Two schools of thought - direct to implant or exhaust other options

The final frontier. Deciding when, if and how.
RigiconDownUnder
Posts: 76
Joined: Thu Oct 02, 2025 12:07 am

Re: Two schools of thought - direct to implant or exhaust other options

Postby RigiconDownUnder » Sun Sep 13, 2026 8:46 am

dan_bionic wrote:Nestor, look, the implant is the best gift you can make to yourself!
It cures the disease AND it repairs also your self-confidence; you loose the anxiety not being able to perform regardless when, how long and whom you want to have sex with.
I had always a dream: to have spontaneous sex out of the blue with a chick I meet somewhere. Sometimes it happened and then I was not able to maintain an erection and got frustrated to the point, that later-on I've avoided such situations. Since I have the implant I always look in the girl's eyes to catch her attention to want to have sex with confidence and show her, "I'm ready for action" :D
With the implant my dream became reality! :lol:

Life is too short, so each day, you have no sex, is a lost day :!:
Best
Dan


I agree with Dan 200%.
The most important things in this world for us are:
#1) Get an implant ASAP, and
#2) Keep fucking young pussies 24/7.
Life is too short, brothers. The time to get an implant is NOW, not next week, not next month, and certainly not next year!
8-) :roll: :!:
T1 diabetes. Progressive ED after a motorcycle accident. Rezūm, Trimix, then Rigicon Infla10 Pulse DIPP via Phantom technique. Grateful to my bionic brotherhood for helping me pull the trigger. Best decision I ever made, for me and my wife of 32 years.

Nestor
Posts: 62
Joined: Tue Oct 16, 2018 6:13 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby Nestor » Sun Sep 13, 2026 10:25 am

Thanks everyone.

I fall in the category of being single and planning to travel. I do not intend to jump from woman to woman. But I do intend to get married and the idea of managing injections if one assumes eventually (God willing I live long enough) they would stop working anyway...

I'm just delaying the inevitable if I were to go the injectables route. The only down side is if I 'jump the gun' and some miracle ED solution arrives soon, which I don't think is likely at all.
55; Considering an implant. ED for over a decade. Tested a decade ago for VL, negative. Not hormonal; may be dopamine reward dysfunction.

LGXDownunder
Posts: 955
Joined: Fri Mar 07, 2025 7:59 am
Location: Sydney, Australia

Re: Two schools of thought - direct to implant or exhaust other options

Postby LGXDownunder » Sun Sep 13, 2026 11:08 am

With the wisdom of hindsight I wish I had never gone the injection route. They worked OK briefly but then didn't work at all, and built up a disproportionate amount of fibrosis in a very short period. That led to some post implant PD that I'm still dealing with. Many guys have success with injections but I wish I'd never heard of them and gone for an implant much sooner. Injections are also very inconvenient and destroy any spontaneity in my experience. Probably more so if you're single. I'm sure there will be future advances in medical technology but don't think a miracle ED cure is close. That's my 2 cents worth but you should weigh it up using your own priorities. Best wishes however you decide.
72, married, Sydney Oz. PC/nerve sparing RRP Mar 2022 caused 100% total ED. Tried pills, Trimix inj, focal shockwave, VED. All failed. Implanted Mar 6 2025 AMS 700 LGX 21cm x 12mm, no RTEs, MS pump, Penoscrotal. Back to 6.5" BPEL @ 9m. Loving it.

fucked0ne
Posts: 725
Joined: Wed Nov 22, 2023 7:47 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby fucked0ne » Sun Sep 13, 2026 5:00 pm

Once pills stop working, I’d go straight to implant. If you’re using injections, you’re well on your way to an implant anyway as the injections—like pills—become less effective over time. Moreover, the pricking of your corpora will eventually cause scarring (fibrosis), which becomes an additional obstacle during the implantation procedure.
42. Implanted by Dr. Kramer, July 5, 2024, AMS LGX, 21cm cylinders + 2cm RTEs. Idiopathic "hard flaccid" ED following bacterial infection. Tried pulse waves, Cialis, TRT, even spinal injections. Nada.

learnmore
Posts: 28
Joined: Mon Jan 19, 2026 1:54 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby learnmore » Sun Sep 13, 2026 8:37 pm

Nestor wrote:I have seen a number of posts here over the years...

People who have exhausted other options when PDE5 inhibitors do not work or have extreme side effects... (Meaning skipping injections mainly)

But I've also seen a lot of people say "I should have done the implant sooner".

I have not exhausted other options yet but don't want to be burdened by injections, especially with my travel plans in retirement and the risk of PD (apparently).

So I guess I'm looking to hear from people their thoughts... Has anyone truly regretted 'jumping' right to an implant?

(I'm speaking from the perspective that I would see one of the very top surgeons so the best implant outcome is highly likely)

I'd greatly appreciate any insight. Thanks!


On the topic of exhausting options, what is not talked much on this platform is that Malleable is simpler implant with less chances of infection/complication. Given what I went through recently I would have chosen Malleable first that ended up w Malleable after 2 infections/hospital visit.

