Most patients will begin cycling (INFLATING/DEFLATING) the penile implant between the 4th and 6th post-operative week. Only begin inflating the 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 pump is manually recognizable and readily palpable. Soaking in a hot bath may facilitate this. If 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 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 pump.
In order to switch the 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 subsequently inflations should not require as much force as the initial one.
Anywhere from 10 to 60 squeezes may be required to fully inflate the cylinders. The larger the cylinder the more fluid will be needed to achieve firmness, the more times the pump will need to be squeezed. You cannot damage the 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 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 implant is fully inflated.
We recommend that you inflate your 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.