Penn

@InnKeeping_ @shyam_ayurved Oh, yeah. Three’s not a crowd

@shyam_ayurved Is there room in a scrotum for that ?

Did you know about this procedure?

@HowlingF14533 @shyam_ayurved You keep your balls. The scrotum just has an additional tenant.

@shyam_ayurved Do they just throw away the testicles?

@its_imulonde @shyam_ayurved Technology been around since the 70s.

@shyam_ayurved This can’t be real

@gustavo_giggle @shyam_ayurved To each his own.

@shyam_ayurved Yea...id rather just accept that my dick doesn't work at that point lol

@SamuelM40068791 @shyam_ayurved Yes.

@shyam_ayurved Can you still have kids?

@a3ioi83 @shyam_ayurved If you could ejaculate before the implant you can ejaculate after, no mayonnaise involved, and you keep both balls.

@shyam_ayurved Does an erectile dysfunction device enable a man to ejaculate?

@The_Farticvs @shyam_ayurved This is funny. You got me thinking.

@shyam_ayurved If I get this I’m getting a Nike tattoo on my balls

@rpsingh1894 @shyam_ayurved Thanks, doc, for this good information.

🔥 ERECTION PUMP? NO — THIS IS A PENILE IMPLANT! 🚫 Not Ayurveda magic 🚫 Not an external pump ✅ This is a SURGICAL SOLUTION for Erectile Dysfunction (ED) ⸻ ⚙️ HOW IT WORKS 💡 3-Part System: 🔹 Cylinders → inside penis 🔹 Pump → in scrotum 🔹 Reservoir → in abdomen 👉 Press pump → fluid fills cylinders → erection 👉 Release valve → back to flaccid ⸻ 📌 WHEN DO WE USE IT? ✔️ ED not responding to meds (e.g. Sildenafil) ✔️ Post-prostate surgery ✔️ Severe vascular / neurogenic ED ⸻ ⚡ CLINICAL PEARL 1️⃣ First-line → PDE-5 inhibitors 2️⃣ Then → injections / devices 3️⃣ LAST OPTION → 💉 Penile Implant ⸻ ⚠️ RISKS ❗ Infection ❗ Mechanical failure ❗ Rare erosion ⸻ 💯 High satisfaction (90%+) — life-changing for selected patients ⸻ 🚨 DON’T CONFUSE 🔸 Vacuum device = external 🔸 Implant = internal surgery ⸻ #MedicalEducation #Urology #ErectileDysfunction #PLAB2 #NEETPG #DoctorLife #MedTwitter #ClinicalPearls

@callmembj11 @shyam_ayurved Sorry, this is bad information. The tubes in the penis are fillled with saline from the resivoir in the abdomen. No blood is pumped by the implant.

@shyam_ayurved Yeah, I knew about these pumps but seeing the animation makes it look way more intense than I expected. It creates a vacuum to pull blood in, then the ring holds it. Pretty clever for when things aren't working naturally.

@justohavefun @shyam_ayurved Fourteen years of regular use, and still going strong.

@shyam_ayurved how many pumps before the warranty on the hardware expires?

@GoonerDaxx @shyam_ayurved Modestly, yes. For example model AMS LGX700 is designed to expand both girth and length.

@shyam_ayurved Can it give you more inches😁 asking for a friend 😂

@samuelabbey21 @shyam_ayurved You’re probably down for six to eight weeks for scheduling revision surgery.

@shyam_ayurved What if the pump malfunctions why your company is down, the company will just close for the day till you get a mechanic again👇...

@amadedon @shyam_ayurved The pump takes up enough space in my scrotum without thinking about adding an electric motor and batteries. Good grief.

@shyam_ayurved Imagine using one that can auto pump from an app on your phone. Now imagine you forget your phone at home because you left it with your kid to play game... and the kid finds the app with a big red button 🤣

@JamesSmith00802 @shyam_ayurved Lots of bad information

An 80-year-old man falls madly in love with a 20-year-old woman. They decide to get married, but he’s worried he won’t be able to satisfy her in the bedroom. So he goes to the doctor. The doctor says, “We have three options for penile implants these days: 1. A semi-rigid rod — it’s always semi-erect. You just bend it up when you need it and down when you don’t. 2. An inflatable pump — we put cylinders in the shaft, a little pump bulb in your scrotum, and a reservoir in your abdomen. You squeeze the pump to get hard, then release to go soft. Feels pretty natural. 3. And we have this brand-new experimental procedure: We take a section of a baby elephant’s trunk, graft it onto your penis, and connect all the nerve endings. It’s living tissue — it moves on its own, it’s strong, and it’s supposed to be incredible.” The old man thinks about it and says, “Hell, let’s go with the elephant trunk — I want the best!” The surgery is a huge success. A few weeks later, they’re at a big prenuptial dinner with the girl’s entire family. Everyone’s sitting around the table making polite conversation when the young woman starts getting frisky under the table and messing with her fiancé. Suddenly, the elephant trunk shoots up from under the table, curls around a big baked potato on the serving plate, yanks it down, and disappears underneath again. The whole table gasps in shock. After an awkward silence, the mother of the bride leans over and says, “My goodness… that’s fascinating. Could you… do that again?” The old man sighs and replies: “I suppose I could, but I don’t think there’s room in my ass for another potato.”

@GhostOP2024 @shyam_ayurved Got mine after trying other therapies after post-prostate cancer ED.

@shyam_ayurved I had no idea, but hopefully not many will need it

@Potroastation @shyam_ayurved The tech is current ( materials improve): and when has medical products or procedures ever gotten cheaper.

@shyam_ayurved 20 year tech. Is it cheaper today?

@hlaly_alhwaa @369LIFE369 @shyam_ayurved Absolutely wrong.

@369LIFE369 @shyam_ayurved نعم ينتهي الوضع الطبيعي سيكون العمل بالمضخه فقط

@369LIFE369 @shyam_ayurved Nope, you keep your balls, just have a permant new tenant.

@shyam_ayurved Would u lose your balls ... 😳😳😳

@Mexrandman @shyam_ayurved OP, why did you need a revision? I got mine after everything else after prostate cancer caused my ED. I’ve had mine for fourteen years and it works well.

@shyam_ayurved yep, been there, had it done...twice

@anelend0000 @shyam_ayurved If you could ejaculate before the implant, you can still do so after.

@shyam_ayurved Am going to ask this stupid question do they come

VED(vacuum erection device) use vacuum to pull blood into penis. Ring keeps it firm for testing erectile flow.