhere from 10 to 60 squeezes may be required to fully inflate the penile implant cylinders. The larger the penile cylinder the more fluid will be needed to achieve penile firmness, the more times the pump will need to be squeezed. You cannot damage the penile pump or over inflate the cylinders, so squeeze it several times until it becomes as hard as a marble.
At this point rock the shaft of the penis from side to side and up and down and squeeze the penile pump again a few times until the shaft of the penis becomes very firm. You should be able to squeeze it three to six more times. All cylinder folds and ridges should completely disappear and the shaft of the penis should be rock hard when the penle implant is fully inflated.
We recommend that you inflate your penile implant every day for the first month until the pump becomes more compliant and you become very comfortable with its function. If you encounter any difficulties please do not hesitate to contact Dr. Eid.