Inflatable is apparently ultimate, If it works and if you get to use it soon enough and for long enough.
My malleable feels very promising. Hopefully I will have field report in a couple of weeks.
Age 56. Titan Coloplast w Classic Pump 20 cm by Dr. Leon Telis on 6/15/2026
Infection and Salvage 19 cm Genesis MPP by Dr. Leon Telis on 8/10/2026
Re-Infection and Salvage 20 cm Genesis MPP by Dr. Gregory Amend on 8/19/2026

kbb1957
Posts: 100
Joined: Mon Jul 15, 2024 9:23 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby kbb1957 » Sun Sep 13, 2026 8:58 pm

Learnmore:
Sorry for anyone that has 3 of these surgeries back to back.
I have to question why you have been prone to infections. Are you doing anything risky like sleeping with pets or not using antibacterial soap?
Does your surgeon have a higher than usual infection rate?
Your scenario seems very suspicious.
Again sorry you are enduring such an awful experience.

Nestor: learnmore’s experience is not the norm.
Implanted 9/12/2024 at age 67;
Vertical Penoscrotal approach with separate reservoir incision;
Dr Allen Morey, McKinney, Texas;
Coloplast Titan XL 26 cm base cylinder-no RTE, Genesis pump, 125 cc reservoir.

Nestor
Posts: 62
Joined: Tue Oct 16, 2018 6:13 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby Nestor » Sun Sep 13, 2026 10:04 pm

kbb1957 wrote:Nestor: learnmore’s experience is not the norm.


Agreed. However long term infection is now my biggest concern. From a niceguy1 post:

"There was a study conducted where they cultured broken implants during revision surgery and found that 50% of the devices that were removed had detectable bacteria living on them."

What the average person likely doesn't realize is that this is probably driving general systemic inflammation. That's a bit worrisome.
55; Considering an implant. ED for over a decade. Tested a decade ago for VL, negative. Not hormonal; may be dopamine reward dysfunction.

learnmore
Posts: 28
Joined: Mon Jan 19, 2026 1:54 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby learnmore » Mon Sep 14, 2026 8:16 am

kbb1957 wrote:Learnmore:
Sorry for anyone that has 3 of these surgeries back to back.
I have to question why you have been prone to infections. Are you doing anything risky like sleeping with pets or not using antibacterial soap?
Does your surgeon have a higher than usual infection rate?
Your scenario seems very suspicious.
Again sorry you are enduring such an awful experience.

Nestor: learnmore’s experience is not the norm.

Agree with you that my experience is not the norm.
But infection is more common than it is talked about here.
Also, beyond infection , problem with inflation, deflation, recovery, equipment failure is time kill.
What is worse: if you have infection which cannot be salvaged right away , you are without anything for 3 to 6 months which can lead to meaningful loss in length/girth.
I am diabetic so doctors say high blood sugar attracts bacteria. Even at my third surgery my Dr mindset was that yes, infections are a risk but for them its is a solvable problem as they deal with 100s of cases. But you are one person. And you have your own life to deal with given its own constraints. I would say plan for it.
Age 56. Titan Coloplast w Classic Pump 20 cm by Dr. Leon Telis on 6/15/2026
Infection and Salvage 19 cm Genesis MPP by Dr. Leon Telis on 8/10/2026
Re-Infection and Salvage 20 cm Genesis MPP by Dr. Gregory Amend on 8/19/2026

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duke_cicero
Posts: 589
Joined: Tue May 28, 2024 2:58 pm

Re: Two schools of thought - direct to implant or exhaust other options

Postby duke_cicero » Mon Sep 14, 2026 8:36 am

learnmore wrote:
kbb1957 wrote:Learnmore:
Sorry for anyone that has 3 of these surgeries back to back.
I have to question why you have been prone to infections. Are you doing anything risky like sleeping with pets or not using antibacterial soap?
Does your surgeon have a higher than usual infection rate?
Your scenario seems very suspicious.
Again sorry you are enduring such an awful experience.

Nestor: learnmore’s experience is not the norm.

Agree with you that my experience is not the norm.
But infection is more common than it is talked about here.
Also, beyond infection , problem with inflation, deflation, recovery, equipment failure is time kill.
What is worse: if you have infection which cannot be salvaged right away , you are without anything for 3 to 6 months which can lead to meaningful loss in length/girth.
I am diabetic so doctors say high blood sugar attracts bacteria. Even at my third surgery my Dr mindset was that yes, infections are a risk but for them its is a solvable problem as they deal with 100s of cases. But you are one person. And you have your own life to deal with given its own constraints. I would say plan for it.


I wouldn't say that infection is "more common than is talked about here," if anything it's far less common. Infection is talked about here constantly because this is one of the main forums online where people can even discuss penile implants and their various complications. Infection is globally a roughly 1% complication. That doesn't mean it never happens; that means that when it happens, it is exceedingly rare. It's rare even if you have 1,000 people in a room who say it happened to them, because that's how statistics works—aggregating the exceptions in a single location doesn't make them any less rare, it just makes them more locally obvious.
Born 1990. ED since age 20 after a bicycle accident. Coloplast Genesis malleable implanted December 2024 by the great Dr. Laurence Levine in Chicago.

· December 2024 implant journal
· June 2025 update
· One-year update

RigiconDownUnder
Posts: 76
Joined: Thu Oct 02, 2025 12:07 am

Re: Two schools of thought - direct to implant or exhaust other options

Postby RigiconDownUnder » Mon Sep 14, 2026 1:22 pm

If we catch an infection, it’s 1%.

I’d focus on the 99% and become a success story.
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T1 diabetes. Progressive ED after a motorcycle accident. Rezūm, Trimix, then Rigicon Infla10 Pulse DIPP via Phantom technique. Grateful to my bionic brotherhood for helping me pull the trigger. Best decision I ever made, for me and my wife of 32 years.


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